Nursing Research Utilization Project Proposal: Poster Presentation in Reducing Pressure Ulcers

Image: Ohio State University, 2013

http://stars.csc.ncsu.edu/project/all/#sthash.R692Wh8S.dpbs

Image: Page, 2010

Printing:

This poster is 48” wide by 36” high. It’s designed to be printed on a large-format printer.

Customizing the Content:

The placeholders in this poster are formatted for you. Type in the placeholders to add text, or click an icon to add a table, chart, SmartArt graphic, picture or multimedia file.

To add or remove bullet points from text, just click the Bullets button on the Home tab.

If you need more placeholders for titles, content or body text, just make a copy of what you need and drag it into place. PowerPoint’s Smart Guides will help you align it with everything else.

Want to use your own pictures instead of ours? No problem! Just right-click a picture and choose Change Picture. Maintain the proportion of pictures as you resize by dragging a corner.

A goal of Standing Strong is to provide ongoing programs, including advanced Standing Strong classes along with an individual maintenance goal to reduce falls and increase regular physical activity in older adults (Page, 2010). Standing Strong will maintain a successful project solution through the Safety of Senior Act of 2007. Several method will allow the successful maintenance of this project solution. Safety of Senior Act of 2007 authorizes the Secretary of Health and Human Services to oversee and support a national education campaign focusing on reducing falls among older adults and preventing repeat falls; and award grants, contracts, or cooperative agreements to design and carry out local education campaigns (Govtrack, 2008). Conducting research funded by the Safety of Senior Act of 2007 will allow continual maintenance of Standing Strong through facts that support this project solution. Through research conducted will allow for improvements in the identification of older adults who have a high risk of falling; along with improving data collection and the analysis to identify fall risk and protective factors (Govtrack, 2008). The dissemination of proven, effective fall prevention intervention from research will maintain a successful project solution (Govtrack, 2008). These methods and specific plans will maintain a successful project solution.

Plans to extend Standing Strong to other communities and facilities will include financial support from the Safety of Senior Act of 2007. Extension will support this project solution is effective in the reduction of falls in older adults in the communities through physical exercise and education. The act will aid in continual research to implement, and evaluate the most effective approaches to reduce falls among high-risk older adults living in communities (Govtrack, 2008). Extension of this solution will be done by the design, implementation and evaluation of fall prevention programs using proven intervention strategies along with carrying out a multistate demonstration project (Govtrack, 2008). The multistate demonstration project include several communities adopting the Standing Strong program with results from the implementation. This plan will also include reports to Congress on the effects of falls on health care costs and the most effective strategies for reducing associated health care costs related to falls in older adults in the communities (Govtrack, 2008). Documented effectiveness of this project solution will serve as a marketing tool for other programs similar to Standing Strong. Page (2010) the Safety of Senior Act of 2007 will provide new opportunities for communities to implement evidence based fall prevention programs as well as for researchers to investigate the translation of the program for widespread dissemination.

Revisions of an unsuccessful project solution starts with analyzing the reviews and comments about the project. When analyzing, look for consistency in comments and the problems that are identify. This will allow the focus of the revision. Once this revision topic is chosen seek an expert opinion. The Program Officer should be contacted to discuss the possible revisions. Reassessments of the proposed solution and components that need revision will be completed. Decisions on whether the project is important and relevant; once this decision is made continue the project solution revision or move on (Piechowski, 2010).

Terminating the proposed solution of Standing Strong will be done with termination by extinction. These are projects brought to an end often before completion because they are unsuccessful, fail to meet end-user objectives, are superseded by technical advances that make the project obsolete, or because cost escalations destroy economic viability of the project (Project Man, 2015). Expectations to end the project abruptly should not occur. Administration closure and processes within the organization should be made to end the project properly. A final report will be drafted along with dissemination of lesson learned (Project Man, 2015). Lesson learned will allow the team to overview everything and prevent the termination from happening again. Administrative closure will involve bringing to completion of all internal aspects of the project concerning team members, management, stakeholders, financials, and equipment (Project Man, 2015). This will ensure that all loose end are brought to an end. The first step should begin early in the process and it will include contacting the team members and managers to prepare them for the termination. Two important actions should include the managers determining the team members’ next assignments and the project manager communicating staff-members performance to the resource manager (Project Man, 2015). These steps will allow proper termination of the unsuccessful solution through termination through extinction.

 

Standing Strong will disseminate evidence through community meetings. Even though there are many ways to disseminate information like handouts, oral presentation, and social media; community meetings were the most appropriate for this setting. Presenting this information can be challenging due to the variety of audience members. Before making this presentation, it is important to collaborate with the community leaders about culturally sensitive information of potential participants of the meeting (Mazurek Melnyk, 2011). Presenting to a mixed audience can be difficult but it is best not to use abbreviations; all acronyms should be defined. There should be ample time for questions and answers during the presentation as well as an allotted time for questions after the presentation. The use of slides and corresponding handouts are useful in keeping participants engaged and focused on the presentation (Mazurek Melnyk, 2011) pp. 367).

Feedback will help to strengthen the proposed study and facilitate the professional growth of the investigator (Mazurek Melnyk, 2011). The Safety of Senior Act of 2007 committee will act as a reviewer for the proposed solution resulting in possible funding for the project. Reviewers typically judge the significance of a project whether it addressed an important problem or extends what is known in the area (Mazurek Melnyk, 2011). Feedback from the reviewer can include supportive or non-supportive feedback in regards to the proposed solution. Mazurek Melnyk, (2011) Feedback can include comments such as the literature does not capture the entire body of information on the selected concepts; the argument for why an intervention in this particular population is needed is not strong; or it is not clear how this study or project builds on prior work in the area (pp. 465). Feedback will be considered carefully and the proposed solution will be altered accordingly.

Communication is vital to the success of a proposed solution. Communicating the project and its results to external professional groups Involving individuals will facilitate their buy-in and commitment to the project (Mazurek Melnyk, 2011 pp. 286). Clear and effective communication to external profession groups such as community centers and senior living facilities will facilitate communication.

There are several barriers that may affect the project solution but there are ways to overcome those barriers. Exercise programs similar to Standing Strong are proven effective in the research setting but are difficult to disseminate and implement in the community (Page, 2010). It is pointless and useless to have an evidence based program that is only effective on paper and unsuccessful in communities. Several issues and barriers to deliver fall prevention programs in senior centers including space, staffing and recruitment of participants (Page, 2010). A major issue is replicating the research into the communities to aid in the reduction of falls among older adults. The plan to overcome these barriers will include the use of RE-AIM which was developed to enhance the interpretation of research into the communities. RE-AIM is a strategy to evaluate an evidence based program’s success in the community through variables including reach, effectiveness, adoption, implementation and maintenance (Page, 2010). Reach as many targeted individuals that are 49 years old and older without severe cognitive impairment; retaining these individuals throughout the program (Page, 2010). Effectiveness is reaching the goals of Standing Strong to reduce falls and fall related injuries as well as improving physical activities. Adoption is used as the steps necessary to get started with the program before it is actually implemented (Page, 2010). This step includes ordering supplies, developing a schedule for the classes and education component while training the staff members. Implementation ensure the fidelity of the program including the program schedule, instructions and qualified physical and occupational therapist (Page, 2010). Maintenance is providing ongoing programs while the continual reduction of falls while increasing physical activity among the participants. The overall goal of the RE-AIM framework is to encourage program planners, evaluators, readers of journal articles, funders, and policy-makers to pay more attention to essential program elements including external validity that can improve the sustainable adoption and implementation of effective, generalizable, evidence-based interventions (Ohio State University, 2013).

1