NUR590 Evidence-Based Practice Project Proposal Presentation

NUR590 Evidence-Based Practice Project Proposal Presentation

NUR590 Evidence-Based Practice Project Proposal Presentation

Evidence-based Practice Project

Objectives

  • By the end of the presentation, you should be able to understand
  • The problem statement and literature about the project
  • The purpose of the project
  • The level of organizational readiness
  • The change model used in the project
  • The implementation plan
  • The evaluation plan

NUR590 Evidence-Based Practice Project Proposal Presentation

Introduction – NUR590 Evidence-Based Practice Project Proposal Presentation

  • Clinical problem: Central-line Associated Blood Stream Infections (CLABSI).
  • In the ICU patients with reversible life-threatening conditions are stabilized before management in the general ward.
  • The invasive procedures such as central line catheters are used for medication and supporting patients are a risk for introduction of infections.
  • CLABSI are common causes of mortality, morbidity, increased hospital stay, poor outcomes.
  • Chlorohexidine has been used to reduce the rates of CLABSI. Healthcare workers play a major role in reducing infection rates.
  • PICOT-: In patients admitted in ICU with a central line catheter (P), how does the use of chlorhexidine (I) compared with flushing central line using normal saline (C) lead to the reduced central line-associated bloodstream infection (O) over six months (T)? NUR590 Evidence-Based Practice Project Proposal Presentation

Problem Statement

CLABSI negatively affect patient outcome leading to mortality and morbidity.

The recent increase in resistance to antibiotics caused by MRSA requires prevention strategies by healthcare workers.

Most healthcare providers understand the preventive measures, however, most of them fail to implement the guidelines into practice.

Preventive measures include the use of aseptic techniques, surveillance, and early management.

This project is aimed at improving knowledge among healthcare workers to adhere to the daily bathing of ICU patients with chlorohexidine to reduce the rate of CLABSI.

Prevalence of CLABSI

  • Cases of CLABSI are still on the rise with up to 41,0000
  • The global incidence is 3.73 per 1000 central lines (Frost et al., 2018).
  • The increasing rate is due to poor handling of patients by healthcare workers and nonadherence to protocols.
  • All healthcare workers must effectively carry out their roles to reduce the rate of CLABSI by 50%

Literature Review

  • CLABSIs are high in ICU patients who are immunocompromised and the elderly.
  • Causative agents include MRSA, gram-negative bacteria (33.9%), and Candida species (27.6%) (Haddadin et al., 2021).
  • CLABSI is defined as infection arising after 48hrs post insertion of central lines.
  • The common sign is sudden onset fever of unknown origin.
  • CLABSI increases hospital stay, increases the cost of care, increases mortality and morbidity, and leads to poor patient outcomes.
  • Cost of care per patient with CLABSI is up to $46,000 while others may exceed $ 80,000 (Haddadin et al., 2021).
  • Mortality from CLABSI ranges between 12-25%. Most common cause of HAI
  • However, centers that use preventive measures has lower mortality and reduced cost of care.

NUR590 Evidence-Based Practice Project Proposal Presentation References

  • Arunga, S., Mbarak, T., Ebong, A., Mwesigye, J., Kuguminkiriza, D., Mohamed-Ahmed, A. H. A., Hoffman, J. J., Leck, A., Hu, V., & Burton, M. (2021). Chlorhexidine gluconate 0.2% as a treatment for recalcitrant fungal keratitis in Uganda: a pilot study. BMJ Open Ophthalmology, 6(1), e000698. https://doi.org/10.1136/bmjophth-2020-000698
  • Frost, S. A., Hou, Y. C., Lombardo, L., Metcalfe, L., Lynch, J. M., Hunt, L., Alexandrou, E., Brennan, K., Sanchez, D., Aneman, A., & Christensen, M. (2018). Evidence for the effectiveness of chlorhexidine bathing and health care-associated infections among adult intensive care patients: a trial sequential meta-analysis. BMC Infectious Diseases, 18(1), 679. https://doi.org/10.1186/s12879-018-3521-y
  • Haddadin, Y., Annamaraju, P., & Regunath, H. (2021). Central line associated blood stream infections. In StatPearls [Internet]. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK430891/
  • Hammoudeh, S., Gadelhaq, W., & Janahi, I. (2018). Prospective cohort studies in medical research. In Cohort Studies in Health Sciences. InTech. https://doi.org/10.5772/intechopen.76514
  • Kuriyan, A., Kinkler, G., Cidav, Z., Kang-Yi, C., Eiraldi, R., Salas, E., & Wolk, C. B. (2021). Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) to improve collaboration in school mental health: Protocol for a mixed methods hybrid effectiveness-implementation study. JMIR Research Protocols, 10(2), e26567. https://doi.org/10.2196/26567
  • Reynolds, S. S., Woltz, P., Keating, E., Neff, J., Elliott, J., Hatch, D., Yang, Q., & Granger, B. B. (2021). Results of the CHlorhexidine Gluconate Bathing implementation intervention to improve evidence-based nursing practices for prevention of central line associated bloodstream infections Study (CHanGing BathS): a stepped wedge cluster randomized trial. Implementation Science: IS, 16(1), 45. https://doi.org/10.1186/s13012-021-01112-4
  • Zamir, N., Pook, M., McDonald, E., & Fox-Robichaud, A. E. (2020). Chlorhexidine locking device for central line infection prevention in ICU patients: protocol for an open-label pilot and feasibility randomized controlled trial. Pilot and Feasibility Studies, 6(1), 26. https://doi.org/10.1186/s40814-020-0564-9

END OF SAMPLE EXCERPT

Assessment Description – NUR590 Evidence-Based Practice Project Proposal Presentation

The dissemination of an evidence-based practice project proposal is an important part of the final project. Dissemination of your project to a local association or clinical site/practice informs important stakeholders of evidence-based interventions that can improve clinical practice and ultimately patient outcomes.

For this assignment, develop a professional presentation that could be disseminated to a professional group of your peers. NUR590 Evidence-Based Practice Project Proposal Presentation

Develop a 12-15 slide PowerPoint detailing your evidence-based practice project proposal. Create speaker notes of 100-250 words for each slide.

For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the topic Resources for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning and an additional slide for References at the end. Be sure to consider your personal demeanor and tone during the recorded presentation. NUR590 Evidence-Based Practice Project Proposal Presentation

Include the following in your presentation:

Introduction (include PICOT statement)
Organizational Culture and Readiness
Problem Statement and Literature Review
Change Model, or Framework
Implementation Plan
Evaluation Plan
Conclusion
You are required to cite a minimum of six 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.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be 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. NUR590 Evidence-Based Practice Project Proposal Presentation

You are required to submit this assignment to LopesWrite

NUR590 Evidence-Based Practice Project Proposal Presentation Resources

Engagement of Community Stakeholders to Develop a Framework to Guide Research Dissemination to Communities

Read “Engagement of Community Stakeholders to Develop a Framework to Guide Research Dissemination to Communities,” by Cunningham-

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Loom

Loom is a free video recording tool that allows you send messages through shareable videos. For assistance on installing the softwa

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Using Storylines for Bilingual Dissemination of a Grounded Theory

Read “Using Storylines for Bilingual Dissemination of a Grounded Theory,” by Ligita, Francis, Wicking, Harvey, and Nurjannah, fro

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Advanced Practice Nursing: Essential Knowledge for the Profession

Review Chapter 20 in Advanced Practice Nursing: Essential Knowledge for the Profession.


Innovations in Research Dissemination: Research Participants Sharing Stories at a Conference

Read “Innovations in Research Dissemination: Research Participants Sharing Stories at a Conference,” by Douglas, Jackson, Woods, NUR590 Evidence-Based Practice Project Proposal Presentation

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Writing an Abstract for a Poster or Oral Presentation

Read “Writing an Abstract for a Poster or Oral Presentation,” by Bodin and McDaniel, from Alabama Nurse (2019).


Advanced Nursing Research: From Theory to Practice

Read Chapters 22 and 23 in Advanced Nursing Research: From Theory to Practice.


Avoid Common Mistakes When Presenting Your Research, Evidence-Based Practice, or Quality Improvement Projects

Read “Avoid Common Mistakes When Presenting Your Research, Evidence-Based Practice, or Quality Improvement Projects,” by Siedleck

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Poster Presentations: A Great Way to Share Your Evidence-Based Knowledge

Read “Poster Presentations: A Great Way to Share Your Evidence-Based Knowledge,” by Sawaya, from International Journal of Chi

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