Evidence-Based Practice Project Proposal: Implementation Plan

Grand Canyon University- NUR 590

August 4th 2022

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.

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. Comment by Marina Reade: I would like a bit more specific of a timeline as to what needs to occur in what order for example week 1…, week 2

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. Comment by Marina Reade: Who would you want to get involved and how would you find the clinical researcher that is vested in your intervention?

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. Comment by Marina Reade: This paragraph is very vague about the intervention and using the system. I would have liked more specifics about you discussing what system and what intervention and how that will be delivered

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.

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.

Rubic_Print_Format

Course Code	Class Code	Assignment Title	Total Points
NUR-590	NUR-590-O500	Evidence-Based Practice Project Proposal Presentation	120.0
Criteria	Percentage	1: Unsatisfactory (0.00%)	2: Less Than Satisfactory (80.00%)	3: Satisfactory (88.00%)	4: Good (92.00%)	5: Excellent (100.00%)	Comments	Points Earned
Content	100.0%
Introduction	5.0%	An introduction is not included.	The introduction omits key aspects of the PICOT and fundamental aspects of the evidence-based practice project proposal that will be the main talking points and PICOT statement for the presentation.	The introduction generally presents the PICOT statement and most of the fundamental aspects of the evidence-based practice project proposal that will be the main talking points and for the presentation.	The introduction is adequate. The PICOT statement and the fundamental aspects of the evidence-based practice project proposal that will be the main talking points and PICOT statement for the presentation are discussed.	The introduction is succinct, captures the attention of the audience, clearly identifies PICOT statement and the fundamental aspects of the evidence-based practice project proposal that will be the main talking points and for the presentation.
Organizational and Cultural Readiness	10.0%	The discussion on the organizational culture and readiness is not included. Evidence-Based Practice Project Proposal Final	The discussion on the organizational culture and readiness is incomplete. Evidence-Based Practice Project Proposal Final	The organizational culture and readiness are generally discussed and provide insight into some of the challenges faced by the organization.	The organizational culture and readiness are adequately discussed and provide the necessary insight into the organization challenges.	The organizational culture and readiness are thoroughly discussed and provide insight into the organization challenges.
Problem Statement and Literature Review	15.0%	The problem statement is not clearly stated. Research from the literature review is not included. Evidence-Based Practice Project Proposal Final	The problem statement outlines the issue. Support from the research from the literature review is inconsistent. Evidence-Based Practice Project Proposal Final	The problem statement summarizes the issue and uses evidence-based support from some of the literature review to rationalize and justify the problem. The research from the literature review provides general support overall.	The problem describes the issue using evidence-based support from the literature review to rationalize and justify the problem. The research from the literature review is current, relevant, and used to provide adequate rationale and support throughout.	The problem statement is consistent throughout the presentation and concisely describes the issue using strong evidence-based support from the literature review to rationalize and justify the problem. The research from the literature review is current, relevant, and used to provide excellent rationale and support throughout.
Change Model or Framework	10.0%	The selected model or framework and its application to the proposed implementation are not described.	The selected model or framework is and its application to the proposed implementation are only partially described.	The selected model or framework and its application to the proposed implementation are generally described.	The selected model or framework and its application to the proposed implementation are adequately described.	The selected model or framework and its application to the proposed implementation are thoroughly described.
Implementation Plan	10.0%	The implementation plan is not described.	The implementation plan is only partially described.	The implementation plan is generally described and provides an overall outline for the various aspects.	The implementation plan is adequately described and provides the details for the various aspects.	The implementation plan is thoroughly described and provides the details for the various aspects.
Evaluation Plan	10.0%	The evaluation plan is not described.	The evaluation plan is only partially described.	The evaluation plan is outlined and provides general information for most aspects.	The evaluation plan is adequately described and provides key information for the various aspects.	The evaluation plan is thoroughly described and provides the details for the various aspects.
Conclusion	5.0%	A conclusion is not presented.	The conclusion mentions some aspects of the presentation, but there are some key aspects missing.	The conclusion outlines the broad aspects of the presentation.	The conclusion summarizes the key points of the presentation in a concise manner.	The conclusion is short, clear and summarizes the key points of the presentation in a powerful and memorable way.
Research	5.0%	No outside sources were used to support the assignment.	Few outside sources were used to support the assignment. Limited research is apparent.	Research is adequate. Sources are standard in relevance, quality of outside sources, or timeliness.	Research is timely and relevant, and addresses all of the issues stated in the assignment criteria.	Research is supportive of the rationale presented. Sources are distinctive. Addresses all of the issues stated in the assignment criteria.
Presentation PowerPoint, speaker notes, Loom voice over or video.	10.0%	The submission is incoherent, contains major inconsistencies, is not presented effectively, or is missing a substantial amount of the required elements.	The submission is ineffective, contains multiple inconsistencies, or is missing a few of the required elements.	The submission contains minor inconsistencies that are not overly distracting. Presentation contains a majority of the required elements.	The submission is presented effectively and contains all of the required elements.	The submission is presented effectively, and all of the required elements creatively contribute to the presentation of the concepts.
Aesthetic Quality	5.0%	Design is cluttered. Materials detract from the content or the purpose of presentation is low quality.	Design detracts from purpose. Text and visuals are too simplistic, cluttered, and busy. Little or no creativity or inventiveness is present.	Design is fairly clean, with a few exceptions. Materials add to, not detract from the presentation. Materials used were quality products and easy to see or hear.	Design is appropriate and integrates a variety of objects, charts, and graphs to amplify the message.	Design is clean. Skillful handling of text and visuals creates a distinctive and effective presentation. Overall, effective and functional audio, text, or visuals are evident.
Synthesis	5.0%	Synthesis does not successfully integrate ideas to form a cohesive whole. The combination of elements is not logical and/or verifiable.	Synthesis integrates ideas inadequately. The combination of elements is not logical.	Synthesis integrates ideas but does not adequately form a cohesive whole. Combination of elements at times is confusing.	Synthesis integrates ideas to form a cohesive whole. Combination of elements is logical and justified.	Synthesis is unique. Synthesis shows careful planning and attention to how disparate elements fit together. The combination of elements is verified.
Mechanics of Writing Includes spelling, punctuation, grammar, and language use.	5.0%	Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed.	Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.	Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.	Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.	The writer is clearly in command of standard, written, academic English.
Documentation of Sources Citations, footnotes, references, bibliography, etc., as appropriate to assignment and style.	5.0%	Sources are not documented.	Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.	Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.	Sources are documented, as appropriate to assignment and style, and format is mostly correct.	Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Total Weightage	100%

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Evidence-Based Practice Project Proposal: Implementation Plan