Evidence-Based Practice Project Proposal: Implementation Plan

 

Evidence-Based Practice Project Proposal: Implementation Plan

The process of Evidence-Based Practice (EBP) is a cyclical and iterative one, and as such, the implementation steps should be viewed as a general guide rather than a definitive blueprint. Establish need/problem: The first step in any EBP project is to establish that there is a genuine need or problem that can be addressed through evidence-based approaches. This may involve reviewing existing research literature or consulting with experts in the field. Conducting a systematic review is another step required in the evidence-based practice implementation process. Once the need has been established, the next step is to conduct a systematic review of all available research on the topic in order to identify any relevant evidence-based studies. The purpose of this paper is to describe the EBP implementation plan for the EBP project proposal.

PICOT Question

In the perinatal women (P), will the treatment of a hypertension crisis with the recommended medication within 60 min (I), compared to current standardized practices (C) improve maternal outcomes/prevent complications (O) within 6 months (T).

The Setting and Access to Potential Subjects

The research will be undertaken in the healthcare facilities that provide hypertension treatment. The healthcare institutions under consideration should be those that are involved in the general treatment and prevention of hypertension. There are several different types of healthcare institutions involved in the treatment of hypertension. In this case, hospitals and clinics that specializes in the treatment of hypertension will be considered. Subjects will be involved in the research process, however, only records will medical records for patients will be used. The records will be retrieved on a monthly basis.

Hypertension can be treated in various settings, depending on the severity of the condition and the patient’s health history. In most cases, hypertensions require medication, which are prescribed by a doctor or nurse practitioner. In other cases, a hypertension may be managed through lifestyle changes, such as diet and exercise. It all depends on the individual case and what is best for the patient’s health (Camargo et al., 2018). Access to treatment for a hypertension can vary depending on the location or country in which you live. In some places, medications may be available over-the-counter at pharmacies, while in others you may need to see a doctor.

Project’s Timeline

Project’s Timeline is essential for the planning and execution of different steps or processes. In most cases, it is difficult to provide a specific timeline for the completion of a PICOT project, as there are many factors that can affect the amount of time required (Afrashtehfar et al., 2017). The project will be completed within six months. The key steps that should be taken in order to complete a PICOT project include: Defining the problem or question that you would like to answer; Collecting data and analyzing it to see what trends emerge; Developing a plan for addressing the problem or question posed by the data; Testing the plan and modifying it as necessary; Implementing the plan and gathering more data to establish if the desired outcome was achieved.

Budget and Resource List

The budget and resource list for a PICOT project will vary depending on the specific requirements. However, some general recommendations for budget and resources include:

-Budget: $10,000-$15,000

-Resource List: computer with internet access, software for data analysis (SPSS, RStudio), literature search databases (e.g. PubMed, Web of Science), printer/copier, healthcare personnel, hypertension Communications Kit, hypertension Patient Education Handouts, hypertension Tools and Training, electrocardiogram, and echocardiogram.

From the budget, computer with internet access, software for data analysis (SPSS, RStudio), and literature search databases (e.g. PubMed, Web of Science) are necessary resources required in the successful implementation of the PICOT. These resources are needed to enhance the technical aspect of the PICOT. Personnel and the medical equipment are critical in managing the clinical aspects of the project, particularly those being applied by healthcare personnel.

Research Design

In this evidence-based practice proposal, quantitative deign will be used to collect data and evaluate the effectiveness of the outcomes. When talking about “quantitative design,” reference should be made to a systematic way of collecting and analyzing numerical data. This type of design is well-suited for evaluations because it allows researchers to measure how well something is working (or not working) in a precise and unbiased manner (Hande et al., 2017). When it comes to evidence-based practice projects, using quantitative data is the best way to ensure that the findings are accurate and reliable. By collecting data this way, one is able to make sound decisions about the effectiveness of the project proposal—and whether or not it should be implemented more widely.

Description of Methods and Instruments

The interval tests, and chart audits will be used when observing data with equal distances between measurement points. In most cases, the interval test, and chart audits is used when observing data with equal distances between measurement points. By doing this, it can help to ensure accuracy and reliability of the data. Additionally, it can help to highlight any outliers that may be present in the data set.

The Process for Delivering the Intervention

The delivery process for the intervention will be explained to participants before they begin the study. There will be the need for training as the intervention is self-administered.

It is intended that the information be disseminated with the employees via emails and staff meetings, and that educational materials be posted to the Healthstream education system with a test for the nursing staff to evaluate their knowledge and to certify that they understand the policy requirements.

Stakeholders Needed To Implement the Plan

The OB doctors, front-line personnel, and leadership team are the key stakeholders who will be involved in putting the strategy into action. A committee has been formed to draft the strategy, and they will need to continue to collaborate in order to ensure that it is carried out successfully. Representatives from each of these organizations are represented on the committee. The OB doctors are the stakeholders that are needed to implement the plan. They have the training and experience needed to enhance the overall outcome of this project.

Potential Barriers to the Plan

There are certainly potential barriers and challenges to any implementation plan, but if you have a clear understanding of the goals and objectives of the plan, it’s easier to address these issues. One key challenge will be ensuring that all stakeholders are on board with the plan and understand their roles and responsibilities (Rahmayanti et al., 2020). Another potential obstacle will be resistance from employees who may not want to change their current working procedures. It will be important to provide clear guidelines and timelines for implementation, as well as regular updates on progress, in order to keep everyone informed and motivated. To overcome these barriers, it is important to have a backup plan in place in case of unforeseen complications. By anticipating potential challenges and having a roadmap for addressing them, there are increased chances of eliminating numerous challenges.

Establish the Feasibility of the Implementation Plan

The feasibility of an implementation plan will vary depending on the specific context and situation. However, in general, it is important to consider all of the relevant factors when planning for a successful implementation. Some key factors to consider include: the availability of resources (e.g., funding, personnel, equipment), the feasibility of training and/or recruitment of staff, logistical considerations (e.g., location, timing), and stakeholder involvement and support (Cullen et al., 2017). It is also important to have a clear understanding of the goals and objectives of the project, as well as a realistic assessment of the potential challenges and obstacles that may be encountered along the way. Given the above resources, the implementation of this project is feasible.

Conclusion

It is important to note that the process of EBP is a cyclical and iterative one, and as such, the implementation steps should be viewed as a general guide rather than a definitive blueprint.The research will be undertaken in the healthcare facilities that are mainly involved in the treatment of hypertension and the related conditions. The healthcare institutions under consideration should be those that are involved in the general treatment and prevention of hypertension.In this evidence-based practice proposal, quantitative deign will be used to collect data and evaluate the effectiveness of the outcomes.

References

Afrashtehfar, K. I., Eimar, H., Yassine, R., Abi‐Nader, S., &Tamimi, F. (2017). Evidence‐based dentistry for planning restorative treatments: barriers and potential solutions. European Journal of Dental Education, 21(4), e7-e18. https://doi.org/10.1111/eje.12208

Camargo, F. C., Iwamoto, H. H., Galvão, C. M., Monteiro, D. A. T., Goulart, M. B., & Garcia, L. A. A. (2018). Models for the implementation of evidence-based practice in hospital based nursing: A narrative review1. Texto&Contexto-Enfermagem, 26.https://www.scielo.br/j/tce/a/w7YdK4vhwv74CgjSv56tFWG/abstract/?lang=en

Cullen, L., Hanrahan, K., Farrington, M., DeBerg, J., Tucker, S., &Kleiber, C. (2017). Evidence-based practice in action: Comprehensive strategies, tools, and tips from the University of Iowa Hospitals and Clinics. Sigma Theta Tau.

Hande, K., Williams, C. T., Robbins, H. M., Kennedy, B. B., &Christenbery, T. (2017). Leveling evidence-based practice across the nursing curriculum. The Journal for Nurse Practitioners, 13(1), e17-e22.https://doi.org/10.1016/j.nurpra.2016.09.015

Rahmayanti, E. I., Kadar, K. S., & Saleh, A. (2020). Readiness, Barriers and Potential Strenght of Nursing in Implementing Evidence-Based Practice. International Journal of Caring Sciences, 13(2), 1203-1211.http://www.internationaljournalofcaringsciences.org/docs/44_1_rahmayanti_original_13_2.pdf

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Appendix

Appendix A: Timeline

No.	Activity	Time (Months)
1	Defining the problem or question	1
2	Collection and analysis of data	2
3	Developing a plan for how the question or the problem will be addressed	1
4	Testing and modifying of the plan	1
5	Implementing the plan and gathering more data to see if it has had the desired effect	1

 Appendix B: Budget and Resource List

No.	Item	Cost ($)
1.	computer with internet access	1000
2.	software for data analysis (SPSS, RStudio)	1500
3.	literature search databases (e.g. PubMed, Web of Science)	1000
4.	printer/copier	2000
5.	healthcare personnel	3000
6.	hypertension Communications Kit	2000
7.	hypertension Patient Education Handouts	1000
8.	hypertension Tools and Training	1000
9.	electrocardiogram,	1000
10.	echocardiogram	1000
11.	TOTAL	13,500

 

Appendix C: Chart Audits

In the perinatal women (P), will the treatment of a hypertension crisis with the recommended medication within 60 min (I), compared to current standardized practices (C) improve maternal outcomes/prevent complications (O) within 6 months (T).
To writer: please information in parenthesis
Evidence-Based Practice Project Proposal: Implementation Plan
SUBMIT ASSIGNMENT
In 1,250-1,500 words, discuss the implementation plan for your evidence-based practice project proposal. When required, create the appropriate form, table, image, or graph to fully illustrate that aspect of the intervention plan and include them in an appendix of your paper. You will use the implementation plan, including the associated documents in your appendices, in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal.

Include the following:
1. Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Include a draft of the form as an appendix at the end of your paper.
(no consent will be created, the information will be retrieved from the medical records monthly for all the patient that are seen in the Labor and delivery department.)

2. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Based on the timeline you created, describe the amount of time needed to complete this project. Include a draft of the timeline as an appendix at the end of your paper.
(the timely is 6 months)

3. Develop a budget and resource list. Consider the clinical tools or process changes that would need to take place. Based on the budget and resource list you developed: (a) describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution; (b) outline the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer-related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Include a draft of the budget and resource list as an appendix at the end of your paper.

4. Explain whether you would select a qualitative or quantitative design to collect data and evaluate the effectiveness of your evidence-based practice project proposal. Provide rationale to support your selection.

(Quantitative design, previously selected)

5. Describe the methods and instruments (questionnaire, scale, or test) to be used for monitoring the implementation of the proposed solution. Include the method or instrument as an appendix at the end of your paper.

(The interval test, and chart audits is used when observing data with equal distances between measurement points)

6. Explain the process for delivering the intervention and indicate if any training will be needed.
(The information will be shared with the staff via emails, staff meetings, education will be uploaded to the Healthstream education system with a test for the nursing staff to assess their knowledge, and for them to attest that they understand the policy expectations)
7. Discuss the stakeholders that are needed to implement the plan.
(OB physicians, front line staff, and leadership team, committee that was created to launch the project).

8. Consider all of the aspects of your implementation plan and discuss potential barriers or challenges to the plan. Propose strategies for overcoming these.
9. Establish the feasibility of the implementation plan.

You are required to cite a minimum of five 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.