NUR590 Evidence Based Practice Project Week 6 Assignment Evidence-Based Practice Proposal – Section F: Evaluation of Process
The implementation of hand hygiene protocols and measures to reduce and prevent the occurrence of hospital acquired infections (HAIs) among healthcare workers (HCWs) in pediatric care setting is focused on enhancing patient safety, quality care, and better outcomes. The evaluation of its implementation is essential to ascertaining if the evidence-based practice project proposal will attain its expected goals and outcomes (Albarqouni et al., 2018). The purpose of this evaluation is to discuss the expected outcome of the EBP project proposal, review data collection tools related to the selected research design and select a suitable statistical test and methods to apply to data collection and measuring of the outcomes and their assessment based on selected tool.
Findings show that religious engagement among students declines during college, but their spirituality shows substantial growth. “Students become more caring, more tolerant, more connected with others, and more actively engaged in a spiritual quest.” (“Cultivating the Spirit – Spirituality in Higher Education”) The authors also found that spiritual growth enhances other outcomes, such as academic performance, psychological well-being, leadership development, and satisfaction with college. The study also identified a number of college activities that contribute to students’ spiritual growth. Some of these–study abroad, interdisciplinary studies, and service learning–appear to be effective because they expose students to new and diverse people, cultures, and ideas. Spiritual development is also enhanced if students engage in “inner work” through activities such as meditation or self-reflection, or if their professors actively encourage them to explore questions of meaning and purpose. (“Cultivating the Spirit – Spirituality in Higher (Alexander W, 2010)”). By raising public awareness of the key role that spirituality plays in student learning and development, by alerting academic administrators, faculty, and curriculum committees to the importance of spiritual development, and by identifying strategies for enhancing that development, this work encourages institutions to give greater priority to these spiritual aspects of students’ educational and professional development.
Expected Outcomes for the EBP Project Proposal
The implementation of this EBP project is focused on enhancing outcomes that will guarantee patient safety, quality care and better interventions by healthcare workers to reduce and prevent the occurrence of hospital acquired infections among the pediatric patients. The expected outcomes for the project include knowledge dissemination to healthcare workers in the selected settings to reduce HAIs, enhancement of patient safety protocols and development of organizational frameworks and policies to incorporate hand hygiene measures and protocols for healthcare workers. The EBP project proposal is expected to reduce the rate or prevalence of hospital acquired infections and expand the adoption of hand hygiene measures that include handwashing with soap and water alongside hand sanitizers or alcohol-based hand rubs in the care targeted care facilities.
Data Collection Tools Based on Selected Research Design
The proposed EBP project will employ a qualitative research design. The approach is used to understand thoughts, concepts and experiences of research subjects in connection to the proposed project and its significance to the target population. Qualitative research design employs different data collection tools that include focus groups, interviews, observations and review of literature (Hunter, 2017). The qualitative approach will ensure that the research incorporates opinions from healthcare workers on the need to improve hand hygiene measures to prevent and reduce the prevalence of hospital acquired infections (HAIs).
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Data collection is an essential step in evidence-based practice project proposal as it allows researchers to document findings based on opinions, views and observations of the target population and research participants. A selected data collection tool should be effective for the research design based on its validity, reliability and applicability.
In this case, the selected research data collection tool for the EBP project is institutional interviews where the participants will fill questionnaires detailing their experiences and thoughts on the topic. These include their views and opinions on hand hygiene measures to enhance quality and safe care in pediatric settings by healthcare workers (Kampstra et al., 2018). Interviews are an essential tool for collection of qualitative data because of their flexibility, validity and reliability. Data collected through interviews capture the original sentiments, opinions, and views of healthcare workers in pediatric settings. Interviews enhance confidentiality, accuracy and precision of the information as it comes from the participants who experience the various situations and apply different interventions in care delivery.
Statistical Test for the EBP Project Proposal
Statistical tests provide a framework for making effective decisions about a particular study sample. Statistical tests mainly evaluate the hypothesis concerning the significance of an observed sample. The tests also evaluate the interactions between predictor variables and outcome variables and estimate the differences between two or more groups (Rebekah & Ravindran, 2018). The proposed EBP project will use a parametric test called regression.
Regression tests have stringent requirements and make robust inferences based on collected data. Regression test will be used to show the cause-and-effect approach to the phenomenon under review. The EBP project will use a qualitative research design with interview being the main data collection tool. Therefore, the interviews will offer views on the outcomes of handwashing protocols for healthcare workers that include the use of hand sanitizers besides soap and water. The tool is best suited for the project since it offers information on the cause and effect approach to the project. For instance, the use of hand sanitizer among HCWs to reduce HAIs is essential in deterring the transmission of infections to pediatric patients.
Methods of Data Collection Tool, Measurement and Evaluation of Outcomes
The main method to the data collection tool will be use of persona interviews where the researcher will conduct interviews before, during and after the implementation of the interventions among the target population or participants (Melnyk & Fineout-Overholt, 2019). The interviews will be based on questionnaire given to the participants to fill concerning the need to reduce and prevent hospital acquired infections among pediatric patients.
The outcome measurement and evaluation will be based on the collected data by analyzing the responses and feedback from the sampled population. For instance, the project will use satisfaction surveys to evaluate the effectiveness of measures deployed to reduce the prevalence of HAIs. Positive outcome measures will include a reduction in the number of reported HAIs among the inpatient pediatric patients, enhanced hand hygiene measures and development of protocols to be followed to attain the required standard practices.
Strategies if Outcomes Are Positive or Expected Results
The conclusion that nothing new occurred does not add to the current knowledge and only affirms the current status quo. Imperatively, if the outcomes fail to provide the expected or positive results, it is imperative to analyze what led to the failure (Rebekah & Ravindran, 2018). If it is about the approach used or methodological aspects, it is fundamental to begin again using different approaches. However, if the methodology is effective, it would be important to review the entire process and ensure that the EBP project gives positive outcomes.
Sustainability of the EBP Project
The project team must have plans to maintain, extend, review or discontinue the proposed solution after the overall implementation. In this case, the plans to maintain the project include incorporating the recommended practice standards as part of the organization’s culture (Schirm et al., 2018). The second aspect is to extend the best practices in all units within the facility by dissemination of the acquired knowledge and skills among the healthcare workers. The third aspect is to continually review and revise components of the project to align with the organization’s goals, best practices and quality improvement initiatives and policies.
Conclusion
Evaluating the implementation of EBP project proposal is fundamental to ascertaining the overall outcomes and effectiveness of the initiatives. Evaluation helps to review the expected outcomes and their attainment, review different components of the program to make align them with research goals and ensure that research design and data collection tools aid the project’s implementation. In this case, the EBP project will be evaluated and sustained using the approach highlighted by the paper.
References
Albarqouni, L., Hoffmann, T., & Glasziou, P. (2018). Evidence-based practice educational
intervention studies: a systematic review of what is taught and how it is measured. BMC medical education, 18(1), 1-8. https://doi.org/10.1186/s12909-018-1284-1
Hunter, S. (2017). Not All Evidence is Created Equal: Changes in practice require the highest
possible level of statistical testing. EMS World, 46(10), 46-50.
Schirm, V., Banz, G., Swartz, C., & Richmond, M. (2018). Evaluation of bedside shift report: A
research and evidence-based practice initiative. Applied Nursing Research, 40, 20-25. doi: 10.1016/j.apnr.2017.12.004
Kampstra, N. A., Zipfel, N., van der Nat, P. B., Westert, G. P., van der Wees, P. J., &
Groenewoud, A. S. (2018). Health outcomes measurement and organizational readiness support quality improvement: a systematic review. BMC health services research, 18(1), 1-14. https://doi.org/10.1186/s12913-018-3828-9
Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing and
healthcare: A guide to best practice (4th ed.). Wolters Kluwer. ISBN-13:
9781496384539
Rebekah, G., & Ravindran, V. (2018). Statistical analysis in nursing research. Indian Journal of
Continuing Nursing Education, 19(1), 62.
Vandermause, R., Barg, F. K., Esmail, L., Edmundson, L., Girard, S., & Perfetti, A. R. (2017).
Qualitative methods in patient-centered outcomes research. Qualitative health research, 27(3), 434-442. doi: 10.1177/1049732316668298
Evidence-Based Practice Proposal – Section F: Evaluation of Process
In 500-750 words, develop an evaluation plan to be included in your final evidence-based practice project. Provide the following criteria in the evaluation, making sure it is comprehensive and concise:
Describe the rationale for the methods used in collecting the outcome data.
Describe the ways in which the outcome measures evaluate the extent to which the project objectives are achieved.
Describe how the outcomes will be measured and evaluated based on the evidence. Address validity, reliability, and applicability.
Describe strategies to take if outcomes do not provide positive results.
Describe implications for practice and future research.
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.
Evidence-Based Practice Proposal – Section F: Evaluation of Process
The EBP proposal is to implement Sentara’s Asthma Disease Management Program to improve Asthma control among adolescent patients. The goal will be achieved by training patients on interventions on successful lifestyle and behavioral modification. This paper will present an evaluation plan for the EBP proposal project and discuss its implications for practice and future research.
Evaluation Plan
The program’s outcome will be measured by establishing the number of Asthmatic adolescents who will demonstrate increased asthma control. Data will be obtained from patient’s health records, hospital statistics, and questionnaires (Sadan, 2017). Health records will be used because they will help compare a patient’s asthma control before and after the initiation of the Sentara program. Hospital statistics will also be used because they will help compare the incidence of emergency visits, readmission rates, and treatment costs before and after the program. Records are an efficient and inexpensive method that can obtain a considerable amount of data (Sadan, 2017). A questionnaire will be used in data collection since it is easy to administer, create uniformity, flexible, and can obtain a large volume of data.
Outcome measures identify how well a program supports the program’s or department’s mission. Reduced ED visits, healthcare utilization, and hospitalizations will determine the degree to which the program has contributed to Asthma control among the target population. Besides, healthcare costs will evaluate how the program has achieved its objective of enhancing efficiency in Asthma care. The program’s outcomes will be measured by comparing ED visits, hospitalizations, patient satisfaction, and hospital costs attributed to Asthma before and after the program’s implementation. The validity of the outcomes will be evaluated by comparing the results to other projects that used the Sentara program’s interventions (Louie et al., 2019). Reliability will be measured by comparing the program’s results over different periods to determine if the outcomes are consistent over the implementation period. (Louie et al., 2019) The outcomes applicability will be measured by employing the interventions on a similar population but in a different setting. The results from the two settings will then be evaluated for consistency.
If positive results are not attained, the program will be evaluated for possible barriers and challenges impeding the desired outcomes. Feasible interventions will be identified and implemented to address the barriers. The delivery process will also be evaluated for gaps, and reviews will be obtained from healthcare providers and community health workers on areas that need improvement to meet the objectives. Patients will be requested to take a survey on the challenges encountered in the program’s implementation and the aspects that should be improved to promote positive results.
Implications for Practice and Future Research
The Sentara program will influence both nursing practice and future research in Asthma management. Implications for nursing practice include empowering nurses on interventions to improve health outcomes of patients with Asthma, such as patient education on self-management (Cushing et al., 2019). The program can also influence the quality of nursing care in Asthma since nurses will be well-informed of interventions to improve asthma outcomes. Besides, the program’s results can encourage nurses to prioritize evidence-based practice when planning nursing care interventions for patients with asthma and other conditions (Cushing et al., 2019). Implications for future research include influencing researchers to explore other evidence-based interventions that effectively improve health outcomes for patients with respiratory conditions. It can also push researchers to examine interventions that can be implemented to sustain the Sentara program’s results in the long term.
References
Cushing, C. C., Fedele, D. A., Patton, S. R., McQuaid, E. L., Smyth, J. M., Prabhakaran, S., … & Nezu, A. M. (2019). Responsive Asthma Care for Teens (ReACT): development protocol for an adaptive mobile health intervention for adolescents with Asthma. BMJ Open, 9(8), e030029.
Louie, C., D’Agostino, E. N., Han, D., & Ryken, T. C. (2019). Determining an Appropriate Outcome Measure in Neurosurgical Research: Investigating Meaningful, Valid, and Practical Metrics. Cureus, 11(9), e5610. https://doi.org/10.7759/cureus.5610
Sadan, V. (2017). Data collection methods in quantitative research. Indian Journal of Continuing Nursing Education, 18(2), 58.