Assignment: NR 718  Leading Evidence-Based Practice Change 

Assignment: NR 718  Leading Evidence-Based Practice Change

Assignment: NR 718  Leading Evidence-Based Practice Change

Assignment

Purpose

The purpose of this assignment is to demonstrate clinical and health systems leadership by writing a grant proposal for an evidence-based practice change project to address a practice problem. You will use the practice problem identified in previous courses. This assignment focuses on the first part of a grant proposal:

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Specific Aims

Background and Significance

Translational Science Model

Setting

Instructions

Review feedback from the discussion and write the beginning of the grant proposal that includes the following required content:

Introduction (maximum of 1 paragraph): Provide a brief introduction that describes the following:
Introduce the paper’s purpose and the importance of the practice change project.

Describe intended accomplishments and long-term project goals.

Provide a brief and defining statement of what will be discussed in the paper.

Specific Aims (maximum of 1 paragraph)

Describe what is hoped to be accomplished with the project, such as increased access or quality of care, etc.

Background and Significance (maximum of 2 pages): This section lays out the reason for the grant proposal. It should make a clear, concise, and well-supported statement of the problem. The information provided should be both factual and directly related to the problem addressed by the grant proposal. The following should be addressed in this section:

Define the purpose for developing the grant proposal.

Identify the problem and address why this is a problem.

Describe the nature of the problem. Provide as much evidence as possible, including the non-research data along with the research findings. Provide a synthesis of research study evidence and non-research evidence to introduce the implications of the practice problem that include the significance, mortality, and economic ramifications of the problem.

Describe the stakeholders, who they are, and how they will benefit from the practice change project.

Describe the specific way the problem(s) might be solved using the grant funding.

Translational Science Model (maximum of 1 paragraph)

Identify and briefly describe an appropriate translational science model to guide the project implementation.

Setting (maximum of 1 paragraph)
Describe the setting to include the type of organization (e.g., hospital, clinic, long-term care facility, etc.).

Describe the specific population served by the organization.

Describe the ethnic, racial, and cultural diversity of the community.

APA Guidelines

Use the current American Psychological Association (APA Manual) and the Chamberlain Guidelines for Writing a Professional Papers (located in the APA Basics section of the Writing Center) to complete this assignment. Follow these guidelines when completing each component. Contact your course faculty if you have questions.

Use the APA Paper Template (located in the Writing Center) to format this assignment.

Turn on Grammarly to check the correctness of the grammar and punctuation as you write. (Note: if you have not already done so, please download the free version at Grammarly.com before construction of the assignment.)

Construct a title page using the APA paper template (Example: The Nurse Educator and Leading Social Change).

Use the following prescribed Level I headings for the paper:

Title of the paper for Introduction

Specific Aims

Background and Significance

Translation Model

Setting

Writing Requirements (APA format)

Length: 3-4 pages (not including title page or references page)

1-inch margins

Double-spaced pages

12-point Times New Roman or 11-point Arial font

Headings and subheadings

In-text citations

Title page

Reference page

Standard English usage and mechanics

Organized presentation of ideas

Program Competencies

This assignment enables the student to meet the following program competencies:

Integrates scientific underpinnings into everyday clinical practice. (POs 3, 5)

Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)

Uses analytic methods to translate critically appraised research and other evidence into clinical scholarship for innovative practice improvements. (POs 3, 5)

Appraises current information systems and technologies to improve health care. (POs 6, 7)

Analyzes health care policies to advocate for equitable health care and social justice to all populations and those at risk due to social determinants of health. (POs 2, 9)

Translates a synthesis of research and population data to support preventative care and improve the nation’s health. (PO 1)

Leads others in professional identity, advanced clinical judgment, systems thinking, resilience, and accountability in selecting, implementing, and evaluating clinical care. (POs 1, 4)

Course Outcomes

This assignment enables the student to meet the following course outcomes:

Identify advanced practice leadership competencies. (PCs 2, 4, 5; POs 2, 6)

Apply various strategies to improve access to quality, cost-effective healthcare. (PCs 5, 7, 8; POs 1, 4, 9)

Utilize translation science to affect evidence-based practice change to impact quality and safety of patient care. (PCs 1, 3; POs 3, 5)

Translate research into clinical practice to provide optimal wellness and disease prevention throughout the patient population. (PCs 1, 3, 5, 7, 8; POs 1, 3, 4, 9)

Rubric

Week 3 Assignment Grading Rubric

Week 3 Assignment Grading Rubric

Criteria Ratings Pts
This criterion is linked to a Learning OutcomeIntroduction

Requirements:

1. Introduce the paper’s purpose and the importance of the project.

2. Describe the intended accomplishments and long-term project goals.

3. Provide a brief and defining statement of what will be discussed in the paper.

20 pts

Includes all requirements and provides an excellent introduction.

18 pts

Includes all requirements and provides a very good introduction.

16 pts

Includes fewer than all requirements and/or provides a basic introduction.

0 pts

Includes fewer than all requirements and/or provides a poor introduction.

20 pts

This criterion is linked to a Learning OutcomeSpecific Aims

Requirements:

1. Describe what is hoped to be accomplished with the project such as increased access or quality of care, etc.

20 pts

Includes all requirements and provides an excellent description of the specific aims.

18 pts

Includes all requirements and provides a very good description of the specific aims.

16 pts

Includes fewer than all requirements and/or provides a basic description of the specific aims.

0 pts

Includes fewer than all requirements and/or provides a poor description of the specific aims.

20 pts

This criterion is linked to a Learning OutcomeBackground and Significance

Requirements:

1. Define the purpose for developing the grant proposal.

2. Identify the practice problem and address why this is a problem.

3. Describe the nature of the problem. Provide as much evidence as possible, including the non-research data along with the research findings. Provide a synthesis of research study evidence and non-research evidence to introduce the implications of the practice problem that include the significance, mortality, and economic ramifications of the problem.

4. Describe the stakeholders, who they are, and how they will benefit.

5. Describe the specific way the problem(s) might be solved.

50 pts

Includes all requirements and provides an excellent description of the background and significance.

45 pts

Includes all requirements and provides a very good description of the background and significance.

40 pts

Includes fewer than all requirements and/or provides a basic description of the background and significance.

0 pts

Includes fewer than all requirements and/or provides a poor description of the background and significance.

50 pts

This criterion is linked to a Learning OutcomeTranslational Science Model

Requirements:

1. Identify and briefly describe an appropriate translational science model to guide the project implementation.

30 pts

Includes all requirements and provides an excellent discussion of the translational science model.

27 pts

Includes all requirements and provides a very good discussion of the translational science model.

24 pts

Includes fewer than all requirements and/or provides a basic discussion of the translational science model.

0 pts

Includes fewer than all requirements and/or provides a poor discussion of the translational science model. epidemiology.

30 pts

This criterion is linked to a Learning OutcomeSetting

Requirements:

1. Describe the setting to include the type of organization.

2. Describe the specific patient population served by the organization.

3. Describe the ethnic, racial, and cultural diversity of the community.

30 pts

Includes all requirements and provides an excellent discussion of the setting.

27 pts

Includes all requirements and provides a very good discussion of the setting.

24 pts

Includes fewer than all requirements and/or provides a basic discussion of the setting.

0 pts

Includes fewer than all requirements and/or provides a poor discussion of the setting.

30 pts

This criterion is linked to a Learning OutcomeReferences

Requirements:

1. Identify and list scholarly sources and other sources on the reference pages.

2. List sources in alphabetical order.

3. Use correct hanging-indent format.

10 pts

Includes all requirements and provides excellent references.

9 pts

Includes all requirements and provides very good references.

8 pts

Includes fewer than all requirements and/or provides basic references.

0 pts

Includes fewer than all requirements and/or provides poor references.

10 pts

This criterion is linked to a Learning OutcomeAPA Style and Organization for Scholarly Papers

Requirements:

1. Use prescribed Level I headers as described in the assignment guidelines.

2. Reference and citations are in current APA style.

3. Paper length is 3-4 pages, excluding title and reference pages.

10 pts

Includes all requirements and provides excellent APA style and organization

9 pts

Includes all requirements and provides very good APA style and organization.

8 pts

Includes fewer than all requirements and/or provides basic APA style and organization.

0 pts

Includes fewer than all requirements and/or provides poor APA style and organization.

10 pts

This criterion is linked to a Learning OutcomeClarity of Writing

Requirements:

1. Use of Standard English usage and mechanics

2. No spelling or typographical errors

3. Organized presentation of ideas

30 pts

Includes all requirements and demonstrates excellent clarity of writing.

27 pts

Includes all requirements and provides very good clarity of writing.

24 pts

Includes fewer than all requirements and/or provides basic clarity of writing.

0 pts

Includes fewer than all requirements and/or provides poor clarity of writing.

30 pts

Total Points: 200

Assignment: NR 718  Leading Evidence-Based Practice Change Sample

Depression is a serious and debilitating mental health disorder that affects millions globally and is one of the leading causes of disability. The grant proposal aims to address the practice problem of depression-related suicide by implementing a practice change project based on evidence-based practices. The long-term goal of this project is to reduce the incidence of depression-related suicide and enhance patient outcomes concerning depression and suicide risk within our healthcare organization. The proposed practice change project aligns with our healthcare organization’s mission to improve our patients’ and communities’ health and well-being, and this grant proposal provides a detailed plan for achieving these objectives.

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Specific Aims

The grant proposal aims to address the practice problem of depression-related suicide by implementing an evidence-based practice change project to improve depression screening, suicide risk assessment, and evidence-based interventions in our healthcare setting (Wasserman et al., 2020). By doing so, this project hopes to increase access to proper care and support for patients experiencing depression or suicidal ideation. Ultimately, this practice change project is intended to improve the quality of care provided to patients, leading to better health outcomes and overall patient well-being.

Background and Significance

Depression-related suicide is a significant health practice problem that needs to be addressed, with an estimate of over 700,000 suicide deaths annually. According to World Health Organization (2021), the incidence of depression-related suicide has been increasing in recent years. It is the fourth leading cause of death among individuals between 15 and 29. Depression is also a significant cause of disability, affecting the ability of individuals to function in their daily lives. Depression-related suicide is a multifaceted problem requiring a comprehensive approach to address it effectively. Therefore, this grant proposal aims to implement evidence-based practices to reduce the incidence of depression-related suicide and improve patient outcomes in our healthcare organization.

According to Greenberg et al. (2021), there was a 12.9% increase in US adults with Major Depressive Disorder (MDD) between 2010 and 2018, from 15.5 million to 17.5 million. In addition, the proportion of adults aged 18-34 with MDD increased from 34.6% to 47.5% during this period, with an incremental economic burden of MDD in adults increasing by 37.9%, from $US236.6 billion to $326.2 billion. Therefore, addressing this problem is essential to reduce the economic and mortality ramifications of depression-related suicide.

Implementing evidence-based practices is crucial in reducing the incidence of depression-related suicide. Evidence-based practices such as depression screening, suicide risk assessment, and evidence-based interventions have been shown to improve patient outcomes concerning depression and suicide risk (Mann et al., 2021). These evidence-based interventions can lead to improved patient outcomes through early identification of patients at risk, developing appropriate treatment plans, and using effective interventions based on research.

The stakeholders for this practice change project include healthcare providers, patients, families, and the community. Healthcare providers will benefit from this practice change project by receiving training on evidence-based practices for depression screening, suicide risk assessment, and interventions. This training will improve their ability to identify patients at risk of depression-related suicide and provide appropriate care and support. Patients and their families will benefit from this project by receiving improved quality of care, leading to better health outcomes and overall patient well-being. The community will benefit from this project by reducing the incidence of depression-related suicide and the economic and mortality ramifications of this problem.

Specific Solution using Grant Funding

The grant funding will implement an evidence-based practice change project to improve depression screening, suicide risk assessment, and evidence-based interventions in our healthcare setting. The specific Solution to address the problem of depression-related suicide includes training healthcare providers on evidence-based practices, implementing a depression screening tool, and developing a suicide risk assessment tool. The grant funding will also provide evidence-based interventions, such as psychotherapy and medication management, to patients at risk of depression-related suicide. The project will also include ongoing monitoring and evaluation of the program’s effectiveness, including patient outcomes and healthcare provider adherence to evidence-based practices. Ultimately, the grant funding will help improve patient outcomes and reduce the incidence of depression-related suicide in our healthcare system.

Translational Science Model

The appropriate translational science model to guide this implementation project is the Zero Suicide translational science model. This model emphasizes the importance of improving suicide prevention through evidence-based practices and a comprehensive approach to care. It involves implementing a system-wide approach to suicide prevention that includes training staff in suicide risk assessment and management, utilizing evidence-based interventions, and providing continuous quality improvement through ongoing monitoring and evaluation of outcomes (Porter et al., 2022). The Zero Suicide model is a comprehensive and evidence-based approach that aligns with the goals of the proposed practice change project, which aims to reduce the incidence of depression-related suicide by implementing evidence-based practices, improving patient outcomes, and enhancing overall patient well-being.

Setting

This grant proposal aims to address the practice problem of depression-related suicide in a long-term psychiatric and mental health care facility by implementing evidence-based practices to improve depression screening, suicide risk assessment, and evidence-based interventions. The specific population served by the organization includes individuals of all ages who may be at risk of depression-related suicide, focusing on those between 15-35 years of age who are at higher risk, regardless of their ethnic, racial, and cultural diversity within the community.

References

Greenberg, P. E., Fournier, A.-A., Sisitsky, T., Simes, M., Berman, R., Koenigsberg, S. H., & Kessler, R. C. (2021). The economic burden of adults with major depressive disorder in the United States (2010 and 2018). PharmacoEconomics, 39(6). https://doi.org/10.1007/s40273-021-01019-4

Mann, J. J., Michel, C. A., & Auerbach, R. P. (2021). Improving suicide prevention through evidence-based strategies: A systematic review. American Journal of Psychiatry, 178(7), app. app.2020.2. https://doi.org/10.1176/appi.ajp.2020.20060864

Porter, J. E., Dabkowski, E., Connolly, O., & Prokopiv, V. (2022). Compliance with the zero-suicide initiative by mental health clinicians at a regional mental health service: Development and testing of a clinical audit tool. Nursing Reports, 13(1), 29–42. https://doi.org/10.3390/nursrep13010003

Wasserman, D., Iosue, M., Wuestefeld, A., & Carli, V. (2020). Adaptation of evidence‐based suicide prevention strategies during and after the COVID‐19 pandemic. World Psychiatry, 19(3), 294–306. https://doi.org/10.1002/wps.20801

WHO. (2021, June 17). Suicide. Who. Int; World Health Organization: WHO. https://www.who.int/news-room/fact-sheets/detail/suicide