Benchmark: EBP Proposal Project: Framework or Model for Change Paper

Benchmark: EBP Proposal Project: Framework or Model for Change Paper

Benchmark: EBP Proposal Project: Framework or Model for Change Paper

Benchmark: EBP Proposal Project: Framework or Model for Change

Evidence-based practice projects are based on the spirit of inquiry of practitioners (nurses or physicians) and existing research from other practitioners. When planning research projects, it is imperative to use a framework that can provide a map of the elements and questions that will require attention and to be addressed to ensure the success of the project (Christenbery et al., 2019). This manuscript will describe the Stetler Model and how it will be used to develop and implement this evidence-based project.

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Selected Model or Framework for Change & Benefits

As stated earlier, the selected model is the Stetler Model. This model was chosen because of its simplicity, critical thinking focus, and how similar it is to the nursing process. This model was first published in 1976, with two later revisions in 2001 and 2010 (Melnik & Fineout-Overholt, 2018). The Stetler Model contains five phases, each phase contains questions and critical thinking tips designed to facilitate safe and effective use of research findings (Stetler, 2001). This model is also practitioner-oriented because focuses on the use of findings by the individual practitioner/group of practitioners and it uses internal and external evidence. Another benefit of using this model is that validates patients’ preferences and wishes and counts it as interval evidence that can be used to evaluate outcomes and achieve best practice. Again, the model focuses on enhancing the interaction between patients and providers based on its attributes as patient-centered and provider-driven.

Stages of the Change Model: Stetler Model

The Stetler model allows nurse practitioners to evaluate how to implement research evidence in clinical practice in creating change that focuses on and promotes patient-centric care. The model entails five steps or phases. These include preparation, validation, comparative evaluation and decision-making, translation or application, and evaluation. The preparation phase entails identifying the priority needs and purpose of the project (Karl & Mion, 2020). These include the context or setting and relevant sources of evidence.

The validation stage assesses the sources of evidence to attain their level and overall quality (Stetler, 2001). This includes determining if they have merit and whether they should be accepted based on the purpose of the project. The stage assists in reducing errors in making critical decisions and categorization of evidence. The third stage requires a comparative analysis or evaluation and decision-making on the evidence findings where the practitioner or organization logically summarizes the outcomes of the research search. The stage entails highlighting the similarities and differences in the evaluated sources of evidence (Christenbery, 2019). During this stage, the organization determines if it is acceptable and feasible to implement the findings in clinical practice to improve patient care and processes.

The fourth stage is the translation or application where the provider or organization develops strategies for the implementation of the summarized results and evidence from existing literature. The stage implores the provider and organization to identify core implications that justify the use of these findings to create change in care practice (Melnik et al., 2018). The fifth stage is about evaluating the expected outcomes of the project and determining if it has attained the set goals. The implication is that the evaluation should ascertain if the project was successfully implemented to attain its goals and aspirations for change in the organization. Each phase of the model is designed to facilitate critical thinking on the practical use of the research findings, lead to the use of evidence in the context of daily clinical practice and reduce or prevent any human errors arising from decision-making.

Application of the Model in Proposed Implementation

 The model is critical to the implementation of the proposed EBP project in the practice setting to create meaningful changes in processes and patient outcomes through improved efficiencies and workflow while integrating patient-centered needs and addressing their core concerns. The application of the model will entail identifying the EBP change project’s purpose. In this case, it entails improving processes and patient outcomes through efficiency and workflow practices. Further, at this stage, searching for relevant sources of evidence would also occur through the evaluation of existing literature on past studies. A core aspect at this stage would be the development of a PICOT question framework to guide the EBP project proposal (Karl et al., 2020). The PICOT framework identifies the population or problem, the intervention, the comparison with another aspect, outcomes from the project, and the duration or time of the implementation to create change.

The validation would occur by ensuring that the level of evidence and quality is high. For instance, the project will use level I, II, and II articles like systematic reviews, meta-analyses, and randomized control trials. The comparative evaluation will entail providing a summary of the themes from the studies, especially categorizing the similarities and differences emanating from the evaluated sources. In the translation or application phase, the project will develop effective strategies like nursing sessions, improving health information technologies, stakeholder engagement, and forming teams as well as change champions in different departments to implement these changes (Christenbery, 2019). Effective communication will also be a core aspect of the application phase. The evaluation will measure the overall project outcomes and ascertain if it attained its goals. The evaluation will occur simultaneously to ensure that any errors are identified and rectified.

Conclusion

Evidence-based practice (EBP) change implementation frameworks are critical to executing proposed EBP projects in healthcare settings. These models offer guidelines and allow practitioners and organizations to carry out changes in an effective manner to enhance quality care. EBP change processes are patient-centered and leverage practitioners’ knowledge and expertise to improve overall care delivery.

 References

Christenbery, T. L. (2019). Evidence-based practice in nursing: Foundations, skills, and roles.

            Springer Publishing Company.

Karl, J., & Mion, L. (2020). Research data in hospitals and health systems. In Data for Nurses

            (pp. 31-46). Academic Press.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-Based Practice in nursing &

            healthcare (4th ed.). Wolters Kluwer Health.

Stetler, C.B. (2001). Updating the Stetler Model of research utilization to facilitate evidence-

based practice. Nursing Outlook, 49 (6) P. 272-279. https://doi.org/10.1067/mno.2001.120517.

Appendix 1: Conceptual Map for the Stetler EBP Model

Appendix 2: APA Checklist

APA Writing Checklist

Use this document as a checklist for each paper you will write throughout your GCU graduate program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.

☒ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and the format is correct throughout.

☒ The title page is present. APA format is applied correctly. There are no errors.

☒ The introduction is present. APA format is applied correctly. There are no errors.

☒ Topic is well defined.

☒ Strong thesis statement is included in the introduction of the paper.

☒ The thesis statement is consistently threaded throughout the paper and included in the conclusion.

☒ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.

☒ All sources are cited. APA style and format are correctly applied and are free from error.

☒ Sources are completely and correctly documented on a References page, as appropriate to the assignment and APA style, and the format is free of error.

Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and are usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.

Examples of Scholarly Resources include Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.

Peer-Reviewed Journals: Peer-reviewed journals are evaluated before publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.

Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.

Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.

☒ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.

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PLEASE USE THE STETLER MODEL FOR THIS PAPER

Applying a model or framework for change ensures that a process is in place to guide the efforts for change. In 500-750 words, discuss the model or framework you will use to implement your evidence-based practice proposal project. You will use the model or framework you select 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:

Identify the selected model or framework for change and discuss its relevance to your project.

Discuss each of the stages in the change model/framework.

Describe how you would apply each stage of the model or theoretical framework in your proposed implementation.

Create a concept map for the conceptual model or framework you selected to illustrate how it will be applied to your project. Attach this as an appendix at the end of your paper.

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 minimum of four 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.