Benchmark – Evidence-Based Practice Project Proposal Final Paper
For this assignment, you will synthesize the independent evidence-based practice project proposal assignments from NUR-550 and NUR-590 into a 4,500-5,000-word professional paper.
Final Paper
The final paper should:
- Incorporate all necessary revisions and corrections suggested by your instructors.
- Synthesize the different elements of the overall project into one paper. The synthesis should reflect the main concepts for each section, connect ideas or overreaching concepts, and be rewritten to include the critical aspects (do not copy and paste the assignments).
- Contain supporting research for the evidence-based practice project proposal.
Main Body of the Paper
The main body of your paper should include the following sections:
- Problem Statement
- Organizational Culture and Readiness
- Literature Review
- Change Model, or Framework
- Implementation Plan
- Evaluation Plan
Appendices
The appendices at the end of your paper should include the following:
- All final changes or revisions for the drafts that will be included in the appendices of your paper.
- 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 the final appendix at the end of your paper. In each preceding course you have been directed to the Student Success Center for assistance with APA style, and have submitted the APA Writing Checklist to help illustrate your adherence to APA style. This final paper should demonstrate a clear ability to communicate your project in a professional and accurately formatted paper using APA style. Benchmark – Evidence-Based Practice Project Proposal Final Paper
General Requirements
You are required to cite 10-12 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.
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 Turnitin.
Benchmark – Evidence-Based Practice Project Proposal: Organizational Culture and Readiness
Grand Canyon University
NUR- 590
July, 14th 2021
Organizational Culture
Prime Healthcare Organization has a decentralized and hierarchy-based organizational and leadership structure, working in the best means to motivate subordinates and enhance growth and diversification. Real et al. (2017) confirm that decentralization in healthcare organizations improves communication for quality care and innovations. These elements change management by enhancing agility and response to a new standard. Besides, the organization’s mission is to save and promote hospitals to strengthen the compassion, quality, and better care to patients and communities. It is client-focused, where the organization targets the primary consumers of its services while focusing on the community as a whole. By being customer-based, the organization stands a chance to support change by enhancing convenience, quality, access, and response, while abolishing the boundaries. Madhani (2018) notes that by being customer-centric, the organization gains competitiveness by increasing customer engagement to promote collaboration.
Prime Healthcare Organization values include quality, compassion, community, and being physician-led by being committed to performance and exceptional care, providing dignity, serving and giving back to the community, and allowing direct health care at all levels by the doctors and clinicians. This element entails interprofessional collaboration in delivering care at diverse levels. The employees perceive the organization as decentralized, considering their active participation in the organization in all operations.
Capacity Assessment Framework- Assessing Readiness for Change
A Capacity Assessment Framework is designed by the UNDP to evaluate the organizational readiness to promote global health intervention (Dearing, 2018). Dearing notes that assessing organizational readiness entails measuring motivation and the capacity for those firms or service providers to participate in initiatives. A capacity assessment framework is a tool for addressing the organization’s readiness to intervention or change, which entails identifying significant capacities that exist and the additional ones required to attain the objectives. Therefore, this tool is a salient element for analyzing desire or needed capacities against the already existing ones for enhancing planning and response. Based on this tool, capacity assessment framework, the Prime Healthcare Organization has exemplary capabilities in organizational attributes, defining the superb organizational culture through explicit mission and purpose, and recognizing the organizational values.
The capacity assessment framework analyzes the capabilities of the people, processes, technological resources, physical resources, and organizational systems as a perfect tool for assessing readiness for change. Diab et al. (2018) confirm that change readiness assessment examines the readiness of attitudes, resources, and conditions for capacity development initiatives. Prime Healthcare Organization is adequately ready for change considering its strengths in retaining the best skills, salient communication capabilities, decentralized governance, adequate technology, availability of the human, physical and financial resources, and strong stakeholder partnerships. It is customer-focused, offering an opportunity to integrate changing customer needs. However, frequent changes in the technology required are a threat to the organization, requiring vast investment and commitment. The readiness for change in this organization is high because of the strong team engagement or commitment to change and the collective capability to integrate change. Team spirit, information flow, and mutual support are palpable elements supporting the organization’s readiness to change. Benchmark – Evidence-Based Practice Project Proposal Final Paper
Health Care Process and Systems Needing Improved Quality, Safety, and Cost-Effectiveness
Prime Healthcare Organization being a physician-led service provider, the doctors offer direct care, requiring interventions for feasible clinical interventions. The physician-led system requires an improvement in handling patients, managing the costs, and delivering quality-led care. As a result, it is imperative to initiate Quality improvement collaboratives (CICs) by using standardized methodologies and designations for collecting high-quality data (Luckenbaugh et al., 2017). Additionally, after the collection, the data analysis is conducted to offer feedback to the physicians, initiate collaboration techniques and procedures, and distribute the results to the entire team to disseminate coordinated care at the population level. De la Perrelle et al. (2020) confirm that integrating QICs at scale is imperative for consistent cost identification to form cost-saving healthcare systems in both acute and chronic illnesses.
Strategies to Enhance Organizational Readiness
A salient strategy identified for enhancing the organizational readiness in Prime Healthcare Organization and applicable to similar organizations is the Transtheoretical Model (TTM). Vax et al. (2021) confirm that TTM prepares the organization for change by aligning with a tailored approach to meet organizational needs. The primary stage of the TTM is pre-contemplation, where people have no idea regarding the need for change and the second phase is where the organization acknowledges the benefits of changes, although costs and risk outmatch the paybacks. Thus, at the third preparation and fourth action phases for the organizational readiness, the organization is bound to initiate training for upskilling and motivation, changing policy such as focusing on solution-focused approaches for adaptability, and encouraging the integration of technology in the healthcare practices (Vax et al., 2021). Besides, considering the integration of big data analytics is a salient approach for enhancing organizational readiness by improving intelligence and research-based intervention.
Stakeholders and Team Members in the Project
The identified stakeholders and teams in the evidence-based project for increasing patient satisfaction and raising the revenue collection while decreasing the LWBT rate include the ER nurses, informaticians, and the ACOs. The ER nurses will respond quickly to crises and identify real-time stabilization strategies for pain management and patient satisfaction. The informaticians will be responsible for comparing real-time location systems against the manual status updates for tracking patients to establish outcomes for each while focusing on data and big data for quality service delivery and technology integration. The ACOs will be responsible for coordinated care where reimbursements will be attached to quality measures, basing intervention on value.
Information and Communication Technologies
Electronic Health Records (EHR) are the primary requirement to enhance data collection and retrieval in real-time. Besides, the clinical decision support system (CDS) is essential as the primary tool for mitigating errors by guiding healthcare practitioners at the emergence department solution-focused approaches. Alotaibi and Federico (2017) acknowledge that CDS is a guiding tool to the correct procedures to attain desired outcomes. Through these technologies, practitioners are motivated to pursue outcomes according to the client’s needs by enhancing alerts, reminders, and notifications for process adherence.
References
Alotaibi, Y. K., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi Medical Journal, 38(12), 1173-1180. https://doi.org/10.15537/smj.2017.12.20631
De la Perrelle, L., Radisic, G., Cations, M., Kaambwa, B., Barbery, G., & Laver, K. (2020). Costs and economic evaluations of quality improvement collaboratives in healthcare: A systematic review. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-4981-5
Dearing, J. W. (2018). Organizational readiness tools for global health intervention: A review. Frontiers in Public Health, 6. https://doi.org/10.3389/fpubh.2018.00056
Diab, G. M., Safan, S. M., & Bakeer, H. M. (2018). Organizational change readiness and manager’ behavior in managing change. Journal of Nursing Education and Practice, 8(7), 68-77. https://doi.org/10.5430/jnep.v8n7p68
Luckenbaugh, A. N., Miller, D. C., & Ghani, K. R. (2017). Collaborative quality improvement. Current Opinion in Urology, 27(4), 395-401. https://doi.org/10.1097/mou.0000000000000404
Madhani, P. M. (2018). Building a customer-focused culture in organisations: Developing 7Cs model. International Journal of Business Excellence, 16(2), 199. https://doi.org/10.1504/ijbex.2018.10015931
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
Daysha,
You did a nice job of addressing the organizational cuture and how using the capacity assessment framework could aid in identifying the readiness of the organization to implement your suggested intervention. You incorporated the TTM as a strategy to incorporate your intervention of patient satisfaction and you identified who the stakeholders are and with what process and technology your intervention can be implemented. You were very thorough and clear with this paper.
Marina
Evidence-Based Practice Project Proposal: Implementation Plan
Grand Canyon University- NUR 590
August 4th 2021
Evidence-Based Practice Project Proposal: Implementation Plan
Bringing changes to medical institutions involves many aspects. Different people, stages, barriers or obstacles, and impetus are involved throughout the process (Byers, 2017). This section describes how to implement the proposed solution. The solution refers to the problem previously presented in the hypothesis. Important decisions include behavioral changes. As a result, the use of complementary and alternative therapies is critical in the healing process. Benchmark – Evidence-Based Practice Project Proposal Final Paper
Setting and access to potential subjects
Execution of the suggested plans will be checked at five significant clinical areas. Enrollment of subjects to take part in the investigation will be voluntary. Advertisements will be shown over time so exceptionally that however many individuals reasonably expected can discover the message. According to Barber (2018), all human examination requires informed consent from all members. Patients with diminished fulfillment in the crisis office should communicate their desire to participate in the examination by signing the informed consent. Signing the form implies that the patient knows about the assumptions for the investigation.
Time needed
It is important to have a certain period to realize the problems of real-time location systems. The use of the intervention strategy is essential to reduce the level of treatment left (LWBT) and increase income collection. The entire project will take five months. It takes a couple of months to develop the system, including testing and participation of all San Francisco health-care system providers.
Resources Needed
The resources of this system are different. Information technology, health-care professionals, support services, and suppliers represent human resources. These resources will be used to analyze the current system. The required clinical tools are analyzed during the workflow, and the EHR requires analysis. The implementation phase requires resources to simplify the task. This process means that you need to allocate a budget to cover the cost of the resources you need. The implementation phase is one of the most costly, and many change projects fail because they cannot collect all the resources they need. In the implementation process, the proposed solution, namely; reducing LWBT and increasing revenue, requires the following resources: The first important resource is the doctors in charge of various institutions. A real-time Location system will also be needed. Clinical researchers and doctors will be important contributors to my project. They train people in the community to support the projects. Patients can also provide information about who can participate in the project. As the system evolves, financial resources depend on human and technical resources. At this time, it is difficult to determine the cost. The factors that affect cost are the development of additional system software and hardware for auxiliary vendors.
Instruments and Methods for Monitoring the Implementation
The use of surveys is the most important component in evaluating the implementation of the recommended solution. These surveys will be sent to patients once a month as google forms. This is meant to adhere to COVID 19 health measures, which will limit physical contact amongst individuals. This method is recommended because it is easy to analyze (Patten, 2015). This method is well known to the staff and managers of many medical institutions. The use of surveys is also essential to reduce the cost of surveys. Most respondents answered or asked about the survey early in their lives. This can easily be combined with a simple progress question, as you need to check the box or X next to the question. Another advantage is that you can answer honestly because the answers are completed individually and privately.
The Intervention Delivery Process
The proposed solution will be delivered using an integrated way. The adoption of the system is one of the major interventions to be used. The participants will be educated on how to use the system. Without leaving anyone behind, all of the participants will take part in the intervention. Before doing the activity, it is critical to provide training and information on what to do and what not to do. The participants of the study will also be notified of the benefits of effectively using the system. The system will essentially improve the outcome of the research.
Data Collection Plan
There are two data collection processes. The first is a survey of providers about the data items that the team has identified as needed, such as system usability and ease of use, and what else is needed. The second is the appointment of paid patients and the specific areas required by the Housing Development Department. During the data collecting phase of the survey, data will be collected continuously throughout the course of the 5-month period. After the intervention, participants are a good source of information on how things are going. Each week, participants fill out a form with the outcomes of their exposure to the system. The results show the effectiveness of interventions to reduce untreated levels (LWBT) and increase income. Data is gathered and entered into an Excel spreadsheet. When the research is over, the next stage is to interpret and analyze the findings. The data collection questionnaire will be comparable to the data collection questionnaire used to monitor the implementation.
Approaches to Dealing with Obstacles
Many healthcare facilities, especially free ones, lack the necessary training personnel (Naidu et al., 2020). Partnerships with higher education schools will be fruitful because many of them have the best training facilities in their sports departments. Other challenges will be based on the system’s running, whereby at some point, the systems may fail, thereby making it challenging to collect required data. This issue will be addressed by ensuring that a backup plan prevails. Training and workshops are conducted at each implementation stage to help each supplier and staff adapt to the system, increase the level of comfort and reduce implementation barriers. The introduction of laptop and tablet computers simplifies the use of the system by suppliers and further increases adoption opportunities.
The Plan’s Implementation Feasibility
Various costs will be incurred during the project, particularly during the implementation phase. The trainer fee is one of the expenses incurred. Because the study will only last a few weeks, it would be more cost-effective to recruit rather than pay trainers. Some of the costs that will be incurred during the implementation are listed below. Some costs will be incurred as far as the design and evaluation of the system is concerned. A usability test is paramount in the utilization of the system. The usability test will be carried three weeks before the pilot study to identify some of the challenges. When the study runs for five months, a data storage device will be required to store the data obtained.
Plan for the proposed solution’s maintenance, extension, revision, and discontinuation.
Based on the obtained data, the choice may include extending, sustaining, changing, or even terminating the intervention. The decision-making process is based on the results of the questionnaire given to the participants. The success of the data collection process was leveraged to provide positive feedback, allowing a preliminary choice to be made. Biweekly meetings and implementation plans that include feedback from vendors and staff who use the system are feasible. Advances in technology require various security checks, among others (Painuly et al., 2020). These changes are planned as needed, and the IT and Nursing Informatics Department will initiate the changes. The IT and Nursing Informatics department works with service providers, billing, and support departments as needed. Changes will be evaluated periodically to determine the needs of the change and the feasibility of the timeline.
Daysha,
Good job with your implementation plan and identifying what barriers you would need to overcome and stakeholders you need to engage to make this plan successful. Some of the content of your paper was a bit vague and did not show a clear path of implementation. I did not see that you included appendixes of the informed consent or the timeline. Benchmark – Evidence-Based Practice Project Proposal Final Paper
Marina
Reference
Barber, B. (2018). Research on human subjects: Problems of social control in medical experimentation. Routledge
Byers, V. (2017). The challenges of leading change in health‐care delivery from the front‐line. Journal of Nursing Management, 25(6), 449-456.
Naidu, P., Fagan, J. J., Lategan, C., Devenish, L. P., & Chu, K. M. (2020). The role of the University of Cape Town, South Africa, in the training and retention of surgeons in Sub-Saharan Africa. The American Journal of Surgery, 220(5), 1208-1212.
Painuly, S., Kohli, P., Matta, P., & Sharma, S. (2020, December). Advance applications and future challenges of 5G IoT. In 2020 3rd International Conference on Intelligent Sustainable Systems (ICISS) (pp. 1381-1384). IEEE.
Patten, M. (2016). Questionnaire research: A practical guide. Routledge.
APA Writing Checklist
Use this document as a checklist for each paper you will write throughout your GCU graduate program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.
☒ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.
☒ The title page is present. APA format is applied correctly. There are no errors.
☒ The introduction is present. APA format is applied correctly. There are no errors.
☒ Topic is well defined.
☒ Strong thesis statement is included in the introduction of the paper.
☒ The thesis statement is consistently threaded throughout the paper and included in the conclusion.
☒ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.
☒ All sources are cited. APA style and format are correctly applied and are free from error.
☒ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.
Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.
Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.
Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.
Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.
Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.
☒ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing. Benchmark – Evidence-Based Practice Project Proposal Final Paper
Benchmark- Framework or Model for Change
NUR- 590
Professor Marina Reade
July 21, 2021
Change Process
Implementation Of Real-Time Location Systems In The ED
Few phases fail to sustain a fast move in adopting the change. Lewin’s model mostly becomes concerned with reinforcing the “change” over a prolonged period to overcome rejection and give enough training. The ED should utilize Lewin’s change model for change as the selected framework because it has solid support from senior hospital management and needs to make the entire healthcare facility dynamic by adopting real-time location systems in emergence service delivery.
Model’s Stages And Their Application In The ED
Under this model, the ED department will focus on the three-stage model that breaks changes into manageable phases of unfreezing, changing, and refreezing.
Unfreezing
In unfreezing chunk, the project team under its project manager will first “unfreeze” the ED’s current process and analyze its process improvement. Under this analysis, both patients and healthcare providers at the ED department affected by the change will understand the need to replace the manual system with the automated one (Šuc et al., 2019). Then, the project team will make its changes and guide nurses at the ED throughout the transition. Once the real-time location system gets deployed and tweaked as per nurses’ feedback, the project manager will solidify or “refreeze” the new status quo.
Before implementing the automated system at the ED, this change needs to go through the model’s initial stage of unfreezing. Since the nurses at the ED will resist the computerized system, the objective during the unfreezing phase becomes to create an awareness of how existing manual systems at admission and discharge levels are undermining the ED’s ability to offer quality emergence care services. Hussain et al., (2018) reveal that outdated behaviors, thinking ways, processes, patients, and ED structures get placed under in-depth examination to disclose to ED nurses how crucial a change is for the whole hospital to establish or sustain a competitive edge in the healthcare setting. Benchmark – Evidence-Based Practice Project Proposal Final Paper
Communication will become a vital aspect during this unfreezing stage to keep nurses updated on the change, the reason behind the new system, and how it brings advantages to them and the entire ED. This unfreezing stage intends to create change awareness and make it appear crucial and urgent while motivating those affected by the change to accept (Šuc et al., 2019). Thus, the project team can create communication plans to inform all stakeholders within the ED about the shift and allocate time for conducting change-based meetings and discussions.
Changing
A real-time location system change is when the ED has to transition into this new state of using a computerized system while abandoning the manual records in entering, storing, and retrieving patients’ data. The implementation of the new system characterizes this transitioning phase. The implementation period is when the change becomes real such that the ED entirely runs the automated systems in all areas of patient admission and discharge. During changing stage, the ED struggles with the new system adoption. For instance, ED nurses experience uncertainty and fear, thus making it the most challenging step to overcome. Since the ED nurses are “unfrozen,” they can start to move.
Physicians and nurses start learning new behaviors, processes, and ways of thinking in the transitioning phase. The more prepared these healthcare providers are for change, the easier it is to overcome and complete. Since change requires precise planning and execution, the team leading the change will educate nurses on using the automated system, communicating vital information, and supporting nurses who have not become familiar with the change (Burnes, 2020). ED nurses will be reminded of the reasons for the change throughout the entire change process and benefit them once it.
Refreezing
Refreezing is the last stage of the framework for the change. It symbolizes the actions such as reinforcement, stabilization, and solidification of the operations after the change. The changes made to the ED processes, objectives, structure, and patients will get approved and refrozen within the department (Memon et al., 2021). Through this stage, the department becomes guaranteed that nurses do not revert to their outdated ways of using the manual system.
Therefore, the project manager should ensure the newly implemented system is not lost. Instead, the ED will have to cement the change into the hospital’s culture and maintain it as the accepted way of delivering emergency care services. The ED can ensure positive rewards and appreciation of individualized commitments to reinforce change since it is believed that positively reinforced behavior tends to be repetitive. Nurses showing consistency in using the new system can get rewarded weekly to encourage further change reinforcement. Benchmark – Evidence-Based Practice Project Proposal Final Paper
References
Burnes, B. (2020). The origins of Lewin’s three-step model of change. The Journal of Applied Behavioral Science, 56(1), 32-59.
Hussain, S. T., Lei, S., Akram, T., Haider, M. J., Hussain, S. H., & Ali, M. (2018). Kurt Lewin’s change model: A critical review of the role of leadership and employee involvement in organizational change. Journal of Innovation & Knowledge, 3(3), 123-127.
Memon, F. A., Shah, S., & Khoso, I. U. (2021). Improving Employee’s Engagement in Change: Reassessing Kurt Lewin’s Model. City University Research Journal, 11(1), 144-164.
Šuc, J., Prokosch, H. U., & Ganslandt, T. (2019). Applicability of Lewin s change management model in a hospital setting. Methods of information in medicine, 48(05), 419-428.
Daysha,
You did a nice job of utilizing Lewin’s model of change to help you navigate through changing the ER’s system of using computerized services to improve the flow and patient care. You identified the stakeholders and the phases of change that will have to be followed through to change practice. This model is easy to understand and flexible enough to allow for any type of change. Great job.
Marina
Appendix
| Making stakeholders motivated for change
Make stakeholders understand the need for change Create change awareness Update people andcommunicate feedback
|
| 1
Unfreezingg |
Concept Map For The Lewin’s Change Model
| Showing what needs to get changed
Abandon old ways of thinking Allow transition Allow learning of new behaviors, processes
|
| Cement change into organization culture to make it permanent
Reinforce, stabilize, and solidify the change Ensure stakeholders do not revert to old ways of doing things |
| The Lewin’s Change Model |
| 2
Changing |
| 3
Refreezing |
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APA Writing Checklist
Use this document as a checklist for each paper you will write throughout your GCU graduate program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.
☒ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.
☒ The title page is present. APA format is applied correctly. There are no errors.
☒ The introduction is present. APA format is applied correctly. There are no errors.
☒ Topic is well defined.
☒ Strong thesis statement is included in the introduction of the paper.
☒ The thesis statement is consistently threaded throughout the paper and included in the conclusion.
☒ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.
☒ All sources are cited. APA style and format are correctly applied and are free from error.
☒ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.
Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.
Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.
Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.
Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.
Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.
☒ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.
Evidence-Based Practice Project Proposal: Evaluation Plan
Grand Canyon University
NUR-590
August 11th, 2021
Project Setting
This RTSL proposed project takes place in a vital access hospital emergency department (ED) that provides care services 24 hours daily and 365 days annually. This proposed facility for implementing the RTSL project includes Phoenix county in rural Arizona and two adjacent counties in rural Arizona.
The Expected Outcomes For The Project Proposal
After successfully implementing the project, the hospital expects to accomplish specific changes or results, mainly the ED. Since the RTSL project is about streamlining the workflow efficiency at the congested ED, the focus is benefiting stranded patients. The particular emphasis is enhancing the automation of the admission and discharge system. Therefore, the project’s expected outcomes are; eliminated delays due to shortened waiting time, reduced number of people leaving without being treated, increased revenue collection from the ED unit, and high patient satisfaction scores. These outcomes are aligned with the objectives and goals of the project of delivering quality healthcare services to every patient.
Data Collection Tools and One Data Collection Tool Effective For The Research Design
Since the selected research design is qualitative, the potential data collection tools are non-participant observations, informal conversational interviews, and observational process mapping (De Freitas et al., 2020). However, the best data collection tool effective for this research design is observational process mapping. This effectiveness is because, at the ED, one can observe the clinical pathway firsthand to note patients’ experiences while mapping the path to check areas that need improvements to ensure complete patient satisfaction. The observational process mapping employs direct observations to track process phases like ED patient activities, delays, admission decisions, and what happens to the patient. The map portrays the current form of the ED patient process and gets developed when patients experience the process (De Freitas et al., 2020). Thus, this mapping method depends on patient experience rather than perception or assumptions; therefore, making it a valid, reliable, and applicable tool.
Furthermore, during the mapping process, the presentation of different details may emerge. A high-level map will portray only the primary general steps in the process. De Freitas et al., (2020) reveal that a medium-level map presents great or maintained process steps, while a low-level map presents minute details of all stages. For instance, the patient car park lots, the patient seats in the waiting bay.
A Statistical Test For The Project
The selected statistical test for the project is the t-test. This statistical test as one type of inferential statistic determines the major difference between the means of two groups, which share particular features (Xu et al., 2017). In this project, the two groups are patients being admitted and discharged using the manual system and the other group using the automated system. Using the observational process mapping tool, it becomes easy to determine the differences using the t-test since the patient delays and admission activities for the two groups are closely noted and identified. In this qualitative research design, the data set recorded as the outcome from manual and automatic systems would follow a normal distribution (Xu et al., 2017). Thus, a t-test serves as a hypothesis testing tool, enabling testing an assumption that applies to the ED population’s challenges.
Methods Applicable To Observational Process Mapping
Group interviews, discovery workshops, direct work observation, and analysis of existing documentation are methods applicable to observational process mapping. Through group interviews, the mapping technique becomes reliable because the content of the process map is straightforward. Thus, a small sample of project participants will create a focused environment that helps collect necessary information via direct questioning of group members. Discovery workshops support the mapping tool when gaining consensus or buy-in from participants (O’Donovan et al., 2020). Generally, discovery workshops give comfort and engagement to the participants to acquire or capture the needed content for study.
Direct work observation becomes more efficient in ED, where the activities such as admission and discharge run manually. The method helps to oversee and observe tasks in real-time. For instance, in the ED, an observer observes the delays caused by using a manual system in entering, storing, and retrieving patient data. As a result of this observation, implementing the automated system guarantees better results since every patient admission process becomes computerized, and the workflow moves smoothly and rapidly.
The Outcomes Measurement and Evaluation
The outcome measurement and evaluation will be through interviews and focus groups based on the observational process mapping tool. Interviews conducted under controlled conditions with individuals or groups of people explore complex problems. Also, these interviews may be structured and performed with an unstructured set of questions asked in an open-ended approach. Similarly, tape-record interviews help measure and evaluate the outcomes since participants can recall a vital incident and describe the changes in detail (O’Donovan et al., 2020). When used to measure and assess outcomes, focus groups involve discussing ideas and insights to respond to open-ended questions of the researcher.
Strategies To Take If Outcomes Do Not Provide Expected Results
Since the research methodology, mainly in the discussion part, leads to unexpected findings or results, the best strategies to undertake are performing a detailed literature review, re-examining the research method and data again, and discussing with other Subject Matter Experts (SME) to explain why (Mancini & Marek, 2017). Also, acknowledging the research limitations, adequate preparation is critical because it allows a researcher to do things differently once given another opportunity to re-do the research.
The Plans To Maintain, Extend, Revise, And Discontinue The Project
The joint plans explain how the RTSL solution fits into the hospital’s ED, specifying benchmarks for success and giving comprehensive details for stakeholders to make funding decisions for project maintenance, extension, or review for critical improvements. The first plan of explaining the solution’s fitness will cover vital areas such as adaptability/responsiveness to operational changes. This solution must adapt and respond to ED changes while maintaining fidelity to the core components. Similarly, there is a need to set up an effective program leadership competence in giving details and benchmark specifications (Goodman & Steckler, 2019). This leadership will use shared skills and critical strategies for effective program maintenance, extension, or discontinuation. Benchmark – Evidence-Based Practice Project Proposal Final Paper
References
De Freitas, L., Goodacre, S., O’Hara, R., Thokala, P., & Hariharan, S. (2020). Qualitative exploration of patient flow in a Caribbean emergency department. BMJ open, 10(12), e041422.
Goodman, R. M., & Steckler, A. B. (2019). A model for the institutionalization of health promotion programs. Family and Community Health, 11, 63–78
Mancini, L.I. & Marek, J.A. (2017). Sustaining community-based programs for families: Conceptualization and measurement. Family Relations, 53, 339-347.
O’Donovan, R., Van Dun, D., & McAuliffe, E. (2020). Measuring psychological safety in healthcare teams: developing an observational measure to complement survey methods. BMC medical research methodology, 20(1), 1-17.
Xu, M., Fralick, D., Zheng, J. Z., Wang, B., Tu, X. M., & Feng, C. (2017). The differences and similarities between the two-sample t-test and paired t-test. Shanghai archives of psychiatry, 29(3), 184.
APA Writing Checklist
Use this document as a checklist for each paper you will write throughout your GCU graduate program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.
☒ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.
☒ The title page is present. APA format is applied correctly. There are no errors.
☒ The introduction is present. APA format is applied correctly. There are no errors.
☒ Topic is well defined.
☒ Strong thesis statement is included in the introduction of the paper.
☒ The thesis statement is consistently threaded throughout the paper and included in the conclusion.
☒ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.
☒ All sources are cited. APA style and format are correctly applied and are free from error.
☒ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.
Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.
Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.
Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.
Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.
Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.
☒ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing. Benchmark – Evidence-Based Practice Project Proposal Final Paper
