NUR 590 Evidence-Based Practice Project Proposal Implementation Plan Essay

The setting and access to potential subjects are clearly described. A well-developed and accurate consent or approval form is attached correctly in an appendix.

The setting and access to potential subjects are described. A consent or approval form is needed and attached in an appendix. Minor revision may be needed on the form or to correct formatting issues in the appendix. Some detail is needed for clarity or accuracy. NUR 590 Evidence-Based Practice Project Proposal Implementation Plan Essay

The setting and access to potential subjects are generally described. Some additional information is needed. A consent or approval form is attached but requires some revision; the form is attached in an appendix but has formatting errors.

The setting and access to potential subjects are only partially described. A consent or approval form is attached but contains significant errors; the form is not attached in an appendix.

The setting and access to potential subjects are not described. A consent or approval form needs to be created and attached in an appendix. Revision is needed.

The amount of time needed to complete this project is clearly described and general enough to be implemented at any date. A well-developed timeline is attached correctly in an appendix.

The amount of time needed to complete this project is described and general enough to be implemented at any date. Minor revision may be needed on the timeline, or to correct formatting issues in the Appendix. Some detail is needed for clarity or accuracy.

The amount of time needed to complete this project is generally described. Some additional information is needed. A timeline is attached but requires some revision; the timeline is attached in an appendix but has formatting errors.

The amount of time needed to complete this project is only partially described. A timeline is attached but contains significant errors; the timeline is not attached in an appendix. NUR 590 Evidence-Based Practice Project Proposal Implementation Plan Essay

The amount of time needed to complete this project is not described. A timeline needs to be created and attached in an appendix. Revision is needed.

A detailed description of resources or changes needed and outline of costs are clearly presented. A well-developed budget and resource list are attached correctly in an appendix.

Description of resources or changes needed and outline of costs are presented. Minor revision maybe needed on the budget or resource list, or to correct formatting issues in the appendix. Some detail is needed for clarity or accuracy.

Description of resources or changes needed and outline of costs are generally presented. Some additional information is needed. A budget and resource list are attached but require some revision; the list is attached in an appendix but has formatting errors.

Description of resources or changes needed and outline of costs are partially presented. A budget and resource list are attached but contain significant errors; the list is not attached in an appendix.

Description of resources or changes needed and outline of costs are omitted. A budget and resource list need to be created and attached in an appendix. Revision is needed.

A research design is selected. A thorough explanation for how the design will be used to collect data and evaluate effectiveness of the evidence-based practice project proposal is presented. Strong rationale is provided for support.

A research design is selected. An explanation of how the design will be used to collect data and evaluate effectiveness of the evidence-based practice project proposal is presented. Adequate rationale is provided for support.

A research design is selected. A general explanation of how the design will be used to collect data and evaluate effectiveness of the evidence-based practice project proposal is presented. More rational is needed for support.

A research design is selected. It is unclear how the design will be used to collect data and evaluate effectiveness of the evidence-based practice project proposal.

Research design is not selected.

The methods or instruments used for monitoring the implementation of the proposed solution are described. Minor revision may be needed for the methods or instruments, or to correct formatting issues in the appendix. Some detail is needed for clarity or accuracy.

The methods or instruments used for monitoring the implementation of the proposed solution are thoroughly described. The methods or instruments are accurate and correctly attached in an appendix.

The methods or instruments used for monitoring the implementation of the proposed solution are summarized, but more information is needed. The methods or instruments are attached but require some revision; the list is attached in an appendix but has formatting errors.

The methods or instruments used for monitoring the implementation of the proposed solution are only partially discussed. A methods or instruments are attached but contain significant errors; the methods or instruments are not attached in an appendix.

The methods or instruments are omitted. The methods or instruments need to be created and attached in an appendix.

The process for delivering the intervention and any needed training is summarized. More information or support is needed.

The process for delivering the intervention and any needed training is explained. Some detail is needed for clarity or accuracy.

The process for delivering the intervention and any needed training is thoroughly explained. Strong rationale is provided for support.

The process for delivering the intervention is only partially described.

The process for delivering the intervention is omitted.

A thorough discussion of stakeholders needed to implement the plan is presented. Strong rationale is provided for support.

Stakeholders needed to implement the plan are omitted.

A summary of stakeholders needed to implement the plan is presented. More information or support is needed.

An adequate discussion of stakeholders needed to implement the plan is presented. Some detail is needed for clarity or accuracy.

The discussion of stakeholders needed to implement the plan is incomplete.

Potential barriers or challenges to the implementation plan are thoroughly discussed and clear strategies for overcoming these are proposed. Strong rationale is provided for support.

Potential barriers or challenges to the implementation plan are discussed and strategies for overcoming these are proposed. Some detail is needed for clarity or accuracy.

Potential barriers or challenges to the implementation plan are only partially discussed.

Potential barriers or challenges to the implementation plan are summarized. General strategies for overcoming these are presented.

Potential barriers or challenges to the implementation plan are not discussed.

The feasibility of the implementation plan is thoroughly discussed. Strong rationale is provided for support.

The feasibility of the implementation plan is only partially discussed.

The feasibility of the implementation plan is discussed. Some detail is needed for clarity or accuracy.

The feasibility of the implementation plan is outlined. More information or support is needed to demonstrate the feasibility of the plan.

The feasibility of the implementation plan is not discussed.

Number of required resources is met. Sources are current and appropriate for the assignment criteria and nursing content.

Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.

Number of required sources is met, but sources are outdated or inappropriate.

Number of required sources is only partially met.

Sources are not included.

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis is apparent and appropriate to purpose.

Thesis is insufficiently developed or vague. Purpose is not clear.

Paper lacks any discernible overall purpose or organizing claim.

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

Writer is clearly in command of standard, written, academic English.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

All format elements are correct.

Template is fully used; There are virtually no errors in formatting style.

Template is used, and formatting is correct, although some minor errors may be present.

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

Template is not used appropriately, or documentation format is rarely followed correctly.

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

Sources are not documented.

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

Lopes Write Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

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Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed
• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• Student paper example
• Citing Sources
• The Writing Center is a great resource

A Sample Answer For the Assignment: NUR 590 Evidence-Based Practice Project Proposal Implementation Plan Essay

Title: NUR 590 Evidence-Based Practice Project Proposal Implementation Plan Essay

Section E: Implementation Plan 

Setting and Access 

The setting for this project will occur at the author’s present place of work. The hospital acts as an academic health sciences center that is associated with local universities. In addition, the hospital possesses urban and suburban referral base and it has several in-patient units for critical and non-emergency cases. For the purposes of the project, the patients that will have been discharged from the hospital are going to be identified by codes such as demanded by the clinical modification as relates to the International Classification of Diseases (ICD-9-CM) : 491.x (bronchitis), 496.x as chronic airway obstruction that has not been classified, 490.x as unspecified bronchitis, and 492.x emphysema (Lewis, Bruton, & Donovan-Hall, 2014). The patients will be informed verbally that they will be participating in a research program that is intended to determine the effectiveness of the two interventions. Indeed, the verbal information relayed to the patients may not be necessary as most of them may not be worry about which intervention they will be receiving. Nevertheless, the personnel who will be participating in the program will require to provide their consent to the researchers. The personnel such as nurses are significant to the implementation of the project since data collection has to occur in the most accurate way possible. As such, committing to the project through signing forms will be significant.  

Time Needed to Complete the Project 

The project will run for 12 months from any specified period by the investigator and the health care setting. Three phases will be involved in the implementation of the project. In the first phase, education of the nursing personnel qualified for the study will occur. Assessment tools will be adopted to determine their knowledge of the management of the COPD exacerbations using both pharmacological and pulmonary rehab. After the recruitment and training of competent nurses has occurred, the investigators will now shift their focus to recruiting patients for the study. The patients were identified using the codes presented above and their readmissions monitored within 12 months. Those who were readmitted with COPD exacerbation from the discharged list were automatically enrolled to the program. The readmission preceded the interventions using both pharmacological and pulmonary rehab options while some of the less serious cases were only managed using pharmacotherapy.  

Resources Needed to Complete the Project 

The pulmonary rehabilitation project will require significant investment in strategies that matter. One of the most important resource will be an exercise facility within the hospital compound. Secondly, the neuromuscular electrical stimulation tools with a frequency of either 15 Hz (low frequency) or 75 Hz (high frequency) NMES will be necessary for the project (McNamara et al., 2018). The above devices will handle both critical and non-severe exacerbations. Moreover, the pulmonary rehabilitation will require respiratory muscle training. To this end, threshold or resistive muscle training devices such as Threshold™ Inspiratory Muscle Trainer and PowerBreathe will be acquired by the hospital. Further, human resources will be required for the project. Nurses and physiotherapists will be required in order for all the facets of the project to be successfully implemented.  

Methods and Instruments 

The project is going to adopt the use of sequential mixed methods research study model. The collection of quantitative data on COPD exacerbation readmissions will be conducted before the qualitative one. Moreover, the investigator will conduct a biostatistician to make a determination of appropriate sample size as well as provide answers to questions concerning the knowledgeability of frontline nurses and physiotherapists concerning certain pulmonary rehabilitation exercises. A shortened version of the Beeckaham et al. (2010) tool will be used to determine the knowledgeability of the personnel concerning the chosen pulmonary rehabilitation techniques. Moreover, observational survey will be used to determine the rate and incidences of COPD exacerbations and their effects on readmission rates.  

Delivering the Intervention 

The intervention is going to be delivered by a team of physiotherapists and nurses will be responsible for the project. The physiotherapy team will implement the pulmonary rehabilitation phase of the project. The implementation of the exercise will require specific tailored programs that only they can provide. The physiologists are going to be assessed for competence regarding the pulmonary rehabilitation program (Sundh et al., 2017). The nurses will be responsible for the pharmacotherapy section. They will also be assessed for the competence on the drugs necessary for the various COPD conditions. Moreover, the nurses will also be responsible for making observations and collecting data by looking at various parameters.  

Data Collection Plan 

The inclusion criteria for the study will involve patients between the ages of 30-50 years who will give a verbal consent to the investigator. The data on the identification tags will be collected upon the discharge of various patients. The collection of that data is important as it will help highlight the readmission numbers of patients with COPD exacerbation, which data will be collected as well. The collection of the readmission data will be conducted until the 11th month of the project. A Person Chi-square method will then be used to make a determination of any statistically significant reduction in the readmission rates of the patients with COPD exacerbation (Meharry, McVay, Milligan, Marshall, & Anderson, 2017). The results of the analysis from the Chi-square method will occur founded on the readmission data when both pulmonary rehabilitation and pharmacotherapy and pharmacological intervention were used.  On the other hand, the Braden scale that is modified is going to be employed to gather data on the competence of both the physiotherapists and the nurses regarding their respective interventions.   

Management of Barriers 

The absence of research on the application of pulmonary rehabilitation techniques may affect the implementation of the project. The lack of such research has made it difficult for investigators to design pulmonary rehabilitation strategies. Therefore, in order to successfully implement the project, the Braden scale will be used to determine the physiologists with the right competence for the job (Ansari, Hosseinzadeh, Dennis, & Zwar, 2016). Financial barriers may also arise. The investigators alongside the researchers may choose to approach donors so as to ensure that adequate funding is provided.  

Feasibility of the Implementation Plan 

The successful implementation of the project will require additional financial backing. A gym will have to be furnished through additional costs from donors. Professionals reveal that such a gym will cost at least $30 000. Moreover, the physiologists and nurses will have to be hired specifically for the project. However, it should be generally manageable.  

Plans to Maintain, Extend, Revise and Discontinue Proposed Solution 

The project is going to focus in the implementation of the pulmonary rehabilitation program. To this end, a few exercises will be incorporated. The project will be assessed for effectiveness by looking at the exercises. If the exercises are effective, the project will be integrated into COPD management and extended to certain settings. However, it will be revised by introducing a few more exercises if it is partially effective. Lastly, the project will be discontinued if it does not produce desired results and if the costs become significantly higher than the projections.  

References 

Ansari, S., Hosseinzadeh, H., Dennis, S., & Zwar, N. A. (2016). Activating primary care COPD patients with multi-morbidity (APCOM) pilot project. 

Lewis, A., Bruton, A., & Donovan-Hall, M. (2014). Uncertainty prior to pulmonary rehabilitation in primary care: A phenomenological qualitative study in patients with chronic obstructive pulmonary disease. Chronic respiratory disease, 11(3), 173-180. 

McNamara, R. J., Spencer, L., Dale, M., Leung, W. M., & McKeough, Z. M. (2018). Alternative exercise and breathing interventions in COPD: a critical review. EMJ Respiratory, 6(1), 117-127. 

Meharry, R., McVay, G., Milligan, M., Marshall, S., & Anderson, D. (2017). A pilot project to improve pulmonary rehabilitation adherence and outcomes in the COPD population: Glasgow City’s Community Respiratory Team. 

Sundh, J., Lindgren, H., Hasselgren, M., Montgomery, S., Janson, C., Ställberg, B., & Lisspers, K. (2017). Pulmonary rehabilitation in COPD–available resources and utilization in Swedish primary and secondary care. International journal of chronic obstructive pulmonary disease, 12, 1695.