NUR504 Week 2 Collaborative Learning Community (CLC): Topic 6: EBP Develop Clinical Guideline and Implementation Plan

 

This is a CLC Assignment.

You will be assigned to a CLC group by the instructor.

Within your group, follow the instructions provided in the CLC Assignment: Evidence-Based Practice Project (EBP).

Finalize the CLC Agreement.

CLC Assignment: Evidence-Based Project (EBP)

Group work has benefits and liabilities. Everyone assigned to a CLC is expected to equally participate in the work in terms of time and quality of effort. The assignment should be apportioned to make the best use of the strengths of individual team members. Some of you are natural leaders. Your strengths can be your greatest liabilities. No one wants to be bossed around no matter how skilled the boss. Honest communication is critical to effective group work. The best way to avoid conflict is to set very clear expectations. Then, if someone does not do what is expected, he or she can be referred to the original agreement rather than have the confrontation become personal.

At the end of the project, students will have an opportunity to evaluate each other. These evaluations will be taken into consideration when grading individuals within the group. The grade will be given for the project as compared to the rubric for evaluation. Depending on your evaluations, individual grades will be equal to or less than the overall grade. Course faculty are able to observe the process in the CLC forum. If your work takes place outside the forum, this information will be absent. Be certain, even if you communicate via e-mail, phone, or face-to-face, to record the communication in the CLC forum.

NOTE: The final course of your program will require you to develop and implement an EBP guideline. This is your opportunity to learn the process and perhaps even identify an area of interest. Your choice of a topic for the capstone course should be related to your area of specialty. Each course you take will provide you with the opportunity to investigate theory and empirical literature to identify the relevant evidence you will need to complete this project. The more effort you expend now to learn this process, the easier it will be for you to complete the program efficiently.

Topic 1:

Collaborative Learning Community: EBP Agreement

1) Check into your CLC group.

1. a) Describe your prior experience with evidence-based practice (EBP) includingparticipation in developing EBP guidelines or protocols for changing practice.

CLC Agreement

1) Review the CLC Agreement

1. a) Choose one member totransfer the CLC Agreement to the CLC forum, input the CLC’s responses for all sections of the Agreement, and submit the CLC Agreement.
2. b) Each member should provide their contact information on the CLC Agreement and decide what tasks in the Project Management Specifics section they will be responsible for.
3. c) In the CLC Forum, discuss and provide responses for each component of the CLC Agreement. The CLC Group Review Process will be completed at the end of your project.
4. d) Discuss the advantages and disadvantages of working in a team environment.

2) Record all communication in the CLC Forum.

3) Complete the CLC agreement, except for the CLC Group Review Process.

4) Submit the completed CLC Agreement to the instructor at the end of Topic 2.

 

Topic 2:

Collaborative Learning Community: EBP Agreement.

Brainstorm: Initiate conversation regarding potential topics of interest.

1) This should be a nursing related problem, that is, a problem related to nursing practice, advance practice, leadership, or education. .

2) Identify several topics of interest and have individual group members do a quick survey of the literature to be sure that there is evidence available.

3) In order to develop a guideline/protocol, you will need credible resources. Read pages 29-34 for guidance in identifying sources of evidence.

1. a) The course readings include all of the information needed to complete this project. Chapters 1 and 2 provided the necessary information regarding EBP and how to find evidence. Chapter 5 provides strategies for locating credible information. The sooner these chapters are read carefully, with the project in mind, the easier it will be.

4) Record all communication in the CLC Forum.

Topic 3:

Collaborative Learning Community: EBP Identification of Clinical Question

1) Refer to Figure 2.2 in the textbook for the model you will use to complete this project.

1. Note that you will not complete the entire process in this model, you will reach the step entitled,Pilot the change in practice.

2) As a group, finalize your choice of topic.

1. Review the literature regarding clinical problems presented in the previous topic in order to ensure that there is adequate evidence for your choice.
2. State your topic in the form of a problem statement and a foreground question.
3. The course readings include all of the information you need to complete this project.
4. Record all communication in the CLC Forum.

3) Choose one team member to submit the completed assignment and initial reference list to the instructor by the end of Topic4.

Topic 4:

Collaborative Learning Community: EBP Literature Search/Appraisal of Evidence

1) UseFigure 2.1, Evidence hierarchy pyramid, inthe textbook as your guide for the levels of evidence in your reference list.

2) Locate case studies, relevant clinical articles written by experts, research articles,, evidence based guidelines and protocolsand theory that may guide the identification of appropriate solutions. This can include the articles reviewed from topic 3. Note, not all theories will have research that allows them to have a level assigned to them. This does not mean they are not good theories.

3) Appraise the evidence using the guidelines provided on pages 37-40 in the textbook.

1. Use these guidelines to discard references that are untrustworthy or irrelevant.
2. Use Box 2.2 to help with this decision-making process.

4) Use the following to organize the evidence by commonalities and/or contrary findings:

1. Chapter 5in the textbook provides information regarding how to synthesize the article findings.
2. Use the EBP Project Evaluation tool located in resources to consolidate and present the findings

5) Record all communication in the CLC Forum.

Topic 5:

Collaborative Learning Community: EBP Literature Search/Appraisal of Evidence

1) Continue with the articles used inTopic 4.

2) Complete the Synthesis Table for the evidence and variables for the guideline.

1. Limit the articles to no more than ten; two per student in the CLC group would be reasonable.
2. A true proposal would require a comprehensive review of the literature and inclusion of all relevant works.

3) Record all communications in the CLC Forum.

 

Topic 6: Collaborative Learning Community: EBP Develop Clinical Guideline and Implementation Plan

1) Initiate work on developing a guideline or protocol based on your search of the literature.

2) Consider how to implement the intervention to test the protocol.

3) Identify potential barriers and describe strategies to gain cooperation from individuals who will be implementing the change.

4) Record all communication in the CLC Forum.

Topic 7:

Collaborative Learning Community: EBP Development Guidelines and Implementation Plan

1. Complete the protocol and write the plan to pilot the change in practice.
2. The Clinical Guidelines should include the problem statement, EBP question, literature review, along with all the tables used to arrive at the conclusion (can be appendices), the clinical protocol, and the implementation plan.. There is no specific template for this guideline/assignment.
3. The Implementation Plan for the protocol should include a timeline with criteria for evaluating the outcomes.
4. Use APA style headings for each section with subheadings as appropriate.
5. References should include all documents used for literature review along with sources used to guide the process.
6. Record all communication in the CLC Forum.
7. Submit the completed assignment to the instructor on the last day of Topic 7 and have one CLC member post the completed assignment all together in Topic 8 discussion forum.

 

 

MORE INFO

EBP Clinical Guideline and Implementation Plan

Introduction

A clinical guideline is a set of recommendations to assist health care providers and consumers with making informed decisions about the management of a particular condition. In this case, the guidelines are created by experts in the field, who have reviewed all available evidence on a given treatment and made recommendations for its use. These guidelines can be found in many different formats: an official government document; a professional association’s manual for doctors; an expert panel’s consensus statement (such as those published by the American Heart Association); or even blog posts or tweets by medical professionals sharing their opinions or thoughts on a topic. The most important thing about these documents is that they should inform your decision-making process rather than simply providing you with suggestions.

Identify the clinical problem

The first step in implementing the guideline is to identify the clinical problem. This is the point at which you want to focus on your specific needs and why you need these guidelines in place. You can do this by:

• explaining what makes up a clinical problem, how it affects patients and providers, and how it should be addressed (e.g., health care reform)

• identifying whether there are any key messages that should be communicated to patients/providers about your practice or organization’s treatment practices

Search for evidence

As you begin your search for evidence, understand that the medical literature is full of references to other studies. These studies may be helpful if you have questions about a particular condition or intervention. However, it is important to remember that the scientific literature does not exist in isolation from other sources of information and cannot be assumed to represent all aspects of a topic (e.g., social media). Therefore, it is important to read as much non-medical literature as possible before making conclusions about its validity or applicability for your own situation

Evaluate the evidence

The evaluation of the evidence is a key step in the EBP process. It’s important to evaluate how well your clinical recommendation is supported by research, as well as its potential benefits and harms.

The following steps can help you evaluate the evidence:

• Identify relevant studies (i.e., those with results similar to yours) that have been published since your practice began using EBP

• Analyze the results of these studies and determine whether they support or refute each clinical recommendation you made based on the evidence

• If a study disagrees with your clinical recommendation, consider whether additional research might change your mind on this topic

Integrate the evidence with clinical experience and patient preferences

Integration of the evidence with clinical experience and patient preferences

• Integrate the evidence with clinical experience and patient preferences. The EBP Clinical Guideline should be based on a clear understanding of what constitutes best practice, as well as on an understanding of how it can be integrated into practice for maximum impact. This will involve taking into account both the existing knowledge base and gaps in knowledge (i.e., where there are gaps in research or studies). It also means looking at how best practices can be applied across different clinical settings (e.g., hospitals or primary care settings). If there is no consensus about what constitutes good practice within a particular setting, then this should be taken into account when developing guidelines; however, if there is widespread agreement that some type of intervention or therapy works well in one setting but not another (e.g., using antibiotics versus placebo), then this may mean that guidelines need to change depending upon whether they were developed by clinicians working within one area only vs across multiple areas where different approaches might be appropriate depending on context considerations such as location etcetera

Evaluate outcome of EBP

• EBP is a process, not a single event.

• It is important to evaluate the outcome of EBP on a regular basis. This may include:

• Evaluating the patient’s response to the interventions and changes in their behavior or lifestyle that were made during your care plan (for example, how many cigarettes they smoke each day or how much alcohol they consume).

• Evaluating your patient’s satisfaction with the doctor/provider relationship after treatment has been completed; also consider whether any concerns have arisen about issues related to care during treatment (for example, missed appointments).

Clinical guidelines are created for a reason and should be incorporated into daily life.

Clinical guidelines are created for a reason and should be incorporated into daily life. They can help patients and doctors, improve care and reduce costs.

The purpose of clinical guidelines is to enhance patient outcomes by outlining the best practices that have been proven to work in medical situations. The evidence-based practice (EBP) model is used to develop these guidelines so that they are based on scientific research rather than personal opinion or experience alone.

Conclusion

As you can see, the process of creating clinical guidelines is very time-consuming, but it’s worth it if you want to improve your practice. Creating a guideline will help you and your patients get the most out of their visits with you.