NURS 8114 Week 6 Assignment: Part 1 Key Project Elements
NURS 8114 Week 6 Assignment: Part 1 Key Project Elements
THE ASSIGNMENT
Part 1: Key Project Elements
Complete your paper of 6–8 pages, plus cover page and references page, explaining your investigation of three hypothetical practice sites for an EBP QI project.
Part 2: Implementation Science Presentation
Complete your PowerPoint presentation of 3–5 slides, plus cover and reference slides, to inform hypothetical stakeholders.
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Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632Links to an external site.). All papers submitted must use this formatting.
BY DAY 7 OF WEEK 6
Submit Parts 1 and 2 of your Assignment (Word document and PowerPoint document).
SUBMISSION INFORMATION
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NURS_8114_Module3_Assignment_Rubric
NURS_8114_Module3_Assignment_Rubric | ||||||
Criteria | Ratings | Pts | ||||
This criterion is linked to a Learning OutcomeThe Assignment: Part 1: Key Project Elements In a paper of 6–8 pages, plus cover page and references page, include the following:• Describe the three health care settings that you explored as proposed sites for an EBP QI project. For each health care setting, identify the following defining features: patient population, mission, public or private entity, single institution or member of a corporation, and others you identify as significant. |
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10 pts | ||||
This criterion is linked to a Learning Outcome• Compare the settings for strengths and weaknesses as sites for an EBP QI project. Be specific and provide examples. |
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15 pts | ||||
This criterion is linked to a Learning Outcome• Explain the practice problems that you explored based on your interests and identified needs of the health care settings you investigated. |
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10 pts | ||||
This criterion is linked to a Learning Outcome• Explain why each problem is a potential focus for an EBP QI project. Be specific and provide examples. |
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15 pts | ||||
This criterion is linked to a Learning Outcome• For each health care setting, describe the stakeholders whose approval would be required to initiate an EBP QI project and implement the results. |
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10 pts | ||||
This criterion is linked to a Learning Outcome• Compare similarities and differences in stakeholder requirements across the settings. |
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15 pts | ||||
This criterion is linked to a Learning Outcome• Identify the one proposed health care setting/practice site and one proposed practice problem you have selected as the focus of a hypothetical presentation to stakeholders, and explain your choices. |
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10 pts | ||||
This criterion is linked to a Learning OutcomeThe Assignment: Part 2: Implementation Science Presentation In a PowerPoint presentation of 3–5 slides, plus cover and references slides, include the following:• Introduce the framework or model you have selected for the EBP QI project and your reasoning. (1–2 slides) |
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50 pts | ||||
This criterion is linked to a Learning Outcome• Present a draft of the proposed practice problem. Include notes for each slide describing points you would make to the assembled stakeholders to obtain their approval or buy-in for the EBP QI project. (2–3 slides) |
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50 pts | ||||
This criterion is linked to a Learning OutcomeWritten Expression and Formatting: Paragraph/Sentence StructureParagraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused—neither long and rambling nor short and lacking substance. |
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5 pts | ||||
This criterion is linked to a Learning OutcomeWritten Expression and Formatting: English writing standards: Correct grammar, mechanics, and proper punctuation. |
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5 pts | ||||
This criterion is linked to a Learning OutcomeWritten Expression and Formatting: The assignment contains parenthetical/in-text citations, and at least three evidence-based references are listed. |
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5 pts | ||||
Total Points: 200 |
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NURS 8114 Week 6 Assignment Part 1
Evidence-based practice (EBP) quality improvement (QI) projects employ systematic change methods and strategies to enhance patient experience and outcome. The change agent should define the outcome that needs improvement, identify how the process outcome will be measured, and create a plan for implementing the intervention and collecting data before and after the intervention. The purpose of this paper is to describe my research of three hypothetical practice sites for an EBP QI project.
The Three Health Care Settings That I Explored As Proposed Sites For an EBP QI Project
The three healthcare settings I explored for an EBP QI project are A crisis stabilization unit, a Mental health unit, and a Medical-surgical unit. The crisis stabilization unit has a patient capacity of 12 beds. It provides 24/7 intensive, short-term stabilization for patients with a mental health emergency willing to receive services. The average stay in a crisis stabilization unit is usually three days. The mission of the Crisis Stabilization Unit is to provide high-quality, short-term, community-based supportive care and treatment for persons in psychiatric or psychosocial crises at risk of hospitalization. In this setting, patients are managed by a multidisciplinary team of mental healthcare professionals, who develop a plan that assists patients in managing and resolving the crisis. The Crisis Stabilization Unit is under a private entity hospital that is a not-for-profit organization.
The Mental health unit has a bed capacity of 40 patients. The unit seeks to assist individuals and the community by offering mental health, special education, and community support through direct mental health services, policy advocacy, and outreach. It provides quality mental health services and supports through direct outreach, referral, and partnerships. The mission of the Mental health unit is to promote mental health awareness individual empowerment, and improve access to treatment and services for individuals living with mental health conditions. The mental health unit is in a medium-sized State hospital with 250 beds. The hospital is also a teaching hospital that seeks to offer critical educational experiences to students while meeting the medical care and treatment needs of patients and the community.
The Medical Surgical Unit has a 50-bed capacity. It provides medical and surgical services to all adult patients across the lifespan. The unit’s mission is to provide exceptional patient care through compassion and interprofessional collaboration. An interdisciplinary team manages the patients in the unit to ensure patients are provided holistic care. The unit is within a medium not-for-profit hospital with a 250-bed capacity. The hospital is also a research hospital that commits its efforts to researching cures for various conditions as well as treating illnesses, diseases, injuries, and various healthcare conditions.
Compare The Settings For Strengths And Weaknesses As Sites For an EBP QI Project
The three proposed EBP sites have strengths and weaknesses that may facilitate or hinder the implementation of EBP. The Crisis stabilization unit has facilitators to EBP like leadership support, organizational culture, and access to resources. The hospital’s leadership team encourages the staff to engage in EBP and be innovative to identify interventions that can improve the delivery of care and patient outcomes in all hospital units. Besides, the organization has cultivated a culture that fosters innovation among employees, which can facilitate the implementation of an EBP QI project. Furthermore, there is access to resources facilitating EBP, like computers, the Internet, online education materials, and online databases. However, the Crisis stabilization unit has barriers like inadequate staffing, limiting providers from engaging in EBP activities. Besides, the unit lacks a person to strongly advocate for EBP, including staff training on EBP, and the management barely rewards the staff for evidence-based innovation, which lowers their morale.
Similar to the Crisis stabilization unit, the Mental health unit has a culture that values the use of research evidence in clinical decision-making. Research evidence is constantly incorporated into the decision-making process of patient care planning, implementation, and evaluation. In addition, the staff in the unit have access to online education materials related to EBP as well as access to computers, the Internet, and online databases for EBP. Nonetheless, the unit does not offer EBP training, and there is insufficient staff to support EBP implementation in the unit.
The Medical Surgical Unit is in a research hospital that greatly embraces EBP. The charge nurse is a strong advocate for EBP in the unit, and the nurses get support from their immediate supervisors and senior leadership to engage in EBP. Moreover, the hospital has adopted a reward system for staff engaging in evidence-based innovation and has a policy for paid time at work to review EBPs. Like the mental health unit, research evidence in the med-surg unit is always integrated into the decision-making process related to planning, implementing, and evaluating patient care. However, high nursing workload, fatigue, and burnout limit the nurses from fully engaging in EBP activities.
The Practice Problems That I Explored Based On My Interests And Identified Needs Of The Health Care Settings I Investigated
The practice problems I explored are homelessness, suicide, and opioid abuse and addiction. According to the Department of Housing and Urban Development (HUD), there were about 582,000 Americans facing homelessness in 2022, which accounts for about 18 per 10,000 persons in the US. This has increased by about 2,000 people since 2020 (USAFacts, 2023). The increasing population of homeless individuals in many towns and cities in the US can be linked to high drug abuse and addiction rates. People experiencing homelessness are at relatively high risk for medical and psychiatric chronic illnesses. Homelessness is linked with various physical and mental disorders, and homeless persons are susceptible to chronic illnesses.
According to CDC statistics, the suicide rate in the U.S. reached an all-time high in 2022. There were approximately 49,449 deaths by suicide in 2022, which is an estimated 3% increase from 2021. The risk factors for suicide include earlier suicide attempts, mental disorders, co-occurring mental alcohol and substance abuse disorders, and a family history of suicide (Favril et al., 2022). Furthermore, individuals facing hopelessness and those with impulsive and aggressive tendencies are at risk of suicide.
Opioid abuse and addiction have been declared a public health epidemic in the US. They significantly impact the health and well-being of individuals and communities in the country. The US is one of the largest consumers of opioids globally, and it is approximated that about 2.1 million Americans have abused opiates (Ahmed et al., 2022). Taking opioids for over three months increases the risk of addiction by 15-fold.
Why Each Problem Is A Potential Focus For an EBP QI Project
The problem of homelessness is a potential focus for an EBP QI project since homeless persons encounter poor access to health care. This leads to delayed clinical presentation, increased reliance on emergency departments, and high hospitalization rates, especially for preventable diseases. Bedmar et al. (2022) explain that homeless individuals frequently suffer from poor health and premature death due to limited access to healthcare services and being deprived of basic human and social rights. Besides, many homeless persons usually have a history of mental illnesses and high rates of drug and alcohol abuse. Thus, an EBP QI project can focus on improving access to healthcare for homeless persons and identify if increasing access to preventive care can lower morbidity and mortality rates in this population.
Suicide is also a potential focus for an EBP QI project since the issue results from mental health problems. Besides, the issue can be mitigated by promoting mental health awareness and care among individuals across the lifespan. Individuals who face barriers to accessing mental health treatment and those reluctant to seek help due to the stigma attached to mental and substance abuse disorders and suicidal thoughts are at risk of suicidal behavior (Favril et al., 2022). Thus, an EBP intervention can help lower suicide rates by increasing mental health awareness to reduce social stigma and increasing individuals’ access to mental health preventive, curative, and rehabilitative services.
Opioid abuse and addiction can be a focus for an EBP QI project to help address the opioid epidemic in the country. According to Sureshkumar et al. (2021), opioid addiction has one of the highest relapse rates because of the rapid rate at which opioid tolerance builds compared with other substances. It is estimated that about 91% of persons recovering from opiate abuse will experience a relapse. Furthermore, opioid overdose deaths increased by 519.38% from 1999 to 2019. Thus, an EBP QI project would be crucial to prevent Opioid abuse and addiction and prevent relapse for persons on treatment for opioid addiction.
Stakeholders Whose Approval Would Be Required To Initiate An EBP QI Project And Implement The Results
Stakeholder approval will be fundamental to implementing an EBP QI project in the proposed sites. Since the Crisis Stabilization Unit is under a private entity, approval by the hospital’s owners and investors will be a requisite. The facility owners and administrators must approve the EBP project to be implemented in the institution since they decide the budget, manage finances, and ensure the hospital and the staff comply with various codes and regulations linked with medical care.
The Mental health unit is in a state hospital; thus, the EBP project will need approval by the hospital’s management board. The board coordinates, supervises, and monitors health service delivery in the state hospital. The Hospital Management Committee (HMC) will also need to approve the project since it helps manage the hospitals. The HMC comprises heads of departments in the hospital that are well-informed of the QI needs. The Medical-surgical unit is under a not-for-profit hospital, and EBP project approval will be required from the hospital’s management committee and the administration team.
Similarities And Differences In Stakeholder Requirements Across The Settings
Stakeholders in the private entity, like the Crisis Stabilization Unit, will require that the EBP project helps to increase profits for the hospital and solve a financial problem directly or indirectly. This is because a share of the hospital’s profits goes to the investors. The stakeholders for the state hospital will require the EBP project to provide an educational experience to the staff and students in the hospital and meet the medical care and treatment needs of patients and the community. Lastly, the stakeholders for the not-for-profit organization will require the project to be community-focused and meet specific needs in the community.
One Proposed Health Care Setting/Practice Site And One Proposed Practice Problem Selected As The Focus Of A Hypothetical Presentation To Stakeholders
The Mental health unit has been selected as the practice site for the EBP project, and the proposed practice problem is suicide. The mental health unit was selected because it is under a teaching hospital that seeks to offer critical educational experiences to students while meeting the medical care and treatment needs of patients and the community. Therefore, my EBP project will align with the hospital’s mission since it will help me in my education experience. Suicide was selected because it is the second leading cause of mortality among persons aged 10–25 years. Suicide is preventable through screening and early interventions. Therefore, there is a need to identify evidence-based interventions that will mitigate suicide by identifying individuals at risk of suicide and providing necessary interventions. Providers in the mental health unit can apply these interventions to help lower mortalities from suicide in the community.
Conclusion
The proposed sites for an EBP QI project are a crisis stabilization unit, Mental health unit, and Medical surgical unit. The identified practice issues are homelessness, suicide, and opioid abuse and addiction. The mental health unit has been proposed as an ideal practice site since it supports student research. Suicide has been selected as the focus problem for an EBP QI project since it is preventable through screening and early interventions.
References
Ahmed, S., Sarfraz, Z., & Sarfraz, A. (2022). Editorial: A Changing Epidemic and the Rise of Opioid-Stimulant Co-Use. Frontiers in psychiatry, 13, 918197. https://doi.org/10.3389/fpsyt.2022.918197
Bedmar, M. A., Bennasar-Veny, M., Artigas-Lelong, B., Salvà-Mut, F., Pou, J., Capitán-Moyano, L., … & Yáñez, A. M. (2022). Health and access to healthcare in homeless people: Protocol for a mixed-methods study. Medicine, 101(7), e28816-e28816. doi: 10.1097/MD.0000000000028816
Favril, L., Yu, R., Uyar, A., Sharpe, M., & Fazel, S. (2022). Risk factors for suicide in adults: systematic review and meta-analysis of psychological autopsy studies. Evidence-based mental health, 25(4), 148–155. https://doi.org/10.1136/ebmental-2022-300549
Sureshkumar, K., Dalal, P. K., Kailash, S. Z., & Rudhran, V. (2021). Relapse in opioid dependence: Role of psychosocial factors. Indian Journal of Psychiatry, 63(4), 372. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_383_20
USAFacts. (2023, March 16). How many homeless people are in the US? What does the data miss? https://usafacts.org/articles/how-many-homeless-people-are-in-the-us-what-does-the-data-miss/