GCU NUR-590 Topic 6 Evaluating Practice Change Paper

Topic 6: Evaluating Practice Change

Sep 16, 2021 – Sep 22, 2021

Max Points:150

Objectives:

Develop an evaluation plan for the evidence-based project proposal.
Identify gaps in the literature based on findings.
Evaluate evidence to determine and implement the best evidence for practice.

Assessments

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Topic 6 DQ 1

Assessment Description

When reviewing the literature for your evaluation plan and different types of evidence for your project, what gaps in the findings did you encounter? How could these gaps influence other researchers?

Topic 6 DQ 2

Assessment Description

Discuss the difference between statistically significant evidence and clinically significant evidence. How would each of these findings be used to advance an evidenced-based practice project?

Evidence-Based Practice Project Proposal: Evaluation Plan.

SUBMIT ASSIGNMENT

Requires LopesWrite

Assessment Description

In 750-1,000 words, develop an evaluation plan to be included in your final evidence-based practice project proposal. You will use the evaluation plan 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.

Provide the following criteria in the evaluation, making sure it is comprehensive and concise:

Discuss the expected outcomes for your evidence-based practice project proposal.
Review the various data collection tools associated with your selected research design and select one data collection tool that would be effective for your research design. Explain how this tool is valid, reliable, and applicable.
Select a statistical test for your project and explain why it is best suited for the tool you choose.
Describe what methods you will apply to your data collection tool and how the outcomes will be measured and evaluated based on the tool you selected.
Propose strategies that will be taken if outcomes do not provide positive or expected results.
Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.

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 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 Proposal – Evaluation of Process Grand Canyon University, NUR590-0500 Sample Approach

In an attempt to decrease pharmacologic treatment, decrease costs and length of stay (LOS) it is imperative to evaluate a non pharmacological treatment of infants experiencing neonatal abstinence syndrome (NAS) symptoms. Rooming-in or non-separation of parent and infant may be an effective treatment plan.

More maternal-infant interaction improves NAS outcomes but is difficult to obtain in the neonatal intensive care unit (NICU). Rooming-in care allows parents to be at the infant’s bedside 24-hours a day unless separation is indicated for medical reasons or safety reasons, (MacMillan, Rendon, Verma, Riblel, Washer, &Volpe Holmes, 2018).

Methods Used in Collecting the Outcome Data

The most appropriate way to collect the data for this EBP project is utilization of structured observation as well as physical assessment. The observation will be systematic and purposeful by utilizing forms to document specific observations and assessments at specific times. The first tracking form will be the Modified Finnegan Withdrawal Scale (MFWS), a tool used to assess and score NAS infants based on subjective and objective data, this form will be utilized every four hours.

The second will collect data on parent interactions, breastfeeding, NAS score, as well as transfer to NICU and discharge date. The third will collect demographic information and a unique identification number for each rooming-in pair to be completed when rooming-in begins. These structured observations and physical assessments can be coded and quantified for use in evaluation of the project, (Tappan, 2016).

Ways in Which the Outcome Measures Evaluate the Project Objectives

Typically when implementing a project the goal is to successfully achieve the project’s objective. “Senior executives use the general term project success to both subjectively describe and objectively evaluate the achievements of their projects”, (Meredith, & Zwikael, 2019).

In this project the outcome being measured is infant LOS for infants that go directly to the NICU for treatment (the current standard of care) vs the LOS for infants rooming-in with parents (the intervention group). By comparing the LOS for the standard of care through chart reviews with logs kept by nurses on the rooming-in infants it can be determined if there is a decrease in LOS for the intervention group.

Outcome Measurement and Evaluation

As each family begins to room-in data will be collected in real time. Basic information will be collected on an EXCEL file that consists of:

Infant Name
Infant Medical Record Number (MRN)
Infant Birthdate
Parent’s name and contact information
Unique Identification (ID) Number (A number specific to this project to utilize in data collection in order to protect participant confidentiality)

All other data collection will be recorded using the unique ID number. Bedside RNs will be utilizing a printed tracking form to collect the following data on each infant:

Admission date
Discharge date
Transfer to NICU
Administration of medications
Feeding method
NAS score every 4 hours
Parental interventions every 4 hours

The best practice team will meet weekly to analyze data early and transfer into EXCEL files.

The team is already familiar with EXCEL and it is provided for use from the facility. Performing preliminary analysis of the data helps avoid a large amount of data to be processed at the end of the project, helps catch problems early, helps detect safety problems early, and helps check interrater reliability, (Tappan,).

The actual analysis of data for this project is simple, the LOS of infants in the intervention group compared to LOS in infants who received the standard of care. The effect size will be determined by comparing the mean LOS of each group, (Melnyk & Fineout-Overholt, 2015). The test will be valid due to utilizing the same analysis for both groups and reliable because the same inclusion criteria will be used for both groups.

Strategies if Outcomes Do Not Provide Positive Results

“Quantitative studies are frequently conducted to find out if there is an important and identifiable difference between two groups”, (Melnyk & Fineout-Overholt, 2015). If there is not a statistical difference in the effect size it does not mean the project was a failure. After attempting to find reasons for the results not providing positive results it can be concluded that the standard of care is working and does not need to be changed.

Implications for Practice and Future Research

The results of this project will determine future care of infants experiencing NAS symptoms. If the effect size proves that rooming-in leads to a decrease in LOS then this should become the standard of care. By collecting additional data during this project further research can be done. The best practice team can evaluate if breastfeeding or certain comfort measures had a significant impact on the LOS of infants in the intervention group.

References

MacMillan K., Rendon C., Verma K., Riblet N., Washer D., Volpe Holmes A. Association of rooming-in with outcomes for neonatal abstinence syndrome: a systematic review and meta-analysis. JAMA Pediatr. 2018;172(4):345–351. doi:10.1001/jamapediatrics.2017.5195 Retrieved from https://jamanetwork-com.lopes.idm.oclc.org/journals/jamapediatrics/fullarticle/2672042

Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing and healthcare (3rd ed.). Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams &

Wilkins. ISBN-13: 9781496306364 URL: http://gcumedia.com/digital-resources/wolters-kluwer/2014/evidence-based-practice-in-

nursing-and-healthcare_a-guide-to-best-practice_ebook_3e.php

Meredith, J., & Zwikael, O. (2019). When is a Project Successful? IEEE Engineering

Management Review, Engineering Management Review, IEEE, IEEE Eng. Manag. Rev, 47(3), 127–134. https://doi-org.lopes.idm.oclc.org/10.1109/EMR.2019.2928961

Tappan, R. M. (2016). Advanced nursing research: From theory to practice (2nd ed.).

Burlington, MA: Jones & Bartlett Learning. ISBN-13: 9781284048308 Retrieved from:

www.gcumedia.com/digital-resources/jones-and-bartlett/2015/advanced-nursing-researc

from-theory-to-practice_2e.php

Week 6 Participation

GO TO DISCUSSION

Start Date

Sep 16, 2021 12:00 AM

Due Date

Sep 22, 2021 11:59 PM

Points

Status

Upcoming

Assessment Description

There is no description for this assessment.

Resources

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Reliability and Validity: Linking Evidence to Practice

Read “Reliability and Validity: Linking Evidence to Practice,” by Kamper, from Journal of Orthopaedic and Sports Physical The

https://doi-org.lopes.idm.oclc.org/10.2519/jospt.2019.0702

Advanced Nursing Research: From Theory to Practice

Review Chapter 25 in Advanced Nursing Research: From Theory to Practice.

View Resource

Evaluation of Bedside Shift Report: A Research and Evidence-Based Practice Initiative

Read “Evaluation of Bedside Shift Report: A Research and Evidence-Based Practice Initiative,” by Schirm, Banz, Swartz, and Richmo

https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0897189717301118#s0030

Comparing Clinical Significance and Statistical Significance – Similarities and Differences

Read “Comparing Clinical Significance and Statistical Significance – Similarities and Differences,” by Zbrog (2021), located on t

https://www.mhaonline.com/faq/clinical-vs-statistical-significance

Research, Evidence-Based Practice, and Clinical Improvement/Innovation Posters

Read “Research, Evidence-Based Practice, and Clinical Improvement/Innovation Posters” (2015), from AORN Journal.

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109809571&site=eds-live&scope=site

Evidence-Based Practice Educational Intervention Studies: A Systematic Review of What Is Taught and How It I s Measured

Read “Evidence-Based Practice Educational Intervention Studies: A Systematic Review of What is Taught and How it is Measured,” by

https://lopes.idm.oclc.org/login?url=https://www-proquest-com.lopes.idm.oclc.org/scholarly-journals/evidence-based-practice-educational-intervention/docview/2089734479/se-2?accountid=7374

A Practical Definition of Evidence-Based Practice for Nursing

Read “A Practical Definition of Evidence-Based Practice for Nursing,” by Stannard, from Journal of PeriAnesthesia Nursing

https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S1089947219303181

Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice

Read Chapter 4 and review Chapter 3 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice.

View Resource

Advanced Practice Nursing: Essential Knowledge for the Profession

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

View Resource.

GO to TOPIC 7 DISCUSSION