NURS 590 Evidence Based Project Proposal Evaluation Plan

NURS 590 Evidence Based Project Proposal Evaluation Plan

NURS 590 Evidence Based Project Proposal Evaluation Plan

An evidence-based practice project implementation requires various important steps. One of such important steps is the evaluation phase. Therefore, it is imperative to have an evaluation plan in time. Evaluation offers important information regarding how effective the project has been in achieving the targeted outcomes (Galiano et al., 2020). In addition, evaluation of a project also serves to assess how effective the methods used in the project were in achieving the desired outcomes. Central to the effective use of an evaluation plan is a timely communication of the evaluation data to the project implementers. They will have enough time to understand relevant strategies that can spur the project to the desired success (Morrison & Harms, 2018). As such, the purpose of this paper is to present an evaluation plan to be applied in implementing a project to control CAUTIs.

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The Expected Outcomes

Patient safety is the major reason why this project was proposed, so one of the expected outcomes for this project is reduced cases of catheter-associated urinary tract infections (Letica-Kriegel et al., 2019). As an intervention, the application of limited use of catheters and the use of antibiotic-impregnated catheters is expected to reduce the incidences of catheter-associated urinary tract infections (Clarke et al., 2020). The other expected outcomes are improved nurse knowledge and competence on limiting the use of catheters, when to use the catheters and when to take them off. This will be achieved through continuous use of the intervention. The next expected outcome is the possible adoption of the intervention in the organization so that it is used as the normal practice in the organization. Such an outcome will be made possible in the event that the intervention leads to a substantial decrease in the cases of catheter-associated urinary tract infections.

The Data Collection Tools

Data collection is key in collecting relevant data to support the project. One of the most important data collection tools that will be used in this project is questionnaires. Before implementing the intervention, it will be important to assess the nurses’ level of knowledge regarding the length of use of catheters to know the extent of training to be offered to the staff. Questionnaires are easy to administer, and they also enable accurate data collection and ease of data analysis (Hopp & Rittenmeyer, 2021). Questionnaires are reliable. Patient health records will also be key in collecting data regarding catheter-associated urinary tract infections rates before and after the intervention. These tools will also offer an accurate data collection point as they will record the exact numbers of the infections in the chosen clinical setting.

Statistical Test

The major aim of this project is to reduce the incidences of catheter-associated urinary tract infections. Therefore, there will be a need to determine how effective the intervention is. Statistical tests are an important part of determining the efficacy of the intervention. As such, relevant statistical tests have to be carried out. One of the tests that will be applied is the paired t-test. The paired t-test will be applied in comparing the scores obtained before the intervention and the ones obtained after the implementation of the intervention (Grove & Cipher, 2019). Mean scores will also be key in determining the impact of the proposed intervention. Mean as a statistical tool has been shown to have a minimal bias.

The Methods Applied in Data Collection

The methods used in collecting data should be effective as they determine how accurate and reliable the data is. Therefore, two independent people will check data completeness to eliminate any kind of bias (Khare et al., 2017). The data to be checked for completeness is the data extracted from the questionnaires. The check will also ensure that only completely answered questionnaires are used for analysis. In addition, data curation will be performed to improve accuracy. Data analysis will also be an important part of determining the effectiveness of the intervention. Data analysis will be important for outcome and process measure determination. Both the outcome and process measures are key for the project. Process measures will entail finding out if the intervention has been effective. On the other hand, the outcome measures will help the implementing team have an idea of the extent of achievement of the expected results.

Strategies to Consider if the Results are not as Expected or if the Outcomes are not Positive

The expectation of the outcome of the intervention is that the intervention will lead to positive results. However, this is research, and anything is expected; therefore, strategies should be put in place in case the outcomes are not positive. One of the most relevant strategies is a re-examination of the intervention. A careful analysis of the intervention and the implementation process will help reveal any areas of weaknesses and what can be done to implement intervention to improve outcomes (Linsley et al., 2019). Another strategy is to extend the timeline for accomplishing the project. The increased time will enable the implementing team to seek various corrective measures for improved outcomes. In addition, the additional time will also help in monitoring the new strategy.

Maintaining, Extending, Revising, and Discontinuing the Solution

            Project outcomes are an important part of an evidence-based practice project as they dictate whether the project will be maintained, extended, revised, or discontinued. As such, depending on the observed outcomes, various steps will be followed. The maintenance of the project will be the option picked in the case where the results prove to be positive, and the clinical practice, systems, and processes are positively impacted. The cost-effectiveness of the implemented solution will also dictate the action to be taken after the implementation (Melnyk & Fineout-Overholt, 2019). For example, if the project is cost-effective, then the project will be maintained. However, if the project is not cost-effective, discontinuation may have to follow. Extension of the project will be considered in the case where the outcomes arrived at are inconclusive. As such, during the extended period, more data will be obtained to help come to better conclusions and determine the efficacy of the project.

Project revision will also be considered in a situation where the strategies are not aligned to the outcomes. During the revision, relevant modifications will be performed on the intervention to help in improving the chances of the success of the project. Again, discontinuation of the intervention will be pursued if the interventions cause harm to the nursing staff using the intervention and the patients.

Conclusion

CAUTI forms part of the most prevalent health care setting conditions. However, CAUTI is a largely preventable healthcare-associated infection among admitted patients. The implication is that more strategies should be explored to improve outcomes. Therefore, the latest phase of the proposed intervention entails evaluation. Various aspects of evaluation have been explored including, the outcomes and the process outcomes. Besides, data collection tools and strategies have been discussed.

References

Clarke, K., Hall, C. L., Wiley, Z., Tejedor, S. C., Kim, J. S., Reif, L., … & Jacob, J. T. (2020). Catheter‐Associated Urinary Tract Infections in Adults: Diagnosis, Treatment, and Prevention. Journal of hospital medicine, 15(9), 552-556. https://doi.org/10.12788/jhm.3292

Galiano, A., Simonetti, M., Quiroga, N., & Larrain, A. (2020). Development, implementation, and evaluation of an evidence‐based practice model in a new hospital in Chile. Journal of Nursing Management, 28(7), 1748-1757.https://doi.org/10.1111/jonm.13134.

Grove, S. K., &Cipher, D. J. (2019). Statistics for nursing research-e-book: A workbook for evidence-based practice. Elsevier Health Sciences.

Hopp, L., & Rittenmeyer, L. (2021). Introduction to evidence-based practice: A practical guide for nursing. FA Davis.

Khare, R., Utidjian, L., Ruth, B. J., Kahn, M. G., Burrows, E., Marsolo, K., … & Bailey, L. C. (2017). A longitudinal analysis of data quality in a large pediatric data research network. Journal of the American Medical Informatics Association, 24(6), 1072-1079. https://doi.org/10.1093/jamia/ocx033

Letica-Kriegel, A. S., Salmasian, H., Vawdrey, D. K., Youngerman, B. E., Green, R. A., Furuya, E. Y., … & Perotte, R. (2019). Identifying the risk factors for catheter-associated urinary tract infections: a large cross-sectional study of six hospitals. BMJ open, 9(2), e022137. http://dx.doi.org/10.1136/bmjopen-2018-022137.

Linsley, P., Kane, R., & Barker, J. H. (2019). Evidence-based practice for nurses and healthcare professionals. Sage.

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based Practice in Nursing &Healthcare: A Guide to Best Practice. Wolters Kluwer.

Morrison, J. Q., & Harms, A. L. (2018). Advancing evidence-based practice through program evaluation: A practical guide for school-based professionals. Oxford University Press.

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In 750-1,000 words, develop an evaluation plan to be included in your final evidence-based practice project proposal. You will use the evaluation plan 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.

Provide the following criteria in the evaluation, making sure it is comprehensive and concise:

Discuss the expected outcomes for your evidence-based practice project proposal.
Review the various data collection tools associated with your selected research design and select one data collection tool that would be effective for your research design. Explain how this tool is valid, reliable, and applicable.
Select a statistical test for your project and explain why it is best suited for the tool you choose.
Describe what methods you will apply to your data collection tool and how the outcomes will be measured and evaluated based on the tool you selected.
Propose strategies that will be taken if outcomes do not provide positive or expected results.
Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.
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 five 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.