NUR-590 Evidence-Based Practice Project Presentation

Sample Answer for NUR-590 Evidence-Based Practice Project Presentation Included After Question

Assessment Description

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.

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.

Include the following in your presentation:

  1. Introduction (include PICOT statement)
  2. Organizational Culture and Readiness
  3. Problem Statement and Literature Review
  4. Change Model, or Framework
  5. Implementation Plan
  6. Evaluation Plan
  7. 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.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style. 

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.

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.

A Sample Answer For the Assignment: NUR-590 Evidence-Based Practice Project Presentation

Title: NUR-590 Evidence-Based Practice Project Presentation

Introduction and Objectives

Achieving patient safety implores nurses and other healthcare professionals to develop interventions that improve quality care and reduces occurrence of hospital acquired infections (HAIs). The use of evidence-based practice interventions like hand hygiene protocols and measures that include handwashing with soap and water alongside sanitizers can prevent and reduce the prevalence of hospital acquired infections (Zhao et al., 2017). Nurses in pediatric care settings should set high levels of hygiene to minimize the occurrence of HAIs in these settings.

The integration of EBP interventions mitigates the increasing prevalence of HAIs and their associated cost burden to patients, their families and the health care system (Akanji et al., 2017). Hospital acquired infections constitute a significant part of the increased mortality and morbidity and poor outcomes among pediatric patients. The purpose of this presentation is to detail the evidence-based practice project proposal on hand hygiene measures involving handwashing with soap and water alongside use of hand sanitizer by healthcare workers, especially nurses, in reducing and preventing the occurrence of hospital acquired infections in pediatric care settings.

EBP & PICOT Statement for EBP Project

Evidence-based practice continues to be a critical component of enhancing care delivery among patients in different settings. The use of EBP entails incorporation of research evidence together with patient preferences and clinician’s care experience. Evidence-based practice aims at optimization of provider and team behavior to support changes in patient conduct to attain quality care, and provides education to reduce the risks of hospital acquired infections and improve different aspects of care provision (Melnyk & Fineout-Overholt, 2019).

EBP also encourages the use of resources and services, and improvement in patients and their families’ satisfaction (Zhao et al., 2018). The EBP project will also focus on enhancing patient safety, improving adherence to hand hygiene measures, and improving outcomes and quality management to reduce adverse events. The project also focuses on decreasing the overall cost of infections, length of stay, and readmissions, and ensure that providers can make better care decisions in managing adverse events resulting from HAIs. The PICOT Question for the project is

Among healthcare worker in pediatric settings (P), how does handwashing with soap and water alongside hand sanitizer (I), compared to handwashing with soap and water alone (C), reduce hospital acquired infections (O), with six months (T)?

Organizational Culture & Readiness

Organizational culture is an essential part of implementing change as it mirrors values, mission, and vision and employee perception to adopting new ways of doing things. A decentralized and hierarchical culture where employees get involved in decision-making and has robust values and norms leads to effective implementation of EBP project proposal.

The proposed structure enhances employee motivation and diversification. Decentralization improves communication and ensures implementation of new approaches to doing things to enhance quality care (Melnyk & Fineout-Overholt, 2019).  Organizations ready to implement the proposed EBP interventions should focus on patient-centered care and health promotion to save lives in pediatric settings.

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The project uses the Organizational Capacity Assessment Tool (OCAT) developed by the United Nations Development Program (UNDP). The tool assesses overall readiness to enhance health interventions in organizations. The tool identifies substantive capacities and strengths that exist and the need for more to attain expected outcomes.

Implementing the proposed EBP requires organizations to have capabilities and resources with a superb culture based on their mission, purpose and best values. Threats to readiness include need for resources to implement the project and technologies to reduce HAIs. Teamwork leads to effective flow of information to implement the project and attain expected outcomes.

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NUR-590 Evidence-Based Practice Project Proposal: Evaluation Plan

NUR 590 Evidence-Based Practice Project Proposal Implementation Plan

NUR 590 Summary of Current Course Content Knowledge 

NUR 590 Based on the PICOT you developed for NUR-550, summarize the intervention you are proposing

NUR 590 Explain the importance of a “spirit of inquiry” in an evidence-based culture and what you can do as an advanced registered nurse to encourage this within your practice or organization

NUR 590 Compare two organizational readiness tools

NUR 590 Do you foresee any issues with the proposed implementation of your project?

NUR 590 Discuss the significance of frameworks or models in guiding research or evidence-based practice projects

NUR 590 Review the different models and frameworks that can be used to facilitate change

NUR 590 Explain whether you would select a qualitative or quantitative design to collect data and evaluate the effectiveness of your evidence-based practice project proposal

NUR 590 Identify which statistical test you would use in conjunction with your selected research design from DQ 1 to evaluate the outcomes for your evidence-based project proposal and explain why you selected this test

NUR 590 What are some of the obstacles or barriers to implementing evidence-based practice (EBP) in nursing?

NUR 590 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project

NUR 590 When reviewing the literature for your evaluation plan and different types of evidence for your project, what gaps in the findings did you encounter?

NUR 590 Discuss the difference between statistically significant evidence and clinically significant evidence

NUR 590 Propose strategies for disseminating your evidence-based practice project proposal

NUR 590 Propose strategies that you could use for disseminating the outcomes of your evidence-based practice project proposal

NUR 590 What aspects of APA do you still struggle with?

NUR 590 Identify three strategies that you will now incorporate into your practice based on this course

NUR 590 Benchmark – Evidence-Based Practice Project Proposal: Organizational Culture and Readiness

NUR-590 Evidence-Based Practice Project Presentation
NUR-590 Evidence-Based Practice Project Presentation

Organizations that seek to implement the proposed EBP should enhance their patient-handling processes with a focus on improved quality care to reduce infections by better hand hygiene measures and protocols. Data-analysis tool using a collaborative approach will enhance dissemination of evidence to the entire care team.

The deployment of Trans-theoretical model will allow the organizations to prepare for change by aligning their interventions with their needs. These include skills’ training and motivation policies to enact changes to focus on solutions (Melnyk & Fineout-Overholt, 2019). The integration of technology is also critical to enhancing organizations’ readiness since it improves gathering of intelligence.

The stakeholders include healthcare professionals in these settings comprising of nurses, physicians and other professionals and the management. External stakeholders comprise of patients and their familiescare (Melnyk & Fineout-Overholt, 2019). Further, the integration of the Project team and management highlights the importance of ensuring that the organization is ready while use of health information technologies like Telehealth leads to better understanding of the underlying issues to enhance patient safety based on existing deployment and their role in enhancing access and quality care.

Problem Statement

Hospital acquired infections are a concern in healthcare as they impact positive patient outcomes and patient safety. Healthcare workers, especially nurses, transmit infections to patients through poor hand hygiene measures and protocols in their practice environment. Pediatric patients have increased susceptibility to suffering from infections due to their low levels of immunity (Melnyk & Fineout-Overholt, 2019). Imperatively, nurses and other providers must develop interventions to prevent and control the prevalence of nosocomial infections and guarantee quality care by using evidence-based practice interventions like handwashing with soap and water alongside use of hand sanitizer(Khan et al., 2018).

The initiative focuses on enhancing hand hygiene protocols by nurses to help reduce most prevalent infections like central line-associated bloodstream infections, catheter-associated urinary tract infections and ventilator-associated pneumonia and surgical sites infections. 

Literature Review/Support

The proposed interventions must be effective by ensuring that existing literature consisting of previous research studies support its implementation and expected benefits to the target audience or population. In this case, through a comprehensive search of the literature, one can ascertain if the interventions meets the stakeholders’ goals and aspirations (Zhao et al., 2018). The literature review for the project entails defining and using terms related to hospital acquired infections, healthcare workers and hand hygiene measures.

The review also used effective search engines and databases related to the nursing issues to ensure that the generated article represent the problem under study (Khan et al., 2018). The main inclusion criteria included article published within the last five years, articles that capture aspects of the PICOT question and support the EBP based on their findings or recommendations.

Synthesis of Literature: Review

The proposed project reviewed different research studies based on the inclusion and exclusion criteria to ascertain support for the interventions to enhance patient safety through hand hygiene measures. Two of the articles used demonstrate the significance of hand hygiene measures among nurses and other healthcare workers in reducing and preventing hospital acquired infections. The articles assert the need to implement evidence-based interventions to prevent infections and improve patient safety (Ni et al., 2020; Setty et al., 2019).

Making hand hygiene attractive to nurses and other healthcare workers is essential. Zhao et al. (2017) and Staniford et al. (2020) demonstrate the need for behavioral change and ensuring that nurses accept the modifications to reduce infections. Compliance to hand hygiene measures requires changes in behavior, especially embracing handwashing with soap and water alongside the use of hand sanitizers.

The literature articles illustrate that providing sufficient education to nurses and using evidence-based interventions increase the adoption of these measures leading to a reduction of hospital acquired infections in pediatric settings. Use of agile approach is effective in reducing a host of infections that include central line associated bloodstream infections (CLABIs). 

Comparison of the Articles & Future Research

The reviewed articles illustrate similar themes about the effects of HAUs and utilization of Hand Hygiene measures to reduce their prevalence and ensure that patients get quality care. The articles emphasize the use of evidence-based practice (EBP) interventions to reduce hospital acquired infections. All the article show that HAIs have negative effects on patient safety and health and are a public health issue (Staniford et al., 2018).

Stakeholders play a critical part in implementation of interventions to reduce HAIs in pediatric setting through giving information and offering educational opportunities to nurses and other health care professionals to enhance their care delivery. The articles suggest the need for more studies to help evaluate the effectiveness of hand hygiene measure to control infections. 

Change Model/ Framework

The project selected the Iowa EBP model as its change framework. The Iowa model focuses on the whole healthcare system and its stakeholders that include patients, practitioners, and infrastructure. The model uses a problem-solving approach in EBP implementation and leads staff to question the current nursing practices and if they can enhance care through using current findings. The model is effective for the project as it focuses on promoting quality care using EBP interventions.

The initials stage of the model is identification and selection of a health problem while the second stage involved determining if the issue is healthcare organization’s prioritycare (Melnyk & Fineout-Overholt, 2019). The third stage requires reflection about the issue of interest and engaging stakeholders while the fourth stage is to identify availability and merit of the chosen evidence. The fifth stage entails implementation of a pilot change based on the available evidence and its credibility. The sixth stage is to appraise the pilot practice change based on the degree of success and subsequent dissemination of findings to the providers and organizations. 

Implementation Plan

The project’s setting will be a pediatric hospital were nurse practitioners and clinical nurses leaders are involved in care delivery to young patients. The selected participants will be 20 healthcare staff having worked in the facility for at least the last 12 months. The team will get approval from the participants through signing a consent form to participate in the project. The implementation timeframe for the project will be 6 months and there will be different activities; right from the establishment of a multidisciplinary team, education, rolling out of pilot change, and reviewing the implementation (Rebekah & Ravindran, 2018). The project will require a host of resources that include human resources, funding, expertise and advice from stakeholders.

The project will use a qualitative design which effective in collecting data from participants as it deploys various approaches in getting opinions from healthcare workers on the issue. The monitoring instruments will include audit tool and satisfaction survey to gauge the level of implementation and satisfaction among the different stakeholders.

Delivery process for the intervention would include project team members that include nurse leaders and practitioners. Nurse leaders and practitioners will develop and implement requisite protocols like setting hand sanitizer stations at various points of care. Participants will also go through mandatory training on the suggested protocols and their significance to enhancing patient safety.

Support from stakeholders is essential in EBP projects as they offer resources, input and suggestions and implement recommendations of such programs (Rebekah & Ravindran, 2018). Stakeholders in the project will include nurse leaders and nurse practitioners, project team and trainers, and the management of respective organizations.

Components of the project will include facilitators, challenges and development of effective strategies to overcome the inadequacies. Resource and time limitation, insufficient skills among nurses and negative attitude would be some of the potential challenges to the project. Successful strategies to overcome the challenges would include adhering to the timeframe, engagement of stakeholders and effective communication (Vandermouse et al., 2017). The project is feasibility based on the cost-benefit analysis as its implementation will cost less that expected long-term and short-term benefits.

Evaluation Plan

The expected outcomes from the problem include enhanced patient safety, quality care and use of better interventions by healthcare workers to reduce and prevent HAIs in pediatric settings. The project will also lead to knowledge dissemination among healthcare workers in the settings to reduce HAIs. The EBP project will enhance hand hygiene measures and protocols among healthcare workers (Vax et al., 2017). The project is expected to reduce the rate of HAIs and expand adoption of hand hygiene measures.

The project will use a qualitative research design to understand ideas, thoughts and experiences of research subjects in connection to the proposed project and its importance to the target population (Rebekah & Ravindran, 2018). The project will use institutional interviews where the participants will fill questionnaires detailing their experiences and thoughts about the issue.  The statistical test for the project will be regression test as it has stringent requirement and make strong inferences based on the gathered data. The test will be use to measure the cause-and-effects of implementing the interventions in healthcare settings.

The study will employ personal interviews before, during, and after implementing the interventions among the target population. Outcome measures and evaluation will be based on collected data as the project team will analyze responses and feedback from the participants (Hunter, 2017). The project will use satisfaction surveys to evaluate the effectiveness of measures deployed to reduce the prevalence of HAIs.

If the outcomes fail to offer the expected or positive results, the team will evaluate the cause of the failure and make necessary changes for better outcomes in the future (Kampstra et al., 2018). The team will recommend the incorporation of the various aspects of the project’s outcomes to form part of the organizational culture in the targeted settings. The second aspect will be to extend best practices and interventions in the selected settings as part of their overall culture.

References

Akanji, J., Walker, J. &Christian, R. (2017). Effectiveness of formal hand hygiene education and feedback on

  healthcare workers’ hand hygiene compliance and hospital-associated. JBI Database System

   Review and Implementation Repository, 15(5): 1272-1279. doi: 10.11124/JBISRIR-2016-003019.

Ni, L., Wang, Q., Wang, F., Ni, Z., Zhang, S., Zhong, Z., & Chen, Z. (2020). An interventional implementation

   project: hand hygiene improvement. Annals of Translational Medicine, 8(18). doi: 10.21037/atm-

  20-5480

Setty, K., Cronk, R., George, S., Anderson, D., O’Flaherty, G., & Bartram, J. (2019). Adapting translational

  research methods to water, sanitation, and hygiene. International journal of environmental

  research and public health, 16(20), 4049. https://doi.org/10.3390/ijerph16204049

Stanford, L. J. & Schmidtke, K. A. (2020). A systematic review of hand-hygiene and environmental-

  disinfection interventions in settings with children. BMC Public Health, 20(195).

https://doi.org/10.1186/s12889-020-8301-0

Zhao, Q., Yang, M. M., Huang, Y. Y. & Chen, W. (2017). How to make hand hygiene interventions more

  attractive to nurses: A discrete choice experiment. PLoS ONE 13(8): e0202014.

https://doi.org/10.1371/journal.pone.0202014

Khan, H. A., Baig, F. K., & Mehboob, R. (2017). Nosocomial infections: Epidemiology,

   prevention, control and surveillance. Asian Pacific Journal of Tropical

  Biomedicine, 7(5), 478-482. https://doi.org/10.1016/j.apjtb.2017.01.019

Real, K., Bardach, S. H., & Bardach, D. R. (2017). The role of the built environment:

  How decentralized nurse stations shape communication, patient care processes, and

  patient outcomes. Health Communication, 32(12), 1557-1570.

https://doi.org/10.1080/10410236.2016.1239302

Vax, S., Gidugu, V., Farkas, M., & Drainoni, M. (2021). Ready to roll: Strategies and actions to

  enhance organizational readiness for implementation in community mental health.

  Implementation Research and Practice, 2, 263348952098825.

https://doi.org/10.1177/2633489520988254

Albarqouni, L., Hoffmann, T., & Glasziou, P. (2018). Evidence-based practice educational

  intervention studies: a systematic review of what is taught and how it is measured. BMC medical

   education, 18(1), 1-8. https://doi.org/10.1186/s12909-018-1284-1

Hunter, S. (2017). Not All Evidence is Created Equal: Changes in practice require the highest

  possible level of statistical testing. EMS World, 46(10), 46-50.

A Sample Answer 2 For the Assignment: NUR-590 Evidence-Based Practice Project Presentation

Title: NUR-590 Evidence-Based Practice Project Presentation

Introduction & Purpose of the Presentation

The dissemination of evidence-based practice (EBP) information is an important part of effective care delivery for providers as it allows stakeholders to implement different changes to meet patient expectations. Dissemination involves the spread and sharing of clinical, research, and theoretical findings with goals of transitioning new knowledge to points of care (DeNisco, 2019). Dissemination requires organizations to have effective culture and be ready for change as well as selection of the best EBP model to implement new change. The use of Fall TIPS to reduce falls in medical-surgical units reduces the adverse effects of fall, improves patient safety and overall satisfaction. The purpose of this presentation is to disseminate the outcomes of the proposed EBP project for effective implementation in the medical-surgical unit to reduce the prevalence of patient falls.

EBP Project

The evidence-based practice process involve the integration of research findings, clinician’s care experience and patient preferences. EBP projects focus on optimizing providers and team conduct to support changes for patients to get quality care and reduce adverse effects of falls like injuries and associated complications and costs. Patient satisfaction and engagement are important while implementing EBP in health care settings. In this case, the need to reduce falls through tailoring interventions for patient safety (TIPS) is essential to offering quality care and considering the concerns that patients may have and critical to improving their response to safety measures by providers

PICOT Statement

Among hospitalized adult patients in medical-surgical units (P) does the use of TIPS toolkit as a bundled care approach (I) compared to normal falls prevention approach (C) reduce the prevalence of falls by 20%(O) within 6 months (T)?

Organizational Culture and Readiness

Organizational culture which entails values, mission, vision and operational efficiencies is important on implementing or introducing changes to nursing units or workplace. The implementation of EBP project proposal to reduce falls through Fall TIPS approach requires organizations to have a change-oriented culture and values. Evaluation is essential as it allows project team to determine the level of readiness and acceptance of change. In this case, the organizational structure in the medical-surgical unit is positive. The findings from the Organizational Capacity Assessment Tool (OCAT) created by the United Nations Development Program (UNDP) shows that the unit has decentralized structure that allows engagement and participation of nurses to implement changes to improve the quality of patient care (Ratnapalan, 2019.

The OCAT tool assesses  overall readiness and highlights organizational capacities and strengths. Based on the model, the overall organizational culture and readiness for change is positive since the unit as part of the entire facility has capacities and strengths. These include having effective teamwork to improve communication, integration of providers’ perspectives when implementing new approaches to care, and better communication and effective collaboration among the internal stakeholders. Data analysis tools are also essential to improving overall efficacy of the proposed solution (DeNisco, 2019). The organizational culture also focuses on health promotion and saving lives through involvement of all stakeholders at different levels of care delivery.

Problem Statement

Falls are a major concern and public health issue because they affect quality of care and patient safety. The Centers for Disease Control and Prevention (CDC) (2021) observes that one in every four older people experiences falls. Close to 800,000 individuals are hospitalized each year due to falls, especially in critical care settings. more than 95% of hip fracture occur due to falls and falls are the most prevalent cause of traumatic brain injuries (Heng et al., 2020). The Centers for Medicare and Medicaid Services (CMS) categorize falls as never events since a majority of them are preventable. Falls also increase hospital stays and increase cost of care. Therefore, reducing falls is a critical part of improving patient safety ad overall care delivery (PSNet, 2019). Existing literature supports the use of Fall TIPS as an EBP intervention to reduce and prevent falls.

Literature Review

The proposed interventions should be appropriate through a review of existing literature consisting of previous research studies to support implementation and expected benefits to the targeted population. In this case, through a comprehensive search of the literature, one can ascertain if the interventions meets the stakeholders’ goals and aspirations (Zhao et al., 2018). The literature review for the project involved the definition and use of terms associated with Fall TIPS and its benefits for patients, especially in medical-surgical settings. The review also employed appropriate search engines and databases associated with the nursing issue to ensure that the generated articles focus on the problem under investigation (Khan et al., 2018). The main inclusion criteria included article published within the last five years, articles that capture aspects of the PICOT question and focus on effective interventions to reduce falls and efficacy of Fall TIPS implementation.  

The proposed project reviewed several research studies based on the inclusion and exclusion criteria to ascertain support for the intervention to enhance patient safety and quality of care through fall prevention using the Fall TIPS model. Literature synthesis and critical analysis show increased support for the intervention of using Fall TIPS model to reduce falls. Studies by LeLaurin et al. (2019); Xia et al. (2022); Kelly (2022), and Dykes et al. (2020) agree that fall prevention bundles through the TIPS model reduce incidences of falls and improve overall patent safety. The studies show that Fall TIPS is effective and should be implemented on diverse settings that include medical-surgical units because of their benefits like being customized to meet patient needs and situations. The studies also emphasize the need for effective guideline for providers to enhance their adoption of fall TIPS in their practice settings.

Change Model or Framework

The selected model is the Iowa EBP framework. The Iowa model focuses on the entire healthcare system and stakeholders who comprise of patients, practitioners, and infrastructure. The framework uses a problem-solving and implores staff to question the current nursing practices and if they can improve care through using current evidence. The model is effective for the project as it focuses on promoting quality care using EBP interventions (DeNisco, 2019). The initial stage of the model is identification and selection of a health problem while the second stage involved determining if the issue is healthcare organization’s priority areas for patient care (Melnyk & Fineout-Overholt, 2019). The third stage requires reflection about the issue of interest and engaging stakeholders while the fourth stage is to identify availability and merit of the chosen evidence (Cullen et al., 2020). The fifth stage entails implementation of a pilot change based on the available evidence and its credibility. The sixth stage is to appraise the pilot practice change based on the degree of success and subsequent dissemination of findings to the providers and organizations.

Implementation Plan

The project will be set in the medical-surgical unit/ward with the patients as the main participants. They will have informed consent and voluntary accept to participate in the study. The implementation timeline would be six months. The timeline will have different aspects as defined by the project scope and activities. Nurse training and requirement definition as well a project schedule will be part of these activities. Resources needed will include both financial and human for the implementation of the project. The project will employ a qualitative approach in collecting data. The qualitative approach is appropriate as it allows the use of different techniques like interviews, observation, review of literature and even focus groups (Tang, 2019). The implementation team will use an audit tool and a patient survey. The survey tool will collect feedback and opinions from participants on the effectiveness of the fall TIPS framework. Using these tools will help determine the overall effects of the Fall TIPS

The delivery of the intervention will entail having an inter-professional team consisting of different healthcare providers in the medical-surgical unit. The interventions will entail staff training on all components of the TIPS bundles, development of safe toileting, effective communication and patient education. The project will have different stakeholders who would include nurses and nurse leaders, nurse managers, project team and manager, trainers and patients as well as their families (Amit-Aharon et al., 2019). Others will be organizational management and health information technology vendors. The implementation plan will encounter barriers and challenges like resistance to change, limited resources to implement the plan, and insufficient knowledge and skills by nurses on Fall TIPS (Pop et al. (2020). There will also be facilitators like sufficient resource allocation. The project’s overall feasibility is high due to its cost-effectiveness and associated benefits to patients and the healthcare system. 

Evaluation Plan

The main outcome is to reduce patient falls in the medical-surgical unit by 30% in six months of its implementation. The Fall TIPS will enable nurses and other providers to customize fall prevention intervention based patient’s conditions and preferences and not a one-fits-all approach. The EBP project will employ qualitative design implying that it will use questionnaires and focus groups to collect data. It will also observation to determine the level of implementation (Grove et al., 2019). The statistical test in this case would be the t-test because of its suitability to the project.

Using data collected through semi-structured questionnaires, the researchers will measure patient outcomes and experiences (Lengnick-Hall et al., 2020). They will then tabulate the data to determine if there are changes after the implementation of the Fall TIPS. The research will the deploy computation tools to determine rates of improvement based on the reduction of falls within the unit. Strategies to improve outcome will include re-examination of the implemented intervention through analyzing the process and all associated components at each level. The team will also formulate timelines and explore corrective measures to improve outcomes . The sustenance of the EBP will entail training, continuous monitoring of quality care, and creating teams that will review areas of concern and ensure that Fall TIPS integrate patients and concerns.

References

Amit-Aharon, A., Melnikov, S., & Warshawski, S. (2020). The effect of evidence-based

  practice perception, information literacy self-efficacy, and academic motivation

  on nursing students’ future implementation of evidence-based practice. Journal of

  professional nursing, 36(6), 497-502. DOI: 10.1016/j.profnurs.2020.04.001.

Centers for Disease Control and Prevention (CDC) (2021). Facts About Falls.

https://www.cdc.gov/falls/facts.html

Grove, S. K., & Cipher, D. J. (2019). Statistics for Nursing Research-e-book: A workbook for evidence-based

  practice. Elsevier Health Sciences.

Lengnick-Hall, R., Willging, C. E., Hurlburt, M. S., & Aarons, G. A. (2020). Incorporators, early investors, and

  learners: A longitudinal study of organizational adaptation during EBP implementation and

  sustainment. Implementation Science, 15(1). https://doi.org/10.1186/s13012-020-01031-w

Melnyk, B. M. & Fineout-Overholt, E. (2019). Evidence-based Practice in Nursing &

  Healthcare: A Guide to Best Practice. Wolters Kluwer.

Rebekah, G., & Ravindran, V. (2018). Statistical analysis in nursing research. Indian Journal of Continuing

  Nursing Education,19(1), 62-70. https://www.ijcne.org/text.asp?2018/19/1/62/28649

Dykes, P. C., Burns, Z., Adelman, J., Benneyan, J., Bogaisky, M., Carter, E., … & Bates,

   D. W. (2020). Evaluation of a patient-centered fall-prevention tool kit to reduce

  falls and injuries: a nonrandomized controlled trial. JAMA network open, 3(11),

  e2025889-e2025889. doi:10.1001/jamanetworkopen.2020.25889

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

  Leader, 3(Suppl 1), A14-A14. http://dx.doi.org/10.1136/leader-2019-FMLM.37

Kelley, R. J. (2022). Preventing Falls in the Surgical Setting by

  Implementing a Fall Prevention Bundle.

  http://hdl.handle.net/10713/18736

Xia, L., Zheng, Y., Lin, Z., Chen, P., Mei, K., Zhao, J., … & Gu, Z.

  (2022). Gap between risk factors and prevention strategies? A

   nationwide survey of fall prevention among medical and

  surgical patients. Journal of Advanced Nursing, 78(8), 2472-

  2481. https://doi.org/10.1111/jan.15177

LeLaurin, J. H., & Shorr, R. I. (2019). Preventing falls in hospitalized

  patients: state of the science. Clinics in geriatric medicine, 35(2),

  273-283. doi: 10.1016/j.cger.2019.01.007

Patient Safety Net (2019). Falls. https://psnet.ahrq.gov/primer/falls