NUR 590 Week 8 Assignment Evidence-Based Practice Presentation

NUR 590 Week 8 Assignment Evidence-Based Practice Presentation

NUR 590 Week 8 Assignment Evidence-Based Practice Presentation

Implementation is one of the most important stages in the EBP project implementation. Therefore, it is important to come up with a timeous plan on how to implement the project (Melnyk & Fineout-Overholt, 2018). As such, this section focuses on the implementation plan.

The Project Setting

The project is to be implemented at Baylor St. Luke’s Medical Center in the cardiovascular postanesthesia care unit (PACU). Patients are admitted to the PACU after surgery to receive post-surgical care; once their recovery care is complete, which should be within 60 minutes, barring complications, the patient will be discharged or transferred to an appropriate post-surgical care unit. The targeted practice change entails using either non-opioid or opioid-based medication to manage pain. However, there is no particular consent for using the pain medication, and it is reflected in the Disclosure and Consent-Anesthesia and/or Perioperative pain management that is usually completed by the assigned anesthesiologists.

The Timeline

A project timeline is key in guiding how the project is implemented to help achieve particular goals within a specified timeline (Melnyk & Fineout-Overholt, 2018). The first item is to come up with education on the proposal and dissemination of the information. This is followed by the proposal implementation. A period of around one week will be appropriate to kick off the project. As part of the timeline, a daily data review will be undertaken to help in monitoring the progress with the exercise expected to run for one month upon implementation. The pre-and-post data will then be reviewed in an effort to evaluate change. Such a review is expected to take a period of one week. Lastly, the qualifying data will be presented to senior leadership and stakeholders during the weekly quality improvement meeting.

The Research Design

It is key in to consider the kind of research design to apply when conducting research as the accuracy and dependability of the results largely depend on the design. As such, a quantitative or a qualitative design can be chosen. In addition, a research design is also key in answering the research question. The three aspects of design, which include the strategy, structure, and plan, are all key when coming up with hypotheses, data analysis, and data interpretation (Bloomfield & Fisher, 2019). Therefore, the chosen design is quantitative research design as it is more robust and can prevent research factors that could influence bias. The best quantitative research design that fits this project is the experimental research design, as it offers a high level of control and has been known to be a gold standard for quantitative research design (Bloomfield & Fisher, 2019). This design will be key in studying the cause-and-effect relationships. While the intervention is using non-opioids, the study outcomes will be the verbalization of pain reduction as indicated in the 0-10 pain numeric scale.

The Implementation Methods.

Various methods will be used in implementing the project. One of the methods to be applied is the numerical rating scale, a self-reported pain assessment using a scale of 0-10 to verbalize where the patients’ pain lies after using the intervention. The lowest end of the scale, where there is 0, means that there is no pain, while the other end of the scale would suggest the worst pain that can be experienced by an individual. The project focuses on a pain rating of 3.

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The Evaluation Plan

Evaluation is one of the most critical steps in the evidence-based practice project cycle. This phase comes immediately after the implementation phase. The major focus of this phase is to evaluate the outcomes and changes to ensure that the correct intervention has been implemented and if there is a need to make necessary adjustments for possible improvements. In addition, the evaluation process serves to find out how effective the processes used in the implementation have been. While interventions can be successful in the controlled trial period, there is no guarantee that the interventions can work well in clinical settings. As such, the process of evaluation of the EBP change also comes with monitoring which is key to identifying possible flaws and determining if the obtained results are different from what exists in the literature (Cardoso et al., 2021). As such, this section focuses on evaluating the efficacy of using non-opioids in comparison to the use of opioids to manage pain in the post-surgical patients in the postanesthesia care units.

NUR 590 Week 8 Assignment Evidence-Based Practice Presentation

The Expected Outcomes

The implementation of the proposed project is likely to impact the surgical patients in the postanesthesia care units to have better pain management as they are prone to have unsatisfactory pain management, which usually impacts their recovery negatively. According to the Centers for Disease Control, the benefits that could come from the limited use of opioids can outweigh the risks in the cases where pain management using non-opioid therapies are not adequate (CDC, 2022). One of the expected outcomes of this project is that the post-surgical individuals in the postanesthesia care unit will verbalize adequate pain management within an hour of using the administered non-opioid medication by using the numeric pain scale of 0-10. This verbalization is to be documented by the nurse in the Epic system.

Data Collection

It is important to visualize the nature of data collection methods to be applied as the accuracy and completeness of the data largely depend on the data collection methods. As earlier indicated, the experimental research design has been chosen as the design to use in this project. Therefore quantitative data will be collected and statistically analyzed. One characteristic of these kinds of data is that they can be measured or counted, and they can also be assigned numerical values, such as in the case of measuring a patient’s pain on a scale of 0-10. An ordinal scale is usually applied to the pain scale and reports the ordering and ranking of data (Kim, 2017).

It is important to use an appropriate tool when collecting data. Therefore, the numeric pain rating scale is to be used in collecting data. This pain rating scale has a scale that ranges from 0-10, where 0 represents no pain while 10 represents the worst pain that an individual could experience. The tool to be used is valid and simple to use. In addition, it is the most common tool that is used in reporting pain (Walker & Berde, 2019). The tool is also reliable since the patient validates it by showing on the pain scale how intense the pain is by choosing a numeric value between 0-10. The bigger the number, the more intense the pain.

The Statistical Test

Among the most used pain scores are the verbal rating scale (VRS), the numerical pain rating scale (NRS), and the visual analog scale (VAS). The pain scores are usually applied at predetermined intervals and are compared in a bid to understand if the medications like non-opioids in the proposed project are superior to the standard care offered. ANOVA can be applied in statistical testing or parametric testing, and variation analysis can be done if the pain scores are normally distributed (Nair & Diwan, 2020). Therefore, ANOVA has been selected as the most appropriate statistical test for the proposed EBP project

Evidence-Based Practice Presentation

Develop a 10-15-slide presentation with comprehensive speaker’s notes that covers all of the major areas of your evidence-based practice proposal.

You will need to post a rough draft of your evidence-based practice presentation to the Main Forum in Topic 8 DQ 1 for peer feedback.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references compiled from the final project should be presented using APA documentation guidelines, which can be 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 not required to submit this assignment to LopesWrite.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.

Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.

One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.

I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.

In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.

Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).

Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).

Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.

I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.

As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.

It is best to paraphrase content and cite your source.

Lopes Write Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed

• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• Student paper example
• Citing Sources
• The Writing Center is a great resource

Achieving patient safety implores nurses and other healthcare professionals to develop interventions that improve quality care and reduces occurrence of hospital acquired infections (HAIs). The use of evidence-based practice interventions like hand hygiene protocols and measures that include handwashing with soap and water alongside sanitizers can prevent and reduce the prevalence of hospital acquired infections (Zhao et al., 2017). Nurses in pediatric care settings should set high levels of hygiene to minimize the occurrence of HAIs in these settings. The integration of EBP interventions mitigates the increasing prevalence of HAIs and their associated cost burden to patients, their families and the health care system (Akanji et al., 2017). Hospital acquired infections constitute a significant part of the increased mortality and morbidity and poor outcomes among pediatric patients. The purpose of this presentation is to detail the evidence-based practice project proposal on hand hygiene measures involving handwashing with soap and water alongside use of hand sanitizer by healthcare workers, especially nurses, in reducing and preventing the occurrence of hospital acquired infections in pediatric care settings.

Evidence-based practice continues to be a critical component of enhancing care delivery among patients in different settings. The use of EBP entails incorporation of research evidence together with patient preferences and clinician’s care experience. Evidence-based practice aims at optimization of provider and team behavior to support changes in patient conduct to attain quality care, and provides education to reduce the risks of hospital acquired infections and improve different aspects of care provision (Melnyk & Fineout-Overholt, 2019). EBP also encourages the use of resources and services, and improvement in patients and their families’ satisfaction (Zhao et al., 2018). The EBP project will also focus on enhancing patient safety, improving adherence to hand hygiene measures, and improving outcomes and quality management to reduce adverse events. The project also focuses on decreasing the overall cost of infections, length of stay, and readmissions, and ensure that providers can make better care decisions in managing adverse events resulting from HAIs. The PICOT Question for the project is

Among healthcare worker in pediatric settings (P), how does handwashing with soap and water alongside hand sanitizer (I), compared to handwashing with soap and water alone (C), reduce hospital acquired infections (O), with six months (T)?

Organizational culture is an essential part of implementing change as it mirrors values, mission, and vision and employee perception to adopting new ways of doing things. A decentralized and hierarchical culture where employees get involved in decision-making and has robust values and norms leads to effective implementation of EBP project proposal. The proposed structure enhances employee motivation and diversification. Decentralization improves communication and ensures implementation of new approaches to doing things to enhance quality care (Melnyk & Fineout-Overholt, 2019).  Organizations ready to implement the proposed EBP interventions should focus on patient-centered care and health promotion to save lives in pediatric settings.

The project uses the Organizational Capacity Assessment Tool (OCAT) developed by the United Nations Development Program (UNDP). The tool assesses overall readiness to enhance health interventions in organizations. The tool identifies substantive capacities and strengths that exist and the need for more to attain expected outcomes. Implementing the proposed EBP requires organizations to have capabilities and resources with a superb culture based on their mission, purpose and best values. Threats to readiness include need for resources to implement the project and technologies to reduce HAIs. Teamwork leads to effective flow of information to implement the project and attain expected outcomes.

Organizations that seek to implement the proposed EBP should enhance their patient-handling processes with a focus on improved quality care to reduce infections by better hand hygiene measures and protocols. Data-analysis tool using a collaborative approach will enhance dissemination of evidence to the entire care team. The deployment of Trans-theoretical model will allow the organizations to prepare for change by aligning their interventions with their needs. These include skills’ training and motivation policies to enact changes to focus on solutions (Melnyk & Fineout-Overholt, 2019). The integration of technology is also critical to enhancing organizations’ readiness since it improves gathering of intelligence.

The stakeholders include healthcare professionals in these settings comprising of nurses, physicians and other professionals and the management. External stakeholders comprise of patients and their familiescare (Melnyk & Fineout-Overholt, 2019). Further, the integration of the Project team and management highlights the importance of ensuring that the organization is ready while use of health information technologies like Telehealth leads to better understanding of the underlying issues to enhance patient safety based on existing deployment and their role in enhancing access and quality care.

Hospital acquired infections are a concern in healthcare as they impact positive patient outcomes and patient safety. Healthcare workers, especially nurses, transmit infections to patients through poor hand hygiene measures and protocols in their practice environment. Pediatric patients have increased susceptibility to suffering from infections due to their low levels of immunity (Melnyk & Fineout-Overholt, 2019). Imperatively, nurses and other providers must develop interventions to prevent and control the prevalence of nosocomial infections and guarantee quality care by using evidence-based practice interventions like handwashing with soap and water alongside use of hand sanitizer(Khan et al., 2018). The initiative focuses on enhancing hand hygiene protocols by nurses to help reduce most prevalent infections like central line-associated bloodstream infections, catheter-associated urinary tract infections and ventilator-associated pneumonia and surgical sites infections.

The proposed interventions must be effective by ensuring that existing literature consisting of previous research studies support its implementation and expected benefits to the target audience or population. In this case, through a comprehensive search of the literature, one can ascertain if the interventions meets the stakeholders’ goals and aspirations (Zhao et al., 2018). The literature review for the project entails defining and using terms related to hospital acquired infections, healthcare workers and hand hygiene measures. The review also used effective search engines and databases related to the nursing issues to ensure that the generated article represent the problem under study (Khan et al., 2018). The main inclusion criteria included article published within the last five years, articles that capture aspects of the PICOT question and support the EBP based on their findings or recommendations.

The proposed project reviewed different research studies based on the inclusion and exclusion criteria to ascertain support for the interventions to enhance patient safety through hand hygiene measures. Two of the articles used demonstrate the significance of hand hygiene measures among nurses and other healthcare workers in reducing and preventing hospital acquired infections. The articles assert the need to implement evidence-based interventions to prevent infections and improve patient safety (Ni et al., 2020; Setty et al., 2019). Making hand hygiene attractive to nurses and other healthcare workers is essential. Zhao et al. (2017) and Staniford et al. (2020) demonstrate the need for behavioral change and ensuring that nurses accept the modifications to reduce infections. Compliance to hand hygiene measures requires changes in behavior, especially embracing handwashing with soap and water alongside the use of hand sanitizers. The literature articles illustrate that providing sufficient education to nurses and using evidence-based interventions increase the adoption of these measures leading to a reduction of hospital acquired infections in pediatric settings. Use of agile approach is effective in reduc