NUR 590 Evidence Based Practice Project Week 5 Assignment

NUR 590 Evidence Based Practice Project Week 5 Assignment

NUR 590 Evidence Based Practice Project Week 5 Assignment    

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.

Evidence-Based Practice Proposal – Section E: Implementation Plan

In 1,000-1,500 words, provide a description of the methods to be used to implement the proposed solution. 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. Although you will not be submitting the consent or approval forms in Topic 5 with the narrative, you will include the consent or approval forms in the appendices for the final paper.

Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, you will include the timeline in the appendices for the final paper.

Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, you will include the resource list in the appendices for the final paper.

Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, you will include the instruments in the appendices for the final paper.

Explain the process for delivering the (intervention) solution and indicate if any training will be needed.

Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, you will include the data collection tools in the appendices for the final paper.

Describe the strategies to deal with the management of any barriers, facilitators, and challenges.

Establish the feasibility of the implementation plan. Address 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). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, you will include the budget plan in the appendices for the final paper.

Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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. Please refer to the directions in the Student Success Center.

Note: After submitting the assignment, you will receive feedback from the instructor. Use this feedback to make revisions for your final paper submission. This will be a continuous process throughout the course for each section.

Section E: Implementation Plan

The successful implementation of evidence-based practice requires that the implementers adopt effective methods and interventions for the process. The selected methods should align with the aims and objectives of the project. The methods should also be evidence-based to underpin the realization of the goals of the intervention. Therefore, this section of the project examines the methods that will be used in implementing the proposed solution in the organization. The areas that are examined include setting and access to potential subjects, time needed, resources, methods and instruments, process for delivering the intervention, data collection plan, strategies for managing any barriers, feasibility and decisions that will be made based on the project outcomes.

Setting and Access to Potential Subjects

The proposed solution entails the provision of health education to African American women with osteoporosis on the importance of dietary supplementation of calcium and vitamin D. The aim of providing health education on calcium and vitamin D supplementation is to reduce the predisposition of African American women with osteoporosis to fractures. The project will be undertaken in our hospital. The specific department where it will be undertaken is the emergency department. African American women who come to the emergency department for medical assistance due to osteoporosis will participate in the project. The emergency department is the most appropriate due to the high number of patients that are seen due to different health problems. The potential clients for the project will be approached and informed about the project. They will be informed about the benefits and the role that they will play in the project. Informed consent will be obtained from the participants that express their interest in the project. Informed consent will be used to show that the participants understand the aims, benefits, risks, and their roles in the project (Perrin, 2020). Approval for undertaking the project will be sought from the quality assurance department of the hospital prior to project initiation process.

Time Needed

The proposed project seeks to promote lifestyle and behavioral changes among African American women with osteoporosis. As a result, adequate time is needed to achieve the desired lifestyle and behavioral change and determine the impact of the interventions that will be used in the project. The proposed time for undertaking the project is 12 months. It is anticipated that this period will be enough to determine the effect of project interventions. The period will also enable the incorporation of additional interventions to improve the outcomes of the project. Therefore, it is expected that the effectiveness of calcium and vitamin D dietary supplementation will have been determined by the end of 12 months (O’Gorman, 2020).

Resources

The successful implementation of the project will require the adequate and effective use of resources. Human and financial resources will be required for the implementation of the project. The human resources that will be needed will include trained nursing staffs, data analyst, data, data collectors, and physicians. Trained registered nurses will be involved in the provision of health education to African American women with osteoporosis. The nurses will also play the role of following-up the participants and obtaining the data that will be needed for the project. A data analyst with be hired to analyze the data and making meaning of it. Physicians will assist in the identification of the potential participants for the project. Financial resources will also be needed for the successful implementation of the project (Nations, 2021). The finances will be used for training, hiring experts, purchasing training materials, and undertaking other tasks such as follow-up of the participants. The finances will also be used for purchasing printing materials and educational booklets for the participants. The last resource is time. Registered nurses, physicians, and data analyst will have to spend their time in engaging in project activities for its successful implementation.

Methods and Instruments

Questionnaires will be used to collect the data needed for undertaking this project. Questionnaires will be administered before and at the end of the project. The questionnaires will obtain information such as demographic data of the participants, their level of awareness and practices related to management of osteoporosis, and health risks related to osteoporosis such as history of fractures. The baseline data obtained from the questionnaires will be compared with the data obtained at the end of the project to determine whether dietary supplementation of calcium and vitamin D was effective in reducing the risk of fractures among the participants. Questionnaires are effective for the project because of their ease of administration. Little time will be used in the acquisition of data needed for the project. Questionnaires will also enable the acquisition of extensive project data (Rowe, 2020). The extensiveness of the data will increase the understanding of the effectiveness of the project in nursing practice.

Process for Delivering the Intervention

As noted above, the participants for the project will be obtained from the emergency department of our hospital. Nurses will work in collaboration with the physicians in identifying potential participants for the project. African American women with osteoporosis will be approached and informed about the project. They will be informed about the benefits and their role in the project. They will also be informed about the support that they will receive through their participation in it. Informed consent will then be obtained prior to educating them on the dietary supplementation of calcium and vitamin D to minimize and prevent the risks of fractures. Training will be provided to the registered nurses who will be involved in the implementation of the project. Training will aim at ensuring that the registered nurses have the required knowledge and skills on the available dietary supplements for patients with osteoporosis. Training will also increase the level of awareness of the participants, hence, minimizing the possibility of their resistance to implementing the needed interventions for the project (Gorecki, 2020).

Outline of Data Collection Plan

The data collection plan for the project will be comprehensive in nature. Firstly, registered nurses will be trained on the collection of baseline and final data for the project. The nurses will be trained on the accurate acquisition of data from the participants. They will also be trained on checking the consistency of the data obtained for the project. As noted initially, questionnaires will be used for data collection. Self-administered questionnaires will enable easy collection of the needed data for the participants. The data will be collected at the beginning and end for comparison purposes. A data analyst will be hired to analyze and interpret the data for the project. Quantitative methods of data analysis will be used to increase the objectivity and accuracy of the results. The analyzed data will be presented using tables, charts and graphs to increase the understanding of the audience. The analysis of data will be focused on determining whether the risk and rate of fractures among the participants decreased or not. The data will also focus on determining the changes in lifestyle and behaviors of the participants, as evidenced by the consistent dietary supplementation of calcium and vitamin D. The nurse manager of the hospital will be tasked with the responsibility of data management.

Strategies to Manage any Barriers, Facilitators and Challenges

One of the strategies that will be used to manage barriers in the project is training. Registered nurses who will be involved in implementing the project will be trained. They will be trained on aspects of health education, participant monitoring and follow-up and data collection. Training will equip them with the needed knowledge and skills, hence, minimizing the resistance from them (Harned, 2017). The other intervention that will be used to manage challenges that may be experienced in the project is the close monitoring and follow-up of the participants. The participants will be followed-up on a regular basis to ensure their consistent use of calcium and dietary supplements as a way of preventing and minimizing the risk of fractures. Follow-up and monitoring will improve the retention rate of the participants. Regular evaluation and provision of feedback will also be used to address the challenges and barriers in the project. Regular evaluation will be performed to identify areas of strengths and weakness in the project. Through it, interventions that aim at strengthening the effectiveness of the project will be embraced.

Feasibility of the Implementation Plan

The proposed project is feasible in the organization. The implementation process uses the readily available resources in the organization such as registered nurses and physicians. The resource needs of the project are also easily achievable. The estimated cost of implementing the project is $60,000. The cost will be used for provider training, purchase of the needed resources, hiring of a data analyst, remunerating the staffs, and data presentation.

Plans to Maintain, Extend, Revise or Discontinue the Proposed Solution after Implementation

The evaluation outcomes will influence the decisions that will be made relating the project. The project will be maintained if it is found to have no harm to the participants. The project will also be maintained if the outcomes of evaluation show that participants consistently use of the interventions. The project will be extended if a small number of participants enroll for it. Extension will enable the acquisition of an adequate sample that will increase the generalizability and accuracy of findings. The project will be revised if the strategies used do not yield objective outcomes. The project will be discontinued if it is found to have negative effect on the participants such as increasing their risk to fractures and frequent hospitalization (Layton et al., 2020).

Conclusion

In summary, this section of the project has explored in detail the methods that will be used for project implementation. The target audience for the project will be African American women with osteoporosis obtained from the emergency department. Questionnaires will be used for data collection. The implementers will be trained on the essential knowledge and skills needed for the project. Data analysis will inform the effectiveness of the interventions. The decisions made will largely depend on the outcomes of the project.