Evidence-Based Project, Part 5: Recommending An Evidence-Based Practice Change

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The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.

In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

  • Reflect on the four peer-reviewed articles you critically appraised in Module 4.
  • Reflect on your current healthcare organization and think about potential opportunities for evidence-based change.

The Assignment: (Evidence-Based Project)

Part 5: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide PowerPoint presentation in which you do the following:

  • Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)Chicago Lakeshore Hospital
  • Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
  • Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
  • Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
  • Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
  • Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
  • Add a lessons learned section that includes the following:
    • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
    • An explanation about what you learned from completing the evaluation table (1 slide)
    • An explanation about what you learned from completing the levels of evidence table (1 slide)
    • An explanation about what you learned from completing the outcomes synthesis table (1 slide)

Rurbic:

 

Part 5: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide PowerPoint presentation in which you do the following:

·   Briefly describe your healthcare organization, including its culture and readiness for change.
·   Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.–Levels of Achievement:Excellent 18 (18%) – 20 (20%)
The presentation clearly and accurately describes in detail a healthcare organization, including a detailed explanation of its culture and readiness for change.

The presentation clearly and accurately describes in detail a current problem or opportunity for change.

An accurate, specific, and detailed description of the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general is provided.
Good 16 (16%) – 17 (17%)
The presentation accurately describes a healthcare organization, including an accurate explanation of its culture and readiness for change.

The presentation accurately describes a current problem or opportunity for change.

An accurate description of the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with the change implementation in general is provided.
Fair 14 (14%) – 15 (15%)
The presentation inaccurately or vaguely describes a healthcare organization, including an inaccurate or vague explanation of its culture and readiness for change.

The presentation inaccurately or vaguely describes a current problem or opportunity for change.

An inaccurate or vague description of the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with the change implementation in general is provided.
Poor 0 (0%) – 13 (13%)
The presentation inaccurately and vaguely describes a healthcare organization, including an inaccurate and vague explanation of its culture and readiness for change, or is missing.

The presentation inaccurately and vaguely describes a current problem or opportunity for change or is missing.

An inaccurate and vague description of the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with the change implementation in general is provided or is missing.Feedback:

·   Propose an evidence-based idea for a change in practice using an evidence-based practice approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
·   Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
·   Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
·   Be sure to provide APA citations of the supporting evidence-based peer-reviewed articles you selected to support your thinking.–Levels of Achievement:Excellent 32 (32%) – 35 (35%)
The presentation clearly and accurately proposes in detail an evidence-based idea for a change in practice that is fully aligned to an evidence-based practice approach for decision making.

The presentation clearly and accurately describes in detail a plan for knowledge transfer of this change, including a detailed plan for knowledge creation, dissemination, and organizational adoption and implementation that is specific.

The presentation clearly and accurately describes in detail the measurable outcomes desired for the implementation of the evidence-based change.

The presentation includes accurate, complete, and full APA citations of the supporting evidence-based peer-reviewed articles selected.
Good 28 (28%) – 31 (31%)
The presentation accurately proposes an evidence-based idea for a change in practice that is adequately aligned to an evidence-based practice approach for decision making.

The presentation accurately describes a plan for knowledge transfer of this change, including a plan for knowledge creation, dissemination, and organizational adoption and implementation that is adequate.

The presentation accurately describes the measurable outcomes desired for the implementation of the evidence-based changes.

The presentation includes accurate APA citations of the supporting evidence-based peer-reviewed articles selected.
Fair 25 (25%) – 27 (27%)
The presentation inaccurately or vaguely proposes an evidence-based idea for a change in practice that may be aligned to an evidence-based practice approach for decision making.

The presentation inaccurately or vaguely describes a plan for knowledge transfer of this change, including a plan for knowledge creation, dissemination, and organizational adoption and implementation that may be relevant.

The presentation inaccurately or vaguely describes the measurable outcomes desired for the implementation of the evidence-based change.

Inaccurate and incomplete APA citations of the supporting evidence-based peer-reviewed articles selected are provided.
Poor 0 (0%) – 24 (24%)
The presentation inaccurately and vaguely proposes an evidence-based idea for a change in practice that is not aligned to an evidence-based practice approach for decision making or is missing.

The presentation inaccurately and vaguely describes a plan for knowledge transfer of this change, including a plan for knowledge creation, dissemination, and organizational adoption that implementation that is incomplete, or is missing.

The presentation inaccurately and vaguely describes the measurable outcomes desired for the implementation of the evidence-based change or is missing.

Inaccurate and incomplete APA citations of the supporting evidence-based peer-reviewed articles selected are provided or are missing.Feedback:

Add a lessons learned section that includes:

·   A summary of the critical appraisal of the peer-reviewed articles you previously submitted.
·   What did you learn from completing the evaluation table?
·   What did you learn from completing the levels of evidence table?
·   What did you learn from completing the outcomes synthesis table?–Levels of Achievement:Excellent 27 (27%) – 30 (30%)
The presentation clearly and accurately summarizes in detail the critical appraisal process of the peer-reviewed articles previously submitted.

The presentation thoroughly describes in detail at least one lesson learned from completing the evaluation table that is specific.

The presentation thoroughly describes in detail at least one lesson learned from completing the levels of evidence table that is specific.

The presentation thoroughly describes in detail at least one lesson learned from completing the outcomes synthesis table that is specific.

The presentation provides a complete, detailed, and specific synthesis of two outside resources reviewed on the lessons learned explained. The presentation fully integrates at least two outside resources and two or three course-specific resources that fully support the presentation.
Good 24 (24%) – 26 (26%)
The presentation accurately summarizes the critical appraisal process of the peer-reviewed articles previously submitted.

The presentation accurately describes at least one lesson learned from completing the evaluation table that may include some specificity.

The presentation accurately describes at least one lesson learned from completing the levels of evidence table that may include some specificity.

The presentation accurately describes at least one lesson learned from completing the outcomes synthesis table that may include some specificity.

The presentation provides an accurate synthesis of at least one outside resource reviewed related to the lessons learned explained. The presentation integrates at least one outside resource and two or three course-specific resources that may support the presentation.
Fair 21 (21%) – 23 (23%)
The presentation inaccurately or vaguely summarizes the critical appraisal process of the peer-reviewed articles previously submitted.

The presentation inaccurately or vaguely describes at least one lesson learned from completing the evaluation table and may lack some specificity.

The presentation inaccurately or vaguely describes at least one lesson learned from completing the levels of evidence table and may lack some specificity.

The presentation inaccurately or vaguely describes at least one lesson learned from completing the outcomes synthesis table and may lack some specificity.

The presentation provides a vague or inaccurate synthesis of outside resources reviewed related to the lessons learned explained. The response minimally integrates resources that may support the presentation.
Poor 0 (0%) – 20 (20%)
The presentation inaccurately and vaguely summarizes the critical appraisal process of the peer-reviewed articles previously submitted or is missing.

The presentation inaccurately and vaguely describes at least one lesson learned from completing the evaluation table and lacks specificity or is missing.

The presentation inaccurately and vaguely describes at least one lesson learned from completing the levels of evidence table that lacks specificity or is missing.

The presentation inaccurately and vaguely describes at least one lesson learned from completing the outcomes synthesis table that lacks specificity or is missing.

The presentation provides a vague and inaccurate synthesis of no outside resources related to the lessons learned explained or is missing. The presentation fails to incorporate any resources to support the responses provided.Feedback:

Written Expression and Formatting—Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.–Levels of Achievement:Excellent 5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.
Good 4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

Purpose, introduction, and conclusion of the assignment is stated yet is brief and not descriptive.
Fair 3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60–79% of the time.

Purpose, introduction, and conclusion of the assignment is vague or off topic.
Poor 0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.

No purpose statement, introduction, or conclusion was provided.Feedback:

Written Expression and Formatting—English Writing Standards:
Correct grammar, mechanics, and proper punctuation.–Levels of Achievement:Excellent 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
Good 4 (4%) – 4 (4%)
Contains a few (one or two) grammar, spelling, and punctuation errors.
Fair 3.5 (3.5%) – 3.5 (3.5%)
Contains several (three or four) grammar, spelling, and punctuation errors.
Poor 0 (0%) – 3 (3%)
Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Feedback:

Written Expression and Formatting—The paper follows correct format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.–Levels of Achievement:Excellent 5 (5%) – 5 (5%)

 

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Physical examination and health assessment

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As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After conducting her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She attends class a total of 15 hours per week, plus she must be present for 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get 6 hours of sleep per night, but that is okay with her. She lives 1 hour from campus and commutes each day. Using Healthy People 2020

(Links to an external site.)

Links to an external site.

and your text as a guide, answer the following questions.

What additional information would you like to gather from Maria?

What are Maria’s real and potential health risks?

Why is Maria’s culture important when obtaining the health assessment?

Pick one of Maria’s health risks. What would be one reasonable short-term goal for this risk?

What nursing interventions would you incorporate into Maria’s plan of care to assist her with meeting your chosen goal? Please provide rationale for your selections.

Jarvis, C. (2016). Physical examination & health assessment (7 th ed.) Philadelphia, PA: Saunders.

 

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Assignment 2: LASA—Public Health Intervention Project Plan

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In this assignment, you will develop and submit a project plan for a community intervention that addresses a significant public health problem of your choice aside from those topics that have been already addressed in other assignments in this course. Your project plan must be based on the PRECEDE-PROCEED model and at least two behavior change theories included in this course.

Respond according to the following:

  1. Briefly describe the selected health problem and the population. Be sure to select a health problem that has not already been addressed in other assignments in this course.
  2. Identify key behavioral and environmental risk factors for this health issue in this population.
  3. Describe and justify the selection of at least two theories of health behavior that can be used to address the behavior problem (the theories should be at different levels—i.e., individual, interpersonal, community).
  4. Identify predisposing, reinforcing, and enabling factors for behavior change based on the theoretical constructs from the preceding step.
  5. Using SMART objectives, develop at least one process and one impact and one outcome objective, and provide a brief overview of an evaluation strategy.

Be creative, but also use scholarly support and appropriate references.

 

Write a 6–8-page (not including reference page and title page) report in Word format . Apply APA standards to citation of sources.

 

Assignment Components

Proficient
Maximum Points

Briefly describe the selected health problem and the population.

The health problem and population selected are appropriate for the assignment. Description is clear, specific, and accurate.

28

Identify key behavioral and environmental risk factors for this health issue in this population.

Behavior and environmental risk factors for this health issue are clear, accurate, and specific. They are key risk factors for this population.

48

Describe and justify the selection of at least two theories of health behavior that can be used to address the behavior problem (the theories should be at different levels—i.e., individual, interpersonal, community).

The two theories selected are appropriate to addressing the behavior problem and represent different levels. Description is clear and explains how the theories can address the behavior problem. Justification is grounded in scholarly evidence.

48

Identify predisposing, reinforcing, and enabling factors for behavior change based on the theoretical constructs from the preceding step.

Factors identified are accurate and relate to behavior change. They present predisposing, reinforcing, and enabling factors, and they are explicitly based on theoretical constructs from previous step.

52

Using SMART objectives, develop at least one process, one impact, and one outcome objective, and provide a brief overview of an evaluation strategy.

Process, impact, and objective are clear and appropriate. Evaluation strategy is specific, reasonable, and grounded in scholarly evidence.

52

Academic Writing

Write in a clear, concise, and organized manner; demonstrate ethical scholarship in accurate representation and attribution of sources (i.e., APA); and display accurate spelling, grammar, and punctuation.

Written in a clear, concise, and organized manner; demonstrated ethical scholarship in appropriate and accurate representation and attribution of sources; and displayed accurate spelling, grammar, and punctuation. Use of scholarly sources aligns with specified assignment requirements.

72

Total:

300

 

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FALL PREVENTION RESEARCH PAPER

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 Due Date: Apr 14, 2019 23:59:59 EST     

Details: TOPIC: FALL PREVENTION IN THE HOSPITAL SETTING

In this assignment, students will pull together the change proposal project components  USING THE TOPIC OF FALL PREVENTION IN THE HOSPITAL SETTING.they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

  1. Background
  2. Problem statement
  3. Purpose of the change proposal
  4. PICOT
  5. Literature search strategy employed
  6. Evaluation of the literature
  7. Applicable change or nursing theory utilized
  8. Proposed implementation plan with outcome measures
  9. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
  10. Appendix section, if tables, graphs, surveys, educational materials, etc. are created

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 USE THE RUBRIC FOR PROPER COMPLETION OF THIS ASSIGNMENT.

You are required to submit this assignment to TURNITIN. 

 ***PLEASE BE ADVISED THE TOPIC IS FALL PREVENTION IN THE HOSPITAL SETTING,ATTACHED ARE 8 ARTICLES AND REVIEW OF THOSE ARTICLES . THEY ARE TO BE USED TO COMPLETE THIS ASSIGNMENT. 

  • BenchmarkRUBRIC.docx
  • NRS-490-RS-LiteratureEvaluationTableYavaunee.docx
  • RESEARCHARTICLE7.pdf
  • RESEARCHARTICLE3.pdf
  • RESEARCHARTICLEONE.pdf
  • RESEARCHARTICLE6.pdf
  • RESEARCHARTICLE4.pdf
  • RESEARCHARTICLE2.pdf
  • RESEARCHARTICLE8.pdf
  • https://www.homeworkmarket.com/files/researcharticle5-pdf

 

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