NUR 590 Week 3 Assignment Evidence-Based Practice Proposal – Section C: Solution Description
Grand Canyon University NUR 590 Week 3 Assignment Evidence-Based Practice Proposal – Section C: Solution Description-Step-By-Step Guide
This guide will demonstrate how to complete the Grand Canyon University NUR 590 Week 3 Assignment Evidence-Based Practice Proposal – Section C: Solution Description 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 Week 3 Assignment Evidence-Based Practice Proposal – Section C: Solution Description
Whether one passes or fails an academic assignment such as the Grand Canyon University NUR 590 Week 3 Assignment Evidence-Based Practice Proposal – Section C: Solution Description 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 Week 3 Assignment Evidence-Based Practice Proposal – Section C: Solution Description
The introduction for the Grand Canyon University NUR 590 Week 3 Assignment Evidence-Based Practice Proposal – Section C: Solution Description 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 Week 3 Assignment Evidence-Based Practice Proposal – Section C: Solution Description
After the introduction, move into the main part of the NUR 590 Week 3 Assignment Evidence-Based Practice Proposal – Section C: Solution Description 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 Week 3 Assignment Evidence-Based Practice Proposal – Section C: Solution Description
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 Week 3 Assignment Evidence-Based Practice Proposal – Section C: Solution Description
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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Write a paper of 500-750 words for your proposed evidence-based practice project solution. Address the following criteria:
Sample Answer for NUR 590 Week 3 Assignment Evidence-Based Practice Proposal – Section C: Solution Description
Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, if it may be too costly, or if there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your problem statement before continuing.
There are many challenges in improving the health of populations and one of the biggest challenges has to do with the delivery and utilization of the interventions that are being proposed (Dearing, 2018). When it comes to the delivery of the interventions, it incorporates more than one factor. The factors that are considered in the delivery of the interventions include communication, training, leadership, coordination, and management (Dearing, 2018). When it comes to change, organizational readiness needs to be assessed. Two tools that can be used to assess organizational readiness includes the Organizational Readiness to Change Assessment (ORCA) tool and the Organizational Readiness for Implementing Change (ORIC). As my organization is a Magnet facility and already supports and implements evidence-based practices, I chose the ORIC tool to discuss. The ORIC tool is the most appropriate for assessing my organizations readiness as this tool focuses on the readiness of the organizational members for implementing change. Being a Magnet facility, my organization has proven that they support nursing excellence and to determine if the team members are ready for change implementation, the ORIC tool would be ideal to evaluate this. When the organization’s readiness is high, the members are more likely to initiate and put forth greater effort for implementing change and on the flip side when the organization’s readiness is low, the team members are more than likely to view change as undesirable and may resist change (Shea et al., 2014). With my proposed evidence-based change, it does involve a fully engaged team which is even more of a reason to use the ORIC tool to help determine the team’s readiness for change and hopefully lead to a successful change implementation.
The wellness of a population’s health using improved patient safety protocols implores healthcare workers (HCWs) especially nurses, to develop evidence-based practice interventions to reduce and prevent occurrence of adverse events like hospital acquired infections (HAIs) and medication administration errors (MAEs) among others. These adverse events lead to poor patient outcomes, increase the overall cost of care and disease burden, and lowers the quality of care delivered by healthcare professionals. Hospital acquired infections are some of the leading healthcare concerns that affect patient safety and quality of care. Many patients suffer from these infections that result into lengthened stays in hospitals, increased cost of care, and in extreme circumstances death.
Nurse practitioners and other healthcare professionals transmit infections to patients through poor hand hygiene measures and protocols (Alotaibi & Federico, 2017). As such, nurses and other providers should leverage evidence-based practice (EBP) interventions to reduce and prevent the occurrence of hospital acquired infections and guarantee quality care. The use of evidence-based practice interventions allows these providers to offer better services through increased quality, increased engagement of patients and their preferences, and leveraging clinical experience and expertise. The purpose of this evidence-based practice project proposal paper is to discuss how nurses in pediatric settings can integrate hand hygiene measures and protocols to reduce and prevent the occurrence of hospital acquired infections. These measures and protocols include handwashing using soap and water alongside hand sanitizers compared to handwashing with water and soap alone.
Problem Statement
Hospital acquired infections or nosocomial infections are newly acquired infections that patients contract during their stay in hospital settings or facilities. The transmission of the nosocomial infections happens through healthcare workers, patients, hospital equipment like catheters and interventional procedures that include catheterization. Studies demonstrate that healthcare workers who include nurse practitioners infect patients when they fail to adhere to effective hand hygiene measures like handwashing with soap or using alcohol-based sanitizers and hand rubs when handling and interacting with patient in the care process (Liana 2021). The use of evidence-based practice interventions using PICOT question is important in assisting nurses to implement better practices to reduce the susceptibility of patients acquiring nosocomial infections that have adverse effects on overall care delivery and quality. These infections lead to increased length of stay in hospitals, a rise in cost of healthcare and cause deaths, especially in critical care settings like pediatric units (Setty et al., 2019). Hand hygiene measures that include handwashing with soap and water alongside sanitizer will improve patient safety among healthcare workers. The implication is that healthcare workers will adhere to these measures in pediatric settings to reduce hospital acquired infections within six months’ period and improve quality outcomes.
PICOT Statement
Population- Healthcare workers in pediatric settings
Intervention-Hand Hygiene using handwashing with soap and water and sanitizer
Comparison-Handwashing with soap and water alone
Outcome- Reduced Hospital acquired infections
Time- in Six months
Refined PICOT Question
The refined PICOT question for the EBP project is “Among healthcare workers in pediatric setting (P), does hand hygiene practices that include handwashing with soap and water alongside hand sanitizer (I) compared to handwashing with soap and water alone (C) reduce hospital acquired infections (O) within six months (T)?”
ALSO READ: NUR 590 Week 5 Assignment Evidence-Based Practice Proposal – Section E: Implementation Plan
Organizational Culture and Readiness
The culture of an organization is essential in implementing changes and it impacts its overall vision, mission and values and employees’ perception in embracing new ways of executing tasks. A culture entails employees with strong norms and values, management and approaches to overall way of doing things. A culture that involves employees, possesses strong values and norms, and encourages an open-door policy with decentralized approach is important in achieving set change objectives in an organization (Real et al., 2017). To effectively implement this EBP project proposal, pediatric healthcare settings and practitioners should use a decentralized organizational and leadership structure. The model is effective in enhancing motivation of subordinates and enhancing growth and increased diversification. Decentralization in healthcare organizations leads to better communication and adoption of innovative practices, ideas and strategies to improve quality of care. Through decentralization, the management leads a transformational approach to enhance agility and respond to new and best practices in care delivery.
The implementation of this EBP project proposal requires organizational culture that focuses on patient-centered care delivery. Through being patient-centered, an organization can support change programs to improve patient safety, quality and access while minimizing the occurrence of hospital acquired infections (HAIs). Increasing patient engagement and promoting inter-professional collaboration leads to a competitive advantage for healthcare organizations.
The evaluation of an organization’s readiness for change based on its culture is essential in implementing evidence-based practice projects. Readiness demonstrates the level to which organizational members are prepared to implement and embrace change, behaviorally and psychologically. Dearing (2018) opines that readiness is a psychological state of the mind that shows commitment to certain course of actions. As such, this EBP project proposal will leverage the Organizational Capacity Assessment Tool developed by the United Nations Development Program (UNDP) that assesses an organization’s readiness in promoting and enhancing the use of global health interventions. Through the tool, organizations identify substantive capacities and strengths that are present and the required one to attain their set objective. In this case, pediatric settings that aim to implement this EBP recommendations should demonstrate exemplary capacities in their attributes, have a superb and influential culture based on their missions, purposes and better values (De la Perrelle et al.., 2020). The capacity assessment tool looks at the various capabilities that include human resources, processes, financial resources, and systems as critical components of readiness for change implementation. Ready organizations possess sufficient strengths that include having the best skills, effective communication and adequate resources, availability of sufficient nurse workforce and effective engagement of their stakeholders.
The organizational readiness also evaluates the process and systems that require improvement to effectively implement the requisite changes (Vax et al., 2021). For instance, the improvement that pediatric care settings require include their patient handling process, the need for healthcare workers to adhere to hand hygiene measures and protocols, and delivery of patient-centered quality care. The organization will need quality improvement and collaborative approaches to enhance implementation. These organizations will also require quality data assessment tools for better and accurate analysis of their respective data (Dearing, 2018). The readiness will also include engagement of stakeholders and integration of information and communication technologies to ensure that all components to implement the project proposal are present. Using selected technologies, the project team and practitioners will pursue outcomes based on patient needs through enhanced alerts, reminders, and notifications on the need to comply with set hand hygiene protocols and measures that include effective handwashing and use of hand sanitizers to reduce hospital acquired infections in the pediatric settings.
Sample Answer 2 for NUR 590 Week 3 Assignment Evidence-Based Practice Proposal – Section C: Solution Description
Evidence-based practice has been shown to be the cornerstone of quality in nursing practice. It guides the nurses in providing care that utilizes the best-available clinical evidence on the interventions used to achieve the outcomes of the patients. Nurses should therefore play an active role in exploring the available clinical interventions that can be used to promote safety, cost-efficiency, efficiency, and quality in care. Therefore, this section of the evidence-based practice paper explores the proposed solution that will be implemented to improve the health outcomes of African American patients suffering from diabetes mellitus type 2.
Proposed Solution
The proposed solution for this project is the use of health information technologies to increase the adherence to treatment among African American patients suffering from type 2 diabetes. The intervention will entail the use of eHealth and mHealth technologies to remind African American patients about when their refills are due or overdue. They will also be used as source of health information where they learn more about the management of diabetes type 2. They will also use them to interact with their healthcare providers and schedule or cancer clinic visits (Canedo et al., 2018). Studies have been conducted in the past to evaluate the effectiveness of the proposed intervention in improving adherence to treatment in different groups of patients. One of them is the research that was conducted by Bender et al., (2015) to evaluate the effectiveness of speech recognition intervention in improving adherence among patients on asthma-controlled medications. The results revealed that the use of speech recognition phone calls when inhaled corticosteroid was due resulted in improved adherence in the intervention group when compared to the control group. Another study was conducted by Conway and Kelechi (2017), to determine the effectiveness of health information technology in promoting medication adherence in patients with diabetes mellitus type 2. The research revealed that the intervention increased the level of awareness among the patients on medication adherence. Similar outcomes can be seen in studies by Bailey et al., (2019) and Yoshida et al. (2018) where health information technologies led to improved adherence as evidenced by decline in the level of HbA1c and quality of life for the patients. Despite the above evidence on the efficacy of the intervention, there is scarcity of evidence on its use in African American patients suffering from diabetes mellitus type 2. Therefore, the proposed intervention is consistent with current research as it aims at bridging knowledge gaps in healthcare practice.
Application to Our Setting
The proposed intervention is applicable to our setting. Firstly, our organization has been on the search of interventions that will promote excellence in service provision to its clients. It has been looking for the ways in which patient-centered and continuous care can be provided to the patients even after their discharge to their homes. The proposed intervention seeks to promote these objectives, hence, its relevance to our hospital. The organization also wants to be the leader in the implementation of evidence-based practice in our region. This implies that it is ready to adopt proposals that would introduce new and innovative ways of providing care in its setting. The proposed intervention aims at promoting evidence-based practice, implying its relevance to our hospital. Lastly, the leadership of the organization supports innovation. Employees are encouraged to explore innovate ways of meeting the needs of their patients. They are also encouraged to explore ways of providing care that promote effectiveness and efficiency. Consequently, the proposed intervention aligns with the vision of the organization, hence, its relevance to the firm.
Organizational Culture
The culture of our organization supports the intervention. Firstly, there is the utilization of teamwork in undertaking different organizational tasks. This implies that the healthcare providers are ready to work collaboratively in ensuring that the success of the intervention is achieved. The organization also supports the development of its staffs. This includes allowing them to participate in projects that would result in the improvement of processes in the organization. The intervention will result in improved processes if found successful, hence, supporting the organizational culture. Lastly, the leadership of the organization support employee autonomy. The employees have the freedom to implement innovative ways of providing care. They are also held responsible and accountable for the decisions they make. Therefore, there is increased possibility that the organizational culture will support the intervention.
Expected Outcome
It is expected that the African American patients suffering from diabetes mellitus type 2 will be willing to participate in the intervention. It is also expected that the intervention will result in improved adherence to treatment among these patients when compared to the control group. It is also expected that the intervention will result in other outcomes such as improved quality of life, empowerment, and reduction of healthcare costs incurred by the patients.
Method to Achieve the Outcomes
Two groups of participants will be selected for this intervention. One group will be the intervention group that will receive the treatment while the other one will be a control group. The intervention group will then receive regular updates with the aim of improving their medication adherence while the control group will not. The two groups will be followed for six months and data from them obtained to determine the effectiveness of the intervention. The outcome data will compare the levels of Hba1C before and after the intervention. One of the anticipated barriers is fallout of some participants. It will be addressed by ensuring that a close touch is maintained throughout the period of intervention. The other barrier is the participants not will to take part in the project. It will be addressed by explaining the importance of the project to the participants.
Outcome Impact
The intervention will result in the improvement in the quality of care given to patients with diabetes mellitus type 2. This will be achieved through the provision of patient-centered and continuous care to them. It will also result in the improvement in the efficiency of processes. This is attributed to the fact that the technologies will be used for drugs refill and scheduling clinic visits by the patients. It will also enhance the monitoring of the response of patients to treatment.
Conclusion
In summary, the proposed intervention for the project is relevant to our organization. This can be seen from the readiness of the organizational stakeholders such as the healthcare providers to embrace it. The intervention also aligns with the vision of the organization. Therefore, it is anticipated that the intervention will result in the improvement of outcomes that include quality of care, patient centeredness, and patient satisfaction with the care being provided to them.
References
Bailey, S. C., Wallia, A., Wright, S., Wismer, G. A., Infanzon, A. C., Curtis, L. M., … & Hornbuckle, K. (2019). Electronic Health Record–Based Strategy to Promote Medication Adherence Among Patients With Diabetes: Longitudinal Observational Study. Journal of medical Internet research, 21(10), e13499.
Bender, B. G., Cvietusa, P. J., Goodrich, G. K., Lowe, R., Nuanes, H. A., Rand, C., … & Wamboldt, F. S. (2015). Pragmatic trial of health care technologies to improve adherence to pediatric asthma treatment: a randomized clinical trial. JAMA pediatrics, 169(4), 317-323.
Canedo, J. R., Miller, S. T., Schlundt, D., Fadden, M. K., & Sanderson, M. (2018). Racial/ethnic disparities in diabetes quality of care: the role of healthcare access and socioeconomic status. Journal of racial and ethnic health disparities, 5(1), 7-14.
Conway, C. M., & Kelechi, T. J. (2017). Digital health for medication adherence in adult diabetes or hypertension: an integrative review. JMIR diabetes, 2(2), e20.
Yoshida, Y., Boren, S. A., Soares, J., Popescu, M., Nielson, S. D., & Simoes, E. J. (2018). Effect of health information technologies on glycemic control among patients with type 2 diabetes. Current diabetes reports, 18(12), 130.
Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.
Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the problem statement.
Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations that may need to be addressed.
Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, or professional expertise.
You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
Note: After submitting the assignment, you will receive feedback from the instructor. Use this feedback to make revisions for your final paper submission. This will be a continuous process throughout the course for each section.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.