NUR-590 Evidence-Based Practice Project Proposal: Evaluation Plan
Grand Canyon University NUR-590 Evidence-Based Practice Project Proposal: Evaluation Plan-Step-By-Step Guide
This guide will demonstrate how to complete the NUR-590 Evidence-Based Practice Project Proposal: Evaluation Plan assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NUR-590 Evidence-Based Practice Project Proposal: Evaluation Plan
Whether one passes or fails an academic assignment such as the Grand Canyon University NUR-590 Evidence-Based Practice Project Proposal: Evaluation Plan depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NUR-590 Evidence-Based Practice Project Proposal: Evaluation Plan
The introduction for the Grand Canyon University NUR-590 Evidence-Based Practice Project Proposal: Evaluation Plan is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NUR-590 Evidence-Based Practice Project Proposal: Evaluation Plan
After the introduction, move into the main part of the NUR-590 Evidence-Based Practice Project Proposal: Evaluation Plan assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NUR-590 Evidence-Based Practice Project Proposal: Evaluation Plan
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NUR-590 Evidence-Based Practice Project Proposal: Evaluation Plan
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NUR-590 Evidence-Based Practice Project Proposal: Evaluation Plan
The implementation of hand hygiene protocols and measures to reduce and prevent the occurrence of hospital acquired infections (HAIs) among healthcare workers (HCWs) in pediatric care setting is focused on enhancing patient safety, quality care, and better outcomes. The evaluation of its implementation is essential to ascertaining if the evidence-based practice project proposal will attain its expected goals and outcomes (Albarqouni et al., 2018). The purpose of this evaluation is to discuss the expected outcome of the EBP project proposal, review data collection tools related to the selected research design and select a suitable statistical test and methods to apply to data collection and measuring of the outcomes and their assessment based on selected tool.
Hello! Nursing shortages continues to be an ongoing problem, and our patients are affected greatly when we continue to work short. Our patients are growing sicker and are requiring more time and care. Our nursing workload is increasing and the time that we are able to spend with our patients is decreased. When we have such as heavy workload, our time being spent collaborating with our patients and with the physician, decreases. This is where medical errors can happen and can lead to a poor communication amongst the interdisciplinary team, including our patients. Our patient’s quality of care decreases as well. Our patients are at a great risk for infection and poor outcomes when we are not able to spend time understanding and caring for their needs. Our nurses are having to take on such a great deal of workload that we are seeing an increase in our nurse burnout. Our nurses are being burned out by limited resources and shortages; our nurse satisfaction rates are going down. When nurses are feeling unsatisfied with their jobs, our patients care is also affected. Our nurses are not able to practice at the highest level that they can when they are feeling burned out, and unsatisfied with their positions. This is leading to an increase in workload and an increase in errors as well. We are not able to spend our time and knowledge in using our critical thinking skills. We may not be able to notice with the decrease in time spend on patient care when something may be going on with our patients.
Expected Outcomes for the EBP Project Proposal
The implementation of this EBP project is focused on enhancing outcomes that will guarantee patient safety, quality care and better interventions by healthcare workers to reduce and prevent the occurrence of hospital acquired infections among the pediatric patients. The expected outcomes for the project include knowledge dissemination to healthcare workers in the selected settings to reduce HAIs, enhancement of patient safety protocols and development of organizational frameworks and policies to incorporate hand hygiene measures and protocols for healthcare workers. The EBP project proposal is expected to reduce the rate or prevalence of hospital acquired infections and expand the adoption of hand hygiene measures that include handwashing with soap and water alongside hand sanitizers or alcohol-based hand rubs in the care targeted care facilities.
Data Collection Tools Based on Selected Research Design
The proposed EBP project will employ a qualitative research design. The approach is used to understand thoughts, concepts and experiences of research subjects in connection to the proposed project and its significance to the target population. Qualitative research design employs different data collection tools that include focus groups, interviews, observations and review of literature (Hunter, 2017). The qualitative approach will ensure that the research incorporates opinions from healthcare workers on the need to improve hand hygiene measures to prevent and reduce the prevalence of hospital acquired infections (HAIs).
Data collection is an essential step in evidence-based practice project proposal as it allows researchers to document findings based on opinions, views and observations of the target population and research participants. A selected data collection tool should be effective for the research design based on its validity, reliability and applicability.
In this case, the selected research data collection tool for the EBP project is institutional interviews where the participants will fill questionnaires detailing their experiences and thoughts on the topic. These include their views and opinions on hand hygiene measures to enhance quality and safe care in pediatric settings by healthcare workers (Kampstra et al., 2018). Interviews are an essential tool for collection of qualitative data because of their flexibility, validity and reliability. Data collected through interviews capture the original sentiments, opinions, and views of healthcare workers in pediatric settings. Interviews enhance confidentiality, accuracy and precision of the information as it comes from the participants who experience the various situations and apply different interventions in care delivery.
Statistical Test for the EBP Project Proposal
Statistical tests provide a framework for making effective decisions about a particular study sample. Statistical tests mainly evaluate the hypothesis concerning the significance of an observed sample. The tests also evaluate the interactions between predictor variables and outcome variables and estimate the differences between two or more groups (Rebekah & Ravindran, 2018). The proposed EBP project will use a parametric test called regression.
Regression tests have stringent requirements and make robust inferences based on collected data. Regression test will be used to show the cause-and-effect approach to the phenomenon under review. The EBP project will use a qualitative research design with interview being the main data collection tool. Therefore, the interviews will offer views on the outcomes of handwashing protocols for healthcare workers that include the use of hand sanitizers besides soap and water. The tool is best suited for the project since it offers information on the cause and effect approach to the project. For instance, the use of hand sanitizer among HCWs to reduce HAIs is essential in deterring the transmission of infections to pediatric patients.
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Methods of Data Collection Tool, Measurement and Evaluation of Outcomes
The main method to the data collection tool will be use of persona interviews where the researcher will conduct interviews before, during and after the implementation of the interventions among the target population or participants (Melnyk & Fineout-Overholt, 2019). The interviews will be based on questionnaire given to the participants to fill concerning the need to reduce and prevent hospital acquired infections among pediatric patients.
The outcome measurement and evaluation will be based on the collected data by analyzing the responses and feedback from the sampled population. For instance, the project will use satisfaction surveys to evaluate the effectiveness of measures deployed to reduce the prevalence of HAIs. Positive outcome measures will include a reduction in the number of reported HAIs among the inpatient pediatric patients, enhanced hand hygiene measures and development of protocols to be followed to attain the required standard practices.
Strategies if Outcomes Are Positive or Expected Results
The conclusion that nothing new occurred does not add to the current knowledge and only affirms the current status quo. Imperatively, if the outcomes fail to provide the expected or positive results, it is imperative to analyze what led to the failure (Rebekah & Ravindran, 2018). If it is about the approach used or methodological aspects, it is fundamental to begin again using different approaches. However, if the methodology is effective, it would be important to review the entire process and ensure that the EBP project gives positive outcomes.
Sustainability of the EBP Project
The project team must have plans to maintain, extend, review or discontinue the proposed solution after the overall implementation. In this case, the plans to maintain the project include incorporating the recommended practice standards as part of the organization’s culture (Schirm et al., 2018). The second aspect is to extend the best practices in all units within the facility by dissemination of the acquired knowledge and skills among the healthcare workers. The third aspect is to continually review and revise components of the project to align with the organization’s goals, best practices and quality improvement initiatives and policies.
Conclusion
Evaluating the implementation of EBP project proposal is fundamental to ascertaining the overall outcomes and effectiveness of the initiatives. Evaluation helps to review the expected outcomes and their attainment, review different components of the program to make align them with research goals and ensure that research design and data collection tools aid the project’s implementation. In this case, the EBP project will be evaluated and sustained using the approach highlighted by the paper.
References
Albarqouni, L., Hoffmann, T., & Glasziou, P. (2018). Evidence-based practice educational
intervention studies: a systematic review of what is taught and how it is measured. BMC medical education, 18(1), 1-8. https://doi.org/10.1186/s12909-018-1284-1
Hunter, S. (2017). Not All Evidence is Created Equal: Changes in practice require the highest
possible level of statistical testing. EMS World, 46(10), 46-50.
Schirm, V., Banz, G., Swartz, C., & Richmond, M. (2018). Evaluation of bedside shift report: A
research and evidence-based practice initiative. Applied Nursing Research, 40, 20-25. doi: 10.1016/j.apnr.2017.12.004
Kampstra, N. A., Zipfel, N., van der Nat, P. B., Westert, G. P., van der Wees, P. J., &
Groenewoud, A. S. (2018). Health outcomes measurement and organizational readiness support quality improvement: a systematic review. BMC health services research, 18(1), 1-14. https://doi.org/10.1186/s12913-018-3828-9
Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing and
healthcare: A guide to best practice (4th ed.). Wolters Kluwer. ISBN-13:
9781496384539
Rebekah, G., & Ravindran, V. (2018). Statistical analysis in nursing research. Indian Journal of
Continuing Nursing Education, 19(1), 62.
Vandermause, R., Barg, F. K., Esmail, L., Edmundson, L., Girard, S., & Perfetti, A. R. (2017).
Qualitative methods in patient-centered outcomes research. Qualitative health research, 27(3), 434-442. doi: 10.1177/1049732316668298
Sample Answer 2 for NUR-590 Evidence-Based Practice Project Proposal: Evaluation Plan
The evaluation of evidence-based practice (EBP) project proposal is essential to ascertain the effectiveness of the suggested intervention. The evaluation must define the expected outcomes, and identify data collection tools to determine their effectiveness, validity, reliability and application to the project (Melnyk et al., 2019). Additionally, statistical tests for the proposed intervention should be selected and be appropriate or align with the data collection tools. The purpose of this paper to describe the evaluation plan for the proposed EBP project of implementing Fall TIPS to reduce falls among adult patients in medical-surgical unit.
Expected Outcomes
The EBP process implores one to identify the expected outcomes of the proposed project. Most EBP projects focus on improving quality of patient care through leveraging research evidence and optimization of clinical skills and knowledge. Imperatively, the main expected outcome for this EBP project proposal is to reduce the occurrence of patient falls in the medical-surgical unit by 30% within six months of the implementation (Rebekah et al., 2018). The expectation is that implementing Fall TIPS will allow nurses and other providers to tailor fall prevention interventions based on a patient’s condition and not a one-fits-all approach.
Data Collection Tool: Validity, Reliability & Applicability
While there are different data collection tools for EBP project proposal. In this case, the project will use qualitative design meaning that it will apply questionnaires and focus groups as well as observation to collect data on the efficacy of the proposed intervention. These data collection tools are valid and applicable as well as reliable since they gather data from patients on firsthand experience. These tools will be effective because they will integrate diverse aspects of the project and what it means for patients in the setting (Grove et al., 2019). The semi-structured questions and observations will complement each other and increase the overall validity and reliability.
Statistical Test
Researchers use appropriate statistical test tools based on the type of data collection deployed. Researchers use statistical test to organize data into evaluable results to determine the effectiveness of an EBP project proposal. Because of the various sets of subjects and data collection tools, the most appropriate statistical test will be the t-test. The independent t-test has data from different subjects so difference in measurements among the individuals can be determined (Rebekah et al., 2018). This test is best-suited to the project due to the data collection tools selected to gather information from patients on Fall TIPS model.
Methods Applied to the Data Collection Tool
As part of the evaluation plan, methods must be uses to the data collection tool and consideration should be made on outcome measures. Method analysis and presentation influences the evaluation of study claims, promotes more rigor on access to data and encouraged increased transparency and honesty in research. Using data collected through semi-structured questionnaires, the researchers will measure patient outcomes and experiences (Lengnick-Hall et al., 2020). They will then tabulate the data to determine if there are changes after the implementation of the Fall TIPS. The research will the deploy computation tools to determine rates of improvement based on the reduction of falls within the unit.
Alternative Strategies
An effective evaluation plan must develop alternative strategies that can be used if outcomes are not positive or fail to deliver expected results. Improving care quality through reduced prevalence of falls is an iterative process meaning that it is not immune to corrections and refining as providers learn from experience to improve outcomes. The implication is that the project will integrate effective approaches that include better communication and collaboration, use of inter-professional interventions based on better communication approaches.
Strategies to Address Unexpected or Negative Outcomes
It is anticipated that the proposed intervention will result in positive outcomes as indicated above. However, in the event that the outcomes are negative, the researchers will deploy various strategies to correct the issue. The first strategy will be to re-examine the implemented intervention by analyzing the process and all components associated with ach stage. Such an approach may reveal weak areas of the project that requires improvement for the intervention to offer better outcomes. The next strategy is formulation of new timelines, especially extending the project schedule and time. This will allow the stakeholders to explore corrective measures and possibly have better outcomes. The other aspect would be to change the implementation model or conceptual framework, if possible, and where it does not offer better interpretation of the expected outcomes.
Plan to Maintain, Extend, Revise, & Discontinue the EBP Project
The maintenance, extension, revision and discontinuation of the EBP project will require developing an appropriate plan. In this case, sustenance of the EBP implementation will require training, continual quality monitoring, and developing teams that will review areas of concern and ensure that the Fall TIPS focus on patient needs and concerns. Review of objectives and goals will also be important as it identify areas that may be discontinued because of their inappropriateness to the project Revision will be based on the project’s inability to meet expected outcomes. The review process will trigger change aimed at providing better approaches to avoid similar mistakes in the future.
Conclusion
Evaluation is a critical phase of the EBP process and project implementation. Developing an evaluation plan allows stakeholders and project team to understand different aspects of the implementation and the expected outcomes. The evaluation plan identifies weak areas and what the implementers can integrate to attain expected outcomes.
References
Grove, S. K., & Cipher, D. J. (2019). Statistics for Nursing Research-e-book: A
workbook for evidence-based practice. Elsevier Health Sciences.
Lengnick-Hall, R., Willging, C. E., Hurlburt, M. S., & Aarons, G. A. (2020). Incorporators, early
investors, and learners: A longitudinal study of organizational adaptation during EBP implementation and sustainment. Implementation Science, 15(1). https://doi.org/10.1186/s13012-020-01031-w
Koota, E., Kääriäinen, M., Kyngäs, H., Lääperi, M., & Melender, H. (2021). Effectiveness of
evidence‐based practice (EBP) education on emergency nurses’ EBP attitudes, knowledge, self‐efficacy, skills, and behavior: A randomized controlled trial. Worldviews on Evidence-Based Nursing, 18(1), 23-32. https://doi.org/10.1111/wvn.12485
Melnyk, B. M. & Fineout-Overholt, E. (2019). Evidence-based Practice in Nursing &
Healthcare: A Guide to Best Practice. Wolters Kluwer.
Rebekah, G., & Ravindran, V. (2018). Statistical analysis in nursing research. Indian Journal of
Continuing Nursing Education,19(1), 62-70. https://www.ijcne.org/text.asp?
2018/19/1/62/28649
Sample Answer for NUR-590 Evidence-Based Practice Project Proposal: Evaluation Plan
Description of the Rationale for the Methods used in Collecting the Outcome Data
The use of different methods for outcome data collection was informed by distinct reasons. For instance, the questionnaires consist of numerous vital components that were used to gauge the satisfaction rate of the entire process. The other methods such as clinical interviews, follow-ups interviews, and chart audits were used to support the patients and to identify areas for improvement. Besides, test monitoring was used to help in tracking the project development, determine the appropriateness of implementation process, and to collect data to help in future implementation endeavors.
How Outcome Measures Evaluate the Extent to which the Project Objectives are Achieved
Outcome measures evaluate the extent to which the project objectives are achieved by monitoring the level in which project implementation has influenced the health outcomes of the population in focus (Gibbons, Black, Fallowfield, Newhouse & Fitzpatrick, 2016). Through the outcome measures, it is possible to determine whether or not the project has realized its goals. Where the objectives are not realized, the measures can help in making adjustments.
How the Outcomes will be Measured and Evaluated Based on the Evidence
The outcomes will be measured and evaluated through standard data collection tools whose effectiveness has been established. However, where the tool need to be developed or realigned to the local needs of the target population, it is imperative to conduct a preliminary test before rolling it out the target population. Consequently, according to Bühn et al., (2017), the validity will be established when the data precisely measure what they are intended to measure. Consequently, the reliability will be established if the outcomes measures align with standard methods and definitions. On its side, the applicability will be established when the outcomes address the issue of heart failure among African American males.
Description of the Strategies to take if Outcomes do not Provide Positive Results
The best strategy implementation team can take when the outcomes provide negative results are to take charge, focus, and establish a centralized communication to manage the project and steer it back to the track. The project should be designed in a flexible manner that can be easily adjusted when the outcomes fail to provide positive results. Besides, there should be contingency measures in place to act as a fall back plan to the project. Besides, the implementation team should be able to identify the origin of the problem, understand the problem areas, and take measures to address the issue and strive to find ways to the right implementation path.
Description of the Implications for Practice and Future Research
The aim of this project was to determine the effectiveness of the use of community health workers to improve the control and management of heart failure among African American males. Although community health workers are important for success of this project, the cultural barriers may prove a challenge to their success. Lack of knowledge in cultural practices by the community health workers, especially who are non-Africans, can potentially impact the project adversely (Clifford, McCalman, Bainbridge & Tsey, 2015). As such, the future studies should focus on adapting materials such as sources of information to ensure that all materials used in the program are culturally responsive to the target population.
References
Bühn, S., Mathes, T., Prengel, P., Wegewitz, U., Ostermann, T., Robens, S., & Pieper, D. (2017). The risk of bias in systematic reviews tool showed fair reliability and good construct validity. Journal of clinical epidemiology, 91, 121-128.
Clifford, A., McCalman, J., Bainbridge, R., & Tsey, K. (2015). Interventions to improve cultural competency in health care for Indigenous peoples of Australia, New Zealand, Canada and the USA: a systematic review. International Journal for Quality in Health Care, 27(2), 89-98.
Gibbons, E., Black, N., Fallowfield, L., Newhouse, R., & Fitzpatrick, R. (2016). Patient-reported outcome measures and the evaluation of services. In Challenges, solutions and future directions in the evaluation of service innovations in health care and public health. NIHR Journals Library.
The process of implementing EBP projects is extensive and focuses on producing positive results that influence progressive change in clinical practice. Dissemination is a planned process of communicating and interacting with broader audiences to facilitate research uptake and knowledge (Ross-Hellauer, et al., 2020). To achieve this goal, EBP proponents should choose effective strategies to communicate their findings while paying attention to the information and stakeholder needs. One of the strategies I prefer in disseminating the outcomes of my EBP project proposal is in-person meetings with the organization’s staff. Ashcraft et al. (2020) found in-person meetings to be an appropriate channel for direct interaction and feedback from the nursing staff and leaders. An organization-wide presentation of the research findings is also crucial for in-depth, critical analysis of the project and its value to patient care. The project summary should also be shared with all end users, including patients, nurses, and organizational leaders. External dissemination can be accomplished through sharing the findings with the scientific community and the media. Appropriate channels for this dissemination include nursing conferences, publications in peer-reviewed journals, and the media to increase attention from the lay press and citations in the scientific literature (Ravinetto & Singh, 2023). The other strategy is policy briefs to share with influential policymakers, advocacy groups, and legislators.
The communicated information influences research perception and overall uptake. Ashcraft et al. (2020) advised EBP implementers and researchers to focus more on descriptive evidence about the research purpose and impacts on the clinical practice. The message should capture the audience’s interest besides delivering information. Therefore, the information will primarily focus on the research outcomes, impacts on the population, and how it should be implemented at the organizational level and in communities. Stakeholders involved are the individuals, groups, or organizations affected or can affect the uptake and utilization of research (Elwy et al., 2022). They include organizational leaders, nurses, and external reviewers, particularly selected association members or leaders. Communication methods should be diverse, including print and electronic channels and in-person meetings, as situations necessitate.