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.

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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.

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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

NUR 590 Evidence-Based Practice Project Proposal Evaluation Plan Sample

Evidence-Based Practice Project Proposal: Evaluation Plan 

The evaluation of evidence-based practice (EBP) project proposal is essential to ascertain the effectiveness of the suggested intervention. The evaluation must define the expected outcomes, and identify data collection tools to determine their effectiveness, validity, reliability and application to the project (Melnyk et al., 2019). Additionally, statistical tests for the proposed intervention should be selected and be appropriate or align with the data collection tools. The purpose of this paper to describe the evaluation plan for the proposed EBP project of implementing Fall TIPS to reduce falls among adult patients in medical-surgical unit.  

Expected Outcomes 

The EBP process implores one to identify the expected outcomes of the proposed project. Most EBP projects focus on improving quality of patient care through leveraging research evidence and optimization of clinical skills and knowledge. Imperatively, the main expected outcome for this EBP project proposal is to reduce the occurrence of patient falls in the medical-surgical unit by 30% within six months of the implementation (Rebekah et al., 2018). The expectation is that implementing Fall TIPS will allow nurses and other providers to tailor fall prevention interventions based on a patient’s condition and not a one-fits-all approach.  

Data Collection Tool: Validity, Reliability & Applicability 

While there are different data collection tools for EBP project proposal. In this case, the project will use qualitative design meaning that it will apply questionnaires and focus groups as well as observation to collect data on the efficacy of the proposed intervention. These data collection tools are valid and applicable as well as reliable since they gather data from patients on firsthand experience. These tools will be effective because they will integrate diverse aspects of the project and what it means for patients in the setting (Grove et al., 2019). The semi-structured questions and observations will complement each other and increase the overall validity and reliability.  

Statistical Test 

Researchers use appropriate statistical test tools based on the type of data collection deployed. Researchers use statistical test to organize data into evaluable results to determine the effectiveness of an EBP project proposal. Because of the various sets of subjects and data collection tools, the most appropriate statistical test will be the t-test. The independent t-test has data from different subjects so difference in measurements among the individuals can be determined (Rebekah et al., 2018). This test is best-suited to the project due to the data collection tools selected to gather information from patients on Fall TIPS model.  

Methods Applied to the Data Collection Tool 

As part of the evaluation plan, methods must be uses to the data collection tool and consideration should be made on outcome measures. Method analysis and presentation influences the evaluation of study claims, promotes more rigor on access to data and encouraged increased transparency and honesty in research. Using data collected through semi-structured questionnaires, the researchers will measure patient outcomes and experiences (Lengnick-Hall et al., 2020). They will then tabulate the data to determine if there are changes after the implementation of the Fall TIPS. The research will the deploy computation tools to determine rates of improvement based on the reduction of falls within the unit.  

Alternative Strategies 

An effective evaluation plan must develop alternative strategies that can be used if outcomes are not positive or fail to deliver expected results. Improving care quality through reduced prevalence of falls is an iterative process meaning that it is not immune to corrections and refining as providers learn from experience to improve outcomes. The implication is that the project will integrate effective approaches that include better communication and collaboration, use of inter-professional interventions based on better communication approaches.  

Strategies to Address Unexpected or Negative Outcomes 

It is anticipated that the proposed intervention will result in positive outcomes as indicated above. However, in the event that the outcomes are negative, the researchers will deploy various strategies to correct the issue. The first strategy will be to re-examine the implemented intervention by analyzing the process and all components associated with ach stage. Such an approach may reveal weak areas of the project that requires improvement for the intervention to offer better outcomes. The next strategy is formulation of new timelines, especially extending the project schedule and time. This will allow the stakeholders to explore corrective measures and possibly have better outcomes. The other aspect would be to change the implementation model or conceptual framework, if possible, and where it does not offer better interpretation of the expected outcomes.  

Plan to Maintain, Extend, Revise, & Discontinue the EBP Project 

The maintenance, extension, revision and discontinuation of the EBP project will require developing an appropriate plan. In this case, sustenance of the EBP implementation will require training, continual quality monitoring, and developing teams that will review areas of concern and ensure that the Fall TIPS focus on patient needs and concerns. Review of objectives and goals will also be important as it identify areas that may be discontinued because of their inappropriateness to the project Revision will be based on the project’s inability to meet expected outcomes. The review process will trigger change aimed at providing better approaches to avoid similar mistakes in the future.  

Conclusion 

Evaluation is a critical phase of the EBP process and project implementation. Developing an evaluation plan allows stakeholders and project team to understand different aspects of the implementation and the expected outcomes. The evaluation plan identifies weak areas and what the implementers can integrate to attain expected outcomes.  

References 

Grove, S. K., & Cipher, D. J. (2019). Statistics for Nursing Research-e-book: A workbook for evidence-based practice. Elsevier Health Sciences.  

Lengnick-Hall, R., Willging, C. E., Hurlburt, M. S., & Aarons, G. A. (2020). Incorporators, early investors, and learners: A longitudinal study of organizational adaptation during EBP implementation and sustainment. Implementation Science, 15(1). https://doi.org/10.1186/s13012-020-01031-w 

Koota, E., Kääriäinen, M., Kyngäs, H., Lääperi, M., & Melender, H. (2021). Effectiveness of evidence‐based practice (EBP) education on emergency nurses’ EBP attitudes, knowledge, self‐efficacy, skills, and behavior: A randomized controlled trial. Worldviews on Evidence-Based Nursing, 18(1), 23-32. https://doi.org/10.1111/wvn.12485 

Melnyk, B. M. & Fineout-Overholt, E. (2019). Evidence-based Practice in Nursing & Healthcare: A Guide to Best Practice. Wolters Kluwer.  

Rebekah, G., & Ravindran, V. (2018). Statistical analysis in nursing research. Indian Journal of Continuing Nursing Education,19(1), 62-70. https://www.ijcne.org/text.asp?2018/19/1/62/28649