Reference no: EM133663301

Assignment

PICOT question: In hospitalized patients in the acute care setting(P), does conducting a bedside shift report in front of the patient, compared to a traditional report at the nurse's station (C), influence patient satisfaction (O) during their hospital stay (T)?

I. Model: Explain the appropriate evidence-based practice model to address your PICOT question. Remember, the model you select should be based on your practice setting. Once you have decided on the model and connected it to your PICOT question, be sure to explain why it is important and how it would be appropriate to use. Essentially, why should it be adopted for a practice change? Address the following in your explanation:

A. Background information to effectively communicate with those you are presenting to, including setting, population, and the problem of interest

B. The importance of adopting a common model to guide evidence-based practice for this specific EBP project within your organization

C. Key criteria (such as relevance, rigor, feasibility, and usability) when deciding on outcomes to measure

II. Methodology: Relevant methods to address the PICOT question. Address key aspects of your chosen methods, which include design, procedures, measurement, analysis, and interpretation. Then discuss how your methods are influenced by the following:

A. Internal and external validity

B. The type of statistics used to support your PICOT question

III. Sustainability and Implications: Discuss the sustainability and implications to your recommended change in practice:

A. What strategies would you use for future sustainability?

B. How can you support this change in your future practice as an MSN professional nurse?

C. What are the anticipated barriers, biases, and limitations?

D. Is the change in practice feasible? Consider financing, stakeholders, piloting, timeline, and buy-in from your audience.

E. What resources would you need for funding or other financial support?

IV. Outcomes: Recommend how outcomes should be evaluated for your evidence-based implementation plan. Remember, outcomes are the end result of your EBP implementation plan, which assist in measuring the results of your PICOT question. In other words, what are you seeking as a positive effect on your practice setting? Will your EBP decrease cost, decrease length of stay for patients, increase retention of nurses in healthcare, improve job satisfaction, or improve collaborative practice? Consider the following questions as you form your response.

A. Are your outcomes sensitive to change?

B. How will you measure the outcome of interest? How often do you expect to measure the outcome? Consider whether you would do this at a baseline, 90 days after implementation, or using another duration.

C. Is there a valid and reliable instrument that you could use to measure the outcome(s) of interest?

D. Will you need to conduct any training to assist in measuring the results of the EBP? You may wish to discuss statistical analysis, including descriptive (percentage, means, mode, or standard deviation) or inferential statistics. Consider bringing in inferences from the sources you found to anticipate how implementation of EBP would occur in your practice.

V. Ethical Considerations: Explain how your evidence-based implementation plan is ethically appropriate. First, identify the ethical and legal principles that will guide your evidence-based implementation plan. Then, explain how you will be sure your EBP plan takes into account these ethical and legal principles. To support your response, consider the preservation of protected personal information including privacy and HIPAA rules. In addressing ethical considerations, consider the following in your response.

A. The benefits and risks

B. The need for any informed consent

C. Vulnerable populations

D. Privacy and confidentiality

VI. Future Plan: Create strategies for implementing your evidence-based practice plan. Consider the following questions when determining how you would implement your plan in the future.

A. How would you promote adoption of your EBP plan?

B. Who are your audience and key stakeholders?

C. What would be the ideal setting for implementing your EBP plan?

D. What are some challenges you need to plan for as part of implementation?

E. What would your dissemination strategy be? Would you report data to key stakeholders via presentations, handouts, staff meetings, clinical rounds, blogs, videos, or something else?