NUR 590 Evidence Based Practice Project
Grand Canyon University NUR 590 Evidence Based Practice Project-Step-By-Step Guide
This guide will demonstrate how to complete the Grand Canyon University NUR 590 Evidence Based Practice Project 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
Whether one passes or fails an academic assignment such as the Grand Canyon University NUR 590 Evidence Based Practice Project 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
The introduction for the Grand Canyon University NUR 590 Evidence Based Practice Project 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
After the introduction, move into the main part of the NUR 590 Evidence Based Practice Project 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
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
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 Week 5 Discussion
DQ1 Identify the components of implementing your evidence-based practice project. What has been the most difficult component, and why? What do you think has gone well? Provide one piece of advice you would give to a colleague about the implementation process.
Implementing any change in a healthcare organization or facility entails several aspects that require one to develop an implementation as is the most important part of any evidence-based practice (EBP) project proposal. Implementation entails the actualization of the ideas developed in the proposal EBP projects are broken into several identifiable steps (Boehm et al., 2020). The implementation plan will focus on hand hygiene measures in pediatric setting among healthcare workers to reduce hospital acquired infections (HAIs). The implementation plan will consist of the setting where the project will take place, time, resources, methods and instruments, intervention of delivery process, and data collection plan. The plan also includes management of barriers, facilitators and challenges and the feasibility of the plan.
Research has concluded multiple barriers to implementing evidence-based practice (EBP) in nursing. Some of these barriers include, but are not limited to: Time constraints, inadequate staffing, patient acuity, personal commitments, education levels, negative attitudes and lack of knowledge towards EBP (Mathieson et al, 2019).
In my current nurse leader role, I have seen all these barriers in action, negatively influencing change insemination. Therefore, I have had to find strategic ways to address these barriers, to make sure initiatives work within the nurses work flow.
My EBP project, utilizing a counseling tool to address obesity management in the primary care setting, could potentially face barriers related to attitudes and knowledge. Tronieri et al, (2019) presented data that some healthcare professionals have negative attitudes towards obesity management in the primary care setting. They feel it should be referred elsewhere, therefore do not take the issue seriously even though according to the United States Preventive Services Task Force (USPSTF), obesity management should be first addressed in the primary care setting (Kushner et al, 2016). The lack of knowledge, education and negative attitudes towards my EBP project and EBP in general, could be potential barriers for my initiative.
References:
Kushner, R. F., Choi, S. W., & Burns, J. L. (2016). Development of a six-factor questionnaire for use in weight management counseling. Patient Education and Counseling, 99(12), 2018-2025, https://doi.org/10.1016/j.pec.2016.06.022
Mathieson, A., Grande, G., & Luker, K. (2019). Strategies, facilitators and barriers to implementation of evidence-based practice in community nursing: a systematic mixed-studies review and qualitative synthesis. Primary health care research & development, 20, e6. https://doi.org/10.1017/S1463423618000488
Tronieri, J. S., Wadden, T. A., Chao, A. M., & Tsai, A. G. (2019). Primary care interventions for obesity: Review of the evidence. Current obesity reports, 8(2), 128–136. https://doi.org/10.1007/s13679-019-00341-5
Sample Answer 2 for NUR 590 Evidence Based Practice Project Week 5 Discussion
DQ2 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project. This could range from support of the evidence-based project proposal to communication gaps. How could you address these problems?
Cohesive collaboration is critical to an organization’s survival and success. Implementation plans may face numerous challenges as a result of a lack of understanding of the issues affecting an organization. This lack of knowledge is prevalent in many organizations where leaders and management are disconnected from the day-to-day operations that help the organization run. When a person rises through the ranks of an organization to a position of leadership, they gain knowledge and experience that other managers would lack if they hired from outside. The person who rises through the ranks has a better understanding of how the organization works, its weaknesses, its strengths, and how it needs to function in order to survive. Nothing will get done if there is a disconnect between stakeholders in higher positions and those responsible for day-to-day operations.
Also Read: NUR 590 Evidence Based Practice Project Week 4 Discussion
Some of the things that one might experience during the implementation phase are resistance and timing. “Lack of time is often cited as a barrier to implementing EBP. In addition, uncertainty or lack of knowledge about the EBP process is also a barrier, which includes critiquing and appraising the literature related to the clinical problem being addressed” (Ginex, 2018). In busy hospitals lack of time to study and understand new changes and policies can be a barrier. On time of this, resistance to change can also be a barrier. In there is already a flow that nurses are accustomed to even if it is chaotic, having to change that flow requires learning something new or changing ones workflow habits and that can cause resistance to change.
The one suggestion I would give to a fellow colleague would be for them to ask questions, slow down the pace in order for them to understand the new policy and give themselves time to become accustom to it and to always remember that it will take them time to learn something new before they can master it.
Reference:
Ginex, P. (2018). Overcome Barriers to Applying an Evidence-Based Process for Practice Change. Retrieved from https://voice.ons.org/news-and-views/overcome-barriers-to-applying-an-evidence-based-process-for-practice-chang
Sample Answer 3 for NUR 590 Evidence Based Practice Project Week 5 Discussion
Stakeholders are the people involved in carrying out the process under review or individuals who become affected with the change in practice (“John Hopkins Nursing”, 2021). It is important to determine the potential stakeholder barriers that will be encountered in order to address them accordingly. The two stakeholder barriers that can be experienced are resistance to change and lack of authority. Physicians, who are one of the main stakeholders, are perceived to be the least supportive in EBP implementation (Jordan et al., 2021). Without their support, it can make the implementation process difficult. Resistance of practitioners to change from traditional practices to newer concepts introduced in EBP can be a barrier to the implementation process (Jordan et al., 2021). Moreover, some staff nurses feel that they lack authority to make changes in their unit or they do not have the “power” to implement the EBP project. One study suggested that majority of the nurses in a private ICU reported that they lacked the authority to change practice in order to facilitate the implementation of EBP (Jordan et al., 2021).
There are several strategies to gain stakeholder support. First, the support of physicians for the implementation of EBP should be encouraged (Jordan et al., 2021). It is important to keep an open communication between the researcher and physicians. Explaining the goals and benefits of the EBP project in improving patient care can help gain their support. Second, it is recommended to carefully identify individual barriers versus organizational barriers at an early stage (Jordan et al., 2021). Lastly, identifying your stakeholders as well as engaging them early in the EBP process is important because stakeholder buy-in is important for its successful implementation (“John Hopkins Nursing”, 2021). The goal is to gain their trust and confidence and gain as much support as possible for the successful project implementation.
Nurses are the largest stakeholder in the implementation of the EBP project. Nursing professionals encounter barriers every day while doing their jobs, and they encounter even more when trying to utilize EBP. Staff resistance to change is one of the barriers. Staff members in my project area long-term care facility may hesitate to change, especially if they are expected to learn new skills or processes as a result of the implementation of evidence-based practice. Staff members can also resist evidence-based practices if they don’t believe in it’s effectiveness or don’t see how it aligns with the facility’s goals (Mathieson et al., 2019). A second barrier to implementing evidence-based practices in long-term care facilities is limited resources, such as time and budget. The lack of staffing or inadequate training resources can make it difficult to implement evidence-based practices.
The barrier of resistance to change can be overcome by educating and training staff on the benefits of evidence-based practice. Providing staff members with opportunities to ask questions and provide feedback during training sessions can also be helpful. It is important to involve staff members in the process so that their concerns and ideas are taken into consideration, and to create a sense of ownership and investment in the project (Mathieson et al., 2019). By forming working groups, holding regular meetings, and providing feedback, this can be achieved.
Reference
Mathieson, A., Grande, G., & Luker, K. (2019). Strategies, facilitators and barriers to implementation of evidence-based practice in community nursing: A systematic mixed-studies review and qualitative synthesis. Primary Health Care Research & Development, 20, e6. https://doi.org/10.1017/S1463423618000488
Sample Answer 4 for NUR 590 Evidence Based Practice Project Week 5 Discussion
Two stakeholder barriers during the implementation phase that I would most likely experience would be: a lack of support from the leadership and other team members and the lack of engagement from participants and their families.
The barrier that may be an issue for team members would be the lack of knowledge about EBP, the lack of skills needed to implement EBP, and the attitude and time to perform the interventions due to the heavy workload (DeNisco, 2021). The strategy that I can utilize to get the team engaged is to ensure that the staff were given education on the project, clearly define each role, provide a detailed discussion of the interventions and the expectations, and make sure the team understands that the goal of the project is in alignment with organizational goals. As far as leadership support, buy-in from organizational leaders is important for the utilization of resources for the project. In order to obtain leadership buy-in, the goal of the EBP should be in alignment with the organization’s efforts to improve the quality of care and reduction of costs.
The strategy that I can utilize to improve patient engagement and compliance is effective communication across multiple disciplines involved in teaching patients and families. Effective communication is a cornerstone for safety and quality in healthcare (Klingbeil & Gibson, 2018). Communicating clearly about the evidence and its implications and using shared decision-making techniques to arrive at care plans is a good strategy for keeping patients engaged in the EBP.
Effective communication is still the best strategy that I would give to anybody who is struggling with stakeholder support. You need to be clear, concise, knowledgeable, confident, compassionate, passionate, actively listen, open-minded and respectful.
References:
DeNisco, S. (Ed). (2021). Advanced practice nursing: Essential knowledge for the profession (4th Ed.). Jones and Bartlett Learning
Klingbeil, C. & Gibson, C. (2018) The teach back project: A system-wide evidence-based practice implementation, Journal of Pediatric Nursing, 42, 81-85. https://doi.org/10.1016/j.pedn.2018.06.002.