NUR 699 Week 5 Complete Work Nursing Essays

NUR 699 Week 5 Complete Work Nursing Essays

NUR699

NUR 699 GC Week 5 Discussion 1

Why is it important to incorporate a theory or model related to change when implementing practice changes? Does the benefit of incorporating a change model outweigh the time and effort it took to include it?

 

NUR 699 GC Week 5 Discussion 2

Identify barriers to the implementation of evidence-based practice. What are two ways to address this problem?

NUR 699 GC Week 5 Assignment 1

Evidence-Based Practice Proposal – Section E: Change Model

Details:

In 500-750 words (not including the title page and reference page), apply a change model to the implementation plan. Include the following:

1. Roger’s diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck’s change curve model or the transtheoretical model of behavioral change. Other conceptual models presented such as a utilization model (Stetler’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying your evidence-based intervention in clinical practice.
2. Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model.
3. In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 5 with the narrative, the conceptual model should be placed in the appendices for the final paper.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section E: Change Model” for your final submission. This will be a continuous process throughout the course for each section.

 

NUR 699 Week 5 Complete Work Nursing Essays Week 5 Assignment 2

Evidence-Based Practice Proposal – Section F: Implementation Plan

Details:

In 500-750 words (not including the title page and reference page), provide a description of the methods to be used to implement the proposed solution. Include the following:

1. Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Although you will not be submitting the consent or approval form(s) in Topic 5 with the narrative, the consent or approval form(s) should be placed in the appendices for the final paper.
2. Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, the timeline should be placed in the appendices for the final paper.
3. Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, the resource list should be placed in the appendices for the final paper.
4. Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, the instruments should be placed in the appendices for the final paper.
5. Explain the process for delivering the (intervention) solution and indicate if any training will be needed.
6. Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, the data collection tools should be placed in the appendices for the final paper.
7. Describe the strategies to deal with the management of any barriers, facilitators, and challenges.
8. Establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, the budget plan should be placed in the appendices for the final paper.
9. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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. Please refer to the directions in the Student Success Center.

NUR 699 Grand

NUR 699 Week 5 Complete Work Nursing Essays

ADDITIONAL INFORMATION;

Identify barriers to the implementation of evidence-based practice.

Introduction

The implementation of evidence-based practice is a process that can be challenging. In order to make the shift from traditional, less effective practices to effective ones, it’s important to identify barriers that may prevent or delay your organization from moving forward with new approaches and treatments. These include:

Lack of awareness of the evidence.

Lack of awareness of the evidence is a barrier that can be overcome by:

• Providing information about the evidence and its use in practice.

• Communicating how you plan to use it, including how patient benefit can be measured.

• Training staff on how they should apply this new information (e.g., what questions they should ask patients).

Hesitancy to change practice.

As a clinician, you know that change is often difficult. While some people may enjoy the new way of doing things, others may be resistant to change and take longer to adjust. However, moving away from an old practice and embracing evidence-based practice can be beneficial for your patients.

Organizational and financial factors.

Organizational and financial factors are barriers that may prevent your organization from implementing a successful evidence-based practice. These factors include:

• Lack of resources A lack of resources can lead to a lack of funding for programs, which makes it difficult for an organization to implement an EBP program. This can also result in budget cuts or insufficient funding for other areas within the organization.

• Lack of funding, Funding may be limited because there is not enough money coming into an institution through grants or donations, resulting in lower salaries for employees who would otherwise be able to provide services directly related to implementing EBP programs (e.g., nurses). In addition, certain institutions may have policies against using federal funds on certain types of research projects; therefore, they would have difficulty obtaining such funds even if they wanted them badly enough!

Lack of educational efforts.

One of the most important steps in implementing evidence-based practice is to educate your peers, superiors, patients and community. You can do this by:

• Educating your peers about academic evidence. This means sharing research results with others in your organization who are interested in these studies and trying to explain what they mean for practice. It also means talking with colleagues who are not experts on the topic but may still have valuable insight into it (e.g., nurses).

• Educating your boss about academic evidence and its relevance to practice (and vice versa). Talk with him or her about how what you learn at school applies directly back into clinical work; then talk more specifically about how it relates specifically within his/her department or unit and why he/she needs that information right now!

Lack of support from administrators and peers.

Administrators and peers may be resistant to change. Administrators may be reluctant to allocate resources for training, or they may not understand the importance of evidence-based practice. In addition, administrators may not know how to implement evidence-based practice effectively at their site.

Peers may be resistant to change because they have been trained on one approach and are comfortable with it. They may not see the value of evidence-based practice, or they may believe that it is too difficult to implement. Administrators and peers should be educated about the benefits of evidence-based practice. Administrators should also understand how to implement evidence-based practice at their site effectively.

Resistance to new ideas or innovations.

Resistance to new ideas or innovations is a barrier that can be overcome by:

• Showing people how their old ways of thinking and doing things are wrong, outdated, or not working.

So, if you want your organization’s staff to be more productive and innovative in their work, it’s important for them to understand why they’re doing things a certain way. You might need an outside expert such as a consultant who has experience putting together evidence-based programs (and who understands your organization) so that he/she can offer suggestions on how best implement these programs into practice at your organization.

Lack of community resources and connections.

Lack of community resources and connections.

Community resources are often the first to go when agencies or organizations lose their funding and staff. A lack of local support can also lead to a gap in services, as people who have been using these services for years may not want to start over with new providers. This can be particularly problematic when it comes to mental health care because there are few places for people with mental health issues who need help finding treatment options that meet their needs.

Lack of local expertise: If an evidence-based practice involves new treatments or interventions that require specialized knowledge about how they work, then you need someone on your team who has experience in working with this kind of clientele (or even just knows where they could find such information).

Defensiveness about previous practices and procedures.

Defensiveness about previous practices and procedures is a barrier to the implementation of evidence-based practice. It can be a sign that you are resistant to change, fearful, or low in self-confidence.

While it is natural for people to resist change, evidence-based practice is not about changing what you do but rather about ensuring that what you do has been validated through research. It is important that you recognize the need for this shift in thinking and remain open to new information and ways of doing things.

Inability to measure outcomes of new approaches or treatments.

In order to be able to evaluate the effectiveness of an intervention and make decisions about whether it’s worth continuing, you need to have data on how well it works. But if you don’t know what the outcome measures are, then how can you measure them?

Inability to measure outcomes: This can happen if there isn’t enough time or money invested in collecting data from patients or clients. For example, if a clinical trial involves only a few participants and short-term use of an intervention (e.g., medication), then there may not be enough time for follow-up evaluations after implementing treatment strategies or interventions that could lead eventually toward improved patient health outcomes and thus these measurements would not be possible unless additional resources were allocated by researchers who want better insight into whether these types of treatments actually help patients live longer lives with less disease burden over time!

Identify barriers to the implementation of evidence-based practice

The first barrier to implementing evidence-based practice is lack of awareness. Many clinicians and administrators believe that they already practice evidence-based medicine, but they may not have heard of the specific steps involved in it or have seen examples of effective practices implemented in their area.

In addition to lack of awareness, other barriers include hesitancy to change practice (e.g., “we’re doing this because we’ve always done it this way), organizational and financial factors (e.g., lack of time or money), educational efforts (e.g., training sessions), support from administrators and peers at higher levels within organizations), resistance towards new ideas or innovations

Conclusion

We hope that this article has inspired you to think more deeply about why people resist evidence-based practice and the barriers they face. As we have seen, barriers can come from many different sources, including financial and organizational issues as well as social and cultural ones. It is important to note that these difficulties are not insurmountable; although it may take time for each one of them to resolve itself, if one or more of them is addressed seriously then progress toward improved outcomes can be made.