NUR 590 Evidence Based Project Proposal Evaluation Plan Essay

NUR 590 Evidence Based Project Proposal Evaluation Plan Essay

NUR 590 Evidence Based Project Proposal Evaluation Plan Essay

 Evidence Based Practice Project: PICOT Paper

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 Exclusive breastfeeding is essential for healthy term neonates and their parents or mothers as it increases release of oxytocin, reduces stress, and promotes bonding. The World Health Organization (WHO) (2020) recommends exclusive breastfeeding for the first six months for babies born without any complications to improve their immune system and growth. As such, implementation of such intervention in healthcare settings, especially in mother and child health (MCH) settings is essential to improve quality of life, not just for the new born but also the mother during the postpartum period. As an evidence-based practice project, exclusive breastfeeding allows mothers to reduce stress and focus more on their neonates through developing effective bonding. The purpose of this paper is to describes aspects of the PICOT that include population, intervention, comparison, outcome and time concerning the use of skin-to-skin care for newborns to improve bonding and breastfeeding.

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Refined PICOT statement/Question

In healthy, term neonates (P), does skin-to-skin contact (I) when compared to neonates without skin-to-skin contact with the mother (C) lead to increased exclusive breastfeeding rates (O) over a course of 6 months (T)?

Population Demographics and Health Concerns

The targeted population demographics for this evidence-based practice (EBP) project include healthy term neonates and their mothers. The health concerns in this case include improving rates of exclusive breastfeeding. Studies indicate that nurses and other healthcare providers can help mothers in postpartum period increase rates of exclusive breastfeeding through teaching them and demonstrating the importance of skin-to-skin contact. Exclusive breastfeeding leads to better immune system and helps mothers have stronger bonds with their newborns (Sanchez-Espino et al., 2019). However, the use of skin-to-skin contact as an evidence-based practice (EBP) intervention remains scarcely discussed and implemented in different healthcare settings. As such, it is essential to explore this intervention to increase the rates of exclusive breastfeeding among mothers during the postnatal time.

Proposed EBP Intervention & Incorporation of Policies and Goals for Health Equity

The proposed EBP intervention is the implementation of skin-to-skin contact between mothers and neonates during the postpartum period. As discussed, existing studies are categorical that skin-to-skin contact (STSC) is an effective approach to improving breastfeeding among mothers during the postnatal period. In their study, Safari et al. (2018) assert that skin-to-skin contact after birth creates numerous positive effects for both the mother and the newborn. However, the study notes that the intervention is underutilized in different health systems. The study notes that skin-to-skin contact is easy to implement and aligns with many policies and goals of attaining health equity. Again, Huang et al. (2021) show that SSC after birth improved he total self-efficiency levels for breastfeeding, especially neonatal breastfeeding abilities.

The use of this intervention aligns with health policies and goals aimed at improving health equity not just in the United States but also across the world. According to WHO, nations and health care systems can attain health equity when they implement interventions that reduce infant mortality like exclusive breastfeeding for the first six months of the newborn. WHO asserts that skin-to-skin contact (SSC) helps newborns breastfeed well and improves their overall bonding. WHO policy recommends that newborns should breastfeed exclusively for the first 90 minutes to naturally adapt to their new environment in the most natural place; through SSC with their mothers. The Healthy People 2030 also emphasizes the important role of exclusive breastfeeding through skin-to-skin contact to improve quality of life and interaction between mother and the newborn. Therefore, the intervention is essential in improving breastfeeding, especially exclusive breastfeeding.

Comparison of the Intervention to Previous Practice

The normal or previous practice entailed separating the neonates from the mother after birth to allow them to recuperate. In some cases, the mothers never get the chance to have SSC in the initial 90 minutes after birth and this can affect the overall rate of exclusive breastfeeding, particularly in cases of cesarean section where the mother cannot breastfeed immediately.  As such, the intervention is different from the previous practice where the emphasis on SSC is underutilized or never used at all.

Expected Outcomes of the Intervention

As depicted by the PICOT question and statement, the intervention’s primary goal is to increase the rates of exclusive breastfeeding among mothers during postnatal period. The expected outcome is to improve the rates of exclusive breastfeeding by 70% in the first six months based on recommendations from WHO and the national policies developed by Healthy People 2030 and other frameworks.

Time for the Implementation and Evaluation of the Outcome

The time for implementation of this intervention would be six months after the delivery of the neonates. This means that skin-to-skin contact (SCC) would be implemented throughout the first six months as required for exclusive breastfeeding to increase the expected benefits for both the mothers and the neonates. Evaluation of this intervention would entail recording or reporting of a rise in the number of mothers accepting the intervention and a rise in the rates of health benefits for infants under the initiative (Karimi et al., 2019). The evaluation will occur concurrently with the implementation during the six months.

Nursing Science, Social Determinants & Data in Population Health Management

Nursing science, social determinants of health, and epidemiological, genomic and genetic data support population health management for neonates and the postpartum mothers as they allow practitioners to use best practices in care delivery. Nursing science enables nurses to understand various aspects of care provision while social determinants of health implore patients to focus on better interventions to improve care outcome like exclusive breastfeeding (Safari et al., 2018). Data emanating from epidemiology, genomes and genetic materials is essential to develop effective and EBP interventions to improve care delivery (Huang et, 2022). The use of these aspects is essential for the management of the selected population as they give guidelines for nurses to integrate better approaches to encourage mothers to embrace the SSC intervention to improve exclusive breastfeeding for neonates.

Conclusion

Skin-to-skin contact (SSC) is an imperative approach to improving breastfeeding among mothers during postnatal time. The intervention comes with several benefits for both the mothers and the neonates as well as nurses who help in the implementation. The intervention is based on EBP and will improve overall quality of life for the selected population.

References

Huang, J. Z., Chen, C. N., Lee, C. P., Kao, C. H., Hsu, H. C., & Chou, A. K. (2022). Evaluation

of the Effects of Skin-to-Skin Contact on Newborn Sucking, and Breastfeeding Abilities: A Quasi-Experimental Study Design. Nutrients, 14(9), 1846. DOI: 10.3390/nu14091846

Karimi, F. Z., Sadeghi, R., Maleki-Saghooni, N., & Khadivzadeh, T. (2019). The effect of

mother-infant skin to skin contact on success and duration of first breastfeeding: A systematic review and meta-analysis. Taiwanese Journal of Obstetrics and Gynecology, 58(1), 1-9. https://doi.org/10.1016/j.tjog.2018.11.002

Safari, K., Saeed, A. A., Hasan, S. S., & Moghaddam-Banaem, L. (2018). The effect of mother

and newborn early skin-to-skin contact on initiation of breastfeeding, newborn temperature and duration of third stage of labor. International breastfeeding journal, 13(1), 1-8. DOI: https://doi.org/10.1186/s13006-018-0174-9

Sanchez-Espino, L. F., Zuniga-Villanueva, G., & Ramirez-GarciaLuna, J. L. (2019). An

educational intervention to implement skin-to-skin contact and early breastfeeding in a rural hospital in Mexico. International Breastfeeding Journal, 14(1), 1-9. DOI: https://doi.org/10.1186/s13006-019-0202-4

World Health Organization (WHO). (2020 August 7). Skin-to-skin contact helps newborns

breastfeed. https://www.who.int/westernpacific/news-room/feature-stories/item/skin-to-skin-contact-helps-newborns-breastfeed

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Assessment Traits

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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.

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