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NUR 590 Assignment Develop an Evaluation Plan

NUR 590 Assignment Develop an Evaluation Plan

Description of the Rationale for the Methods used in Collecting the Outcome Data

The use of different methods for outcome data collection was informed by distinct reasons. For instance, the questionnaires consist of numerous vital components that were used to gauge the satisfaction rate of the entire process. The other methods such as clinical interviews, follow-ups interviews, and chart audits were used to support the patients and to identify areas for improvement. Besides, test monitoring was used to help in tracking the project development, determine the appropriateness of implementation process, and to collect data to help in future implementation endeavors.

How Outcome Measures Evaluate the Extent to which the Project Objectives are Achieved

Outcome measures evaluate the extent to which the project objectives are achieved by monitoring the level in which project implementation has influenced the health outcomes of the population in focus (Gibbons, Black, Fallowfield, Newhouse & Fitzpatrick, 2016). Through the outcome measures, it is possible to determine whether or not the project has realized its goals. Where the objectives are not realized, the measures can help in making adjustments.

How the Outcomes will be Measured and Evaluated Based on the Evidence

The outcomes will be measured and evaluated through standard data collection tools whose effectiveness has been established. However, where the tool need to be developed or realigned to the local needs of the target population, it is imperative to conduct a preliminary test before rolling it out the target population. Consequently, according to Bühn et al., (2017), the validity will be established when the data precisely measure what they are intended to measure. Consequently, the reliability will be established if the outcomes measures align with standard methods and definitions. On its side, the applicability will be established when the outcomes address the issue of heart failure among African American males.

Description of the Strategies to take if Outcomes do not Provide Positive Results

The best strategy implementation team can take when the outcomes provide negative results are to take charge, focus, and establish a centralized communication to manage the project and steer it back to the track. The project should be designed in a flexible manner that can be easily adjusted when the outcomes fail to provide positive results. Besides, there should be contingency measures in place to act as a fall back plan to the project. Besides, the implementation team should be able to identify the origin of the problem, understand the problem areas, and take measures to address the issue and strive to find ways to the right implementation path.

Description of the Implications for Practice and Future Research

The aim of this project was to determine the effectiveness of the use of community health workers to improve the control and management of heart failure among African American males. Although community health workers are important for success of this project, the cultural barriers may prove a challenge to their success.  Lack of knowledge in cultural practices by the community health workers, especially who are non-Africans, can potentially impact the project adversely (Clifford, McCalman, Bainbridge & Tsey, 2015). As such, the future studies should focus on adapting materials such as sources of information to ensure that all materials used in the program are culturally responsive to the target population.




Bühn, S., Mathes, T., Prengel, P., Wegewitz, U., Ostermann, T., Robens, S., & Pieper, D. (2017). The risk of bias in systematic reviews tool showed fair reliability and good construct validity. Journal of clinical epidemiology, 91, 121-128.

Clifford, A., McCalman, J., Bainbridge, R., & Tsey, K. (2015). Interventions to improve cultural competency in health care for Indigenous peoples of Australia, New Zealand, Canada and the USA: a systematic review. International Journal for Quality in Health Care, 27(2), 89-98.

Gibbons, E., Black, N., Fallowfield, L., Newhouse, R., & Fitzpatrick, R. (2016). Patient-reported outcome measures and the evaluation of services. In Challenges, solutions and future directions in the evaluation of service innovations in health care and public health. NIHR Journals Library.

Assessment Description

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:

  1. Discuss the expected outcomes for your evidence-based practice project proposal.
  2. 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.
  3. Select a statistical test for your project and explain why it is best suited for the tool you choose.
  4. 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.
  5. Propose strategies that will be taken if outcomes do not provide positive or expected results.
  6. 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

NUR 590 Assignment Develop an Evaluation Plan

NUR 590 Assignment Develop an Evaluation Plan

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.


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Evaluation of Bedside Shift Report: A Research and Evidence-Based Practice Initiative

Read “Evaluation of Bedside Shift Report: A Research and Evidence-Based Practice Initiative,” by Schirm, Banz, Swartz, and Richmo

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Reliability and Validity: Linking Evidence to Practice

Read “Reliability and Validity: Linking Evidence to Practice,” by Kamper, from Journal of Orthopaedic and Sports Physical The

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Comparing Clinical Significance and Statistical Significance – Similarities and Differences

Read “Comparing Clinical Significance and Statistical Significance – Similarities and Differences,” by Zbrog (2021), located on t

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Advanced Practice Nursing: Essential Knowledge for the Profession

Review Chapter 20 in Advanced Practice Nursing: Essential Knowledge for the Profession.

View Resource

Research, Evidence-Based Practice, and Clinical Improvement/Innovation Posters

Read “Research, Evidence-Based Practice, and Clinical Improvement/Innovation Posters” (2015), from AORN Journal.


A Practical Definition of Evidence-Based Practice for Nursing

Read “A Practical Definition of Evidence-Based Practice for Nursing,” by Stannard, from Journal of PeriAnesthesia Nursing

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NUR 590 Topic 2 DQ 2


Do you foresee any issues with the proposed implementation of your project? Identify a strategy to help create or sustain a higher level of readiness to change with your organization and discuss how current research or literature will be used to ensure that change is based on current evidence.


As with any project implementation its best to envision any potential issues before they arise. Therefore, I anticipate a few potential issues with the proposed implementation of my project. The first foreseen issue identified for the proposed implementation of my evidence-based project are financial concerns and will continue to be an ongoing concern. I was able to identify a couple of strategies to help with the financial concerns including executive leadership engagement in the process. Being fully transparent with the executive leadership team regarding the implementation plan including cost and methods of saving will aid in gaining their support. Another financial strategy would be to develop a team of subject matter experts/educators on the Physician Orders for Life-Sustaining Treatment (POLST) program utilizing the system Respecting Choices Model within the system. With the development of the program within the system there will be a reduction in further cost to outside resources.

The second foreseen issue is a lack of clinician buy in to the program and change management. In order to address this area education, engagement, and communication are necessary strategies. The education will include up-to-date best practices, refresher courses, audit, and review. The engagement strategies include ensuring confidence in their work, standardized workflow, ensuring collaboration and stakeholder involvement. The communication strategies include ongoing updates on education and engagement opportunities, events, current POLST literature, and development of newsletter.


The third foreseen issue is lack of quality of the POLST process and order sets. Quality of the work is a multifactorial problem; in that it relies heavily on the first two foreseen issues. “The quality of POLST documentation is only as good as the conversations that precede it” (Abbott, 2019, p. 297). Therefore, if there is a lack of financial support or clinician buy in, ultimately leading to a reduction in POLST quality.


Research on POLST implementation is actively being reviewed and updated therefore in order to  ensure that my proposed evidence-based practice proposal is based on current evidence it’s necessary to regularly search for the most up-to-date literature.




Abbott, J. (2019). The POLST paradox: Opportunities and challenges in honoring patient end-of-life wishes in the emergency department. Annals of Emergency Medicine73(3), 294–301. https://doi.org/10.1016/j.annemergmed.2018.10.021

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