see attached 3

Directions:

· Complete the Translation into Practice template building on your selected nursing clinical practice problem and Week 2 Evidence Summary assignment.

· Answer the questions under each section with explanation and detail.

· Correctly cite and reference information from at least two scholarly sources that help support the discussion. Sources should be no more than five years old unless they are historical references.

Section 1: Evidence-Based Intervention

· Describe the specific evidence-based intervention to be implemented in the change project.

The intervention program aims to increase physical activity over six months among the age group of 6-12 years old to reduce BMI. The intervention includes individual physical activity programs for the child’s specific needs, along with the appropriate workout and regular support to the child and family. It aims to involve the child in performing daily physical activity for at least 60 minutes or higher-intensity activity according to the World Health Organization recommendations for the age group of 6-12 years. Three types of activities are involved in engaging the child: structured physical activity programs, sports activities, and activity events consisting of fun yet sustainable activities involving active play.

· Describe factors that influence the need for this change, such as national quality standards, reimbursement, accreditation, or practice guidelines. Cite the scholarly source that help support this discussion.

Implementing this type of change has multiple reasons stemming from national quality standards and practice guidelines. The American Academy of Pediatrics collaborates with the Centers for Disease Control and Prevention to demonstrate the necessity of physical exercise for obesity prevention and management among children (Hoelscher et al., 2022). According to the CDC guidelines, children should participate in at least one hour of daily physical activity to maintain their health and stop obesity. The AAP released official guidelines explaining how physical activities help children reach better physical and mental health results. Research-backed evidence demonstrates that greater physical activity results in substantial BMI reduction and superior health outcomes.

· Describe the potential barriers or challenges to implementing the intervention and how they will be addressed.

Potential barriers to implementing the intervention include the unavailability of access to safe physical activity spaces, inadequate family support, and competing priorities like academic pressures and screen time. Strategies for overcoming these barriers include the establishment of alliances with community centers in the area for access to physical safe activity spaces, family education workshops that highlight the need for physical activity, and the incorporation of physical activity into the school curriculum using physical education lessons and physical activity periods within the school schedule.

· Summarize how the intervention will be monitored and evaluated for effectiveness.

Regular activity levels, BMI, and general health status will be tracked for the intervention. The assessments will be taken at baseline (the start of the intervention) and after three and six months. Data will be gathered using physical examination, activity diaries, and self-report surveys from the children and their families. The intervention will be measured by comparing the baseline and follow-up assessments for changes in the activity levels and BMI. Further qualitive assessment of acceptability and feasibility is done through feedback from the family and children.

Section 2: Planning

· Discuss who needs to be on the project team involved in the change project and explain how they will be involved. 

The project personnel should comprise a group of diverse healthcare professionals, encompassing pediatricians, dietitians, physical therapist, social workers, and school nurses, among others. The intervention is safe and appropriate for all children because the intervention will be under medical oversight by pediatricians. The exercise program will be supplemented by nutrition counseling provided by dietitians (Robinson et al., 2023). Firstly, it will overcome physical limitations and secondly, physical therapists know which exercise program which is suitable for the child’s age. The social workers will further assist families to have access to community resources as well as change behaviors. The physical activity will be integrated in school day and the outcomes will be monitored by school nurses.

· Explain how you will prepare them for the change project.

Training sessions and workshops will be conducted to train the project team for the work they are going to do applying evidence-based practice on physical activities and childhood obesity. The sessions will include the latest research, guidelines, and best practices to implement the intervention. In the team, there will be training on skills to use in assessment tools and data collection techniques for monitoring and evaluation of the intervention. The progress will be monitored by scheduling meetings for to monitor progress, mitigate challenges and implement any required changes in the intervention.

· Explain the anticipated timeline for implementing the change project.

The expected timeline for performing the change project is:

Month 1-2: Planning & preparation, including team training, individualized physical activity plan development, baseline assessment, and potential time needed for adaption to exercise and Special Ops fitness in general.

During month 3-5: The intervention is implemented including regular physical activity sessions as well as family education and ongoing support.

Month 6: The intervention is evaluated and assessed, including final assessments, data analysis and reported outcomes.

· Discuss how you will track the progress of the change project against established milestones.

Specific measurement points will be periodically evaluated from baseline assessments through the beginning of physical activity and at three month and six month follow up data collection sessions will be taken. The tracking system maintains project progress by serving as a tool to confirm that all scheduled tasks finish according to plan (Zhao et al., 2021). Team meetings will occur regularly to track progress, solve any intervention challenges, and make essential adjustments.

Section 3: Culture of Change

· Summarize and describe the setting where the change project will occur. Do not list specific organization names.

The change project will take place in a pediatric healthcare setting that serves children ages 6-12 years in different socio-cultural backgrounds. Outpatient clinics, schools, community centers, and other sites in the local environment where children and their families have access to resources and support for physical activity are suggested as the setting. In the healthcare setting, there is a history of implementing evidence-based interventions to address childhood obesity and an interest in promoting healthy lifestyles.

· Discuss the organization’s current culture of change.

As evidenced by evidence-based practice and continuous improvement, the organization supports change where continuous improvement is possible. The emphasis is on working collaboratively and as a team, focused on the needs of the whole child (physical, mental, and social). The organization is receptive to new ideas and intends to implement interventions that have proven efficacious in producing health outcomes.

· Describe how you will advocate for the change.

Advocacy for the change will also involve presenting the evidence-based justification for the intervention to stakeholders like school administrators, healthcare providers, and community leaders. It will also include rates of prevalent childhood obesity and the benefits of increased physical activity. The change’s potential impacts will be demonstrated by including case examples and success stories of other agencies implementing the same intervention.

· Describe the communication and engagement strategies you will employ to involve the team and develop support for the change project.

Communication and engagement approaches that keep stakeholders informed and engaged include regular team meetings, newsletters, and information sessions. Creating a project website or online portal will be a great way of passing updates, resources, and tools to all stakeholders (Kwon & Mlecnik, 2021). All stakeholders will also have their needs and concerns actively requested for feedback throughout the project.

Section 4: Considerations

· Discuss the current policies or procedures that should be considered before implementing the change project.

Policies and procedures regarding patient privacy and confidentiality, such as HIPAA regulations, should be taken into account now. Policies regarding physical education and recess in schools should be reviewed to see if they support the intervention. Any necessary approvals or permissions should be obtained to implement the intervention in school or community settings.

· Explain the cost analysis needed before implementing the change project and who should be involved.

Staff training, materials, and equipment costs should be assessed to determine the financial resources needed for the intervention. Since reduced healthcare costs from preventing future problems from childhood obesity are included in the cost analysis, savings should also be considered. All possible costs and benefits should be considered with the input of the financial officers, healthcare administrators, and project team members.

· Describe the possible financial, human, and material resources required to implement the change project.

The staff training cost, materials, and equipment would be financial resources. The human resources for the intervention would consist of the project team members and any such supporting staff who would be needed, e.g., physical education teachers or community health workers. Physical activity equipment (e.g., skipping ropes, balls, and exercise bands); education materials (e.g., wall posters, booklets, and booklet handouts), and assessment tools such as (e.g., bowl and fits, pillars, and tag board lists) constitute material resources. In order to obtain access to safe spaces for physical activity, partners would have to be formed with the community centers and the school.

References: Provide complete references for all citations.

Hoelscher, D. M., Brann, L. S., O’Brien, S., Handu, D., & Rozga, M. (2022). Prevention of Pediatric Overweight and Obesity: Position of the Academy of Nutrition and Dietetics Based on an Umbrella Review of Systematic Reviews. Journal of the Academy of Nutrition and Dietetics, 122(2), 410-423.e6. https://doi.org/10.1016/j.jand.2021.11.003

Kwon, M., & Mlecnik, E. (2021). Modular Web Portal Approach for Stimulating Home Renovation: Lessons from Local Authority Developments. Energies, 14(5), 1270. https://doi.org/10.3390/en14051270

Robinson, J., Nitschke, E., Tovar, A., Mattar, L., Gottesman, K., Hamlett, P., & Rozga, M. (2023). Nutrition and Physical Activity Interventions Provided by Nutrition and Exercise Practitioners for the General Population: An Evidence-Based Practice Guideline from the Academy of Nutrition and Dietetics and American Council on Exercise. Journal of the Academy of Nutrition and Dietetics, 123(8). https://doi.org/10.1016/j.jand.2023.04.004

Zhao, J., Pikas, E., Seppänen, O., & Peltokorpi, A. (2021). Using Real-Time Indoor Resource Positioning to Track the Progress of Tasks in Construction Sites. Frontiers in Built Environment, 7. https://doi.org/10.3389/fbuil.2021.661166

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