Synthesize the Independent Evidence-based Practice Project Proposal
For this assignment, you will synthesize the independent evidence-based practice project proposal assignments from NUR-550 and NUR-590 into a 4,500-5,000-word professional paper.
The final paper should:
- Incorporate all necessary revisions and corrections suggested by your instructors.
- Synthesize the different elements of the overall project into one paper. The synthesis should reflect the main concepts for each section, connect ideas or overreaching concepts, and be rewritten to include the critical aspects (do not copy and paste the assignments).
- Contain supporting research for the evidence-based practice project proposal.
Main Body of the Paper
The main body of your paper should include the following sections:
- Problem Statement
- Organizational Culture and Readiness
- Literature Review
- Change Model, or Framework
- Implementation Plan
- Evaluation Plan
The appendices at the end of your paper should include the following:
- All final changes or revisions for the drafts that will be included in the appendices of your paper.
- 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 the final appendix at the end of your paper. In each preceding course you have been directed to the Student Success Center for assistance with APA style, and have submitted the APA Writing Checklist to help illustrate your adherence to APA style. This final paper should demonstrate a clear ability to communicate your project in a professional and accurately formatted paper using APA style.
You are required to cite 10-12 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.
NUR 590 Topic 4 DQ 2
Identify which statistical test you would use in conjunction with your selected research design from DQ 1 to evaluate the outcomes for your evidence-based project proposal and explain why you selected this test. What kind of information will this test provide about your outcomes?
According to Parab & Bhalerao, “statistical tests are mathematical tools for analyzing quantitative data generated in a research study” (2010). There are a number or test that researchers can use which can also become overwhelming and cause confusion for the research, and that can lead to sabotaging and tainting their study. Selecting the statistical test helps the researcher understand what to look for in the study as well as help organize their data. Parab & Bhalerao (2010) stated that “Before selecting a statistical test, a researcher has to simply answer the following six questions, which will lead to correct choice of test:”.
- How many independent variables covary (vary in the same time period) with the dependent variable?
- At what level of measurement is the independent variable?
- What is the level of measurement of the dependent variable?
- Are the observations independent or dependent?
- Do the comparisons involve populations to populations, a sample to a population, or are two or more
- Is the hypothesis being tested comparative or relationship?
Statistical testing is used explain the results of a study. The test that I would use would be the t-test. “A t-test is a type of inferential statistic used to determine if there is a significant difference between the means of two groups, which may be related in certain features” (Investopedia, n.d.). I would used this test because of show the averages of nurses to patient ratios to help determine the correlation between low staffing and high staffing and whether each has a positive or negative effect on patient health outcomes.
Investopedia. (n.d.). T-Test. Retrieved from https://www.investopedia.com/terms/t/t-test.asp
Parab, S. & Bhalerao, S. (2010). Choosing Statistical Test. International Journal of Ayurveda Research. 1(3): 187-191. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2996580/
Statistical tests can be chosen based on independent factors and other project designs. My project seeks to identify if PPE education increases informal (family) caregiver compliance to PPE usage. I’ve identified at least one confounding variable, which is the effects of PPE usage modeling by staff. Siebert et al. (2018) found staff modeling and teaching was a big part of compliance of visitors. However, there is a test which accounts for differences in participants.
I am choosing a mixed design ANOVA test due to the used of different participants in each group. A mixed design measures “change over time, differences between the groups, interaction of time and group effects” (Tappen, 2016). This will show the differences between groups (education versus no education) and within the groups themselves. It can be used to measure the change between before and after the intervention of education. It will help control for the different participants in each intervention group. It could measure the change from several different time points, as desired.
Seibert, G., Ewers, T., Barker, A. K., Slavick, A., Wright, M. O., Stevens, L., & Safdar, N. (2018). What do visitors know and how do they feel about contact precautions? American Journal of Infection.
Tappen, R. (2016). Advanced Nursing Research. Jones & Bartlett.
It is important to choose the correct statistical test when conducting research, as research should maintain validity. To correctly perform the statistical analysis of quantitative data, two key points should be considered: One is to identify the type of experimental design correctly, and the other is to check whether data meets the preconditions of the parameter test (Liang & Wang, 2019. If these are not considered, it can cause misuse of data and can possibly conclude false conclusions. I believed that the Paired T- Test would best fit my project proposal. The Paired T-Test tests the difference between two variables with the same population. For example pre and post test scores. This would allow the comparison of performance before and after the completion of the organizational change implementation. Determining the amount of hands off time during cardiopulmonary resuscitation would be the first variable, while the data obtained for hands off time during CPR with implementation of continuous compressions during defibrillation would be the second variable. Comparing these two variables should produce the conclusion that continuous compressions during hands on defibrillation decreases hands off time during CPR and increase patient outcomes. Ultimately this test would determine the amount of “hands-off” during CPR comparing standard CPR and continuous compressions during defibrillation.
Liang, G., Fu, W., & Wang, K. (2019). Analysis of t-test misuses and SPSS operations in medical research papers. Burns & trauma, 7.
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.
This benchmark assignment assesses the following programmatic competencies:
MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing
1.1: Translate research and knowledge gained from practice, while adhering to ethical research standards, to improve patient outcomes and clinical practice.
5.1: Design ethically sound, evidence-based solutions to complex health care issues related to individuals, populations, and systems of care.
For professional writing in nursing and health care, APA style is expected. It is also expected for the remainder of your graduate program and in doctoral programs for nursing. Discuss what you have learned, or how you have improved, by completing the “APA Writing Checklist” and from receiving feedback from your instructors. What aspects of APA do you still struggle with? In your response to peers, provide a resource from the Student Success Center (or in addition to something in the Student Success Center) or a suggestion for an area in which someone still struggles
The evidence-based practice (EBP) process is a powerful way of advancing improvements in health care. Identify three strategies that you will now incorporate into your practice based on this course. Explain your rationale.
Translating Evidence Into Practice: How Advanced Practice RNs Can Guide Nurses in Challenging Established Practice to Arrive at Best Practice
Read “Translating Evidence Into Practice: How Advanced Practice RNs Can Guide Nurses in Challenging Established Practice to Arrive at
… Read More
Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice
Read “Making Connections: An EBP Exemplar” in Unit 6 in Evidence-Based Practice in Nursing and Healthcare: A Guide t
… Read More
Advanced Nursing Research: From Theory to Practice
Read Chapter 25 in Advanced Nursing Research: From Theory to Practice.
Translating Evidence Into Practice Through Knowledge Implementation
Read “Translating Evidence Into Practice Through Knowledge Implementation,” by Campione, Wampler-Kuhn, and Fisher, from Rehab
… Read More