Evidence-Based Project Proposal

 Evidence-Based Project Proposal  

Project Overview:  

Title: Evidence Based Project-Proposal  Description:  As the course progresses over the 11 weeks, learners will develop a scholarly project that demonstrates an application of evidence to practice for substantive change. This project emphasizes critical appraisal and application of evidence-based research, scholarly writing, and critical thinking. The scholarly project will be submitted as a written paper in APA format/style. In addition, learners will present a summary of the final project orally or by creating a PowerPoint presentation. 

 Learners will select one of the following types of projects related to their specific advanced role specialization and target population: 

•Educational program 

•Evidence-based healthcare policy change 

•Evidence-based clinical issue or protocol  

Overview of the Evidence Based Project (EBP): 

 In Week 1 of the course, students will identify an area of inquiry as a basis for practice change, and in Week 2, write their clinical question in PICOT format that will drive the literature search. 

 Following approval of the practice change idea and the PICOT question by course faculty, in Week 3 students will begin their literature search and rapid critical appraisal (RCA) using the RCA checklists available in Appendix D of the course text (Melynk & Fineout-Overholt, 2011) and in Word format. The Search Tracker may be useful in organizing and tracking your search.   

 Your evidence review will be completed in Week 4, resulting in a finished Evaluation Table containing only the “keeper” studies.    

In Week 5 you will synthesize the evidence to determine best evidence for your project. Faculty will continue to serve in the role of mentor as the student progresses through the remaining steps of the project.    

Weekly submissions will be used to monitor progress in the development of your proposal. It is recommended that upon receiving feedback from faculty on each section, you revise your work and add that section to build your final paper. Doing so as you proceed through the course will avoid last-minute work.   

 When you began your study of evidence-based practice it was contrasted with the research process. The underlying goal of EBP is to appraise research and study its application to specific patient populations in order to identify best practices. In order to accomplish this, what must be included within your project is a research study. You will most likely compare pre-intervention data with post-intervention results. In come cases, statistical analysis will be necessary. Your proposal will include plans for this study.  

EBP Project Criteria 

 Students will prepare a formal project proposal using APA format. Below is an outline for the final paper with the weeks where this content will be covered. Each week you will turn in parts of this outline as Dropbox assignments. The week each part will be due is indicated in the outline. After receiving feedback from faculty on each part submitted, it is recommended that you begin building your paper, adding the pieces where they belong. Since you will not be implementing this project, the results section has been omitted. This outline is consistent with the format used for journal articles when reporting results of evidence-based practice projects.  

 Criteria and organization of final paper  

Abstract  

Part 1 

•Introduction – Week 2 

◦Practice issue   

 ◦Summarize the practice issue in need of change providing background information about the organization (setting) and the perceived significance and severity of the problem  

◦Describe the specific aims of the project – what improved outcomes do you hope to achieve  

•PICOT question – State your question in PICOT format, labeling each part with P-I-C-O-T in parentheses  

•Significance – what is the significance of the issue in terms of poor outcomes, cost, etc.   

Part 2 – Week 3. 4, & 5 

•Evidence review and synthesis 

◦List the names of the databases you searched and if limited to a span of time, i.e., less than 5 years old 

◦Summarize “keeper” studies 

◦Summarize the synthesis of the body of evidence  

Part 3 – Week 6

 •Purpose of the project – include intervention 

•Theoretical framework 

•Clinical questions  

Part 4 – Week 7 

•Studydesign 

•Setting/sample 

•Confidentiality 

•Procedure/intervention 

•Instruments/scales and measurement of outcomes 

•Data collection  

Part 5 – Weeks 8 & 9 

•Data analysis 

•Outcomes expected  

•Aligning stakeholders  

Appendices 

•Evaluation Table – turned in Weeks 3 & 4  

•Synthesis Table – turned in Week 5   

The paper provides evidence of synthesis of coursework, professional writing, and graduate level scholarship.  

Oral or Poster Presentation  

In addition to the written paper, students will present a summary of their project by submitting a professional Microsoft PowerPoint presentation. 

 Criteria: 

•Organize the presentation to include all required criteria of the EBP project proposal. 

•Quality of presentation is professional and provides evidence of graduate level scholarship.  

This week’s Dropbox Assignment  

Keep in mind that this proposal will be developed piece by piece during the course. The Dropbox assignment this week provides you an opportunity to identify the problem or issue within your specialization that is in need of improvement and receive feedback from faculty.    

Review the grading criteria listed below as you begin this assignment. Note that you must pass all elements in order to move forward with your proposal development. Faculty will provide feedback either approving or asking that you resubmit prior to further development of your project.   

For this week’s assignment discuss the following: 

•State your idea for your evidence-based project proposal including the rationale as to how it reflects an EBP project vs. a research project  

•Very briefly describe the issue you will address, the intervention that you feel has research evidence (this may change later after you complete the literature search), and the expected outcomes  

•Discuss how this project is relevant to your role specialization  

Assignment 3 Grading Criteria                                                Maximum Points   

Stated the practice issue or problem providing background information and the perceived significance of the problem.  20   

Discussed how the clinical issue is relevant to the selected role option.  20   

Used APA format with a professional writing style throughout.  10   

Total:  50

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NURS 6231: HEALTHCARE SYSTEMS AND QUALITY OUTCOMES – Discussion 9 (Grading Rubic and Media Attached)

Discussion: Using Evaluation Tools to Assess Quality Improvement Efforts

 

Evaluation is a critical component of any quality improvement plan. This week, you examine evaluation tools that can be used to monitor quality improvement efforts, and consider how to appropriately measure outcomes. In addition, you explore the value of metrics for communicating this information.

 

Also this week, you continue to develop your Course Project by synthesizing your analysis and recommendations into an action plan for a quality improvement initiative.

 

Like most other things in life, outcomes are the bottom line with respect to measurement of success along the path of quality improvement. However, without a careful analysis of the link between access, process, and structure of care, improvements in outcomes seem unattainable.

 

—Sadeghi, Barzi, Mikhail, & Shabot, 2013

 

In this Discussion, you consider how to collect and analyze qualitative and quantitative data to evaluate the results of quality improvement initiatives. In addition, you discuss the significance of evaluation and how you, as a nurse leader-manager, can contribute in an organization to the large-scale goal of facilitating quality improvement.

To prepare:

Review methods for measuring and evaluating quality improvement efforts presented in the Learning Resources. Pay particular attention to how and why it is important to measure outcomes.

Select one evaluation tool and analyze its benefits and relevance for the quality improvement plan you are developing for your Course Project.

 

Consider how you, as a nurse leader-manager, can use the results from the evaluation to support the organization’s overarching goals for quality improvement.

 

 

Post a brief description of the evaluation tool that you selected. Explain the benefits of applying this tool as part of your quality improvement plan in the Course Project. Also explain how you could use the results from the evaluation to support the organization’s overarching goals for quality improvement.

 

Read a selection of your colleagues’ responses.

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

Suggest an alternative evaluation tool and support your suggestion with evidence from current research literature.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives. 

Validate an idea with your own experience and additional resources.

 

Required Readings

 

Hickey, J. V., & Brosnan, C. A. (2017). Evaluation  of health care quality in for DNPs (2nd  ed.). New York, NY: Springer Publishing Company.

Review Chapter 3, “Conceptual Models for Evaluation in Advanced Nursing Practice” (pp. 61-86) (assigned in Week 3)

Sadeghi, S., Barzi, A., Mikhail, O., & Shabot, M. M. (2013). Integrating quality and strategy in health care organizations, Burlington, MA: Jones & Bartlett Publishers.

Review Chapter 8, “Quantifying the Quality Performance Gaps” (pp. 161–177) (assigned in Week 6)

 

The authors focus on performance measures with particular focus on the relationship between financial and quality performance.

 

Review Chapter 9, “Closing the Gaps” (pp. 179–194) (assigned in Week 7)

 

This chapter explains how to utilize data collected during the evaluation stage in order to improve the quality of health care.

Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.

Retrieved from https://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2001/Crossing-the-Quality-Chasm/Quality%20Chasm%202001%20%20report%20brief.pdf

 

This report outlines the Institute of Medicine’s (IOM’s) six aims to improve the quality of health care. Review this information through the lens of evaluation. (Assigned in a previous week.)

 Kaplan, R. S., & Norton, D. P. (1992). The balanced scorecard—Measures that drive performance. Harvard Business Review, 70(1), 71–79.

Retrieved from https://cb.hbsp.harvard.edu/cbmp/pl/51234252/51234314/2e0c84fdce3c69ab0253b5cbc9db9988

 

In this seminal article, the authors introduce the use of a new performance measurement system called the balanced scorecard. The balanced scorecard provides a comprehensive framework for leaders and managers to align strategic objectives with performance measures.

 Kaplan, R. S., & Norton, D. P. (1996). Linking the balanced scorecard to strategy. California Management Review, 39(1), 53–79.

Retrieved from the Walden Library databases.

 

In this early follow-up article, Kaplan and Norton further explain research on the use and application of the balanced scorecard.

 Balanced Scorecard Institute. (2012). What is the balanced scorecard? Retrieved from http://www.balancedscorecard.org/BSCResources/AbouttheBalancedScorecard/tabid/55/Default.aspx 

 Institute for Healthcare Improvement. (2012b). The IHI triple aim. Retrieved from http://www.ihi.org/offerings/Initiatives/TripleAim/Pages/default.aspx

Optional Resources

 Marr, B. (2012). What is a balanced scorecard? Retrieved from http://www.ap-institute.com/Balanced%20Scorecard.html

 

Please use the below links:

 

https://www.ap-institute.com/kpi-white-papers/what-is-a-modern-balanced-scorecard

 

http://www.ihi.org/engage/initiatives/TripleAim/Pages/default.aspx

 

http://www.balancedscorecard.org/Resources/About-the-Balanced-Scorecard

 

https://services.hbsp.harvard.edu/services/proxy/content/51234252/51234314/2e0c84fdce3c69ab0253b5cbc9db9988

 

 

 

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