NUR 590 Based on the PICOT you developed for NUR 550 Summarize the Intervention you are Proposing

NUR 590 Based on the PICOT you developed for NUR 550 Summarize the Intervention you are Proposing – Example Solution Provided

NUR 590 Topic 1 Discussion Question One

Based on the PICOT you developed for NUR-550 summarize the intervention you are proposing.

Based on the PICOT you developed for NUR-550, summarize the intervention you are proposing. How does this support the population of focus, your setting, and role? Justify how the problem you selected to investigate is amenable to a research-based intervention using the PICOT format. Include your PICOT statement with your response.

NUR 590 Based on the PICOT you developed for NUR 550 Summarize the Intervention you are Proposing Sample Answer

Alzheimer’s patients were disproportionately affected by COVID-19 (Azarpazhooh, 2020; Wang, 2021). While there is a biologic/genetic component to the mortality rates (Wang et al., 2020), it is unknown whether the quarantine induced social isolation contributed to mortality rates. Since COVID-19 vaccines have high efficacy (CDC, 2021) and have increased the safety of the elderly in community settings, it has become more common for facilities to allow Alzheimer’s family member act as a caregiver and advocate.

The importance of family/friends to Alzheimer’s patients can not be denied. During the initial COVID-19 lock-downs of community settings and long-term care, dementia patients neuropsychiatric symptoms and confusion increased due to the dramatic change and loss of their loved ones (Boutoleau-Bretonnière,2020). Therefore, during the pandemic, caregivers were eventually allowed into the facilities for compassionate visitation.

The question facing the community as it faces future pandemics and lock-downs, is how to keep the Alzheimer’s patients safe without the dramatic social isolation from their family caregivers. Therefore, like paid caregivers and medical staff, family caregivers should receive basic infection control training.

The PICOT is defined by:

Will educating Alzheimer’s’ caregivers in disease transmission control help reduce community acquired infections in Alzheimer’s patients living in community settings (i.e., long term care or assisted living) over a 3-month period?

Population: Alzheimer’s patients

Intervention: disease transmission education

Comparison: education complete versus not

Outcome: reduce community acquired infections (i.e. COVID-19, pneumonia, etc.)

Time period: 3 months

By educating family caregivers, it adds to the resources of the community settings. In the case of long-term care, the patient receives better care from their family member with staff support and reduces demands on staff time. This reduces staff stress and caseload while increasing the availability of staff to other patients.

References

Azarpazhooh, M. R., Amiri, A., Morovatdar, N., Steinwender, S., Rezaei Ardani, A., Yassi, N., Biller, J., Stranges, S., Tokazebani Belasi, M., Neya, S. K., Khorram, B., Sheikh Andalibi, M. S., Arsang-Jang, S., Mokhber, N., & Di Napoli, M. (2020). Correlations between COVID-19 and burden of dementia: An ecological study and review of literature. Journal of the Neurological Sciences, 416, 117013. https://doi.org/10.1016/j.jns.2020.117013
Boutoleau-Bretonnière, C., Pouclet-Courtemanche, H., Gillet, A., Bernard, A., Deruet, A., Gouraud, I., Mazoue, A., Lamy, E., Rocher, L., Kapogiannis, D., El Haj, M. (2020). The effects of confinement on neuropsychiatric symptoms in Alzheimer’s disease during the COVID-19 crisis. Journal of Alzheimer’s Disease. 76(1):41-47. doi: https://10.3233/JAD-200604. PMID: 32568211.
Wang Q., Davis P., Gurney M., Xu, R. (2021) COVID‐19 and dementia: Analyses of risk, disparity, and outcomes from electronic health records in the US. Alzheimer’s Dementia, 2021, 1– 10. https://doi.org/10.1002/alz.12296

NUR 590 Based on the PICOT you developed for NUR 550 Summarize the Intervention you are Proposing Example 2

Obesity is a growing health issue in the United States that can contribute negative outcomes with to other health conditions. It is seen as primary precursor to unhealthy outcomes and conditions as well as a major risk factor to chronic conditions.

Reducing obesity within populations can be an important intervention in increasing the overall health quality and increase preventative efforts. These efforts would include nutrition changes, weight loss programs, and physical activity programs (Pascual et al., 2019).

Based on this, my PICOT includes providing information and education about nutritious diets that would aim to reduce body mass index and produce a decrease in obesity rates. My formulated PICOT is as follows: In obese adults (P), does an education of nutrient dense diets (I) compared to individuals with no provided education (C) achieve a decrease in Body Mass Index (BMI) (O) within three months (T)?

Research based interventions is important in my role as an advanced registered nurse. Increasing the quality of health and wellness in the population is part of the obligation advanced nurses have to the public or populations. In the case of obesity, interventions to decrease obesity rates could lead to better health outcomes, prevention or treatment of chronic conditions and public health maintenance all of which can be advocated through advanced nurses (Al-Nimr, et al., 2020).

References:

Pascual, R. W., Phelan, S., La Frano, M. R., Pilolla, K. D., Griffiths, Z., & Foster, G. D. (2019). Diet Quality and Micronutrient Intake among Long-Term Weight Loss Maintainers. Nutrients, 11(12), 3046. https://doi.org/10.3390/nu11123046
Al-Nimr, R. I., Wright, K. C. S., Aquila, C. L., Petersen, C. L., Gooding, T. L., & Batsis, J. A. (2020). Intensive nutrition counseling as part of a multi-component weight loss intervention improves diet quality and anthropometrics in older adults with obesity. Clinical Nutrition ESPEN, 40, 293–299. https://doi-org.lopes.idm.oclc.org/10.1016/j.clnesp.2020.09.002

Also Read:

GCU NUR 590 Topic 6: Evaluating Practice Change

Summarize the Intervention you are Proposing Responses

Hi Abe,

You have an interesting research here. Obesity is an increasing, global public health issue, so it makes sense that you are researching for ways to curb the epidemic. Patients with obesity are at major risk for developing a range of comorbid conditions, including cardiovascular disease (CVD), gastrointestinal disorders, type 2 diabetes (T2D), joint and muscular disorders, respiratory problems, and psychological issues, which may significantly affect their daily lives as well as increasing mortality risks.

A relatively small and simple reduction in weight, for example, of around 5%, can improve patient outcomes and may act as a catalyst for further change, with sustainable weight loss achieved through a series of incremental weight loss steps (Fruh, 2017).

Reference

Fruh, S. M. (2017). Obesity: Risk factors, complications, and strategies for sustainable long-term weight management. Journal of the American Association of Nurse Practitioners, 29(S1), S3–S14. https://doi.org/10.1002/2327-6924.12510

Hello Reyes,

Obesity is a critical health concern in the United States, especially affecting the minority populations. It is considered one of the greatest risk factors for many chronic illnesses including diabetes, hypertension, and cardiovascular disease (Schetz et al., 2019). Management of this condition does not only prevent an individual from contracting the long-term diseases but also improves quality of life.

Your choice of intervention provides the basis for a research that provides a comparative view between compliance and non-compliance to the lifestyle standards. Educating patients on nutritional guidelines and weight loss programs are essential considerations for decreasing the Body Mass Index (BMI), which in return reduces the risks for developing the chronic health conditions.

As you have stated, advanced practice nurses are obligated to improve population health through the adoption of research-based intervention. Your proposed intervention creates an opportunity for using evidence to address obesity from a population-based setting.

Reference

Schetz, M., De Jong, A., Deane, A. M., Druml, W., Hemelaar, P., Pelosi, P., … & Jaber, S. (2019). Obesity in the critically ill: a narrative review. Intensive care medicine, 45(6), 757-769.

Topic 1 DQ 2

Explain the importance of a “spirit of inquiry” in an evidence-based culture and what you can do as an advanced registered nurse to encourage this within your practice or organization. In response to your peers, compare the role and implementation of EBP in your specialty area with another advanced registered nurse specialty.

NUR-550 Literature Review – Resubmission Instructions

Submit your literature review from NUR-550 for your NUR-590 instructor to review. If your NUR-550 instructor indicated areas for revision be sure to incorporate these improvements prior to submitting your paper for this assignment.

You will use the revised literature review for your final written paper in Topic, 8 detailing your evidence-based practice project proposal.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

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 not required to submit this assignment to LopesWrite.

Resources

NUR 590 Based on the PICOT you developed for NUR 550

Advanced Nursing Research: From Theory to Practice

Read Chapters 1 and 2 in Advanced Nursing Research: From Theory to Practice.

View Resource

Evidence Based Medicine Toolkit

Explore the “Evidence Based Medicine Toolkit,” by Buckingham, Fisher, and Saunders (2012), located on the University of Alberta website

http://www.ebm.med.ualberta.ca/

Striving for Evidence-Based Practice Innovations Through a Hybrid Model Journal Club: A Pilot Study

Read “Striving for Evidence-Based Practice Innovations Through a Hybrid Model Journal Club: A Pilot Study,” by Wilson, Ice, Nakas

Evidence-Based Practice Tutorial

Read the Evidence-Based Practice tutorial, located on the Duke University website.

http://guides.mclibrary.duke.edu/c.php?g=158201&p=1036002

Centre for Evidence Based Medicine: Resources

Explore the Resources page of the Centre for Evidence Based Medicine (CEBM) website.

http://www.cebm.net/category/ebm-resources/

Evidence Based Medicine

Explore the Evidence Based Medicine page of the University of Illinois Library of the Health Sciences website. Use this website as a reso

http://researchguides.uic.edu/ebm

Centre for Evidence Based Medicine: About Us

Read “About Us” page of the Centre for Evidence Based Medicine (CEBM) website.

http://www.cebm.net/about

Evidence-Based Practice in Nursing and Healthcare : A Guide to Best Practice

Read Chapters 1-3 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice.

View Resource

Implementation Science and Nursing Leadership: Improving the Adoption and Sustainability of Evidence-Based Practice

Read “Implementation Science and Nursing Leadership: Improving the Adoption and Sustainability of Evidence-Based Practice,” by Ne

A Leader’s Guide to Implementing Evidence-Based Practice: Lead the Way to Healthcare Quality and Safety

Read “A Leader’s Guide to Implementing Evidence-Based Practice: Lead the Way to Healthcare Quality and Safety,” by Tucker and Mel

Evaluation of a Nurse Practitioner-Led Project to Improve Communication and Collaboration in the Acute Care Setting

Read “Evaluation of a Nurse Practitioner-Led Project to Improve Communication and Collaboration in the Acute Care Setting,” by Au

NUR-550 Literature Review – Resubmission

You will use the revised literature review for your final written paper in Topic, 8 detailing your evidence-based practice project proposal.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

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 not required to submit this assignment to LopesWrite.

Resources

Advanced Nursing Research: From Theory to Practice

Read Chapters 1 and 2 in Advanced Nursing Research: From Theory to Practice.

Evidence-Based Medicine Toolkit

Explore the “Evidence-Based Medicine Toolkit,” by Buckingham, Fisher, and Saunders (2012), located on the University of Alberta website … http://www.ebm.med.ualberta.ca/

Striving for Evidence-Based Practice Innovations Through a Hybrid Model Journal Club: A Pilot Study

Read “Striving for Evidence-Based Practice Innovations Through a Hybrid Model Journal Club: A Pilot Study,” by Wilson, Ice, Nakas … http://www.sciencedirect.com.lopes.idm.oclc.org/science/article/pii/S0260691715000817

Evidence-Based Practice Tutorial

Read the Evidence-Based Practice tutorial, located on the Duke University website.

http://guides.mclibrary.duke.edu/c.php?g=158201&p=1036002

Centre for Evidence Based Medicine: Resources

Explore the Resources page of the Centre for Evidence Based Medicine (CEBM) website.

http://www.cebm.net/category/ebm-resources/

Evidence Based Medicine

Explore the Evidence Based Medicine page of the University of Illinois Library of the Health Sciences website. Use this website as a resource http://researchguides.uic.edu/ebm

Centre for Evidence-Based Medicine: About Us

Read “About Us” page of the Centre for Evidence Based Medicine (CEBM) website.

http://www.cebm.net/about

Evidence-Based Practice in Nursing and Healthcare : A Guide to Best Practice

Read Chapters 1-3 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice.

Implementation Science and Nursing Leadership: Improving the Adoption and Sustainability of Evidence-Based Practice

Read “Implementation Science and Nursing Leadership: Improving the Adoption and Sustainability of Evidence-Based Practice,”

https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00005110-202105000-00003&LSLINK=80&D=ovft

A Leader’s Guide to Implementing Evidence-Based Practice: Lead the Way to Healthcare Quality and Safety

Read “A Leader’s Guide to Implementing Evidence-Based Practice: Lead the Way to Healthcare Quality and Safety,” by Tucker and Mel https://link.gale.com/apps/doc/A616904277/AONE?u=canyonuniv&sid=AONE&xid=f2d66c7c

Evaluation of a Nurse Practitioner-Led Project to Improve Communication and Collaboration in the Acute Care Setting

Read “Evaluation of a Nurse Practitioner-Led Project to Improve Communication and Collaboration in the Acute Care Setting,”

https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=ovft&AN=01741002-900000000-99523&PDF=y

NUR 590 Topic 2: Making the Case for Evidence-Based Practice

Objectives:

Describe effective strategies to create an evidence-based practice culture within a healthcare setting.
Identify stakeholders needed for the evidence-based practice project.
Assess organizational readiness for the evidence-based practice project.

Topic 2 DQ 1

Compare two organizational readiness tools. Identify the tool you selected and explain why it is most appropriate for assessing your organization.

Topic 2 DQ 2

Do you foresee any issues with the proposed implementation of your project? Identify a strategy to help create or sustain a higher level of readiness to change with your organization and discuss how current research or literature will be used to ensure that change is based on current evidence.

Benchmark – Evidence-Based Practice Project Proposal: Organizational Culture and Readiness

In order to successfully implement a change within an organization, the change agent must assess the organization’s culture and readiness for change. In 750-1,000 words, analyze the culture and level of readiness of the organization for which your evidence-based practice project is proposed. You will use the assessment of the organization’s culture and readiness in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal.

Include the following:

Describe the organization’s culture and explain to what degree the culture supports change. Consider organizational and leadership structure, mission and values, interprofessional collaboration/team engagement, communication, perception of the organization by employees, etc.
Select an organizational readiness tool and assess the level or readiness for change within your organization. Identify the readiness tool and summarize the survey results. Discuss the degree to which the culture will support and sustain an evidence-based practice change. Consider strengths and weaknesses, potential barriers, stakeholder support, timing of the proposal, and resources. Provide rationale.
Discuss what healthcare process and systems you would recommend for improving quality, safety, and cost-effectiveness for the organization.
Propose strategies to better facilitate the readiness of the organization.
Identify the stakeholders and team members for the project. Include what their duties will be in the evidence-based practice project proposal.
Explain what information and communication technologies are needed for the implementation and how they will be integrated into the setting by the internal stakeholders. Explain how these will help improve nursing practice and care delivery for individuals and populations for your intervention.

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite a minimum four peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing

3.1: Assess healthcare processes and systems to recommend measures for improving quality, safety, and cost-effectiveness across an organization.

3.3: Integrate appropriate information and communication technologies to improve nursing practice and care delivery for individuals and populations.

Resources

Supporting the Uptake of Nursing Guidelines: What You Really Need to Know to Move Nursing Guidelines Into Practice

Read “Supporting the Uptake of Nursing Guidelines: What You Really Need to Know to Move Nursing Guidelines Into Practice,” by Mat

Evidence-Based Practice in Nursing and Healthcare : A Guide to Best Practice

Read Chapters 15 and 18 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice.

View Resource

Agency for Healthcare Research and Quality

Explore the Agency for Healthcare Research and Quality (AHRQ) website.

http://www.ahrq.gov/

Aligning Organizational Culture and Infrastructure to Support Evidence-Based Practice

Read “Aligning Organizational Culture and Infrastructure to Support Evidence-Based Practice,” by Ost, Blalock, Fagan, Sweeney, an

JBI EBP Resources

Use the JBI EBP Resources to search for EBP resources related to your project.

https://jbi.global/ebp

Organizational Readiness Tools for Global Health Intervention: A Review

Read “Organizational Readiness Tools for Global Health Intervention: A Review,” by Dearing, from Frontiers in Public Health</

The Checklist: Recognize Limits, but Harness Its Power

Read “The Checklist: Recognize Limits, but Harness Its Power,” by Grif Alspach, from Critical Care Nurse (2017).

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=125112053&site=ehost-live&scope=site

Cochrane Library

Explore the Cochrane Library website.

http://www.thecochranelibrary.com/view/0/index.html

A Multisite Health System Survey to Assess Organizational Context to Support Evidence-Based Nursing

Read “A Multisite Health System Survey to Assess Organizational Context to Support Evidence-Based Nursing,” by Pitmann et al., fr

Advanced Practice Nursing: Essential Knowledge for the Profession

Read Chapters 23 and 24 in Advanced Practice Nursing: Essential Knowledge for the Profession.

View Resource

Readiness Assessment

Read “Readiness Assessment” (2015), located on the Agency for Healthcare Research and Quality (AHRQ) website.

https://www.ahrq.gov/teamstepps/readiness/index.html

Cultivate a Culture of Excellence at the Point of Care

Read “Cultivate a Culture of Excellence at the Point of Care,” by Medeiros, from Nursing Management (2020).

https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006247-202005000-00002&LSLINK=80&D=ovft

The Cochrane Collaboration

Explore the Cochrane Collaboration website.

http://www.cochrane.org/

6 Steps for Transforming Organizational EBP Culture

Read “6 Steps for Transforming Organizational EBP Culture,” by Ogiehor-Enoma, Taqueban, and Anosike, from Nursing Management<

NUR 590 Topic 3: Theoretical Framework and Models for Change

Objectives:

Apply a change model or framework to the evidence-based practice project proposal.
Describe the relationship between bias and a framework or model.

Topic 3 DQ 1

Discuss the significance of frameworks or models in guiding research or evidence-based practice projects. How can choosing an incorrect framework or model create bias in research?

Topic 3 DQ 2

Review the different models and frameworks that can be used to facilitate change. Compare two and explain which is best for your evidence-based practice proposal and why. Provide rationale.

Benchmark – Evidence-Based Practice Proposal Project: Framework or Model for Change

Applying a model or framework for change ensures that a process is in place to guide the efforts for change. In 500-750 words, discuss the model or framework you will use to implement your evidence-based practice proposal project. You will use the model or framework you select in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal.

Include the following:

Identify the selected model or framework for change and discuss its relevance to your project.
Discuss each of the stages in the change model/framework.
Describe how you would apply each stage of the model or theoretical framework in your proposed implementation.
Create a concept map for the conceptual model or framework you selected to illustrate how it will be applied to your project. Attach this as an appendix at the end of your paper.

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite a minimum of four peer-reviewed 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.

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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

1.2 Apply theoretical frameworks from nursing and other disciplines to make decisions regarding practice and health-related problems at the individual and population level.

Resources

Advanced Practice Nursing: Essential Knowledge for the Profession

Read Chapter 6 in Advanced Practice Nursing: Essential Knowledge for the Profession.

View Resource

Evidence Based Medicine: Levels of Evidence

Read “Evidence Based Medicine: Levels of Evidence,” by the University of Illinois/Chicago’s Library of the Health Sciences at Peo

A Test of the ARCC Model Improves Implementation of Evidence-Based Practice, Healthcare Culture, and Patient Outcomes

Read “A Test of the ARCC Model Improves Implementation of Evidence-Based Practice, Healthcare Culture, and Patient Outcomes,” by

Iowa Model of Evidence-Based Practice: Revisions and Validation

Read “Iowa Model of Evidence-Based Practice: Revisions and Validation,” by Buckwalter et al., from Worldviews on Evidence-Bas

Use of Evidence-Based Practice Models and Research Findings in Magnet-Designed Hospitals Across the United States: National Survey Results

Read “Use of Evidence-Based Practice Models and Research Findings in Magnet-Designed Hospitals Across the United States: National Sur

Evidence-Based Practice in Nursing and Healthcare : A Guide to Best Practice

Read Chapter 14 and review Chapter15 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice.

View Resource

Critical Appraisal Tools

Read “Critical Appraisal Tools,” located on the Centre for Evidence Based Medicine (CEBM) website.

https://www.cebm.ox.ac.uk/resources/ebm-tools/critical-appraisal-tools

Study Designs

Review “Study Designs,” located on the Centre for Evidence Based Medicine (CEBM) website.

https://www.cebm.ox.ac.uk/resources/ebm-tools/study-designs

Worksheet for Using Practice Guidelines

Study “Worksheet for Using Practice Guidelines,” from the “Evidence Based Medicine Toolkit,” by Buckingham, Fisher, and S

Guidelines and Measures

Study “Guidelines and Measures,” located on the Agency for Healthcare Research and Quality website.

https://www.ahrq.gov/gam/index.html

Star Model

Explore the Star Model resources, located on the UT Health San Antonio School of Nursing website.

https://www.uthscsa.edu/academics/nursing/star-model

Nursing Best Practice Guidelines

Investigate the Nursing Best Practice Guidelines page of the Registered Nurses Association of Ontario (RNAO) website.

http://www.rnao.org/Page.asp?PageID=861&SiteNodeID=133

Updating the Stetler Model of Research Utilization to Facilitate Evidence-Based Practice

Read “Updating the Stetler Model of Research Utilization to Facilitate Evidence-Based Practice,” by Stetler, by Nursing Outlo

NUR 590 Topic 4: Data Collection and Data Analysis

Objectives:

Select a research design for the evidence-based project proposal.
Select a statistical test for the evidence-based project proposal.

Topic 4 DQ 1

Explain whether you would select a qualitative or quantitative design to collect data and evaluate the effectiveness of your evidence-based practice project proposal. Identify which data collection tool you would specifically use and explain why this design is best for your evidence-based practice project proposal.

Topic 4 DQ 2

Identify which statistical test you would use in conjunction with your selected research design from DQ 1 to evaluate the outcomes for your evidence-based project proposal and explain why you selected this test. What kind of information will this test provide about your outcomes?

Resources

The Use of Data Collected From mHealth Apps to Inform Evidence-Based Quality Improvement: An Integrative Review

Read “The Use of Data Collected From mHealth Apps to Inform Evidence-Based Quality Improvement: An Integrative Review,” by Radbro

Office for Human Research Protections

Explore the Office for Human Research Protections (OHRP) website.

http://www.hhs.gov/ohrp/

Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice

Read Chapter 6 and review Chapter in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice.

View Resource

Statistics and Data Analysis

Read “Statistics and Data Analysis,” by Wienclaw, from Salem Press Encyclopedia (2019).

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ers&AN=89163982&site=eds-live&scope=site&custid=s8333196&groupid=main&profile=eds1

Advanced Nursing Research: From Theory to Practice

Read Chapters 13-15 in Advanced Nursing Research: From Theory to Practice.

View Resource

Statistical Analysis in Nursing Research

Read “Statistical Analysis in Nursing Research,” by Rebekah and Ravindran, from Indian Journal of Continuing Nursing Educatio

Data Collection Methods

Read “Data Collection Methods,” by Polit, from Encyclopedia of Nursing Research (2017).

https://lopes.idm.oclc.org/login?url=https://search.credoreference.com/content/entry/spennurres/data_collection_methods/0?institutionId=5865

Not All Evidence Is Created Equal: Changes in Practice Require the Highest Possible Level of Statistical Testing

Read “Not All Evidence Is Created Equal: Changes in Practice Require the Highest Possible Level of Statistical Testing,” by Hunte

NUR 590 Topic 5: Evidence-Based Practice Implementation

Objectives:

Propose an implementation plan for the evidence-based practice proposal.
Propose strategies for overcoming barriers to the implementation of the evidence-based practice proposal.

Topic 5 DQ 1

What are some of the obstacles or barriers to implementing evidence-based practice (EBP) in nursing? Explain how at least one of the obstacles you have described could impact the implementation for your EBP project.

Topic 5 DQ 2

Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project. What strategies can you implement to gain stakeholder support for the project implementation? Provide a suggestion you would give to a colleague who is struggling with obtaining stakeholder support.

Evidence-Based Practice Project Proposal: Implementation Plan

In 1,250-1,500 words, discuss the implementation plan for your evidence-based practice project proposal. When required, create the appropriate form, table, image, or graph to fully illustrate that aspect of the intervention plan and include them in an appendix of your paper. You will use the implementation plan, including the associated documents in your appendices, in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal.

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. Include a draft of the form as an appendix at the end of your paper.
Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Based on the timeline you created, describe the amount of time needed to complete this project. Include a draft of the timeline as an appendix at the end of your paper.
Develop a budget and resource list. Consider the clinical tools or process changes that would need to take place. Based on the budget and resource list you developed: (a) describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution; (b) outline 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). Include a draft of the budget and resource list as an appendix at the end of your paper.
Explain whether you would select a qualitative or quantitative design to collect data and evaluate the effectiveness of your evidence-based practice project proposal. Provide a rationale to support your selection.
Describe the methods and instruments (questionnaire, scale, or test) to be used for monitoring the implementation of the proposed solution. Include the method or instrument as an appendix at the end of your paper.
Explain the process for delivering the intervention and indicate if any training will be needed.
Discuss the stakeholders that are needed to implement the plan.
Consider all of the aspects of your implementation plan and discuss potential barriers or challenges to the plan. Propose strategies for overcoming these.
Establish the feasibility of the implementation plan.

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite a minimum of five peer-reviewed 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.

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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Resources

Strategies, Facilitators and Barriers to Implementation of Evidence-Based Practice in Community Nursing: A Systematic Mixed-Studies Review and Qualitative Synthesis

Read “Strategies, Facilitators and Barriers to Implementation of Evidence-Based Practice in Community Nursing: A Systematic Mixed-Stu

Advanced Nursing Research: From Theory to Practice

Read Chapter 25 in Advanced Nursing Research: From Theory to Practice.

View Resource

30 Safe Practices for Better Health Care

Read “30 Safe Practices for Better Health Care,” located in the Archive section of the Agency for Healthcare Research and Quality

Implementation Science Training and Resources for Nurses and Nurse Scientists

Read “Implementation Science Training and Resources for Nurses and Nurse Scientists,” by Boehm, Stolldorf, and Jeffery, from

Improving 3-Hour Sepsis Bundled Care Outcomes: Implementation of a Nurse-Driven Sepsis Protocol in the Emergency Department

Read “Improving 3-Hour Sepsis Bundled Care Outcomes: Implementation of a Nurse-Driven Sepsis Protocol in the Emergency Department,

Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice

Review Chapter 1 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice.

View Resource

Center for Theory of Change

Explore the Center for Theory of Change website.

http://www.theoryofchange.org/

Advanced Practice Nursing: Essential Knowledge for the Profession

Read Chapter 20 in Advanced Practice Nursing: Essential Knowledge for the Profession.

View Resource

The Teach Back Project: A System-Wide Evidence Based Practice

Read “The Teach Back Project: A System-Wide Evidence Based Practice,” by Klingbeil and Gibson, from Journal of Pediatric Nurs

NUR 590 Topic 6: Evaluating Practice Change

Objectives:

Develop an evaluation plan for the evidence-based project proposal.
Identify gaps in the literature based on findings.
Evaluate evidence to determine and implement the best evidence for practice.

Topic 6 DQ 1

When reviewing the literature for your evaluation plan and different types of evidence for your project, what gaps in the findings did you encounter? How could these gaps influence other researchers?

Topic 6 DQ 2

Discuss the difference between statistically significant evidence and clinically significant evidence. How would each of these findings be used to advance an evidenced-based practice project?

Evidence-Based Practice Project Proposal: Evaluation Plan

In 750-1,000 words, develop an evaluation plan to be included in your final evidence-based practice project proposal. You will use the evaluation plan in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal.

Provide the following criteria in the evaluation, making sure it is comprehensive and concise:

Discuss the expected outcomes for your evidence-based practice project proposal.
Review the various data collection tools associated with your selected research design and select one data collection tool that would be effective for your research design. Explain how this tool is valid, reliable, and applicable.
Select a statistical test for your project and explain why it is best suited for the tool you choose.
Describe what methods you will apply to your data collection tool and how the outcomes will be measured and evaluated based on the tool you selected.
Propose strategies that will be taken if outcomes do not provide positive or expected results.
Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Resources

Reliability and Validity: Linking Evidence to Practice

Read “Reliability and Validity: Linking Evidence to Practice,” by Kamper, from Journal of Orthopaedic and Sports Physical The

Advanced Nursing Research: From Theory to Practice

Review Chapter 25 in Advanced Nursing Research: From Theory to Practice.

View Resource

Evaluation of Bedside Shift Report: A Research and Evidence-Based Practice Initiative

Read “Evaluation of Bedside Shift Report: A Research and Evidence-Based Practice Initiative,” by Schirm, Banz, Swartz, and Richmo

Comparing Clinical Significance and Statistical Significance – Similarities and Differences

Read “Comparing Clinical Significance and Statistical Significance – Similarities and Differences,” by Zbrog (2021), located on t

Research, Evidence-Based Practice, and Clinical Improvement/Innovation Posters

Read “Research, Evidence-Based Practice, and Clinical Improvement/Innovation Posters” (2015), from AORN Journal.

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109809571&site=eds-live&scope=site

Evidence-Based Practice Educational Intervention Studies: A Systematic Review of What Is Taught and How It I s Measured

Read “Evidence-Based Practice Educational Intervention Studies: A Systematic Review of What is Taught and How it is Measured,” by

A Practical Definition of Evidence-Based Practice for Nursing

Read “A Practical Definition of Evidence-Based Practice for Nursing,” by Stannard, from Journal of PeriAnesthesia Nursing

Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice

Read Chapter 4 and review Chapter 3 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice.

View Resource

Advanced Practice Nursing: Essential Knowledge for the Profession

Review Chapter 20 in Advanced Practice Nursing: Essential Knowledge for the Profession.

View Resource

NUR 590 Topic 7: Disseminating Evidence

Objectives:

Propose strategies used to disseminate evidence to influence health care outcomes.

Topic 7 DQ 1

Propose strategies for disseminating your evidence-based practice project proposal. Consider the necessary stakeholders who need to review or approve the proposal (both internal and external) and what methods you will use to communicate.

Topic 7 DQ 2

After implementation, dissemination of the evidence-based practice outcomes is essential for evaluating the success of the project for ensuring sustainability. Propose strategies that you could use for disseminating the outcomes of your evidence-based practice project proposal. Consider what information would need to be communicated, which stakeholders would need to be involved and the communication methods that would be needed.

Evidence-Based Practice Project Proposal Presentation

The dissemination of an evidence-based practice project proposal is an important part of the final project. Dissemination of your project to a local association or clinical site/practice informs important stakeholders of evidence-based interventions that can improve clinical practice and ultimately patient outcomes.

For this assignment, develop a professional presentation that could be disseminated to a professional group of your peers.

Develop a 12-15 slide PowerPoint detailing your evidence-based practice project proposal. Create speaker notes of 100-250 words for each slide. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the topic Resources for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning and an additional slide for References at the end. Be sure to consider your personal demeanor and tone during the recorded presentation.

Include the following in your presentation:

Introduction (include PICOT statement)
Organizational Culture and Readiness
Problem Statement and Literature Review
Change Model, or Framework
Implementation Plan
Evaluation Plan
Conclusion

You are required to cite a minimum of six peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Resources

Advanced Nursing Research: From Theory to Practice

Read Chapters 22 and 23 in Advanced Nursing Research: From Theory to Practice.

View Resource

Writing an Abstract for a Poster or Oral Presentation

Read “Writing an Abstract for a Poster or Oral Presentation,” by Bodin and McDaniel, from Alabama Nurse (2019).

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=136923973&site=ehost-live&scope=site

Poster Presentations: A Great Way to Share Your Evidence-Based Knowledge

Read “Poster Presentations: A Great Way to Share Your Evidence-Based Knowledge,” by Sawaya, from International Journal of Chi

Loom

Loom is a free video recording tool that allows you send messages through shareable videos. For assistance on installing the software

Innovations in Research Dissemination: Research Participants Sharing Stories at a Conference

Read “Innovations in Research Dissemination: Research Participants Sharing Stories at a Conference,” by Douglas, Jackson, Woods,

Advanced Practice Nursing: Essential Knowledge for the Profession

Review Chapter 20 in Advanced Practice Nursing: Essential Knowledge for the Profession.

View Resource

Engagement of Community Stakeholders to Develop a Framework to Guide Research Dissemination to Communities

Read “Engagement of Community Stakeholders to Develop a Framework to Guide Research Dissemination to Communities,” by Cunningham-

Avoid Common Mistakes When Presenting Your Research, Evidence-Based Practice, or Quality Improvement Projects

Read “Avoid Common Mistakes When Presenting Your Research, Evidence-Based Practice, or Quality Improvement Projects,” by Siedleck

Using Storylines for Bilingual Dissemination of a Grounded Theory

Read “Using Storylines for Bilingual Dissemination of a Grounded Theory,” by Ligita, Francis, Wicking, Harvey, and Nurjannah, fro

NUR 590 Topic 8: Evidence-Based Practice Appraisal

Objectives:

Propose strategies for incorporating evidence-based practice into a personal practice.

Topic 8 DQ 1

For professional writing in nursing and health care, APA style is expected. It is also expected for the remainder of your graduate program and in doctoral programs for nursing. Discuss what you have learned, or how you have improved, by completing the “APA Writing Checklist” and from receiving feedback from your instructors. What aspects of APA do you still struggle with? In your response to peers, provide a resource from the Student Success Center (or in addition to something in the Student Success Center) or a suggestion for an area in which someone still struggles.

Topic 8 DQ 2

The evidence-based practice (EBP) process is a powerful way of advancing improvements in health care. Identify three strategies that you will now incorporate into your practice based on this course. Explain your rationale.

Benchmark – Evidence-Based Practice Project Proposal Final Paper

For this assignment, you will synthesize the independent evidence-based practice project proposal assignments from NUR-550 and NUR-590 into a 4,500-5,000-word professional paper.

Final Paper

The final paper should:

Incorporate all necessary revisions and corrections suggested by your instructors.
Synthesize the different elements of the overall project into one paper. The synthesis should reflect the main concepts for each section, connect ideas or overreaching concepts, and be rewritten to include the critical aspects (do not copy and paste the assignments).
Contain supporting research for the evidence-based practice project proposal.

Main Body of the Paper

The main body of your paper should include the following sections:

Problem Statement
Organizational Culture and Readiness
Literature Review
Change Model, or Framework
Implementation Plan
Evaluation Plan

Appendices

The appendices at the end of your paper should include the following:

All final changes or revisions for the drafts that will be included in the appendices of your paper.
Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as the final appendix at the end of your paper. In each preceding course you have been directed to the Student Success Center for assistance with APA style, and have submitted the APA Writing Checklist to help illustrate your adherence to APA style. This final paper should demonstrate a clear ability to communicate your project in a professional and accurately formatted paper using APA style.

General Requirements

You are required to cite 10-12 peer-reviewed 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.

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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

1.1: Translate research and knowledge gained from practice, while adhering to ethical research standards, to improve patient outcomes and clinical practice.

5.1: Design ethically sound, evidence-based solutions to complex health care issues related to individuals, populations, and systems of care.

Resources

Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice

Read “Making Connections: An EBP Exemplar” in Unit 6 in Evidence-Based Practice in Nursing and Healthcare: A Guide t

View Resource

Translating Evidence Into Practice Through Knowledge Implementation

Read “Translating Evidence Into Practice Through Knowledge Implementation,” by Campione, Wampler-Kuhn, and Fisher, from Rehab

Translating Evidence Into Practice: How Advanced Practice RNs Can Guide Nurses in Challenging Established Practice to Arrive at Best Practice

Read “Translating Evidence Into Practice: How Advanced Practice RNs Can Guide Nurses in Challenging Established Practice to Arrive at

Advanced Nursing Research: From Theory to Practice

Read Chapter 25 in Advanced Nursing Research: From Theory to Practice.