NRS 493 Topic 8 DQ 1 & 2 Discussion: Based on how you will evaluate your EBP project, which independent and dependent variables do you need to collect? Why?

NRS 493 Topic 8 DQ 1 & 2 Discussion: Based on how you will evaluate your EBP project, which independent and dependent variables do you need to collect? Why?

NRS 493 Topic 8 DQ 1 & 2 Discussion: Based on how you will evaluate your EBP project, which independent and dependent variables do you need to collect? Why?

 Topic 8 DQ 1

Based on how you will evaluate your EBP project, which independent and dependent variables do you need to collect? Why?

 Topic 8 DQ 1

Not all EBP projects result in statistically significant results. Define clinical significance, and explain the difference between clinical and statistical significance. How can you use clinical significance to support positive outcomes in your project?

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Topic 8 DQ 1

The implementation of EBP projects, especially capstone projects, entails different processes like research, survey. Appraising and compiling data, and evaluating the overall effectiveness to practice. Evaluation involves different processes to determine the expected outcomes (Kim et al., 2019). My evidence-based practice (EBP) project is about offering sufficient knowledge to nurses to prevent and reduce the occurrence of patient falls in the practice setting. The effectiveness of this project will entail a reduction in the number of falls recorded by nurses after the implementation based on the level of knowledge acquired and the subsequent interventions employed to mitigate these events (Coto et al., 2020). The implication is that the researcher must evaluate independent and dependent variables to ascertain effective outcomes of the proposed capstone project.

The dependent variable in this case would include a reduction in the number of falls after implementing the suggested interventions. The second dependent variable that the project will collect will be the level of knowledge and expertise that nurses will attain through learning new ways to enhance patient safety and reduce falls in the practice (Flannelly et al., 2020). This variable will be key to making summative evaluation of this initiative as it will imply that nurses will implement EBP interventions to prevent falls. The variable will also be critical to the overall performance of the organization to lower falls and associated cost burden.

Conversely, the independent variables in this initiative will include the content and materials offered to nurses during the training session to reduce falls, acceptance of changes among nurses, and implementation of strategies to prevent the events. These variables will influence the outcomes of the initiative since nurses will get sufficient knowledge to address the issue (Reggiani et al., 2020). Again, the variable will determine if the initiative is effective in addressing core issues affecting patients leading to falls.

References

Coto, J. A., Wilder, C. R., Wynn, L., Ballard, M. C., Webel, D., & Petkunas, H. (2020).

Exploring the relationship between patient falls and levels of nursing education and certification. JONA: The Journal of Nursing Administration, 50(1), 45-51.

DOI: 10.1097/NNA.0000000000000838.

Flannelly, L. T., Flannelly, K. J., & Jankowski, K. R. (2020). Independent, dependent, and other

variables in healthcare and chaplaincy research. In Quantitative Research for Chaplains and Health Care Professionals (pp. 34-43). Routledge.

Kim, J., Kim, S., Park, J., & Lee, E. (2019). Multilevel factors influencing falls of patients in

hospital: The impact of nurse staffing. Journal of nursing management, 27(5), 1011-1019. DOI: 10.1111/jonm.12765.

Reggiani, C., & Schiaffino, S. (2020). Muscle hypertrophy and muscle strength: dependent or

independent variables? A provocative review. European journal of translational myology, 30(3). DOI: 10.4081/ejtm.2020.9311

Topic 8 DQ 2

When undertaking EBP projects, healthcare organizations and providers hope that such initiatives will culminate into outcomes that have both clinical and statistical significance. As such, not all EBP projects lead to statistically significant outcomes (Flannelly et al., 2020). Clinical significance entails the level of real treatment effect which determine if the results of the trial will have an impact on current clinical or medical practice in healthcare setting. Clinically significance results are those outcomes from research studies that can be implemented in clinical settings to improve the quality of patient life or care (Abu-Baker et al., 2021). Imperatively, the mere fact that a project has results that are significance statistically does not imply that those outcomes will have clinical effects on patients and create desired change.

On its part, statistical significance demonstrates the reliability of research findings and the implementation EBP initiatives. The reliability of results means that statistically, they are good but should be effected through practice change and better patient management. For instance, a research may contain effective findings and true outcomes based on statistics but have limited effects compared to the expected outcomes based on the resources utilized (Hashish et al., 2020). Imperatively, such a study may be considered as not clinically significant. The implication is that clinical significance is essential and can only be determined through implementation.  

Positive outcomes of the change project will prove clinical significance and increased potential for adoption into standard practice in the organization to reduce and prevent falls. Clinical significance will imply that the project has positive effects on the targeted population, nurses, in the facility to tackle falls. The clinical significance will lend credence to the initiative and implore organizational leaders to offer sufficient resources for its implementation across the organization (Sharma, 2021). Supporting the project and imploring leaders to allocate resources will further enhance its relevance in the practice environment.

References

Abu-Baker, N. N., AbuAlrub, S., Obeidat, R. F., & Assmairan, K. (2021). Evidence-based

practice beliefs and implementations: a cross-sectional study among undergraduate nursing students. BMC nursing, 20(1), 1-8. DOI: https://doi.org/10.1186/s12912-020-00522-x

Flannelly, L. T., Flannelly, K. J., & Jankowski, K. R. (2020). Independent, dependent, and other

variables in healthcare and chaplaincy research. In Quantitative Research for Chaplains and Health Care Professionals (pp. 34-43). Routledge.

Hashish, A., Aly, E., & Alsayed, S. (2020). Evidence-Based Practice and its Relationship to

Quality Improvement: A Cross-Sectional Study among‎ Egyptian Nurses. The Open Nursing Journal, 14(1). DOI: 10.2174/1874434602014010254

Sharma, H. (2021). Statistical significance or clinical significance? A researcher’s dilemma for

appropriate interpretation of research results. Saudi Journal of Anesthesia, 15(4), 431. DOI: 10.4103/sja.sja_158_21