Evidence-Based Practice Change Process Assignment

Evidence-Based Practice Change Process Assignment

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Download the EBP Change Process formLinks to an external site. during Week 1. The use of this specific form is REQUIRED (form is uploaded and attached)
Use the instructor feedback from the Week 2 Check-In (clinical topic and PICOT) as the foundation for developing your change process. (PICOT is uploaded and attached).
Locate a systematic review on your topic from the Chamberlain Library. Be sure this involves nursing actions.
Work through each step of the ACE Star Model as outlined on the assignment form (Star Points 1-5: Discovery, Summary, Translation, Implementation, and Evaluation). Respond to the instructions provided on the form.
Follow the activities and thinking of Nurse Daniel in Weeks 1-6 in the ‘Illustration’ part of each lesson. He will be working through a clinical topic and nursing practice issue to demonstrate a change (ACE Star Model and systematic review)Evidence-Based Practice Change Process Assignment.

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Work on a portion of the process each week, as the illustration unfolds.

Week 6 Assignment:  EBP Change Process form

ACE Star Model of Knowledge Transformation

Follow Nurse Daniel as your process mentor in the weekly Illustration section of the lesson. Please do not use any of the Nurse Daniel information for your own topic, nursing intervention, or change project.  Nurse Daniel serves as an example only to illustrate the change process.

 Name: _____________________

 Star Point 1:  Discovery (Identify topic and practice issue)

Identify the topic and the nursing practice issue related to this topic. (This MUST involve a nursing practice issue.)

In hospitalized patients on medical surgical units, how does purposeful (hourly) rounding by nursing staff compared to no purposely rounding affect reduced falls, decreased call lights, decreased pressure ulcers, decreased call light use, improved pain management and improved patient satisfaction within 6months? Evidence-Based Practice Change Process Assignment

 Briefly describe your rationale for your topic selection. Include the scope of the issue/problem.

The reason for selecting this topic is due to the prevalence of adverse medical events: falls, call lights, pressure ulcers, and pain. All these adverse situations lead to decreased patient satisfaction. Thus, it is integral to test the proposed solution of hourly rounds and whether it would help in improving patient satisfaction.

Star Point 2:  Summary (Evidence to support need for a change)

Describe the practice problem in your own words and formulate your PICOT question.

The practice problem revolves around hourly rounds in nursing and its efficacy in improving patient care.  The selected PICOT question, in line with this practice problem is: In hospitalized patients on medical surgical units, how does purposeful (hourly) rounding by nursing staff compared to no purposely rounding affect reduced falls, decreased call lights, decreased pressure ulcers, decreased call light use, improved pain management and improved patient satisfaction within 6months? Evidence-Based Practice Change Process Assignment

List the systematic review chosen from the CCN Library databases. Type the complete APA reference for the systematic review selected.

Sims, S., Leamy, M., Davies, N., Schnitzler, K., Levenson, R., Mayer, F., Grant, R., Brearley, S., Gourlay, S., Ross, F., & Harris, R. (2018). Realist synthesis of intentional rounding in hospital wards: Exploring the evidence of what works, for whom, in what circumstances and why. BMJ Quality & Safety, 27(9), 743-757. https://doi.org/10.1136/bmjqs-2017-006757

List and briefly describe other sources used for data and information. List any other optional scholarly source used as a supplement to the systematic review in APA format.

Mitchell, M. D., Lavenberg, J. G., Trotta, R. L., & Umscheid, C. A. (2014). Hourly rounding to improve nursing responsiveness. JONA: The Journal of Nursing Administration, 44(9), 462-472. https://doi.org/10.1097/nna.0000000000000101

Briefly summarize the main findings (in your own words) from the systematic review and the strength of the evidence.

Hourly rounds play an integral role in increasing the time when nurses are in direct contact and vicinity of patients hence promoting vigilance, providing reassurance, and reducing any potential harms.

Outline one or two evidence-based solutions you will consider for the trial project.

The evidence-based solution to consider for the trial project is intentional or purposeful hourly rounds by nurses. Evidence-Based Practice Change Process Assignment

Star Point 3:  Translation (Action Plan)

Identify care standards, practice guidelines, or protocols that may be in place to support your intervention planning (These may come from your organization or from the other sources listed in your Summary section in Star Point 2).

The protocol in place to support the intervention planning is purposeful hourly rounding, which entails checking patients every hour during the day and every two hours overnight. The purpose is to address the needs of the patient.

List your stakeholders (by title and not names; include yourself) and describe their roles and responsibilities in the change process (no more than 5).

Nurse manager- Their role would be implementing this policy and ensure that the nurses abide by the measures implemented.

Nurses- Their role would be to conduct the actual purposeful hourly rounds.

Patients- They will benefit from the purposeful hourly rounding as they will get the attentive nursing care they need.

What specifically is your nursing role in the change process? Other nursing roles?

In the change process, the nursing role is to ensure that the change is implemented and any issues are identified and addressed promptly.

List your stakeholders by position titles (charge nurse, pharmacist, etc.). Why are the members chosen (stakeholders) important to your project?Evidence-Based Practice Change Process Assignment

Hospital administrator

Nurse manager

Charge nurse

What type of cost analysis will be needed prior to a trial?  Who needs to be involved with this?

Before the trial, a cost analysis will be needed to evaluate the costs of the project compared to the benefits that will be obtained from implementing the project.

Star Point 4: (Implementation)

Describe the process for gaining permission to plan and begin a trial.  Is there a specific group, committee, or nurse leader involved?

Gaining permission includes forming a committee to educate the nurses and ensuring that every nurse is at per with the project.

Describe the plan for educating the staff about the change process trial and how they will be impacted or asked to participate.

The nurses will be the most impacted persons as they will need to conduct the purposeful hourly rounding. The head of each hospital department will be educated about the project and observe how well the nurses participate in the project.

Outline the implementation timeline for the change process (start time/end time, what steps are to occur along the timeline). Evidence-Based Practice Change Process Assignment

The implementation timeline for the project is three months.

List the measurable outcomes based on the PICOT.  How will these be measured?

The measurable outcomes are reduced falls and improved quality of care and patient satisfaction. These outcomes will be measured by observation.

What forms, if any, might be used for recording purposes during the pilot change process. Describe.

Patient records will aid in recording of the change process. The measure affects patient care and will thus be included in the patient records that will be evaluated for any change.

What resources are available to staff (include yourself) during the change pilot?

The resources include a peaceful working environment and a motivation perk to encourage them to conduct the purposeful hourly rounding.

Will there be meetings of certain stakeholders throughout the trial?  If so, who and when will they meet?

Yes, the meeting will involve nurses and the hospital administrator. They will meet within the hospital premises to discuss the project. Evidence-Based Practice Change Process Assignment

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Star Point 5: (Evaluation)

How will you report the outcomes of the trial?

The outcomes of the trial will be recorded in an observation sheet. The observation sheet will be created containing the statistics that were in existence before the intervention and post-intervention and a comparison made between the two datasets.

What would be the next steps for the use of the change process information?

The last step entails the change process, which is measuring the degree of change in relation to the initial goals. It would be integral to ensure that the organization has maintained the changes that have been implemented Evidence-Based Practice Change Process Assignment