BENCHMARK- EVIDENCE-BASED PRACTICE PROPOSAL PROJECT FRAMEWORK OR MODEL FOR CHANGE NUR 590

Grand Canyon University BENCHMARK- EVIDENCE-BASED PRACTICE PROPOSAL PROJECT FRAMEWORK OR MODEL FOR CHANGE NUR 590-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University BENCHMARK- EVIDENCE-BASED PRACTICE PROPOSAL PROJECT FRAMEWORK OR MODEL FOR CHANGE NUR 590 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 BENCHMARK- EVIDENCE-BASED PRACTICE PROPOSAL PROJECT FRAMEWORK OR MODEL FOR CHANGE NUR 590                       

Whether one passes or fails an academic assignment such as the Grand Canyon University BENCHMARK- EVIDENCE-BASED PRACTICE PROPOSAL PROJECT FRAMEWORK OR MODEL FOR CHANGE NUR 590 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 BENCHMARK- EVIDENCE-BASED PRACTICE PROPOSAL PROJECT FRAMEWORK OR MODEL FOR CHANGE NUR 590                       

The introduction for the Grand Canyon University BENCHMARK- EVIDENCE-BASED PRACTICE PROPOSAL PROJECT FRAMEWORK OR MODEL FOR CHANGE NUR 590 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 BENCHMARK- EVIDENCE-BASED PRACTICE PROPOSAL PROJECT FRAMEWORK OR MODEL FOR CHANGE NUR 590                       

After the introduction, move into the main part of the BENCHMARK- EVIDENCE-BASED PRACTICE PROPOSAL PROJECT FRAMEWORK OR MODEL FOR CHANGE NUR 590  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 BENCHMARK- EVIDENCE-BASED PRACTICE PROPOSAL PROJECT FRAMEWORK OR MODEL FOR CHANGE NUR 590                       

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 BENCHMARK- EVIDENCE-BASED PRACTICE PROPOSAL PROJECT FRAMEWORK OR MODEL FOR CHANGE NUR 590                       

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 BENCHMARK- EVIDENCE-BASED PRACTICE PROPOSAL PROJECT FRAMEWORK OR MODEL FOR CHANGE NUR 590 Included After Question

Assessment Description

Applying a model or framework for change ensures that a process is in place to guide the efforts for change. In 500-750 words, discuss the model or framework you will use to implement your evidence-based practice proposal project. You will use the model or framework you select in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal.

Include the following:

1. Identify the selected model or framework for change and discuss its relevance to your project.
2. Discuss each of the stages in the change model/framework.
3. Describe how you would apply each stage of the model or theoretical framework in your proposed implementation.
4. Create a concept map for the conceptual model or framework you selected to illustrate how it will be applied to your project. Attach this as an appendix at the end of your paper.

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite minimum of four peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

A Sample Answer For the Assignment: BENCHMARK- EVIDENCE-BASED PRACTICE PROPOSAL PROJECT FRAMEWORK OR MODEL FOR CHANGE NUR 590

Title:  BENCHMARK- EVIDENCE-BASED PRACTICE PROPOSAL PROJECT FRAMEWORK OR MODEL FOR CHANGE NUR 590

Models of change are important in the implementation of new initiatives in healthcare settings. The models provide insights into the strategies that should be utilized in the implementation of change. They also provide information about the outcome data that will be used for evaluation purposes. Therefore, this section of the project examines the model of change that will be utilized in the implementation of the change.

Selected Model and Relevance

The trans-theoretical model of behavioral change will be utilized in the project. DiClemente and Prochaska developed the trans-theoretical model in the 1970s following their examination of the ways in which smokers quit smoking and the factors that influenced the process. The model examines the decision-making by individuals to embrace change and behaviors that are needed to influence the process. The trans-theoretical model recognizes the fact that behavioral change is a cyclical process. Individuals embrace change through a series of steps that will determine the sustainability of change. The trans-theoretical model is applicable to the proposed project because it provides insights into the determinants of change. It also enables the determination of success of the strategies implemented at each stage of the project (Cavaiola & Smith, 2020). Lastly, it provides step-wise approach to implementing and determining the level of adoption of change in an organization.

Stages of the Model and Application to the Proposed Implementation

Change in the trans-theoretical model occurs in steps. The steps include precontemplation, contemplation, preparation, action, maintenance, and termination. Each of the steps of the trans-theoretical model is applicable to the proposed change initiative. The first step in the trans-theoretical model is pre-contemplation. Pre-contemplation is the phase where the people have no plans of taking action to improve their situation. Their lack of awareness about the negative effect of their behaviors makes it hard for them to determine a need for change in their daily routines. This stage is applicable to the proposed initiative. Nurses are not aware of the need for the adoption of evidence-based strategies to reduce the rate of catheter-associated urinary tract infection (Gellman & Turner, 2019). As a result, the do not have any intentions to take action in any near future.

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The second stage in the trans-theoretical model is contemplation. This is the phase where people become aware of the negative effect of their current behaviors. As a result, they are willing to take action in the near future. The adopters also explore the benefits as well as risks of changing their behaviors. There is however a high degree of ambivalence among them. The applicability of this step to the proposed initiative is that nurses will be aware about the need for evidence-based interventions to prevent and reduce the rate of catheter-associated urinary tract infections (Hagger et al., 2020). Nurses begin to explore the benefits of interventions such as meatus cleaning with 0.1% Chlorhexedine when compared to their usual practice of using normal saline. Nurses place emphasis on both the benefits as well as risks of behavior change.

The third stage of the model is preparation. This is the phase where the adopters of change are ready and willing to take actions related to the change within a short period. The adopters implement small steps that would contribute to the desired behavioral change. They believe that the change will have benefits to them and their daily routines (Gellman & Turner, 2019). Nurses are ready to adopt the proposed initiative in this step. They start implementing the initiative in small scale to determine its effect on patient outcomes. Nurses believe that the implementation of the initiative would result in positive outcomes in care.

The fourth step in the model is action. This step is characterized by the recent change in behavior of the adopters. The adopters intend to continue implementing the change initiative. They modify their practices and behaviors to support the change. Nurses in this stage have considered the use of the initiative in their daily routines. They have realized the benefits of the intervention in reducing the risk and rate of catheter-associated urinary tract infections (Anisman, 2021). As a result, they are willing to explore additional ways in which the success of the change initiative can be achieved.

Maintenance is the fifth stage in the trans-theoretical model. The adopters of the change have sustained their behaviors that support the change. They work towards adopting behaviors that will prevent relapse. The nurses in this step have sustained the use of the initiative in patient care. They explore ways in which they can prevent the use of normal saline prior to insertion of urinary catheter. Termination is the last phase where the adopters do not have any intention to relapse to their traditional behaviors. The change has been incorporated into the organizational culture (Cavaiola & Smith, 2020). In this case, the use of the proposed initiative has been incorporated into the organizational culture, hence, the strengthening of excellence in patient care.

Framework

Conclusion

 In summary, the trans-theoretical model will be used in the implementation of the project. The model is appropriate because it will facilitate sustainable change in the organization. The trans-theoretical model has steps that will guide the implementation process. Therefore, a focus will be placed on ensuring that the needs of the stakeholders are met at each stage for the successful implementation of the project.

References

Anisman, H. (2021). Health Psychology: A Biopsychosocial Approach. SAGE.

Cavaiola, A. A., & Smith, M. (2020). A Comprehensive Guide to Addiction Theory and Counseling Techniques. Taylor & Francis Group.

Gellman, M. D., & Turner, J. R. (2019). Encyclopedia of Behavioral Medicine. Springer New York.

Hagger, M. S., Cameron, L. D., Hamilton, K., Hankonen, N., & Lintunen, T. (2020). The Handbook of Behavior Change. Cambridge University Press.

Assessment Description

Applying a model or framework for change ensures that a process is in place to guide the efforts for change. In 500-750 words, discuss the model or framework you will use to implement your evidence-based practice proposal project. You will use the model or framework you select in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal.

Include the following:

1. Identify the selected model or framework for change and discuss its relevance to your project.
2. Discuss each of the stages in the change model/framework.
3. Describe how you would apply each stage of the model or theoretical framework in your proposed implementation.
4. Create a concept map for the conceptual model or framework you selected to illustrate how it will be applied to your project. Attach this as an appendix at the end of your paper.

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite minimum of four peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

A Sample Answer 2 For the Assignment: BENCHMARK- EVIDENCE-BASED PRACTICE PROPOSAL PROJECT FRAMEWORK OR MODEL FOR CHANGE NUR 590

Title:  BENCHMARK- EVIDENCE-BASED PRACTICE PROPOSAL PROJECT FRAMEWORK OR MODEL FOR CHANGE NUR 590

The evidence-based practice (EBP) process results from integration of existing research, clinical expertise, and patient preferences aimed at customizing care and promoting effective care decision-making (Cullen et al., 2020). As such, the use of effective frameworks or models for change in the EBP allows change implementers to use appropriate models to guide the process to attain the expected outcomes. These models are critical in ensuring that all stakeholders accept changes so that there is minimal or no resistance (Amit-Aharon et al., 2020). Nurses as the core implementers of change require enough knowledge and participation to comprehend different components of the proposed change aimed at reducing falls among adult-hospitalized patients in medical-surgical unit through the use of TIPS toolkit as a bundled care approach. The purpose of this paper is to select and describe an evidence-based practice framework or model for change in implementing the mentioned intervention in clinical settings to reduce falls and their adverse effects.

Selected Model or Framework for Change

Organizations implementing EBP change interventions should adopt models that best fit their situations, align with the quality improvement goals and address priority clinical issues as well as guide a systematic and evaluative approach to enhancing collaboration in practice change (Melnyk et al., 2022). The selected model for this change process is the Iowa evidence-based practice to promote quality care (IEBPPQC). The Iowa model is appropriate for this project because it continues to be reviewed to better address sustainability of the EBP, enhance inter-professional change implementation and patient-centered care for clinicians and advanced practice registered nurses (APRNs), guiding them through a team-based and multiple process.

Stages of the Iowa EBP Model

The Iowa model is one of the most popular approaches in addressing and implementing changes to improve quality and patient outcomes. The model has seven essential stages or steps. These include identification of a problem-based trigger or knowledge-focused issue that generate the need for change in practice, determining if the issue is a priority for the healthcare organization, and analyzing the interest of the organizational team and stakeholders which entails searching for, appraising, and synthesizing literature associated with the issue (DeNisco, 2019). The fourth stage is to evaluate the availability and merit of evidence which implies understanding the level of evidence and its quality. The fifth step in the Iowa model is to pilot practice change based on the credibility and reliability of the available evidence. The pilot change intervention aims at assessing the level of impact that such practice will have on the organization, patients, and other stakeholders.

The sixth step is to evaluate the results of the pilot practice intervention to ascertain if the organization should or should not implement the practice change. The seventh step is to disseminate the change across the department if it is feasible and can result in significant benefits to the different stakeholders. After introducing the change, it is essential for stakeholders to continue monitoring, evaluating and analyzing the results while making necessary alterations to attain the expected outcomes.

Application of Each Stage of the Iowa Model

 The Iowa EBP model is easy to use for the current issue of preventing and reducing falls among hospitalized adults in medical-surgical unit. The initial step in this case is to identify the need for change. The use of TIPS toolkit means that the stakeholders, especially nurses have identified falls as a trigger problem that reduces the quality of care because of its adverse effects on patients. Secondly, reducing and prevention of falls is a healthcare organization priority. The Centers for Medicare and Medicaid Services (CMS) considers patient falls as never events and does not compensate organizations for expenses and costs associated with the issue (DeNisco, 2019). As such, reducing and preventing falls is a priority for the organization to improve the quality of care it offers to patients and enhancing their overall safety.

The change team’s topic of interest on falls’ prevention through the TIPS toolkit is essential for the organization. In this case, team comprises of different stakeholders interested in developing, evaluating and implementing changes to improve patient safety because of their increased susceptibility to falls due to their condition. The EBP team in this case, comprises of different players, from physicians to nurses and physiotherapists as well as quality assurance experts to ensure that the proposed EBP intervention attains its set goals based on the PICOT framework. The next step for the team is to gather and analyze research associated to the desired practice change (Melnyk et al., 2022). As demonstrated through literature review and synthesis, sufficient evidence exists to support the use of fall TIPS toolkit to reduce and prevent falls in medical-surgical units among adult patients. The research illustrates that different facilities use the TIPS toolkit in their efforts to prevent and reduce falls.

The next aspect of the project will be to implement a pilot change practice based on the availability of not just reliable but also credible evidence (Duff et al., 2020). Based on the results from the pilot intervention, the team will appraise the outcomes before rolling out the entire change practice initiative to reduce falls and disseminate the process to nurses in the unit. As such, the intervention would become part of the routine process and culture in its quality improvement initiatives to attain better patient outcomes.

Conclusion

The use of an appropriate EBP model is essential for change implementation teams to achieve the desired changes in quality care improvement. The Iowa change model remains one of the most popular and easy to use frameworks to implement EBP interventions in healthcare organizations. As illustrated, this model is appropriate for the identified health issue of patient falls among adult patients in medical-surgical units as it will help the change team achieve desired outcomes.

BENCHMARK- EVIDENCE-BASED PRACTICE PROPOSAL PROJECT FRAMEWORK OR MODEL FOR CHANGE NUR 590 References

Amit-Aharon, A., Melnikov, S., & Warshawski, S. (2020). The effect of evidence-based practice

perception, information literacy self-efficacy, and academic motivation on nursing students’ future implementation of evidence-based practice. Journal of professional nursing, 36(6), 497-502. DOI: 10.1016/j.profnurs.2020.04.001.

Cullen, L., Hanrahan, K., Farrington, M., Anderson, R., Dimmer, E., Miner, R., … & Rod, E.

(2020). Evidence-based practice change champion program improves quality care. JONA: The Journal of Nursing Administration, 50(3), 128-134.

DeNisco, S. M. (2019). Advanced Practice Nursing: Essential Knowledge for the Profession:

            Essential Knowledge for the Profession. Jones & Bartlett Learning.

Duff, J., Cullen, L., Hanrahan, K., & Steelman, V. (2020). Determinants of an evidence-based

practice environment: an interpretive description. Implementation science communications, 1(1), 1-9. DOI: https://doi.org/10.1186/s43058-020-00070-0

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

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

A Sample Answer 3 For the Assignment: BENCHMARK- EVIDENCE-BASED PRACTICE PROPOSAL PROJECT FRAMEWORK OR MODEL FOR CHANGE NUR 590

Title:  BENCHMARK- EVIDENCE-BASED PRACTICE PROPOSAL PROJECT FRAMEWORK OR MODEL FOR CHANGE NUR 590

The outcomes measure for my evidence-based project on a multifaceted workplace violence program include measuring the quarterly rate of WPV incidence and annual staff safety culture. In reviewing the statistical tests available for intervention studies, a simple t-test could be used to compare the statistical significance of the year-over-year changes, if any (Rebekah & Ravindran, 2018). Additionally, I can provide descriptive statistics of incident types, frequency, location, and staff involved. Descriptive statistics are valuable to the organization to focus on high-risk patients and staff populations.   

Since the interventions will likely not be initiated all at the same time, an ANOVA (analysis of variance) could better explain the growing impact of the combination of interventions or the effect of a single intervention initiated during different points over the year of the program (Rebekah & Ravindran, 2018). The ANOVA would only apply to the WPV incident rate since the safety culture survey is conducted annually. Identifying the most effective approaches provides sustainability for those elements and relays information to other institutions for translation to their programs.  

Alternatively, in my first PICOT draft, I included data collection pre, quarterly, and post-survey to score employee perception in the comfort of identifying and handling WPV events, organizational support post-event, and the feasibility of training and competency validation. If the organization collected the additional employee perception information, more complex data analysis, like the Pearson correlation or the Spearman correlation, could be used to test the strength between the program or program parts and employee’s perception of effectiveness identification, handling, response, support, and training feasibility (Rebekah & Ravindran, 2018). 

Rebekah, G., & Ravindran, V. (2018). Statistical analysis in nursing research. Indian Journal of Continuing Nursing Education, 19(1), 62-70. https://www.ijcne.org/article.asp?issn=2230-7354;year=2018;volume=19;issue=1;spage=62;epage=70;aulast=Rebekah 

A Sample Answer 4 For the Assignment: BENCHMARK- EVIDENCE-BASED PRACTICE PROPOSAL PROJECT FRAMEWORK OR MODEL FOR CHANGE NUR 590

Title:  BENCHMARK- EVIDENCE-BASED PRACTICE PROPOSAL PROJECT FRAMEWORK OR MODEL FOR CHANGE NUR 590

“Measurement of an organization’s motivation or willingness to prioritize and engage in a global health intervention should be included and made available in such tools either in combination with existing capacity assessment tools or as stand-alone instruments” (Dearing, para 22). The Organizational Readiness to Change Assessment (ORCA) instrument was developed to guide the implementation of evidence-based interventions. There are three main areas of the framework, which are : evidence, context, and facilitation. This tool is extremely useful in assessing interventions aimed at changing behaviors and attitudes. This tool could be utilized for assessing my organization, because it tests the strength of the evidence, the environment in which the change is to be implemented, and the types of support that will be needed in order for change to occur. However, I feel the fuzzy logic approach would be even more effective. The fuzzy logic approach uses two levels of analysis: the Fuzzy Organizational Readiness Index (FORI) and Fuzzy Performance Importance Index (FPII). “The core objective of the current research is to identify the factors that contribute to organizational readiness, develop an assessment framework along with the instrument to analyse organizational readiness for change in healthcare and identify the weaker attributes to improve readiness level of healthcare organization” (Vaishnavi & Suresh, para 4). Since my evidence-based practice proposal is intended to examine whether education influences reporting of substance use disorder (SUD) among nurses, utilizing this tool will be beneficial in exploring the efficacy of the intervention.