NUR 590 Topic 7 Evidence-Based Practice Project Proposal Presentation

NUR 590 Topic 7 Evidence-Based Practice Project Proposal Presentation – Step-by-Step Guide

The first step before starting to write the NUR 590 Topic 7 Evidence-Based Practice Project Proposal Presentation, it is essential to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment. 

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It is also important to identify the audience of the paper and its purpose so that it can help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, you should review its use, such as writing citations and referencing the resources used. You should also review how to format the title page and the headings in the paper.

How to Research and Prepare for NUR 590 Topic 7 Evidence-Based Practice Project Proposal Presentation

The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify the list of keywords from your topic using different combinations. The first step is to visit the university library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last words and go through each to check for credibility. Ensure that you obtain the references in the required format, for example, in APA, so that you can save time when creating the final reference list. 

You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching about. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next you should create a detailed outline of the paper so that it can help you to create headings and subheadings to be used in the paper. Ensure that you plan what point will go into each paragraph.

How to Write the Introduction for NUR 590 Topic 7 Evidence-Based Practice Project Proposal Presentation

The introduction of the paper is the most crucial part as it helps to provide the context of your work, and will determine if the reader will be interested to read through to the end. You should start with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.

How to Write the Body for NUR 590 Topic 7 Evidence-Based Practice Project Proposal Presentation

The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence conducted from the research, ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance and how it connects to the thesis statement. You should maintain a logical flow between each paragraph by using transition words and a flow of ideas.

How to Write the In-text Citations for NUR 590 Topic 7 Evidence-Based Practice Project Proposal Presentation

In-text citations help the reader to give credit to the authors of the references they have used in their works. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:

The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Smith (2021), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Johnson and Brown (2020) highlight that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.

How to Write the Conclusion for NUR 590 Topic 7 Evidence-Based Practice Project Proposal Presentation

When writing the conclusion of the paper, start by restarting your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper, by restating them. Discuss the implications of your findings and your arguments. End with a call to action that leaves a lasting impact on the reader or recommendations.

How to Format the Reference List for NUR 590 Topic 7 Evidence-Based Practice Project Proposal Presentation

The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded, in sentence sentence care. The references should be organized in an ascending order alphabetically and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication. 

Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:

References

Johnson, L. M., & Brown, R. T. (2020). The role of telehealth in improving patient outcomes. Journal of Nursing Care Quality, 35(2), 123-130. https://doi.org/10.1097/NCQ.0000000000000456

Smith, J. A. (2021). The impact of technology on nursing practice. Health Press.

NUR 590 Topic 7 Evidence-Based Practice Project Proposal Presentation Instructions

The dissemination of an evidence-based practice project proposal is an important part of the final project. Dissemination of your project to a local association or clinical site/practice informs important stakeholders of evidence-based interventions that can improve clinical practice and ultimately patient outcomes.

For this assignment, develop a professional presentation that could be disseminated to a professional group of your peers.

Develop a 12-15 slide PowerPoint detailing your evidence-based practice project proposal. Create speaker notes of 100-250 words for each slide. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the topic Resources for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning and an additional slide for References at the end. Be sure to consider your personal demeanor and tone during the recorded presentation.

Include the following in your presentation:

1. Introduction (include PICOT statement)
2. Organizational Culture and Readiness
3. Problem Statement and Literature Review
4. Change Model, or Framework
5. Implementation Plan
6. Evaluation Plan
7. Conclusion

You are required to cite a minimum of six peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style. 

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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 required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. Check NUR 590 Benchmark Evidence-Based Practice Project Proposal Final Paper. 

NUR 590 Topic 7 Evidence-Based Practice Project Proposal Presentation Example

Introduction

Hello everyone, and welcome to today’s presentation. This presentation explores a proposed practice project proposal that will be implemented in the institution to reduce the rate of hospital-associated Infections (HAIs). HAIs have been a significant problem in the institution, causing issues such as increased costs, prolonged hospital stay length, and other adverse effects on patient outcomes, especially among high-risk patients. Therefore, the project will aim to address the issue.

The project entails the implementation of compliance with Chlorhexidine Gluconate (CHG) body wash. The project will be implemented among hospitalized adult patients in the institution. The PICOT question that will be used in the study is as follows: Among hospitalized adult patients in the institution (P), does compliance with CHG body wash (I), compared to non-antimicrobial body wash (C), reduce the rate of HAIs in the institution (O) within twelve weeks (T)?

Organizational Culture Readiness

An organization’s culture and readiness for change considerably affect the success of a proposed change initiative. The organizational culture in the institution is rooted in its vision and mission, which supports a mindset of continuous improvement. The culture also emphasizes teamwork and communication to achieve comprehensive patient care. In addition, the institutional leaders support the staff and empower them to be resilient in the dynamic healthcare environment.

A study by Henrique and Godinho Filho (2020) shows that an organizational culture supported by the leaders/vision and mission tends to adapt to change fast, thus succeeding in practice change initiatives. Therefore, the organization’s culture demonstrates a high level of support for change. More so, the resilience and adaptability demonstrated by staff show a fertile ground for change.

An organizational readiness tool was necessary to measure the organizational readiness to implement the proposed practice change project. The organizational Readiness to Change Assessment (ORCA) tool was used to assess organizational readiness. According to Li et al. (2020), the ORCA tool measures the strength of evidence quality supporting the proposed project, the organizational context in supporting change, and the capacity of the organization to facilitate change.

The ORCA tool showed that the organization is ready to implement compliance with CHG body wash, and the project is supported by strong literature evidence showing the effectiveness of the proposed intervention in reducing HAIs. In addition, the tool showed that the organization has the necessary resources to support and facilitate implementation, thus ready to implement change.

Problem Statement

According to Despotovic et al. (2020), healthcare-associated infections significantly threaten patient safety and well-being across healthcare institutions. Despite being preventable and various protocols to address the issue in the institution, the problem persists. Non-compliance to infection control protocols is among the issues that increase HAIs, leading to increased healthcare costs and lengthy hospital stays. A study by Despotovic et al. (2020) shows that pathogen transmission via patient skin is a primary contributor to HAIs. CHG body wash implementation reduces skin microbial colonization, reducing HAI risks. Therefore, there is a need to improve compliance with CHG body wash protocols to reduce HAI rates and enhance patient outcomes in the institution.

Literature Review

A thorough literature review was conducted to gather information and synthesize evidence supporting the key concept of interest, the effectiveness of CHG body wash in reducing HAIs in healthcare facilities. Authoritative databases were used to get quality and high-quality peer-reviewed sources for inclusion. A study by Musuuza et al. (2020) assessing the effectiveness of CHG body wash among ICU patients found the intervention effective in preventing Healthcare healthcare-associated bloodstream Infections (HABSIs).

The intervention is, therefore, effective for preventing HAIs among ICU and non-ICU patients. However, successful implementation of CHG body wash requires a comprehensive fidelity assessment. In addition, Musuuza et al. (2020) note that successfully implementing CHG body wash protocols depends on the organizational readiness to implement policies and procedures/adopt measures for continuous monitoring and feedback.

Furthermore, evidence from the literature emphasizes the importance of considering other factors that contribute to the effectiveness and success of CHG body wash compliance in reducing HAIs. Studies by Knobloch et al. (2021) and Musuuza et al. (2020) show that these factors include staff and patient education, teamwork perceptions, staffing levels, and product acceptability.

Knobloch et al. (2021) also note that the obstacles to daily CHG bathing include antibiotic resistance, time constraints, workflow, and product issues. Therefore, the literature shows the essence of considering human factors and work system barriers in CHG compliance, especially in long-term practice change. Rius et al. (2020) found that CHG bathing effectively and effectively reduces enterobacteria HAI and related mortality rates, especially in ICUs. Literature evidence therefore, supports the proposed practice change project.

Change Model

The change model that will be employed in the planning and implementation of the proposed project is the Advanced Research and Clinical Practice through Close Collaboration (ARCC) model. The model entails five stages: culture and organizational readiness assessment, facilitators and barriers identification, mentor identification, evidence implementation into organizational practice, and evaluation.

According to Augustino et al. (2020), the ARCC model focuses on the system-based implementation of evidence-based practice and emphasizes the sustainability of evidence-based practice to achieve quality outcomes. Therefore, the model suits the proposed project since it entails adopting evidence-based practice into current practice. Each model stage will be applied to implement the proposed compliance with CHG body wash to reduce HAIs in the institution.

Implementation Plan

An implementation plan outlines the steps that should be followed while executing a project, enabling the project team to stay focused on the objectives and increase the chances of implementation success. The proposed project will be implemented in a 160-bed capacity medium-level hospital offering inpatient and outpatient services, a practice setting with a 10-bed intensive care unit. The potential sublets in this project are hospitalized adult patients in the institution within the project period.

The project team will gain consent from these patients since gaining consent from the patients will enable them to participate voluntarily. Additionally, the expected project timeline is 12 weeks. The project will have four phases. Phase one- planning will take 2 weeks; phase two, intervention development and testing, also take two weeks.  Phase three, implementation and roll-out, will take six weeks, and phase four- evaluation and sustainability will take 2 weeks. The total estimated budget for the project is $43, 500.

Furthermore, a qualitative research design will be used to collect data and evaluate the effectiveness of the project in reducing HAIs in the institution. The project will, therefore, explore the factors affecting CHG body wash compliance and identify strategies to improve CHG compliance and adherence in the institution. The data collection methods that the team will use include observation, audits, and focus group discussions.

Data will be analyzed using thematic analysis to identify recurring themes and patterns related to CHG compliance in the institution. In addition, the project will be implemented by educating the staff to create awareness of the intervention and its essence in reducing HAIs in the institution. The stakeholders needed to implement the project include healthcare providers, institutional administrators, the infection control team, and the patients.

Evaluation Plan

An evaluation plan outlines the process for assessing the effectiveness of a proposed project in achieving the expected outcomes. The proposed project’s primary outcome is achieving a significant decrease in the rate of HAIs reported among hospitalized adult patients in the institution. Other indirect expected project outcomes include reduced healthcare costs and enhanced patient outcomes related to HAIs.

The data collection tools used for the evaluation include questionnaires and a compliance audit tool. Additionally, an independent sample t-test statistical test will be applied in this project. Lee (2022) notes that an independent sample t-test is a statistical test used to compare two independent groups. The test will be used to compare compliance rates before and after the project implementation.

Furthermore, the proposed practice project will be maintained and extended to enhance sustainability in the institution. Continuous monitoring of compliance rates will be used to maintain the project and maintain a low HAI rate in the institution. If the expected outcomes are met and exceptional success is maintained, the intervention will be extended to other departments and units in the institution. In the event that the expected outcomes were not met despite following the right plan and framework, the proposed solution may be revised. Most importantly, stakeholder feedback and evidence-based practices will be used to update the CHG body wash protocols to sustain success in preventing HAIs in the institution.

Conclusion

The proposed practice project aims to implement compliance with CHG body wash in the institution following an increased rate of HAIs recorded in the institution. Therefore, the project’s expected primary outcome is to reduce the rate of HAIs reported among hospitalized adult patients. Other outcomes include reduced healthcare costs and improved patient outcomes related to HAIs, such as length of hospital stay and healthcare costs related to hospital-associated infections. The literature evidence reviewed above supports the implementation of the proposed solution in addressing HAIs in the institution. Finally, the implementation and evaluation plan presented above will be followed to enhance the project’s success and maintain outcomes sustainability.

References

Augustino, L. R., Braun, L., Heyne, R. E., Shinn, A., Lovett-Floom, L., King, H., Migliore, L. & Hatzfeld, J. (2020). Implementing evidence-based practice facilitators: A case series. Military Medicine, 185(Supplement_2), 7-14. https://doi.org/10.1093/milmed/usz460

Despotovic, A., Milosevic, B., Milosevic, I., Mitrovic, N., Cirkovic, A., Jovanovic, S., & Stevanovic, G. (2020). Hospital-acquired infections in the adult intensive care unit – Epidemiology, antimicrobial resistance patterns, and risk factors for acquisition and mortality. American Journal of Infection Control, 48(10), 1211–1215. https://doi.org/10.1016/j.ajic.2020.01.009

Henrique, D. B., & Godinho Filho, M. (2020). A systematic literature review of empirical research in Lean and Six Sigma in healthcare. Total Quality Management & Business Excellence, 31(3-4), 429-449. https://doi.org/10.1080/14783363.2018.1429259

Knobloch, M. J., Musuuza, J. S., McKinley, L., Zimbric, M. L., Baubie, K., Hundt, A. S., Carayon, P., Hagle, M., Pfeiffer, C. D., Galea, M. D., Crnich, C. J., & Safdar, N. (2021). Implementing daily chlorhexidine gluconate (CHG) bathing in VA settings: The human factors engineering to prevent resistant organisms (HERO) project. American Journal of Infection Control, 49(6), 775–783. https://doi.org/10.1016/j.ajic.2020.12.012

Lee, S. W. (2022). Methods for testing statistical differences between groups in medical research: statistical standard and guideline of Life Cycle Committee. Life Cycle, 2. https://doi.org/10.54724/lc.2022.e1

Li, J., Gupta, V., Smyth, S. S., Cowley, A., Du, G., Sirrine, M., Stearley, S., Chadha, R., Bhalla, V., & Williams, M. V. (2020). Value-based syncope evaluation and management: Perspectives of health care professionals on readiness, barriers, and enablers. The American Journal of Emergency Medicine, 38(9), 1867–1874. https://doi.org/10.1016/j.ajem.2020.05.029

Musuuza, J. S., Roberts, T. J., Hundt, A. S., Carayon, P., Zimbric, M. L., Schuetz, V., Reppen, M., Smith, W., Koffarnus, K., Brown, R. L., Bowling, J., Jalali, K., & Safdar, N. (2020). Implementing daily chlorhexidine gluconate treatment for the prevention of healthcare-associated infections in non-intensive care settings: A multiple case analysis. PLoS ONE, 15(4), 1–16. https://doi.org/10.1371/journal.pone.0232062

Reis, M. A. O., de Almeida, M. C. S., Escudero, D., & Medeiros, E. A. (2022). Chlorhexidine gluconate bathing of adult patients in intensive care units in São Paulo, Brazil: Impact on the incidence of healthcare-associated infection. The Brazilian Journal of Infectious Diseases, 26(1), 101666. https://doi.org/10.1016/j.bjid.2021.101666