NUR 590 Benchmark – Evidence-Based Practice Proposal Project: Framework or Model for Change
NUR 590 Benchmark Evidence-Based Practice Proposal Project Framework or Model for Change
Benchmark-Evidence-Based Practice Proposal Project: Framework Model for Change
The application of model for change in evidence-based practice proposals is essential in attaining the goals of any change implementation in nursing or clinical practice. An EBP projects builds on research by other practitioners and helps in developing practical interventions for effective use to reduce the duration of time for patients with traumatic experience to recover from these incidents (Dearing et al., 2018). In this project, the essay describes how Roger’s diffusion of innovation theory can be used to give peer support to patients with traumatic experiences.
Description of the Model & Its Relevance to the Project
Patients with traumatic experiences require effective care and use of evidence-based practice interventions to recover from such events and lead better and quality life. Traumatic experiences lead to negative outcomes and it is essential for providers to understand the significance of peer support alongside interventions like informed care. Peer support is a promising intervention in enhancing recovery from episodes of traumatic experiences, especially in hospital settings (Shalaby & Agyapong, 2020). The approach uses peer support worked who are mostly those that have lived traumatic experiences and possess special training as part of the care team. Therefore, effective knowledge diffusion is necessary for quality patient outcomes.
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Diffusion of innovation (DOI) model developed by Rogers in 1962 is one of the most effective EBP interventions that can help tackle and reduce fall incidences among inpatients within hospital settings. The model uses various modes of communication to offer explanation concerning ideas and the ideology spreading to social system and those involved eventually embracing the concept and alter their approaches to accomplishing things. Adoption implies that nurse practitioners do something differently than what they had previously (Balas & Chapman, 2018). The core to adoption is that individual practitioners should perceive the idea, behavior, or product as new or innovative so that it diffuses and incorporated into care practice while dealing with patients. The model identifies five categories of adopters and emphasizes the need to understand the characteristics of the target population (Dearing et al., 2018). Therefore, those promoting an innovation need to use different approaches to appeal the different groups that include innovators, early adopters, early majority, late majority and laggards. In this case, dissemination of information on ways to offer peer support alongside informed care interventions implies that the proposed project underscores the different aspects of the issue and develop an effective way of engaging the practitioners through implementing innovative approaches.
Stages of the Diffusion Theory or Model
The project related to fall prevention among the hospital patients needs regular drive and monitoring as well as evaluation through various phases of the purpose based on the theory of diffusion and innovation. These stages include knowledge, persuasion, decision, implementation, confirmation. For instance, at the knowledge stage, imparting new information and ways of doing things requires effective communication. Change begins with an idea and change agents should offer stakeholders all the knowledge and information to persuade them and allow decision-making (Balas & Chapman, 2018). Once they decide, they will implement the new approaches and make the changes as part of the overall processes and operations in the hospital setting. The knowledge stage is where the stakeholders know the change, possible solutions and how to implement the solution and the logic behind the changes.
Persuasion stage requires the change agents to convince certain groups like the laggards who are always skeptical and later majority who are conservative and respond to peer pressures and economic necessity for change. Laggards are always suspicious of innovations and are keen on maintaining the status quo. The implication is that no implementation can happen without persuasion so that those involved embrace the changes to reduce falls within the inpatient setting.
Application of Each Stage of the Model in Proposed Implementation
Experiencing trauma increases the possible risks of adverse health conditions like chronic heart disease among others. Trauma has negative effects on one’s perception and mental health situation. The implication is that the implementation of an effective approach to help patients with traumatic experiences is essential to improving quality care delivery and reducing adverse events. The knowledge or awareness stage entails exposing participants or individuals to innovation but with limited information (Shalaby & Agyapong, 2020). Therefore, it is important to offer correct and complete information on the intervention to mitigate effects of traumatic experience through peer support combined with trauma informed care to accelerate recovery process. It entails proposing the most effective way to help the patients and having evidence-based practice (EBP) communication tools based on the use of models like Situation, Background, Assessment, and Recommendation (SBAR) and telehealth applications as reminders for nurses in remote locations.
The second stage of the model is persuasion where individuals develop interest in new concepts and seek additional information. It is essential at this stage to offer more information, increase the need for change, and involve stakeholders through meetings, and sessions to elaborate the need to use peer support interventions alongside informed care approaches (Menschner & Maul, 2017). The third stage is the evaluation or decision phase where individuals mentally apply innovation to their present and anticipated future situation and decide whether or not to attempt it. At this stage, it would be important to highlight the need to integrate new approaches in the nursing practice and develop a positive attitude for all involved to make better decisions.
The fourth stage is the implementation or trial phase where nurse practitioners make full utilization of innovation. At this stage, it would be important to emphasize the benefits of the new ways to support patients with traumatic experiences through increased support from peers (Lien & Jiang, 2017). The stage will also involve having the new ways of engaging patients and using technology for better outcomes through reminders. The last phase involves adoption or confirmation where EBP ways to prevent falls will become part of the processes and organizational culture in the hospital’s setting. It is critical to assess why some innovations are effective while others are not accepted. Therefore, one must ensure that innovations are observable, have relative benefits, compatible, triable, and implementers understand their complexity.
The use of effective change models in proposed change projects in nursing is essential in improving quality patient outcomes. Roger’s diffusion of innovation model is essential in helping practitioners offer peer support alongside trauma informed care to improve patient’s overall outcomes. As illustrated in the concept implementation map, the project should identify the different categories of individuals and how they accept new ways of doing things for effective execution. The concept map demonstrates the need to consider all the categories of adopters at different stages for effective execution of the changes in the setting.
Balas, E. A., & Chapman, W. W. (2018). Road map for diffusion of innovation in health care.
Health Affairs, 37(2), 198-204. https://doi.org/10.1377/hlthaff.2017.1155
Dearing, J. W., & Cox, J. G. (2018). Diffusion of innovations theory, principles, and practice.
Health Affairs, 37(2), 183-190. https://doi.org/10.1377/hlthaff.2017.1104
Lien, A. S. Y., & Jiang, Y. D. (2017). Integration of diffusion of innovation theory into diabetes
care. Journal of diabetes investigation, 8(3): 259-260. Doi: 10.1111/jdi.12568
Menschner, C., & Maul, A. (2017). Key ingredients for successful trauma-informed care
implementation. Trenton: Center for Health Care Strategies, Incorporated.
Mohammadi, M. M., Poursaberi, R., & Salahshoor, M. R. (2018). Evaluating the adoption of
evidence-based practice using Rogers’s diffusion of innovation theory: a model testing study. Health promotion perspectives, 8(1): 25-32. doi: 10.15171/hpp.2018.03
Shalaby, R., & Agyapong, V. (2020). Peer Support in Mental Health: Literature Review. JMIR
mental health, 7(6), e15572. https://doi.org/10.2196/15572
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.
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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 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.
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. NUR 590 Benchmark Evidence-Based Practice Proposal Project Framework or Model for Change
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
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.
APA Writing Checklist
Use this document as a checklist for each paper you will write throughout your GCU graduate program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.
☐ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.
☐ The title page is present. APA format is applied correctly. There are no errors.
☐ The introduction is present. APA format is applied correctly. There are no errors.
☐ Topic is well defined.
☐ Strong thesis statement is included in the introduction of the paper.
☐ The thesis statement is consistently threaded throughout the paper and included in the conclusion.
☐ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.
☐ All sources are cited. APA style and format are correctly applied and are free from error.
☐ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.
Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.
Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.
Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.
Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.
Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.
☐ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.
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?
The models or framework could help nurses and other healthcare providers to translate the research findings into clinical practice while improving patient outcomes. Numerous evidence-based practice models are available to help nurses organize and systemically track progress in the implementation of evidence into practice. These models provide a step-by-step guide on how to take a clinical problem and match it with an intervention based on research to make an organizational or departmental change to practice (Brown.C. G.2014). Use of an established framework for implementation provides a structure to implementation efforts and increase the likelihood of project success and sustainability over time. Failure to utilize these approaches has the potential to create a secondary gap in knowledge translation within clinical settings (Tucker et al 2021).
Brown. C .G(2014). The lowa model of Evidence-Based Practice to promote Quality care An Illustrated Example in Oncology Nursing. Clinical Journal of Oncology Nursing vol (18) https://cjon.ons.org/files/987UI80063M01166.
Tucker. S, McNett. M, Mazurek. M. B, Hanarahan. K, Hunter. S.C, Kim. B, Callen. L & Kitson. A (2021). Implementation science: Application of Evidence-Based practice Models to Improve Healthcare Quality. Worldviews on Evidence-Based Nursing. 18:76-84. https://doi.org/10.1111/wvn.12495.
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.
Critical Appraisal Tools
Read “Critical Appraisal Tools,” located on the Centre for Evidence Based Medicine (CEBM) website.
Worksheet for Using Practice Guidelines
Study “Worksheet for Using Practice Guidelines,” from the “Evidence Based Medicine Toolkit,” by Buckingham, Fisher, and Saunders (2 NUR 590 Benchmark Evidence-Based Practice Proposal Project Framework or Model for Change
Guidelines and Measures
Nursing Best Practice Guidelines
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 Peoria (2021)
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 Survey Result
Explore the Star Model resources, located on the UT Health San Antonio School of Nursing website.
Advanced Practice Nursing: Essential Knowledge for the Profession