Assignment 3: Evidence-Based Project Proposal

Project Overview:
Title: Evidence Based Project-Proposal
Description:
As the course progresses over the 11 weeks, learners will develop a scholarly project that demonstrates an application of evidence to practice for substantive change. This project emphasizes critical appraisal and application of evidence-based research, scholarly writing, and critical thinking. The scholarly project will be submitted as a written paper in APA format/style. In addition, learners will present a summary of the final project orally or by creating a PowerPoint presentation.
Learners will select one of the following types of projects related to their specific advanced role specialization and target population:
• Educational program
• Evidence-based healthcare policy change
• Evidence-based clinical issue or protocol
Overview of the Evidence Based Project (EBP):
In Week 1 of the course, students will identify an area of inquiry as a basis for practice change, and in Week 2, write their clinical question in PICOT format that will drive the literature search.
Following approval of the practice change idea and the PICOT question by course faculty, in Week 3 students will begin their literature search and rapid critical appraisal (RCA) using the RCA checklists available in Appendix D of the course text (Melynk & Fineout-Overholt, 2011) and in Word format. The Search Tracker may be useful in organizing and tracking your search.

Your evidence review will be completed in Week 4, resulting in a finished Evaluation Table containing only the “keeper” studies.

In Week 5 you will synthesize the evidence to determine best evidence for your project. Faculty will continue to serve in the role of mentor as the student progresses through the remaining steps of the project.

Weekly submissions will be used to monitor progress in the development of your proposal. It is recommended that upon receiving feedback from faculty on each section, you revise your work and add that section to build your final paper. Doing so as you proceed through the course will avoid last-minute work.
When you began your study of evidence-based practice it was contrasted with the research process. The underlying goal of EBP is to appraise research and study its application to specific patient populations in order to identify best practices. In order to accomplish this, what must be included within your project is a research study. You will most likely compare pre-intervention data with post-intervention results. In come cases, statistical analysis will be necessary. Your proposal will include plans for this study.
EBP Project Criteria
Students will prepare a formal project proposal using APA format. Below is an outline for the final paper with the weeks where this content will be covered. Each week you will turn in parts of this outline as Dropbox assignments. The week each part will be due is indicated in the outline. After receiving feedback from faculty on each part submitted, it is recommended that you begin building your paper, adding the pieces where they belong. Since you will not be implementing this project, the results section has been omitted. This outline is consistent with the format used for journal articles when reporting results of evidence-based practice projects.
Criteria and organization of final paper
Abstract
Part 1
• Introduction – Week 2
o Practice issue
o Summarize the practice issue in need of change providing background information about the organization (setting) and the perceived significance and severity of the problem
o Describe the specific aims of the project – what improved outcomes do you hope to achieve
• PICOT question – State your question in PICOT format, labeling each part with P-I-C-O-T in parentheses
• Significance – what is the significance of the issue in terms of poor outcomes, cost, etc.
Part 2 – Week 3. 4, & 5
• Evidence review and synthesis
o List the names of the databases you searched and if limited to a span of time, i.e., less than 5 years old
o Summarize “keeper” studies
o Summarize the synthesis of the body of evidence
Part 3 – Week 6
• Purpose of the project – include intervention
• Theoretical framework
• Clinical questions
Part 4 – Week 7
• Study design
• Setting/sample
• Confidentiality
• Procedure/intervention
• Instruments/scales and measurement of outcomes
• Data collection
Part 5 – Weeks 8 & 9
• Data analysis
• Outcomes expected
• Aligning stakeholders
Appendices
• Evaluation Table – turned in Weeks 3 & 4
• Synthesis Table – turned in Week 5
The paper provides evidence of synthesis of coursework, professional writing, and graduate level scholarship.
Oral or Poster Presentation
In addition to the written paper, students will present a summary of their project by submitting a professional Microsoft PowerPoint presentation.
Criteria:
• Organize the presentation to include all required criteria of the EBP project proposal.
• Quality of presentation is professional and provides evidence of graduate level scholarship.
This week’s Dropbox Assignment
Keep in mind that this proposal will be developed piece by piece during the course. The Dropbox assignment this week provides you an opportunity to identify the problem or issue within your specialization that is in need of improvement and receive feedback from faculty.
Review the grading criteria listed below as you begin this assignment. Note that you must pass all elements in order to move forward with your proposal development. Faculty will provide feedback either approving or asking that you resubmit prior to further development of your project.
For this week’s assignment discuss the following:
• State your idea for your evidence-based project proposal including the rationale as to how it reflects an EBP project vs. a research project
• Very briefly describe the issue you will address, the intervention that you feel has research evidence (this may change later after you complete the literature search), and the expected outcomes
• Discuss how this project is relevant to your role specialization

Assignment 3 Grading Criteria Maximum Points
Stated the practice issue or problem providing background information and the perceived significance of the problem. 20
Discussed how the clinical issue is relevant to the selected role option. 20
Used APA format with a professional writing style throughout. 10
Total: 50

Nursing Education and End-of-Life
R S
South University

Practice Issue
A the beginning of the 21st century, 90% of deaths were from a chronic disease, with about half receiving treatment for at least 30 months before they die; this means that most people have time to plan for end-of-life care and there has been dissatisfaction with the quality of medical care at the end of life (Department of Health and Human Services, 2008*). Patients and their families often feel they cannot rely on the healthcare system to control symptoms or follow their wishes (Almark, Cox, Maghaddam, Pollock & Seymour, 2012). A common experience is that terminal care is delivered with confusion by a system that seems disinterested in this aspect of medical care; energy may be expended, usually in the form of diagnostic studies aimed at new symptoms but symptom control is inadequate (Almark et. al., 2012). The patient may be told that nothing can be done for a significant complaint because it is an inevitable and untreatable symptom of the disease, a part of its natural history. To be sure, care of the dying is a major stress to nurses who often report a sense of suffering while treating their dying patients; they experience feelings of frustration, helplessness, failure, uselessness, disappointment, while having an increased awareness of their own vulnerability and mortality (Almark et. al., 2012). Nevertheless, some of the factors that exacerbate the nurse distress in caring for the dying may include fear of dying, inadequate training, poor communication skills, conflicts goals of care*, unrealistic expectations, and uncertainty about treatment (Almark et. al., 2012).
Topic Relevance
There is a need for increased education on end of life planning, not only with individuals, but within the healthcare system. The research proposal plan is to address the lack of advanced planning that exists*, research education materials available, and devises an evidence-based education plan to implement teaching other health professionals. People face death on a daily basis, but no one wants to talk about it. Accidents happen, but a surprising fact is that even the patients who are told they are dying, do not prepare for their final act. In 2008, an Advance Care Report, by the Department of Health and Human Services (HHS) (2008), given to Congress reported that in spite of national efforts encouraging advance care planning; only 18-36% of Americans have made their wishes known. Advance care planning is important to all aspects of healthcare and nursing because it acts as a personal guide to patients wishes if they are no longer able to communicate. Almack and his colleagues (2012) report that there is lack of communication between patient, family and healthcare provider about wanted end of life care (Almack et. al., 2012). As a nurse educator, I am interested in the research and development of an educational program that can be implemented to help health providers be more comfortable with this important discussion.
Reference
Almack, K., Cox, K., Moghaddam, N., Pollock, K., & Seymour, J. (2012). After you: Conversations between patients and healthcare professionals in planning for end of life care. BMC Palliative Care, 11(1), 15-24. doi:10.1186/1472-684X-11-1
Department of Health and Human Services (HHS). (2008*). Office of Disability, Aging and Long-Term Care Policy: Advance Directives and Advance Care Planning: A Report to Congress. Retrieved from http://aspe.hhs.gov/basic-report/advance-directives-and-advance-care-planning-report-congress
WEEK 1 ASSIGNMENT 3 GRADING RUBRIC
For this week’s assignment discuss the following:
• State your idea for your evidence-based project proposal including the rationale as to how it reflects an EBP project vs. a research project
• Very briefly describe the issue you will address, the intervention that you feel has research evidence (this may change later after you complete the literature search), and the expected outcomes
• Discuss how this project is relevant to your role specialization
Assignment 3 Grading Criteria Maximum Points
15Stated the practice issue or problem providing background information and the perceived significance of the problem. 15/20
Discussed how the clinical issue is relevant to the selected role option. 17/20
Used APA format with a professional writing style throughout. 9/10
Total: 41/50
Reginald, Excellent job! This topic will be manageable. The areas highlighted indicate issues that were either not addressed or addressed insufficiently. Please see comments throughout the paper. Avoid complex sentences. Depending on the length, sometimes it appears to be a run on sentence.
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