NUR 590 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. 

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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 oftime needed to complete this project. Include a draft of the timeline as an appendix at the end of your 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 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.

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You are required to cite a minimum of five 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.

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 paper.

Prepare this 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.

Evidence-Based Practice Project Proposal Implementation Plan NUR 59

Obstacles and challenges in implementing evidence-based practice (EBP) within the nursing field can significantly impact the success of EBP projects. There are several barriers that can hinder the effective adoption of EBP, and it’s essential to address them to ensure the success of such projects.

One of the common obstacles in EBP implementation is resource management. Resource constraints, such as limited funding, access to research materials, and time, can impede the research process. In many healthcare settings, the allocation of resources may prioritize patient care interventions over research and education (Swindle, Johnson, Davenport, Whiteside-Mansell, Thirunavukarasu, Sadavsin & Curran, 2019). This imbalance can pose a challenge for EBP projects, as adequate resources are crucial for conducting research and disseminating findings.

In the context of my EBP project, the obstacle related to resource management could have a significant impact. For instance, if my project involves extensive data collection and analysis, a shortage of resources, including research personnel and financial support, could hinder the timely and effective execution of the research. This may lead to delays, reduced data quality, or an inability to implement the project as initially planned.

Another barrier to EBP implementation is the lack of interdisciplinary involvement and communication. Effective EBP often requires collaboration and communication between different healthcare disciplines. Interdisciplinary coordination can be challenging, especially when disseminating educational information (Shayan, Kiwanuka & Nakaye, 2019). In the nursing context, this can affect the integration of EBP into practice, as it may require engagement with various departments and stakeholders.

In my EBP project, this barrier could influence the extent to which I can effectively collaborate with other disciplines, such as nutrition and education departments. If there is a lack of communication and coordination, it may hinder the seamless integration of research outcomes into practice. Effective interdisciplinary involvement is essential for the success of EBP projects, as it ensures that research findings are appropriately applied and disseminated across different healthcare areas.

In conclusion, addressing barriers like resource management and interdisciplinary communication is vital to the successful implementation of EBP projects in nursing. Overcoming these obstacles is essential to ensure that research is conducted efficiently, and its findings are effectively integrated into clinical practice.

References:

Swindle, T., Johnson, S. L., Davenport, K., Whiteside-Mansell, L., Thirunavukarasu, T., Sadasavin, G., & Curran, G. M. (2019). A Mixed-Methods Exploration of Barriers and Facilitators to Evidence-Based Practices for Obesity Prevention in Head Start. Journal of Nutrition Education and Behavior, 51(9), 1067–1079. https://doi-org.lopes.idm.oclc.org/10.1016/j.jneb.2019.06.019

Shayan, S. J., Kiwanuka, F., & Nakaye, Z. (2019). Barriers Associated With Evidence‐Based Practice Among Nurses in Low‐ and Middle‐Income Countries: A Systematic Review. Worldviews on Evidence-Based Nursing, 16(1), 12–20. https://doi-org.lopes.idm.oclc.org/10.1111/wvn.12337

Evidence-Based Practice Project Proposal Implementation Plan NUR 590

Identifying and addressing stakeholder barriers during the implementation phase of an evidence-based practice (EBP) project is crucial for its success. These barriers can include a lack of knowledge, resistance to change, and time constraints. To overcome these challenges and gain stakeholder support, it’s essential to implement effective strategies and provide guidance to colleagues facing similar difficulties.

One common stakeholder barrier is the lack of knowledge about the issues affecting an organization. This knowledge gap often arises when leaders and management are disconnected from the day-to-day operations that drive the organization. Those who rise through the ranks within the organization typically have a deeper understanding of its functioning, strengths, weaknesses, and the changes necessary for its survival. When there is a disconnect between higher-position stakeholders and those involved in daily operations, progress can be hindered.

Another barrier involves resistance to change and timing. In the healthcare context, the lack of time for studying and understanding new policies and the uncertainty or lack of knowledge about the EBP process can impede implementation. Nurses in busy hospitals may face challenges when adapting to new practices or policies, especially if it disrupts their established workflows and habits.

To address these stakeholder barriers and gain support for EBP project implementation, consider the following strategies:

1. Education and Communication:

Provide stakeholders with clear, accessible information about the proposed changes. Offer educational sessions, workshops, or materials to bridge knowledge gaps and help stakeholders understand the rationale behind the project.

2. Engagement and Involvement:

Involve stakeholders in the decision-making process and project planning. Seek their input and feedback, which can enhance their sense of ownership and commitment to the project.

3. Clear Benefits:

Highlight the potential benefits of the EBP project, such as improved patient outcomes, streamlined processes, or cost savings. Clearly communicate how the project will address existing issues and contribute to the organization’s success.

4. Gradual Implementation:

Acknowledge that change can be challenging. Consider a phased approach to implementation that allows stakeholders to gradually adapt to new practices and policies, reducing resistance.

5. Support and Resources:

Ensure that stakeholders have the necessary resources and support to facilitate the transition. This may include additional training, access to experts, or tools to simplify the implementation process.

6. Feedback Mechanisms:

Establish channels for stakeholders to provide feedback, voice concerns, and suggest improvements throughout the implementation. This promotes a sense of inclusion and responsiveness.

For a colleague struggling to obtain stakeholder support, I would recommend the following:

1. Seek Understanding:

Encourage them to ask questions and seek a deep understanding of the proposed changes. Clarify any uncertainties and provide guidance on available resources for learning.

2. Patience:

Emphasize the importance of patience in the learning process. Learning something new and adapting to change takes time, and it’s normal to face challenges initially.

3. Incremental Progress:

Advise them to break the learning process into manageable steps. Focus on mastering one aspect before moving on to the next. Incremental progress can reduce feelings of overwhelm.

4. Open Communication:

Promote open communication with colleagues and superiors. Encourage them to share concerns and seek assistance when needed. Collaboration can make the learning process smoother.

In conclusion, addressing stakeholder barriers in EBP project implementation is essential for success. By implementing effective strategies and offering guidance to colleagues, organizations can facilitate a smoother transition to evidence-based practices and improve overall outcomes.

Reference:

Ginex, P. (2018). Overcome Barriers to Applying an Evidence-Based Process for Practice Change. Retrieved from https://voice.ons.org/news-and-views/overcome-barriers-to-applying-an-evidence-based-process-for-practice-change

Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project. What strategies can you implement to gain stakeholder support for the project implementation. Provide a suggestion you would give to a colleague who is struggling with obtaining stakeholder support.

Identifying and addressing potential stakeholder barriers is a critical step during the implementation phase of an evidence-based practice (EBP) project. Stakeholders are individuals involved in the process under review, and their support is essential for the successful execution of the project. To ensure a smooth implementation, it’s important to anticipate and address barriers effectively. In addition, offering guidance to colleagues who might be struggling to obtain stakeholder support is invaluable.

Two significant stakeholder barriers that may be encountered during the implementation of an EBP project are resistance to change and perceived lack of authority. These barriers can impact various stakeholders, particularly physicians and staff nurses. Physicians, who play a pivotal role in healthcare, are sometimes perceived as the least supportive when it comes to EBP implementation (Jordan et al., 2021). Without their support, implementing EBP practices can become challenging. Furthermore, resistance to change is a common barrier, as healthcare practitioners may be reluctant to transition from traditional practices to newer concepts introduced in EBP (Jordan et al., 2021). Additionally, some staff nurses may feel that they lack the authority or influence to instigate changes within their unit or organization, which can hinder the EBP project’s implementation. A study suggested that a significant number of nurses in a private ICU reported that they felt powerless to alter practices in order to facilitate EBP implementation (Jordan et al., 2021).

To overcome these stakeholder barriers and gain their valuable support, several effective strategies can be implemented:

1. Physician Engagement:

Encourage physicians’ active involvement and support in EBP implementation. Maintain open and transparent communication between researchers and physicians, explaining the project’s objectives and the positive impact it will have on patient care. Demonstrating the potential benefits of the EBP project can help win their support and collaboration.

2. Barrier Identification:

It’s essential to distinguish between individual and organizational barriers early in the process. By identifying specific challenges, it becomes easier to develop targeted strategies for addressing them. This proactive approach helps mitigate potential obstacles effectively (Jordan et al., 2021).

3. Early Stakeholder Engagement:

Identify your stakeholders and engage with them at an early stage of the EBP process. Building a strong relationship with stakeholders is crucial for successful implementation. The aim is to establish trust and confidence and secure as much support as possible for the project’s success (John Hopkins Nursing, 2021).

For colleagues struggling to obtain stakeholder support, the following suggestions can be beneficial:

1. Physician Collaboration:

Encourage them to actively engage and collaborate with physicians. Emphasize the importance of open and clear communication, highlighting the project’s goals and benefits for patient care.

2. Barrier Identification:

Help them identify and differentiate between individual and organizational barriers. This distinction enables them to focus on specific challenges and develop tailored solutions.

3. Early Engagement:

Stress the significance of early engagement with stakeholders. Building trust and confidence within the stakeholder community is essential for project success (John Hopkins Nursing, 2021).

In conclusion, addressing stakeholder barriers is vital for the successful implementation of an EBP project. By applying effective strategies and providing guidance to colleagues, organizations can navigate potential obstacles and secure the necessary support for the project’s triumph, ultimately enhancing patient care and healthcare practices.

Evidence-based practice (EBP) implementation involves the realization of research-backed ideas or best practices established by healthcare providers. This implementation process comprises various systematic steps to integrate the identified best practice into healthcare delivery. In this instance, the implementation plan centers on the utilization of Fall TIPS (Tailoring Interventions for Patient Safety) as a bundled care approach to reduce and prevent falls among hospitalized adult patients in medical-surgical units by 20% within a six-month timeframe. According to the Agency for Healthcare Research and Quality (AHRQ) (2021), studies and evidence show that the Fall TIPS toolkit enhances patient and family efforts in fall reduction. The implementation plan encompasses different facets essential for the effective delivery of patient care quality and outcomes. The purpose of this paper is to delineate the implementation plan for the proposed EBP project by delving into its various components, from the setting and timelines to resources, methods, instruments, and intervention delivery processes, including the barriers.

Setting and Access to Potential Subjects

The project’s setting is the medical-surgical ward, catering to patients susceptible to falls due to their health conditions. This unit primarily serves patients recovering from surgical procedures, and a significant proportion is at risk of falls due to their weakened state. All patients in this unit are potential subjects (Barber, 2018). However, only those who voluntarily provide informed consent will be included in the study. Obtaining consent is crucial as it signifies their willingness to participate in the project aimed at reducing falls.

Timelines

The implementation timeline spans six months and encompasses various phases. It begins with the formation of an inter-professional collaboration team, including nurses, nurse managers, and physicians. The initial week focuses on project planning, identifying project requirements, and selecting the research design. Nurse training on various aspects related to project evaluation also takes place in the first week. The complete timeline with all its activities and components can be found in the appendix section of the paper.

Resources Required

A successful implementation of an evidence-based practice (EBP) project necessitates access to and availability of essential resources. The EBP project will require support from organizational leaders and managers, as well as sufficient financial resources to implement Fall TIPS as an intervention in the facility to reduce falls (DeNisco, 2019). Human resources for the project encompass nurses and trainers specializing in the Fall TIPS bundled care approach and management. Financial resources are critical for facilitating training, purchasing required materials and equipment, especially technologies, and installing the various components of Fall TIPS. Nurses will require resources for generating informational materials, inputting vital patient data into electronic health records, and facilitating communication within the healthcare setting.

Agency for Healthcare Research and Quality (AHRQ) (2021). Fall TIPS: A Patient-Centered

Fall Prevention Toolkit. https://www.ahrq.gov/patient-safety/settings/hospital/fall-tips/index.html

Dykes, P. C., Adelman, J. S., Alfieri, L., Bogaisky, M., Carroll, D., Carter, E., … & Spivack, L.(2019). The fall TIPS (tailoring interventions for patient safety) program: A collaboration to end the persistent problem of patient Falls. Nurse Leader, 17(4), 365-370. https://doi.org/10.1016/j.mnl.2018.11.006

Barber, B. (2018). Research on human subjects: Problems of social control in medical experimentation. Routledge.

DeNisco, S. M. (2019). Advanced Practice Nursing: Essential Knowledge for the Profession: Essential Knowledge for the Profession. Jones & Bartlett Learning.

Heng, H., Jazayeri, D., Shaw, L., Kiegaldie, D., Hill, A. M., & Morris, M. E. (2020). Hospital

falls prevention with patient education: a scoping review. BMC Geriatrics, 20, 1-12. DOI: https://doi.org/10.1186/s12877-020-01515-w

Pop, H., Lamb, K., Livesay, S., Altman, P., Sanchez, A., & Nora, M. E. (2020). Tailoring a comprehensive bundled intervention for ED fall prevention. Journal of emergency nursing, 46(2), 225-232. DOI: 10.1016/j.jen.2019.11.010.

Ratnapalan, S. (2019). 37 Leading and managing change in healthcare organizations. BMJ

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