Benchmark Evidence-Based Practice Proposal Project Framework Or Model for Change
Applying Model/Framework for Change: Evidence-Based Practice Model
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 a 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.
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.
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
- HealthCare 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 levels.
Week 3 Participation
There is no description for this assessment.
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Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice
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Critical Appraisal Tools
Read “Critical Appraisal Tools,” located on the Centre for Evidence-Based Medicine (CEBM) website.
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Worksheet for Using Practice Guidelines
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Guidelines and Measures
Study “Guidelines and Measures,” located on the Agency for Healthcare Research and Quality website. https://www.ahrq.gov/gam/index.html
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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
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Applying Model/Framework for Change: Evidence-Based Practice Model Sample Paper
The selected model to facilitate the implementation of my sepsis bundled care evidence-based practice is the Johns Hopkins Evidence-Based Practice Framework. The framework focuses on addressing clinical problems to identify and apply the most appropriate course of action and interventions utilizing a user-friendly tool to guide changes at individual and group levels (Vera, 2020).
The model aligns with my evidence-based practice, which aims to implement changes to reduce the length of stay, morbidity, and mortality, leading to improved patient outcomes. The primary contributor to most mortality in sepsis patients is late diagnosis, which reduces treatment efficacy (Gilbert, 2018). The goal is to create sepsis awareness and encourage timely detection and intervention to reduce adverse outcomes and mortality.
Sepsis care bundles describe a brief and straightforward set of evidence-based practices during change implementation to improve patient outcomes when applied together. Being a problem-solving approach, the John Hopkins framework’s relevance to my evidence-based practice will facilitate changes by solving a clinical problem that results in illness and even death.
Evidence-based practices are essential in clinical decision-making processes that follow a problem-solving approach that facilitates changes into better and researched methods. Therefore, it incorporates proven scientific evidence to ensure a smooth and effective transition. To ensure the desired transition, the model or framework used should provide specific procedures and guidelines.
The John Hopkins Evidence-Based Practice Model follows three steps during the change program. The three-implementation phase includes practice questions, evidence, and transition (OHSU, 2021) Benchmark – Evidence-Based Practice Proposal Project Framework or Model for Change. The first step entails developing and refining the implantation question and the team that will create the change. In particular, the first phase involves:
- Identifying the existing health issue
- Determining the purpose of the change.
- Assembling the tools and a team that will facilitate the change
The second phase, the evidence step, involves searching, appraising, and synthesizing internal and external sources for evidence (OHSU, 2021). The most appropriate technique used to retrieve the best available evidence is answering the PICO question (Howe & Close, 2016).
During this phase, change managers identify the most reputable and reliable research sources, such as books, medical websites, and research journals. Appraisal involves critical analysis of the available evidence to identify the strongest and the best quality evidence that suits the PICO question. Additionally, the practice question prepares change implementers before undertaking the transition.
The last step is the transition itself which involves creating and implementing an action plan, evaluating outcomes, and distributing the findings to the relevant people in the health facility (OHSU, 2021). This phase entails implementing the change by allowing team members to undertake their specific roles to facilitate the changes. The evidence-based practice tool provides necessary guidelines to be followed to ensure cohesion and effective changes.
Each of the three stages of the Johns Hopkins Evidence-Based Model is essential in my sepsis bundled care evidence-based practice. In the first phase, I would formulate my practice question regarding the health need and develop an expert team to help implement the transition. In addition, I would brief the team about the healthcare needs and convince them that there is a need to seek better approaches.
Specifically, I intend to enhance awareness of the sepsis condition to improve diagnosis and early treatment to save lives Benchmark – Evidence-Based Practice Proposal Project Framework or Model for Change. In the second phase, the evidence stage, I would ask my team members to search for evidence from research-based journal articles online and from library databases to identify a wide range of information supporting our initiative.
Then, we will analyze the information gathered to select the most appropriate sources. At this point, we will be ready to apply our evidence-based practice theoretical framework to implement the initiative. In the third phase, I would create an implementation plan by assigning roles to change facilitators, then a regular evaluation of the progress and sharing the findings with relevant authorities in our facility.
The figure below is a concept map illustrating the John Hopkins Evidence-Based Model and applying it to the sepsis bundled care evidence-based practice.
- Phase 1: Development and refinement of the practice question and creating a team to facilitate the implementation.
- Phase 2: Searching, analyzing, and synthesizing evidence from reliable sources.
- Phase 3: Creation and implementation of the initiative through assigning roles and evaluating change outcomes.
I feel the John Hopkins Evidence-Based framework is most appropriate for my evidence-based practice change implementation process. It follows a systematic approach that will facilitate the change implementation.
- Gilbert, J. A. (2018). Sepsis care bundles: a work in progress. The Lancet Respiratory Medicine. https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(18)30362-X/fullt ext
- Howe, C. J., & Close, S. (2016). Be an Expert: Take Action with Evidence-Based Practice. Journal of Pediatric Nursing.https://www.pediatricnursing.org/article/S0882-5963(16)00056-7/fulltext
- OHSU. (2021). LibGuides at OHSU. Oregon Health & Science University.https://libguides.ohsu.edu/ebptoolkit
- Vera, D. (2020, May 28). 2017 EBP models and tools. Johns Hopkins Medicine. https://www.hopkinsmedicine.org/evidence-based-practice/ijhn_2017_ebp.html