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.

ASSIGNMENT INSTUCTIONS

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 :

1. 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.
2. 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.
3. 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.
4. 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.
5. 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.
6. Explain the process for delivering the intervention and indicate if any training will be needed.
7. Discuss the stakeholders that are needed to implement the plan.
8. Consider all of the aspects of your implementation plan and discuss potential barriers or challenges to the plan. Propose strategies for overcoming these.
9. Establish the feasibility of the implementation plan.

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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.

SAMPLE STUDENT ANSWER

Evidence-Based Practice Project Proposal

            Having a detailed project implementation plan is crucial to the success of the project. A project implementation plan is a document that has various components such as the budget, timeline, and stakeholders needed to implement the project and the methodology in which the project will be implemented (Ross et al., 2018). The purpose of this evidence-based practice project proposal is to describe the project implementation plan that will be used to implement an obesity prevention and management program for community-dwelling obese African American adults.

Setting and Access to Potential Subjects

My quality improvement initiative is focused on African American adults with obesity. The setting of the project will be in a community setting where patients who are overweight or those with obesity will be considered for inclusion. Participants will be sourced from community-based organizations, including community health care centers, social halls, religious organizations, to list a few. Based on the nature of the project, a consent form will be given to the patients before participating to ensure all ethical and legal considerations are adhered to. A copy of the consent form is attached in the appendix.

Timeline

The project will have a set of activities that will need to be implemented. Having a project timeline is crucial in ensuring that the project is successfully completed. Likewise, a timeline will also be necessary for control purposes, whereby, in case of deviation, measures can be taken to revert the project on track. Some of the activities that will be involved in the project include the collection of evidence-based information, establishment of a multidisciplinary team to aid in the implementation process, identification of the research participants, implementation of the project, data analysis and evaluation, and dissemination of findings. The exact timelines of implementing these activities will be attached in the appendix section of this document.

Budget

            Any project requires a budget that will detail the cost of implementation. Just like timelines, budgets can also be used as control documents to prevent deviation of the project in terms of resources (Walsh, 2016). The following is a list of resources that will be needed for the project; technical resources; remote monitoring devices (either a smartwatch or mobile handset) and a computer for data collection and analysis, financial resources: for remuneration, human resource- experts (two nurse informaticist, five nurses, a nutritionist, a change expert, and a physical trainer). A clear description of the budget is attached in the appendix section of this proposal.

Research Design

The research design for the EBP will be quantitative. Quantitative research design allows the collection and analysis of numerical data (Apuke, 2017). Quantitative research design provides the flexibility to select a large sample size to include as part of the project. Similarly, it allows faster and easy collection of research data. Quantitative research is usually used when making observations on events or situations that affect people. In this case, the change proposal aims to create a positive change in terms of weight status among obese and overweight patients through routine 30-minute walking exercise.

Therefore, data on the weight status of the participants will be collected pre-intervention and compared with the changes after the intervention to ascertain how effective walking exercise can be as an intervention in improving the health outcomes of people with obesity. The data collected will be analyzed using various quantitative methods, including t-tests, mean, median, and standard deviation. With a quantitative research design, objective data can be collected, which can be effectively communicated using statistical figures (Apuke, 2017).

Qualitative data can also be collected continuously throughout the project allowing for continuous review of the progress made by the participants. Therefore, based o these aspects, it will be an ideal approach for the evidence-based project.

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Research Methods and Instruments

A test will be used to monitor the implementation of the evidence-based project. In this case weight of the participants will be measured before and after the intervention, then compared to see whether there have been any changes resulting from the implemented change. Similarly, a short questionnaire will be issued to the participants to rate their experience and perception of the EBP change. This will provide feedback on the effectiveness and sustainability of the intervention.

The advantage of using questionnaires is that they are easy to administer, are economical, and provide some element of convenience to the research participants (Jones et al., 2013). A sample of the questionnaire is attached in the appendix section.

Intervention

            The selected evidence-based intervention involves a fitness program involving a 30-minute walk, at least thrice a week. Lewin’s change model will be used as a framework to guide the implementation of the intervention. The model involves three steps, that is; unfreeze, change, and refreeze (Harrison et al., 2021). The unfreezing phase consists of communicating the urgency and explaining to the stakeholders why the evidence-based change is needed.

This is done to prevent resistance to change. In this stage, training will be required to facilitate adherence to the stipulated lifestyle changes required to make the program a success. Some of the topical issues in the training program will include nutrition and the importance of physical activity in maintaining a healthy weight. The second phase is to implement the change, which involves the actual rolling out of the project and monitoring the participants for compliance.

The final part would be to encourage the participants to maintain and sustain the change, that is, to make the 30-minute walk a routine, and if possible, increase the intensity of the physical exercise for better outcomes.

Stakeholders

            Stakeholders can be categorized into two that is internal and external stakeholders. Internal stakeholders who will be involved in the projects include the leadership of the healthcare facility, nutritionists, physical fitness experts, and nurses. On the other hand, external stakeholders will consist of community-based organizations, families of participants, government agencies, such as the Department of Health, Illinois, to list a few. Stakeholders play a crucial role in ensuring the success and continued sustainability of a project (Powell et al., 2019).

One of the roles of stakeholders is to provide the resources needed to implement the project. Stakeholders, more so, external stakeholders, will also facilitate the recruitment of participants into the study, given the potential impact the EBP will bring to the community. However, to ensure their support, consistent communication will be required to make them feel part of the project.

Barriers to Implementation

            One cannot discount the fact that there are likely to be barriers associated with the project. One of the barriers I am likely to encounter is lack of resources for the project. Given the priority of the organizations and other stakeholders, inadequate availability of resources could be one of the issues the project is likely to face, more so, human resources. Another challenge is low compliance with the stipulated project guidelines by the participants due to undervaluing the importance of the project. The last challenge could be technical challenges, for example, the inability to properly use the remote monitoring devices and data collection by the participants.

To deal with these challenges, the following measures will be proposed; the first measure is to train the participant on the need and importance of the EBP on their health outcomes. Another training program will be carried out on compliance and how to properly use the gadgets when going for walks for effective data collection. The issue of resources will be dealt with by elaborating to the management on the need to implement the project as part of the strategic interventions towards achieving the mission of the facility.

Feasibility of the Implementation Plan

            The implementation plan is based on different evidence-based aspects that make it feasible to execute the planned change. For example, the plan uses Lewin’s change model, which is an evidence-based model to encourage compliance and facilitate smooth implementation of the project. Similarly, the implementation plan factors in the role of stakeholders and how they will be engaged to ensure that the project objectives are met. The element of project sustainability is also captured through the applied change model to ensure that the benefits of the project last longer than the expected duration. Based on these aspects, the implementation plan will be feasible for implementing the project.

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Conclusion

This paper has elaborated on various aspects concerning the project implementation plan. The implementation team needs to adhere to the various limits stipulated in the project plan, specifically the budget and timeline of the project. It is also crucial to have effective engagement with the relevant stakeholders consistently, to ensure that the project receives support throughout its life cycle. Few barriers to implementation were identified, with proposals on how to deal with those barriers elaborated within the proposal. This proposal uses evidence-based methodologies, like Lewin’s change model, rather than coming up with novel approaches, as a way of ensuring that the implementation plan is feasible to use in achieving project success.

References

Apuke, O. D. (2017). Quantitative Research Methods: A Synopsis Approach. Kuwait Chapter of Arabian Journal of Business and Management Review, 6 (11), 40–47.

Harrison, R., Fischer, S., Walpola, R. L., Chauhan, A., Babalola, T., Mears, S., & Le-Dao, H. (2021). Where Do Models for Change Management, Improvement, and Implementation Meet? A Systematic Review of the Applications of Change Management Models in Healthcare. Journal of healthcare leadership, 13, 85–108. https://doi.org/10.2147/JHL.S289176

Jones, T. L., Baxter, M. A., & Khanduja, V. (2013). A quick guide to survey research. Annals of the Royal College of Surgeons of England, 95(1), 5–7. https://doi.org/10.1308/003588413X13511609956372

Powell, B. J., Fernandez, M. E., Williams, N. J., Aarons, G. A., Beidas, R. S., Lewis, C. C., McHugh, S. M., & Weiner, B. J. (2019). Enhancing the Impact of Implementation Strategies in Healthcare: A Research Agenda. Frontiers in public health, 7, 3. https://doi.org/10.3389/fpubh.2019.00003

Ross, J., Stevenson, F., Dack, C., Pal, K., May, C., Michie, S., Barnard, M., & Murray, E. (2018). Developing an implementation strategy for a digital health intervention: an example in routine healthcare. BMC Health Services Research, 18(1), 794. https://doi.org/10.1186/s12913-018-3615-7

Walsh K. (2016). Managing a Budget in Healthcare Professional Education. Annals of medical and health sciences research, 6(2), 71–73. https://doi.org/10.4103/2141-9248.181841

Appendix. 1 Consent Form

Patient’s Registration number:

Name of Researcher

(E-mail)

———————————————————————————————————————

To be signed by the patient.

I hereby give my consent for the collection of clinical information related to me to be collected and used in a community health project conducted by (Researcher’s name).

I understand that I can withdraw from the program at any time, and I am under no duress when signing this consent.

I understand that my name and identity will be concealed.

Once signed, I cannot revoke my consent.

Name of patient:

Date of Birth (DD/MM/YY):

Signature of patient

Relationship to the patient in case of other person signing the consent:

Address:

Date:

Appendix 2: Project Timeline

Project Activity	Time required
Collection of evidence-based information	1 month
Establishment of a multidisciplinary implementation team	1 week
Identification of the research participants	1 month
Implementation of the project	3 months
Data analysis and evaluation	2 weeks
Dissemination of findings	2 weeks after the conclusion of the project

Appendix 3: Project Budget

Category	Items	Amount in $
Technical resources	Computer	2,000
	Smart wearables	5,000
	Remote monitoring application	1,200
Human resources (remuneration per month)	Nursing staff	5,000 (Appreciation since most of them will be on a volunteer basis)
	Other non-nursing personnel (nutritionists, expert trainers, change consultants)	10,000
Logistics	Transport	3,000
Materials	Publications (teaching flyers, presentation posters)	1,500
Total		22,700

Appendix 4: Questionnaire

(Select the most appropriate opinion)

Question	Agree	Undecided	Disagree
Did you like the routine exercise program?
Have you achieved your expected weight goals after participating in the program?
Can you sustain your engagement in the program for the next 6 months?
Have you encountered any health problems from participating in the program?
Would you recommend the same program to your peers with weight-related challenges?

Thank you for your participation!

Appendix 5: 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 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 assignment and APA style, and format is free of error.

Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and 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 prior to 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.