Attached is the assignment instructions! 

1.  The length of the reflection is to be within three to six pages excluding title page and reference pages.

1.  APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered).

The biggest challenge to implementing evidence-based practice (EBP) within the organization according to my mentor is resistance from physicians and upper administration. She explains numerous individuals want to continue the path that they have always used. With change comes conflict. Overcoming the barriers experienced by the organization with implementing evidence-based nursing into practice has started by updating the policies and procedures to reflect current evidence-based practice measures. The nursing managers, directors, and quality/risk team hold meetings to review and revise practice standards to demonstrate present evidence-based nursing practice. When it comes to executing new policies, there is a level of opposition from nursing staff and providers alike. A possible solution as described by Straka, Brandt, and Brytus, (2013), could be monthly 30-minute lunch and learn continuing education sessions. These meetings would review topics such as searching and understanding literature, and leading staff through practice change (Straka et al., 2013). Getting staff to support EBP is also important to resolving the current issues. O.A.S.I.S. which means open your eyes, ask questions, search the literature, implement the findings and share the results is explained by Straka et al. (2013) to inspire nurses to examine clinical problems and examine the literature for best practices. Empowering staff is key to getting them to endorse an EBP culture.  Reference  Straka, K. L., Brandt, P., & Brytus, J. (2013). Brief Report: Creating a Culture of Evidence-Based Practice and Nursing Research in a Pediatric Hospital. Please see instructors comments below and make corrections . APA REFERENCE MUST INCLUDE DOI OR RETRIEVED FROM WITH INTEX CITATION 

Alimatu – Sustantive credit  Alimatu  For substantive credit, please incluide ALL information regarding yoru reference as currently it is incomplete.

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
4. A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be 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. Please refer to the directions in the Student Success Center.

          Topic: Analyzing Evidence-Based Practice Outcomes: Project #4

Evidence-Based Practice Proposal – Section D: Solution Description 

Details:

Write a paper of 500-750 words (not including the title page and reference page) paper for your proposed evidence-based practice project solution. Address the following criteria:

1. Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, too costly, or there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your PICOT before continuing.

2. Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.

3. Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the PICOT.

4. Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations which may need to be addressed.

5. Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, and/or professional expertise.

Prepare this assignment according to the APA guidelines found in the APA Style Guide. An abstract is not required.

You are required to submit this assignment to Turnitin. 

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