Evidence-Based Practice Project Proposal: Implementation Plan Example
Implementation of the project is critical as it involves actualizing the ideas discussed in the project proposal through practice. Implementation is among the various stages of this project to help incorporate an evidence-based project (EBP) inpatient care to enhance the quality of care and cost-effectiveness (Baier et al., 2020). Therefore, this project will focus on implementing daily use of chlorohexidine to bathe central lines to prevent central-line associated bloodstream infections (CLABSI) in patients admitted in the intensive care unit (ICU). This paper will focus on the setting for project implementation, stakeholders, resources, time, the process of intervention, cost, instruments, data collection plan, barrier identification and management, facilitators, and feasibility of the project.
The implementation of this project will be done in the ICU. Most of the patients admitted to the ICU are prone to infections due to various reasons, including weakened immunity, high morbidity levels, invasive life-saving procedures, and the presence of various disease-causing pathogens in this setting (Baier et al., 2020). Therefore, all healthcare providers, including clinicians and nurses, will be involved in the implementation process. Participants in the projects must be nurses who have worked in the ICU for at least six months. Healthcare workers in other settings or those less than six months of service will be excluded. All patients with central lines admitted to ICU will be included in the study. Comparatively, patients will be grouped into groups as either; cases who will be bathed with chlorhexidine or controls who will be cleaned using normal saline only. The participants will be provided with a consent form before participating in the project. Notably, the consent will indicate the project’s purpose to reduce CLABSI in six months by daily bathing of central lines using chlorhexidine. Finally, participants will be allowed to leave the project at any time of their choice without intimidation.
A minimum of ten weeks will be required to implement this project. Various activities will be carried out at specific times within the ten weeks. The first week will be spent identifying stakeholders as well as champion nurses. The second week will involve identification and gathering resources needed for implementation. In the third week, the staff will be trained about the components of the EBP project to improve their skills and knowledge about the project.. Potential barriers and facilitators will be identified in week four. The actual implementation will be done between weeks five and nine. In week ten, any modifications will be made to enhance project implementation. Therefore, if time is spent as stipulated in this project, success in implementation will be achieved.
Various resources will be required to implement this project in varied capacities effectively. The resources will include both humans and tools. Human resources needed for this project include champion nurses, nurse trainers, and competent nurse practitioners. The nurse is required in this process as they are the primary caregivers. Furthermore, engaging them makes them feel valued and motivated, making them take part to enhance project implementation (Ward et al., 2018 NUR-590 Evidence-Based Practice Project Proposal Implementation Plan). In addition, defining each member`s role and position will help implement the project. These roles will be defined by personal qualifications, competence, and individual commitment to the project. For instance, nurse champions and nurse trainers will educate and train the participating nurse practitioners about bathing central lines with chlorohexidine. Demonstration of skills will enhance training.
Furthermore, they will observe how nurse practitioners carry out the process while reminding them about the correct procedures. Funds will be required in addition to human resources. Funds will be needed to purchase equipment, including training materials, computers, restock chlorohexidine, and compensate champion nurses and nurse trainers for their services.
Methods and instruments
A satisfaction survey will be used to assess the effectiveness of using chlorohexidine to reduce CLABSI in ICU patients. Completion of auditing will require the use of an auditing tool. Auditing will involve comparing data from various sources regarding the use of chlorohexidine and its outcomes. The results will guide the expected outcomes and hence the whole process.
In addition, questionnaires and laboratory tests will help collect data regarding the intervention’s effectiveness. The participating nurses will be required to fill the questionnaires. According to Huskins et al. (2018), questionnaires are simple to use while providing extensive and organized information. The gathered data will be essential in guiding the implementation team during the process.
Intervention Delivery Process
Champion nurses and nurse trainers will take part in delivering the contents of the EBP project. Nonetheless, training and education will be provided by the champion nurses and nurse trainers. The training aims to improve knowledge and skills about an EBP and enhance meeting the anticipated goals through executing appropriate measures (Ansa et al., 2020). Champion nurses will first be trained then mandated to supervise and train other nurses. Training will range from individualized training to overall group demonstration. In addition, charts and pictures demonstrating the correct bathing procedures will be hung strategically to act as a reminder to implement an EBP. Finally, patients will be grouped as either cases or control. Subjects will receive daily bathing with chlorohexidine while the control group will use normal saline.
Data collection on Implementation.
During the implementation process, data will be collected in three stages. Data will be gathered before, during, and after implementing the EBP. The initial data will provide the rates of CLABSI among patients before implementing the intervention. Thereafter, post-implementation data will be collected to identify new cases after the intervention.. Comparisons will be made between findings to assess the effectiveness of the intervention.
Barriers to implementation and how to overcome
The process of implantation will be associated with various facilitators and barriers. Supportive management and enhanced interpersonal collaboration are potential facilitators to implementing the project. Therefore, it is important that the implantation team and the management collaborate to ensure the success of an EBP.
On the other hand, some barriers challenge the implementation of the project. Limited time and negative attitude, for instance, are known deterrents. Time limitations can be addressed by strictly adhering to the implementation plan. This will help ensure that every process is carried out as required without procrastination. Addressing staff`s negative attitude requires clear communication about the purpose and intended outcomes of the project in terms of its benefit. According to Jitrungruengnij et al. (2020), daily bathing of central lines leads to a reduction in the rate of CLABSI. As a result, there are improved patient outcomes, reduced hospital stay, reduced rehospitalization, morbidity and mortality, and reduced cost of care.
The convenience and workability of the project will determine its implementation. The benefits of the projects will be more than the cost of implementation of the whole process. Not only patients will benefit but also healthcare organizations. Reduction of CLABSI will reduce the cost of care, improve patient care, reduce caregiver burden, reduce hospitalization, and increase patient satisfaction. As a result of improved quality of care and cost-effectiveness, most funds will instead be used to purchase other medical improvements and improve outcomes.
The implementation stage is a critical stage like other project processes. The implementation ensures the actualization of the project into practice. In this project, champion nurses, nurse leaders, patients, and nurse practitioners will be required for the success of the project in the ICU. Champion nurses will train and supervise the implantation of chlorohexidine in reducing the rates of CLABSI. The process will be carried out systematically within ten weeks with systematic data collection to assess the effectiveness of the project.
NUR-590 Evidence-Based Practice Project Proposal Implementation Plan References
Ansa, B. E., Zechariah, S., Gates, A. M., Johnson, S. W., Heboyan, V., & De Leo, G. (2020). Attitudes and behavior towards interprofessional collaboration among healthcare professionals in a large academic medical center. Healthcare (Basel, Switzerland), 8(3), 323. https://doi.org/10.3390/healthcare8030323
Baier, C., Linke, L., Eder, M., Schwab, F., Chaberny, I. F., Vonberg, R.-P., & Ebadi, E. (2020). Incidence, risk factors and healthcare costs of central line-associated nosocomial bloodstream infections in hematologic and oncologic patients. PloS One, 15(1), e0227772. https://doi.org/10.1371/journal.pone.0227772
Huskins, W. C., Fowler, V. G., Jr, & Evans, S. (2018). Adaptive designs for clinical trials: Application to healthcare epidemiology research. Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America, 66(7), 1140–1146. https://doi.org/10.1093/cid/cix907
Jitrungruengnij, N., Anugulruengkitt, S., Rattananupong, T., Prinyawat, M., Jantarabenjakul, W., Wacharachaisurapol, N., Chatsuwan, T., Janewongwirot, P., Suchartlikitwong, P., Tawan, M., Kanchanabutr, P., Pancharoen, C., & Puthanakit, T. (2020). Efficacy of chlorhexidine patches on central line-associated bloodstream infections in children. Pediatrics International: Official Journal of the Japan Pediatric Society, 62(7), 789–796. https://doi.org/10.1111/ped.14200
Ward, W., Zagoloff, A., Rieck, C., & Robiner, W. (2018). Interprofessional Education: Opportunities and challenges for psychology. Journal of Clinical Psychology in Medical Settings, 25(3), 250–266. https://doi.org/10.1007/s10880-017-9538-3
|Week 1||Identification of Stakeholder and champion nurse|
|Week 2||Resource gathering|
|Week 3||Training champion nurses and staffs|
|Week 4||Barrier identification|
|Week 5 to 9||Actual implementation|
|Week 10||Reassessment and making adjustments|
Human resources- champion nurse, nurse practitioner.