Identify three potential sites within your community for a quality improvement project.

Posted: July 2nd, 2022

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Please pay attention to the key project elements to avoid mistakes! And review attachments sample materials and Rubrics
Evidence-Based Practice, Quality Improvement, and Implementation Science: Interrelationships
Assignment are exploratory and hypothetical only.
Please, Read for a guide, To prepare:
The topic focus on the science of translation and Learning Resources in Weeks 5 and 6 will further support development of this Assignment.
• Pay particular attention to how Quality Improvement (QI) is defined in the DNP Glossary and Chapter 8 of the White, Dudley-Brown, and Terhaar text.
• Identify three potential sites within your community for a quality improvement project. These might be a health care organization in which you practice and two other locations. For example, you might practice in a large organization and consider a small clinic and a skilled care facility as other potential settings for your project.
• Based on your practice experience, consider potential practice problems as the focus of an EBP Quality Improvement initiative. Investigate the three practice sites you have identified for specific needs, including by making informal contact with staff members you know. (Remember the importance of confidentiality in any such discussions.)
• Research the literature for scholarly articles to support developing a quality improvement project that applies evidence-based practice to address specific practice problems. Aim to identify at least three scholarly articles to support this Assignment.
• Based on the practice problems you are identifying, investigate your potential practice sites for key stakeholders that would be involved in a quality improvement initiative. Using website and other information available to you for each site, explore for:
o A department that leads quality improvement or, if one does not exist, who within the organization would approve a quality improvement initiative;
o Stakeholder titles, from the highest level of required approval to health care associates who would implement QI changes in the practice of patient care.
From your research into potential sites and practice problems, choose one practice problem and one site as your focus. Based on your target practice problem and selected site, identify an implementation framework and consider the steps or process required for an EBP QI project that would follow this framework/model.
Nursing 8114
Exploring EBP Quality Improvement
• Note: You may continue to address the same practice issue that was the focus of your Discussions in Weeks 2 and 3. (EMOTIONAL INVOLVEMENT).
Practice problem: Emotional involvement
You may also draw on the Week 4 blog to consider a broad focus on EBP and then drill down on specific practice problems to address through application of EBP. The PET model described in the video, An Evidence-Based Practice Model, also provides examples for identifying practice issues to address.
The Assignment
Part 1: Key Project Elements
In a paper of 6–8 pages, plus cover page and references page, include the following:
• Describe the three health care settings that you explored as proposed sites for an EBP QI project. For each health care setting, identify the following defining features: patient population, mission, public or private entity, single institution or member of a corporation, and others you identify as significant.
• Compare the settings for strengths and weaknesses as sites for an EBP QI project. Be specific and provide examples.
• Explain the practice problems that you explored based on your interests and identified needs of the health care settings you investigated.
• Explain why each problem is a potential focus for an EBP QI project. Be specific and provide examples.
• For each health care setting, describe the stakeholders whose approval would be required to initiate an EBP QI project and implement the results.
• Compare similarities and differences in stakeholder requirements across the settings.
• Identify the one proposed health care setting/practice site and one proposed practice problem you have selected as the focus of a hypothetical presentation to stakeholders, and explain your choices.
Part 2: Implementation Science Presentation
Develop a PowerPoint presentation of 3–5 slides, plus cover and reference slides, to inform a set of potential stakeholders at the practice site you have identified for a proposed EBP QI project. Although you will not make your presentation, it should be authentic to the purpose and include the following:
• Introduce the framework or model you have selected for the EBP QI project and your reasoning. (1–2 slides)
• Present a draft of the proposed practice problem. Include notes for each slide describing points you would make to the assembled stakeholders to obtain their approval or buy-in for the EBP QI project. (2–3 slides)
Explore translation frameworks and models, with the goal of identifying one that is the best fit for your EBP QI project.
•
Learning Resources and Discussion will provide strategic support.
• Outline how you would present the elements of your proposed QI project to stakeholders to gain their approval.
Reminder: Your purpose is to prepare for a future presentation to stakeholders. Do not contact stakeholders for this Assignment.
• Use the College of Nursing PowerPoint Template, provided in the Learning Resources, for developing a presentation to stakeholders. The template offers options in a cover slide and format options for other slides, to enable you to customize your presentation. Also refer to the handout, Preparing for an EBP QI Presentation to Stakeholders at a Practice Site, in the Learning Resources for guidance. ( See attached documents)
•
Introduction to the Science of Translation, I
From your experience, what are the roadblocks to change? What keeps stale practices in place when fresh approaches are needed? And when innovations are introduced, what influences how they are viewed and accepted? What conditions can create subpar results or mediocre outcomes?
When considering how to initiate and lead an evidence-based practice quality improvement project, these are not academic questions. The success of an initiative can depend on understanding the variables involved in introducing a practice change. As science supports finding the evidence, other applications of theory provide insight into “the interrelationships and complex organizational dimensions that are relevant to the translation of research or new knowledge into practice” (White, Dudley-Brown, & Terhaar, 2019, p. 34)—and, importantly, routes to action.
Readings Resources
1.White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2019). Translation of evidence into nursing and healthcare (3rd ed.). Springer.
• Chapter 2, “The Science of Translation and Major Frameworks” (pp. 27–58)
(Review from Week 4)
• Chapter 3, “Change Theory and Models: Framework for Translation” (pp. 59–73)
2. https://search.proquest.com/docview/2338944244?accountid=14872
3.https://go.openathens.net/redirector/waldenu.edu?url=https://onlinelibrary.wiley.com/doi/full/10.1111/jocn.14054
4. https://oce-ovid-com.ezp.waldenulibrary.org/article/00006223-900000000-99191/HTML
5. https://search.proquest.com/docview/2307808983?accountid=14872
6. https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=101977734&site=eds-live&scope=site&authtype=shib&custid=s6527200
7 https://academicanswers.waldenu.edu/faq/330533
Required Media
https://cdn-media.waldenu.edu/2dett4d/Walden/NURS/8114/DNPG/index.html
Introduction to the Science of Translation, II
“Change” as a word is somewhat abstract. The same could be said of the phrase “science of translation.” But as you likely know from your nursing experience, change is not abstract for those working to make it happen or those implementing—or adjusting to—a new protocol or procedure.
A significant part of your work here involves focusing on stakeholders in an EBP QI project.
As you have identified practice sites,
you have identified staff members within each setting who would have a say in the approval and a hand in the success of a quality improvement initiative.
It is vital to keep those professionals in your sights and to speak with language that will have meaning for them.
Consider in a health care setting where “quality improvement” is not formalized through an office or department and how differences in approach and nuance may be required.
Objectives:
• Compare health care settings for quality improvement projects
• Justify practice problems for quality improvement
• Analyze site and stakeholder requirements for quality improvement projects in nursing practice settings
• Compare stakeholder requirements for quality improvement projects across nursing practice settings
• Evaluate translation science frameworks and models for application to practice problems
• Apply implementation science frameworks/models for evidence-based practice quality improvement projects
Required Readings
White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2019). Translation of evidence into nursing and healthcare (3rd ed.). Springer.
• Chapter 4, “Translation of Evidence to Improve Clinical Outcomes” (pp. 77–102)
2. https://search.proquest.com/docview/2338944244?accountid=14872
3. Organizational readiness for implementing change: a psychometric assessment of a new measure
Shea, Christopher M; Jacobs, Sara R; Esserman, Denise A; Bruce, Kerry; Weiner, Bryan J. 
Implementation Science; London Vol. 9, (2014): 7. DOI:10.1186/1748-5908-9-7
4. https://cdn-media.waldenu.edu/2dett4d/Walden/NURS/8114/DNPG/index.html ( Required Media)
5. https://content.waldenu.edu/content/dam/laureate/laureate-academics/wal/dr-nurs/nurs-8114/week-06/Handout-Preparing%20for%20an%20EBP%20QI%20Presentation%20to%20Stakeholders%20at%20Practice%20Site_to_Build.docx
6. https://search.proquest.com/docview/1492439383?accountid=14872
The Assignment Rubrics
Part 1: Key Project Elements
In a paper of 6–8 pages, plus cover page and references page alphabetical order, include the following:
• Describe the three health care settings that you explored as proposed sites for an EBP QI project. For each health care setting, identify the following defining features: patient population, mission, public or private entity, single institution or member of a corporation, and others you identify as significant.

• Compare the settings for strengths and weaknesses as sites for an EBP QI project. Be specific and provide examples.
• Explain the practice problems that you explored based on your interests and identified needs of the health care settings you investigated.
• Explain why each problem is a potential focus for an EBP QI project. Be specific and provide examples.
• For each health care setting, describe the stakeholders whose approval would be required to initiate an EBP QI project and implement the results.
• Compare similarities and differences in stakeholder requirements across the settings.
• Identify the one proposed health care setting/practice site and one proposed practice problem you have selected as the focus of a hypothetical presentation to stakeholders, and explain your choices.
Part 2: Implementation Science Presentation
In a PowerPoint presentation of 3–5 slides, plus cover and references slides, include the following:
• Introduce the framework or model you have selected for the EBP QI project and your reasoning.
(1–2 slides)
• Present a draft of the proposed practice problem. Include notes for each slide describing points you would make to the assembled stakeholders to obtain their approval or buy-in for the EBP QI project.
(2–3 slides)
Written Expression and Formatting: Paragraph/Sentence Structure
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused—neither long and rambling nor short and lacking substance.
Written Expression and Formatting: English writing standards: Correct grammar, mechanics, and proper punctuation.
Written Expression and Formatting: The assignment contains parenthetical/in-text citations, and at least three evidence-based references are listed.

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