NUR-590 Topic 5 Evidence-Based Practice Implementation Plan

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NUR-590 Topic 5 Evidence-Based Practice Implementation Plan

NUR-590 Topic 5 Evidence-Based Practice Implementation Plan – Step-by-Step Guide

The first step before starting to write the NUR-590 Topic 5 Evidence-Based Practice Implementation Plan, it is essential to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment. 

It is also important to identify the audience of the paper and its purpose so that it can help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, you should review its use, such as writing citations and referencing the resources used. You should also review how to format the title page and the headings in the paper.

How to Research and Prepare for NUR-590 Topic 5 Evidence-Based Practice Implementation Plan

The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify the list of keywords from your topic using different combinations. The first step is to visit the university library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last words and go through each to check for credibility. Ensure that you obtain the references in the required format, for example, in APA, so that you can save time when creating the final reference list. 

You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching about. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next you should create a detailed outline of the paper so that it can help you to create headings and subheadings to be used in the paper. Ensure that you plan what point will go into each paragraph.

How to Write the Introduction for NUR-590 Topic 5 Evidence-Based Practice Implementation Plan

The introduction of the paper is the most crucial part as it helps to provide the context of your work, and will determine if the reader will be interested to read through to the end. You should start with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.

How to Write the Body for NUR-590 Topic 5 Evidence-Based Practice Implementation Plan

The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence conducted from the research, ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance and how it connects to the thesis statement. You should maintain a logical flow between each paragraph by using transition words and a flow of ideas.

How to Write the In-text Citations for NUR-590 Topic 5 Evidence-Based Practice Implementation Plan

In-text citations help the reader to give credit to the authors of the references they have used in their works. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:

The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Smith (2021), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Johnson and Brown (2020) highlight that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.

How to Write the Conclusion for NUR-590 Topic 5 Evidence-Based Practice Implementation Plan

When writing the conclusion of the paper, start by restarting your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper, by restating them. Discuss the implications of your findings and your arguments. End with a call to action that leaves a lasting impact on the reader or recommendations.

How to Format the Reference List for NUR-590 Topic 5 Evidence-Based Practice Implementation Plan

The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded, in sentence sentence care. The references should be organized in an ascending order alphabetically and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication. 

Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:

References

Johnson, L. M., & Brown, R. T. (2020). The role of telehealth in improving patient outcomes. Journal of Nursing Care Quality, 35(2), 123-130. https://doi.org/10.1097/NCQ.0000000000000456

Smith, J. A. (2021). The impact of technology on nursing practice. Health Press.

NUR 550 Evidence-Based Practice Project Proposal: Implementation Plan Instructions

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:

  1. 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.
  2. 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. GCU NUR-590 Topic 5: Evidence-Based Practice Implementation
  3. 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.
  4. 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.
  5. 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.
  6. Explain the process for delivering the intervention and indicate if any training will be needed.
  7. Discuss the stakeholders that are needed to implement the plan.
  8. Consider all of the aspects of your implementation plan and discuss potential barriers or challenges to the plan. Propose strategies for overcoming these.
  9. 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.

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.

Evidence-Based Practice Proposal – Section E: Implementation Plan Sample Approach 1

Implementation Plan

The act of implementing any change within a healthcare facility involves many aspects. Different parties, stages, barriers, and drivers are all involved in the process (Sanders et al., 2014). The methods that will be used to implement the suggested solution are the main topic of this section. The answer pertains to the issue that the hypothesis statement’s previous identification of.

The medical intervention to lessen agitation in dementia patients has a variety of limitations. The main remedy entails altering one’s conduct. Therefore, the utilization of alternative interventions would be crucial to the healing process. Participating in alternative therapies, which include music and art, is one of the best ways to calm agitation. Therefore, it will be crucial for the victims to exercise physically.

Setting and Access to Potential Subjects

Implementation of the recommended solutions will be observed in five main care centers. The recruitment of the subjects to take part in the study will be voluntary. Advertisement will be done for one week to make sure that as many people with dementia find the message. It is required that all the studies which involve human beings as the participants need to have informed consent from all the participants (Barber, 2018).

All the old patients who have dementia will be required to offer their willingness to take part in the study by signing the informed consent. The signing of the form will indicate that the patients have been educated on the expectations of the study.

Time needed

To implement the issue of physical activities in dementia patients, it is important to have a specific time frame. The use of exercises will be essential in reducing agitation in dementia patients. The entire project will take a period of eight weeks.

Resources Needed

In the implementation stage, resources are needed to make work easier. The process means that a budget must be provided to cater for the costs of resources required. The implementation stage is one of the most expensive stages and has found many of the change projects failing as a result of failing to collect all the required resources.

In the process of implementing the proposed solutions to reduce the rate of agitation in dementia patients, the following resources will be necessary. The first important resources will be the physical trainers who will be in charge of the physical exercises, the physical facilities needed for training, medical doctors as well as dieticians.

Methods and Instruments for Monitoring the Implementation

The main item that will be used to evaluate the implementation of the recommended solution will be the use of a questionnaire. These questionnaires will be administered to the patients after every one month. The method is preferred since it offers an easy time to analyze. It is also a familiar method with the staff and the leadership of many healthcare organizations. The use of the questionnaire will also be vital since it will lower the cost of the study.

The price will be reduced since the amount used to photocopy the papers will be limited (Yarosh, Markopoulos & Abowd, 2014). Many of the respondents have, in most cases, filled a questionnaire earlier in their life or have heard of it. Since they are required to put a tick or an X against the given question, it is easily coupled with simple questions about their progress. Another benefit is that the response will be honest as it is filled individually and in private.

Process of Intervention Delivery

The delivery of the proposed solution will be on the use of an integrated approach (Hill, Jones & Schilling, 2014). The primary interventions to be used include behavior change, nutritional education, as well as involvement in physical activities. The participants will be educated on eating healthy for the exercises as well as the type of activities to take part in to avoid straining. All the participants will take part in the intervention without leaving anyone behind.

Simple tasks will be chosen at first, which will progress with advanced exercises with time to strengthen their muscles and regain the lost energy. Training and education on what to do and what not to do are essential before rolling out the exercise.

Data Collection Plan

In the entire period of eight weeks that the study will be running, data will be collected continuously in the data collection phase through the use of a questionnaire. The participants will be the source of information regarding their progress after being subjected to the intervention.

Each week, the participants will fill the form of the results obtained after they were subjected to physical exercises. The results will indicate the effectiveness of the intervention in reducing the rate of agitation within the first two to three hours. The collected data will then be entered into excel spreadsheets.

The other step will involve interpretation and analysis when the study is done. The questionnaire used for data collection will be similar to the one used in the monitoring of the implementation.

Strategies to Deal with Challenges

The main challenges in the study include the high costs of training and lack of physical training materials. Many sick people fail to afford healthy food due to their price. During the exercising period, the patients will be required to eat healthily an issue that will cost the amounts of money.

Partnering with producers of organic food in the study will help in obtaining the menu at a relatively lower price or even for free. Many hospitals do not have the required physical training facilities more so free ones. Partnerships with institutions of higher learning will be effective as many of them have the best facilities for training in their sports departments.

Feasibility of the Implementation Plan

The entire project will incur different costs more so during the implementation phase. Some of the costs incurred include the physical trainer fee. It would be cost-effective to hire trainers as opposed to paying them since the study will be limited to a short period. The following are some of the costs that will be incurred in the course of the implementation. The other issue relates to the subsidy for the healthy food required by the patients during the study period.

The presence of healthy, subsidized food will help the participants take part in physical activities. The subsidy will help manage the costs of the project since a healthy diet cannot be afforded by many people (Allcott, Diamond & Dubé, 2017). There will be a need to have a data storage device that will store the data collected over the eight week time when the study will run. Plan for Maintenance, Extension, Revision, and Discontinuation of the Proposed Solution

The decision involved to extend, maintain, and revise, or even to discontinue the intervention is taken based on the collected data. The questionnaire administered to the participants forms the basis of the decision making process. The success of the data collection method used to give positive feedback is essential to enable reaching the primary decision.

GCU NUR-590 Topic 5 Evidence-Based Practice Implementation References
  1. Allcott, H., Diamond, R., & Dubé, J. P. (2017). The geography of poverty and nutrition: Food deserts and food choices across the United States. National Bureau of Economic Research.
  2. Barber, B. (2018). Research on human subjects: Problems of social control in medical experimentation. Routledge
  3. Hill, C. W., Jones, G. R., & Schilling, M. A. (2014). Strategic management: theory: an integrated approach. Cengage Learning
  4. Sanders, T., Nio Ong, B., Sowden, G., & Foster, N. (2014). Implementing change in physiotherapy: professions, contexts and interventions. Journal of health organization and management, 28(1), 96-114
  5. Yarosh, S., Markopoulos, P., & Abowd, G. D. (2014, February). Towards a questionnaire for measuring affective benefits and costs of communication technologies. In Proceedings of the 17th ACM conference on Computer supported cooperative work & social computing (pp. 84-96). ACM

NUR-590 Fall Precautions Implementation Plan Paper Example 2

Expected Outcomes

The proposed project seeks to address the issue of hospital falls among elderly patients of 65 years and above in an hospital setting. This is in line with the American and British Geriatrics Societies practice guidelines that require health practitioners to develop innovative strategies for addressing the issue (The American Geriatrics Society, 2011).

The project seeks to establish an individualised fall prevention plan for older patients that can be quickly and efficiently implemented within the nominated hospital to increase quality and safety of care. This will be achieved by enhancing the clinician’s knowledge about fall prevention, especially on fall risk assessment, risk communication availability of fall prevention resources.

The second intended outcome of the STEADI project will be reduced fall cases by enhancing fall prevention screening among adults of age 65 and older. This will be a chieved through an initial screening program using the Timed Up and Go (TUG) screening tool. Lastly, STEADI project expects reduced fall rates because of a comprehensive fall medical assessment that relies on the Timed Up and Go (TUG) screening tool to develop an individualised comprehensive fall prevention plan for each patient.

Data Collection Tools

Assessing the STEADI project will require data collection tools that engage the various stakeholders to identify the project’s impact. Furthermore, the project will require data collection tools that can effectively utilise the limited resources to yield comprehensive feedback (de Oca et al., 2021).  In this regard, Shaw et al. (2021) proposed questionnaires as an appropriate data collection tool that allows for a continual data collection through stakeholder engagement.

The questionnaires will be appropriate for evaluating all the three intended interventions namely training, screening and medical assessment. For training, questionnaires will yield data on the clinical staffs and supervisors’ knowledge of patient fall as a clinical issue, both before and after the training to gauge the progress. For screening and medical assessment, questionnaires will be useful in gauging the clinicians’ and patients’ use of the Timed Up and Go (TUG) screening tool, and the effectiveness of the various fall prevention plans such as occupational therapy and vitamin D supplements and physical therapy. Lastly, the questionnaire swill be useful in gauging the overall effectiveness the program as seen by the change team, especially by gathering their opinion on the overall effectiveness of the adopted change implementation strategy.

Statistical Tests

Descriptive statistics will be the most appropriate statistical tools for evaluating the proposed project. Thomas et al. (2019) defined descriptive statistics as a statistical summary of quantitative data that describes the features of a set of collected data to develop quantifiable conclusions about the phenomenon under investigation.

Because the project will rely on questionnaires as the main tool of data collection, descriptive statistics such as mean median and mode will be helpful to gage different aspects of the project. for example, the project team would use descriptive statistics to understand the average number of falls before and after STEADI implementation. Similarly, mean scores would be used to quantify the clinicians’ and supervisors’ knowledge of patient fall risk assessment before and after the training.

More importantly, mean will be used as the best measure of central tendency to gauge the project’s effectiveness through Likert-type questionnaire items. Through descriptive statistics, similar questionnaire questions will be combined into a single composite variable or score and analysed as interval data (Lohman et al., 2017). The scale might also be described through standard deviations.

Strategies that will be taken if outcomes do not provide positive or expected results

During the implementation process, the change team might experience certain challenges with various aspects of the project such as the TUG screening tool that may prevent the achievement of positive results. For instance, Nguyen et al. (2021) observed that the TUG may not be acceptable to all users, or it might not fit well with the hospital’s clinical workflow due to space and time constraints. In this case, the project will select other fall risk screening tools such as the 30-second chair stand test. Also, some screening strategies such as routine checks for orthostatic blood pressure may cause unacceptable delays within the clinical system and therefore, they will be limited to patients who report certain symptoms such as balance difficulties, dizziness, or undetermined causes of gait.

The plans to maintain, extend, revise, and discontinue a proposed solution after implementation

Sustaining the STEADI project will require a continuous performance monitoring of each clinician and practice site. Furthermore, the project will benefit from sharing the performance results among the supervisors and clinicians in various departments because this will ensure a sustained interest from all the stakeholders. In case there are incidences of staff turnover or decreasing screening levels, the project team will need to implement refresher training sessions.

References

  • Lohman, M. C., Crow, R. S., DiMilia, P. R., Nicklett, E. J., Bruce, M. L., & Batsis, J. A. (2017). Operationalisation and validation of the Stopping Elderly Accidents, Deaths, and Injuries (STEADI) fall risk algorithm in a nationally representative sample. Journal of Epidemiology and Community Health, 71(12), 1191-1197. http://dx.doi.org/10.1136/jech-2017-209769
  • de Oca, M. K. M., Reid, H., Spinosa, D., Watson, C., & McNally, L. (2021). Perioperative risk stratification using the timed up and go test. Gynecologic Oncology, 162, S234. https://doi.org/10.1016/S0090-8258(21)01096-9
  • Shaw, L., Kiegaldie, D., & Morris, M. (2021). Educating health professionals to implement evidence-based fall screening in hospitals. Nurse Education Today, 101, 104874. https://doi.org/10.1016/j.nedt.2021.104874
  • Thomas, E., Battaglia, G., Patti, A., Brusa, J., Leonardi, V., Palma, A., & Bellafiore, M. (2019). Physical activity programs for balance and fall prevention in elderly. Medicine, 98(27), e16218. https://doi.org/10.1097/md.0000000000016218
  • The American Geriatrics Society. (2011). AGS/BGS Clinical Practice Guideline: prevention of    falls in older persons. Accessed 14th November from http://www.alabmed.com/uploadfile/2014/0504/20140504033204923.pdf. www.americangeriatrics.org/education/prevention_of_falls.shtml