NURS 6052 Evidence-Based Project Part 4: Recommending an Evidence-Based Practice Change
NURS 6052 Evidence-Based Project Part 4: Recommending an Evidence-Based Practice Change – Step-by-Step Guide
The first step before starting to write the NURS 6052 Evidence-Based Project Part 4: Recommending an Evidence-Based Practice Change, 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 NURS 6052 Evidence-Based Project Part 4: Recommending an Evidence-Based Practice Change
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 NURS 6052 Evidence-Based Project Part 4: Recommending an Evidence-Based Practice Change
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 NURS 6052 Evidence-Based Project Part 4: Recommending an Evidence-Based Practice Change
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 NURS 6052 Evidence-Based Project Part 4: Recommending an Evidence-Based Practice Change
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 NURS 6052 Evidence-Based Project Part 4: Recommending an Evidence-Based Practice Change
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 NURS 6052 Evidence-Based Project Part 4: Recommending an Evidence-Based Practice Change
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.
NURS 6052 Evidence-Based Project Part 4: Recommending an Evidence-Based Practice Change Instructions
The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.
In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.
To Prepare:
Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT. Have a look at NURS 6052 Discussion: Patient Preferences And Decision Making.
Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
Consider the best method of disseminating the results of your presentation to an audience.
The Assignment: (Evidence-Based Project)
Part 4: Recommending an Evidence-Based Practice Change
Create an 7- to 8-slide narrated PowerPoint presentation in which you do the following:
Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
Add a lessons learned section that includes the following:
A summary of the critical appraisal of the peer-reviewed articles you previously submitted
An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-2 slides)
NURS 6052 Evidence-Based Project Part 4: Recommending an Evidence-Based Practice Change Example
Presentation Objectives
Hello everyone, and welcome to this presentation. The focus of this presentation is to identify an opportunity for change in my organization and develop/recommend a solution using the evidence-based approach. First, I will describe the current healthcare organization’s culture and readiness for change. I will also explore the opportunity for change and identify the scope of the change, issues surrounding change, the stakeholders involved, and the risks surrounding the needed change. In addition, a change solution will be proposed. After that, a knowledge transfer plan, the knowledge dissemination strategy, and the outcomes will be discussed. Finally, the lessons learned from appraising research and completing the evaluation table will be provided.
Healthcare Organization Description, Culture, and Readiness to Change
The healthcare organization of focus is ABC specialty hospital. The organization offers specialized services for patients with complex healthcare needs that require an extended hospital stay. In addition, the organization provides a supportive environment for the patients and their families. The services offered include ventilator weaning, advanced wound care, and stroke rehabilitation.
The organization has 850 staff and serves about 1400 patients admitted annually. Our organizational culture is connected, flexible, has a multigenerational workforce, and is open to changes. An organization’s readiness for change is the extent to which members of the organization are inclined to accept, embrace, and adopt changes, mainly influencing the status quo. The organization has developed a culture of change, and change is not easily resisted.
Current Problem/Opportunity for Change
Specialty healthcare organizations are often faced with various issues requiring the implementation of evidence-based change. The current problem in our organization is an increased rate of hospital-acquired infections. There has been a rise in the recorded hospital-acquired infections in the institution, with the most common infections being surgical site infections.
Research shows that surgical site infections account for 14-17% of all hospital-acquired infections. According to Izadi et al. (2021), hospital-acquired infections are one of the primary patient safety issues due to the adverse effects they cause on patients and their families. Additionally, hospital-acquired infections are used as a measure of nursing care quality, thus, should be minimized as much as possible. Therefore, there is an opportunity/need to implement change at ABC to reduce the rate of hospital-acquired infections.
Stakeholders Involved and Risks Associated with Change Implementation
Various stakeholders will be involved in implementing change to reduce the rate of hospital-acquired infections in the organizations. The stakeholders include the nurses, quality improvement offices, physicians, institutional leaders, and infection control nurses. Additionally, some risks might be associated with implementing change to reduce the rate of hospital-acquired infections.
These risks include disruptions in the daily functioning of the units affected. Another risk is change resistance from the stakeholders, which may affect the project’s implementation. There may also be delayed procedures and hesitance of staff to embrace change, thus affecting workforce performance. Gomez and Bernet (2019) note that implementing change in critical areas may affect workforce performance, following change resistance and embracing change slowly.
Evidence-Based Idea for Change in Practice
The proposed evidence-based strategy to implement change in practice to reduce surgical-site infections is antibiotic stewardship. According to Sarang et al. (2020), antibiotic stewardship in surgery is the coordinated intervention to improve and measure the appropriate use of antimicrobials. The strategy entails promoting the selection of the optimal antimicrobial drug regimen, dose, therapy duration, and administration route.
Wolfhagen et al. (2022) note that antibiotic stewardship optimizes the use of antimicrobials. Healthcare workers use antibiotic stewardship to guide antibiotic selection and dosage, perform active surveillance, and evaluate adherence to surgical antibiotic prophylaxis protocols. The strategy aims at reducing antimicrobial resistance, thus enabling the institution to prevent surgical site infections and reduce related healthcare costs.
Knowledge Transfer Plan
Developing a knowledge transfer plan is vital in easing the implementation process and enhancing the adoption of new knowledge. The knowledge transfer plan will follow five steps: the first step is knowledge creation. Knowledge will be created through research evidence and compiling the results. The second step will entail disseminating the results using institutional workshops and panel presentations.
The other step entails presenting knowledge adoption, whereby the knowledge will be adopted by the healthcare workers and tested in the workshop. The implementation will be done in the surgical unit. According to Gomez and Bernet (2019), it is essential to maintain disseminated knowledge in places where care providers can easily access them. Therefore, knowledge will be maintained, stored, and shared using checklists and brochures.
Project Results Dissemination
Different dissemination strategies are used to deliver the project results to an audience. The strategies were weighed out based on the nature of the project. The selected dissemination strategy is organizational-level presentation. The presentations will be done in a stakeholders’ meeting.
Considering the project aims at reducing the rate of hospital-acquired infections at ABC hospital, specifically surgical site infections, the stakeholders will be the audience, thus the reason for using a presentation. According to Magdalinou et al. (2020), disseminating results using presentations creates a platform for the stakeholders to interact with the presenter, thus seeking clarification and providing further recommendations.
Outcomes from Implementing the Evidence-Based Change
The success of implementing the evidence-based practice change on antibiotic stewardship will be determined using several outcomes. The overall outcome is a reduction in the rate of surgical site infections, which will be measured using the number of surgical site infection cases reported in the institution. The second outcome is increased utilization of antibiotic prophylaxis.
A study by Martinez-Sobalvarro et al. (2022) found that antibiotic stewardship implementation increases the number of surgeries with prophylactic antibiotic use. The third outcome is reduced antimicrobial resistance due to pharmaceutical consolidation done in antibiotic stewardship. Antimicrobial resistance will be measured using the number of surgical site infections with resistant microbiomes. The other outcome is reduced healthcare costs related to surgical site infections.
Critical Appraisal Summary
I critically appraised four peer-reviewed and high-evidence-level articles on infection prevention and control in the previous module. The best practice emerging from the reviewed literature is customized infection prevention and control bundles. According to Rutala and Webber (2019), an infection prevention and control bundle is a set of 3-5 best-practice infection control measures that, when used together, produce desirable outcomes. Wang et al. (2019) note that most healthcare settings, primarily acute care settings are most likely to adopt and implement recommended best-practice strategies.
Therefore, bundles can be customized to fit a care institution’s category, size, and infection control needs. Wee et al. (2021) also note that an infection prevention and control bundle is appropriate and suitable over other strategies since it entails a combination of best-practice measures and can prevent more infections than intended due to the integration of various infection-prevention best-practice measures.
Lessons Learned from Completing the Evaluation Table
Using the critical appraisal tool worksheet matrix made the critical appraisal of research easier and more effective. Additionally, I learned several lessons from bringing together information from different sources. The lessons included that it is essential to reduce information overload by selecting the most relevant and strong studies.
I also learned that narrowing down to the most relevant studies enables the researcher to have strong and applicable evidence. In addition, I learned the importance of assessing evidence in selecting the highest evidence levels, thus leading to high-quality, evidence-based practice recommendations. Using the matrix also helped me compare the studies’ validity with other studies in the matrix, which is vital in developing sound and robust recommendations.
The other lessons learned from completing the evaluation table include the essence of identifying a study’s strengths and limitations. Identifying a study’s strengths and shortcomings enables the researcher to assess its internal validity, generalizability, and application to a particular context. I also appreciated that not all studies are relevant and can be applied to a context; thus, it is vital to keenly assess each study individually. Finally, I learned that it is essential to judge a study’s trustworthiness, value, and relevance, thus enabling care providers to apply research evidence efficiently and reliably.
References
Gomez, L. E., & Bernet, P. (2019). Diversity improves performance and outcomes. Journal of the National Medical Association, 111(4), 383-392. https://doi.org/10.1016/j.jnma.2019.01.006
Izadi, N., Eshrati, B., Mehrabi, Y., Etemad, K., & Hashemi-Nazari, S. S. (2021). The national rate of intensive care units-acquired infections, one-year retrospective study in Iran. BMC Public Health, 21(1), 1-8. https://doi.org/10.1186/s12889-021-10639-6
Magdalinou, A., Mantas, J., Weber, P., Gallos, P., & Montandon, L. (2020). The Dissemination and Communication Plan and Activities of the CrowdHEALTH Project: “Collective Wisdom Driving Public Health Policies.” Studies in Health Technology and Informatics, 272, 445–448. https://doi.org/10.3233/SHTI200591
Martinez-Sobalvarro, J. V., Júnior, A. A. P., Pereira, L. B., Baldoni, A. O., Ceron, C. S., & Dos Reis, T. M. (2022). Antimicrobial stewardship for surgical antibiotic prophylaxis and surgical site infections: a systematic review. International Journal of Clinical Pharmacy, 44(2), 301–319. https://doi.org/10.1007/s11096-021-01358-4
Rutala, W. A., & Weber, D. J. (2019). Best practices for disinfection of non-critical environmental surfaces and equipment in health care facilities: A bundle approach. American Journal of Infection Control, 47S, A96–A105. https://doi.org/10.1016/j.ajic.2019.01.014
Sarang, B., Tiwary, A., Gadgil, A., & Roy, N. (2020). Implementing antimicrobial stewardship to reduce surgical site infections: Experience and challenges from two tertiary-care hospitals in Mumbai, India. Journal of Global Antimicrobial Resistance, 20, 105-109. https://doi.org/10.1016/j.jgar.2019.08.001
Vaismoradi, M., Tella, S., A. Logan, P., Khakurel, J., & Vizcaya-Moreno, F. (2020). Nurses’ adherence to patient safety principles: A systematic review. International Journal Of Environmental Research And Public Health, 17(6), 2028. https://doi.org/10.3390/ijerph17062028
Wang, J., Liu, F., Tan, J. B. X., Harbarth, S., Pittet, D., & Zingg, W. (2019). Implementing infection prevention and control in acute care hospitals in Mainland China–a systematic review. Antimicrobial Resistance & Infection Control, 8, 1-16. https://doi.org/10.1186/s13756-019-0481-y
Wee, L. E. I., Conceicao, E. P., Tan, J. Y., Magesparan, K. D., Amin, I. B. M., Ismail, B. B. S., Toh, H. X., Jin, P., Zhang, J., Wee, E. G. L., Ong, S. J. M., Lee, G. L. X., Wang, A. E., How, M. K. B., Tan, K. Y., Lee, L. C., Phoon, P. C., Yang, Y., Aung, M. K., Sim, X. Y. J. and Ling, M. L. (2021). Unintended consequences of infection prevention and control measures during the COVID-19 pandemic. American Journal of Infection Control, 49(4), 469–477. https://doi.org/10.1016/j.ajic.2020.10.019
Wolfhagen, N., Boldingh, Q. J. J., de Lange, M., Boermeester, M. A., & de Jonge, S. W. (2022). Intraoperative Redosing of Surgical Antibiotic Prophylaxis in Addition to Preoperative Prophylaxis Versus Single-dose Prophylaxis for the Prevention of Surgical Site Infection: A Meta-analysis and GRADE Recommendation. Annals of Surgery, 275(6), 1050–1057. https://doi.org/10.1097/SLA.0000000000005436
