NURS 6052 Evidence-Based Project
NURS 6052 Evidence-Based Project
Assignment: Evidence-Based Project, Part 4: Recommending an Evidence-Based Practice Change
The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.
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In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach. NURS 6052 Evidence-Based Project
To Prepare:
- Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
- Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
- Consider the best method of disseminating the results of your presentation to an audience.
The Assignment: (Evidence-Based Project)
Part 4: Recommending an Evidence-Based Practice Change
Create an 8- to 9-slide PowerPoint presentation in which you do the following:
- Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
- Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
- Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
- Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
- Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
- Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
- Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
- Add a lessons learned section that includes the following:
- A summary of the critical appraisal of the peer-reviewed articles you previously submitted
- An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)
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Assignmenttobedonewk10PowerPoint6052EBP.docx
Assignment: Evidence-Based Project, Part 4: Recommending an Evidence-Based Practice Change
The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes. NURS 6052 Evidence-Based Project
In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.
To Prepare:
Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
Consider the best method of disseminating the results of your presentation to an audience.
The Assignment: (Evidence-Based Project)
Part 4: Recommending an Evidence-Based Practice Change
Create an 8- to 9-slide PowerPoint presentation in which you do the following:
Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation. NURS 6052 Evidence-Based Project
Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
Add a lessons learned section that includes the following:
A summary of the critical appraisal of the peer-reviewed articles you previously submitted
An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)
By Day 7 of Week 10
Submit Part 4 of your Evidence-Based Project.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Required Readings
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 7, “Patient Concerns, Choices and Clinical Judgement in Evidence-Based Practice” (pp. 219–232)
Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision making. Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186
Note: You will access this article from the Walden Library databases.
Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared decision making in intensive care units: An American College of Critical Care Medicine and American Thoracic Society policy statement. Critical Care Medicine, 44(1), 188–201. doi:10.1097/CCM.0000000000001396
Note: You will access this article from the Walden Library databases.
Opperman, C., Liebig, D., Bowling, J., & Johnson, C. S., & Harper, M. (2016). Measuring return on investment for professional development activities: Implications for practice. Journal for Nurses in Professional Development, 32(4), 176–184. doi:10.1097/NND.0000000000000483
Note: You will access this article from the Walden Library databases.
Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). Provider perspectives on the utility of a colorectal cancer screening decision aid for facilitating shared decision making. Health Expectations, 17(1), 27–35. doi:10.1111/j.1369-7625.2011.00730.x
Note: You will access this article from the Walden Library databases.
The Ottawa Hospital Research Institute. (2019). Patient decision aids. Retrieved from https://decisionaid.ohri.ca/
Rubric Detail
Select Grid View or List View to change the rubric’s layout.
Name: NURS_6052_Module06_Week10_Assignment_Rubric
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Excellent Good Fair Poor
Part 4: Disseminating Results
Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project:
· Be sure to incorporate any feedback or changes from your presentation submission in Module 5.
· Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
81 (81%) – 90 (90%)
The narrated presentation accurately and completely summarizes the evidence-based project. The narrated presentation is professional in nature and thoroughly addresses all components of the evidence-based project.
The narrated presentation accurately and clearly explains in detail how to disseminate the results of the project to an audience, citing specific and relevant examples. NURS 6052 Evidence-Based Project
The narrated presentation accurately and clearly provides a justification that details the selection of this dissemination strategy that is fully supported by specific and relevant examples.
The narrated presentation provides a complete, detailed, and specific synthesis of two outside resources related to the dissemination strategy explained. The narrated presentation fully integrates at least two outside resources and two or three course-specific resources that fully support the presentation.
72 (72%) – 80 (80%)
The narrated presentation adequately summarizes the evidence-based project. The narrated presentation is professional in nature and adequately addresses the components of the evidence-based project.
The narrated presentation accurately explains how to disseminate the results of the project to an audience; some specific examples may be provided.
The narrated presentation accurately provides a justification for the selection of this dissemination strategy and may be supported by specific examples.
The narrated presentation provides an accurate synthesis of at least one outside resource related to the dissemination strategy explained. The narrated presentation integrates at least one outside resource and two or three course-specific resources that may support the presentation.
63 (63%) – 71 (71%)
The narrated presentation vaguely, inaccurately, or incompletely summarizes the evidence-based project. The narrated presentation may be professional in nature and somewhat addresses the components of the evidence-based project.
The narrated presentation inaccurately or vaguely explains how to disseminate the results of the project to an audience; inaccurate or vague examples may be provided.
The narrated presentation inaccurately or vaguely provides a justification for the selection of this dissemination strategy and may be supported by inaccurate or vague examples.
The narrated presentation provides a vague or inaccurate synthesis of outside resources reviewed related to the dissemination strategy explained. The response minimally integrates resources that may support the presentation.
0 (0%) – 62 (62%)
The narrated presentation vaguely and inaccurately summarizes the evidence-based project or is missing. The narrated presentation is not professional in nature and inaccurately and incompletely addresses the components of the evidence-based project or is missing.
The narrated presentation vaguely and inaccurately explains how to disseminate the results of the project to an audience, no examples are provided, or it is missing.
The narrated presentation vaguely and inaccurately provides a justification for the selection of this dissemination strategy, no examples are provided, or it is missing.
The narrated presentation provides a vague and inaccurate synthesis of outside resources reviewed related to the dissemination strategy explained or is missing. The presentation fails to integrate any resources to support the presentation.
Written Expression and Formatting—Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.
4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
Purpose, introduction, and conclusion of the assignment is stated yet is brief and not descriptive.
3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60–79% of the time.
Purpose, introduction, and conclusion of the assignment is vague or off topic.
0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.
No purpose statement, introduction, or conclusion was provided.
Written Expression and Formatting—English Writing Standards:
Correct grammar, mechanics, and proper punctuation.
5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
4 (4%) – 4 (4%)
Contains a few (one or two) grammar, spelling, and punctuation errors.
3.5 (3.5%) – 3.5 (3.5%)
Contains several (three or four) grammar, spelling, and punctuation errors.
0 (0%) – 3 (3%)
Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Total Points: 100
Name: NURS_6052_Module06_Week10_Assignment_Rubric
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Wk9EBPAssign.Pwerpointsample.pptx
Recommending an Evidence Based
Practice Change
NURSG 6052
Nursing Burnout
1
Description of Healthcare Org.
My healthcare organization was founded in 1974
It offers health, social and advocacy services
Services offered to all regardless of insurance status, income, language,
Immigration status, or culture
Focus is on “whole patient care” thus over 50,000 patients are served in
English and more than 14 Asian languages
Medical, dental, & mental health services are offered to all ages
Organizational culture is customer centric
Great efforts are directed to customer satisfaction
External incentives prioritized for motivating nurses and other health practitioners
Effective change communication channels, fostered creativity and innovation
across departments, high employee involvement shows high readiness for change
2
Current Org. Problem
Successful healthcare organizations apply various approaches for Employee
Motivation
Overdependency on external incentives to motivate nurses
contributes to the higher rate of nurse burnout
Nursing shortage amidst a growing customer base subject nurses to prolonged
Stress due to long working hours
Lack of clear career progression opportunities and underutilization of
technological solutions make nurses frustrated
My org. thus has high turnover rates due to a generally overwhelmed team
Negative employees are toxic to the organization
The organization incurs millions in lost productivity due to burnout among employees
3
Scope of Issue, Stakeholders and Risks
4
Nursing burnout is evidently the issue of
concern in my organization
The change efforts will specifically aim
at enriching job characteristics for the nurses
Job characteristics in this case involves;
The contents,
the methods and
Relationship of the nursing job
Focus is ensuing the nursing job satisfies
technological, and organizational requirements
as well as social and personal requirements
of the nurses. NURS 6052 Evidence-Based Project
The involved stakeholders include
Management- Provide goodwill for change
Nurses- Offer change recommendations
Patients- Assess impact of change on care
Other employees- Offer recommendations
And help assess impact on their roles
Broader Community- Supportive environment
The Associated risks
High cost of implementation
Loss of some nurses after heavily investing in
their development
Long period of time to fully realize the impact
of the change
Scope
Stakeholders
Risks
Evidence Based Change Idea(EBP Approach)
Steps Change Idea Development Ask Question Among burned out nurses in my organization, what are the impacts of job redesign compared with monitory incentives on eliminating nursing burnout? Evidence Achim, Simone, and Anna, (2011)- staffing is related to burnout among nurses. Job characteristics that envisages task stressors predict high burnout among nurses thus eliminating job stressors is necessary to overcome burnout Jourdain, and Chênevert, (2010)- Structuring nurses’ tasks & role reduces work overload and increases the meaning of their work. Emotional exhaustion leads to high stress levels thus nursing burnout Sekar, et al., (2020)- Job characteristics that foster intrinsic motivation foster job ownership and satisfaction thus declining burnout among nursing profession Jackson et al.,(2014)- Work redesign aligns job characteristics to organizational vision and makes the work environment more enriching and encouraging by eliminating workload and other stressors therefore achieving role optimization 5
Critical Appraisal of Evidence Integration My organization should; Ensure assigned nursing tasks match the skills, knowledge and the abilities of individual nurses Reduce monotony of doing similar tasks over and over through job enlargement Ensure nurses are provided with emotional support Reducing workload for nurses through task analysis Providing a clear path for career development and advancement for nurses Explore automation to make nursing work interesting Provide adequate rest time for nurses by having enough work shifts Evaluation Success will be informed by high motivation, commitment and job satisfaction, high productivity, lower turnover rates, and a generally happy workforce. 6
Elimination of
Burnout
Knowledge Transfer Plan
Knowledge Creation
Fostered;
collaboration
Interaction (team work) and
Organizational learning
Knowledge Dissemination
Use of multiple channels to
disseminate knowledge such as memos,
emails,
Clarity in communication
Top-down and bottom-up communication
7
Organizational Adoption and
Implementation
Assessment of knowledge based on
organizational goals and objectives and
goals of nursing profession
Change will be adopted across departments
simultaneously
Departmental heads will be in charge of
leading implementation process
Change process will be evaluated
Periodically to assess effectiveness and make
necessary changes
Communication will be a continuous
process during the implementation process
Measurable Outcomes
90% reduction in nursing burnout
90% increase in motivation among the nurses
65% increase in productivity of the nurses
80% reduction in turnover rates
65% increase in overall organizational productivity
70% increase in organizational recruitment cost savings
8
Lessons Learned
The critical appraisal of the evidence from peer reviewed articles
led to the awareness that job characteristics have a direct association with
nursing burnout. Enhancing job characteristics through job redesign eliminate
job stressors thus increasing the motivation of nurses which translates to
reduced rate of nursing burnout
9
Summary of Critical Appraisal
One important take away from completing the evaluation table within
the Critical Appraisal Tool Worksheet Template was a fostered understanding
of the levels of evidence
Understanding the level of evidence a given article presents is an important
starting point for assessing the quality of evidence and its impact on
decision making process
10
Critical Appraisal Tool Worksheet Template
References
Achim Elfering, Simone Grebner, & Anna Dudan. (2011). Job Characteristics in Nursing and Cognitive Failure at Work. Safety and Health at Work, 2(2), 194–200. https://doi-org.lopes.idm.oclc.org/10.5491/SHAW.2011.2.2.194
Jackson, K., White, D. E., Besner, J., & Norris, J. M. (2014). Optimizing enactment of nursing roles: redesigning care processes and structures. Journal of Healthcare Leadership, 1. https://doi-org.lopes.idm.oclc.org/10.2147/JHL.S53603
Jourdain, G., & Chênevert, D. (2010). Job demands–resources, burnout and intention to leave the nursing profession: A questionnaire survey. International Journal of Nursing Studies, 47(6), 709–722. https://doi-org.lopes.idm.oclc.org/10.1016/j.ijnurstu.2009.11.007
W.J, N., Sekar, L., Manikandan, A., K, M., T, G., Shriraam, V., Silambanan, S., & R, P. (2020). Mahamantra chanting as an effective intervention for stress reduction among nursing professionals—A randomized controlled study. Advances in Integrative Medicine. https://doi-org.lopes.idm.oclc.org/10.1016/j.aimed.2020.05.007