Your written assignment for this module is a worksheet that describes the following:

• Common causes of patient falls
• Actions to prevent falls from occurring

You should be using complete sentences to answer the questions. Ensure that you are using correct grammar. In addition, support your answers using your textbook, course materials, credible internet resources, and scholarly journals. All citations must be in APA format.

  

Draft Prospective

Instructions 

Tutor MUST have a good command of the English language

Tutor MUST have a good command of the English language

Sources need to be journal/scholarly articles. 

Use only articles that are published between 2015-2018 (except for your theory articles which will be older as you must cite primary sources).

No textbook or direct quotes

I have attached the Rubric

My project is CLABSI prevention

Instructions

Development of the prospectus is an iterative process that lays the foundation for your DPI Project. The prospectus will also assist your project chair in providing valuable feedback to guide you in your project development.

General Requirements:

Use the following information to ensure successful completion of the assignment:

• Locate      and download the most recent version of the prospectus template in the DC      Network (http://dc.gcu.edu).      This document has help and criteria information embedded to assist you in      the completion of the prospectus.
• Locate      “The 10 Strategic Points for the Prospectus, Proposal, and Direct      Practice Improvement Project” document (completed in previous      courses). You will use information from this document to write the      prospectus and attach this document as an appendix in the prospectus.
• Review “Academic Quality Review Checklist      (AQR)” (Chapters 1-3 only) for use in writing the prospectus.
• Doctoral      learners are required to use APA style for their writing assignments. The      APA Style Guide is 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.

Directions:

Complete a draft of your DPI Project prospectus according to the instructions and criteria provided in each section of the prospectus template. The draft should include information taken from “The 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project” document (from previous courses). Use the “Academic Quality Review Checklist (AQR)” (Chapters 1-3 only) to assist you in writing this prospectus. Include the following sections in the prospectus:

1. Introduction:      Provide an overview of your project.
2. Background      of the Problem: Provide an overview of the history and present state of      the problem.
3. Theoretical      Foundations: Identify and describe one or two theories or models to be      used to inform the project. Identifies the seminal      source for each theory or model (a seminal      source may be quite old and may be      published in a textbook). Illustrate how the theory or model will      inform your project.
4. Review      of the Literature/Themes: Describe the main and subthemes of your project.      You should begin with at least three main themes with three subthemes      each. Your literature review will eventually be 30+ pages with over 50      references (85% of these references must be from primary sources that is less than 5 years.
5. Problem      Statement: Specify the problem proposed for the project by presenting a      clear declarative statement that begins with “It is not known . . .      .” Identify the need for the project. Identify the broad population      (not the sample) for the project. Describe how this project may contribute      to solving the problem.
6. Purpose      of the Project: Describe the purpose      of this project. Use a declarative statement “The purpose of this      project is to . . . .” Describe the methodology and design. Describe      the specific population that this project will affect and how this project      will contribute to the field.
7. Clinical      Questions and Variables: Provide a brief introduction to the question      portion. State your clinical questions or PICOT questions. Describe and      operationally define each variable of interest.
8. Significance of the Project: Provide an      overview of how this project fits with other research in the field. Be      specific and relate to other studies. How will this project contribute to      the research overall? What is the expected value?
9. Rationale for Methodology: Clearly justify the methods chosen for      this project. Ensure the methods      align with the project questions or PICOT questions. Describe why this      method is the best fit.
10. Nature      of the Project Design: Describe the design you have chosen for this      project. Discuss why this design is appropriate based on the method chosen and the project questions.
11. Instrumentation      or Sources of Data: Describe the sources of data you will use. One source must be a valid and reliable tool,      survey, or questionnaire. You may use your discussion question from Topic      3 to assist with this section. Describe in detail all data collection      instruments. Describe the validity and reliability of each as appropriate      (one must be valid and reliable).
12. Data      Collection Procedures: Describe step by step how you will collect data.      All major steps need to be described. Include a discussion of      project sample recruitment, sample selection, and assignment to groups (as      applicable). Describe the process of obtaining informed consent, if      applicable.
13. Data      Analysis Procedures: Begin by describing your demographic data from your      participants. How will you analyze this data using descriptive statistics?      Restate each project question or PICOT question. For each question, describe in detail what      inferential statistics you will use to analyze your data. Include steps to      ensure your data meet the assumptions for each inferential statistic used.      Describe the a priori alpha level you plan to use.
14. Ethical      Considerations: Provide a description of      ethical issues related to your project and how you plan to deal with them.      Consider your methodology, design, and data collection. Compare to a      randomized controlled trial. Address anonymity, confidentiality, privacy,      lack of coercion, informed consent, and potential conflicts of interest.      Discuss how you plan to adhere to the Belmont Report key principles (respect, justice,      beneficence).

  

Application 4: Planning for Change, Implementing and Evaluating EBP Projects

Evaluating EBP Projects

Many factors influence how successfully an EBP Project is implemented and evaluated. As noted in this week’s Learning Resources, using a translation framework can facilitate effective implementation and the evaluation of outcomes.

As you complete Application 4, revisit the evidence-based practice model or framework you selected for your EBP Project (Application 2 [see attached file]). How does the model or framework facilitate the evaluation of outcomes? Would another model or framework better meet the needs of your project?

To prepare for this week’s section of Application 4:

• Continue      (from this week’s Discussion[ use the discussion you are currently working on for me]) to:
  • Identify       an appropriate method for evaluating your outcomes.
  • Develop       new practice guidelines based on the possible results of the evaluation.
  • Create,       if appropriate, new standards of care that would be based on the new practice guidelines.

This paper should be written in APA format with a minimum of 8 scholarly references. All level 1 & 2 headers must be as in the grading rubric (see attached file). The paper must also include an introduction ending with a purpose statement and a conclusion as per APA guidelines. Do not go over the required maximum of 8-page. The Paper must be cited often and throughout.

The full Application 4 is due by Wednesday 10/31/18 before midgnight of this week. Instructions for how to prepare for previous sections of this Application have been provided in Weeks 8 and 9 (see attached files on WK8 & WK9 discussions you previously did for me).

To complete: (See attached Grading Rubric)

Write a 4- to 8-page paper that addresses the following:

1) Planning for EBP Change (see attached file on WK8 Discussion)

a) Analyze the impact of implementing change in your practice environment, including the factors that need to be considered regarding stakeholders and end users.

b) Summarize the methods you would use to ensure that those are adequately addressed.

2) Implementing EBP Projects (see attached file on WK9 Discussion)

a) Identify the desired outcomes of your EBP Project.

b) Describe any macro or micro systems issues that may inhibit implementation and strategies for resolving those issues.

c) Explain how resolving your EBP Project issue will improve quality and patient safety.

3) Evaluating EBP Projects (See this week Discussion you are currently working on)

a) Describe evaluation strategies.

b) Formulate new practice guidelines based on the possible results of the evaluation of outcomes.

c) Describe, if appropriate, new standards of care relevant to the new practice guidelines

Required Readings

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

• Chapter      4, “Translation of Evidence to Improve Clinical Outcomes”
• Chapter      5, “Translation of Evidence for Improving Safety and Quality”
• Chapter      7, “Translation of Evidence for Health Policy” 
• Chapter      17, “Data Management and Evaluation of Translation” 
• Chapter      14, “Creating a Culture That Promotes Translation”
• Chapter      15, “Best Practices in Translation: Challenges and Barriers in      Translation”

Darling, F. (2016). Practitioners’ views and barriers to implementation of the Keeping Birth Normal tool: A pilot study. British Journal of Midwifery, 24(7), 508-519.

Sadeghi-Bazargani, H., Tabrizi, J.S., & Azami-Aghdash, S. (2014). Barriers to evidence-based medicine: a systematic review. Journal of Evaluation in Clinical Practice, 20, 793-802.

Smith, E.L., Rice, K.L., & Agrell-Kann, M. (2015). Improving quality outcomes using a champion model for ancillary nursing staff, Journal of Continuing Education in Nursing, 46(12), 539-541.

Andermann, A., Pang, T., Newton, J.T., Davis, A., & Panisset, U. (2016). Evidence for health II: Overcoming barriers to using evidence in policy and practice. Health Research Policy and Systems, 14 (17) doi 10.1186/s12961-016-0086-3

Catallo, C. & Sidani, S. The self-assessment for organizational capacity instrument for evidence-informed health policy: Preliminary reliability and validity of an instrument (2014). Worldviews on Evidence-Based Nursing, 11(1), 35–45.

Malterud, K., Bjelland, K., & Elvbakken, K.T. (Evidence-based medicine – an appropriate tool for evidence-based health policy? A case study from Norway. Health Research Policy and Systems, 14 (15) doi 10.1186/s12961-016-0088-1

Rehfuess, E.A., Durao, S., Kyamanywa, P., Meerpohl, J. J., Young, T., & Rohwer, A. (2016). An approach for setting evidence-based and stakeholder-informed research priorities in low- and middle-income countries, Policy & Practice, 94, 297–305 doi: http://dx.doi.org/10.2471/BLT.15.162966

Schaffer, M.A., Sandau, K.E., & Diedrick, L. (2013). Evidence-based practice models for organizational change: overview and practical applications. Journal of Advanced Nursing, 69(5), 1197-1209 (see attached file).

Erickson, K., Monsen, K.A., Artleson, I.S., Radosevich, D.M., Oftedahl, G., Neely, C., & Thorsen, D.R. Translation of obesity practice guidelines: Measurement and evaluation. Public Health Nursing, 12(3), 222–23. doi: 10.1111/phn.12169. (see attached file)

Wang, Y., Xiao, L.D., Ullah, S., Guo-Ping, H., & De Bellis, A. Evaluation of a nurse-led dementia education and knowledge translation programme in primary care: A cluster randomized controlled trial (2017). Nurse Education Today, 49, 1-7. https://doi.org/10.1016/j.nedt.2016.10.016. (see attached file)

Abdullah, G., Rossy, D., Ploeg, J., Davies, B., Higuchi, K., Sikora, L., & Stacey, D. (2014). Measuring the effectiveness of mentoring asa knowledge translation intervention for implementing empirical evidence: A systematic review. Worldviews on Evidence-Based Nursing, 11 (5) 284–300. https://doi-org.ezp.waldenulibrary.org/10.1111/wvn.12060 (see attached file)

Einarson, A., Egberts, T.c., & Heerdink, E.R. (2015). Antidepressant use in pregnancy: knowledge transfer and translation of research findings. Journal of Evaluation in Clinical Practice, 21, 579-583 doi:10.1111/jep.12338 (see attached file)

PIICOT Question

In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

P: Adult patients 

I: in extended intensive care within an urban acute care facility

I: increased mobilization of the patients 

C: minimal mobilization of the patients

O: early transfers of the patients from intensive care

T: 6 months

  

Write a paper (2,000-2,500 words) in which you apply the concepts of   epidemiology and nursing research to a communicable disease. Refer to   “Communicable Disease Chain,” “Chain of   Infection,” and the CDC website for assistance completing this assignment.

Communicable Disease Selection

Choose one communicable disease from the following list:

1. Chickenpox
2. Tuberculosis
3. Influenza
4. Mononucleosis
5. Hepatitis B
6. HIV
7. Ebola
8. Measles
9. Polio
10. Influenza

Epidemiology Paper Requirements

Address the following:

1. Describe the communicable disease (causes, symptoms, mode of     transmission, complications, treatment) and the demographic of     interest (mortality, morbidity, incidence, and prevalence). Is this     a reportable disease? If so, provide details about reporting time,     whom to report to, etc.
2. Describe the determinants of health     and explain how those factors contribute to the development of this   disease.
3. Discuss the epidemiologic triangle as it relates to     the communicable disease you have selected. Include the host     factors, agent factors (presence or absence), and environmental     factors. (The textbook describes each element of the epidemiologic     triangle). Are there any special considerations or notifications for     the community, schools, or general population?
4. Explain the     role of the community health nurse (case finding, reporting, data     collecting, data analysis, and follow-up).
5. Identify at     least one national agency or organization that addresses the     communicable disease chosen and describe how the organization(s)     contributes to resolving or reducing the impact of disease.
6. Discuss a global implication of the disease. How is this     addressed in other countries or cultures? Is this disease endemic to     a particular area? Provide an example.

A minimum of three peer-reviewed or professional references is required.

Prepare this assignment according to the 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.

NRS427V-RS-CommunicableDiseaseChain.doc