NUR-590 Benchmark – Evidence-Based Practice Project Proposal Final Paper

NUR-590 Benchmark – Evidence-Based Practice Project Proposal Final Paper
NUR-590 Benchmark – Evidence-Based Practice Project Proposal Final Paper
Benchmark – Evidence-Based Practice Project Proposal Final Paper
Assessment Description
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

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.

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 LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Benchmark Information
This benchmark assignment assesses the following programmatic competencies:
MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing
1.1: Translate research and knowledge gained from practice, while adhering to ethical research standards, to improve patient outcomes and clinical practice.
5.1: Design ethically sound, evidence-based solutions to complex health care issues related to individuals, populations, and systems of care.
Week 8 Participation
Assessment Description
There is no description for this assessment.
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Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice
Read “Making Connections: An EBP Exemplar” in Unit 6 in Evidence-Based Practice in Nursing and Healthcare: A Guide t
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Translating Evidence Into Practice Through Knowledge Implementation
Read “Translating Evidence Into Practice Through Knowledge Implementation,” by Campione, Wampler-Kuhn, and Fisher, from Rehab
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Translating Evidence Into Practice: How Advanced Practice RNs Can Guide Nurses in Challenging Established Practice to Arrive at Best Practice
Read “Translating Evidence Into Practice: How Advanced Practice RNs Can Guide Nurses in Challenging Established Practice to Arrive at
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Advanced Nursing Research: From Theory to Practice
Read Chapter 25 in Advanced Nursing Research: From Theory to Practice.
View Resource
Participation Requirements
Participating in classroom discussion is paramount to the learning experience. Participating in the weekly discussions allows students and instructors to share experiences, investigate complicated subject matter, share expertise, and examine the content from new perspectives. The qualitative participation requirements are:

Follow-up responses to classmates’ initial answers or responses that integrate course theories with a practical application of the subject, offering a personal observation or experience, or referencing real-world examples, current events, or presenting current research on the topic.
Classroom interaction demonstrating deeper or broader thoughts beyond rephrasing what the textbook has presented on the topic.
Responses encouraging further discussion and ongoing dialogue with other students and the instructor in the class.
Asking additional, relevant questions about the week’s topic.
Communications that are presented in a professional and supportive manner, and with respectful tone.

The participation expectations in this class are:

Number of Required Substantive Posts Each Day: 1
Number of Required Days: 3

Course Grade Scale
Benchmark – Evidence-Based Practice Proposal Final Paper Example
Benchmark – Evidence-Based Practice Proposal Final Paper Section A: Organizational Culture and Readiness Assessment
Before implementing evidence-based practice, completing the Organizational Culture and Readiness Assessment is necessary (Yusif, Hafeez-Baig & Soar, 2017). The results obtained in the assessment would help advise the readiness and culture for evidence-based practice in any organization.
Organizational Readiness
The results from the assessment prove that many organizations have accommodated evidence-based practice. The evaluation involved eighteen questions, with many of the participants answering approximately eight. The organization shows the right progress towards the use of research for EBP. EBP guides its professional practice and vision hence training the staff to drive the practice through the physician’s support. There is also a department responsible for research with dedicated scientists and researchers having numerous published works. The staff is facilitated to learn and practice EBP. The existence of advanced practice nurses assists in translation and teaching. There are several libraries dedicated to EBP and research, making information reach all workers through computers.
Mentoring is an essential act with the mentoring program helping to drive the mentors and their learners. The inter-dependent teams have been crucial and act as the driving force. The team compromise of nurse champions, educators, administrators, and physicians. Metrics are an essential aspect due to the size of the organization. Sharing the results and practices has helped other facilities through peer groups who help in sharing metrics. The peer groups also share and discuss both the EBP and effects. It is one of the goals for the organization to attain magnet status. The organization values the use of EBP as it understands it is the primary way to success.
Section B: Proposal/Problem Statement and Literature Review
Dementia is among the main challenges affecting the aged. The condition affects the memory, thinking, and social abilities of the people. It also affects the daily routine of the individuals and is a combination of several diseases. One of the affected areas is the loss of memory, and lack of memory is not a base to conclude the presence of dementia. Alzheimer’s disease is the leading cause of dementia in older adults (Emre et al., 2014). Several issues lead to the condition and can be solved through alternative therapies or medications. The two methods are responsible for reducing agitation. The paper aims at determining the most appropriate method for treating dementia through an analysis of secondary data.
The research employed the use of current research articles to support the PICOT statement. Materials that are recently published would offer up-to-date data about the condition. The choice of these articles was founded on the capacity to relate different treatments for the disease. Therefore, the selected items would help determine the best type of treatment that would help in curing the condition. The articles will answer the PICOT question that assesses the best treatment method for dementia. Besides, other than treating the disease, the treatment method would deal with agitation. The aged patients are the main subjects that were involved in the research as they are the main ones who are at advanced risk of suffering from dementia. It was easy to obtain the necessary articles as the search provided many relevant materials that would offer a detailed analysis.
Analysis of secondary data acted as the primary method for analysis. The research depended more on research done in the past. According to Johnston (2017), the method helps develop the PICOT statement due to the availability of ready data. The method is appropriate, especially to researchers who have limited time and resources. The results prove that both the use of medications and alternative therapies are effective methods in reducing agitation in patients who have dementia. The use of music therapy and massage are necessary measures to help the affected patients and those at advanced risk for dementia. Atypical drugs are also useful in the treatment of behavioral and psychological symptoms of dementia. The use of these medications has been associated with several side effects that continue to affect the lives of the victims.
In conclusion, the study proved that Nonpharmacological interventions could provide positive results in the reduction of dementia. The most appropriate population for the study is the aged adults as they are at an advanced risk for dementia. One of the main limitations of the research included a lack of financial funding for the resources necessary for the study. Besides, there are other limitations, like the use of some therapies that employ the use of sound scientific foundations to prove ineffective. The issue follows the presence of symptomatic Alzheimer’s disease. The third limitation lies with inappropriate methodological quality in music therapy toward the treatment of the condition. The issues necessitate additional research to uncover more information concerning music therapy and the treatment of dementia.
Evidence-Based Practice Proposal – Section C: Solution Description Proposed Solution
Dementia is unraveled by using behavior change initiatives (Bessey & Walaszek, 2019). Patients are supposed to involve themselves in alternative therapies which fit in music and art. It is, therefore, necessary to motivate the aged people to change their beliefs and behaviors. The patients should take part in physical activities like music and dance and exercise to deal with the condition. Physical activities divert the attention of aged people from the use of drugs to treat dementia. The aging will, therefore, consider exercising as an essential solution for their condition. Besides, it is necessary to have a directorial principle that safeguard both verbal and on paper information is delivered to the patients.
There is also support for data by different procedures that ensure that important information is available. The main role of the nurses is monitoring the long-lasting results connected to the clients. Another issue include making sure that the collected data is detailed. These issues add in simple infrastructures employed in the collection of data associated with the patients, and pathology of data (Shah et al., 2016). The issue makes sure that the condition is managed both at the population and individual levels. Besides, physical activities are also a cheaper method as it involves fewer resources to control the condition.
Organization Culture
The endorsed solution is reliable with the values of the community. People of different cultures are affected or infected differently. Besides, the main reason for the consistency is its ability to provide emotional care and team care to the management.
Expected Outcomes
One of the expected outcome is reduction of agitation. The outcome results when dementia is managed through alternative therapies. It is one of the easiest methods to use with the patients. Participating in the physical activities results in the reduction of the number of deaths among the patients affected by dementia. The use of the method is essential as it help in improving the mobility issue among aged patients. The case leads to the improvement of the health status (Groot et al., 2016).
Method to Achieve Outcomes
The process of realizing the outcomes depends on several methods. Some of the used techniques include the use of proper communication as well as the psychological support of the patients. Besides, it is also necessary to make regular follow-ups to ensure that the patients improve.
Outcome Impact
It is necessary to detect the occurrence of the disease early. The issue help in the delivery of quality. The issue help in controlling dementia before it can affect the patients fully. Early detection help in maintaining the quality of care in connection to the life of the patient. The issue of effective communication among health care professionals helps to relay the correct information (Thyrian et al., 2016). It helps to improve the quality of care since it reduces any chances of errors. Physicians can enhance the outcome of the patients through reducing the depression and anxiety among the patients. The efficiency of care provided is dependent on the kind of staff that are employed. The use of skilled, experienced and competent nurses will improve the efficiency of care provided to the patients.
Evidence-Based Practice Proposal – Section D: Change Model
More than a few theoretical models help to turn the outcomes of research into medical practice. The models help organizations to implement EBP in their practice. Leaders in many organizations mainly decide evidence-based practices. These models help break the complicated process into small units and bringing a systematic approach. Their use assists in improving success rates, results in the efficient allocation of resources, completing the implementation, and providing a mechanism that helps implement the outcomes. Dementia is a problem that can be dealt with through the Iowa Model of Evidence-Based Practice.
One of the areas of concern for the Iowa Model is in care promotion. The model is essential in easing the implementation of EBP. Many organizations contain a documented performance of the model in terms of success rate and value. Besides, the model uses an algorithm possessing decision points and feedback loops. There is also a feedback mechanism within the algorithm which helps in questioning the practice. The issue helps in determining the availability of evidence that assists in improving the methods. The model focuses on practical challenges and new knowledge only (White & Spruce, 2015).
The model is selected to reduce agitation in dementia patients as it can work with changes in an organization (White & Spruce, 2015). Secondly, it concentrates on an interdisciplinary approach through input from teams in implementing EBP. Besides, the model is intuitive, friendly to the users, and understandable, hence attractive. It also gives space for trials associated with the change before implementation (White & Spruce, 2015).
The Iowa model contains different stages. The initial stage entails assessing the practice.
Besides, the stage drives the formation of questions in clinical settings. These questions are obtained in clinical judgment, research, and the patient’s preferences (Iowa Model Collaborative et al., 2017). The following stage is decision-making. The main decision is founded on the priority of choice as per the National Patient Safety goals. The matching of the patient’s goals and the questions raises the chances for it being a priority. Another stage is planning, followed by implementation and, finally, evaluating the change (Stavor, Zedreck-Gonzalez & Hoffmann, 2017). The implementation of the change involves diverse pilot units. Also, the evaluation stage involves evaluating the success of the change.
It is necessary to assess the practice concerning dementia to reduce agitation. It is necessary to determine the primary concern and outcome of the research. It is at this step that comparing if alternative therapies are effective in reducing agitation in the patients. Regarding the second stage, it is vital to decide on resource availability and what had worked in the past. The main concern will be how changing the practice will occur. The third stage will entail planning based on relevant and applicable data towards facilitating the change in care delivery. At this step, it will be essential to collect data.
In conclusion, after data is collected, the intervention stage brings in the process of revising the caregiving protocol (Giauque, 2015). Finally, there will be an evaluation to determine the plan’s success in reducing agitation in dementia patients. The stage will involve training the staff, communicators, and reviewers as well as employ educators. It will also be necessary to consider giving feedback and monitoring the change in practice.
Evidence-Based Practice Proposal – Section E: Implementation Plan Implementation Plan
The implementation of a change within an organization incorporates many issues. The process will need the hand of different phases, individuals, drivers, and obstacles or barriers (Bernhardsson et al., 2017). The paper will highlight the significant ways used in implementing any suggested solution. The hypothesis statement highlighted the solution that needs to be implemented to solve the problem. The process of reducing agitation is faced with different limitations as an intervention among dementia patients. One of the major solutions is behavior change among patients. The healing process will therefore require notable inclusion of the alternative interventions. The primary method used in reducing agitation is the use of alternative therapies, including music and art. Involvement in physical activities among older adults who have dementia is a robust method of reducing agitation.
The Potential Subjects
The implementation of the solution will be practiced in several care centers. Members who want to join the process will do so voluntarily. The recruitment will involve an advertisement that will run for two weeks to reach many dementia patients. Since the study will incorporate human beings’ analysis, there is a need to ensure that a consent form is prepared (Barber, 2018). The participants will, therefore, sign the consent forms before the start of the study. The signing of the forms will indicate that old adults are willing to take part in the survey. The participants will also be educated on the requirements during the course, including the risks. The issue will also confirm that the participants have been educated on the different aspects of the study.
With the implementation of physical activities for dementia patients, there is a need for planning on the time required. Exercises play an essential role in the reduction of agitation among old adults. The implementation of the projected is projected to take a total of two months.
Resources make work easier in implementing the interventions. The issue implies that a budget must be set aside to cater for the required resources. These are the costs of all the expenditures the old adults will need during the physical activities within the eight weeks that the project will run. The stage takes the highest bunch of resources and marks the area; many projects fail to achieve the intended goal and objectives. The lack of these resources means that the project will fail. Some of the resources required to implement the intervention and reduce agitation among the patients include dieticians, physical facilities, physical trainers, and medical doctors. Much of the budget will therefore be used to pay for the services by these professionals and acquire equipment used for exercises.
Monitoring the Implementation
Questionnaires to the participants will be very useful in evaluation. It will be essential to administer the questionnaires every two weeks to assess the progress towards achieving the set goals. The choice for the use of questionnaires is an easy time in its analysis. Many healthcare organizations are also familiar with the help of questionnaires among its leadership and staff. The use of this method is also cheap and hence lowers the cost of conducting the entire study. The use of questionnaires only requires the expense of photocopying the questions (Brace, 2018). There is a high likelihood that most of these participants, due to their age and different experience, have heard or filled questionnaires before. The use of a simple questionnaire where participants respond by a yes or no or place a tick on the respective response makes the method easy to use. Questionnaires are filled by the respective participants and represent the principled stand for the individual taking part in the study.
Delivery of the Intervention
The method used in delivering the proposed intervention is an integrated approach (Reid & Sanders, 2019). The primary interventions considered for implementation are nutritional education, physical activities, and behavior change. The main area of education will be eating healthy foods to provide energy for the exercises. Another area of concern is the type of activities that will help the old adults recover from the conditions and avoid straining. Besides, all the participants will be involved in the implementation of the interventions. It will be essential to initiate simple tasks initially and then progress to other advanced studies later. The issue will help the old adults to strengthen the muscles as well as gain the lost energy. Education and training should feature the main areas to focus on and what not to do before initiating the physical activities.
Data Collection
During the two months of the study, questionnaires will help in collecting data. The intervention will be subjected to the old adults and data collected out of their experience. The participants will then fill the questionnaires each week concerning their experience after the exercises. The reduction of agitation will be evident after the use of the interventions in a few hours. Excel spreadsheets will hold the collected data, which will then be analyzed.
Dealing with Challenges
Some of the main challenges in conducting the study are lack of equipment for exercise and training costs. The majority of older adults lack the funds for buying healthy food, which is required during the activities. It is advisable to partner with organizations focusing on organic food to offer such products at affordable costs or even for free. Partnering with other advanced organizations will provide the much-required equipment for training. These organizations have a well-established sports department.
Feasibility of the Implementation Plan
The implementation phase incurs the highest cost. The trainer will take much of the expenses. Since the study runs for eight weeks, hiring a trainer is a useful option. Another consideration is the subsidy on the food taken during the physical exercises. Subsidized and healthy food will be sufficient for the health and the pocket of the participants (Allcott, Diamond & Dubé, 2017). A data storage device will assist in storing data collected in the entire period of the study. There will be a need to have a data storage device that will store the data collected over the eight
Plan for the Proposed Solution
The collected data will determine the action to discontinue, extend, revise, or even maintain the intervention. The decision is made founded on the results from the questionnaires. The preliminary finding, therefore, is dependent on the success of the questionnaire in collecting data.
Evidence-Based Practice Proposal – Section F: Evaluation of Process
The process of evaluation of the development plans gives essential data on the appropriate methods for improvement. It is necessary to assess the collected data to determine the success rate (Wettinger et al., 2014). In the process, the primary objective is meeting the goals and future areas of research. There are different ways of assessing the success of a project. The success of these methods lies in their ability to analyze the collected information. The evaluation process is necessary for drawing the conclusions and recommendations needed for future research and development on a topic.
Rationale for the methods
There are different methods employed in collecting data. These methods target proof of how practical physical activities are reducing agitation in patients who have dementia. One of the primary ways of use is questionnaires. Questionnaires were selected due to previous knowledge in filling such documents by the participants in the past. Another benefit is linked to its cost compared to other methods. The use of questionnaires only requires photocopying papers used by the participants to fill their details. The technique also incorporates the issue of privacy, and hence the participants can feel freely. The case provides accurate delivery of information as they are assured of their privacy and confidentiality (Keränen et al., 2017).
Outcome measures
The study will be successful when it shows positive results on the patients. Therefore, the success will mark a reduction in the rate of agitation among the patients within a short period.
One of the primary objectives is providing an alternative method for reducing agitation as opposed to using medications. The project measurements were accomplished by comparing results obtained after the participants took part in an exercise. The data after the exercise is further compared with the previous one before involving in the physical activity.
Statistical methods are used in analyzing the evidence presented in the collected data. The methods will highlight the main advantages associated with reliability, validity, and applicability of data. The main techniques employed in the analysis include statistical and mathematical models. The different models are based on practical and achievable outcomes making the results reliable, applicable, and valid (Cook et al., 2015). Making the project suitable to all the patients is necessary for making the results accurate.
Measurement and evaluation of outcomes
Obtaining negative results in the project will require establishing alternative methods.
These methods will ensure that the results are improved. Therefore, it is necessary to analyze the negative results by giving recommendations that will help improve the results. These recommendations are primarily based on the methods that will enhance the outcome. In such a case that there are no chances to improve the project, the strategy and action to take is termination. The process of analyzing the data is necessary since it determines whether the project will be achieved. The process is, therefore, essential when conducted as the last strategy.
Besides, the primary implication associated with the results indicates the usefulness of physical activities in reducing agitation. When there are positive results, the project demonstrates that physical activities are an effective means of lowering agitation in dementia cases.
Furthermore, the project’s failure indicates the opposite, with physical activities being an ineffective method used in reducing agitation. Therefore, it is critical to consider further research that will focus on alternative methods used in the reduction of agitation among such patients.
In conclusion, the process of evaluation is an integral part of a proposed project. It helps in making sure that the objectives of the project are met. Besides, the evaluation process help in the making of critical decisions regarding the practicability of the scheme. The issue helps in deciding on whether to continue or terminate the project. The use of physical activities in the reduction of dementia proved successful and effective. Therefore, it is critical to employ the use of these exercises as opposed to the use of medications while attempting to reduce agitation among dementia patients.
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