Nursing Capstone - EBP project

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ebp_project_guidelines_fall_2012-2.pdf

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R470 Capstone Guidelines for Evidence Based Practice Project

The purpose of the Evidence Based Practice (EBP) Project is to use the principles and context of EBP and Interprofessional Education (IPE) as an approach to evaluate a nursing practice, policy, or procedure in light of BACKGROUND (10 points)

 Describe your rationale for undertaking this project  Include any data available to support the need for the project

Describe the current evidence and make recommendations for change/improvement. You will work with your clinical facilitator, and course faculty member to identify a problem and create your PICO questions. You and your clinical facilitator will also need to identify a professional outside of the discipline of nursing to include in your EBP project. Prepare the final project report using the following sections and guidelines.

 practice/policy/procedure and outcomes/implications  Describe your reason for including a professional outside of nursing and

their potential contribution to the EBP project outcome. THE QUESTION (5 points)

 Pose an answerable question in PICO format. See this link for details:

http://www.usc.edu/hsc/ebnet/ebframe/PICO.htm

THE SEARCH (5 points)

 Describe the search strategy  Discuss how potential, relevant research reports were identified  What were the inclusion and exclusion criteria?  How many studies were included in the final appraisal of the

evidence? CRITICALLY APPRAISE THE EVIDENCE (25 points)

A. Article Analysis Matrix (10 points). Perform a literature review of 3 – 5 articles. Develop a

matrix of the evidence.

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Use this template for your matrix  Name of author, date, title of study, journal  Level of Evidence - See Levels of Evidence - Quantitative and Qualitative Pyramids  Hypothesis, if there is no hypothesis, the question, if there is no question, the

purpose.  Design. Must be specific  Sample: Size of sample, important demographics, inclusion and exclusion

criteria  Data Collection Instruments/Procedures including reliability and validity

(was it done or not)  Statistical Results/Findings  Implications/Conclusions related to adoption to practice

Matrix for part A of Critically Appraise Evidence Example

Author, date, title, journal

Level of Evidence

Hypothesis Question or Purpose

Design Sample Size, demographic

Data Collection

Stats/ Findings

Conclusions Implication

Example: Smith, 2011 EBP in NSG Administration JONA,

Level 3 Determine usefulness of EBP in cost containment

survey 20 nursing units, 200 nursing surveys

Explain Data gathering process

Review significant Statistical findings

Value of the implications and Conclusion to nursing practice.

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IU Bloomington | IU East/Richmond | IU Kokomo | IU Northwest/Gary | IUPUC Columbus

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B. Summarize your literature review - Make a determination of whether sufficient evidence exists to support either current practice or a need to change the practice (15 points)

 How much variation was there in the outcome(s) studied across the studies/reports?

 What findings are supported by more than one study/ reports?

 Note the level of evidence from the various studies/reports and the findings associated with them.

 Of the consistent findings, how many of the studies/reports have a treatment effect that was clinically significant?

 Your conclusions: Is the evidence picture sufficiently complete (i.e. knowledge regarding: benefits and risks)

PROPOSE A CHANGE IN CLINICAL PRACTICE (15 points)

 Assess the environment for change. Consider: o The population in your specific setting and patient preferences and values o Clinical expertise and preferences o Available resources for implementing the change

 Create a hypothetical Change Team. Discuss who will be part of the team to implement the

change and why you have chosen these individuals. Be sure to include the professionals both inside and outside of nursing. Address the following interprofessional education (IPE) competencies. See the Core Competencies for Interprofessional Collaborative Practice at http://www.aacn.nche.edu/leading-initiatives/IPECReport.pdf

o How would you create a climate of mutual respect and shared values for your team? o How would you decide upon each of your professional roles and responsibilities to

create an effective team? o How would your team communicate with one another in planning the team project? o How would you incorporate your leadership skills to support collaborative practice

and team effectiveness?

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IU Bloomington | IU East/Richmond | IU Kokomo | IU Northwest/Gary | IUPUC Columbus

IUPUI Indianapolis | IU South Bend | IU Southeast/New Albany

Develop a Change Strategy. Use the following table to identify 2-3 objectives for the project that you could use to implement the change. These objectives must be measurable and specific. In the second column, state the specific methods or plans to meet the objectives. Specify who will be responsible and the timetable to implement each objective. In the last column, specifically state measurable outcomes of how you will evaluate whether or not you have successfully met the objective. (Add additional rows to this chart, if needed).

Objectives Method/Plan Responsibility Completion

Date

Measurable

Outcomes

DEVELOP AN EVALUATION PLAN TO MEASURE EFFECTIVENESS OF THE CHANGE (15 points)

From the last column of the above table, copy and paste the measurable objectives. Complete the rest of the columns. Add additional rows to this table if necessary

Measurable

outcomes Method and Tools for

Measuring

Responsibility Timelines

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IU Bloomington | IU East/Richmond | IU Kokomo | IU Northwest/Gary | IUPUC Columbus

IUPUI Indianapolis | IU South Bend | IU Southeast/New Albany

RESOURCES (15 points)

 Discuss the resources; you need for the first year of the change in practice.  Project costs of additional supplies, equipment, and personnel as appropriate.  Project costs savings.  Use an Excel spreadsheet for this purpose if appropriate.

Required Website:

 http://consortiumlibrary.org/aml/researchaids/ebp/ Recommended Resources:

Garrard, J. (2004). Health science literature review made easy: The matrix method.

MD: Aspen.

Melnyk, B. & Fineout-Overholt, E. (2005). Evidence-based Practice in Nursing and Healthcare. Philadelphia: Lippincott Williams & Wilkins.

Polit, D. & Beck, C. (2004). Nursing research principles and methods, 7th ed. Philadelphia: Lippincott Williams & Wilkins. www.qsen.org APA Format (10 points) http://owl.english.purdue.edu/owl/resource/560/01/