Evidence-Based Practice Proposal – Section E: Implementation Plan.

Posted: December 23rd, 2022

Evidence-Based Practice Proposal – Section E: Implementation Plan.

In 1,000-1,500 words, provide a description of the methods to be used to implement the proposed solution. Include the following:

Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Although you will not be submitting the consent or approval forms in Topic 5 with the narrative, you will include the consent or approval forms in the appendices for the final paper.
Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, you will include the timeline in the appendices for the final paper.
Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, you will include the resource list in the appendices for the final paper.Evidence-Based Practice Proposal – Section E: Implementation Plan.

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Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, you will include the instruments in the appendices for the final paper.
Explain the process for delivering the (intervention) solution and indicate if any training will be needed.
Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, you will include the data collection tools in the appendices for the final paper.
Describe the strategies to deal with the management of any barriers, facilitators, and challenges.
Establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer-related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, you will include the budget plan in the appendices for the final paper.
Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.
You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.Evidence-Based Practice Proposal – Section E: Implementation Plan.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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. Please refer to the directions in the Student Success Center.

Note: After submitting the assignment, you will receive feedback from the instructor. Use this feedback to make revisions for your final paper submission. This will be a continuous process throughout the course for each section.Evidence-Based Practice Proposal – Section E: Implementation Plan.

Setting and access to potential subjects

The evidence based change in this assignment describes a project aimed at reducing Healthcare -associated infections (HAI) in the inpatient healthcare setting. The project seeks to reduce the infections acquired in the clinical environment through the encouragement or the implementation of handwashing with soap and water. This is contrary to the use of hand sanitizers that have been largely used in this context. The potential subjects in this study are the inpatients in the hospital aged 18 years and above whose behavioral changes will be observed as well as their impacts noted within the course of the project to determine the effectiveness of handwashing with soap and water in reducing infections.Evidence-Based Practice Proposal – Section E: Implementation Plan.

Time for completion

Hospital acquired infection patterns can be followed over a period of time. This is because; a change in the patient’s behavior is sustained within a longer duration and consequently the increase in the accuracy and reliability of the collected data (Adegboye et al., 2018). The PICOT question for the project is, Among hospitalized patients aged 18 years or older (P), how does washing hands using soap and water (I) compared to using hand sanitizers(C), help to reduce incidences of HAIs (O) within 3 months (T)? This means that the project seeks to run for three months after which, the results will be used to make an informed conclusion.Evidence-Based Practice Proposal – Section E: Implementation Plan.

Each evidence-based research requires multiple resources in order to become successful. In this case, human, fiscal and other resources will be required to implement the change and ensure its maintenance and sustainability (Keller, McMillion & Ammon, 2018). The human resources in this case will be required to introduce the change and create awareness in the facility. They will also advise on the proper way of washing the hands and explain the importance of the use. These will include the hospital personnel and healthcare providers. They will also ensure the strategic placement of the soaps within the inpatient facility and ensure that there is always running water available in the premises.Evidence-Based Practice Proposal – Section E: Implementation Plan.

Fiscal resources relates to the means for obtaining or purchasing personnel, services, equipment, supplies and other materials necessary for the study (Fox et al., 2015). The most needed resources here will be soaps and handwashing facilities to sustain the capacity. These include sinks, water taps and increased connecting pipes to increase the supply of water in the inpatient setting including inside the wards and the bathrooms as well as other strategic areas.Evidence-Based Practice Proposal – Section E: Implementation Plan.

Methods and Instruments

The study data will be collected using questionnaires. These are sheets of papers containing particular questions which a patient is expected to answer regarding the project, how it has affected them as well as the advantages and disadvantages and inconveniences caused. A scale will be devised for he patients to rate the change and the process of change. The rating scale will run from 1 to 10 with the excellent results being rated at 10 and the least satisfaction and experience being rated at 1.

Consequently, monitoring of the intervention will be carried out to improve the project and its performance thus ensuring its success. It will also help control the risks and improve the delivery of the new change (Muriana, & Vizzini, 2017). The tests used will include documentation of the change process, gauging the quality level and stakeholder engagement as well as evaluation. In addition, constant review of the action plan to ensure that it follows the implementation guidelines as well as identification of mistakes and errors and correcting them will be a great approach to monitoring the project.Evidence-Based Practice Proposal – Section E: Implementation Plan.

The delivery of the intervention will require the collaboration of multiple stakeholders. These include the nurses, the finance department that will help in the procurement of the requirements as the nurses carry out the education of the patients and guide them into the correct adoption of the change. Patients will undergo training to help them understand the correct way of washing the hands to wash away microorganisms using soap and running water. The process will begin with introducing the change in the organization, seeking the stakeholders’ approval and engagement, involving the healthcare workers and organizational staff, creating of awareness to the patients and training them on how to correctly wash their hands followed by the actual implementation. Here, the soaps will be placed in the designed washing areas equipped with running water and the patients will be expected to begin using them immediately for the next three months.Evidence-Based Practice Proposal – Section E: Implementation Plan.

The data collection plan will be the most important aspect of obtaining evidence from the research. Questionnaires will be given to patients to select or write down answers to the questions presented in the document. Integration of clinical inquiry in the project healthcare organization forms a basis for resolution of healthcare problems (Dandage, Mantha, Rane & Bhoola, 2018). Data management will be done by the information systems department. The obtained data will be presented in graphs comparing the use of handwashing impacts based on the cases of hospital acquired infections reported without the three months in comparison to those that occurred during the use of hand sanitizers. A quantitative analysis will then be conducted and an interpretation done to get sense of the collected data.Evidence-Based Practice Proposal – Section E: Implementation Plan.

The project anticipates some management barriers which is likely to impact the process of implementation. As such, several strategies were set to deal with these obstacles. For instance, good communication will help in understanding and presenting the project idea to the management and ensure that they are convinced by the positive impacts expected to come. Another strategy will be the presentation of a viable project proposal that clearly shows the problem and the need for the introduction of the intervention (Moore et al., 2017). A clear vision will be developed and the managerial department will be engaged in decision-making as well as informed on all the proceedings of the project (Coulson, Ferguson, Henshaw & Heffernan, 2016). On the other hand, an experienced and professional project manager will be sought to oversee the implementation of the research ensuring reviews, monitoring and evaluation to the final stage.Evidence-Based Practice Proposal – Section E: Implementation Plan.

Challenges likely to be faced in the organization include resistance from the workers and the patient. These will be handled through the proper communication about the change and adequate preparation on the expected outcomes in the course of implementation. Creation of awareness on the importance of the new change will also help convince the patients to participate (Friman, Huck, & Olsson, 2017). The need for a solution to increased HAIs is a significant facilitator to the project. Taking advantage of this need will help in the adoption of the change to resolve the health problem. This will entail showing the relevance of the project in improving health through previous evidence-based research.Evidence-Based Practice Proposal – Section E: Implementation Plan.

The implementation plan is feasible and viable technically, legally and economically (Haverstick et al., 2017). This is supported by the fact that it does not require acquisition of many resources that would require increased economic investment. The available computers and information technology equipment and devices will be employed in data management without extra costs. Moreover, no extra personnel will be required for the implementation of the project. The anticipated training will also be done by the nurses and hence will save on the training expenditure. Furthermore, no travel cost will be incurred. However, the presentation of the development will require publishing to reach a large audience and officially submit to the management. This will require a small fraction of the cost. The purchase of soap and washing areas will be manageable since the cost of hand sanitizer purchase will be directed to this activity.Evidence-Based Practice Proposal – Section E: Implementation Plan.

The project seeks to achieve positive health outcomes. These include reduction of hospital acquired infection incidents and improvement of general health of the inpatients (King et al., 2016). The project seeks to run for three months after which, it will be applied to the general healthcare facility with successful implementation. With the sustenance of the project, plans to maintain and extend the coverage will be implemented. However, if the project fails to e successful in eradicating hospital acquired infections, the project might be revised to improve the effectiveness or terminated to prevent the occurrence pf adverse outcomes related to the intervention.Evidence-Based Practice Proposal – Section E: Implementation Plan.

Evidence-based practice is supported by multiple theoretical models and frameworks. These enhance application and implementation of changes in healthcare settings thus improving the health of the patients. As such, this paper seeks to inform evidence-based practice on organizational change practices focused on reducing the Healthcare -associated infections (HAI) which have become a menace in the inpatient healthcare settings. The change model used in this project is the transtheoretical model of behavior change.

The transtheoretical model of behavior change presents an integrative therapy theory that informs the assessment of the readiness of an individual to act on new changes in behavior and provides processes or strategies of change to guide them. It is constructed using change stages, change processes, change levels, self-efficacy and decisional balance. The theoretical model was constructed by James Prochaska in 1977 with Carlo Di Clemente and colleagues (Friman, Huck, & Olsson, 2017). The name relates to the combination of multiple analyses of psychotherapy theories which led to the establishment of the model.Evidence-Based Practice Proposal – Section E: Implementation Plan.

The transtheoritical model is relevant in this project in that; it helps in assessing the change process. For instance, it associates the lower change stages with low self-efficacy levels (Bernard, Eduardo & Reyes Fernández, 2019). This will help the change avoid this since it is a translation of a failing implementation. It tells that the project presents more cons than pros and hence, little or no positive change is expected in reducing hospital acquired infections. Moreover, this project seeks to promote the use of soap and water rather than using hand sanitizers and therefore, the model will promote the adoption of behaviors in the upper stages which are associated with higher efficacy levels. In essence, the use of the upper stages of the model will help in improving the patient outcomes through behavioral change associated with cleaning of hands with soap and water rather than using sanitizers to prevent HAIs.Evidence-Based Practice Proposal – Section E: Implementation Plan.

In addition, the model is relevant during precontemplation stage whereby the organization is not considering adopting any physical activity program and hence could help in convincing them to adopt the change in the facility. The model will also help in eliminating the organizations doubt related to the implementation of the project and guide the preparations after mental and physical preparation of the involved parties. It will also guide the implementation and the maintenance stage ensuring that the project turns out successful.Evidence-Based Practice Proposal – Section E: Implementation Plan.

The change model has six stages of change. These include precontemplation whereby the clients are unaware of the need for behavioral change also known as the “not ready” stage (Coulson, Ferguson, Henshaw & Heffernan, 2016). This is followed by the contemplation stage whereby the organization recognizes the problematic behavior and is getting ready to take action. The third stage is the preparation stage that involves readiness for the behavioral change while the fourth stage entails taking action. In this case, water and soaps will be provided and individuals advised to use them instead of hand sanitizers to prevent hospital acquired infections. The maintenance stage is depicted by people’s ability to sustain the action for the project period and is focused on preventing relapses of the former behaviors while termination stage of change is marked by lack of temptation to return to previous behaviors and complete adoption of the new positive behavior.Evidence-Based Practice Proposal – Section E: Implementation Plan.

The stages of change in this model are applicable in this project. For instance, the first stage will be used to inform the organization of the problem while the second will help in getting ready for the behavioral change. The third change will facilitate the preparation and the action stage will engage the staff and the patients in the taking up the change. The fifth stage of maintenance will show the effectiveness of the project for the set period of 3 months.Evidence-Based Practice Proposal – Section E: Implementation Plan.