Assignment: Benchmark – Evidence-Based Practice Project Proposal Final Paper

Assignment: Benchmark – Evidence-Based Practice Project Proposal Final Paper

Assignment: Benchmark – Evidence-Based Practice Project Proposal Final Paper

Nurses play an important role in the development, initiation, implementation and evaluation of evidence-based practice project proposals in their healthcare settings. Dissemination of evidence-based practice (EBP) interventions is a critical aspect of effective care delivery for providers since it enhances knowledge and awareness about change and how providers can help patients with diverse conditions deal with the adverse effects. Through these initiatives, providers disseminate information through communication of clinical, research and theoretical findings with the aim of knowledge transition to points of care. Osteoarthritis is a prevalent issue that affects elderly women. The problem disproportionately affects African American women (Bannuru et al., 2020). Osteoarthritis affects patients’ health and well-being because of the pain that it causes leading to significant discomfort. Treatment focuses on alleviating symptoms and improving the quality of life. The primary treatment of the condition includes the use of pharmacological interventions. However, non-pharmacological strategies or approaches like the use of structured yoga are effective. The purpose of this paper is to present the evidence-based practice project aimed at offering structured yoga to improve symptoms, especially pain management, among African American women who are 55 years and above.

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Problem Statement

Healthcare providers are patient advocates with the focus of improving the quality of care and life, particularly for patients with chronic conditions like osteoarthritis. Osteoarthritis is a significant health concern because of its effects on the quality of life for individuals with the condition, particularly high prevalence of pain that need effective management. Individuals with osteoarthritis, especially African American women aged 55 years and above, experience adverse pain that reduces their functionality and mobility. The use of pharmacological interventions to manage pain associated with the condition is commendable. However, non-pharmacological interventions like structured yoga are considered effective when implemented in the most effective and collaborative manner. Structured yoga is an evidence-based practice intervention that can improve outcomes and reduce the amount of pain that those suffering from the condition experience or endure (April et al., 2020). Through a patient-centered approach, the healthcare team comprising of nurses, rheumatologist, yoga therapist, and physician can work collaboratively to ensure that these patients have better outcomes within six months. It also implies that the team should work collaboratively with the patient families to initiate self-care activities that are a vital part of the nursing process as advocated through Dorothea Orem’s self-care theory. Self-care initiative and education on yoga improves the ability of patients to manage pain associated with the condition (Khademian et al., 2020). In this case, application of the self-care theory would a fundamental part of improving pain management through the use of structured yoga.

a). PICOT Statement & Question

The use of the PICOT (patient, population or problem, intervention, outcome, and time) framework is essential in EBP projects since it allows providers to implement better interventions and follow the EBP process. The PICOT framework shows all the components of the EBP project and what the change initiative wishes to attain.

b). PICOT Statement

Population/Problem-African American women aged 55 years and above with osteoarthritis

Intervention-Structured yoga

Comparison-other therapies

Outcome-Reduction of pain

Time-Six months

c). Refined PICOT Question

Among African American women aged 55 years and above with osteoarthritis (P) does the use of structured yoga (I) compared to other therapies (C), reduce pain (O) within six months (T)?

Organizational Culture & Readiness for Change

Organizational culture is an important part of implementing any changes o initiatives to improve quality of care. Organizational culture reflects values, the mission and vision of the entity and how its leaders approach and perceive change. Effective implementation of any EBP project in a hospital or healthcare facility requires the assessment of an organizational culture, and its readiness for change based on the perception of core stakeholders. Cultures that are patient-centered and with decentralized hierarchical models improve employees’ motivation for change and embracing of diverse ideas. These cultures are also essential in improving communication and focus on nurse-driven yet patient centered interventions and promotion of health.

An organizational culture entails norms, values and beliefs as well as ways of doing things. Cultures that involve employees are effective and possess strong values and norms, appreciate diversity and implementation of innovative ways to improve overall outcomes. By having a patient-centered culture, an organization can support change initiatives to improve quality of life and safety while reducing the occurrence of adverse events like pain emanating from those with osteoarthritis (DeNisco, 2019). Enhancing the engagement of patients and promoting inter-professional collaboration ensures that organizations attain a competitive advantage in providing better primary interventions for their patients.

The healthcare organization is a general hospital that offers curative, preventive and rehabilitation healthcare to all population across the lifespan. The culture within the entity is based on engagement of all stakeholders. The organization has a hierarchical structure that ensures stability in the management of its activities. The structure has a clear chain of command and multiple levels that separate employees and leadership to offer clear direction. Communication within this structure is effective as employees can engage the senior management when issues arise. The implication is that the organizational culture within this facility is friendly, patient-centered, and employee-driven to ensure quality patient outcomes.

The evaluation of a facility’s readiness for change using its culture is important to execute EBP projects. Readiness illustrated the level of preparation among organizational members in implementing and embracing change, especially their attitude and behavioral attributes. Readiness is a psychological state of mind that demonstrates a commitment to a certain course of action. In this case, the overall assessment of the readiness will entail using the organizational readiness for knowledge translation (ORKT). This tool has a questionnaire that assess the overall readiness of an organization to implement evidence-informed change. The tool has 59 items under six categories that include organizational climate for change, contextual factors within the organization, change content, leadership, organizational support and motivation for employees. Based on these parameters, the organization attains high scores on climate for change, contextual factors, support and motivation. However, the facility has average scores for change content and leadership (Khademian et al., 2019). The implication is that the culture within the organization will support and sustain the EBP change to significant levels as the staff work through teams and the management is keen on implementing new approaches to offering quality patient care. Additionally, the employees demonstrate high levels of a sense of personal responsibility to enhance patient care outcomes through collaborative and cooperative approaches.

The overall evaluation of the organizational culture and readiness shows that the entity is ready and well positioned to implement change based on the proposals of the EBP project. While the overall readiness level and culture are positive, evaluating processes and systems that require improvement to execute the requisite change is also essential (Melnyk et al., 2019). For instance, employees should demonstrate high levels of change acceptance. The more they appreciate change, the more likely they will be involved in its implementation. The processes in the organization can be improve when there is an open-door policy that encourages flexible organizational policies and procedures as a positive climate with better working relationships. An organizational culture that supports and encourages innovation, taking of risks and learning is essential for attainment of set goals and objectives. Effective teamwork improves communication and collaborative approach to the EBP project implementation in the facility. The use of data analysis is important to improve the overall level of readiness and efficacy of the proposed solution. Through implementing the structured yoga intervention, it means that the organization is keen on promoting health and saving lives by involving all stakeholders.

Literature Review

The proposed interventions should be effective by ascertaining that current literature, based on previous studies support the implementation and anticipated outcomes for the selected population. As such, an in-depth search and analysis of literature, one can ascertain the efficacy of the intervention, especially in meeting the goals and aspirations of those affected (Zhao et al., 2018). The review of literature is essential in establishing the overall efficacy of the suggested intervention. The review of literature in this case was based on a deliberate strategy to use associated terms to the proposed intervention. These terms include structured yoga, osteoarthritis, and self-care management. The review of literature deployed effective search engines and database associated with the nursing issue to ensure that articles generated focus on the problem under the current examination. Having relevant articles, especially using models like CRAAP is essential for generating evidence to support the implementation of the proposed EBP intervention (Melnyk et al., 2019). The CRAAP model ensures that the systematic review of articles bases on currency, relevance, accuracy, authority, and fulfills the purpose of the project. The EBP project reviewed diverse research studies based on the inclusion and exclusion criteria to get support for the intervention to improve patient safety and management of pain using structured yoga for the targeted population with osteoarthritis.

Different studies are categorical that the use of structured yoga is effective for patients with osteoarthritis to manage their pain. Structured yoga and other non-pharmacological interventions are considered effective in helping patients with osteoarthritis manage pain and other components of their physical functionality. In their randomized control trial, Singh et al. (2022) demonstrate that as a mind-body exercise intervention, structured yoga improves flexibility, muscle strength, balance and fitness which have the potential to reduce symptoms associated with osteoarthritis (OA). The authors are categorical that using non-pharmacological interventions like yoga and exercise therapy improves pain management, functionality and even treats associated depression that these individuals may experience as a result of their condition. The article concluded that OA patients may attain greater benefits from using non-pharmacological interventions like yoga to manage their conditions compared to other forms of exercise like muscle strengthening.

In their research, Kuntz et al. (2018) focus on the effectiveness of a biomechanically-based yoga exercise initiative in knee osteoarthritis. Using a convenience sample of 31 women with symptomatic knee OA, the study demonstrate that yoga is effective in managing pain and improving physical functionality as well as mobility. The authors also assert that the initiative also enhance knee strength, reduced depression among the participants and improved health-associated quality of life. While the authors are categorical that yoga may be efficacious for knee OA, there is need for more research to evaluate overall effectiveness of the intervention. What is evident is that structured yoga improve functionality and physical mobility for patients with osteoarthritis.

Again, through a systematic review and meta-analysis, Lauche et al. (2019) evaluate the efficacy of yoga for OA patients. The findings from the systematic review and meta-analysis show that yoga is effective in improving the management of pain, functionality and stiffness in people suffering from osteoarthritis, especially knee OA. The authors assert that while they cannot wholesomely recommend the use of yoga as an effective intervention to reduce osteoarthritis among women, their study demonstrates sufficient evident that requires future research for effective implementation. Further, studies by Cheung et al. (2019) demonstrate that the use of yoga to manage knee osteoarthritis in older women reduces adverse health situations like pain and depression. The researchers suggest that having a weekly yoga program with home practice can improve functionality and allow these women to manage pain associated with the condition. In their study, Ward et al. (2019) focused on how patients with rheumatoid arthritis can manage pain and attain sleep using yoga as a non-pharmacological intervention. The findings show that relaxation-based yoga intervention is feasible and safe for patients with rheumatoid arthritis-associated pain and functional disability. While the authors note the occurrence of adverse events, they insist that they are not only minor but isolated, especially when patients have self-care management approaches.

Furthermore, studies by Wang et al. (2018), Deepenshwar et al. (2018), and Biswas et al. (2022) are categorical that structured yoga is effective in reducing pain and other forms of physical discomfort that these individuals may encounter because of OA. In their systematic review, Biswas et al. (2022) show that the use of yoga is not just effective for OA but also those with rheumatoid arthritis. Deepenshwar et al. (2018) demonstrate that integrated yoga is a core aspect of improving efficacy and mobility of individuals with osteoarthritis. These include improved flexibility, enhance muscular strength and mobility in the level of functionality. Wang et al. (2018) perform a meta-analysis to demonstrate the efficacy of yoga practice for patients with knee arthritis. They article contend that having regular yoga exercises reduces the arthritic symptoms while promoting physical functional and the overall wellness of patients with the problem.

More evidence emanates from other relevant studies on the use of yoga to illustrate that existing findings support its implementation for patients with osteoarthritis to improve their pain management and also benefit from other associated positive effects. According to Bannuru et al. (2019) non-surgical management of knee, hip and polyarticular osteoarthritis requires providers and patients to follow certain interventions. Through their guidelines, the authors demonstrate the need for patient-centered interventions for manage the different areas of osteoarthritis in the body. They also encourage individualized treatment approaches based on the unique nature of the disease and the person in question. Koulouris et al. (2018) opine that using yoga and meditation-based interventions is essential in managing pain and other symptoms of rheumatoid arthritis. Yoga improve psychological state and ensure that patient have less effects of the different symptoms associated with OA. More fundamentally, these studies agree that structured yoga is an effective intervention to manage osteoarthritis as it leads to better mobility and reduce associated pain. As illustrated in their study, April et al. (2020) contend that yoga and other well-customized physical therapies are essential for individuals experiencing adverse pain due to osteoarthritis. The implication is that existing literature supports the implementation of yoga in healthcare settings and offering nurses information about its effectiveness. Therefore, implementing this initiative will help improve pain management for women with osteoarthritis.

Change Model and EBP Framework

Evidence-based practice process requires stakeholders to integrate different change models which provide guideline on executing effective interventions to improve quality and patient safety. The use of structured yoga to reduce pain among OA patients requires nurses and the other stakeholders to identify a change model that will lead to better acceptance and execution of the idea. Resistance to change implores stakeholders, especially those implementing the plan, to engage others. Nurses as the core care providers should understand the different components of the change proposed for improving pain management among the affected patient population. In this case two models are essential in implementing this intervention. These include change models like Kotter’s eight step change process or Kurt Lewin’s three-step process and a convenient EBP model like the Iowa EBP framework. Imperatively, this EBP project will use Lewin’s change model to ensure that all stakeholders, especially nurses, participate in the implementation (DeNisco, 2019). The EBP framework appropriate for this initiative is the Iowa model. Lewin’s change process entails three stages that include unfreezing, change implementation, and refreezing. This implies that to accept this intervention, nurses should focus on the proposed initiative and understand its significance. They should stop the current interventions and implement structured yoga as recommended. Once the intervention is effectiveness, they make it part of the recommended interventions to help individuals with osteoarthritis manage the pain and other associated adverse conditions, including possible depression and psychological disorders.

The Iowa EBP model is one of the most effective in implementing new innovative ways in care delivery and patient management. The model focuses on the whole healthcare system and its stakeholders as well as the infrastructure. The Iowa model uses a problem-solving approach to EBP implementation and leads staff to question the current interventions and practices, especially if they can enhance care using current evidence. The model has eight stages that are essential when implementing the suggested EBPO project. The first stage of the model is to identify the issue that needs change while the second step is to demonstrate if there is a priority for the facility to implement the new practice. The third step in the model is to develop a team that will establish, implement and evaluate as well as integrate the EBP initiative (DeNisco, 2019). The team should have interested and important stakeholders. In this case, the team will have nurses, rheumatologist, yoga therapists and relevant physician as well as quality assurance and safety manager. The fourth stage of the Iowa model is to collect and analyze research evidence associated with the desired change. Here, the team should develop a PICOT statement and question to effectively conduct search for evidence through a review of current literature.

The fifth stage is reviewing and critiquing the collected literature to ascertain that the evidence supports the EBP intervention based on scientific grounds. This implies ascertaining the credibility and reliability of the evidence. The sixth stage is to appraise the pilot practice change based on the degree of its success in addressing the identified issue in practice area. The seventh stage is to implement the changes attained during the pilot program, especially if they are cost-effective and should be sustained or if there is need for changes or stopping the entire initiative. The lasts stage is to evaluate the implementation of the program to illustrate its effectiveness to the targeted population. The assessment should be based on the practical transformation of the setting and the patients involved in the initiative to improve their pain management approaches (DeNisco, 2019). The implication is that this model is founded on planning actions and processes that are effective to improving management of pain for patients with osteoarthritis. The Iowa model together with the Lewin’s change process is appropriate for this project to reduce pain among patients with OA.

Implementation Plan

Executing change in any setting requires the use of different components and an implementation plan by the project team. Implementation is the actualization of the ideas developed in the proposed EBP project. In this case, the implementation will entail having structured yoga sessions in the facility for patients with osteoarthritis to manage their pain and confer other benefits like tackling associated depression as well as physical functionality and mobility. The implementation plan comprises of several aspects that include setting and participants, timelines for the implementation and resources, methods and instruments, delivery intervention process and data collection tools. The last component of the plan would be management of issues that may arise, especially understanding of barriers, facilitators and the overall feasibility of the initiative.

i). Setting and Subjects of the Project

The proposed EBP project will be set in the outpatient unit where nurses, therapists and rheumatologist will work and interact with patients suffering from osteoarthritis. The project will choose all nurses dealing with the patients suffering from the condition and experience severe pain levels, functionality and mobility challenges. All patients getting care for osteoarthritis and meeting the inclusion criteria based on the report from the rheumatologist will be part of the initiative. The project hopes to recruit at least 30 patients from the outpatient unit as well as inpatients from wards (DeNisco, 2019). The second component of setting would be to get approval or consent from participants and allowing them to sign the consent form. The project will also seek approval from institutional review board. The project will ensure adherence to set ethical principles of conducting research.

ii). Timelines for Implementation

The project will take six months during which various activities and initiatives will happen based on the time schedule in the appendix. The activities like creating an interdisciplinary team within the first week of the project and collecting resources and experts for the initiative within the first two weeks. The time schedule breaks down all components of the project and different activities within the duration for effective implementation of the proposed intervention (Bannuru et al., 2020). These activities will entail establishing an inter-professional collaborative team consisting of nurses and yoga instructors as well as other therapists and patients and their families. There will be educational session, rolling out of pilot patient use, and reviewing of the implementation.

iii). Resources

Resources are a core part of any EBP project’s overall success and effectiveness. The implementation of this project will require human expertise and resources as well as funding for all areas. Imperatively, financial resources would be key to offering sessions and developing education materials for patients. Secondly, the project will require human resources and expertise. These resources are based on the need to implement the different ways of structured yoga. Therefore, the project will require resources as captured in the budgetary allocation in the appendix.

iv). Data Collection Design and Effectiveness

The implementation of this plan would leverage qualitative design, especially observation and focus groups, to evaluate the effectiveness of using structured yoga to reduce pain among the OA patients. Qualitative design is effective in comprehending concepts, thoughts and experiences of the participants. The design is appropriate since it focuses on collecting opinions, assessment outcomes and observing changes after the implementation of the initiative. The design will encourage participants to be part of the process and offer sufficient levels of cooperation to realize the overall benefits of yoga for the targeted patients.

v). Monitoring Methods and Instruments

The process of implementation would utilize an audit tool and satisfaction survey to evaluate the success of the entire plan and EBP intervention. The survey tool will assess the effectiveness of the measures implemented to manage pain for the patients with osteoarthritis. The project team will use the audit instruments to conduct the audit process and ensure that all activities and tasks are executed as expected. The project will use focus groups and observation in assessing the effects of using structured yoga for patients with osteoarthritis.

vi). Delivery of the Intervention

The delivery process for this proposed intervention would be based on teamwork approach with nurses and nurse leaders taking necessary steps to work collaboratively with the rheumatologist, and the yoga therapist. Nurse leaders and nurses will create protocols and communication channels, engage the yoga instructors and the physiotherapists as well as other providers in the facility. Nurses will document patients who need the intervention and evaluate their fitness based on reports and assessment of the rheumatologist. Nurses will also coordinate the sessions’ implementation with the patients and even their families who accompany them to the outpatient setting (DeNisco, 2019). The yoga instructors will be in charge of the sessions and all associated therapies and movements.

vii). Stakeholders to Implement the Intervention

Stakeholders are essential to the implementation of the EBP project and they offer input, support and resources as well as execute all the activities to actualize the expected outcomes. In this case, the key stakeholders in this EBP project would be patients suffering from osteoarthritis and their families because of the need to reduce and mitigate pain. These stakeholders would be the beneficiaries of the intervention. The other key stakeholders would also be nurses in the organization and unit, nurse leaders and the organizational management, therapists, rheumatologist and yoga instructors. Physiotherapists and other mobility practitioners in the organization will constitute the multidisciplinary team to implement the project. The rheumatologist and the physiotherapist will evaluate patients on individual basis to determine those fit for the intervention while nurses will document patients and their outcomes. Nurses will lead the monitoring of the effects of treatment on patients as they begin their journey to reduce and manage pain associated with their condition.

viii). Aspects of the Implementation: Barriers and Proposed Strategies

The success of the proposed intervention will rely on the management of different aspects of the initiative like facilitators, barriers and creating effective approaches to respond effectively to all factors that can hinder the project. Managers and leaders in the organization will provide sufficient support and allocate resources when they accept the project and approve it. Therefore, leadership support would be a critical facilitator of the project. Challenges that may arise due to the implementation may include time limitation, access to required resources, and acceptance of the intervention by patients and even nurses in the facility (Melnyk et al., 2019). Other challenges associated with EBP project implementation may include insufficient knowledge and skills and negative attitude towards the project.

As such, addressing these issues would be fundamental to attaining the overall benefits of the project for both patients and nurses. The leaders and managers should embrace the project and offer resources. The project team should ensure that there is effective communication and leaders work collaboratively to identify challenges while developing better interventions for such obstacles. The project team should also stick to the timelines, engage all stakeholders and ensure optimal resource use and effective communication for increased information availability and access.

Another important part of the implementation is feasibility of the project. The organizational leadership, management and patients will evaluate the effectiveness of the intervention based on a cost-benefit analysis model. Under this approach, the project team will appraise the associated benefits of implementing the intervention against the possible cost expense. As evaluated, the benefits of implementing structured yoga are more compared to the cost associated with the implementation of the intervention. As such, the project is feasible both in the long and short term to help patients reduce and prevent pain associated with osteoarthritis.

Evaluation of the EBP Intervention

Evaluation of a project entails assessing its overall effectiveness and impact on the targeted population. Evaluation also assesses the overall attainment of set goals and objectives of an EBP project and if there are changes. The evaluation of this EBP project would include assessment of the outcomes, reviewing data collection approaches and tools, selection of statistical test and methods to collect data and measure outcomes.

a). Expected Outcomes of the EBP Project

The expected outcomes from the project are critical to its overall efficacy and value to affected patients. The project’s expected outcomes include improving pain management for those with osteoarthritis, enhancing the use of EBP interventions in dealing with pain in chronic conditions and overall improvement of awareness and information dissemination not just to patients and their families but also the community and nurses (Melnyk et al., 2019). The project will enhance the dissemination of knowledge and skills among nurses as they cater to patients with pain associated with OA.

b). Data Collection Tools Based on Research Design

The EBP project will employ qualitative approach that will allow the team to understand experiences, thoughts and ideas of the stakeholders, especially patients suffering from the pain associated with OA. The selected data collection tool based on the design of the research would be observation and focus groups. These approaches would be effective for the researchers to get experiences from the patients and observe changes occurring to their mobility and functionality before and after the implementation. Through observation, they will get firsthand information while focus groups will show the overall effect of the intervention compared to normal therapies (Melnyk et al., 2019). Through the data collection approaches, the researchers will enhance accuracy and precision of data and information from the participants.

c). Statistical Test for the Project & Outcome Evaluation

Statistical tests give a framework for providers and project teams to make effective decisions on certain study samples. These tests evaluate the hypothesis about the significance of an observed sample. These tests also assess the relationship between predictor variables and outcome variables while estimating the difference between two or more entities in research studies (Schirm et al., 2018). In this case, the initiative will utilize a parametric test called regression.

Regression tests are strict and make strong inferences based on the data collected during such initiatives. In this case, the project will use regression test to demonstrate the cause-and-effect aspect to the issue under study. This tool is appropriate for this project since it provides information about the effects of the initiative for patients (Melnyk et al., 2019). For example, using structured yoga will help the targeted patient population to improve pain management for their condition in the long-term.

d). Sustainability of the Project

Sustaining this project will important for its replication in other areas of pain management associated with osteoarthritis. The sustainability and maintenance plan for this project will entail having better approaches, engaging patients and their families, using the intervention even in home settings, and application of best practice as part of the new approach to dealing with such issues to improve the quality of patients’ life (Singh et al., 2022). Sustainability of the project implies offering information and creating awareness about the significance of this intervention to patients and their families. The team will also regularly evaluate the components of the project for changes where possible to make it relevant to patients.

Conclusion

The proposed EBP project shows that pain management is a core aspect of quality living for individuals suffering from osteoarthritis. Existing evidence from literature synthesis and analysis supports the use of structured yoga to improve management of pain for patients with osteoarthritis. The use of change models like Lewin’s change approach and Iowa EBP approach implies that the project will have increased chances of success to help the patients manage the current condition. Implementing these interventions and collaboration will improve the overall patient care experience and lead to quality life. As such, nurses and other healthcare workers should always work collaboratively to implement innovative EBP interventions like the one in this project to improve patient outcomes and level of satisfaction.

References

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            Essential Knowledge for the Profession. Jones & Bartlett Learning.

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BUY A CUSTOM- PAPER HERE ON; Assignment: Benchmark – Evidence-Based Practice Project Proposal Final Paper

Appendix 1

APA Writing Checklist

Use this document as a checklist for each paper you will write throughout your GCU graduate program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.

☒ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.

☒ The title page is present. APA format is applied correctly. There are no errors.

☒ The introduction is present. APA format is applied correctly. There are no errors.

☒ Topic is well defined.

☒ Strong thesis statement is included in the introduction of the paper.

☒ The thesis statement is consistently threaded throughout the paper and included in the conclusion.

☒ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.

☒ All sources are cited. APA style and format are correctly applied and are free from error.

☒ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.

Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.

Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.

Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.

Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.

Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.

☒ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.

Appendix 2: Timelines

Time	Task Name	Sub-Task	Status	Assigned	Start Date	End Date	Duration
First Month/Week	Creation of multidisciplinary team	Training			Week 1	Week 2	2 Weeks
Second Month Week 3	Collection of resources	Resources of allocation			Week 3	Week 4	2 Weeks
3rd Month Week 1	Identification of Barriers	Identification of barriers			Week 2	Week 2	1 Week
3rd Month Week 2	Stakeholder Engagement	Stakeholders Engagement			Week 2	Week 3	1 Week
4 Month Week 3 & 4 Fourth Month	Implementation	Implementation			Week 3	Week 4	6 Weeks
Fifth Month	Review & Implementation	Review & Implementation			Week 1	Week 2	2 Weeks
Six Month	Evaluation	Evaluation and completion

Appendix 3: Draft Budget and Resource List

a). Budgetary Estimates:

Item	Cost (U.S. $)
Trainer’s Fee	2,000
Training Facilitation	2,000
Production of Materials: Training manual, demonstration and equipment, engagement of stakeholders	3,000
Education campaign and awareness	1,000
Total	8,000

b). Required Human Resources

1. Nurse Leaders
2. Clinical Nurses
3. Rheumatologist
4. Project manager
5. Yoga instructor
6. Physiotherapist

Assessment Description

For this assignment, you will synthesize the independent evidence-based practice project proposal assignments from NUR-550 and NUR-590 into a 4,500-5,000-word professional paper.

Final Paper

The final paper should:

1. Incorporate all necessary revisions and corrections suggested by your instructors.
2. Synthesize the different elements of the overall project into one paper. The synthesis should reflect the main concepts for each section, connect ideas or overreaching concepts, and be rewritten to include the critical aspects (do not copy and paste the assignments).
3. Contain supporting research for the evidence-based practice project proposal.

Main Body of the Paper

The main body of your paper should include the following sections:

1. Problem Statement
2. Organizational Culture and Readiness
3. Literature Review
4. Change Model, or Framework
5. Implementation Plan
6. Evaluation Plan

Appendices

The appendices at the end of your paper should include the following:

1. All final changes or revisions for the drafts that will be included in the appendices of your paper.
2. 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 the final appendix at the end of your paper. In each preceding course you have been directed to the Student Success Center for assistance with APA style, and have submitted the APA Writing Checklist to help illustrate your adherence to APA style. This final paper should demonstrate a clear ability to communicate your project in a professional and accurately formatted paper using APA style.

General Requirements

You are required to cite 10-12 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.

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

1.1: Translate research and knowledge gained from practice, while adhering to ethical research standards, to improve patient outcomes and clinical practice.

5.1: Design ethically sound, evidence-based solutions to complex health care issues related to individuals, populations, and systems of care.

BUY A CUSTOM- PAPER HERE ON; Assignment: Benchmark – Evidence-Based Practice Project Proposal Final Paper

Rubric Criteria

Expand All Rubric CriteriaExpand All

Organizational Culture and Readiness

10.5 points

Change Model or Framework

10.5 points

Synthesis

12 points

Documentation of Sources

7.5 points

Mechanics of Writing

7.5 points

Problem Statement (B)

12 points

Associated Documents and Appendix

9 points

Ability to Translate Research and Knowledge to Improve Patient Outcomes and Practice (B)

12 points

Argument Logic and Construction

12 points

Paper Format

7.5 points

Required Sources

7.5 points

Thesis Development and Purpose

10.5 points

Literature Review

10.5 points

Implementation Plan (B)

10.5 points

Evaluation Plan

10.5 points

Total150 points