Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal.

Include the following:

1. Provide an overview the problem and the setting in which the problem or issue occurs.
2. Explain why a quality improvement initiative is needed in this area and the expected outcome.
3. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
4. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
5. Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.
6. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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 required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance

Experimental research is a mathematical approach to research with the randomized control group, where one or more independent variables are manipulated and applied to one or more dependent variables to measure any change in other variables (Helbig, 2018). For example, Shanghai Chest Hospital in China has performed one experimental research with a randomized clinical trial to study the effectiveness of nebulized dexmedetomidine-lidocaine for topical anesthesia as a premedication for flexible bronchoscopy (Gu et al., 2019). In the research study, sixty patients were divided into three groups in a random method. The study was looking for the efficacy of different methods to determine the most effective route to give dexmedetomidine-lidocaine as premedication for flexible bronchoscopy. With the reduced occurrence of moderate to severe coughing, quicker recovery, and reduced vasoconstrictor consumption during bronchoscopies, the study found Nebulized dexmedetomidine-lidocaine inhalation as most effective for bronchoscopy (Gu et al., 2019).

Quasi-experimental research also known as non-randomized research is similar to experimental research as there is the manipulation of an independent variable (Helbig, 2018). However, the study does not include a control group or randomization in the research. For example, one public Spanish university performs a pilot study among the first-year undergraduate students in the academic year of 2017/2018. The sample involved 112 first-year undergraduate students. This study has identified various educational activities to improve the competence and critical thinking of nursing students.

Nonexperimental research design is one of the broadest categories of research design in which research study does not manipulate or control independent variables. Researchers conducting nonexperimental research study measure variables as they naturally occur (Helbig, 2018). For example, the International Journal of Pediatric Otorhinolaryngology has performed an analytical study to find an association between obstructive sleep apnea syndrome (OSAS) and the complication of thoracic deformity in children. The research study has analyzed medical records of 39 pediatric OSAS patients with thoracic deformity and 39 pediatric OSAS patients without thoracic deformity as a control group between January 2015 and June 2019 (Wang et al.,2020)

References

Grimsmo, A., Løhre, A., Røsstad, T., Gjerde, I., Heiberg, I., & Steinsbekk, A. (2018). Disease- specific clinical pathways – are they feasible in primary care? A mixed-methods study. Scandinavian Journal of Primary Health Care, 36(2), 152-

160. https://doi.org/10.1080/02813432.2018.1459167

Gu, W., Xu, M., Lu, H., Huang, Q., & Wu, J. (2019). Nebulized dexmedetomidine-lidocaine inhalation as a premedication for flexible bronchoscopy: A randomized trial. Journal of Thoracic Disease, 11(11), 4663-4670. https://doi.org/10.21037/jtd.2019.10.59

Helbig, J. (2018). Applied statistics for health care. https://lc.gcumedia.com/hlt362v/applied-statistics-for-health-care/v1.1/#/chapter/4

Wang, Y., Lin, C., Ye, S., Xu, Y., Lin, X., Ke, X., Zheng, J., Chen, Y., & Chen, G. (2020). Study on the correlation between OSAS and thoracic deformity in children: A retrospective single-center study in China. International Journal of Pediatric Otorhinolaryngology, 137, 110226. https://doi.org/10.1016/j.ijporl.2020.110226