NUR 590 EBP Project Proposal Implementation Plan
NUR 590 EBP Project Proposal Implementation Plan
NUR 590 EBP Project Proposal Implementation Plan
Implementing any change in a healthcare organization or facility entails several aspects that require one to develop an implementation as is the most important part of any evidence-based practice (EBP) project proposal. Implementation entails the actualization of the ideas developed in the proposal EBP projects are broken into several identifiable steps (Boehm et al., 2020). The implementation plan will focus on hand hygiene measures in pediatric setting among healthcare workers to reduce hospital acquired infections (HAIs). The implementation plan will consist of the setting where the project will take place, time, resources, methods and instruments, intervention of delivery process, and data collection plan. The plan also includes management of barriers, facilitators and challenges and the feasibility of the plan.
Setting and Access to Potential Subjects
The implementation framework of any EBP project includes establishment of a motive for change, development of specific goals, attaining leadership support, creating a leadership teams and engagement of clinical support. In this case, the project setting will be a pediatric hospital where nurse practitioners and clinical nurse leaders involved in service delivery to the patient population will be the main subjects taking part in the proposed project. The selected participants should have served in this unit for the last 12 months. The project will select 20 healthcare staff to be involved in the implementation process.
The second component of this project is getting consent or approval from the participants and the institutional review board for the project to take place. Participants’ consent will be essential as it will demonstrate their willingness to be part of the project without any undue influence. The review board will give the project a green light and ensure that ethical provisions are met to protect the subjects. The consent will indicate that the main purpose of the project is to reduce the rate of HAI within six months by enhancing hand hygiene measures, specifically the use of alcohol-hand sanitizers or rubs alongside handwashing using soap and water. The participants will sign the consent form upon getting relevant information about the project and its overall benefits to the population.
Timelines
The implementation timeframe for the EBP project will be six months. Different activities will take place each month to ensure that all components of the proposal are implemented effectively. The timeframe will include creation of a multidisciplinary team in the first two weeks of the program. The last two weeks of the first month will have collection of required resources and expertise for the implementation process. The training of the nursing staff will occur in the second month and will take two to three weeks to ascertain that the participants have sufficient knowledge and skills based on existing resource to implement hand hygiene measures aimed at reducing HAIs.
The first week of the third month will involve identification of any possible barriers that may influence or interfere with the implementation. The duration will also be used to increase stakeholder engagement, participation and collection of their input and views to be incorporated in the final implementation activities (Luciano et al., 2019). The remain three and half months will involve the actual implementation. However, in the fifth month, the project team will review the implementation to ascertain if there will be need to have any modifications to the project. The implication is that the implementation process will be successful if the five months will be used as expected in the timelines proposed for the plan.
Resources
Studies show that success of any evidence-based project primarily rely on the availability of the needed resources (DeNisco, 2019; Luciano et al., 2019). The implementation of this project require human resources that will comprise of competent trainers who will impart the project team with necessary knowledge and skills. The most appropriate resource for this EBP project include nurse practitioners and clinical nurse leaders. Engagement of nurse practitioners and clinical nurse leaders with the requisite skills improves the success of quality improvement projects. In addition to the human resources, the project will also require financial resources to fund the implementation. the financial resources will be deployed to compensate the trainers and buy required stationeries like the training manuals. These resources will also be instrumental in overall implementation as they will be used to buy equipment like hand-rubs for demonstration. The resources will also include travel expenses for the project manager and the team. Changes needed in the implementation of the solution will include more education and awareness among caregivers since most of the pediatric patients may not comprehend the protocols that will be proposed to reduce hospital acquired infections.
Qualitative or Quantitative Design in Data Collection and Effectiveness
The selected design to collect data for the evidence-based practice project proposal is qualitative. The qualitative approach is deployed to understand thoughts, concepts, and experiences of participants through techniques like interviews, focus groups, observations, and a review of existing literature (Rebekah & Ravindran, 2018). The qualitative research design will be effective in the project proposal since it will entail getting opinions through deployment of different methods from healthcare workers about the need to enhance hand hygiene measures to prevent and reduce the occurrence of hospital acquired infections, especially in pediatric settings (Vandermause et al., 2017). The evidence-based practice project proposal on hand hygiene measures among healthcare workers to reduce and prevent hospital acquired infections (HAIs) in pediatric settings will inform stakeholders about the importance of handwashing protocols. The EBP project proposal is effective as it will ensure that healthcare workers in the selected settings adhere to hand hygiene measures for effective care delivery and minimize the prevalence of infections that negatively impact patient outcomes and quality care delivery.
Methods and Instruments for Monitoring
The implementation process will entail various methods and instruments in its monitoring. Firstly, an audit tool and satisfaction survey will be used in the implementation process. The project team will use satisfaction survey to evaluate the effectiveness of the measures executed to decrease high prevalence of hospital acquired infections in the pediatric unit. The audit framework will be deployed to complete the auditing process. The tool will enhance the auditing of gathered data on specific hand hygiene interventions and their outcomes (Vandermause et al., 2017). Additionally, the project will use questionnaires to collect the required data from the participating nurse. questionnaires are effective data collection tools and nurse leaders and practitioners will fill them out to offer information about the effectiveness of hand hygiene measures that can reduce occurrence of HAIs in pediatric patient population. The information will guide the project implementation team during the process for effective outcomes. The auditing tools and satisfaction surveys alongside the questionnaire use will be critical in attaining the expected project goals.
Delivery of the Intervention
The delivery process for the intervention will involve project team members that comprise of nurse leaders and practitioners. The nurses and practitioners will develop and execute necessary protocols like setting hand sanitizer stations at different points of the care delivery process (Luciano et al., 2019). These points will include the nursing stations and having points in pediatric wards as well as other key points to enhance hand hygiene measures. The participants will require training to enable them perform their respective duties well. Training will consist of giving information to nurse leaders about the components of the proposed so that they can effectively supervise the nurse practitioners to ensure that they carry out their mandate as expected. The practitioners will also require training to implement the proposed measures as planned to meet the set project goals.
Stakeholders Required to Implement the Plan
Stakeholder support is a critical component of evidence –based practice project proposal as they provide critical resources, input, and implement the recommendations of such programs. In this case, several stakeholders will be needed to implement the project (DeNisco, 2019). The initial stakeholders will include clinical nurse leaders and practitioners who will ensure that the components of EBP project are realized. The second set of stakeholders include the project team and trainers that shall offer direction on the implementation of the EBP intervention. The third stakeholder group needed comprise of organizational leaders and managers who shall provide the requisite resources; especially financial resources, to implement the proposed plan to reduce hospital acquired infections in the target population.
Aspects of the Implementation Plan and Potential barriers, Challenges and Proposed Strategies
The success of the project will depend on how the project team manage different aspects like facilitators, barriers, and develop effective strategies to respond adequately. For instance, organizational leaders and managers will be critical facilitators as they offer necessary support through resource allocation and a buy-in. The management will also support the new project will the aim of improving overall care quality.
Time and resource limitation, insufficient knowledge and skills among healthcare workers would be significant barriers in implementation of the project. Negative attitudes that will fuel resistance will also hamper effective implementation of the project as many will feel that it will be sufficient to assess the overall effectiveness of the intervention (Vandermause et al., 2017). It is essential to mitigate these barriers through effective strategies like sticking to the timeframe for implementation, engaging all stakeholders like leaders and managers, and enhancing communication among all players.
Feasibility
The feasibility of this project will be assessed based on a cost-benefit analysis approach. The cost incurred in the implementation process will be estimated to assess the overall benefits that will accrue to patients and healthcare organization’s unit (Rebekah & Ravindran, 2018). The cost will also include funds to compensate trainers and buy the needed project implementation materials to evaluate the overall feasibility of the plan. the unit should implement the plan since its cost-benefit analysis will be positive to the organization.
Conclusion
The implementation of the project stage is essential as it consists of the real practical application of expected changes and subsequent outcomes. Therefore, it is important to evaluate all aspects of the stage for effective outcomes and project’s sustainability. The highlighted plan will be effective through increased stakeholder engagement and participation.
References
Boehm, L. M., Stolldorf, D. P., & Jeffery, A. D. (2020). Implementation science training and
resources for nurses and nurse scientists. Journal of Nursing Scholarship, 52(1), 47-54. doi: 10.1111/jnu.12510.
DeNisco, S. M. (2019). Advanced Practice Nursing: Essential Knowledge for the Profession:
Essential Knowledge for the Profession. Jones & Bartlett Learning.
Klingbeil, C. & Gibson, C. (2018). The Teach Back Project: A System-wide Evidence Based
Practice Implementation. Journal of Pediatric Nursing, 42:81-85. doi: 10.1016/j.pedn.2018.06.002.
Luciano, M. M., Aloia, T. A. & Brett, J. F. (2019). 4 Ways to Make Evidence-Based Practice the
Norm in Health Care. Harvard Business Review. https://hbr.org/2019/08/4-ways-to-make-evidence-based-practice-the-norm-in-health-care
Rebekah, G., & Ravindran, V. (2018). Statistical analysis in nursing research. Indian Journal of
Continuing Nursing Education, 19(1), 62.
Vandermause, R., Barg, F. K., Esmail, L., Edmundson, L., Girard, S., & Perfetti, A. R. (2017).
Qualitative methods in patient-centered outcomes research. Qualitative health research, 27(3), 434-442. doi: 10.1177/1049732316668298
Design
Quantitative design will be used in data collection for the project. The quantitative design will be appropriate due to its focus on quantifying project data. Since the project does not generate a theory, quantitative design is appropriate for it. The project will also obtain numerical data, which makes the design appropriate rather than qualitative design (Dingwall & Staniland, 2020). The use of quantitative approach is expected to provide clear understanding of the effectiveness of the proposed project in preventing and reducing medication administration errors in practice.
Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NUR 590 EBP Project Proposal Implementation Plan
Methods and Instruments
The project will be monitored on a regular basis to ensure that its goals and objectives are met. It will also make it easier to implement changes that will improve project outcomes. Questionnaires and organizational statistics on medication administration errors will be used to track the results. Statistics will be compared before and after the intervention. The questionnaires distributed to healthcare practitioners will provide data on the effectiveness of the project. Questionnaires are useful because they are inexpensive and take little time to distribute to participants (Dingwall & Staniland, 2020).
Also Check Out: Evidence-Based Practice Project Proposal Presentation NUR 590
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 of time needed to complete this project. Include a draft of the timeline as an appendix at the end of your paper.
- Develop a budget and resource list. Consider the clinical tools or process changes that would need to take place. Based on the budget and resource list you developed: (a) describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution; (b) outline the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer-related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Include a draft of the budget and resource list as an appendix at the end of your paper.
- Explain whether you would select a qualitative or quantitative design to collect data and evaluate the effectiveness of your evidence-based practice project proposal. Provide rationale to support your selection.
- Describe the methods and instruments (questionnaire, scale, or test) to be used for monitoring the implementation of the proposed solution. Include the method or instrument as an appendix at the end of your paper.
- Explain the process for delivering the intervention and indicate if any training will be needed.
- Discuss the stakeholders that are needed to implement the plan.
- Consider all of the aspects of your implementation plan and discuss potential barriers or challenges to the plan. Propose strategies for overcoming these.
- Establish the feasibility of the implementation plan.
Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.
You are required to cite a minimum of five peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
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.
Resources
Collapse All
Advanced Nursing Research: From Theory to Practice
Read Chapter 25 in Advanced Nursing Research: From Theory to Practice.
View Resource
Advanced Practice Nursing: Essential Knowledge for the Profession
Read Chapter 20 in Advanced Practice Nursing: Essential Knowledge for the Profession.
View Resource
Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice
Review Chapter 1 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice.
View Resource
Center for Theory of Change
Explore the Center for Theory of Change website.
http://www.theoryofchange.org/
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
… Read More
https://lopes.idm.oclc.org/login?url=https://www-proquest-com.lopes.idm.oclc.org/scholarly-journals/implementation-science-training-resources-nurses/docview/2338944244/se-2?accountid=7374
Strategies, Facilitators and Barriers to Implementation of Evidence-Based Practice in Community Nursing: A Systematic Mixed-Studies Review and Qualitative Synthesis
Read “Strategies, Facilitators and Barriers to Implementation of Evidence-Based Practice in Community Nursing: A Systematic Mixed-Stu
… Read More
https://lopes.idm.oclc.org/login?url=https://www-proquest-com.lopes.idm.oclc.org/scholarly-journals/strategies-facilitators-barriers-implementation/docview/2186617926/se-2?accountid=7374
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
… Read More
http://archive.ahrq.gov/research/findings/factsheets/errors-safety/30safe/30-safe-practices.html
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,
… Read More
https://lopes.idm.oclc.org/login?url=https://www-proquest-com.lopes.idm.oclc.org/scholarly-journals/improving-3-hour-sepsis-bundled-care-outcomes/docview/2312493328/se-2?accountid=7374
The Teach Back Project: A System-Wide Evidence Based Practice
Read “The Teach Back Project: A System-Wide Evidence Based Practice,” by Klingbeil and Gibson, from Journal of Pediatric Nurs
… Read More
https://www-sciencedirect-
Evidence-Based Practice Project Proposal: Implementation Plan – Rubric
Collapse All
Setting and Access to Potential Subjects
8.4 points
Criteria Description
Description of setting and access to potential subjects; consent or approval form is attached in an appendix, if needed.
- 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: 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: 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: 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: 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
9.6 points
Criteria Description
Description of time required; draft of timeline is attached in an appendix.
- 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: 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: 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: 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: 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
9.6 points
Criteria Description
Description of resources or changes required; outline of cost and budget and resource list are attached in an appendix.
- 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: 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: 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.
- 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: 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
8.4 points
Criteria Description
Quantitative or qualitative design to collect data and evaluate effectiveness.
- 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: 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: 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: 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: Unsatisfactory
0 points
Research design is not selected.
Methods and Instruments
8.4 points
Criteria Description
Methods or instruments used for monitoring implementation.
- 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: 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: 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: 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: 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
8.4 points
Criteria Description
Process for Delivering Intervention and Needed Training
- 5: Excellent
8.4 points
The process for delivering the intervention and any needed training is summarized. More information or support is needed.
- 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: Satisfactory
7.39 points
The process for delivering the intervention and any needed training is thoroughly explained. Strong rationale is provided for support.
- 2: Less Than Sat
PLACE THIS ORDER OR A SIMILAR ORDER WITH SUPERIOR NURSING PAPERS TODAY AND GET AN AMAZING DISCOUNT