NUR 590 Evidence-Based Practice Project Proposal: Implementation Plan 

Grand Canyon University NUR 590 Evidence-Based Practice Project Proposal: Implementation Plan – Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University NUR 590 Evidence-Based Practice Project Proposal: Implementation Plan   assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NUR 590 Evidence-Based Practice Project Proposal: Implementation Plan      

Whether one passes or fails an academic assignment such as the Grand Canyon University NUR 550 Benchmark – Evidence-Based Practice Project: Literature Review depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NUR 590 Evidence-Based Practice Project Proposal: Implementation Plan      

The introduction for the Grand Canyon University NUR 590 Evidence-Based Practice Project Proposal: Implementation Plan   is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NUR 590 Evidence-Based Practice Project Proposal: Implementation Plan      

After the introduction, move into the main part of the NUR 590 Evidence-Based Practice Project Proposal: Implementation Plan  assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NUR 590 Evidence-Based Practice Project Proposal: Implementation Plan      

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NUR 590 Evidence-Based Practice Project Proposal: Implementation Plan      

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

Stuck? Let Us Help You

Completing assignments can sometimes be overwhelming, especially with the multitude of academic and personal responsibilities you may have. If you find yourself stuck or unsure at any point in the process, don’t hesitate to reach out for professional assistance. Our assignment writing services are designed to help you achieve your academic goals with ease. 

Our team of experienced writers is well-versed in academic writing and familiar with the specific requirements of the NUR 590 Evidence-Based Practice Project Proposal: Implementation Plan  assignment. We can provide you with personalized support, ensuring your assignment is well-researched, properly formatted, and thoroughly edited. Get a feel of the quality we guarantee – ORDER NOW. 

Sample Answer for NUR 590 Evidence-Based Practice Project Proposal: Implementation Plan 

Evidence-based practice (EBP) is the cornerstone of holistic, high-quality care in healthcare organizations. The American Nurses Association (2023) recommends evidence-based interventions in nursing to ensure up-to-date practice based on the current scientific knowledge. As change drivers in healthcare settings, nurses promote EBP by identifying issues hampering patient outcomes and implementing practical, sustainable solutions. Successful implementation of nursing interventions requires an elaborate plan outlining timelines, expected outcomes, stakeholders, resources, and other critical elements. Therefore, the purpose of this paper is to discuss the implementation plan of the EBP project proposing a twice-weekly tailored physical training program for improving functional fitness and independence among older adults with type 2 diabetes.

Setting and Access to Potential Subjects

Healthcare organizations’ types and specializations determine the patients and issues dominating patient visits. The present setting provides both inpatient and outpatient care for all ages. It is founded on the premise that all patients deserve high-quality care that addresses multidimensional health needs in a safe, friendly environment. Its clan culture supports innovative changes driven by teamwork and employee engagement. The proposed intervention involves human subjects (older adults with type 2 diabetes). Therefore, consent is essential to ensure all activities adhere to ethical standards that guide nursing research. Xu et al. (2020) emphasized the importance of informed consent in nursing to ensure that study participants know the risks, benefits, and procedures. This background information allows voluntary participation, as nursing research recommends. By filling out the consent form (Appendix A), participants will confirm knowledge of the study essentials and that they will participate willingly.

Timeline

EBP projects involve various tasks that should be accomplished by specific dates to ensure the expected outcomes are achieved and evaluated within the forecast period. A timeline is, therefore, essential to guide the project leader and stakeholders in executing their roles within the stated dates. Adherence to the timeline (Appendix B) will also ensure efficient resource utilization. The project proposes improvements in functional fitness and independence in eight weeks. The preparation (orientation and obtaining consent) is expected to take two weeks before the project begins. Other activities after the exercise program include evaluation of outcomes, results analysis, composing a report of findings, and sharing the findings with stakeholders (two weeks). The implication is that everything regarding the project will be accomplished in eleven weeks.

Budget and Resource List

Successful EBP implementation is contingent on resource availability and the implementation team’s potential to use both internal and external resources efficiently. The management should also be well-positioned to provide additional resource support as needs arise. One of the key resources (material) is educational booklets to guide patients in executing the twice-weekly exercise program. Others include a support team for the orientation training, data collection and analysis tools, and information and communication devices/technologies. Tools include questionnaires and selected technologies for successful implementation, such as diabetes monitoring tools and smartphones for recording and reporting health data. The project leader will also need a laptop and internet connection for data-related activities. The proposed budget is $1,150, as summarized in Appendix C.

Research Design

Project leaders should collect ample and accurate data to evaluate EBP projects. Schuler et al. (2021) identified evaluation as a decisive phase of the project for determining whether the innovation/intervention achieved the desired outcomes. The project’s nature necessitates a quantitative design. According to Bazen et al. (2021), quantitative data is numerical, allowing researchers and change leaders to test hypotheses deductively. As such, it is a way of asking how many and how much the proposed project accomplished. The deductive data collection and evaluation approach will also improve the objectivity and reproducibility of the results. Hence, it will help quantify the project’s outcomes and validate the widespread application of the experimental findings.

Methods and Instruments

The data collection method guides project leaders in choosing the appropriate instruments to monitor the implementation of the proposed solution. Questionnaires are a perfect fit for monitoring the twice-weekly exercise program. Supporting their use in evidence-based projects, O’Connor et al. (2022) mentioned that questionnaires enable researchers to collect rich and large amounts of primary data from a specific population. They are also associated with high validity and reliability through clear and consistent wording of the questions. In the proposed project, the participants will answer specific questions regarding how the exercise program helped them to improve variables related to functional performance and independence. These health variables include flexibility, muscle strength, balance, and movement (Lii et al., 2023). The health statuses (greatly improved, improving, struggling, and no change) will be compared before and after the intervention. Each status will be rated using a Likert Scale of 1-4 (Appendix D). Data will be collected at baseline, at four weeks, and after eight weeks.

Process for Delivering the Intervention and Needed Training

The project will commence by identifying eligible participants from the clinical records. Next, the project leader will obtain informed consent, ensuring compliance with the ethical guidelines of studies involving human subjects (Laurijssen et al., 2022). Immediately after the consent will be the orientation phase, where the participants will be introduced to the project and provided with essential educational resources. During the orientation, participants will be trained in conducting the exercises, data collection, and reporting progress to the project leader. Data collection and sharing will be done remotely since the patients will conduct these exercises at home. A summary of progress will be compiled using the data after four weeks, and the overall impact will be evaluated after eight weeks. Communication, guided support, and resource facilitation will be continuous.

ALSO READ:

NUR 590 Evidence-Based Practice Project Proposal: Evaluation Plan

NUR 590 Benchmark – Evidence-Based Practice Project Proposal Final Paper 

Stakeholders for Implementation

Stakeholders influence EBP projects through direct participation in the implementation, resource provision, expert guidance, and other roles. Magwood et al. (2022) identified stakeholders in nursing practice as individuals or groups that make healthcare-related decisions or are directly affected by them. In the context of EBP projects, such decisions are informed by scientific evidence. A key stakeholder group for the current project is the organization’s management, responsible for assessing potential risks and ensuring ethical practices regarding patient care and healthcare interventions. The management will also offer resources, support, and informed guidance. The other stakeholders include the nursing team, which guides patients in implementing the project and providing clinical guidance where appropriate. As consumers of healthcare services, patients are also influential stakeholders since they determine healthcare interventions and their successful implementation.

Barriers or Challenges to Implementing and Strategies for Overcoming

Potential barriers to the present project include the availability of the stakeholder team to support the implementation. As influential stakeholders, the organizational leaders’ participation may be limited due to a high workload and administrative responsibilities. Concerning nurses, poor attitudes toward innovation and inadequate EBP knowledge hamper their participation in change projects (Pitsillidou et al., 2021). Fortunately, the organization encourages innovation and ensures that the nursing team has adequate EBP knowledge and skills. Like the leaders, nurses may be busy with their roles and lack adequate time to participate in the project. From a change perspective, these barriers could be overcome through strategies that earn stakeholder buy-in (Magwood et al., 2022). Such a strategy includes open and persistent communication to ensure influential stakeholders understand the value of the EBP project in relation to patient outcomes. The other strategy is short individual and group meetings. Such meetings would help to clarify worries and emerging concerns that may cause low perception of the proposed project.

Evidence of Feasibility

Various elements make the plan feasible in the present facility and under the current conditions. Firstly, it relies exclusively on human, material, and technological internal resources. The availability of these resources makes the project cost-effective. Secondly, the project aligns with the organization’s values, implying it will get maximum support provided stakeholders are engaged appropriately. Thirdly, as outlined in the timeline, it does not consume much time (Appendix B).

Conclusion

EBP seeks to improve patient outcomes through progressive improvements in healthcare services and effective responses to workplace issues. The proposed project suggests a twice-weekly physical exercise program for older adults with type 2 diabetes. This project is designed to improve functional fitness and independence, hence healthy living and improved productivity at this critical age. This implementation plan outlines the timeline, resources, data collection procedures, and potential barriers. As discussed throughout the paper, the plan is feasible since it relies on internal facilitation and aligns with the organization’s values.

References

American Nurses Association.  (2023). What is evidence-based practice in nursing? ANA Nursing Resources Hub. https://www.nursingworld.org/content-hub/resources/workplace/evidence-based-practice-in-nursing/#:~:text=Besides%20keeping%20health%20care%20practices,of%20the%20science%20of%20nursing

Bazen, A., Barg, F. K., & Takeshita, J. (2021). Research techniques made simple: an introduction to qualitative research. Journal of Investigative Dermatology, 141(2), 241-247. https://doi.org/10.1016/j.jid.2020.11.029

Laurijssen, S. J., van der Graaf, R., van Dijk, W. B., Schuit, E., Groenwold, R. H., Grobbee, D. E., & de Vries, M. C. (2022). When is it impractical to ask informed consent? A systematic review. Clinical Trials (London, England), 19(5), 545–560. https://doi.org/10.1177/17407745221103567

Lii, Y. Y., Tai, Y. C., Wang, H. Y., Yeh, I. C., Chiu, Y. C., Hou, C. Y., & Tsai, F. H. (2023). The impact of exercise training on physical activity among elderly women in the community: a pilot study. Healthcare (Basel, Switzerland), 11(18), 2601. https://doi.org/10.3390/healthcare11182601

Magwood, O., Riddle, A., Petkovic, J., Lytvyn, L., Khabsa, J., Atwere, P., … & Tugwell, P. (2022). PROTOCOL: Barriers and facilitators to stakeholder engagement in health guideline development: A qualitative evidence synthesis. Campbell Systematic Reviews, 18(2), e1237. https://doi.org/10.1002/cl2.1237

O’Connor, S. (2022). Designing and using surveys in nursing research: a contemporary discussion. Clinical nursing research, 31(4), 567-570. https://doi.org/10.1177/10547738211064739

Pitsillidou, M., Roupa, Z., Farmakas, A., & Noula, M. (2021). Factors affecting the application and implementation of evidence-based practice in nursing. Acta Informatica Medica, 29(4), 281–287. https://doi.org/10.5455/aim.2021.29.281-287

Schuler, E., Mott, S., Forbes, P. W., Schmid, A., Atkinson, C., & DeGrazia, M. (2021). Evaluation of an evidence-based practice mentorship programme in a paediatric quaternary care setting. Journal of Research in Nursing, 26(1-2), 149-165. https://doi.org/10.1177/1744987121991417

Xu, A., Baysari, M. T., Stocker, S. L., Leow, L. J., Day, R. O., & Carland, J. E. (2020). Researchers’ views on, and experiences with, the requirement to obtain informed consent in research involving human participants: a qualitative study. BMC Medical Ethics, 21, 1-11. https://doi.org/10.1186/s12910-020-00538-7

Sample Answer 2 for NUR 590 Evidence-Based Practice Project Proposal: Implementation Plan 

Implementing evidence-based practice (EBP) project proposal entails several aspects that must be tackled for attainment of set goals and patient benefits. In their study, Dagne et al. (2021) opine that it is critical to implement EBP interventions with nurses playing a critical role in using the available updated evidence. As such, a successful EBP integration approach in healthcare settings requires having an effective implementation plan where the team and other stakeholders can get resources and required support from the management. The purpose of this section is to discuss the implementation plan for the proposed EBP project about having an initiative, skin-to-skin contact reinforcement within the facility aimed at increasing breastfeeding among newborns. The section explores all aspects related to the implementation, from settings and access to subjects to the overall sustainability and feasibility of the project.

Setting and Access to Potential Subjects

The setting for the proposed EBP project will be the Family Life Center and neonatal intensive care unit (NICU) of the Memorial Hermann Cypress Hospital. The center and unit are part of the women’s services department at the hospital.  The potential subjects will include nurses and midwives who will gain and increase their knowledge concerning breastfeeding in general and implementation of skin-to-skin contact in the designated areas of the facility. As such, access to potential subjects will not be challenging since the targeted nurses are employees in the facility and will not need any informed consent form (Barber, 2018). The initiative aims at increasing their competencies and understanding on how to engage mothers to embrace exclusive breastfeeding through better skin-to-skin contact between the baby and mother.

Timelines for the Implementation

The timeline for this project is fifteen months as it will run from September, 15 2023 to January, 1 2025. However, the initial six months will be critical for the project as they will set the pace, goals and objectives of the project and also a possible determination of if the initiative will meet the set goals. As such, the set timeline will be critical for effective alignment of the project to meet patient needs and improve breastfeeding behaviors among mothers and their babies.

Budget and Resources

The implementation of EBP project requires sufficient resources to attain the set goals. These resources are both human and materials in form of funds allocated and other hardware aspects (Kim et al., 2020). The skin-to-skin contact project is aimed at increasing the rates of exclusive breastfeeding among mothers to enhance the development of born babies. As such, having a budget of the required resources and financial allocation would be critical to get better outcomes. The human resource component will entail nurses, nurse leaders and midwives, trainers and quality improvement experts who shall collaborate with the staff to implement the initiative. A core aspect of the required human resources would be primary champions who shall advance the benefits of the initiative for nurses and midwives as well as mothers to embrace it (Safari et al., 2021). As scheduled in the timeline, all human resources will be critical to in implementing the project. The EBP project proposal will also require CE Direct Baby Friendly Breastfeeding modules for all the 13 staff in the women’s services department, breastfeeding education through skills’ acquisition for all staff for reinforcement of breastfeeding tools, pump utilization, production of milk, and services given to the lactation teams. The project will also require charts that nurses will reviews to retrieve data.

Financial resources would be required to procure different devices and materials needed to complete the initiative. Resources would be required based on the allocation from the organization’s management. The fiscal resources would be dependent on the human and technological resources as the initiative will take over one and a half years. At this point, it would be challenging to determine the budget for the project. Different factors will keep changing since the implementation timelines for the project is way beyond six months.

Qualitative or Quantitative Design in Data Collection

Collection of data would be critical in determining the overall effectiveness of the initiative to mothers and babies. Again, this project will mainly target nurses and midwives who shall then implement it by engaging patients, lactating mothers in the pediatric section of the family center and NICU units. In this case, the study will use a quantitative design in collecting data. The rationale for this approach is that based on the project charter, the facility would focus on determining the overall effectiveness of having information and providing it to the targeted mothers to improve exclusive breastfeeding rates. As such, the nurses will use surveys and semi-structured questionnaires to get views from the lactating mothers about the effectiveness of skin-to-skin contact in increasing breastfeeding rates of newborns during birth hospitalization (Safari et al., 2021). The project aims at increasing the rate by 25% by January, 2024. Consequently, the project must adopt a quantitative design to collect data before and after the implementation and also analyze it to determine if the intervention works.

The proposed evidence-based practice project proposal is effective as it aims at increasing exclusive breastfeeding practice among newborns during their birth hospitalization. Skin-to-skin contact increases attachment between the newborn and their mothers leading to a rise in the frequency of breastfeeding. The World Health Organization (WHO) (2020) asserts that newborns who get prolonged skin-to-skin contact with their mothers have increased chances of successful breastfeeding. Considered as “Kangaroo care”, skin-to-skin contact promotes bonding between the infant and the parent through the touch of their skin. The implication is that this project will be effective if the number of mothers reporting exclusive breastfeeding will increase during their birth hospitalization and six months after their discharge as the baby comes for antenatal reviews.

Methods and Instruments for Monitoring the Implementation

The main item or instrument to monitor the implementation of the suggested solution would be survey for nurses as they will record all the mothers given the instruction and encouraged to breastfeed their newborns and semi-structured questionnaire for the mothers upon their discharge and when presenting the newborns for other services in the outpatient postnatal clinic for review.   

Process to Deliver the Intervention & Training

The project charter emphasizes the importance of increasing nurses’ and midwives’ knowledge on breastfeeding for effective implementation while dealing with the mother during birth hospitalization. At the core of this initiative will be training nurses and midwives in the NICU units and delivery area as they care for the mothers and newborns during their hospitalization (Bigelow et al., 2020). The process of delivering the intervention will include training nurses, mandating them to offer education to mothers with newborns, and encouraging them to embrace skin-to-skin contact to promote bonding with their babies. The hospital administration will coordinate the activities and work closely with the implementation team to determine the process and ways to enhance the frequency of the proposed intervention. The facility will also offer sufficient support to the team and all those involved in the implementation.

The success of the initiative will be measured through data collection and analysis using appropriate tools (Huang et al, 2020). The last aspect will entail having a quality improvement team or the project charter team to implement the initiative and oversee the staff offering information and teaching mothers with newborns during their hospitalization to embrace exclusive breastfeeding.

Stakeholders Required for the Implementation

Key stakeholders in this EBP intervention implementation plan include nurses and midwives in the women’s services unit and all mothers and infants delivering at the facility. These stakeholders would be critical in ensuring that the project attains its expected goals and smart objective of increasing exclusive breastfeeding by 25% and increased frequency of the activity by mothers.

Potential Barriers or challenges and strategies to overcome them

While the proposed EBP project has the potential to transform lactating mothers and nurses’ attitude to exclusive breastfeeding through skin-to-skin contact, it may encounter certain barriers or challenges that can hinder its overall effectiveness. The possible barriers to the implementation include time constraints, lack of patient education on the benefits of the initiative, especially before their admission, providers encouraging mothers to supplement, and nurses’ workflow not allowing skin-to-skin contact frequently throughout the day to promote bonding and feeding (Safari et al., 2018). More fundamentally, resistance to change will be a critical barrier for this initiative as it implies that both nurses and even newborn mothers will have to change their attitudes towards exclusive breastfeeding.

Overcoming these obstacles requires effective engagement of all stakeholders and better as well as targeted communication. Engaging the stakeholders will ensure that all of them are aware of the project goals and the need to improve breastfeeding among mothers with newborns. Getting organizational support will also be critical as it helps allocate the required resources to implement the project in its entirety. Additionally, offering information and training will also help address these challenges or barriers.

Feasibility of the Implementation Plan

The overall implementation of the EBP proposed project will require investing in resources, both financially and human to attain its goals and objectives. The project’s implementation is highly feasible because of the project charter that is already developed (Melnyk et al., 2022). As such, all aspects of the implementation plan will align with the different provisions of this charter. The cost of implementing this plan is relatively manageable compared to having no intervention as such will increase the susceptibility of mothers to supplement and not breastfeed exclusively. The analysis of data and other information related to the EBP project will be critical to its overall goals and objectives’ attainment.

Conclusion

The implementation plan for the project shows the feasibility of the initiative and expected outcomes. The implementation level entails various activities, from accessing research subjects and ensuring that there are sufficient resources to execute all aspects of the project. As such, this plan is well-suited to the proposed EBP project on increasing breastfeeding through promotion of and encouraging mothers of newborns to exclusively breastfeed regularly.

References

Barber, B. (2018). Research on human subjects: Problems of social control in medical

            experimentation. Routledge.

Bigelow, A. E., & Power, M. (2020). Mother–infant skin-to-skin contact: short‐and long-term

effects for mothers and their children born full-term. Frontiers in psychology, 11, 1921. https://doi.org/10.3389/fpsyg.2020.01921

Dagne, A. H., & Beshah, M. H. (2021). Implementation of evidence-based practice: the

            experience of nurses and midwives. Plos one, 16(8), e0256600.

DOI: 10.1371/journal.pone.0256600

Huang, J. Z., Chen, C. N., Lee, C. P., Kao, C. H., Hsu, H. C., & Chou, A. K. (2022). Evaluation

of the Effects of Skin-to-Skin Contact on Newborn Sucking, and Breastfeeding Abilities: A Quasi-Experimental Study Design. Nutrients, 14(9), 1846. DOI: 10.3390/nu14091846

Kim, M., Mallory, C., & Valerio, T. (2020). Statistics for evidence-based practice in nursing.

            Jones & Bartlett Publishers.

Melnyk, B. M., & Fineout-Overholt, E. (2022). Evidence-based practice in nursing &

            healthcare: A guide to best practice. Lippincott Williams & Wilkins.

Safari, K., Saeed, A. A., Hasan, S. S., & Moghaddam-Banaem, L. (2018). The effect of mother

and newborn early skin-to-skin contact on initiation of breastfeeding, newborn temperature and duration of third stage of labor. International breastfeeding journal, 13(1), 1-8. DOI: https://doi.org/10.1186/s13006-018-0174-9

World Health Organization (WHO) (2020 August 7). Skin-to-skin contact helps newborns

breastfeed. https://www.who.int/westernpacific/news-room/feature-stories/item/skin-to-skin-contact-helps-newborns-breastfeed