NURS 6052 Evidence-Based Project

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)
  • attachment

    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

    Grid View

    List View

    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