Evidence-Based Practice Presentation Paper

Evidence-Based Practice Presentation Paper

Evidence-Based Practice Presentation Paper

]NUR 699 GC Week 7 Assignment 2

Best Practices for Implementing Evidence-Based Practice (EBP)/ Guidelines

Studies show that despite EDP being the gold standard in the provision of patient care, several hospitals among other healthcare organizations take up to 17 years to be able to fully adopt the new practice after it has gained substantial evidence showing its safety and effectiveness among patients (Brownson, Fielding, & Green, 2018). To promote the timely and appropriate implementation of best EBP into clinical practice, four key approaches must be followed.

The first step is to fully understand the data and the new practice being implemented. This is mainly because not all data behind EBP can translate to your organization, despite applying to multiple clinical contexts (Stirman, Baumann, & Miller, 2019). An in-depth understanding of the proposed changes helps leaders adapt only the evidence best practice that best suits the healthcare organization.

The second step is to consider the available resources concerning the data behind the evidence best practice. This will help leaders modify the new practice to fit the resources which are available within the organization (Osborne, 2017). Consequently, this approach will also help in the adoption of strategies that can help reduce costs while optimizing the outcome.

The third step is to establish patient-centered goals. It is important to ensure that the new practice does not only benefit the hospital in promoting the rate of productivity but must also enhance patient-centered care. For instance, when implementing strategies to help inappropriate polypharmacy among the elderly, it is important to focus on approaches that will help reduce multiple uses of prescription drugs, while at the same time ensuring that the patient achieves the treatment goals (Cadogan et al., 2018).

The last step is to identify the organization’s preferences and educate staff members about the new practice. This will help the change leader evaluate the possibilities of adoption and retainment of the new practice among staff members (Osborne, 2017). When the change is fully accepted by the staff members, the process of implementation can then be initiated.

Strategies for Overcoming Barriers in Implementing Evidence-Based Practice

According to most research findings, the most common barriers to EBP implementation include resistance, time and knowledge, and inadequate finances. To be able to overcome these challenges, several strategies will be utilized. The first strategy is to engage appropriate stakeholders. This will help in building trust which will enable the project leader to learn from their experience and provide effective input. The stakeholders will also help in identifying outcome measures (Brownson, Fielding, & Green, 2018). The second strategy is to seek administrative support. The administration will be able to provide insight on other similar projects and how certain techniques were utilized in promoting the implementation of such projects. The administration will also help in promoting a supportive culture among employees to reduce resistance levels. The last strategy is to carry out substantial background research and involve staff members in the implementation process. This will help identify gaps within the current practice and come up with appropriate and readily acceptable EBP such as the 10 items of MAI (Cadogan et al., 2018).

 

Formative Evaluation Plan

The formative evaluation plan aims at fostering the development and improvement of the plan before initiating the implementation step. The evaluation plan will also consider the summative approach in assessing whether the expected results of the project have met the stated goals, by collecting feedback and presenting them to the stakeholders (Stirman, Baumann, & Miller, 2019). The formative evaluation plan will involve completing need assessment questionnaires, conducting implementation analysis, and performing progress analysis. In the implementation of the 10 items MAI into practice, prescribers will be utilized as the main source of feedback (Cadogan et al., 2018).

The need assessment questionnaires will be filled by involved stakeholders regarding the areas of improvement, potential barriers, and facilitators to promoting the change. The implementation analysis will involve assessment of the fidelity to the implementation strategy and the clinical intervention being proposed. Progress analysis on the other hand will focus on monitoring the progress towards implementation and improvement of the set goals during the intervention (Brownson, Fielding, & Green, 2018). The feedback for the evaluation process will include semi-structured interviews with stakeholders, focus groups, structured surveys, electronic health records, charts, document reviews, and management information systems. Feedback will also be collected by direct observations through site visits.

Plan for Formative Evaluation in this Pandemic Situation

The Covid-19 pandemic has led to several changes in the protocol of how healthcare services are being provided. In the same case, the methods in which formative evaluation will be conducted must be modified to meet the current standards of practice. For instance, reducing contact among people is very crucial in curbing the spread of the virus (Osborne, 2017). As such, face-to-face interviews will be avoided. Instead, feedback will be collected through social media and online platforms such as the use of Emails. Consequently, video conferences will be preferred to conduct discussions rather than crowded conference rooms. However, for those who will be forced to be involved directly with the evaluation process, protocols such as vaccination will be applied.

During week 2, in a simulated scenario when your formative evaluation plan reveals not all of the staff have implemented the evidence-based intervention. What is your next step?

Upon incomplete adoption of the new practice, it is necessary to assess the cause of the situation, come up with appropriate strategies, and promote complete adoption of the change. Feedback will be collected from staff members who will not have adopted the new practice, to find out the reasons behind their lack of participation (Shelton, Cooper, & Stirman, 2018). In most cases, incomplete adoption of change is normally caused by a lack of time or limited knowledge regarding the use of the new approach. As such, it is necessary to work with the employee’s schedule and find an appropriate time to promote education regarding the new practice and its benefits. With a full understanding of the reasons behind the proposed change, and the benefits if implemented, staff members will be more interested to use the new practice and realize the benefits.

What are you learning about project implementation? What issues have you identified? How will you address these? Use these examples as headings or substitute with the same number of examples that are appropriate to your case study project be robust:

  • You identify that the staff needs more information about evidence-based practice. What will you do?

Teaching programs will be designed based on the information needed of the staff members regarding evidence-based practice. The teaching programs will utilize effective communication strategies to promote conveying of the knowledge to staff members (Stirman, Baumann, & Miller, 2019). Such strategies include tailoring the message, ensuring that the tailored messages are targeted to audience segments, use of narratives, and framing of the message.

  • You identify that staff needs more information about the evidence-based intervention. What will you do?

To promote more information regarding the evidence-based intervention, it is necessary to promote self-initiated background research on the healthcare problem and available interventions use to solve the problem (Brownson, Fielding, & Green, 2018). The staff members will then be provided with brochures and fliers giving background information on the new intervention, and its benefits. Training programs will also be designed to fit the needs of the employees and the patient regarding the new intervention.

  • You identify that you need to provide remedial training. How will you accomplish this?

To provide remedial training to staff members, a group of specialists will be involved in assessing the information gap and setting the new training goals. New microlearning approaches will be considered such as short videos to avoid burnouts as a result of long working hours (Stirman, Baumann, & Miller, 2019). Different learning habits will also be involved such as the use of software that has a user-friendly interface especially for the case of the 10 items MAI (Cadogan et al., 2018).

In your simulated Case Study some staff state “I am too busy” or “I do not see a need for change since the ‘way we have always done it’ works fine.” How will you address this?

In this situation, I will have to spare as little time as possible with the employee and try to convince them about the benefits of the new intervention over the current practice. I will provide backup evidence using data and statistics drawn from the organization that has successfully implemented the new approach, and the benefits being realized. I will also give examples of colleges who have already adopted the change and have them explain the benefits from their own experience.

What additional resources may be necessary for a successful implementation?

Additional resources for the implementation of this project will include infrastructures such as computers, wi-fi, and HER software (Shelton, Cooper, & Stirman, 2018). These resources will be used to collect and keep data recorded on the 10 items MAI. Investors may also be needed to help provide adequate finances to support the project.

You have opposition or pushback from the nursing staff about making a change in practice during a pandemic crisis, how would you respond to this pushback?

I will align the needs of the change to the current needs of the pandemic crisis, and explain to them, how this new intervention will benefit the current situation (Stirman, Baumann, & Miller, 2019). With the Covid-19 pandemic, the elderly population is being affected by comorbidities more than ever. This increases the risks of inappropriate polypharmacy, hence the need for the 10 items MAI tool.

 

 

Reference

Brownson, R. C., Fielding, J. E., & Green, L. W. (2018). Building capacity for evidence-based public health: reconciling the pulls of practice and the push of research. Annual review of public health39, 27. DOI: 10.1146/annurev-publhealth-040617-014746

Stirman, S. W., Baumann, A. A., & Miller, C. J. (2019). The FRAME: an expanded framework for reporting adaptations and modifications to evidence-based interventions. Implementation Science14(1), 1-10. https://doi.org/10.1186/s13012-019-0898-y

Shelton, R. C., Cooper, B. R., & Stirman, S. W. (2018). The sustainability of evidence-based interventions and practices in public health and health care. Annual review of public health39, 55-76. https://doi.org/10.1146/annurev-publhealth-040617-014731

Osborne, S. (2017). Making evidence-based perioperative practices stick: An introduction to an implementation science approach. ACORN: The Journal of Perioperative Nursing in Australia30(4), 53-55. https://search.informit.org/doi/10.3316/informit.317274992620092

Cadogan, C. A., Ryan, C., Gormley, G. J., Francis, J. J., Passmore, P., Kerse, N., & Hughes, C. M. (2018). A feasibility study of a theory-based intervention to improve appropriate polypharmacy for older people in primary care. Pilot and feasibility studies4(1), 1-12. https://doi.org/10.1186/s40814-017-0166-3

Evidence-Based Practice Presentation Paper Details:

Develop a presentation no longer than 10-12 minutes with comprehensive speaker’s notes that covers all of the major areas of your proposal.

You will need to post your Evidence-Based Practice Presentation to the main forum in Topic 8 as directed by the instructor for class discussion and peer feedback.

Evidence-Based Practice Presentation Paper

ORDER NOW FOR INSTRUCTIONS-COMPLIANT, ORIGINAL PAPER

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be 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 not required to submit this assignment to Turnitin.

Resources

Loom

Loom is a free video recording tool that allows you send messages through shareable videos. For assistance on installing the software or usag

… 


Avoid Common Mistakes When Presenting Your Research, Evidence-Based Practice, or Quality Improvement Projects

Read “Avoid Common Mistakes When Presenting Your Research, Evidence-Based Practice, or Quality Improvement Projects,” by Siedlecki, from

… 


Writing an Abstract for a Poster or Oral Presentation

Read “Writing an Abstract for a Poster or Oral Presentation,” by Bodin and McDaniel, from Alabama Nurse (2019).


Poster Presentations: A Great Way to Share Your Evidence-Based Knowledge

Read “Poster Presentations: A Great Way to Share Your Evidence-Based Knowledge,” by Sawaya, from International Journal of Childbirth Ed

… 


Using Storylines for Bilingual Dissemination of a Grounded Theory

Read “Using Storylines for Bilingual Dissemination of a Grounded Theory,” by Ligita, Francis, Wicking, Harvey, and Nurjannah, from Nurs

… 


Advanced Nursing Research: From Theory to Practice

Read Chapters 22 and 23 in Advanced Nursing Research: From Theory to Practice.


Engagement of Community Stakeholders to Develop a Framework to Guide Research Dissemination to Communities

Read “Engagement of Community Stakeholders to Develop a Framework to Guide Research Dissemination to Communities,” by Cunningham-Erves, May

… 


Advanced Practice Nursing: Essential Knowledge for the Profession

Review Chapter 20 in Advanced Practice Nursing: Essential Knowledge for the Profession.


Innovations in Research Dissemination: Research Participants Sharing Stories at a Conference

Read “Innovations in Research Dissemination: Research Participants Sharing Stories at a Conference,” by Douglas, Jackson, Woods, and Usher,

… 

Evidence-Based Practice Project Proposal Presentation – Rubric

Introduction

Criteria Description

Introduction

5. 5: Excellent

6 points

NUR 590 Evidence-Based Practice Project Proposal Presentation The introduction is succinct, captures the attention of the audience, clearly identifies PICOT statement and the fundamental aspects of the evidence-based practice project proposal that will be the main talking points and for the presentation.

4. 4: Good

5.52 points

The introduction is adequate. The PICOT statement and the fundamental aspects of the evidence-based practice project proposal that will be the main talking points and PICOT statement for the presentation are discussed.

3. 3: Satisfactory

5.28 points

The introduction omits key aspects of the PICOT and fundamental aspects of the evidence-based practice project proposal that will be the main talking points and PICOT statement for the presentation.

2. 2: Less Than Satisfactory

4.8 points

The introduction generally presents the PICOT statement and most of the fundamental aspects of the evidence-based practice project proposal that will be the main talking points and for the presentation.

1. 1: Unsatisfactory

0 points

An introduction is not included.

Organizational and Cultural Readiness

Criteria Description

Organizational and Cultural Readiness

5. 5: Excellent

12 points

The organizational culture and readiness are thoroughly discussed and provide insight into the organization challenges.

4. 4: Good

11.04 points

The discussion on the organizational culture and readiness is incomplete.

3. 3: Satisfactory

10.56 points

The organizational culture and readiness are adequately discussed and provide the necessary insight into the organization challenges.

2. 2: Less Than Satisfactory

9.6 points

The discussion on the organizational culture and readiness is not included.

1. 1: Unsatisfactory

0 points

The organizational culture and readiness are generally discussed and provide insight into some of the challenges faced by the organization.

Problem Statement and Literature Review

Criteria Description

Problem Statement and Literature Review

5. 5: Excellent

18 points

The problem describes the issue using evidence-based support from the literature review to rationalize and justify the problem. The research from the literature review is current, relevant, and used to provide adequate rationale and support throughout.

4. 4: Good

16.56 points

The problem statement summarizes the issue and uses evidence-based support from some of the literature review to rationalize and justify the problem. The research from the literature review provides general support overall.

3. 3: Satisfactory

15.84 points

The problem statement is consistent throughout the presentation and concisely describes the issue using strong evidence-based support from the literature review to rationalize and justify the problem. The research from the literature review is current, relevant, and used to provide excellent rationale and support throughout.

2. 2: Less Than Satisfactory

14.4 points

The problem statement outlines the issue. Support from the research from the literature review is inconsistent.

1. 1: Unsatisfactory

0 points

The problem statement is not clearly stated. Research from the literature review is not included.

Change Model or Framework

Criteria Description

Change Model or Framework

5. 5: Excellent

12 points

The selected model or framework and its application to the proposed implementation are thoroughly described.

4. 4: Good

11.04 points

The selected model or framework and its application to the proposed implementation are adequately described.

3. 3: Satisfactory

10.56 points

The selected model or framework and its application to the proposed implementation are generally described.

2. 2: Less Than Satisfactory

9.6 points

The selected model or framework is and its application to the proposed implementation are only partially described.

1. 1: Unsatisfactory

0 points

The selected model or framework and its application to the proposed implementation are not described.

Implementation Plan

Criteria Description

Implementation Plan

5. 5: Excellent

12 points

The implementation plan is thoroughly described and provides the details for the various aspects.

4. 4: Good

11.04 points

The implementation plan is generally described and provides an overall outline for the various aspects.

3. 3: Satisfactory

10.56 points

The implementation plan is adequately described and provides the details for the various aspects.

2. 2: Less Than Satisfactory

9.6 points

The implementation plan is not described.

1. 1: Unsatisfactory

0 points

The implementation plan is only partially described.

Evaluation Plan

Criteria Description

Evaluation Plan

5. 5: Excellent

12 points

The evaluation plan is thoroughly described and provides the details for the various aspects.

4. 4: Good

11.04 points

The evaluation plan is adequately described and provides key information for the various aspects.

3. 3: Satisfactory

10.56 points

The evaluation plan is outlined and provides general information for most aspects.

2. 2: Less Than Satisfactory

9.6 points

The evaluation plan is only partially described.

1. 1: Unsatisfactory

0 points

The evaluation plan is not described.

Conclusion

Criteria Description

Conclusion

5. 5: Excellent

6 points

The conclusion is short, clear and summarizes the key points of the presentation in a powerful and memorable way. NUR 590 Evidence-Based Practice Project Proposal Presentation

4. 4: Good

5.52 points

The conclusion summarizes the key points of the presentation in a concise manner.

3. 3: Satisfactory

5.28 points

The conclusion outlines the broad aspects of the presentation.

2. 2: Less Than Satisfactory

4.8 points

The conclusion mentions some aspects of the presentation, but there are some key aspects missing.

1. 1: Unsatisfactory

0 points

A conclusion is not presented.

Research

Criteria Description

Research

5. 5: Excellent

6 points

Research is supportive of the rationale presented. Sources are distinctive. Addresses all of the issues stated in the assignment criteria.

4. 4: Good

5.52 points

Research is timely and relevant, and addresses all of the issues stated in the assignment criteria.

3. 3: Satisfactory

5.28 points

No outside sources were used to support the assignment.

2. 2: Less Than Satisfactory

4.8 points

Research is adequate. Sources are standard in relevance, quality of outside sources, or timeliness.

1. 1: Unsatisfactory

0 points

Few outside sources were used to support the assignment. Limited research is apparent.

Presentation

Criteria Description

Presentation PowerPoint, speaker notes, Loom voice over or video.

5. 5: Excellent

12 points

The submission is presented effectively, and all of the required elements creatively contribute to the presentation of the concepts. NUR 590 Evidence-Based Practice Project Proposal Presentation

4. 4: Good

11.04 points

The submission is presented effectively and contains all of the required elements.

3. 3: Satisfactory

10.56 points

The submission contains minor inconsistencies that are not overly distracting. Presentation contains a majority of the required elements.

2. 2: Less Than Satisfactory

9.6 points

The submission is ineffective, contains multiple inconsistencies, or is missing a few of the required elements.

1. 1: Unsatisfactory

0 points

The submission is incoherent, contains major inconsistencies, is not presented effectively, or is missing a substantial amount of the required elements.

Aesthetic Quality

Criteria Description

Aesthetic Quality

5. 5: Excellent

6 points

Design is cluttered. Materials detract from the content or the purpose of presentation is low quality.

4. 4: Good

5.52 points

Design is appropriate and integrates a variety of objects, charts, and graphs to amplify the message.

3. 3: Satisfactory

5.28 points

Design is clean. Skillful handling of text and visuals creates a distinctive and effective presentation. Overall, effective and functional audio, text, or visuals are evident.

2. 2: Less Than Satisfactory

4.8 points

Design is fairly clean, with a few exceptions. Materials add to, not detract from the presentation. Materials used were quality products and easy to see or hear.

1. 1: Unsatisfactory

0 points

Design detracts from purpose. Text and visuals are too simplistic, cluttered, and busy. Little or no creativity or inventiveness is present.

Synthesis

Criteria Description

Synthesis

5. 5: Excellent

6 points

Synthesis integrates ideas but does not adequately form a cohesive whole. Combination of elements at times is confusing.

4. 4: Good

5.52 points

Synthesis is unique. Synthesis shows careful planning and attention to how disparate elements fit together. The combination of elements is verified.

3. 3: Satisfactory

5.28 points

Synthesis integrates ideas to form a cohesive whole. Combination of elements is logical and justified.

2. 2: Less Than Satisfactory

4.8 points

Synthesis integrates ideas inadequately. The combination of elements is not logical.

1. 1: Unsatisfactory

0 points

Synthesis does not successfully integrate ideas to form a cohesive whole. The combination of elements is not logical and/or verifiable. NUR 590 Evidence-Based Practice Project Proposal Presentation

Mechanics of Writing

Criteria Description

Mechanics of Writing Includes spelling, punctuation, grammar, and language use.

5. 5: Excellent

6 points

The writer is clearly in command of standard, written, academic English.

4. 4: Good

5.52 points

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

3. 3: Satisfactory

5.28 points

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

2. 2: Less Than Satisfactory

4.8 points

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

1. 1: Unsatisfactory

0 points

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed.

Documentation of Sources

Criteria Description

Documentation of Sources Citations, footnotes, references, bibliography, etc., as appropriate to assignment and style.

5. 5: Excellent

6 points

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

4. 4: Good

5.52 points

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

3. 3: Satisfactory

5.28 points

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

2. 2: Less Than Satisfactory

4.8 points

Sources are not documented.

1. 1: Unsatisfactory

0 points

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

Total 120 points