NUR 590 Evidence Based Practice Project Week 5 Assignment
Grand Canyon University NUR 590 Evidence Based Practice Project Week 5 Assignment-Step-By-Step Guide
This guide will demonstrate how to complete the Grand Canyon University NUR 590 Evidence Based Practice Project Week 5 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 5 Assignment
Whether one passes or fails an academic assignment such as the Grand Canyon University NUR 590 Evidence Based Practice Project Week 5 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 5 Assignment
The introduction for the Grand Canyon University NUR 590 Evidence Based Practice Project Week 5 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 5 Assignment
After the introduction, move into the main part of the NUR 590 Evidence Based Practice Project Week 5 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 5 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 5 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 5 Assignment
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.
Evidence-based practice (EBP) is the combination of research evidence, experience, and expertise, patient preferences in the process of performance of care. Clinicians bring up experience and knowledge and patients describe personal beliefs, these two components contribute to valuable research displayed by methodology to develop the best outcome. EBP requires nursing professionals to develop skills in searching the literature and finding guidelines for the application of evidence. Study designs are categorized from case reports to case-control studies, cohort studies, randomized control trials, systematic reviews, and meta-analyses, which are the most specified study designs, examining multiple validated hypotheses and combining the most reliable results (Samonte et al., 2020). Non-experimental research describes a study that lacks the manipulation of an independent variable, researchers conducting non-experimental study measure variables as they naturally happened. The distinction between non-experimental and experimental research is a significant one as the experimental research provides strong evidence that changes in an independent variable cause difference in a dependent variable; non-experimental research cannot provide this evidence and it is used in cases where the experimental study is not able to be evidenced. Experimental research is evidenced when the researcher has a specific research question or hypothesis regarding a correlation between two variables and it’s feasible and ethical to manipulate the independent variable. Thus, the non-experimental study is approached when these aspects are not met. Non-experimental research is performed when the research question or hypothesis is related to a single variable rather than two variables, the research question approaches a non-causal relationship between variables. The difference between these two types of methods of evaluating evidence is dictated by the nature of the research question. When the goal of the research question is to explain a nursing aspect and the research questions pertain to a causal relationship, the experimental evidence is approached. If the goal of the science is to describe or predict a non-experimental approach is evidenced. The two pieces of evidence can be used to address the same research question. The non-experimental study encompasses correlational research and observational research; correlational type is considered non-experimental because emphasizes the statistical relationship between two variables but does not incorporate the manipulation of an independent variable; observational type focuses on making observations of behavior in a natural setting without manipulation (Jhangiani, 2019). A quantitative non-experimental study explored students’ perceptions of faculty responses following medication errors that students perform while advancing through a four-year BN Program. The objective of the study is to determine factors which increase the likelihood of nursing students reporting medication discrepancies. The predisposition factors of medication errors are human factors (knowledge deficit, failure to follow procedure) and system factors (patient acuity, level of workload). Consistent reporting of medication errors is mandatory to maintain patient safety. Nursing students even though supervised by clinical instructors are predisposed to perform a high number of medical errors. The study evidenced that 30 % of nursing students made at least one error during the program of study and the average number of medication errors recalled per student was 1.93. The reporting of medication errors cannot be underestimated. Nurses must take all actions necessary to minimize patient safety incidents. Nursing education programs inspire ethical and moral standards in nursing students, advocating for patient safety being not only a mandate but also a moral and ethical requirement (Walsh, Anstey, Tracey, 2018).
Setting and Access to Potential Subjects
The implementation framework of any EBP project includes establishment of a motive for change, development of specific goals, attaining leadership support, creating a leadership teams and engagement of clinical support. In this case, the project setting will be a pediatric hospital where nurse practitioners and clinical nurse leaders involved in service delivery to the patient population will be the main subjects taking part in the proposed project. The selected participants should have served in this unit for the last 12 months. The project will select 20 healthcare staff to be involved in the implementation process.
The second component of this project is getting consent or approval from the participants and the institutional review board for the project to take place. Participants’ consent will be essential as it will demonstrate their willingness to be part of the project without any undue influence. The review board will give the project a green light and ensure that ethical provisions are met to protect the subjects. The consent will indicate that the main purpose of the project is to reduce the rate of HAI within six months by enhancing hand hygiene measures, specifically the use of alcohol-hand sanitizers or rubs alongside handwashing using soap and water. The participants will sign the consent form upon getting relevant information about the project and its overall benefits to the population.
Timelines
The implementation timeframe for the EBP project will be six months. Different activities will take place each month to ensure that all components of the proposal are implemented effectively. The timeframe will include creation of a multidisciplinary team in the first two weeks of the program. The last two weeks of the first month will have collection of required resources and expertise for the implementation process. The training of the nursing staff will occur in the second month and will take two to three weeks to ascertain that the participants have sufficient knowledge and skills based on existing resource to implement hand hygiene measures aimed at reducing HAIs.
The first week of the third month will involve identification of any possible barriers that may influence or interfere with the implementation. The duration will also be used to increase stakeholder engagement, participation and collection of their input and views to be incorporated in the final implementation activities (Luciano et al., 2019). The remain three and half months will involve the actual implementation. However, in the fifth month, the project team will review the implementation to ascertain if there will be need to have any modifications to the project. The implication is that the implementation process will be successful if the five months will be used as expected in the timelines proposed for the plan.
Resources
Studies show that success of any evidence-based project primarily rely on the availability of the needed resources (DeNisco, 2019; Luciano et al., 2019). The implementation of this project require human resources that will comprise of competent trainers who will impart the project team with necessary knowledge and skills. The most appropriate resource for this EBP project include nurse practitioners and clinical nurse leaders. Engagement of nurse practitioners and clinical nurse leaders with the requisite skills improves the success of quality improvement projects. In addition to the human resources, the project will also require financial resources to fund the implementation. the financial resources will be deployed to compensate the trainers and buy required stationeries like the training manuals. These resources will also be instrumental in overall implementation as they will be used to buy equipment like hand-rubs for demonstration. The resources will also include travel expenses for the project manager and the team. Changes needed in the implementation of the solution will include more education and awareness among caregivers since most of the pediatric patients may not comprehend the protocols that will be proposed to reduce hospital acquired infections.
Qualitative or Quantitative Design in Data Collection and Effectiveness
The selected design to collect data for the evidence-based practice project proposal is qualitative. The qualitative approach is deployed to understand thoughts, concepts, and experiences of participants through techniques like interviews, focus groups, observations, and a review of existing literature (Rebekah & Ravindran, 2018). The qualitative research design will be effective in the project proposal since it will entail getting opinions through deployment of different methods from healthcare workers about the need to enhance hand hygiene measures to prevent and reduce the occurrence of hospital acquired infections, especially in pediatric settings (Vandermause et al., 2017). The evidence-based practice project proposal on hand hygiene measures among healthcare workers to reduce and prevent hospital acquired infections (HAIs) in pediatric settings will inform stakeholders about the importance of handwashing protocols. The EBP project proposal is effective as it will ensure that healthcare workers in the selected settings adhere to hand hygiene measures for effective care delivery and minimize the prevalence of infections that negatively impact patient outcomes and quality care delivery.
Methods and Instruments for Monitoring
The implementation process will entail various methods and instruments in its monitoring. Firstly, an audit tool and satisfaction survey will be used in the implementation process. The project team will use satisfaction survey to evaluate the effectiveness of the measures executed to decrease high prevalence of hospital acquired infections in the pediatric unit. The audit framework will be deployed to complete the auditing process. The tool will enhance the auditing of gathered data on specific hand hygiene interventions and their outcomes (Vandermause et al., 2017). Additionally, the project will use questionnaires to collect the required data from the participating nurse. questionnaires are effective data collection tools and nurse leaders and practitioners will fill them out to offer information about the effectiveness of hand hygiene measures that can reduce occurrence of HAIs in pediatric patient population. The information will guide the project implementation team during the process for effective outcomes. The auditing tools and satisfaction surveys alongside the questionnaire use will be critical in attaining the expected project goals.
Evidence-Based Practice Proposal – Section E: Implementation Plan
In 1,000-1,500 words, provide a description of the methods to be used to implement the proposed solution. Include the following:
Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Although you will not be submitting the consent or approval forms in Topic 5 with the narrative, you will include the consent or approval forms in the appendices for the final paper.
Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, you will include the timeline in the appendices for the final paper.
Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, you will include the resource list in the appendices for the final paper.
Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, you will include the instruments in the appendices for the final paper.
Explain the process for delivering the (intervention) solution and indicate if any training will be needed.
Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, you will include the data collection tools in the appendices for the final paper.
Describe the strategies to deal with the management of any barriers, facilitators, and challenges.
Establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer-related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, you will include the budget plan in the appendices for the final paper.
Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.
You are required to cite five to 10 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 5 Assignment
Evidence-based practice has revolutionized the current healthcare system with appropriate changes aimed at improving the quality and safety of patient care. Implementation of such changes within a given healthcare facility entails several aspects such as interdisciplinary stakeholders, different phases, drivers and barriers or obstacles, and how they can be solved. For instance, given the high burden associated with hypertension in the United States, several studies have been established to help find a solution to this problem. In my case, the proposed intervention intends to utilize Home blood pressure(BP) digital applications among hypertensive patients (Moon, Tan, Allen, & Jafar, 2019). The paper focuses on a comprehensive elaboration of the implementation methods used for this proposed change.
Setting and Access to Potential Subjects
The project will be conducted in five different healthcare centers in the states of Minnesota, in the United States. Both public and private healthcare facilities will be considered for the study. Subjects taking part in the study will be selected randomly. Only those who will voluntarily accept to take part in the study will be considered. Potential participants will be made up of hypertensive patients (Fernandez et al., 2019). Advertisement concerning the study will be done through bronchus and messages for one week to increase the number of participants interested in the study. Given that the study involves the use of human subjects, all participants will be required to sign an informed consent form, before submission of the research proposal to the IRB.
Time needed
The development of the research problems was done early this year, 2021. A literature review was then conducted for the synthesis of evidence supporting the proposed intervention. Once the study proposal has been developed, with signed informed consent forms from all participants, it can then be submitted to the IRB to be reviewed. The IRB can take between 2 to 4 weeks to give their response (O’Cathain et al., 2019). Once approved appropriate dates will be set for the implementation and data collection process which will take up to 6 months. The collected data will then be analyzed within one to two weeks period, after which the results will be formulated and presented for further recommendations.
Resources Needed
Several resources will be required for the appropriate implementation of the proposed intervention. For starters, task-appropriate leaders must be selected from different disciplines. The task leaders will then provide a list of all the supportive resources that will be required for the different parts of the implementation process. Such resources include educational materials relating to the use and significance of Home BP digital interventions for hypertensive patients and digital BP gadgets among other resources (Ross et al., 2018). A financial budget is also required with initial internal or external bridge funding. Time is also a crucial resource that must be appropriately estimated as per the availability of the participants.
Methods and Instruments for Monitoring the Implementation
Both questionnaires and interviews will be utilized in monitoring the implementation progress throughout the study period. The questionnaires and interviews will be administered biweekly, up to when the study will be completed. Both the staff and participants will be required to provide feedback concerning the effectiveness of the proposed intervention in clinical practice. The questionnaire will include measuring items such as understanding, outcome, acceptance, positive and negative influences, and suggestions (Fernandez et al., 2019). The scoring guide will utilize a scale of 1 to 5 with 1 being strongly disagreed while 5- strongly agree. The questionnaire and interviews will be very short not taking more than 10 minutes per participant.
Process of Intervention Delivery
The delivery process for the change intervention will utilize an integrated approach. The primary intervention being implemented is the use of Home BP digital applications among hypertensive patients. Affected stakeholders include both the patients and healthcare staff. The implementation process will thus involve patient education on the significance of self-monitoring of an individual’s blood pressure, as a way of managing hypertension, in addition to the different home BP digital applications available for use, and how to use them (Fernandez et al., 2019). On the other hand, training sessions will be designed for the staff members on the use of electronic gadgets in enhancing patient self-monitoring of blood pressure and the normal BP limits, in addition to, follow-up intervention in case of red alerts.
Data Collection Plan
Within the entire 6 month period, the data collection process will continue by use of questionnaires and interviews. The selected participants will be issued the questionnaires through online social media platforms such as emails or WhatsApp once every two weeks. The interviews will also be conduction bi-weekly through online platforms and one on one encounters depending on the preference of the participants (Fernandez et al., 2019). The collected information will be stored in an excel spreadsheet which will only be accessed by study administrators. Every month, the collected data will be analyzed and interpreted, after which the final interpretation will be done based on the monthly cumulated data for the 6 months. The interpreted data will be evaluated to make sure that there are no biases or any alterations to the collected data.
Strategies to Deal with Challenges
Several challenges will be encountered at some point in the implementation process for the proposed intervention. Such challenges include high costs of the electronic devices with the BP applications and lack of adequate knowledge and skills among the staff members concerning the use of technology in managing hypertension (Mathieson, Grande, & Luker, 2019). Overcoming such barriers require a proper plan before initiating the implementation process. For instance, the change agent can scout and find as many sponsors as possible to cater to the proposed budget. Consequently, effective training sessions must be developed to equip healthcare staff with adequate skills and knowledge in the use of technology in managing hypertension.
Feasibility of the Implementation Plan
The entire project will be quite costly to implement. The budget is mostly self-funded. The finances will be used to cater to the personal needs of study administrators and acquiring resources required for data collection among other factors. Personal expenses will include travel, lodging, and food, which are necessary to facilitate the process of data collection. Required resources include printing material and electronic gadgets such as computers which will be utilized in data collection (Stavor, Zedreck-Gonzalez, & Hoffmann, 2017). The training of staff will also incur additional expenses in hiring experts in IT Health as educators. Other resources such as educational materials for the patients will also be considered in the project’s financial budget.
Plan for Maintenance, Extension, Revision, and Discontinuation of the Proposed Solution
Once a proposed intervention is implemented, routine evaluation of the outcome is necessary to ensure that the change is maintained, extended, revised, or discontinued. Through regular educational sessions, team members can gain more knowledge for further advancement of the intervention. Consequently, routine collection of feedback from stakeholders will help determine the effectiveness of the intervention hence maintained, or necessary changes made. Acquiring skilled personnel with adequate knowledge on the intervention will help improve the outcome, which will promote maintenance and extension of the change (Fernandez et al., 2019). Promoting participation in the implemented intervention will also give room for extensions, as a result of the achieved positive outcome. However, if the intervention fails to achieve its intended goal, then a discontinuation plan will be established through keen consideration of several factors such as incurred financial burden.
Conclusion
The use of technology in the current healthcare system is advancing for the provision of improving and safe care services. Through EBP, several interventions which utilize the use of technology in solving health problems, have been proposed. For instance, the use of the Home BP digital application has helped in enhancing self-monitoring of patient’s BP, with improved management outcomes (Friesen, Brady, Milligan, & Christensen, 2017). An effective implementation plan is thus necessary for the integration of the intervention into practice. Once implemented, routine evaluation of outcome is necessary for further advancement, maintenance, or discontinuation of the implemented intervention.
References
Fernandez, M. E., Ten Hoor, G. A., van Lieshout, S., Rodriguez, S. A., Beidas, R. S., Parcel, G., … & Kok, G. (2019). Implementation mapping: using intervention mapping to develop implementation strategies. Frontiers in public health, 7, 158. https://doi.org/10.3389/fpubh.2019.00158
Friesen, M. A., Brady, J. M., Milligan, R., & Christensen, P. (2017). Findings from a pilot study: Bringing evidence‐based practice to the bedside. Worldviews on Evidence‐Based Nursing, 14(1), 22-34. https://doi.org/10.1111/wvn.12195
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. doi:10.1017/S1463423618000488
Moon, E. W., Tan, N. C., Allen, J. C., & Jafar, T. H. (2019). The use of wireless, smartphone app–assisted home blood pressure monitoring among hypertensive patients in Singapore: pilot randomized controlled trial. JMIR mHealth and uHealth, 7(5), e13153. DOI: 10.2196/13153
O’Cathain, A., Croot, L., Duncan, E., Rousseau, N., Sworn, K., Turner, K. M., … & Hoddinott, P. (2019). Guidance on how to develop complex interventions to improve health and healthcare. BMJ open, 9(8), e029954. http://dx.doi.org/10.1136/bmjopen-2019-029954
Ross, J., Stevenson, F., Dack, C., Pal, K., May, C., Michie, S., … & Murray, E. (2018). Developing an implementation strategy for a digital health intervention: an example in routine healthcare. BMC health services research, 18(1), 1-13. https://doi.org/10.1186/s12913-018-3615-7
Stavor, D. C., Zedreck-Gonzalez, J., & Hoffmann, R. L. (2017). Improving the use of evidence-based practice and research utilization through the identification of barriers to implementation in a critical access hospital. JONA: The Journal of Nursing Administration, 47(1), 56-61. DOI: 10.1097/NNA.0000000000000437