NUR-590 Evidence-Based Practice Project Proposal: Evaluation Plan
NUR-590 Evidence-Based Practice Project Proposal: Evaluation Plan
Evidence-Based Practice: 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.
Click here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS: NUR-590 Evidence-Based Practice Project Proposal: Evaluation Plan
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.
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.
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:
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
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.
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.
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.
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.
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.
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?