EBP Project Proposal: Implementation Plan Paper

EBP Project Proposal: Implementation Plan Paper

EBP Project Proposal: Implementation Plan Paper

Acute care nurses serve patients with complex health needs. Routine exposure to such conditions is mentally and emotionally exhausting, exposing nurses to stress, anxiety, and occupational burnout. From a health dimension, emotional, physical, and mental health problems affect healthcare professionals’ overall productivity and well-being. As a result, it is crucial to develop evidence-based interventions to help acute care nurses cope with their job’s stressful nature. Mindfulness-based interventions are highly effective in managing negative thoughts, reducing distress, enabling nurses to cope with burnout, and improving job satisfaction (Daigle et al., 2018; Ghawadra et al., 2019). However, mindfulness-based interventions only help if implemented effectively. The purpose of this paper is to discuss the implementation plan of mindfulness-based interventions to reduce stress within eight months.

The Setting and Access to Potential Subjects

The setting is a long-term care facility providing specialized care for people struggling to live independently. Routinely, nurses offer advanced care to patients with varying conditions and perform advanced and therapeutic procedures. The overall responsibility is highly demanding from physical, emotional, and mental dimensions due to the needy nature of patients and the empathetic connection required. As the potential subjects, accessing the nurses requires approval since the nature of the project, rationale, and benefits must be explicit. Indeed, consent is necessary when dealing with human subjects to prevent harm or abuse.

Timeline

Evidence-based practice (EBP) projects are time-consuming. They require massive resources too. Due to their demanding nature, project leaders should have a definite timeline regarding when an activity should be completed. The entire project is expected to take eight months. Activities involved include meeting with the management and other stakeholders to explain the project’s rationale and get managerial approval (1 month), budgeting and looking for resources necessary to implement the project (1 month), mindfulness-based training to impart necessary skills (2 months [2 days per week]), evaluation of outcomes (1 month), report writing and suggestions for further improvement (2 months), and adopting continuous training as an organizational policy document (1 month). The training will focus on skills such as mindfulness meditation, breathing, and mindfulness-based cognitive therapy. They help healthcare professionals to increase intentional attention, regulate thoughts, and cope with distressing thoughts and emotions (Shapero et al., 2018). Regulating attention enhances focus, accuracy, and productivity.

Budget and Resource List

EBP projects require different resources based on their type, scope, and targeted impacts. Since the project’s target is empowering acute care nurses to cope with stress and burnout through mindfulness-based interventions, intensive training will be required. As a result, the project leader will work alongside nurse leaders, the management, and expert trainers on mindfulness to implement the project. Besides human resources, supplies, equipment, and facilities such as a training venue, refreshments during the training, writing and reading materials will be required. Computer-related costs include a laptop, a projector, a projecting board, and an internet connection. Appendix 3 (budget and resource list) provides the monetary estimates of the resources required, including miscellaneous and emergency.

Data Collection Design and Project Evaluation

Data is the basis of correct decision-making in health practice. It helps healthcare professionals to evaluate success, compare performance, and make appropriate estimates. The most effective design for collecting data and evaluating the effectiveness of the EBP project proposal is a qualitative design. The project is primarily about enhancing acute nurses’ knowledge to deal with stressful situations and improve satisfaction. As a result, data collection will focus on their feelings, perceptions, and readiness to implement the taught skills in routine practice. Merriam and Grenier (2019) defined qualitative design as a method to gain insight, describe phenomena, and test relationships. It is objective and seeks to obtain information about issues and concepts. Unlike quantitative design, the qualitative approach does not deal with numbers. The EBP project proposal also focuses on knowledge and ability that cannot be quantified. As a result, the qualitative design will help gain insights and explore changes in perception, knowledge, and ability to cope with workplace anxiety, distress, and burnout through mindfulness-based interventions. The difference in knowledge and ability to implement mindfulness before and after training will reliably indicate whether the project was successful or not.

Methods and Instruments: Monitoring the Implementation

As explained in the timeline section, the EBP project proposal has several implementation sections. Each section must be monitored to ensure that all activities have been executed as expected. As a result, the most effective instrument is a rating scale to rate activity completion based on what was done and not done. For instance, during the training, the project leader will monitor whether all nurses attended the training as expected (two sessions per week for two months). Based on the attendance, the project leader will rate the training as completed, requiring improvement, or failure. Also, there will be a section of further remarks to guide improvement if needed (Appendix 4).

 Delivering the Intervention

Mindfulness-based interventions are a coping strategy. They help nurses overcome pressures to prevent burnout (Ghawadra et al., 2019). Since the intervention involves making the nurses more knowledgeable, skillful, and satisfied to execute everyday work, intensive two-month training on mindfulness will be conducted. Each week, nurses will undergo two sessions to learn a mindfulness-related concept/skill, including breathing, body relaxation, meditation, and cognitive therapy. They will be further taught to identify stressors in the early stages to enable them to practice mindfulness as early as possible.

Stakeholders Needed to Implement the Plan

The success of an EBP project usually depends on stakeholder commitment and engagement. Stakeholder collaboration and buy-in are vital to completing the project within defined timelines. The facility’s management is among the key stakeholders to influence the project positively. As the executive authority, the management provides the necessary financial and material resources for implementing change-driven projects. They also prepare the organization and staff for the desired change. Nurse leaders will also be needed to organize the training and help the project leader. The other crucial stakeholder is a professional trainer on mindfulness and its application in stressful work environments.

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Potential Barriers and Strategies to Overcome Barriers

EBP projects implementation is never straightforward. Challenges and barriers impeding project implementation can be experienced in any project phase. Potential barriers to the plan include the busy nature of acute care nurses. It will be challenging to have them attend the session as planned without disrupting patient care delivery. The other potential challenge is resource facilitation. It is common in EBP projects since organizations do not always set aside resources for EBP projects. Resistance is another potential barrier. Despite the benefits of an EBP project, not all healthcare professionals are ready for change (Mathieson et al., 2019). In this case, not all nurses will be comfortable with mindfulness-based training and implement the learned skills as required. Since such barriers hamper success, it is crucial to engage the management actively throughout the project. The management should be adequately informed about the project’s rationale to support it through resources and other means. Nurses should also undergo a pre-training session detailing the implications of stress and burnout on well-being and productivity and the benefits of mindfulness-based interventions.

Feasibility of the Implementation Plan

EBP projects should only be implemented if they are feasible. The implementation plan is feasible since it is not expensive from a financial dimension. The facility can provide most resources without incurring costs such as the training venue and human support. Besides, the timing of the project is excellent since many nurses are emotionally and mentally drained after handling the COVID-19 pandemic under stressful conditions (Sampaio et al., 2020). Therefore, the project focuses on a critical aspect of nurses’ health when they most need it. The timeline further provides the project’s leader with adequate time to meet the necessary stakeholders, search for resources, and organize the training.

Conclusion

Acute care nurses are a vulnerable population as far as mental, emotional, and physical exhaustion is concerned. Accordingly, evidence-based interventions to improve the well-being and productivity of acute care nurses are essential. As discussed in this paper, the EBP project proposes using mindfulness-based interventions to help acute care nurses overcome stress, anxiety, burnout, and other problems affecting their output. The project is expected to take eight months, with mindfulness training the process to deliver the intervention. Nurses will learn coping skills related to mindfulness, including breathing, relaxation, and meditation.

References

Daigle, S., Talbot, F., & French, D. J. (2018). Mindfulness-based stress reduction training yields improvements in well-being and rates of perceived nursing errors among hospital nurses. Journal of Advanced Nursing, 74(10), 2427–2430. https://doi.org/10.1111/jan.13729

Ghawadra, S. F., Abdullah, K. L., Choo, W. Y., &Phang, C. K. (2019). Mindfulness-based stress reduction for psychological distress among nurses: A systematic review.Journal of Clinical Nursing, 28(21–22), 3747–3758.https://doi.org/10.1111/jocn.14987

Mathieson, A., Grande, G., &Luker, K. (2019). Strategies, facilitators and barriers to implementation of evidence-based practice in community nursing: a systematic mixed-studies review and qualitative synthesis. Primary health care research & development, 20: e6. https://dx.doi.org/10.1017%2FS1463423618000488

Merriam, S. B., &Grenier, R. S. (Eds.). (2019). Qualitative research in practice: Examples for discussion and analysis. John Wiley & Sons.

Sampaio, F., Sequeira, C., & Teixeira, L. (2020). Nurses’ mental health during the Covid-19 outbreak: a cross-sectional study. Journal of Occupational and Environmental Medicine, 62(10), 783-787. doi: 10.1097/JOM.0000000000001987

Shapero, B. G., Greenberg, J., Pedrelli, P., de Jong, M., &Desbordes, G. (2018).Mindfulness-based interventions in psychiatry. Focus, 16(1), 32-39.https://dx.doi.org/10.1176%2Fappi.focus.20170039

Appendices

Appendix A: Approval Form

Name of the Organization:
Your Name:
Profession:
Type of project
Rationale
Benefits
Resources required
Time taken
Expected organizational changes/disruptions
Potential risks to human subjects
Approved/Not approved and reasons:

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Appendix B: Timeline

Number	Activity	Implementation Time
1	Meeting with the management and other stakeholders	1 month
2	Searching for resources	1 month
3	Mindfulness-based training	2 months
4	Evaluation of outcomes	1 month
5	Compiling the findings and suggestions for further improvement	2 months
6	Adoption of the training as an organizational practice	1 month

 

Appendix C: Budget and Resource List

Number	Item/Resource	Estimated Cost
1	Professional trainer	$2,000
2	Human support [appreciating nurse leaders for support]	$500
3	Training venue	$0
4	Refreshments during training	$700
5	Laptop [available]	$0
6	Projector (hired) and projecting board	$25
7	Writing and reading materials	$50
8	Miscellaneous and emergency response	$850

 

Appendix D: Instruments

Number	Activity	Completed/Not Completed	Success rating 1.      Successful 2.      Requiring improvement 3.      Failure
1	Meeting with the management and other stakeholders
2	Searching for resources
3	Mindfulness-based training
4	Evaluation of outcomes
5	Compiling the findings and suggestions for further improvement
6	Adoption of the training as an organizational practice

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Assessment Description
In 1,250-1,500 words, discuss the implementation plan for your evidence-based practice project proposal. When required, create the appropriate form, table, image, or graph to fully illustrate that aspect of the intervention plan and include them in an appendix of your paper. You will use the implementation plan, including the associated documents in your appendices, in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal.

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. Include a draft of the form as an appendix at the end of your paper.
Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Based on the timeline you created, describe the amount of time needed to complete this project. Include a draft of the timeline as an appendix at the end of your paper.
Develop a budget and resource list. Consider the clinical tools or process changes that would need to take place. Based on the budget and resource list you developed: (a) describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution; (b) outline 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). Include a draft of the budget and resource list as an appendix at the end of your paper.
Explain whether you would select a qualitative or quantitative design to collect data and evaluate the effectiveness of your evidence-based practice project proposal. Provide rationale to support your selection.
Describe the methods and instruments (questionnaire, scale, or test) to be used for monitoring the implementation of the proposed solution. Include the method or instrument as an appendix at the end of your paper.
Explain the process for delivering the intervention and indicate if any training will be needed.
Discuss the stakeholders that are needed to implement the plan.
Consider all of the aspects of your implementation plan and discuss potential barriers or challenges to the plan. Propose strategies for overcoming these.
Establish the feasibility of the implementation plan.
Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite a minimum of five peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.