Evidence-Based Practice Proposal - Section A: Organizational Culture and Readiness Assessment

Before making a case for an evidence-based project, it is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation.

1) Complete the "Organizational Culture and Readiness for System-Wide Integration of Evidence-Based Practice Survey," located in the textbook appendix.

2) Develop an analysis of 250 words from the results, addressing your organization's readiness level, possible project barriers and facilitators, as well as how to integrate clinical inquiry.

3) Make sure to include the rationale for the survey categories scores that were significantly high and low, incorporating details and/or examples. Also explain how to integrate clinical inquiry into the organization, providing strategies that strengthen the organizations weaker areas.

4) Submit a summary of your results. The actual survey results do not need to be included.

Prepare this assignment according to the APA guidelines . An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

RUBRIC INSTRUCTION:
Organizational Culture and Readiness Assessment:Describe the results from the Organizational Culture and Readiness for System-Wide Integration of Evidence Practice Survey addressing the readiness level of your organization. Provide an analysis of any possible project barriers and facilitators, and describe how to integrate clinical inquiry into your organization.

Expectation:Detailed information in relation to the survey categories that scored high and low on the survey is provided. The rationale for the scores, including details and/or examples, is provided. The major project barriers and facilitators are thoughtfully analyzed and evaluated. Warranted conclusions are drawn. An informed position on how to integrate clinical inquiry into the organization is developed and explained, providing strategies, which align to the weaker areas of the organization. Clarity and specificity of comprehension are demonstrated, and all relevant information is synthesized. Coverage extends beyond what is needed to support subject matter. Writer is clearly in command of standard, written, academic English.

You are required to submit this assignment to Turnitin.

Upon receiving feedback from the instructor, revise "Section A: Organizational Culture and Readiness Assessment" for your final paper submission. This will be a continuous process throughout the course for each section.

Evidence-Based Practice Proposal - Section B: Problem Description

Write a paper of 500-750 words (not including the title page and reference page) on your proposed problem description for your EBP project. The paper should address the following:

1. Describe the background of the problem. Tell the story of the issue and why it deserves attention.

2. Identify the stakeholders/change agents. Who, or what organizations, are concerned, may benefit from, or are affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc.

3. Use the feedback from the Topic 2 main forum post and refine your PICOT question. Make sure that the question fits with your graduate degree specialization.

4. State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence-based practice is introduced to identify the expected changes.

5. 5) Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources.

6. Develop an initial reference list to assure that there is adequate literature to support your evidence-based practice project. Follow the "Steps to an Efficient Search to Answer a Clinical Question" box in chapter 3 of the textbook. Use "NUR-699 Search Method Example" to assist you.

7. 7) The majority of references should be research articles. However, national sources such as Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Department of Health and Human Resources (HHS), or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you are gathering statistics to provide the rationale for the problem.

8. Once you get into the literature, you may find there is very little research to support your topic and you will have to start all over again. Remember, in order for this to be an evidence-based project, you must have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice, then further research would need to be conducted.

Prepare this assignment according to the APA guidelines . An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

RUBRIC INSTRUCTION:
Problem Description: Describe the background of the problem. Identify the stakeholders/change agents and list the interested parties. Provide the PICOT question. State the purpose and project objectives in specific, realistic, and measurable terms. Develop an initial reference list

Expectation: The problem description and objectives are presented in detail and align. The stakeholders/change agents - who or what organizations are concerned, may benefit from, or are affected by this proposal - are described. The problem is in the PICOT format and developed appropriately. Objectives are measurable. The problem selection is justified using literature and supportive examples, not just based on the most current evidence. Expected changes before and after the evidence-based practice are integrated. An initial reference list is developed. Clarity and specificity of comprehension are demonstrated, and all relevant information is synthesized. Coverage extends beyond what is needed to support subject matter. Writer is clearly in command of standard, written, academic English.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Upon receiving feedback from the instructor, refine "Section B: Problem Description" for your final submission. This will be a continuous process throughout the course for each section.

Search Method Example
Search Method
A comprehensive electronic search was completed using the following databases:
Cochrane Central Register of Controlled Trials
Cochrane Database of Systematic Reviews
National Guideline Clearinghouse
CINAHL
Ovid
Medline

The search included English-only published articles between 1990 and 2005.
Key words used in the search were:
Pediatric asthma education
Self-management
Self-monitoring
Grade school children
Systematic reviews
Randomized controlled trials

Search results revealed 75 publications. The abstracts were screened and 10 studies were relevant to pediatric asthma education involving self-management, self-monitoring behaviors, self-efficacy, and educational programs with various interventions. These studies included three systematic reviews, five randomized control trials (RCT), one cohort descriptive study, and one qualitative study. Refer to Appendix A for a complete reference list.

Evidence-Based Practice Proposal - Section C: Literature Support

To begin, work through the reference list that was created in the "Section B: Problem Description" assignment in Topic 2. Appraise each resource using the "Rapid Critical Appraisal Checklists," available in the textbook appendix. The specific checklist you use will be determined by the type of evidence within the resource.

Develop a research table to organize and summarize the research studies. Using a summary table allows you to be more concise in your narrative description. Only research studies used to support your intervention are summarized in this table. Refer to the "Evaluation Table Template," available in the textbook appendix. Use the "Evaluation Table Template" as an adaptable template.

Write a narrative of 750-1,000 words (not including the title page and references) that presents the research support for the projects problem and proposed solution. Make sure to do the following:

1. Include a description of the search method (e.g., databases, keywords, criteria for inclusion and exclusion, and number of studies that fit your criteria).

2. Summarize all of the research studies used as evidence. The essential components of each study need to be described so that readers can evaluate its scientific merit, including study strengths and limitations.

3. Incorporate a description of the validity of the internal and external research.
It is essential to make sure that the research support for the proposed solution is sufficient, compelling, relevant, and from peer-reviewed professional journal articles.
Although you will not be submitting the checklist information or the evaluation table you design in Topic 3 with the narrative, the checklist information and evaluation table should be placed in the appendices for the final paper.

Prepare this assignment according to the APA guidelines . An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

RUBRIC INSTRUCTION:
Literature Support: Summarize the research support for the problem and proposed solution of the project. Describe the search method. Summarize all of the research studies used as evidence. Describe research strengths and limitations as well as the validity of the internal and external research. Provide sufficient, compelling, relevant research from peer-reviewed professional journals.

Expectation:A detailed summary of the individual research support for the problem and proposed solution of the project is provided and emphasizes the essential components. The validity of the internal and external research is described in-depth. The search method is described and identifies the databases, keywords, criteria for inclusion and exclusion, and number of studies that fit the criteria. The research strengths and limitations are thoughtfully analyzed while evaluating the research strengths and limitations and drawing warranted conclusions. The research support is sufficient, compelling, relevant, and from peer-reviewed professional journals. Clarity and specificity of comprehension are demonstrated, including the synthesizing of all relevant information. Coverage extends beyond what is needed to support subject matter. Writer is clearly in command of standard, written, academic English.
You are required to submit this assignment to Turnitin.

Upon receiving feedback from the instructor, refine "Section C: Literature Support" for your final submission. This will be a continuous process throughout the course for each section.
Reference: ( This is the text book we are following) Assignment 3

Evidence-Based Practice Proposal - Section D: Solution Description

Write a paper of 500-750 words (not including the title page and reference page) paper for your proposed evidence-based practice project solution. Address the following criteria:

1. Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, too costly, or there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your PICOT before continuing.

2. Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.

3. Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the PICOT.

4. Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations which may need to be addressed.

5. Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, and/or professional expertise.
Prepare this assignment according to the APA guidelines . An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

RUBRIC INSTRUCTION:

Solution Description:
Describe the proposed solution (or intervention). Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources. Explain the expected outcomes of the project. Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Describe the impact the outcomes will have.

Expectation:
Proposed solution is presented in detail, consistent with current evidence and is heavily supported by evidence. The ways in which the proposed solution is consistent with the organization or community culture and resources is explained, and details and examples are provided. Warranted conclusions are drawn. The expected outcomes are explained in-depth. A detailed outline of how the outcomes will be achieved is developed and describes the impact the outcomes will have on one or all of the following indicators (as appropriate): quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, and/or professional expertise. Clarity and specificity of comprehension are demonstrated, and all relevant information is synthesized. Coverage extends beyond what is needed to support subject matter. Writer is clearly in command of standard, written, academic English.
You are required to submit this assignment to Turnitin.

Upon receiving feedback from the instructor, refine "Section D: Solution Description" for your final submission. This will be a continuous process throughout the course for each section.

Attachment:- Assignment instructions.rar