NUR-590 – Evidence-Based Practice Project

NUR-590 – Evidence-Based Practice Project Course Syllabus

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Evidence-Based Practice Project

Course Description

This course provides an opportunity for students to complete their evidence-based practice (EBP) project proposal addressing a problem, issue, or concern in their specialty area of professional practice. Students previously identified a problem amenable to a research-based intervention and searched the literature. In this course, students propose a solution, explore implementation considerations and various evaluation methodologies, complete the project proposal by developing a plan to implement the solution into the intended practice area, and design an evaluation plan that assesses the EBP project proposal’s intended outcome(s). Prerequisite: NUR-550.

Pre-Requisites

NUR-550.

Co-Requisites

None

NUR-590

Course Materials

Topic 1: Evidence-Based Practice

Description

Objectives:

1. Discuss problems, issues, and concerns in the professional work setting that are amenable to a research-based intervention using the PICOT format (i.e., population, intervention, comparison, outcomes, and time frame).
2. Examine the role of evidence-based practice (EBP) and change proposals in advanced registered nursing.

Study Materials

Review Chapters 1-3 in Advanced Nursing Research: From Theory to Practice.

Evidence-Based Practice in Nursing and Healthcare

Description:

Read Chapters 1 and 2 in Evidence-Based Practice in Nursing and Healthcare.

Striving for Evidence-Based Practice Innovations Through a Hybrid Model Journal Club: A Pilot Study

Description:

Read “Striving for Evidence-Based Practice Innovations Through a Hybrid Model Journal Club: A Pilot Study,” by Wilson, Ice, Nakashima, Cox, Morse, Philip, and Vuong, from Nurse Education Today(2015).

Effect of Online Journal Club on Evidence-Based Practice Knowledge, Intent, and Utilization in School Nurses

Description:

Read “Effect of Online Journal Club on Evidence-Based Practice Knowledge, Intent, and Utilization in School Nurses,” by Sortedahl, from Worldviews on Evidence-Based Nursing(2012).

6 Steps for Transforming Organizational EBP Culture

Description:

Read “6 Steps for Transforming Organizational EBP Culture,” by Ogiehor-Enoma, Taqueban, and Anosike, from

Nursing Management (2010).

About the CEBM

Description:

Read “About the CEBM?” located on the Centre for Evidence-Based Medicine website.

Evidence-Based Practice Tutorial

Description:

Read the Evidence-Based Practice tutorial, located on the Duke University website.

Resources

Description:

Explore the Resources page on the Centre for Evidence-Based Medicine website.

Evidence-Based Medicine

Description:

Explore the Evidence-Based Medicine page of the University of Illinois Library of the Health Sciences website. Use this website as a resource for your project.

Tasks

Topic 2: Making a case for Evidence-Based Practice

Description

Objectives:

1. Describe effective strategies to create an evidence-based practice culture within healthcare
2. Assess stakeholders, team roles, and leadership skills needed to bring about
3. Create evidence-based practice objectives that are aligned to measurable

Study Materials

Read Chapter 25 in Advanced Nursing Research: From Theory to Practice.

Evidence-Based Practice in Nursing and Healthcare

Description:

Read Chapter 3 in Evidence-Based Practice in Nursing and Healthcare.

Joanna Briggs Institute EBP Database

Description:

Use the Joanna Briggs Institute EBP Database to search for EBP resources related to your project.

Guide to Clinical Preventive Services

Description:

Read the Guide to Clinical Preventive Services located on the Agency for Healthcare Research and Quality website.

Centre for Evidence-Based Medicine

Description:

Explore the Centre for Evidence-Based Medicine (CEBM) website.

National Guideline Clearinghouse

Description:

Explore the National Guideline Clearinghouse website.

The Cochrane Collaboration

Description:

Explore The Cochrane Collaboration website.

Star Model Research

Description:

Explore the Star Model Research website.

Cochrane Library

Description:

Explore the Cochrane Library website.

Agency for Healthcare Research and Quality

Tasks

Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment and Section B: Proposal/Problem Statement and Literature Review

Description:

In order to formulate your evidence-based practice (EBP), you need to assess your organization. In this assignment, you will be responsible for setting the stage for EBP. This assignment is conducted in two parts: an organizational cultural and readiness assessment and the proposal/problem statement and literature review, which you completed in NUR-550.

Section A: Organizational Culture and Readiness Assessment

It is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation. Select an appropriate organizational culture survey tool and use this instrument to assess the organization’s readiness.

1. Develop an analysis of 250 words from the results of the survey, addressing your organization’s readiness level, possible project barriers and facilitators, and how to integrate clinical inquiry, providing strategies that strengthen the organization’s weaker
2. Make sure to include the rationale for the survey category scores that were significantly high and low, incorporating details or Explain how to integrate clinical inquiry into the organization.
3. Submit a summary of your The actual survey results do not need to be included.

Section B: Proposal/Problem Statement and Literature Review

In NUR-550, you developed a PICOT statement and literature review for a population quality initiative. In 500-750 words, include the following:

1. Refine your PICOT into a proposal or problem
2. Provide a summary of the research you conducted to support your PICOT, including subjects, methods, key findings, and

General Guidelines:

You are required to cite three to five 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.

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. Please refer to the directions in the Student Success Center.

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.

Topic 2 DQ 1

Description:

Topic 3: Proposing the Solution

Description

Objectives:

1. Critically appraise the best available evidence for a proposed
2. Recognize the validity and reliability of clinical recommendations for

Study Materials

Tasks

Evidence-Based Practice Proposal – Section C: Solution Description

Description:

Write a paper of 500-750 words for your proposed evidence-based practice project solution. Address the following criteria:

1. Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or (b) Consider if the intervention may be unrealistic in your setting, if it may be too costly, or if there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your problem statement before continuing.
2. Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and
3. Expected Outcomes: Explain the expected outcomes of the The outcomes should flow from the problem statement.
4. Method to Achieve Outcomes: Develop an outline of how the outcomes will be List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations that may need to be addressed.
5. Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, or professional

You are required to cite three to five 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.

Topic 4: Theoretical Frameworks and Models for Change

Description

Objectives:

1. Differentiate between the following models for applying evidence-based practice: Stetler model, Iowa model, model for evidence-based practice for individual practitioners, and ARCC
2. Describe the obstacles or barriers to implementing evidence-based
3. Explain why patient values and clinical judgment must be considered before applying the evidence in clinical decision-making for an individual

Study Materials

Tasks

Evidence-Based Practice Proposal – Section D: Change Model

Description:

Roger’s diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck’s change curve model or the transtheoretical model of behavioral change. Other conceptual models, such as a utilization model (Stetler’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying your evidence-based proposal in clinical practice. Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model.

In 500-750 words (not including the title page and references page), discuss applying one of the change models to the implementation plan:

1. Identify the selected model or theoretical framework and discuss its relevance to your
2. Discuss each of the stages in the change model/framework.
3. Describe how you would apply each stage in your proposed

In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 4 with the narrative, you will include the conceptual model in the appendices for the final paper.

You are required to cite three to five 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.

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. Please refer to the directions in the Student Success Center.

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.

Topic 4 DQ 1

Description:

What are some of the obstacles or barriers to implementing EBP in nursing? Provide a rationale for your answer. Since there are numerous topics on the issue, it is not appropriate to repeat one that has already been mentioned unless providing new information.

Topic 4 DQ 2

Description:

Topic 5: Evidence-Based Practice Implementation

Description

Objectives:

1. Analyze the components associated with implementing evidence-based
2. Develop strategies to counter opposition and facilitate

Study Materials

Tasks

Evidence-Based Practice Proposal – Section E: Implementation Plan

Description:

In 1,000-1,500 words, provide a description of the methods to be used to implement the proposed solution. Include the following:

1. Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be 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.
2. Describe the amount of time needed to complete this 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.
3. 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 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.
4. Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed 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.
5. Explain the process for delivering the (intervention) solution and indicate if any training will be
6. Provide an outline of the data collection plan. Describe how data management will be maintained and by 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.
7. Describe the strategies to deal with the management of any barriers, facilitators, and
8. 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
9. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after

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.

Topic 6: Evaluating Practice Change

Description

Objectives:

1. Design processes to evaluate
2. Recognize gaps in evidence for
3. Evaluate evidence to determine and implement the best evidence for

Study Materials

Tasks

Evidence-Based Practice Proposal – Section F: Evaluation of Process

Description:

In 500-750 words, develop an evaluation plan to be included in your final evidence-based practice project. Provide the following criteria in the evaluation, making sure it is comprehensive and concise:

1. Describe the rationale for the methods used in collecting the outcome
2. Describe the ways in which the outcome measures evaluate the extent to which the project objectives are
3. Describe how the outcomes will be measured and evaluated based on the Address validity, reliability, and applicability.
4. Describe strategies to take if outcomes do not provide positive
5. Describe implications for practice and future

You are required to cite three to five 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.

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. Please refer to the directions in the Student Success Center.

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.

Topic 7: Disseminating Evidence

Description

Objectives:

1. Analyze the strategies used to disseminate evidence to influence health care

Study Materials

Tasks

Benchmark – Evidence-Based Practice Proposal Final Paper

Description:

Throughout this course, you have developed a formal, evidence-based practice proposal.

The proposal is the plan for an evidence-based practice project designed to address a problem, issue, or concern in the professional work setting. Although several types of evidence can be used to support a proposed solution, a sufficient and compelling base of support from valid research studies is required as the major component of that evidence. Proposals must be submitted in a format suitable for obtaining formal approval in the work setting. Proposals will vary in length depending upon the problem or issue addressed (3,500 and 5,000 words). The cover sheet, abstract, references pages, and appendices are not included in the word count.

Section headings for each section component are required. Evaluation of the proposal in all sections will be based upon the extent to which the depth of content reflects graduate-level critical thinking skills.

This project contains seven formal sections:

1. Section A: Organizational Culture and Readiness Assessment
2. Section B: Proposal/Problem Statement and Literature Review
3. Section C: Solution Description
4. Section D: Change Model
5. Section E: Implementation Plan
6. Section F: Evaluation of Process

Each section (A-F) will be submitted as a separate assignment in Topics 1-6 so your instructor can provide feedback (refer to applicable topics for complete descriptions of each section).

The final paper submission in Topic 7 will consist of the completed project (with revisions to all sections), title page, abstract, compiled references list, and appendices. Appendices will include a conceptual model for the project, handouts, data and evaluation collection tools, a budget, a timeline, resource lists, and approval forms, as previously assigned in individual section assignments.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

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. Please refer to the directions in the Student Success Center.

Topic 7 DQ 1

Description:

Identify the audience for your EBP proposal and discuss strategies for disseminating the proposal.

Topic 7 DQ 2

Description:

How will you ensure that all appropriate audiences receive information about research and EBP initiatives?

Topic 8: Evidence-Based Practice Appraisal

Description

Objectives:

1. Develop an evidence-based
2. Critique evidence-based proposals to determine the best

Study Materials

Tasks

Grade Scale

Final Grade Column

Grade Categories

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