Evidence-Based Practice Proposal – Section E: Implementation Plan Essay.
In 1,000-1,500 words, provide a description of the methods to be used to implement the proposed solution. Include the following:
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 forms in Topic 5 with the narrative, you will include the consent or approval forms in the appendices for the final paper.Evidence-Based Practice Proposal – Section E: Implementation Plan Essay.
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, you will include the timeline in the appendices for the final paper.
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, you will include the resource list in the appendices for the final paper.
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, you will include the instruments in the appendices for the final paper.
Explain the process for delivering the (intervention) solution and indicate if any training will be needed.Evidence-Based Practice Proposal – Section E: Implementation Plan Essay.
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, you will include the data collection tools in the appendices for the final paper.
Describe the strategies to deal with the management of any barriers, facilitators, and challenges.
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, you will include the budget plan in the appendices for the final paper.Evidence-Based Practice Proposal – Section E: Implementation Plan Essay.
Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.
You are required to cite five to 10 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 7th edition Style Guide, located in the Student Success Center. An abstract is not required.
Section E: Implementation Plan
The proposed EBP project will be implemented in the care unit dealing with hypertensive African Americans. The department provides care services to approximately 3,000 patients monthly. Key stakeholders, including nurse leaders and care providers, will be involved in the implementation process.Evidence-Based Practice Proposal – Section E: Implementation Plan Essay.
The author will obtain approval from the management and other critical stakeholders before implanting the proposed EBP project. Additionally, the author will state that the implementation process will strictly adhere to all applicable ethical guidelines before the implementation process. First, the author will obtain informed consent from the participants before implementing the care unit project. Theteam members will be briefed about the project, their expected roles during the implementation process, and the proposed execution period. The author will also state that the participants will be permitted to quit at any point during the implementation process. Secondly, the author will adhere to the ethical principle of privacy and confidentiality. They will treat patients’ privacy and confidentiality with the utmost significance. Therefore, the author will exclude all patient identifiers, including names, contacts, and physical address.Evidence-Based Practice Proposal – Section E: Implementation Plan Essay.
The proposed evidence-based project will be implemented within eight weeks. The author will form a multidisciplinary team (MDT) in week one. The team will include key stakeholders, such as nurse leaders and care providers. Week two will be spent to train the healthcare staff and other stakeholders, such as patients’ family members. The staff members will be trained on how to perform their respective roles during the implementation process. Members of the MDT will collect all relevant literature, synthesize, grade, and standardize it. The implementation team will pilot the proposed change in practice in week three. This action will guide inidentifying all potential barriers and facilitators. Therefore, the team will make the necessary adjustments to enhance the success of the proposed intervention. The actual implementation will be conducted between week four and week eight. Additionally, the team members will make potential modificationsduring this period. The progress of the proposed project will determine the required changes. The evaluation of the proposed project will be conducted six months after its implementation.Evidence-Based Practice Proposal – Section E: Implementation Plan Essay.
Resources will be required to enhance the implementation of the proposed evidence-based project. Human resources will be primarily required during the implementation process. These resources will consist of external quality improvement trainers who will work together with the organization’s internal improvement team to train the participants, including the healthcare staff (nurse leaderand nurse practitioners), IT specialists, and patients’ family members. The training will be conducted in week two of the implementation period. It will enable the participants to play their respective roles successfully during the implementation process.
The nurse leader will guide, mentor, and motivate the practitioners during the implementation process. Additionally, this healthcare staff will develop educational plans for the nurses to guide their training programs. The leader will also ensure that nurse practitioners are provided with all the necessary resources and strictly adhere to the implementation schedule.Evidence-Based Practice Proposal – Section E: Implementation Plan Essay. According to Little et al. (2018), nurse leadersplay a pivotal role in nurses’ professional and personal lives, thus enhancing their clinical practices. Nurse practitioners will educate patients’ family members about Home-based blood pressure telemonitoringdevise and how it works. Additionally, these care providers will communicate with family members remotely through e-Health-related technologyor telephoneto self-monitor theirBP and pulse rate while at home. IT specialists will install e-Health-related technology, which will be utilized to communicate with the patients remotely. Finally, the family members will self-monitorvital aspects of hypertension, such as BP and pulse rate at home, without making clinical visits. Implementing self-management intervention enables hypersensitive individuals to monitor their pulse rateand BP while at home and communicate to their healthcare providers; these aspects are not within the normal range. According to Monahan et al. (2019), self-monitoring of blood pressure with telemonitoring lowers blood pressure significantly than clinic monitoring.
In addition to human resources, finances will be required during the implementation process. Some money will be required to cover training expenses, including compensating the external quality improvement trainers and purchasing the necessary materials. Also, funds will be required to finance the installation of e-Health-related technologyand purchase telephones, which will be used to communicate with the patients remotely. Patients or their family members use e-Health-related technology or telephones to communicate with their care providers in home-based telemonitoring (Lee& Park,2016). Therefore, the installation of e-Health-related technology will enhance the success of the proposed EBP.Evidence-Based Practice Proposal – Section E: Implementation Plan Essay.
Methods and Instruments
The satisfaction survey will be utilized during the implementation of the proposed project. The author will concentrate on self-monitoring with a telemonitoring device. The level of patients’ satisfaction will be based on the collected data. Additionally, the implementation team will use the audit tool to gather data on self-monitoring with telemonitoring devise and outcomes. The healthcare outcomes in this case will be in the context of blood pressure levels. Furthermore, the author will utilize the audit tool to determine the level of participants’ compliance with the proposed Home-based blood pressure telemonitoring.
The implementation of the proposed quality improvement intervention will be conducted in eight weeks. It requires all the participants (nurse leader, nurse practitioner, IT specialist, and patients’ family members) to undergo mandatorytraining. The training will be conducted by an internal and external quality improvement specialist. They will educate the participants on how to perform their respective duties during the actual implementation to enhance the entire process’s success. Assessment will be conducted to evaluate if the participants are ready for the implementation process.Evidence-Based Practice Proposal – Section E: Implementation Plan Essay.
Data Collection Plan
Data will be collected in three stages, before the implementation, during the actual process, and after the proposed intervention. Before the implementation of the proposed project, a survey will be administered by the implementation team to assess the current practice in the healthcare unit. An audit will be conducted during the actual implementation between week four and week 8. The audit will involve assessing the blood pressure of the hypertensive individuals who have adoptedHome-based blood pressure telemonitoring. This practice will enable the team to determine compliance rates. Finally, data will be collected six months after implementing the project to assess its effectiveness in improving hypertensive African Americans’ blood pressure.Evidence-Based Practice Proposal – Section E: Implementation Plan Essay.
Management of Barriers, Facilitators, and Challenges
The proposed EBP will significantly depend on the management of potential barriers, facilitators, and challenges. The reluctance of patients and their families to adopt a Home-based blood pressure telemonitoring program is the primary barrier facing the project. Most hypersensitive individuals prefer traditional interventions, specifically clinic visits for blood pressure monitoring. They believe that practitioners manage their conditions effectively compared to self-monitoring at home(Hanley et al., 2013). This barrier will be addressed by informing them of the benefits associated with self-monitoring programs. Additionally, the success of the implementation process will be compromised by a lack of the required funds. This challenge will be addressed by looking for a donor before the implementation. However, the facilitators, including the management and all the participants, will enhance the project’s success. The author will obtain approval from the management before implementing the proposed change in the healthcare organization. Also, all the participants will be trained depending on their respective roles during the implementation process.Evidence-Based Practice Proposal – Section E: Implementation Plan Essay.
The proposed intervention is a bit costly. Finances will be required to compensate external trainers who will be hired during the training process. Additionally, financial resources will be required to purchase training materials. The installation of e-Health-related technology in the healthcare organization will also require to be funded. Furthermore, the money will be required to purchase telephones, which will be used to communicate with the patients remotely. Remote communication facilitates blood pressure management and improves the quality of care among hypersensitive individuals(Omboni,2019).
Maintenance Plan If the HAPU audit outcomes support the expected outcomes of this evidence-based project, the author, will proceed to develop and implement written policies and guidelines that will help prevent HAPU in clinical practice. The implementation team will make adjustments through quarterly reviews when outcomes fail to meet the desired goals.Evidence-Based Practice Proposal – Section E: Implementation Plan Essay.