NUR 590 Benchmark – EBP Project: Framework or Model for Change
Sample Answer for NUR 590 Benchmark – EBP Project: Framework or Model for Change Included After Question
NUR 590 Benchmark – EBP Project: Framework or Model for Change
Applying a model or framework for change ensures that a process is in place to guide the efforts for change. In 500-750 words, discuss the model or framework you will use to implement your evidence-based practice proposal project. You will use the model or framework you select in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal.
Include the following:
Identify the selected model or framework for change and discuss its relevance to your project.
Discuss each of the stages in the change model/framework.
Describe how you would apply each stage of the model or theoretical framework in your proposed
implementation.
Create a concept map for the conceptual model or framework you selected to illustrate how it will be applied to your project. Attach this as an appendix at the end of your paper.
Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.
You are required to cite minimum of four peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
NUR 590 Benchmark – EBP Project Framework or Model for Change
Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.
Prepare this assignment according to the guidelines 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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Benchmark Information
This benchmark assignment assesses the following programmatic competencies:
MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing
1.2 Apply theoretical frameworks from nursing and other disciplines to make decisions regarding practice and health-related problems at the individual and population level.
Evidence Based Medicine: Levels of Evidence
Read “Evidence Based Medicine: Levels of Evidence,” by the University of Illinois/Chicago’s Library of the Health Sciences at Peo
… Read More
Evidence-Based Practice in Nursing and Healthcare : A Guide to Best Practice
Read Chapter 14 and review Chapter15 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice.
… Read More
View Resource
Topic 3 DQ 2
GO TO DISCUSSION
Start Date
Aug 26, 2021 12:00 AM
Due Date
Aug 30, 2021 11:59 PM
Points
5
Status
Upcoming
Assessment Description
Review the different models and frameworks that can be used to facilitate change. Compare two and explain which is best for your evidence-based practice proposal and why. Provide rationale.
Nursing, as a profession, advances based on the quality of outcomes produced. Evidence based practice is designed to improve outcomes. To increase nursing knowledge, more evidence-based research needs to be created and applied. Research frameworks aid in EPB by giving new EPB researchers a place to start and guide the research process. Frameworks are significant by directing thought, action, planning and recruitment.
Speroni et al. (2020) state a nurse’s critical thinking skills are important for implementation and transition into practice. Additionally, understanding theories and frameworks for implementation and why EPB is so important (Speroni, 2020). There is so much room for health care improvement, that the research opportunities are endless… if we have the researchers/nurses to explore the possibilities.
Thought processes can bias research. Bluetow, 2019) speak about apophenia, the unconscious correlation of items which are not connected, which is a possibility for qualitative research. A pattern can be found anywhere if it is looked for (Bluetow, 2019). Bluetow (2019) reflects the goal of her paper was to remind folks of our unconscious bias.
Other risk factors for bias includes observational bias. For example, observers watching for hand hygiene should not be connected to a hand sanitizer producing company, as background viewpoints may interfere with the impartiality.
Recruitment can also bias a project. While unintentional, anyone who volunteers for a project has a motivation for the project. In addition, making sure a variety of background is represented, because different viewpoint can identify different problems or bias.
Buetow, S. (2019). Apophenia, unconscious bias and reflexivity in nursing qualitative research. International Journal of Nursing Studies, 89, 8–13. https://doi-org.lopes.idm.oclc.org/10.1016/j.ijnurstu.2018.09.013
Speroni, K. G., McLaughlin, M. K., & Friesen, M. A. (2020). Use of Evidence‐based Practice Models and Research Findings in Magnet‐Designated Hospitals Across the United States: National Survey Results. Worldviews on Evidence-Based Nursing, 17(2), 98–107. https://doi-org.lopes.idm.oclc.org/10.1111/wvn.12428
Objectives:
Apply a change model or framework to the evidence-based practice project proposal.
Describe the relationship between bias and a framework or model.
Assessments
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Benchmark
SUBMIT ASSIGNMENT
Requires LopesWrite
Start Date
Aug 26, 2021 12:00 AM
Due Date
Sep 01, 2021 11:59 PM
Points
100
NUR 590 Benchmark – EBP Project: Framework or Model for Change Rubric
View Rubric
Status
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Assessment Description
Week 3 Participation
GO TO DISCUSSION
Start Date
Aug 26, 2021 12:00 AM
Due Date
Sep 01, 2021 11:59 PM
Points
20
Status
Upcoming
Assessment Description
There is no description for this assessment.
Resources
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Advanced Practice Nursing: Essential Knowledge for the Profession
Read Chapter 6 in Advanced Practice Nursing: Essential Knowledge for the Profession.
View Resource
Evidence Based Medicine: Levels of Evidence
Read “Evidence Based Medicine: Levels of Evidence,” by the University of Illinois/Chicago’s Library of the Health Sciences at Peo
… Read More
http://researchguides.uic.edu/content.php?pid=232200&sid=1921074
A Test of the ARCC Model Improves Implementation of Evidence-Based Practice, Healthcare Culture, and Patient Outcomes
Read “A Test of the ARCC Model Improves Implementation of Evidence-Based Practice, Healthcare Culture, and Patient Outcomes,” by
… Read More
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121082056&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost
Iowa Model of Evidence-Based Practice: Revisions and Validation
Read “Iowa Model of Evidence-Based Practice: Revisions and Validation,” by Buckwalter et al., from Worldviews on Evidence-Bas
… Read More
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123692132&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost
Use of Evidence-Based Practice Models and Research Findings in Magnet-Designed Hospitals Across the United States: National Survey Results
Read “Use of Evidence-Based Practice Models and Research Findings in Magnet-Designed Hospitals Across the United States: National Sur
… Read More
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=142632269&site=ehost-live&scope=site
Evidence-Based Practice in Nursing and Healthcare : A Guide to Best Practice
Read Chapter 14 and review Chapter15 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice.
… Read More
View Resource
Critical Appraisal Tools
Read “Critical Appraisal Tools,” located on the Centre for Evidence Based Medicine (CEBM) website.
https://www.cebm.ox.ac.uk/resources/ebm-tools/critical-appraisal-tools
Study Designs
Review “Study Designs,” located on the Centre for Evidence Based Medicine (CEBM) website.
https://www.cebm.ox.ac.uk/resources/ebm-tools/study-designs
Worksheet for Using Practice Guidelines
Study “Worksheet for Using Practice Guidelines,” from the “Evidence Based Medicine Toolkit,” by Buckingham, Fisher, and S
… Read More
http://www.ebm.med.ualberta.ca/CPGWorksheet.html
Guidelines and Measures
Study “Guidelines and Measures,” located on the Agency for Healthcare Research and Quality website.
https://www.ahrq.gov/gam/index.html
Star Model
Explore the Star Model resources, located on the UT Health San Antonio School of Nursing website.
https://www.uthscsa.edu/academics/nursing/star-model
Nursing Best Practice Guidelines
Investigate the Nursing Best Practice Guidelines page of the Registered Nurses Association of Ontario (RNAO) website.
http://www.rnao.org/Page.asp?PageID=861&SiteNodeID=133
Updating the Stetler Model of Research Utilization to Facilitate Evidence-Based Practice
Read “Updating the Stetler Model of Research Utilization to Facilitate Evidence-Based Practice,” by Stetler, by Nursing Outlo
… Read More
https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0029655401478390
Benchmark – Evidence-Based Practice Proposal Project: Framework or Model for Change – Rubric
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Selected Model or Framework for Change
12 points
Criteria Description
Selected Model or Framework for Change
5. 5: Excellent
12 points
The selected model or framework and its relevance to the project are thoroughly discussed. Rationale or support is provided.
4. 4: Good
11.04 points
The selected model or framework and its relevance to the project are discussed. Some detail is needed for clarity or support.
3. 3: Satisfactory
10.56 points
The selected model or framework and its relevance to the project are incomplete.
2. 2: Less Than Satisfactory
9.6 points
The selected model or framework and its relevance to the project are summarized. More information or support is needed.
1. 1: Unsatisfactory
0 points
The selected model or framework and its relevance to the project are not discussed.
Stages for Model or Framework
13 points
Criteria Description
Stages for Model or Framework
5. 5: Excellent
13 points
The stages in the change model or framework are outlined. There are some inaccuracies. More information is needed.
4. 4: Good
11.96 points
The stages in the change model or framework are thoroughly discussed.
3. 3: Satisfactory
11.44 points
The stages in the change model or framework are discussed. Some detail is needed for clarity or accuracy.
2. 2: Less Than Satisfactory
10.4 points
The stages in the change model or framework are not discussed.
1. 1: Unsatisfactory
0 points
The stages in the change model or framework are only partially discussed.
Application of Model or Framework to Proposed Implementation
15 points
Criteria Description
Application of Model or Framework to Proposed Implementation
5. 5: Excellent
15 points
Application of each stage of the model or theoretical framework to the proposed implementation is thoroughly described.
4. 4: Good
13.8 points
General application of each stage of the model or theoretical framework to the proposed implementation is outlined. More information is needed.
3. 3: Satisfactory
13.2 points
Application of each stage of the model or theoretical framework to the proposed implementation is described. Some detail is needed for clarity or support.
2. 2: Less Than Satisfactory
12 points
Application of each stage of the model or theoretical framework to the proposed implementation is incomplete.
1. 1: Unsatisfactory
0 points
Application of each stage of the model or theoretical framework to the proposed implementation is omitted.
Concept Map for Model or Framework
15 points
Criteria Description
Concept Map for Model or Framework
5. 5: Excellent
15 points
A detailed and accurate concept map for the selected conceptual model or framework is attached in the Appendix.
4. 4: Good
13.8 points
A concept map for the selected conceptual model or framework is attached in the Appendix. Some detail is needed for clarity or accuracy.
3. 3: Satisfactory
13.2 points
A general concept map for the selected conceptual model or framework is attached in the Appendix. There are inaccuracies.
2. 2: Less Than Satisfactory
12 points
The concept map for the selected conceptual model or framework is incomplete or inaccurate. The concept map is attached, but not in the Appendix.
1. 1: Unsatisfactory
0 points
A concept map for the selected conceptual model or framework is omitted.
Application of Theoretical Framework in Decision Making (B)
10 points
Criteria Description
Application of Theoretical Framework in Decision Making (C.1.2)
5. 5: Excellent
10 points
The author has clearly demonstrated the ability to effectively apply theoretical frameworks from nursing and other disciplines to make decisions regarding practice and health-related problems at the individual and population level.
4. 4: Good
9.2 points
The ability to apply theoretical frameworks from nursing and other disciplines to make decisions regarding practice and health-related problems at the individual and population level is adequately demonstrated.
3. 3: Satisfactory
8.8 points
The ability to apply theoretical frameworks from nursing and other disciplines to make decisions regarding practice and health-related problems at the individual and population level is generally demonstrated. There are some gaps or inaccuracies.
2. 2: Less Than Satisfactory
8 points
The ability to apply theoretical frameworks from nursing and other disciplines to make decisions regarding practice and health-related problems at the individual and population level is not consistently demonstrated. There are significant gaps and inaccuracies.
1. 1: Unsatisfactory
0 points
The ability to apply theoretical frameworks from nursing and other disciplines to make decisions regarding practice and health-related problems at the individual and population level is not demonstrated.
Required Sources
5 points
Criteria Description
Required Sources
5. 5: Excellent
5 points
Number of required sources is met, but sources are outdated or inappropriate.
4. 4: Good
4.6 points
Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.
3. 3: Satisfactory
4.4 points
Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.
2. 2: Less Than Satisfactory
4 points
Sources are not included.
1. 1: Unsatisfactory
0 points
Number of required sources is only partially met.
Thesis Development and Purpose
7 points
Criteria Description
Thesis Development and Purpose
5. 5: Excellent
7 points
Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.
4. 4: Good
6.44 points
Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
3. 3: Satisfactory
6.16 points
Thesis is apparent and appropriate to purpose.
2. 2: Less Than Satisfactory
5.6 points
Thesis is insufficiently developed or vague. Purpose is not clear.
1. 1: Unsatisfactory
0 points
Paper lacks any discernible overall purpose or organizing claim.
Argument Logic and Construction
8 points
Criteria Description
Argument Logic and Construction
5. 5: Excellent
8 points
Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
4. 4: Good
7.36 points
Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.
3. 3: Satisfactory
7.04 points
Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.
2. 2: Less Than Satisfactory
6.4 points
Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.
1. 1: Unsatisfactory
0 points
Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
5 points
Criteria Description
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
5. 5: Excellent
5 points
Writer is clearly in command of standard, written, academic English.
4. 4: Good
4.6 points
Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.
3. 3: Satisfactory
4.4 points
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.
2. 2: Less Than Satisfactory
4 points
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.
1. 1: Unsatisfactory
0 points
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.
Paper Format (Use of appropriate style for the major and assignment)
5 points
Criteria Description
Paper Format (Use of appropriate style for the major and assignment)
5. 5: Excellent
5 points
All format elements are correct.
4. 4: Good
4.6 points
Template is fully used; There are virtually no errors in formatting style.
3. 3: Satisfactory
4.4 points
Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
2. 2: Less Than Satisfactory
4 points
Template is used, and formatting is correct, although some minor errors may be present.
1. 1: Unsatisfactory
0 points
Template is not used appropriately or documentation format is rarely followed correctly.
Documentation of Sources
5 points
Criteria Description
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
5. 5: Excellent
5 points
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
4. 4: Good
4.6 points
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
3. 3: Satisfactory
4.4 points
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
2. 2: Less Than Satisfactory
4 points
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
1. 1: Unsatisfactory
0 points
Sources are not documented.
A Sample Answer For the Assignment: NUR 590 Benchmark – EBP Project: Framework or Model for Change
Title: NUR 590 Benchmark – EBP Project: Framework or Model for Change
Abstract
Diabetes mellitus type 2 is one of the health problems affecting many people in America and the world. Individuals from ethnic minorities are highly affected by it in America. This includes those from African American backgrounds, who are highly vulnerable to the disease. Effective management of diabetes mellitus type 2 is dependent on the readiness of the patients to embrace the desired lifestyle and behavioral modifications. The adherence to treatment among African American patients with diabetes mellitus type 2 is significantly low. Consequently, this proposed project aims at utilizing health information technologies to improve the level of adherence among them within a period of six months.
Evidence-Based Practice Project
Section A: Organizational Readiness Assessment
Culture is an important element that determines how change is implemented in an organization. It determines the manner in which people make decisions that contribute to organizational success. Organizational culture should be facilitative in nature. Further, it should allow the use of new approaches to implementing organizational strategies. The phenomenon should also be flexible to ensure that new interventions are used to enhance the realization of the set organizational goals. Besides, the employees should take responsibility for the decisions they make in undertaking their assigned tasks. They should also have the freedom to try innovative ways in which the goals of their organization can be achieved. Therefore, this essay examines the readiness of my organization to embrace the proposed change. It also refines the developed PICOT statement and summarizes research articles relevant to it.
Analysis of Readiness Assessment
Organizational culture and readiness assessment for this project was done using a tool developed by Cameron and Quinn (2011). According to the tool, assessment of organizational culture and readiness is done with a consideration of six main dimensions of organizational culture. The dimensions include dominant characteristics, organizational leadership, and management of the employees, organizational glue, strategic emphases, and criteria of success. Each of these dimensions has four questions that are scored based on the prevalent conditions. For instance, an alternative is scored 55 if it has very similar characteristics with the organization, 20 if somewhat similar, five if similar, and zero if dissimilar. An average is then computed to determine organizational readiness and culture. The analysis tool by Cameron and Quinn (2011) was selected because of its focus on multiple aspects of organizational culture and readiness. It also allows for the determination of the improvement initiatives that can be adopted to enhance organizational readiness for change.
The outcomes of the readiness and culture assessment revealed that my organization is ready to embrace the proposed change. The organization has an overall score of 90% in its readiness and cultural assessment. The organization had the highest scores in areas that included criteria for success, strategic emphases, management of employees, and organizational characteristics. There were moderate scores in dominant characteristics in the organization. The organization scored poorly in organizational glue. It had a number of strengths that demonstrated its readiness to embrace change. They included people sharing information freely, being ready to take risks, leadership exemplifying excellence in facilitating development, and utilization of teamwork to get organizational tasks done. A few potential barriers to change were identified. They included the lack of formal rules related to implementing change, resource inadequacy to create new changes, and lack of efficient processes that improve resource use. However, these obstacles will be addressed by ensuring that the proposed intervention addresses the critical needs of the organization, optimizing opportunities brought by the intervention, and aligning the intervention with the expectations of the organizational stakeholders.
Conclusion
Organizational readiness assessment should be undertaken prior to implementing evidence-based interventions in the clinical settings. The assessment provides insights into the organizational strengths as well as areas of weaknesses that will enhance the implementation process. It also guides in the adoption of measures that will manage anticipated forces that hinder the implementation process. Therefore, the right tool should be selected to obtain the most accurate information on the readiness of an organization to embrace the evidence-based practice.
Section B: Problem Statement and Literature Review
The utilization of evidence-based practice in nursing practice has gained significant popularity in the modern world. Health organizations and training institutions have recognized that evidence-based practice has significant benefits to patients, healthcare providers, and institutions of healthcare. The development of evidence-based practice interventions relies on the utilization of best-available evidence on the provision of care. Therefore, this section of the project explores the problem statement and reviews the literature relevant to my PICOT statement. The PICOT statement for the evidence-based intervention is as follows:
In African American patients with type 2 diabetes, will the use of health information technologies compared to no use increase adherence to treatment within a period of six months?
Problem Statement
Diabetes is one of the health problems facing a significant proportion of the American population. According to the American Diabetes Association, about 26 million people in America live with diabetes. The number of people with pre-diabetes is estimated to be 79 million. These statistics imply that one in every three adults in America will have diabetes by the year 2050. The cost implication of diabetes in America is enormous. It is estimated the cost of diagnosed diabetes in the state has risen as seen from the fact that it was $346 billion in the year 2012 (American Diabetes Association, n.d.).
Diabetes largely affects African Americans when compared to people from other ethnicities. The difference could be attributed to factor such as socioeconomic status that increases disparities in access to the needed healthcare services. The disease burden among African Americans is also high when compared to other ethnicities. The high rate of disease burden among them is attributed to factors such as their lack of or poor access to as well as adherence to medications (Canedo et al., 2018).
Literature Review
The management of diabetes is mainly achieved with the use of pharmacological and non-pharmacological interventions. Patients with diabetes type 2 are prescribed oral hypoglycemic drugs that help them in controlling the level of blood glucose. There is also the use of lifestyle and behavioral modifications. Patients with the disease are required to maintain active physical exercise and take special diets to ensure that the level of blood glucose is regulated (Reusch & Manson, 2017). Effective management of diabetes type 2 depends largely on the level of patient adherence to these treatment methods. Accordingly, patients should ensure that the medications are taken during the right time, dosage, and frequency. They also have to adhere to the lifestyle and behavioral medications that will ensure effective management of the disease.
However, evidence has consistently revealed that adherence to diabetic medications is lower in African Americans when compared to individuals from other ethnicities (Elsous, Radwan, Al-Sharif, & Abu Mustafa, 2017). The lack of or poor level of adherence to medications and lifestyle modifications increases the disease burden among this population. According to Elsous, Radwan, Al-Sharif, and Abu Mustafa (2017), the lack of or poor adherence to treatment for type 2 diabetes arise due to factors such as patient-related, therapy, social, disease, healthcare system, and disease-related factors. It is therefore important that healthcare providers explore the available interventions that can be utilized to increase the level of adherence to treatment by this population.
Health information technologies promise to increase the level of adherence to treatment by African American patients with type 2 diabetes. A research conducted by Conway and Kelechi (2017) revealed that the use of health information technologies such as mHealth and eHealth could increase the level of awareness among patients with diabetes type 2. They can be used to provide information related to the importance of adherence, scheduling clinical visits, and danger signs that patients should report if experienced. The use of health information technologies is also associated with enhanced satisfaction with the treatment by the patients. These technologies could improve the rate of adherence to treatment among them (Bailey et al., 2019). A study that was performed by Yoshida et al. (2018) revealed that the use of health information technology led to improved adherence to treatment by patients with type 2 diabetes, as evidenced by the reduction in the level of HbA1c. It, the
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