NUR-590 Evidence-Based Practice Proposal – Section F: Evaluation of Process Essay

This nursing essay is an example of Section F: Evaluation of Process of the NUR-590 Evidence-Based Practice Proposal paper also known as practice proposal section F implementation. The paper also explores NUR organizational culture and readiness, the evidence-based practice proposal section, and the practice proposal section f evaluation.

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Introduction to Section F: Evaluation of Process Nursing Essay

This EBP project will guide nurses on how to reduce 30 days post-discharge readmission rates. A decision will, therefore, be made on whether to accept and amend the practice change. The chief changer agent together with the quality manager and case management director will evaluate the process by assessing the utilized evidence-based materials.

The rationale for the Methods Used in Collecting the Outcome Data – Section F: Evaluation of Process

It is easier for most patients to respond to questions using a Likert scale. It is also possible to get the contributing factors to the patients’ worsening health state such as dietary, comorbidity, and non-adherence to patient education. For instance, the nurse can give them dietary recommendations as well as common food’s specific sodium content. They are also able to assess whether the patients received full medical evaluation or not. Patients who are at high risk for readmission due to para-medical reasons like non-optimal medication are also identified with ease.

Ways in Which the Outcome Measures Evaluate the Extent to Which the Project Objectives Are Achieved- Section F: Evaluation of Process

By getting the comparison of the 30 days readmission rate for outpatients receiving additional information to inpatients getting traditional education, the extent of achievement of reduction of readmission rate will be evaluated. According to Ziaeian, and Fonarow (2016), discharge education helps in reducing readmissions of heart failure patients. However, this intervention alone is not enough to reduce heart failure readmission rates. There is, therefore, a need for other interventions like discharge planning, prior scheduling of follow-up, communicating with outpatient providers, medication reconciliation, and follow-up telephone calls. Readmission is prevented since these patients receive necessary information about diet, how to adhere to medication, and also how they can manage symptoms on their own.

Outcome Measures and Their Evaluation -Section F: Evaluation of Process

The proposed EBP project outcome measure to be measured will be to measure the rates of readmission for those HF patients receiving extra education within an outpatient setting in comparison to those who received the standard education offered to in-patients. The anticipated outcome will also be to increase self- care behavior knowledge and early recognition of symptoms in need of attention by the primary care physician. The validity and reliability of the data will be premised on the fact that the data will be obtained from HF patient director of case management. Similarly, the data’s applicability will rely heavily on the director of quality who prepares reports on monthly reports an HF subcommittee. ebp nursing

Strategies to Take If Outcomes Provide Negative Results – Section F: Evaluation of Process

It’s not always that the results of a project turn out to be positive. It is, therefore, necessary to formulate strategies that would be implemented in case the outcomes are negative. If negative results are registered, the implementation plan would be revised by identifying the barriers at the patient, health providers, and system-level barriers. Possible ways of addressing the obstacles would also be devised. Among other strategies to address these barriers include the medical home establishment in outpatient clinics, partnership creation with community resources for patients with low income, and medical home establishment with heart failure patients and families (Figueroa et al., 2017). Alternatively, we would look for suitable ways of addressing the study limitations. Chamberlain et al., (2018) acknowledge that a larger sample size would be lead to an accurate measure of changing trends. Patients from several organizations would also be used. These would help to improve health outcomes.

This nursing essay is an example of section f: evaluation of process of the nur-590 evidence-based practice proposal paper.  
This nursing essay is an example of Section F: Evaluation of Process of the NUR-590 Evidence-Based Practice Proposal paper.

Implications for Practice and Future Research – Section F: Evaluation of Process

Advanced Practice Nurses (APNs) are responsible for the care coordination of care for heart failure patients. They assess the patient’s needs; implement necessary educational elements for chronic condition management as well as evaluation of patients’ adherence to management behaviors for self-care. They also check the patients’ daily weights, understand dietary restrictions, and also identify worsening symptoms. Their expertise also promotes positive healthcare practices. To direct change in practice, future research should be based on existing study findings. The research should also determine whether the outcome quality of heart failure patients is improved by education led by APNs. If the education tool used is successful, its use would be continued at the project facility.

Conclusion – Section F: Evaluation of Process

The results of the project will determine whether it will provide the nurses with a framework to apply future interventions for heart failure management. Improved outcomes and reduced 30 days readmission rate will indicate better implementation of the chosen strategies. In the long run, heart failure patients will benefit from the health facility.

References

Chamberlain, R. S., Sond, J., Mahendraraj, K., Lau, C. S., & Siracuse, B. L. (2018). Determining 30-day readmission risk for heart failure patients: the Readmission after Heart Failure scale. International journal of general medicine, 11, 127.

Figueroa, J. F., Joynt, K. E., Zhou, X., Orav, E. J., & Jha, A. K. (2017). Safety-net hospitals face more barriers yet use fewer strategies to reduce readmissions. Medical care, 55(3), 229.

Ziaeian, B., & Fonarow, G. C. (2016). The prevention of hospital readmissions in heart failure. Progress in cardiovascular diseases, 58(4), 379-385.

Section F: Evaluation of Process Instructions

In 500-750 words, develop an evaluation plan to be included in your final evidence-based practice project. Provide the following criteria in the evaluation, making sure it is comprehensive and concise:

  1. Describe the rationale for the methods used in collecting the outcome data.
  2. Describe the ways in which the outcome measures evaluate the extent to which the project objectives are achieved.
  3. Describe how the outcomes will be measured and evaluated based on the evidence. Address validity, reliability, and applicability.
  4. Describe strategies to take if outcomes do not provide positive results.
  5. Describe implications for practice and future research.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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. Please refer to the directions in the Student Success Center.

Note: After submitting the assignment, you will receive feedback from the instructor. Use this feedback to make revisions for your final paper submission. This will be a continuous process throughout the course for each section.

Read More on Benchmark – Change Initiative: Implementation, Evaluation, and Sustainability

Course Code Class Code Assignment Title Total Points
NUR-590 NUR-590-O500 Evidence-Based Practice Proposal – Section F: Evaluation of Process 100.0
Criteria Percentage Unsatisfactory (0.00%) Less than Satisfactory (80.00%) Satisfactory (88.00%) Good (92.00%) Excellent (100.00%) Comments Points Earned
Content 70.0%
Rationale for the Methods Used in Collecting the Outcome Data 10.0% A description of the rationale for the methods used in collecting the outcome data is not included. A description of the rationale for the methods used in collecting the outcome data is present, but it lacks detail or is incomplete. A description of the rationale for the methods used in collecting the outcome data is present. A description of the rationale for the methods used in collecting the outcome data is clearly provided and well developed. A comprehensive description of the rationale for the methods used in collecting the outcome data is thoroughly developed with supporting details.
Ways in Which the Outcome Measures Evaluate the Extent to Which the Project Objectives Are Achieved 10.0% A discussion of ways in which the outcome measures evaluate the extent to which the project objectives are achieved is not included. A discussion of ways in which the outcome measures evaluate the extent to which the project objectives are achieved is present, but it lacks detail or is incomplete. A discussion of ways in which the outcome measures evaluate the extent to which the project objectives are achieved is present. A discussion of ways in which the outcome measures evaluate the extent to which the project objectives are achieved is clearly provided and well developed. A comprehensive discussion of ways in which the outcome measures evaluate the extent to which the project objectives are achieved is thoroughly developed with supporting details.
How the Outcomes Will Be Measured and Evaluated Based on the Evidence, Including Validity, Reliability, and Applicability 20.0% A discussion of how the outcomes will be measured and evaluated based on the evidence, including validity, reliability, and applicability, is not included. A discussion of how the outcomes will be measured and evaluated based on the evidence, including validity, reliability, and applicability, is present, but it lacks detail or is incomplete. A discussion of how the outcomes will be measured and evaluated based on the evidence, including validity, reliability, and applicability, is present. A discussion of how the outcomes will be measured and evaluated based on the evidence, including validity, reliability, and applicability, is clearly provided and well developed. A comprehensive discussion of how the outcomes will be measured and evaluated based on the evidence, including validity, reliability, and applicability, is thoroughly developed with supporting details.
Strategies to Take if Outcomes Do Not Provide Positive Results 10.0% A discussion of strategies to take if outcomes do not provide positive results is not included. A discussion of strategies to take if outcomes do not provide positive results is present, but it lacks detail or is incomplete. A discussion of strategies to take if outcomes do not provide positive results is present. A discussion of strategies to take if outcomes do not provide positive results is clearly provided and well developed. A comprehensive discussion of strategies to take if outcomes do not provide positive results is thoroughly developed with supporting details.
Implications for Practice and Future Research 15.0% A discussion of implications for practice and future research is not included. A discussion of implications for practice and future research is present, but it lacks detail or is incomplete. A discussion of implications for practice and future research is present. A discussion of implications for practice and future research is clearly provided and well developed. A comprehensive discussion of implications for practice and future research is thoroughly developed with supporting details.
Required Sources 5.0% Sources are not included. evidencebased practice proposal section Number of required sources is only partially met. Number of required sources is met, but sources are outdated or inappropriate. Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content. Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.
Organization and Effectiveness 20.0%
Thesis Development and Purpose 7.0% Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction 8.0% Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Writer is clearly in command of standard, written, academic English.
Format 10.0%
Paper Format (Use of appropriate style for the major and assignment) 5.0% Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Total Weightage 100%

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