Question Description

Purpose

You are to create a Design for Change proposal inclusive of your PICO and evidence appraisal information from your Capstone Project Milestone #1. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced. In the event you are not currently working as a nurse, please use a hypothetical clinical situation you experienced in nursing school, or nursing education issue you identified in your nursing program. 

Directions

1.  Create a proposal for your Design for Change Capstone Project. Open the template in Doc Sharing. You will include the information from Milestone #1, your PICO question, and evidence appraisal, as you compose this proposal. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced.

2.  The format for this proposal will be a paper following the Publication manual of APA 6^th edition.

3.  The paper is to be four- to six-pages excluding the Title page and Reference page.

4.  As you organize your information and evidence, include the following topics.

a.  Introduction:Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63). Introduce the reader to the plan with evidence-based problem identification and solution.

b.  Change Plan: Write an overview using the Johns Hopkins Nursing EBP Model and Guidelines (2012)

  i.  Practice Question

  ii.  Evidence

  iii.  Translation

c.  Summary

5.  Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. In-text citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources are expected, which means using peer-reviewed journals and credible websites.

6.  Tables and Figures may be added as appropriate to the project. They should be embedded within the body of the paper (see your APA manual for how to format and cite). Creating tables and figures offers visual aids to the reader and enhances understanding of your literature review and design for change.

Question Description

Please respond with a paragraph to the following post, add citations and references.

The theoretical foundations are different in both qualitative and quantitative research methods, but when both are used together in a study it’s called mixed methods study. In this type of study, the qualitative and quantitative methods are mixed together in a single phenomenon or investigation. This allows more thorough and complete use of data than a single type of research can provide. Collecting and analyzing both qualitative and quantitative can be beneficial and the ideal technique is doing research in a more complex topic where one single method may not provide reliable results. For example, a research may collect qualitative data to access and analyze personal experience of patients regarding quality of care and nosocomial infections and hospital acquired pressure ulcers. The use of qualitative data to explore quantitative finds can be done as well, where a researcher may use a method to explain qualitatively how a quantitative mechanism may work. Some advantages of mix methods include:

1. Compares qualitative and quantitative data

2. Reflects participants point of view

3. Fosters scholar interactions

4. Provides methodologic flexibility

5. Contains comprehensive data

Some disadvantages are:

1. Increased complex elevations-careful planning is required

2. Relies on a multidisciplinary team of researchers where large sample sizes and expertise is needed to meet the common ground

3. Required multiple resources which is time consuming

Evidence-based practice has changed the profession of nursing and the outcome of patients in a positive way. There is new research continuously developing, making new policies and guidelines for the betterment of our patients every day. In nursing the education and the curriculum are affected based on the evidence-based practice. Nurses are the front-line staff and play a vital part of the movement of change. Major deficits within the healthcare system can ultimately harm the patients, which can be prevented. There are several protocols and practices in effect at most facilities which are EBP. One of those protocols include the ventilator-associated pneumonia bundle of care to prevent pneumonia related to mechanical ventilation. At the facility where I work we use this protocol as soon as the patient is intubated and until they are extubated. VAP is one of the leading causes of death in ICUs today. It’s the most common type of nosocomial infection other that a UTI (CAUTI), EBP has proven that the bundle will reduce the risk of ventilator associated pneumonia. This bundle consists of:

1. Elevation of the head of bed

2. Daily sedation vacation and assessment of readiness to extubate the patient

3. Peptic ulcer disease prophylaxis

4. Deep vein thrombosis prophylaxis

5. Oral care and suctioning every two hours and as needed

Even though the VAP bundle has been proven to be effective in the ICU setting, there are more studies and developments being performed to bring new and updated changes for better patient outcomes.

Reference:

Stevens, K. (2013). The Impact of Evidence-Based Practice in Nursing and the next big ideas. Retrieved from https://ojin.nursingworld.org/mainmenucategories/A…

Question Description

The EBP project is based on the importance of giving bedside shift report with patient involvement

• 1. Name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based practice project. Explain how your proposal will directly and indirectly impact each of the aspects. (530-400words)

• 2. Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need and how it has changed since you first envisioned it. What led to your current perspective and direction? (350-400 words)
• 3. Describe one internal and one external method for the dissemination of your EBP project results. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to report your results to both of these groups. How will your communication strategies change for each group?(350-400 words)
• 4. In order to evaluate an evidence-based practice project, it is important to be able to determine the effectiveness of your change. Discuss one way you will be able to evaluate whether your project made a difference in practice. (350-400 words)