NUR 590 Benchmark – Evidence-Based Practice Project Assignment

NUR 590 Benchmark – Evidence-Based Practice Project Assignment

NUR 590 Benchmark – Evidence-Based Practice Project Assignment

Evidence-based practice in healthcare has played a major role in improving patient outcomes. The implication is that healthcare facilities need to apply patient care activities or strategies that are supported by evidence. One problem that results in poor patient outcomes is patient falls (Turner et al., 2020). Falls lead to various adverse outcomes such as prolonged hospital stay, higher healthcare spending, and even death. Therefore, in the previous weeks, an intervention was proposed entailing the use of the Fall Tailored Interventions for Patient Safety (TIPS) Toolkit to prevent patient falls. The implementation of an evidence-based practice project requires the use of theoretical frameworks which act as a guide and a foundation upon which the process is built (Grove & Gray, 2018). Therefore the purpose of the current assignment is to propose a theoretical framework.

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The Selected Model and the Relevance to the Project

The proposed model for the project is the Iowa Model. This model is key in helping healthcare providers transform results from research efforts into clinical applications to enhance patient quality outcomes. One of the aspects of this model that makes it relevant to the project is that of triggers which entail external and internal data that is used in identifying clinical problems (Tucker et al., 2020). Therefore, through the model, data on patient falls can be used to identify increased rates of patient falls as a clinical problem.

The Stages in the Change Model

The selected model has eight steps that are chronologically followed. The first step involves problem identification as triggered by the internal and external data, followed by an assessment of the identified problem is a priority to the unit, department, and organization. The next phase of the model involves formulating a team and assessing the existing practice (Green, 2020). The fourth step entails gathering and analysis of research connected to the targeted practice change literature critique. The next phase of the project entails determining if existing research is sufficient to warrant practice change implementation. This is followed by the implementation of the change and, finally, an evaluation of the results (Green, 2020). The concept map for the Iowa model has been included in the appendix.

Application of Each Stage in the Proposed Implementation

            As earlier indicated, the eight stages of the model are chronologically applied to help in the change implementation. In the first phase, the identification of patient falls was triggered by the patient falls data at the facility, which was found to be above the national benchmark. As such, it was identified as the organization’s clinical problem. The problem and the data that supports the push for change and an assessment and alignment of the organization’s priorities help in improving the chances of success (Green, 2020). The next phase will entail coming up with a team to help assess the present practice and locate clinical practice guidelines, and evidence-based literature for patient falls. The selection of unit champions to spur formulation, development, implementation, and evaluation of the project is key. The next phase will entail piloting the proposed change where the Fall Tailored Interventions for Patient Safety (TIPS) Toolkit will be tested for its efficacy in preventing patient falls before evaluating the results or findings to help inform the next course of action.

Conclusion

Patient falls in the patient care settings have been shown to result in various adverse patient outcomes. Therefore, this project proposes to use Fall Tailored Interventions for Patient Safety (TIPS) Toolkit to help control patient falls. As part of the implementation, the Iowa model has been chosen as the model to help guide the practice change to help improve patient outcomes.

References

Green, C. (2020). Application of the Iowa Model, an Evidence-Based Practice Model, When Initiating Clinical Project Pilots to Evaluate How Self-Care Techniques Affect Simulated Nursing Performance. SAGE Publications Ltd.

Grove, S. K., & Gray, J. R. (2018). Understanding nursing research e-book: Building an evidence-based practice. Elsevier Health Sciences.

Tucker, S. J., Gallagher-Ford, L., & Jang, E. (2020). EBP 2.0: Implementing and Sustaining Change: The Evidence-Based Practice and Research Fellowship Program. AJN The American Journal of Nursing, 120(2), 44-48. Doi: 10.1097/01.NAJ.0000654320.04083.d0

Turner, K., Bjarnadottir, R., Jo, A., Repique, R. J. R., Thomas, J., Green, J. F., & Staggs, V. S. (2020). Patient falls and injuries in US psychiatric care: Incidence and trends. Psychiatric Services, 71(9), 899-905. https://doi.org/10.1176/appi.ps.202000004

Appendix

The Iowa Model

Assessment Description
Applying a model or framework for change ensures that a process is in place to guide the efforts for change. In 500-750 words, discuss the model or framework you will use to implement your evidence-based practice proposal project. You will use the model or framework you select 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:

Identify the selected model or framework for change and discuss its relevance to your project.
Discuss each of the stages in the change model/framework.
Describe how you would apply each stage of the model or theoretical framework in your proposed implementation.
Create a concept map for the conceptual model or framework you selected to illustrate how it will be applied to your project. Attach this as an appendix at the end of your paper.
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 minimum of four 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.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing

1.2 Apply theoretical frameworks from nursing and other disciplines to make decisions regarding practice and health-related problems at the individual and population level.