NUR 590 Evidence Based Practice Project Week 4 Assignment
Grand Canyon University NUR 590 Evidence Based Practice Project Week 4 Assignment-Step-By-Step Guide
This guide will demonstrate how to complete the Grand Canyon University NUR 590 Evidence Based Practice Project Week 4 Assignment 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 Week 4 Assignment
Whether one passes or fails an academic assignment such as the Grand Canyon University NUR 590 Evidence Based Practice Project Week 4 Assignment 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 Week 4 Assignment
The introduction for the Grand Canyon University NUR 590 Evidence Based Practice Project Week 4 Assignment 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 Week 4 Assignment
After the introduction, move into the main part of the NUR 590 Evidence Based Practice Project Week 4 Assignment 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 Week 4 Assignment
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 Week 4 Assignment
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 4 Assignment
Patient care problems require practical and sustainable solutions. Such solutions are evidence-based, and their implementation should be supported by leaders, staff, and the target patient groups. Models of change provide change proponents with a systematic approach to change implementation. Most recommend a stepwise approach to change implementation involving problem identification, searching for solutions, and implementing the findings (Duff et al., 2020). They ensure that nurses and other change leaders work towards tangible results. The purpose of this assignment is to describe the selected model for change and its application in the proposed project.
The use of nursing theories is critical to patient care because of the different purposes that they serve. Nursing theories assist in informing every interaction between nurses and patients. Through defining the features of the nurse-patient interaction, these theories shape how nurses develop relationships with patients (Wei et al., 2019). The purpose of most nursing theories is to help nurses identify care needs among patients, articulate what they can do for patients and why they do it, and determine the kind of information to collect to develop care plans. Through theories, nurses can comprehend and evaluate health situations, explain and anticipate certain responses from patients and map out objectives and anticipated outcomes (Bahabadi et al., 2020). These theories also help nurses determine the interventions to deliver, best practices, and selection of productive areas for research. The implication is that nursing theories are fundamental to quality care provision as they help nurses to possess background propositions to offer the best care.
The Selected Model and Relevance
The Iowa model will guide the project implementation process. It promotes evidence-based practice (EBP) in health practice and ensures that organizational change addresses priority patient care concerns (Duff et al., 2020). Its central components include: improving patient outcomes based on scientific evidence, enhancing nursing practice, and helping to monitor healthcare costs. Hanrahan et al. (2019) asserted that utilizing the Iowa model improves nurses’ capacity to utilize EBP in healthcare delivery and work in teams to achieve better outcomes. The proposed project involves utilizing case management in chronic disease management for patients visiting the emergency department. The Iowa model is relevant to the project since it will ensure that the solutions are evidence-based and can achieve the targeted outcomes.
Stages of the Iowa Model
The Iowa Model for EBP integration into practice has eight steps. As Green (2020) explained, the first step involves identifying the trigger necessitating practice change. The second step is determining whether the problem is a priority based on its effects on patient care, health processes, practitioners’ health, and other elements. Next, the change leader identifies a team to help in evaluating and implementing the EBP change. Such a team allows interdisciplinary stakeholders to solve a problem together hence better results. The fourth step is gathering and analyzing appropriate research to guide practice change.
After gathering research (step 4), the next step is to critique and synthesize the research from the highest level of evidence possible. The primary purpose of this step is to evaluate whether the change is scientifically possible (Cullen et al., 2022). The sixth step involved deciding whether there is adequate research to implement a practice change. Next, a pilot program is conducted (step 7), and the results are evaluated (step 8). The changes are then introduced into practice based on the evaluation results. The revised model advises change proponents to disseminate results (Cullen et al., 2022). Dissemination helps health professionals to adopt similar interventions in other settings to improve patient care.
Applying Each Stage of the Iowa Model
Applying the Iowa model in the proposed implementation would first involve identifying the trigger. Currently, a problem-focused trigger has been identified- chronic illnesses for patients visiting the emergency department. The second step would involve determining its priority level. It is a priority requiring immediate intervention since chronic diseases increase the spending of hospital resources by increasing unplanned admissions and emergency department visits (Chiaranai et al., 2018). The interprofessional team for developing, evaluating, and implementing the change would involve the management, departmental leaders, the change proponent, and nurses. Evidence should be sourced from current and scholarly literature supporting the application of case management in chronic diseases management. The research would be further critiqued and synthesized to determine whether there is adequate research to implement case management. A pilot program would then follow to evaluate the effectiveness of case management before full adoption. The concept map (Appendix A) illustrates the application of the Iowa model in the project.
Conclusion
Change models guide nurses in implementing EBP in health practice. They emphasize implementing evidence-based change to improve patient care and other critical health outcomes. The Iowa model is appropriate for the proposed project. It will ensure that an interdisciplinary team works together to implement the proposed change.
References
Chiaranai, C., Chularee, S., & Srithongluang, S. (2018). Older people living with chronic illness. Geriatric Nursing, 39(5), 513-520. https://doi.org/10.1016/j.gerinurse.2018.02.004
Cullen, L., Hanrahan, K., Edmonds, S. W., Reisinger, H. S., & Wagner, M. (2022). Iowa Implementation for Sustainability Framework. Implementation Science, 17(1), 1-20. https://doi.org/10.1186/s13012-021-01157-5
Duff, J., Cullen, L., Hanrahan, K., & Steelman, V. (2020). Determinants of an evidence-based practice environment: An interpretive description. Implementation Science Communications, 1(1), 1-9. https://doi.org/10.1186/s43058-020-00070-0
Green, C. (2020). Application of the Iowa Model, an evidence-based practice model, when initiating clinical project pilots to evaluate how self-care techniques affect simulated nursing performance. SAGE Publications Ltd. https://dx.doi.org/10.4135/9781529743616
Hanrahan, K., Fowler, C., & McCarthy, A. M. (2019). Iowa model revised: Research and evidence-based practice application. Journal of Pediatric Nursing, 48, 121-122. https://doi.org/10.1016/j.pedn.2019.04.023
Evidence-Based Practice Proposal – Section D: Change Model
Roger’s diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck’s change curve model or the transtheoretical model of behavioral change. Other conceptual models, such as a utilization model (Stetler’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying your evidence-based proposal in clinical practice. Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model.
In 500-750 words (not including the title page and references page), discuss applying one of the change models to the implementation plan:
Identify the selected model or theoretical framework and discuss its relevance to your project.
Discuss each of the stages in the change model/framework.
Describe how you would apply each stage in your proposed implementation.
In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 4 with the narrative, you will include the conceptual model in the appendices for the final paper.
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.
Sample Answer 2 for NUR 590 Evidence Based Practice Project Week 4 Assignment
The implementation of the evidenced-based practice project will utilize Rodger’s diffusion of innovation theory. The theory tries to explain the manner in which an innovation is spread in an organization. According to Rodgers, the spread of an innovation occurs in a social system that has different types of adopters. They include innovators, early adopters, early majority, late majority, and laggards. The adoption of an innovation in the theory by Rodgers occurs in a series of steps. The steps include knowledge, persuasion, decision, implementation and confirmation.
Knowledge is the first stage of innovation adoption in the model by Rodgers. In this stage, the adopters learn about the change. They begin seeking information about the change with the main aim of answering the what, why and how questions that relate to the innovation. The adopters also try to examine the constituents of the change and the manner it works. Through it, they develop three types of knowledge that include awareness knowledge, principles knowledge, and how-to-knowledge (Centola, 2018). The adoption of the proposed evidence-based project is expected to occur in accordance to the steps of Rodger’s theory. In the first step, the nurses and other healthcare providers seek information related to the use of combined therapy in the treatment of major depressive disorder. They try to answer the why, how, and what questions related to the use of this treatment. They also research about the ways in which the therapy works in improving the health outcomes of the proposal.
The second phase in the adoption of innovation in Rodger’s theory is persuasion. This stage occurs when the adopters have positive or negative attitude towards the change. The attitude that they have does not have a direct impact on whether the change will be adopted or not. Often, the adopters in the persuasion stage are interested in embracing the change. As a result, they actively explore any information that is related to the change. The subjective perception of the peers towards the change has a significant effect on their attitude towards the change in this stage (Johnston & Taylor, 2018). It is expected that the adopters of the proposed intervention will have developed some interest towards the change in this phase. As a result, they actively seek information that is related to the efficacy of the combined therapy over mono-therapy in the treatment of major depressive disorder among African-American patients.
The third phase in Rodger’s innovation diffusion theory is the decision stage. This is the stage where the adopters choose to either adopt or reject the change. The rate of adoption is high in cases where the change has partial trial basis. The adopters compare the benefits as well as risks of the change. The adoption is possible if the benefits of the change outweigh its disadvantages (Batory, Cartwright & Stone, 2018). The adopters of the proposed intervention in the evidence-based project weigh the benefits and risks of using combined therapy vs. mono-therapy in the treatment of major depressive disorder. The proposal will be adopted if the existing evidence shows that the combined therapy has superior outcomes over the use of antidepressants alone.
The fourth step in the model by Rodgers is implementation. The adopters put the change into practice. They also determine the benefits of the change and may continue searching for additional information related to it (Batory et al., 2018). The adopters of the proposed project implement the use of combined therapy in the treatment of major depressive disorder in the implementation stage. They assign their patients to either treatment or control group and follow them up to determine the effect of the intervention. Confirmation stage is reached when the intervention is found to be superior that the control. In this case, the adopters agree to incorporate the use of combined therapy in the treatment of major depressive disorder over the use of antidepressants alone. Therefore, Rodger’s innovation diffusion theory can aid in the implementation of the proposed evidence-based practice project.
References
Batory, A., Cartwright, A. L., & Stone, D. (2018). Policy experiments, failures and innovations: Beyond accession in Central and Eastern Europe. Cheltenham; Northampton: Edward Elgar Pub.
Centola, D. (2018). How behavior spreads: The science of complex contagions. Princeton; Oxford: Princeton University Press.
Johnston, K. A., & Taylor, M. (2018). The handbook of communication engagement. Hoboken, NJ: John Wiley & Sons, Inc.