Application Assignment: Planning for Change, Implementing and Evaluating EBP Projects
Evaluating EBP Projects
Many factors influence how successfully an EBP Project is implemented and evaluated. As noted in this week's Learning Resources, using a translation framework can facilitate effective implementation and the evaluation of outcomes.
As you complete Application 4, revisit the evidence-based practice model or framework you selected for your EBP Project. How does the model or framework facilitate the evaluation of outcomes? Would another model or framework better meet the needs of your project?
To prepare for this section of Application:
• Continue (from this Discussion [use the discussion you are currently working on for me]) to:
o Identify an appropriate method for evaluating your outcomes.
o Develop new practice guidelines based on the possible results of the evaluation.
o Create, if appropriate, new standards of care that would be based on the new practice guidelines.
Write a 4- to 8-page paper that addresses the following:
1) Planning for EBP Change.
a) Analyze the impact of implementing change in your practice environment, including the factors that need to be considered regarding stakeholders and end users.
b) Summarize the methods you would use to ensure that those are adequately addressed.
2) Implementing EBP Projects
a) Identify the desired outcomes of your EBP Project.
b) Describe any macro or micro systems issues that may inhibit implementation and strategies for resolving those issues.
c) Explain how resolving your EBP Project issue will improve quality and patient safety.
3) Evaluating EBP Projects (See this week Discussion you are currently working on)
a) Describe evaluation strategies.
b) Formulate new practice guidelines based on the possible results of the evaluation of outcomes.
c) Describe, if appropriate, new standards of care relevant to the new practice guidelines.
Format your assignment according to the following formatting requirements:
1. The answer should be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
2. The response also include a cover page containing the title of the assignment, the student's name, the course title, and the date. The cover page is not included in the required page length.
3. Also Include a reference page. The Citations and references should follow APA format. The reference page is not included in the required page length.
Required Readings
White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.
• Chapter 4, "Translation of Evidence to Improve Clinical Outcomes"
• Chapter 5, "Translation of Evidence for Improving Safety and Quality"
• Chapter 7, "Translation of Evidence for Health Policy"
• Chapter 17, "Data Management and Evaluation of Translation"
• Chapter 14, "Creating a Culture That Promotes Translation"
• Chapter 15, "Best Practices in Translation: Challenges and Barriers in Translation"
Darling, F. (2016). Practitioners' views and barriers to implementation of the Keeping Birth Normal tool: A pilot study. British Journal of Midwifery, 24(7), 508-519.
Sadeghi-Bazargani, H., Tabrizi, J.S., & Azami-Aghdash, S. (2014). Barriers to evidence-based medicine: a systematic review. Journal of Evaluation in Clinical Practice, 20, 793-802.
Smith, E.L., Rice, K.L., & Agrell-Kann, M. (2015). Improving quality outcomes using a champion model for ancillary nursing staff, Journal of Continuing Education in Nursing, 46(12), 539-541.
Andermann, A., Pang, T., Newton, J.T., Davis, A., & Panisset, U. (2016). Evidence for health II: Overcoming barriers to using evidence in policy and practice. Health Research Policy and Systems, 14 (17) doi 10.1186/s12961-016-0086-3
Catallo, C. & Sidani, S. The self-assessment for organizational capacity instrument for evidence-informed health policy: Preliminary reliability and validity of an instrument (2014). Worldviews on Evidence-Based Nursing, 11(1), 35-45.
Malterud, K., Bjelland, K., & Elvbakken, K.T. (Evidence-based medicine - an appropriate tool for evidence-based health policy? A case study from Norway. Health Research Policy and Systems, 14 (15) doi 10.1186/s12961-016-0088-1
Rehfuess, E.A., Durao, S., Kyamanywa, P., Meerpohl, J. J., Young, T., & Rohwer, A. (2016). An approach for setting evidence-based and stakeholder-informed research priorities in low- and middle-income countries, Policy & Practice, 94, 297-305 doi.
Schaffer, M.A., Sandau, K.E., & Diedrick, L. (2013). Evidence-based practice models for organizational change: overview and practical applications. Journal of Advanced Nursing, 69(5), 1197-1209.
Erickson, K., Monsen, K.A., Artleson, I.S., Radosevich, D.M., Oftedahl, G., Neely, C., & Thorsen, D.R. Translation of obesity practice guidelines: Measurement and evaluation. Public Health Nursing, 12(3), 222-23. doi: 10.1111/phn.12169.
Wang, Y., Xiao, L.D., Ullah, S., Guo-Ping, H., & De Bellis, A. Evaluation of a nurse-led dementia education and knowledge translation programme in primary care: A cluster randomized controlled trial (2017). Nurse Education Today, 49, 1-7.
Abdullah, G., Rossy, D., Ploeg, J., Davies, B., Higuchi, K., Sikora, L., & Stacey, D. (2014). Measuring the effectiveness of mentoring asa knowledge translation intervention for implementing empirical evidence: A systematic review. Worldviews on Evidence-Based Nursing, 11 (5) 284-300.
Einarson, A., Egberts, T.c., & Heerdink, E.R. (2015). Antidepressant use in pregnancy: knowledge transfer and translation of research findings. Journal of Evaluation in Clinical Practice, 21, 579-583 doi:10.1111/jep.12338.
PIICOT Question
In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?
P: Adult patients
I: in extended intensive care within an urban acute care facility
I: increased mobilization of the patients
C: minimal mobilization of the patients
O: early transfers of the patients from intensive care
T: 6 months.
Attachment:- Discussion.rar