DNP-Evidence Based Practice II INTRODUCTION To change a problem, identification is simply the first step. Once the problem is identified

DNP-Evidence Based Practice II

INTRODUCTION

To change a problem, identification is simply the first step. Once the problem is identified and a plan for change is established, implementation of the problem change is the next step to resolve the problem or issue. In your previous course, NURS 8502, you identified a problem to develop a plan for change. In this course, you will continue working with this identified problem to implement your plan for change.

In this module, you will review the project management plan you created in the previous course as well as explore possible barriers, ethical and legal implications, and potential speed bumps that may impact your implementation. After assessing your plan, you will make revisions to begin your implementation.

What’s Happening in This Module?

Module 1: Implementation is a 6-week module—Weeks 1 through 6 of the course—in which you will review the problem change plan, revise your plan, and explore potential barriers for implementation. This exploration will assist you in beginning the implementation of your problem change. 

INTRODUCTION

During these first 6 weeks, you will continue the work completed in Evidence Based Practice I. You will continue your practicum experience and implement a plan to change an identified or potential practice problem within your practice or organization. In Weeks 1 through 6 of this course, you will begin the work of implementation through planning and preparing.

In Weeks 1 through 6, you will review the project management plan created in Evidence Based Practice I and develop a translation action plan to begin the work of implementation. You will explore barriers, identify strategies, and evaluate legal and ethical implications to begin the project change implementation.

LEARNING OBJECTIVES

Students will:

• Apply project management leadership skills to the design and approach to the proposed project
• Select a project management tool appropriate to the practice focused question
• Identify barriers to implementation
• Evaluate appropriate strategies to overcome barriers
• Evaluate legal and ethical implications to implementation
• Evaluate appropriate strategies to address legal and ethical concerns to implementation
• Develop a translation action plan
• Implement a project change*
• Reflect on the practicum experience

§  Final Project Plan

§  What is your proposed change and how will you implement it?

§  Throughout this course, you will work at your clinical site with a preceptor and with stakeholders to implement a plan to change a potential or known problem at your practice. For this Assignment, you will review the project management plan you developed in NURS 8502. Reflect on your plan, your preceptors, and your specialty to determine what/if changes are needed to begin the implementation of your plan.

To Prepare

• Review the project management plan selected and developed in NURS 8502.
• Meet with your clinical site to review your project plan for changes.
• Review the Learning Resources covering available project management plan options.

The Assignment

Submit your revised and updated final project management

Learning Resources

Required Resources

• Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines (4th ed.). Sigma Theta Tau International.
  • Chapter 8, “Translation” (pp. 189–206) 
• Sipes, C. (2024). Project management for the advanced practice nurse (3rd ed.). Springer Publishing.
  • Chapter 4, “Planning: Project Management – Phase 2” (pp. 85–130)
• White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2021). Translation of evidence into nursing and healthcare (3rd ed.). Springer Publishing.
•  
  • Chapter 8, “Methods for Translation” (pp. 173–196)
  • Chapter 9, “Project Management for Translation” (pp. 199–228)
  • Chapter 10, “Ethical Responsibilities of Translation of Evidence and Evaluation” (pp. 229–244)
  • Chapter 17, “Best Practices in Translation: Challenges and Barriers in Translation” (pp. 337–346)
  • Chapter 18, “Legal Issues in Translation” (pp. 347–354) 
• American Association of Colleges of Nursing. (2021). The essentials: Core competencies for professional nursing educationLinks to an external site.. https://www.aacnnursing.org/Portals/0/PDFs/Publications/Essentials-2021.pdf

Examples of Clinical and Administrative Practice Changes - Implementation of Evidence

• Álvarez-Maldonado, P., Reding-Bernal, A., Hernández-Solís, A., & Cicero-Sabido, R. (2019). Impact of strategic planning, organizational culture imprint and care bundles to reduce adverse events in the ICULinks to an external site.. International Journal for Quality in Health Care, 31(6), 480–484. https://doi.org/10.1093/intqhc/mzy198
• Barnes-Daly, M. A., Pun, B. T., Harmon, L. A., Byrum, D. G., Kumar, V. K., Devlin, J. W., Stollings, J. L., Puntillo, K. A., Engel, H. J., Posa, P. J., Barr, J., Schweickert, W. D., Esbrook, C. L., Hargett, K. D., Carson, S. S., Aldrich, J. M., Ely, E. W., & Balas, M. C. (2018). Improving health care for critically ill patients using an evidence-based collaborative approach to ABCDEF bundle dissemination and implementationLinks to an external site.. Worldviews on Evidence-Based Nursing, 15(3), 206–216. https://doi.org/10.1111/wvn.12290
• Baughman, A., Cain, G., Ruopp, M., Concepcion, C., Oliveira, C., O'Toole, R., Saunders, S., Jindal, S., Ferreira, M., & Simon, S. (2018). Improving access to care by admission process redesign in a veterans affairs skilled nursing facilityLinks to an external site.. The Joint Commission Journal on Quality and Patient Safety, 44(8), 454–462. https://doi.org/10.1016/j.jcjq.2018.04.002
• Busca, E., Savatteri, A., Calafato, T. L., Mazzoleni, B., Barisone, M., & Dal Molin, A. (2021). Barriers and facilitators to the implementation of nurse’s role in primary care settings: An integrative reviewLinks to an external site.. BMC Nursing, 20(1), 1–12. https://doi.org/10.1186/s12912-021-00696-y
• Curtis, K., Fry, M., Shaban, R. Z., & Considine, J. (2017). Translating research findings to clinical nursing practiceLinks to an external site.. Journal of Clinical Nursing, 26(5–6), 862–872. https://doi.org/10.1111/jocn.13586
• Lockwood, C., & Hopp, L. (2016). Knowledge translation: What it is and the relevance to evidence-based healthcare and nursingLinks to an external site.. International Journal of Nursing Practice, 22(4), 319–321. https://doi.org/10.1111/ijn.12466
• Naqib, D., Purvin, M., Prasad, R., Hanna, I. M., Dimitri, S., Llufrio, A., & Hanna, M. N. (2018). Quality improvement initiative to improve postoperative pain with a clinical pathway and nursing education programLinks to an external site.. Pain Management Nursing, 19(5), 447–455. https://doi.org/10.1016/j.pmn.2018.06.005 
• Reed, J. E., Howe, C., Doyle, C., & Bell, D. (2018). Simple rules for evidence translation in complex systems: A qualitative studyLinks to an external site.. BMC Medicine, 92 (16), 1–20. https://doi.org/10.1186/s12916-018-1076-9
• Schuller, K. A., Kash, B. A., Edwardson, N., & Gamm, L. D. (2013). Enabling and disabling factors in implementation of Studer Group’s evidence-based leadership initiative: A qualitative case studyLinks to an external site.. Journal of Communication in Healthcare, 6(2), 90–99. https://doi.org/10.1179/1753807613Y.0000000033
• Yeager, L, Karp, S., & Leming-Lee, T. (2019). Barriers to the implementation of pediatric overweight and obesity guidelines in a school-based health centerLinks to an external site.. The Nursing Clinics of North America, 54(1), 159–168. https://doi.org/10.1016/j.cnur.2018.10.003

Rubric

NURS_8503_Week1_Assignment1_Rubric