NUR 590 Description of the methods to be used to implement the proposed solution
Evidence-Based Practice Proposal – Section E: Implementation Plan
In 1,000-1,500 words, provide a description of the methods to be used to implement the proposed solution. Include the following:
Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Although you will not be submitting the consent or approval forms in Topic 5 with the narrative, you will include the consent or approval forms in the appendices for the final paper.
Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, you will include the timeline in the appendices for the final paper.
Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, you will include the resource list in the appendices for the final paper.
Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, you will include the instruments in the appendices for the final paper.
Explain the process for delivering the (intervention) solution and indicate if any training will be needed.
Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, you will include the data collection tools in the appendices for the final paper.
Describe the strategies to deal with the management of any barriers, facilitators, and challenges.
Establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer-related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, you will include the budget plan in the appendices for the final paper.
NUR 590 Topic 4 DQ 1
Explain whether you would select a qualitative or quantitative design to collect data and evaluate the effectiveness of your evidence-based practice project proposal. Identify which data collection tool you would specifically use and explain why this design is best for your evidence-based practice project proposal.
My PICOT: In patients with a central line (P), does use of a central line care bundle (I), when compared to no use of a central line care bundle (C), lead to lower central line associated blood infection (CLABSI) rates (O), over the course of three months (T)?
Careful identification of study intentions and meaningful data collection is an essential piece in the evidence-based practice study design process. Though daunting, statistics “play a key role in health and human related research… statistical analysis assists in arriving at right conclusions which then promotes generalization or application of findings to the whole population of interest in the study,” (Rebekah & Ravindran, 2021, p 62). My PICOT intervention aims to reduce the rate of CLABSI occurrence over the course of three months. This quantitative evaluation leads me to design a quantitative evidence-based practice study that considers the numbers and rates of CLABSI occurrence and whether or not implementing a standard bundle will effectively reduce these. Additionally, statistical analysis is essential to give meaning and a story behind a great deal of numbers, with ultimate positive impact on patient popultaion outcomes (Rebekah & Ravindran, 2021). Inferential statistics allow for statistical analysis of data collected to then draw conclusions from specific interventions or scenarios.
My PICOT data collection does not require an intermediate or advanced statistical software. Instead, I would use an Excel document to collect information on a randomized control trial approach to patient information, whether or not the intervention of a central line care bundle was implemented or not, and if CLABSI rates were seen to be decreased compared to those without use of a central line care bundle. This would need to be done with access to patient health records in EPIC, to review documentation as well as nurse interventions actually being performed with this patient group. Using basic excel formulas, analysis is able to be performed on this somewhat simple comparison (Rebekah & Ravindran, 2021). I anticipate the largest challenge will be identifying those who will participate in the study, and if it can be done in a randomized fashion.
References
Rebekah, G. & Ravindran, V. (2021). Statistical analysis in nursing research. Indian Journal of Continuing Nursing Education, 19(1), p 62-69.
In the evidence based research project I am proposing, observing the effect that education has on physical health changes such as weight loss in order to decrease obesity rates may be best suited in a quantitative research design. This is because collecting body measurements would include physical number categorizing as well as identifying nutritional amounts in meals could be an important factor in evaluating if certain types of educational content are more effective than others (Metzgar & Nickols-Richardson, 2016). In order to collect quantitative data for the research project, the best data collection tool I believe would provide sufficient data for evidence based practice would be through survey. Surveys would be the most realistic option as my project setting would be set within the education department working with outpatient and public avenues (Lallukka, Pietilaeinen, Jaeppinen, Laaksonen, Lahti & Rahkonen, 2020). Controlled environments would cost too much resources to sustain and surveys that would include questions about changes in measurements what what type of foods being consumed within the time frame would provide data that can show direct correlation with less cost making them more efficient. However I would only distribute surveys for evaluation for those who have actively been contacted to participate in the project instead of using national surveys or general public ones.
References:
Lallukka, T., Pietilaeinen, O., Jaeppinen, S., Laaksonen, M., Lahti, J., & Rahkonen, O. (2020). Factors associated with health survey response among young employees: a register-based study using online, mailed and telephone interview data collection methods. BMC PUBLIC HEALTH, 20(1).
Metzgar, C. J., & Nickols-Richardson, S. M. (2016). Effects of nutrition education on weight gain prevention: a randomized controlled trial. Nutrition Journal, 15, 1–13. https://doi-org.lopes.idm.oclc.org/10.1186/s12937-016-0150-4
Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.
You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
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Note: After submitting the assignment, you will receive feedback from the instructor. Use this feedback to make revisions for your final paper submission. This will be a continuous process throughout the course for each section.
