Evidence-Based Practice Project Proposal Implementation Plan NUR 590 essay assignment
Evidence-Based Practice Project Proposal Implementation Plan NUR 590 essay assignment
Assessment Description
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 oftime 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 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.
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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. Evidence-Based Practice Project Proposal Implementation Plan NUR 590
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.
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.
Barriers to evidence-based practice research can prevent research from reaching potential. Barriers that involve resource management, interdisciplinary involvement and lack of support are common in evidence-based practice research in varying levels depending on the research setting or question being explored. Building research within a medical center has its benefits as well as its barriers to obtaining research goals for health outcomes. Health related education especially can sometimes take a back seat to patient care interventions in terms of implementation of research (Swindle, Johnson, Davenport, Whiteside-Mansell, Thirunavukarasu, Sadavsin & Curran, 2019)
Evidence-Based Practice Project Proposal Implementation Plan NUR 590 essay assignment
One barrier that I would predict would interfere with the implementation process deals with interdisciplinary communication for educational purposes. Although using education can be used to disseminate information to health care providers and the public, interdisciplinary information and coordination may make this difficult. This would impact my project because coordinating with nutrition and educational departments will become very important to the research outcomes and the amount of involvement or coordination may revolve around the ability to utilize these connections with other disciplines (Shayan, Kiwanuka & Nakaye, 2019).
References:
Swindle, T., Johnson, S. L., Davenport, K., Whiteside-Mansell, L., Thirunavukarasu, T., Sadasavin, G., & Curran, G. M. (2019). A Mixed-Methods Exploration of Barriers and Facilitators to Evidence-Based Practices for Obesity Prevention in Head Start. Journal of Nutrition Education and Behavior, 51(9), 1067–1079. https://doi-org.lopes.idm.oclc.org/10.1016/j.jneb.2019.06.019
Shayan, S. J., Kiwanuka, F., & Nakaye, Z. (2019). Barriers Associated With Evidence‐Based Practice Among Nurses in Low‐ and Middle‐Income Countries: A Systematic Review. Worldviews on Evidence-Based Nursing, 16(1), 12–20. https://doi-org.lopes.idm.oclc.org/10.1111/wvn.12337
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.
Cohesive Collaboration is important to the survival of and success of an organization. Implementation plans can face numerous challenges as a result of lack of knowledge of the problems hurting an organization. This lack of knowledge is common in many organizations were leaders and management are disconnected from day to day operations that help to run the organization. When a person rises through the ranks of the organization into a leadership role they have knowledge of and experience that other managers lack if they hired from the outside. The person who rises through the ranks has more understanding of the how the organization works, the weakness that exist, the organizations strength and how the organization needs to function in order to survive. Where there is s disconnect between stakeholders in higher positions and those working the day to day operations, noting will get done.
Some of the things that one might experience during the implementation phase are resistance and timing. “Lack of time is often cited as a barrier to implementing EBP. In addition, uncertainty or lack of knowledge about the EBP process is also a barrier, which includes critiquing and appraising the literature related to the clinical problem being addressed” (Ginex, 2018). In busy hospitals lack of time to study and understand new changes and policies can be a barrier. On time of this, resistance to change can also be a barrier. In there is already a flow that nurses are accustomed to even if it is chaotic, having to change that flow requires learning something new or changing ones workflow habits and that can cause resistance to change.
The one suggestion I would give to a fellow colleague would be for them to ask questions, slow down the pace in order for them to understand the new policy and give themselves time to become accustom to it and to always remember that it will take them time to learn something new before they can master it.
Reference:
Ginex, P. (2018). Overcome Barriers to Applying an Evidence-Based Process for Practice Change. Retrieved from https://voice.ons.org/news-and-views/overcome-barriers-to-applying-an-evidence-based-process-for-practice-change
Evidence-Based Practice Project Proposal: Implementation Plan – Rubric
Setting and Access to Potential Subjects
Criteria Description
Description of setting and access to potential subjects; consent or approval form is attached in an appendix, if needed.
5. 5: Excellent
8.4 points
The setting and access to potential subjects are clearly described. A well-developed and accurate consent or approval form is attached correctly in an appendix.
4. 4: Good
7.73 points
The setting and access to potential subjects are described. A consent or approval form is needed and attached in an appendix. Minor revision may be needed on the form or to correct formatting issues in the appendix. Some detail is needed for clarity or accuracy.
3. 3: Satisfactory
7.39 points
The setting and access to potential subjects are generally described. Some additional information is needed. A consent or approval form is attached but requires some revision; the form is attached in an appendix but has formatting errors.
2. 2: Less Than Satisfactory
6.72 points
The setting and access to potential subjects are only partially described. A consent or approval form is attached but contains significant errors; the form is not attached in an appendix.
1. 1: Unsatisfactory
0 points
The setting and access to potential subjects are not described. A consent or approval form needs to be created and attached in an appendix. Revision is needed.
Timeline
Criteria Description
Description of time required; draft of timeline is attached in an appendix.
5. 5: Excellent
9.6 points
The amount of time needed to complete this project is clearly described and general enough to be implemented at any date. A well-developed timeline is attached correctly in an appendix.
4. 4: Good
8.83 points
The amount of time needed to complete this project is described and general enough to be implemented at any date. Minor revision may be needed on the timeline, or to correct formatting issues in the Appendix. Some detail is needed for clarity or accuracy.
3. 3: Satisfactory
8.45 points
The amount of time needed to complete this project is generally described. Some additional information is needed. A timeline is attached but requires some revision; the timeline is attached in an appendix but has formatting errors.
2. 2: Less Than Satisfactory
7.68 points
The amount of time needed to complete this project is only partially described. A timeline is attached but contains significant errors; the timeline is not attached in an appendix.
1. 1: Unsatisfactory
0 points
The amount of time needed to complete this project is not described. A timeline needs to be created and attached in an appendix. Revision is needed.
Budget and Resource List
Criteria Description
Description of resources or changes required; outline of cost and budget and resource list are attached in an appendix.
5. 5: Excellent
9.6 points
A detailed description of resources or changes needed and outline of costs are clearly presented. A well-developed budget and resource list are attached correctly in an appendix.
4. 4: Good
8.83 points
Description of resources or changes needed and outline of costs are presented. Minor revision maybe needed on the budget or resource list, or to correct formatting issues in the appendix. Some detail is needed for clarity or accuracy.
3. 3: Satisfactory
8.45 points
Description of resources or changes needed and outline of costs are generally presented. Some additional information is needed. A budget and resource list are attached but require some revision; the list is attached in an appendix but has formatting errors. Evidence-Based Practice Project Proposal Implementation Plan NUR 590
2. 2: Less Than Satisfactory
7.68 points
Description of resources or changes needed and outline of costs are partially presented. A budget and resource list are attached but contain significant errors; the list is not attached in an appendix.
1. 1: Unsatisfactory
0 points
Description of resources or changes needed and outline of costs are omitted. A budget and resource list need to be created and attached in an appendix. Revision is needed.
Research Design
Criteria Description
Quantitative or qualitative design to collect data and evaluate effectiveness.
5. 5: Excellent
8.4 points
A research design is selected. A thorough explanation for how the design will be used to collect data and evaluate effectiveness of the evidence-based practice project proposal is presented. Strong rationale is provided for support.
4. 4: Good
7.73 points
A research design is selected. An explanation of how the design will be used to collect data and evaluate effectiveness of the evidence-based practice project proposal is presented. Adequate rationale is provided for support.
3. 3: Satisfactory
7.39 points
A research design is selected. A general explanation of how the design will be used to collect data and evaluate effectiveness of the evidence-based practice project proposal is presented. More rational is needed for support.
2. 2: Less Than Satisfactory
6.72 points
A research design is selected. It is unclear how the design will be used to collect data and evaluate effectiveness of the evidence-based practice project proposal.
1. 1: Unsatisfactory
0 points
Research design is not selected.
Methods and Instruments
Criteria Description
Methods or instruments used for monitoring implementation.
5. 5: Excellent
8.4 points
The methods or instruments used for monitoring the implementation of the proposed solution are described. Minor revision may be needed for the methods or instruments, or to correct formatting issues in the appendix. Some detail is needed for clarity or accuracy.
4. 4: Good
7.73 points
The methods or instruments used for monitoring the implementation of the proposed solution are thoroughly described. The methods or instruments are accurate and correctly attached in an appendix.
3. 3: Satisfactory
7.39 points
The methods or instruments used for monitoring the implementation of the proposed solution are summarized, but more information is needed. The methods or instruments are attached but require some revision; the list is attached in an appendix but has formatting errors.
2. 2: Less Than Satisfactory
6.72 points
The methods or instruments used for monitoring the implementation of the proposed solution are only partially discussed. A methods or instruments are attached but contain significant errors; the methods or instruments are not attached in an appendix.
1. 1: Unsatisfactory
0 points
The methods or instruments are omitted. The methods or instruments need to be created and attached in an appendix.
Process for Delivering Intervention and Needed Training
Criteria Description
Process for Delivering Intervention and Needed Training
5. 5: Excellent
8.4 points
The process for delivering the intervention and any needed training is summarized. More information or support is needed.
4. 4: Good
7.73 points
The process for delivering the intervention and any needed training is explained. Some detail is needed for clarity or accuracy.
3. 3: Satisfactory
7.39 points
Evidence-Based Practice Project Proposal Implementation Plan NUR 590 The process for delivering the intervention and any needed training is thoroughly explained. Strong rationale is provided for support.
2. 2: Less Than Satisfactory
6.72 points
The process for delivering the intervention is only partially described.
1. 1: Unsatisfactory
0 points
The process for delivering the intervention is omitted.
Stakeholders for Implementation
Criteria Description
Stakeholders for Implementation
5. 5: Excellent
8.4 points
A thorough discussion of stakeholders needed to implement the plan is presented. Strong rationale is provided for support.
4. 4: Good
7.73 points
Stakeholders needed to implement the plan are omitted.
3. 3: Satisfactory
7.39 points
A summary of stakeholders needed to implement the plan is presented. More information or support is needed.
2. 2: Less Than Satisfactory
6.72 points
An adequate discussion of stakeholders needed to implement the plan is presented. Some detail is needed for clarity or accuracy.
1. 1: Unsatisfactory
0 points
The discussion of stakeholders needed to implement the plan is incomplete.
Barriers or Challenges to Plan and Strategies for Overcoming
Criteria Description
Barriers or Challenges to Plan and Strategies for Overcoming
5. 5: Excellent
8.4 points
Potential barriers or challenges to the implementation plan are thoroughly discussed and clear strategies for overcoming these are proposed. Strong rationale is provided for support.
4. 4: Good
7.73 points
Potential barriers or challenges to the implementation plan are discussed and strategies for overcoming these are proposed. Some detail is needed for clarity or accuracy.
3. 3: Satisfactory
7.39 points
Potential barriers or challenges to the implementation plan are only partially discussed.
2. 2: Less Than Satisfactory
6.72 points
Potential barriers or challenges to the implementation plan are summarized. General strategies for overcoming these are presented.
1. 1: Unsatisfactory
0 points
Potential barriers or challenges to the implementation plan are not discussed.
Evidence of Feasibility
Criteria Description
Evidence of Feasibility
5. 5: Excellent
8.4 points
The feasibility of the implementation plan is thoroughly discussed. Strong rationale is provided for support.
4. 4: Good
7.73 points
The feasibility of the implementation plan is only partially discussed.
3. 3: Satisfactory
7.39 points
The feasibility of the implementation plan is discussed. Some detail is needed for clarity or accuracy.
2. 2: Less Than Satisfactory
6.72 points
The feasibility of the implementation plan is outlined. More information or support is needed to demonstrate the feasibility of the plan.
1. 1: Unsatisfactory
0 points
The feasibility of the implementation plan is not discussed.
Required Sources
Criteria Description
Required Sources
5. 5: Excellent
6 points
Number of required resources is met. Sources are current and appropriate for the assignment criteria and nursing content.
4. 4: Good
5.52 points
Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.
3. 3: Satisfactory
5.28 points
Number of required sources is met, but sources are outdated or inappropriate.
2. 2: Less Than Satisfactory
4.8 points
Number of required sources is only partially met.
1. 1: Unsatisfactory
0 points
Sources are not included.
Thesis Development and Purpose
Criteria Description
Thesis Development and Purpose
5. 5: Excellent
8.4 points
Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
4. 4: Good
7.73 points
Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.
3. 3: Satisfactory
7.39 points
Thesis is apparent and appropriate to purpose.
2. 2: Less Than Satisfactory
6.72 points
Thesis is insufficiently developed or vague. Purpose is not clear.
1. 1: Unsatisfactory
0 points
Paper lacks any discernible overall purpose or organizing claim.
Argument Logic and Construction
Criteria Description
Argument Logic and Construction
5. 5: Excellent
9.6 points
Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
4. 4: Good
8.83 points
Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.
3. 3: Satisfactory
8.45 points
Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.
2. 2: Less Than Satisfactory
7.68 points
Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.
1. 1: Unsatisfactory
0 points
Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.
Mechanics of Writing
Criteria Description
Mechanics of Writing Includes spelling, punctuation, grammar, language use.
5. 5: Excellent
6 points
Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.
4. 4: Good
5.52 points
Writer is clearly in command of standard, written, academic English.
3. 3: Satisfactory
5.28 points
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.
2. 2: Less Than Satisfactory
4.8 points
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.
1. 1: Unsatisfactory
0 points
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.
Paper Format
Criteria Description
Paper Format Use of appropriate style for the major and assignment.
5. 5: Excellent
6 points
All format elements are correct.
4. 4: Good
5.52 points
Template is fully used; There are virtually no errors in formatting style.
3. 3: Satisfactory
5.28 points
Template is used, and formatting is correct, although some minor errors may be present.
2. 2: Less Than Satisfactory
4.8 points
Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
1. 1: Unsatisfactory
0 points
Template is not used appropriately, or documentation format is rarely followed correctly.
Documentation of Sources
Criteria Description
Documentation of Sources Citations, footnotes, references, bibliography, etc., as appropriate to assignment and style.
5. 5: Excellent
6 points
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
4. 4: Good
5.52 points
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
3. 3: Satisfactory
5.28 points
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
2. 2: Less Than Satisfactory
4.8 points
Sources are not documented.
1. 1: Unsatisfactory
0 points
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
Resources
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,” by Moor
…
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 (AHRQ) we
…
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.
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 Journal of
…
Center for Theory of Change
Explore the Center for Theory of Change website.
Advanced Nursing Research: From Theory to Practice
Read Chapter 25 in Advanced Nursing Research: From Theory to Practice.
Advanced Practice Nursing: Essential Knowledge for the Profession
Read Chapter 20 in Advanced Practice Nursing: Essential Knowledge for the Profession.
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-Studies Revie
…
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 Nursing (
…
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.
Stakeholders are the people involved in carrying out the process under review or individuals who become affected with the change in practice (“John Hopkins Nursing”, 2021). It is important to determine the potential stakeholder barriers that will be encountered in order to address them accordingly. The two stakeholder barriers that can be experienced are resistance to change and lack of authority. Physicians, who are one of the main stakeholders, are perceived to be the least supportive in EBP implementation (Jordan et al., 2021). Without their support, it can make the implementation process difficult. Resistance of practitioners to change from traditional practices to newer concepts introduced in EBP can be a barrier to the implementation process (Jordan et al., 2021). Moreover, some staff nurses feel that they lack authority to make changes in their unit or they do not have the “power” to implement the EBP project. One study suggested that majority of the nurses in a private ICU reported that they lacked the authority to change practice in order to facilitate the implementation of EBP (Jordan et al., 2021).
There are several strategies to gain stakeholder support. First, the support of physicians for the implementation of EBP should be encouraged (Jordan et al., 2021). It is important to keep an open communication between the researcher and physicians. Explaining the goals and benefits of the EBP project in improving patient care can help gain their support. Second, it is recommended to carefully identify individual barriers versus organizational barriers at an early stage (Jordan et al., 2021). Lastly, identifying your stakeholders as well as engaging them early in the EBP process is important because stakeholder buy-in is important for its successful implementation (“John Hopkins Nursing”, 2021). The goal is to gain their trust and confidence and gain as much support as possible for the successful project implementation.
References
Jordan, P., Bowers, C., Cur, M. & Morton, D. (2016). Barriers to implementing evidence-based practice in a
private intensive care unit in the eastern cape. SAJCC, 32(2). DOI:10.7196/SAJCC.2016.v32i2.253
“John Hopkins Nursing”. (2021). Upstate Medical University. https://guides.upstate.edu/c.php?g=1023176&p=7411256