NUR 590 Assignment Implementation Plan

Sample Answer for NUR 590 Assignment Implementation Plan Included After Question

Week 5 Assignment

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.

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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.

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.

A Sample Answer For the Assignment: NUR 590 Assignment Implementation Plan

Title: NUR 590 Assignment Implementation Plan

Evidence-based practice (EBP) projects are designed to make positive organizational changes by addressing specific practice problems. After an in-depth assessment of the issues facing a health care organization or a system, a change agent applies the most current and relevant evidence as the basis for intervention. However, the required operational benchmark cannot be realized without implementing the project proposal. This section describes the implementation plan, focusing on time, resources, methods, process, data collection, and strategies to overcome barriers.

Setting and Access to Potential Subjects

The setting is characterized by a technologically advanced, intricate, and stressful nature of health care that greatly compromises nurses’ ability to discharge their duties diligently. In such a state, nurses are usually overwhelmed, burdened, and stressed. Such conditions among other issues such as poor shift rotation, complex interpersonal relationships, and lack of motivation increase the nurses’ vulnerability to burnout and stress (Dall’Ora et al., 2020). Accordingly, the nurses are the primary subjects for the EBP project whose primary role is increasing their focus and readiness to provide patient by mindfulness meditation training.

Accessing the VA healthcare system’s nurses is not complicated as long the reasons for accessing them are clear and the necessary administrative protocols are followed.  With the management being pro-change, a change agent should present the EBP project proposal and explain how it will enhance outcomes. Next, the change agent should work closely with the management to search for the resources necessary to implement the change fully. In this case, nurses’ training and progressive evaluation should be done collaboratively with the management. The management provides several appointees depending on the type and scope of the project to serve as members of the project team. They also monitor how the change process occurs to ensure that all procedures are correct and subjects are not harmed.

Time Needed to Complete the Project

The entire process should take a maximum of six months. The first month should be about preparation for change. Nuño-Solinís (2018) postulated that change readiness depicts a scenario where health care organizations can initiate and respond to change with minimal risk and in a way that creates advantage and sustains excellent performance.  Here, the change agent alongside the management should share the vision for change with the nurses. Preparation for change is necessary to ensure that the health care staff understands the type of change coming and its reasons (Miake-Lye et al., 2020). Doing so is vital to minimize resistance to change and achieve the desired goals within the projected timelines.

The second month involves searching for resources necessary to implement the EBP project. Human, material, and required financial resources should all be available by the end of the second month. The training should occur in the third month. As the training takes place, all questions about the training and its implications should be answered at this stage. The main activity in the fourth month should be a detailed assessment of how nurses react to change and whether some improvements are necessary. If differently stated, it is the piloting stage before adopting the new practice in the fifth month. The last month should be for compiling a report and disseminating information for use in other practice settings. Dissemination spreads knowledge about EBP interventions on a wide scale (Derman & Jaeger, 2018). Its primary aim is to ensure that other health care organizations and providers have a reference when faced with a similar problem.

Resources Needed in the Implementation

The project requires nurse educators as change promoters, trainers on mindfulness mediation, and management as a partner. Professional assessment of the progress also requires human facilitation (external) to avoid bias. Financial resources are also required to purchase training materials, payment for the training venue, and payment for facilitators. Communication, refreshments, and training miscellaneous expenses also require some budgetary allocation. Some materials such as projectors can also be hired instead of purchasing. Generally, human and financial resources are the most needed to make the project a success.

Methods and Instruments

EBP projects require close monitoring to track and assess the outcomes of the proposed interventions. A monitoring plan represents a living document that should be updated regularly as the project’s implementation progresses. Questionnaires will be used to measure how nurses perceive the process and whether they are ready to apply the new knowledge to enable them to work more productively. Activity logs are also necessary, and data will be collected through attendance sheets. The other vital instrument is track indicators which will compare the project’s progress against the set timeline weekly. Track indicators will rate the project against expectations to determine whether any adjustments are required at some point.

The Process of Delivering the Solution

The required solution will be delivered via mindfulness meditation training of nurses. In this training, nurses will be shown how to focus on being intensely aware of what they are experiencing (sensing and feeling) at the moment without interpreting or judging the situation. Kriakous et al. (2020) supported the approach as among the most effective to enable nurses to provide diligent care amid stressful situations such as overwhelming work burden and poor shift rotation. Some of the strategies to be taught include guided imagery and breathing methods that relax the nurse’s body and mind and improve concentration (Gilmartin et al., 2017). The primary aim is to ensure that nurses are more informed about stress reduction in highly demanding situations.

Many benefits are associated with mindfulness meditation training of nurses. Firstly, mindfulness meditation helps nurses engage in peaceful balance and self-care by strengthening the brain region responsible for attention (New Jersey State Nurses Association, 2021). It also improves coping skills, relationships, self-understanding, and relaxation. According to Zeller et al. (2021), mindfulness meditation is associated with high clinical performance and excellent listening skills among nurses.  Accordingly, the training is critical for creating an empowered workforce that can cope with stress, understands issues, avoids reacting, and has high resilience levels (Lin et al., 2019). The impacts are profound and justified.

The Data Collection Plan

EBP projects’ implementation should be data-centered. There should be data to evaluate whether the project’s outcomes achieve the desired outcomes. Data should be collected at every phase as described in the timeline. It should be both manual and automated as situations obligate and to enhance safety. The project manager will work alongside data analyst to manage and maintain the data. Electronic data will be stored in password protected devices and only availed when authorized by the project manager. Data analysis will be primary comparing what has been achieved against the set timelines. It will also involve an in-depth analysis of nurses’ overall behavior change against the set objectives. The difference in what is achieved compared to the expectation will inform whether the process is a success or not.

Dealing with Barriers, Facilitators, and Challenges

EBP projects are not immune to barriers and implementation challenges. Lack of resources, resistance to change, and the organizational culture are common barriers to change (Tappen et al., 2017). In the current project, potential barriers and challenges include different literacy levels among nurses, resistance to change, and abandoning of the project by the nurses. Facilitation will be managed by looking for expert trainers at a cost. The barriers and challenges can be addressed and effectively managed by creating awareness, open communication, and active engagement of nurses. The basic assumption is that the project will lead to positive outcomes.

Feasibility of the Implementation Plan

Generally, the implementation requires substantial financial services, but its overall impact makes it cost-effective. Personnel, consumable supplies, equipment to facilitate training would cost up to $7,700. Computer-related costs to support data access, data management, and communication would cost up to $1,500. Other costs such as travel, presentation, remuneration, and miscellaneous expenses would go up to $4,500. Each resource is needed to make the training effective and achieve the desired effects.

Maintaining, Extending, Revising, and Discontinuing the Training

The training will improve patient health outcomes by ensuring that nurses are physically and mentally ready to provide health care services. After implementation, progressive evaluation is necessary every three months. If nurses’ capacity to work improves, the training program should be maintained and extended to other workforces, such as new nurses joining the organization. Progressive evaluation should also guide revisions if some areas need improvement or other methods to facilitate mindfulness meditation emerge and should be included. Discontinuation is justified if there is no significant difference between the trained and untrained nurses or there are no resources to facilitate continuous training.

Conclusion

Nurses are centrally involved in health care provision, and it is vital to ensure that they offer the best care possible. EBP projects play a critical role in enhancing patient health outcomes. Training on mindfulness meditation is expected to improve overall attention, empathy, and presence of nurses with patients and their families, thus, improving patient outcomes. It will consume a substantial cost, but its implementation can be justified by improving nurses’ preparedness to address patient problems.

NUR 590 Assignment Implementation Plan References

Dall’Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020). Burnout in nursing: a theoretical review. Human Resources for Health18, 1-17. https://doi.org/10.1186/s12960-020-00469-9

Derman, R. J., & Jaeger, F. J. (2018). Overcoming challenges to dissemination and implementation of research findings in under-resourced countries. Reproductive Health15(1), 121-126. doi: 10.1186/s12978-018-0538-z

Gilmartin, H., Goyal, A., Hamati, M. C., Mann, J., Saint, S., & Chopra, V. (2017). Brief mindfulness practices for healthcare providers–a systematic literature review. The American Journal of Medicine130(10), 1219-e1. http://dx.doi.org/10.1016/j.amjmed.2017.05.041

Kriakous, S. A., Elliott, K. A., Lamers, C., & Owen, R. (2020). The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a Systematic Review. Mindfulness, 1–28. Advance online publication. https://doi.org/10.1007/s12671-020-01500-9

Lin, L., He, G., Yan, J., Gu, C., &Xie, J. (2019). The effects of a modified mindfulness-based stress reduction program for nurses: A randomized controlled trial. Workplace Health & Safety67(3), 111-122. doi: 10.1177/2165079918801633

Miake-Lye, I. M., Delevan, D. M., Ganz, D. A., Mittman, B. S., & Finley, E. P. (2020). Unpacking organizational readiness for change: an updated systematic review and content analysis of assessments. BMC Health Services Research20(1), 1-13. https://doi.org/10.1186/s12913-020-4926-z

New Jersey State Nurses Association. (2021). Mindfulness: Meditation. Retrieved from https://njsna.org/mindfulness-meditation/

Nuño-Solinís, R. (2018). Are Healthcare Organizations Ready for Change? Comment on “Development and Content Validation of a Transcultural Instrument to Assess Organizational Readiness for Knowledge Translation in Healthcare Organizations: The OR4KT”. International Journal of Health Policy and Management7(12), 1158–1160. https://doi.org/10.15171/ijhpm.2018.95

Tappen, R. M., Wolf, D. G., Rahemi, Z., Engstrom, G., Rojido, C., Shutes, J. M., & Ouslander, J. G. (2017). Barriers and Facilitators to Implementing a Change Initiative in Long-Term Care Using the INTERACT® Quality Improvement Program. The Health Care Manager36(3), 219–230. https://doi.org/10.1097/HCM.0000000000000168

Zeller, J. M., Johnson, A. M., Hoffman, A., Hoyem, R. L., Alexander, M. B., Yudkowsky, R., & Hicks, F. D. (2021). Mindfulness Training to Improve Nurse Clinical Performance: A Pilot Study. Western Journal of Nursing Research, 43(3), 250-260. https://doi.org/10.1177/0193945920964938

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NUR 590 Evidence-Based Practice Project

Week 5 Assignment

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.

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.

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.

NUR 590 Assignment Implementation Plan

NUR 590 Assignment Implementation Plan

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, 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.

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