Evidence-Based Practice Project Proposal: Evaluation Plan Assignment Paper

Evidence-Based Practice Project Proposal: Evaluation Plan Assignment Paper

Evidence-Based Practice Project Proposal: Evaluation Plan Assignment Paper

            Evidence-based practice is key in solving major healthcare issues. However, these evidence-based practices pass through a rigorous approval process that ascertains their effect on the solution of an existing problem. Similarly, evidence-based proposals are based on sufficient evidence that is able to support a change in nursing practice (Brownson et al., 2018). Developing evidence-based proposals require intensive research supported with valid and credible evidence for the requested change in practice. Therefore, the purpose of this assignment is to formulate an evaluation plan for the proposed project. The evaluation process will explore the outcomes and the research method, data collection, and statistical tests to use for my EBP project: Will including family as a support system while educating patients (I) rather than with no family support (C) in non-English speaking patients with hypertension (P), lead to improved blood pressure (O) over the course of six months. (T)?

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The Expected Outcomes

            The proposed project seeks to determine whether including family as a support system in educating non-English speaking patients with hypertension improves blood pressure outcomes. The evidence-based proposal seeks to improve self-care among non-English speaking patients with hypertension. The expected outcome from this project includes reduced readmission rates, reduced cases of hypertension mortality, reduced hospital visits due to complexities of blood pressure, and increased discharge summaries for hypertensive patients. The increased readmission in a hospital causes more harm to patients in terms of additional cost and lost trust in the quality of healthcare delivery (Eriksen & Frandsen, 2018). Besides, the expected outcomes from the research will include examining risks and related complications due to poor blood pressure management at home.

            The study done by Charach et al. (2022) found that complications of hypertension can be detrimental to patients, especially when they cannot seek faster medical attention. Such patients present a blood pressure higher than 160 systolic and 110 diastolic. These cases could increase the risk of heart failure, brain damage and heart attack. The life of these patients depends on how fast they can receive medical attention, while in some severe cases it can lead to the patient’s sudden demise. Therefore, it is important to educate patients on ways of improving blood pressure at home to limit instances of severe hypertension.

Data Collection Tool and Data Collection Method

            The data to be collected in this project will be from electronic health records (EHRs). Each of the considered patients has their data within the EHR system at the healthcare institution. Therefore, the tool will be a significant source of data collection for this study. The data from this system will show if the proposed intervention is effective and can meet the desired patient outcome concerning the management of blood pressure among non-English speaking patients with hypertension. Electronic health records capture accurate patient information because they are used in the daily monitoring of patients at the institution (Brownson et al., 2018). This makes the tool significant in this study.

            Chart audits will also be used in this project. Chart audits done internally are used to measure activities that aid in supporting an organization to achieve its main objectives, the evaluation of care quality, and the assessment of staff performance. This tool will be designed to have a series of questions that seeks to clarify whether the family support system was included in the patient education program. Besides, the tool will include the initiation readings of the blood pressure before and after the intervention. It also includes if the nurse in charge was notified of the readings. The project drivers will work closely with the healthcare professionals to discuss the information captured from the EHRs (Eriksen & Frandsen, 2018). The outcome will be measured in percentages, and the data will involve determining consistency in the data collected.

Statistical Tests

            This project will use an interval test. This statistical test is selected because it can determine whether the outcomes on blood pressure vary within the two interventions. The trend recorded on patient outcomes before the intervention will be compared to the trend noted after (Terwee et al., 2018). This comparison would provide the most effective conclusion that will either support or decline the proposed project. The Interval test is suitable because it can compare two measurable outcomes. Furthermore, the tool is compatible with numerous statistical tests, especially in the analysis of EHR data used in supporting quantitative data to be used in a project.  

Remediation Strategies

            The drivers of this project operate on the premise that the expected outcome may be positive or fail to meet the expected outcome. In case the project fails to meet the expected outcome, the research methodology would be reexamined for any bias and revised to align with the expected outcome. If the unexpected results persist after this process, an intense comparative analysis with findings from other studies will be done to decide whether to redo the intervention. The nature of the proposed change must be accorded with sufficient data to limit controversies on the practice (Eriksen & Frandsen, 2018). Therefore, it would imply that the project drivers and the stakeholders would commence the project from scratch to review the implementation steps. They would also think of other options that failed the project. These options may include speaking with other non-clinical staff to identify other barriers and conducting a review on EHRs twice a month instead of once a month.

Plan to Maintain and Extend the Proposed Solution

            Maintaining the proposal after implementation will be achieved by engaging nurse leaders and other frontline workers because they are the main drivers of this project. The healthcare providers must receive satisfactory training on the implementation and sustenance of the proposed solution when the data shows that educating non-English speaking hypertensive patients in the presence of their families improves blood pressure outcomes (Albarqouni et al., 2018). Social media, posters, and online presentations with recommendation medication will be used to remind healthcare professionals to adopt this proposed intervention constantly.

Conclusion

            The choice of data collection tools and methods will be significant in measuring the outcomes of the proposed change. The proposed evidence-based practice is based on data that supports its use in healthcare practice. The findings from this research will be used to examine the proposed change and make informed decisions based on data. It is important to develop these steps to evaluate the plan early enough to increase the chances of implementing the project in healthcare.

References

Albarqouni, L., Hoffmann, T., Straus, S., Olsen, N. R., Young, T., Ilic, D., … & Glasziou, P. (2018). Core competencies in evidence-based practice for health professionals: consensus statement based on a systematic review and Delphi survey. JAMA Network Open, 1(2), e180281-e180281. doi:10.1001/jamanetworkopen.2018.0281

Brownson, R. C., Fielding, J. E., & Green, L. W. (2018). Building capacity for evidence-based public health: reconciling the pulls of practice and the push of research. Annual Review of Public Health, 39, 27. https://doi.org/10.1146%2Fannurev-publhealth-040617-014746

Charach, L., Grosskopf, I., Karniel, E., & Charach, G. (2022). A Meteorological Paradox: Low Atmospheric Pressure-Associated Decrease in Blood Pressure Is Accompanied by More Cardiac and Cerebrovascular Complications: Five-Year Follow-up of Elderly Hypertensive Patients. Atmosphere, 13(2), 235. https://doi.org/10.3390/atmos13020235

Eriksen, M. B., & Frandsen, T. F. (2018). The impact of patient, intervention, comparison, outcome (PICO) as a search strategy tool on literature search quality: a systematic review. Journal of the Medical Library Association: JMLA, 106(4), 420. https://doi.org/10.5195%2Fjmla.2018.345

Terwee, C. B., Prinsen, C. A., Chiarotto, A., Westerman, M. J., Patrick, D. L., Alonso, J., … & Mokkink, L. B. (2018). COSMIN methodology for evaluating the content validity of patient-reported outcome measures: a Delphi study. Quality of Life Research, 27(5), 1159-1170. https://doi.org/10.1007/s11136-018-1829-0

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Evidence-Based Practice Project Proposal: Evaluation Plan
In 750-1,000 words, develop an evaluation plan to be included in your final evidence-based practice project proposal. You will use the evaluation plan 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.
Provide the following criteria in the evaluation, making sure it is comprehensive and concise:
1. Discuss the expected outcomes for your evidence-based practice project proposal.
2. Review the various data collection tools associated with your selected research design and select one data collection tool that would be effective for your research design. Explain how this tool is valid, reliable, and applicable.
3. Select a statistical test for your project and explain why it is best suited for the tool you choose.
4. Describe what methods you will apply to your data collection tool and how the outcomes will be measured and evaluated based on the tool you selected.
5. Propose strategies that will be taken if outcomes do not provide positive or expected results.
6. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.
Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.
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.
Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.
Prepare this assignment according to the guidelines 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.