NUR590 Evidence-Based Practice Project Proposal Implementation Plan
NUR590 Evidence-Based Practice Project Proposal Implementation Plan
Evidence-Based Practice Project Proposal: Implementation Plan
Implementation of the project is critical as it involves actualizing the ideas discussed in the project proposal through practice. Implementation is among the various stages of this project to help incorporate an evidence-based project (EBP) inpatient care to enhance the quality of care and cost-effectiveness (Baier et al., 2020 NUR590 Evidence-Based Practice Project Proposal Implementation Plan). Therefore, this project will focus on implementing daily use of chlorohexidine to bathe central lines to prevent central-line associated bloodstream infections (CLABSI) in patients admitted in the intensive care unit (ICU). This paper will focus on the setting for project implementation, stakeholders, resources, time, the process of intervention, cost, instruments, data collection plan, barrier identification and management, facilitators, and feasibility of the project.
Setting
The implementation of this project will be done in the ICU. Most of the patients admitted to the ICU are prone to infections due to various reasons, including weakened immunity, high morbidity levels, invasive life-saving procedures, and the presence of various disease-causing pathogens in this setting (Baier et al., 2020). Therefore, all healthcare providers, including clinicians and nurses, will be involved in the implementation process. Participants in the projects must be nurses who have worked in the ICU for at least six months. Healthcare workers in other settings or those less than six months of service will be excluded. All patients with central lines admitted to ICU will be included in the study. Comparatively, patients will be grouped into groups as either; cases who will be bathed with chlorhexidine or controls who will be cleaned using normal saline only. The participants will be provided with a consent form before participating in the project. Notably, the consent will indicate the project’s purpose to reduce CLABSI in six months by daily bathing of central lines using chlorhexidine. Finally, participants will be allowed to leave the project at any time of their choice without intimidation.
Time
A minimum of ten weeks will be required to implement this project. Various activities will be carried out at specific times within the ten weeks. The first week will be spent identifying stakeholders as well as champion nurses. Resources for implementation will be identified and gathered during the second week. Week three will involve training the staff about the EBP project to equip them with knowledge and skills to implement the project. Potential barriers and facilitators will be identified in week four. The actual implementation will be done between weeks five and nine. In week ten, any modifications will be made to enhance project implementation. Therefore, if time is spent as stipulated in this project, success in implementation will be achieved. NUR590 Evidence-Based Practice Project Proposal Implementation Plan
Resources
Various resources will be required to implement this project in varied capacities effectively. The resources will include both humans and tools. Human resources needed for this project include champion nurses, nurse trainers, and competent nurse practitioners. The nurse is required in this process as they are the primary caregivers. Furthermore, engaging them makes them feel valued and motivated, making them take part to enhance project implementation (Ward et al., 2018 NUR590 Evidence-Based Practice Project Proposal Implementation Plan). In addition, defining each member`s role and position will help implement the project. These roles will be defined by personal qualifications, competence, and individual commitment to the project. For instance, nurse champions and nurse trainers will educate and train the participating nurse practitioners about bathing central lines with chlorohexidine. Demonstration of skills will enhance training.
Furthermore, they will observe how nurse practitioners carry out the process while reminding them about the correct procedures. Funds will be required in addition to human resources. Funds will be needed to purchase equipment, including training materials, computers, restock chlorohexidine, and compensate champion nurses and nurse trainers for their services.
Methods and instruments
Various methods and instruments include an audit tool, and a satisfaction survey will be required during the implementation process. A satisfaction survey will be used to assess the effectiveness of using chlorohexidine to reduce CLABSI in ICU patients. Completion of auditing will require the use of an auditing tool. Auditing will involve comparing data from various sources regarding the use of chlorohexidine and its outcomes. The results will guide the expected outcomes and hence the whole process.
In addition, questionnaires and laboratory tests will help collect data regarding the intervention’s effectiveness. The participating nurses will be required to fill the questionnaires. According to Huskins et al. (2018 NUR590 Evidence-Based Practice Project Proposal Implementation Plan), questionnaires are simple to use while providing extensive and organized information. The gathered data will be essential in guiding the implementation team during the process.
Intervention Delivery Process
The proposed measures of the project will be delivered by involved members, including champion nurses, nurse trainers, and nurse practitioners. Nonetheless, training and education will be provided by the champion nurses and nurse trainers. The training aims to improve knowledge and skills about an EBP and enhance meeting the anticipated goals through executing appropriate measures (Ansa et al., 2020 NUR590 Evidence-Based Practice Project Proposal Implementation Plan). Champion nurses will first be trained then mandated to supervise and train other nurses. Training will range from individualized training to overall group demonstration. In addition, charts and pictures demonstrating the correct bathing procedures will be hung strategically to act as a reminder to implement an EBP. Finally, patients will be grouped as either cases or control. Subjects will receive daily bathing with chlorohexidine while the control group will use normal saline.
Data collection on Implementation.
During the implementation process, data will be collected in three stages. Data will be gathered before, during, and after implementing the EBP. The initial data will provide the rates of CLABSI among patients before implementing the intervention. Data collected during implementation will be essential in monitoring the progress of the process. After implementation, the last set of data will be collected. Comparisons will be made between findings to assess the effectiveness of the intervention.
Barriers to implementation and how to overcome
The process of implantation will be associated with various facilitators and barriers. Supportive management and enhanced interpersonal collaboration are potential facilitators to implementing the project. Therefore, it is prudent that the implantation team and the management collaborate to ensure the success of an EBP. NUR590 Evidence-Based Practice Project Proposal Implementation Plan
On the other hand, some barriers challenge the implementation of the project. Limited time and negative attitude, for instance, are known deterrents. Time limitations can be addressed by strictly adhering to the implementation plan. This will help ensure that every process is carried out as required without procrastination. Addressing staff`s negative attitude requires clear communication about the purpose and intended outcomes of the project in terms of its benefit. According to Jitrungruengnij et al. (2020 NUR590 Evidence-Based Practice Project Proposal Implementation Plan), daily bathing of central lines leads to a reduction in the rate of CLABSI. As a result, there are improved patient outcomes, reduced hospital stay, reduced rehospitalization, morbidity and mortality, and reduced cost of care.
Feasibility
Assessment of the proposed project to practice will be based on its feasibility. The benefits of the projects will be more than the cost of implementation of the whole process. Not only patients will benefit but also healthcare organizations. Reduction of CLABSI will reduce the cost of care, improve patient care, reduce caregiver burden, reduce hospitalization, and increase patient satisfaction. As a result of improved quality of care and cost-effectiveness, most funds will instead be used to purchase other medical improvements and improve outcomes.
Conclusion
The implementation stage is a critical stage like other project processes. The implementation ensures the actualization of the project into practice. In this project, champion nurses, nurse leaders, patients, and nurse practitioners will be required for the success of the project in the ICU. Champion nurses will train and supervise the implantation of chlorohexidine in reducing the rates of CLABSI. The process will be carried out systematically within ten weeks with systematic data collection to assess the effectiveness of the project. NUR590 Evidence-Based Practice Project Proposal Implementation Plan
NUR590 Evidence-Based Practice Project Proposal Implementation Plan References
- Ansa, B. E., Zechariah, S., Gates, A. M., Johnson, S. W., Heboyan, V., & De Leo, G. (2020). Attitudes and behavior towards interprofessional collaboration among healthcare professionals in a large academic medical center. Healthcare (Basel, Switzerland), 8(3), 323. https://doi.org/10.3390/healthcare8030323
- Baier, C., Linke, L., Eder, M., Schwab, F., Chaberny, I. F., Vonberg, R.-P., & Ebadi, E. (2020). Incidence, risk factors and healthcare costs of central line-associated nosocomial bloodstream infections in hematologic and oncologic patients. PloS One, 15(1), e0227772. https://doi.org/10.1371/journal.pone.0227772
- Huskins, W. C., Fowler, V. G., Jr, & Evans, S. (2018). Adaptive designs for clinical trials: Application to healthcare epidemiology research. Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America, 66(7), 1140–1146. https://doi.org/10.1093/cid/cix907
- Jitrungruengnij, N., Anugulruengkitt, S., Rattananupong, T., Prinyawat, M., Jantarabenjakul, W., Wacharachaisurapol, N., Chatsuwan, T., Janewongwirot, P., Suchartlikitwong, P., Tawan, M., Kanchanabutr, P., Pancharoen, C., & Puthanakit, T. (2020). Efficacy of chlorhexidine patches on central line-associated bloodstream infections in children. Pediatrics International: Official Journal of the Japan Pediatric Society, 62(7), 789–796. https://doi.org/10.1111/ped.14200
- Ward, W., Zagoloff, A., Rieck, C., & Robiner, W. (2018). Interprofessional Education: Opportunities and challenges for psychology. Journal of Clinical Psychology in Medical Settings, 25(3), 250–266. https://doi.org/10.1007/s10880-017-9538-3
Appendix
Timeline
Period activities
Week 1 Identification of Stakeholder and champion nurse
Week 2 Resource gathering
Week 3 Training champion nurses and staffs
Week 4 Barrier identification
Week 5 to 9 Actual implementation
Week 10 Reassessment and making adjustments
Resource list
Human resources- champion nurse, nurse practitioner.
Charts
Training stationaries
computers
Assignment Instructions – NUR590 Evidence-Based Practice Project Proposal Implementation Plan
In 1,250-1,500 words, discuss the implementation plan for your evidence-based practice project proposal. When required, create the appropriate form, table, image, or graph to fully illustrate that aspect of the intervention plan and include them in an appendix of your paper. You will use the implementation plan, including the associated documents in your appendices, 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:
Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Include a draft of the form as an appendix at the end of your paper.
Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Based on the timeline you created, describe the amount of time needed to complete this project.
Include a draft of the timeline as an appendix at the end of your NUR590 Evidence-Based Practice Project Proposal Implementation Plan paper.
Develop a budget and resource list. Consider the clinical tools or process changes that would need to take place. Based on the budget and resource list you developed: (a) describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution; (b) outline the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer-related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development).
Include a draft of the budget and resource list as an appendix at the end of your NUR590 Evidence-Based Practice Project Proposal Implementation Plan paper.
Explain whether you would select a qualitative or quantitative design to collect data and evaluate the effectiveness of your evidence-based practice project proposal. Provide rationale to support your selection.
Describe the methods and instruments (questionnaire, scale, or test) to be used for monitoring the implementation of the proposed solution. Include the method or instrument as an appendix at the end of your paper.
Explain the process for delivering the intervention and indicate if any training will be needed.
Discuss the stakeholders that are needed to implement the plan.
Consider all of the aspects of your implementation plan and discuss potential barriers or challenges to the plan. Propose strategies for overcoming these.
Establish the feasibility of the implementation plan.
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 a minimum of five peer-reviewed sources to complete this NUR590 Evidence-Based Practice Project Proposal Implementation Plan 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 NUR590 Evidence-Based Practice Project Proposal Implementation Plan paper.
Prepare this NUR590 Evidence-Based Practice Project Proposal Implementation Plan 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.
See the Evaluation Plan Paper NUR590 Evidence-Based Project Proposal Evaluation Plan Here