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

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, related to your clinical topic of interest and PICOT.
• Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.

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.)
• 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 within the Critical Appraisal Tool Worksheet Template (1-3 slides)

To complete this assignment, please follow these steps:

1. Review the      associated document/worksheet below. 
2. Choose a quantitative      research article that relates to (the PICOT question that is attached)      If your annotated bibliography included a quantitative research      article(s), I have also attached the completed (annotated      bibliography).
   1. The quantitative       research article MUST be related to your PICOT question.
3. Answer each      question to the best of your ability within the associated      document/worksheet.
4. ***Submit the      quantitative research article you chose along with the      completed worksheet
   1. Without submitting       the research article, I will not be able to grade the assignment,       forfeiting your grade.

            MUST follow the instructions above.

Proof read before submitting and use your OWN words

Purpose: To assist the student in critiquing evidence to support their research question

Directions: To answer these questions you will refer to an article of your choice that relates to your PICOT question. 

Respond to each question in one paragraph. 

1. What was the research design of this study?

2. What was the purpose of this study?

3. What type of hypothesis was tested?

4. What approach is used to test the hypothesis in this study? 

5. List the independent variable(s) in the study.

6. List the dependent variable(s) in the study.

7. What was the target population?

8. How is the literature review organized?

9. What data collection method(s) were used in the study?

10. How was a determination made concerning the treatment that subjects received? Any ethical procedures identified?

11.  What would be the best way to describe the intervention for the control group in this study?

12. In the reference list choose an example of a primary source of evidence?

13. In the reference list choose an example of a secondary source of evidence?

14. What did the researchers hypothesize?

15. In the data collection method does it show evidence of: (what are its properties –reliability and validity)

16. For your study is Cronbach’s alpha coefficient mentioned for your data collection instrument. What does this mean?

17. Was the study hypothesis supported?

18. Based on the information available in the article, what can you accurately state about the sample?

19. What was the main contribution of this study to the discipline of nursing?

Course Competency:

• Compare the care models for nursing practice specific to the older adult.

Transferable Skill:

• Information Literacy: Discovering information reflectively, understanding how information is produced and valued, and using information to create new knowledge and participate ethically in communities of learning.

Your nursing supervisor likes the topic you chose for the in-service presentation and wants you to start researching! To make sure you get the project on the right track, your supervisor has asked you to do the following:

1. Using the Rasmussen Library, identify at least 2 resources pertaining to your topic.
2. Prepare an annotated bibliography for the resources you identified. Each entry will include:
   1. the full APA formatted reference
   2. an annotation consisting of the following elements:
      • 2 to 4 sentences to summarize the main idea(s) of the source
      • 1 or 2 sentences to assess and evaluate the source
      • 1 or 2 sentences to reflect on the source

For information about making a research appointment with a Rasmussen librarian, evaluating the credibility of a source, or creating an annotated bibliography, consult the resources below.

• What is an annotated bibliography and how do I do one? Do you have a sample I can see?
• How can I make a research appointment with a Rasmussen College Librarian?
• How do I know if a source is credible?

Once you receive your graded submission, be sure to review the supervisor’s feedback. You want to make sure that your next submission shows that you made appropriate improvements based on the feedback.

Photo Credit: Getty Images

Learning Resources

Required Readings

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.

• Chapter 8, “Practice Model Design,      Implementation, and Evaluation” (pp. 195–246)

Cullen, L., & Adams, S. L. (2012). Planning for implementation of evidence-based practice. Journal of Nursing Administration, 42(4), 222–230. Retrieved from https://medcom.uiowa.edu/annsblog/wp-content/uploads/2012/10/JONA-FINAL-Cullen-2012.pdf

Pollack, J., & Pollack, R. (2015). Using Kotter’s eight stage process to manage an organizational change program: Presentation and practice. Systemic Practice and Action Research, 28(1), 51-66.

Note: You will access this article from the Walden Library databases.

Seijts, G. H., & Gandz, J. (2016). Transformational change and leader character. Business Horizons, 61(2), 239-249. https://doi.org/10.1016/j.bushor.2017.11.005

Note: You will access this article from the Walden Library databases.

Tistad, M., Palmcrantz, S., Wallin, L., Ehrenberg, A., Olsson, C. B., Tomson, G., …Eldh, A. C. (2016). Developing leadership in managers to facilitate the implementation of national guideline recommendations: A process evaluation of feasibility and usefulness. International Journal of Health Policy and Management, 5(8), 477–486. doi:10.15171/ijhpm.2016.35. Retrieved from http://www.ijhpm.com/article_3183_5015382bcf9183a74ef7e79b0a941f65.pdf

Required Media

TEDx. (2013, January). Six keys to leading positive change: Rosabeth Moss Kanter at TEDxBeaconStreet [Video file]. Retrieved from https://www.youtube.com/watch?v=owU5aTNPJbs

Assignment: Change Implementation and Management Plan

It is one of the most cliché of clichés, but it nevertheless rings true: The only constant is change. As a nursing professional, you are no doubt aware that success in the healthcare field requires the ability to adapt to change, as the pace of change in healthcare may be without rival.

As a professional, you will be called upon to share expertise, inform, educate, and advocate. Your efforts in these areas can help lead others through change. In this Assignment, you will propose a change within your organization and present a comprehensive plan to implement the change you propose.

To Prepare:

· Review the Resources and identify one change that you believe is called for in your organization/workplace.

o This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.

· Reflect on how you might implement this change and how you might communicate this change to organizational leadership.

The Assignment (5-6-minute narrated PowerPoint presentation):

Change Implementation and Management Plan

Create a narrated PowerPoint presentation of 5 or 6 slides with video that presents a comprehensive plan to implement the change you propose.

Your narrated presentation should be 5–6 minutes in length.

Your Change Implementation and Management Plan should include the following:

· An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)

· A description of the change being proposed

· Justifications for the change, including why addressing it will have a positive impact on your organization/workplace

· Details about the type and scope of the proposed change

· Identification of the stakeholders impacted by the change

· Identification of a change management team (by title/role)

· A plan for communicating the change you propose

· A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

imagine you are caring for an individual with dementia in an inpatient psychiatric unit.  The client can be extremely aggressive, particularly when directed to perform certain tasks.  Please watch the following video and answer the questions

WATCH>>>https://youtu.be/CWnILUjkgXg

1. How would you get this client to take their medications? 
2. The client is frequently requesting to return home and becomes agitated when told they told they are not going home anytime soon by staff.  Do you think the staff needs any additional training? If so, what would you teach them? 
3. When the training is complete, one of the staff members states that they think it is immoral to “lie” to clients.  How would you respond to this statement? 

Use apa format, scholarly articles