PART 4 RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE NURS 6052
Walden University PART 4 RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE NURS 6052-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University PART 4 RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE NURS 6052 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 PART 4 RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE NURS 6052
Whether one passes or fails an academic assignment such as the Walden University PART 4 RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE NURS 6052 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 PART 4 RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE NURS 6052
The introduction for the Walden University PART 4 RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE NURS 6052 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.
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How to Write the Body for PART 4 RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE NURS 6052
After the introduction, move into the main part of the PART 4 RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE NURS 6052 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 PART 4 RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE NURS 6052
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 PART 4 RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE NURS 6052
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 PART 4 RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE NURS 6052 Included After Question
Assignment: Evidence-Based Project, Part 4: Recommending an Evidence-Based Practice Change
The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.
In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.
To Prepare:
Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
Consider the best method of disseminating the results of your presentation to an audience.
The Assignment: (Evidence-Based Project)
Part 4: Recommending an Evidence-Based Practice Change
Create an 8- to 9-slide PowerPoint presentation in which you do the following:
Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
Add a lessons learned section that includes the following:
A summary of the critical appraisal of the peer-reviewed articles you previously submitted
An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)
By Day 7 of Week 10
Submit Part 4 of your Evidence-Based Project.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Required Readings
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 7, “Patient Concerns, Choices and Clinical Judgement in Evidence-Based Practice” (pp. 219–232)
Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision making. Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186
Note: You will access this article from the Walden Library databases.
Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared decision making in intensive care units: An American College of Critical Care Medicine and American Thoracic Society policy statement. Critical Care Medicine, 44(1), 188–201. doi:10.1097/CCM.0000000000001396
Note: You will access this article from the Walden Library databases.
Opperman, C., Liebig, D., Bowling, J., & Johnson, C. S., & Harper, M. (2016). Measuring return on investment for professional development activities: Implications for practice. Journal for Nurses in Professional Development, 32(4), 176–184. doi:10.1097/NND.0000000000000483
Note: You will access this article from the Walden Library databases.
Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). Provider perspectives on the utility of a colorectal cancer screening decision aid for facilitating shared decision making. Health Expectations, 17(1), 27–35. doi:10.1111/j.1369-7625.2011.00730.x
Note: You will access this article from the Walden Library databases.
The Ottawa Hospital Research Institute. (2019). Patient decision aids. Retrieved from https://decisionaid.ohri.ca/
Rubric Detail
Select Grid View or List View to change the rubric’s layout.
Name: NURS_6052_Module06_Week10_Assignment_Rubric
Grid View
List View
Excellent Good Fair Poor
Part 4: Disseminating Results
Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project:
· Be sure to incorporate any feedback or changes from your presentation submission in Module 5.
· Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
81 (81%) – 90 (90%)
The narrated presentation accurately and completely summarizes the evidence-based project. The narrated presentation is professional in nature and thoroughly addresses all components of the evidence-based project.
The narrated presentation accurately and clearly explains in detail how to disseminate the results of the project to an audience, citing specific and relevant examples.
The narrated presentation accurately and clearly provides a justification that details the selection of this dissemination strategy that is fully supported by specific and relevant examples.
The narrated presentation provides a complete, detailed, and specific synthesis of two outside resources related to the dissemination strategy explained. The narrated presentation fully integrates at least two outside resources and two or three course-specific resources that fully support the presentation.
72 (72%) – 80 (80%)
The narrated presentation adequately summarizes the evidence-based project. The narrated presentation is professional in nature and adequately addresses the components of the evidence-based project.
The narrated presentation accurately explains how to disseminate the results of the project to an audience; some specific examples may be provided.
The narrated presentation accurately provides a justification for the selection of this dissemination strategy and may be supported by specific examples.
The narrated presentation provides an accurate synthesis of at least one outside resource related to the dissemination strategy explained. The narrated presentation integrates at least one outside resource and two or three course-specific resources that may support the presentation.
63 (63%) – 71 (71%)
The narrated presentation vaguely, inaccurately, or incompletely summarizes the evidence-based project. The narrated presentation may be professional in nature and somewhat addresses the components of the evidence-based project.
The narrated presentation inaccurately or vaguely explains how to disseminate the results of the project to an audience; inaccurate or vague examples may be provided.
The narrated presentation inaccurately or vaguely provides a justification for the selection of this dissemination strategy and may be supported by inaccurate or vague examples.
The narrated presentation provides a vague or inaccurate synthesis of outside resources reviewed related to the dissemination strategy explained. The response minimally integrates resources that may support the presentation.
0 (0%) – 62 (62%)
The narrated presentation vaguely and inaccurately summarizes the evidence-based project or is missing. The narrated presentation is not professional in nature and inaccurately and incompletely addresses the components of the evidence-based project or is missing.
The narrated presentation vaguely and inaccurately explains how to disseminate the results of the project to an audience, no examples are provided, or it is missing.
The narrated presentation vaguely and inaccurately provides a justification for the selection of this dissemination strategy, no examples are provided, or it is missing.
The narrated presentation provides a vague and inaccurate synthesis of outside resources reviewed related to the dissemination strategy explained or is missing. The presentation fails to integrate any resources to support the presentation.
Written Expression and Formatting—Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.
4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
Purpose, introduction, and conclusion of the assignment is stated yet is brief and not descriptive.
3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60–79% of the time.
Purpose, introduction, and conclusion of the assignment is vague or off topic.
0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.
No purpose statement, introduction, or conclusion was provided.
Written Expression and Formatting—English Writing Standards:
Correct grammar, mechanics, and proper punctuation.
5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
4 (4%) – 4 (4%)
Contains a few (one or two) grammar, spelling, and punctuation errors.
3.5 (3.5%) – 3.5 (3.5%)
Contains several (three or four) grammar, spelling, and punctuation errors.
0 (0%) – 3 (3%)
Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Total Points: 100
Name: NURS_6052_Module06_Week10_Assignment_Rubric
A Sample Answer For the Assignment: PART 4 RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE NURS 6052
Title: PART 4 RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE NURS 6052
PART 4 RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE NURS 6052
PART 4 RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE NURS 6052
I work with a tertiary hospital. The hospital has been providing its services for the last 50 years. The hospital provides a wide range of services to its populations. The services include inpatient, outpatient, surgeries, maternity, and psychiatric care services. The organization has an effective culture that promotes excellence. The culture of the organization is characterized by teamwork in the provision of patient care. The leadership and management encourages open communication to ensure that the needs of the healthcare providers are prioritized in patient care. The organization also utilizes transformation leadership styles to ensure that employees develop the competencies that they need in addressing the actual and potential needs of their populations. There is also the provision of rewards and incentives to motivate the employees engage in activities that contribute to the optimum care outcomes in the organization. Based on the above, the organization is ready to implement change that addresses the issue of the increasing prevalence of CLABSI .
The current problem in the organization is the high prevalence of CLABSI in patients admitted in the acute care settings. CLABSI rates have been rising over the past translating into low quality and safety of patient care. The high rate of CLABSI could be attributed to the low level of awareness among the healthcare providers on the interventions used in the prevention of CLABSI (Scheier et al., 2021). The low level of awareness and skills imply that evidence-based interventions may not be utilized in providing the needed patient care. CLABSI is associated with a number of adverse outcomes. The adverse outcomes include the increased risk of complications, increased care costs, hospital stay, and reduced quality of life. Evidence-based interventions exist for CLABSI (Reynolds et al., 2021). Therefore, the problem can be addressed to ensure high quality, safe and efficient care in the organization.
The scope of the proposed issue is the prevention of CLABSI in acute care patients. The aim is to reduce the prevalence of CLABSI among hospitalized patients. The healthcare providers will be involved in the implementation of the change. It is expected that the implementation of the change will reduce the negative effects of CLABSI and promote safety, quality and efficiency in patient care. The stakeholders will include nurses, physicians, managers and nurse leaders. Nurses will be involved in the implementation of the change. They will administer the chlorhexidine baths to reduce CLABSI (Zerr et al., 2021). Physicians and nurses will work together to implement the intervention. Managers and nurse leaders will coordinate the implementation process of the change. They will ensure that the implementation is done according to the developed plan. They will also oversee the use of the resources in the implementation of the change.
Implementation of change is associated with a number of risks. The first risk is resistance to change. There is an increased risk of the healthcare providers and other stakeholders declining to embrace the change. The resistance could be attributed to lack of knowledge or inadequate preparedness for the change. The other risk is the lack of support from the hospital. A lack of support will result in poor implementation due to scarcity in resources (Greenhalgh, 2017). The other risk is misuse of resources. Ineffective or poor implementation of change may lead to resource wastage. Lastly, it increases the risk of adverse patient outcomes. Poor implementation of the change may lead to patient harm due to safety issues with the adopted interventions (Chletsos & Saiti, 2020). Therefore, interventions should be implemented to enhance the adoption process of the change.
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The proposed evidence-based idea is the use of chlorhexidine bathing to reduce the risk and rate of CLABSI in acute care settings. The existing evidence shows that chlorhexidine is effective in reducing and destroying disease causing bacteria on the skin. The reduction implies that the risk of patients CLABSI is reduced significantly. There is also the improvement in the safety and quality of care that patients receive. The use of chlorhexidine in preventing CLABSI is feasible because it does not require the extensive use of organizational resources and skills (Zerr et al., 2021). The proposed intervention can produce sustainable outcomes, hence, the need for its adoption in the organization.
PART 4 RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE NURS 6052
The plans for knowledge transfer will be varied. One of them will be the promotion of the active involvement of the stakeholders in the change initiatives. Active stakeholder involvement will ensure that the stakeholders have developed the needed competencies for the implementation and sustainability of the change. The second strategy will be the promotion of open communication. Open communication will be used to foster trust and honesty among the stakeholders. Open communication will also enable the stakeholders to express their needs and ideas related to the change. The third strategy will be training. Training will be offered to the stakeholders to minimize resistance to change. Lastly, regular assessments will be offered to ensure that the stakeholders receive frequent feedback on their abilities, challenges and opportunities for achieving outcomes in the implementation of the intervention (Greenhalgh, 2017).
Several dissemination plans will be used in the project. The first one will be the presentation of the results to the healthcare providers in the organization. Dissemination to the healthcare providers will create awareness among them and increase their understanding of the need for the change in promoting optimum outcomes of care. The second dissemination plan is publishing the results of the intervention in reputable journals of nursing and healthcare. Publishing will create an extensive reach and awareness of the other healthcare providers about the ways of promoting quality, safety and efficiency in patient care. The other strategy will be presenting the results in scientific conferences. This will create awareness and facilitate discussions about the ways in which the intervention can be improved further. The last dissemination approach will be implementing the use of the intervention across the organization (Wensing et al., 2020). This will ensure the uniform implementation of the change for improved outcomes in the organization.
One of the measurable outcomes that will be associated with the proposed change is the reduction of the rate of CLABSI in the hospital. The reduction will be attributable to the use of chlorhexidine baths to eliminate disease causing bacteria on the skin. The other measurable outcome is the reduction in the hospital stay and costs by patients admitted in the acute care settings. The reduction will be attributed to the effectiveness of the intervention. The other outcome is the incorporation of the intervention into clinical policies of safety and quality. The incorporation will ensure sustained and consistent use of chlorhexidine baths in reducing CLABSI .
I learned a number of lessons from the critical appraisal of evidence and completing the evaluation table. One of the lessons learned is that CLABSI is a critical health concern in acute care settings. The risks of patients developing CLABSI are high. I also learned that CLABSI is associated with negative outcomes to patients and healthcare systems. They include increasing costs of care, complications, poor quality of life, and increased utilization of resources. I also learned that CLABSI are preventable. Healthcare providers have the essential role of exploring evidence-based interventions that can be used to prevent and reduce the risk of CLABSI . The experience also showed that the use of chlorhexidine baths is highly feasible in preventing and reducing CLABSI . Therefore, the implementation of the proposed change should aim at utilizing best practices to ensure the realization of optimum outcomes in the process.
REFERENCES
uChletsos, M., & Saiti, A. (2020). Strategic Management and Economics in Health Care. Springer Nature.
uGreenhalgh, T. (2017). How to Implement Evidence-Based Healthcare. John Wiley & Sons.
uReynolds, S. S., Woltz, P., Keating, E., Neff, J., Elliott, J., Hatch, D., Yang, Q., & Granger, B. B. (2021). Results of the CHlorhexidine Gluconate Bathing implementation intervention to improve evidence-based nursing practices for prevention of central line associated bloodstream infections Study (CHanGing BathS): A stepped wedge cluster randomized trial. Implementation Science, 16(1), 45. https://doi.org/10.1186/s13012-021-01112-4