Evidence-Based Practice Proposal: Section G: Evaluation of Process

In 500-750 words (not including the title page and reference page), 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.

Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section G: Evaluation” for your final submission. This will be a continuous process throughout the course for each section.

Below is the previous section please use this information in section G

Evidence
Based Practice Proposal- Section F Implementation Plan

Setting

This EBP project is proposed to take place in a small rural
critical access hospital emergency department providing care 24 hours each day
and 365 days each year. The proposed service
area includes 1 county in rural Georgia and 2 adjacent counties also in rural
Georgia.

Participants

The participants will be those patients > 18 years of age
presenting to ED triage with possible sepsis and NEWS score of > 3. The project will compare electronic medical
records (EMR) of pre- implementation (before protocol initiation) with those
EMRs from post- implementation. This will involve identification, initial
contact and nurse compliance with sepsis protocols. An approval form for the implementation will
be obtained from administration prior to the implementation. All patients <
18 years of age will be excluded. The project sponsor will avoid any manipulation,
participant’s privacy and confidentiality will be protected completely any
information that is obtained will be for the purpose of selecting subjects.

Timeline

The timeline for the project will be 16 months’ implementation,
and data collection of EMRs for the same amount of time.

Resources

Putting evidence- based research into practice requires a number
of resources for effective implementation. These resources aid the healthcare
professional in getting to know the answers to important questions. There will be a need for funding resources
such as education and personnel, equipment such as computers and labels,
educational materials and information technology.

Methods
and Instruments

Data collection will be from EMRs pre- and post- implementation by
chart review. Data will be entered into
a purchased and downloaded Statistical Package for the Social Sciences (SPSS)
and compared.

Intervention

This will be a multi-faceted project. With first step being the identification and
appraisal of best available evidence pertaining to the care of patients with
sepsis, severe sepsis and septic shock in the ED. Sepsis screening tools will be added to the
computer system to include the NEWS score which will trigger activation of the
steps included in the sepsis protocol including activation of code sepsis
alert, moving the patient immediately to an ED bed, blood samples being drawn
for cultures, CBC, CMP, chest radiograph, and alerting the ED physician of
potential sepsis for implementation of the sepsis care bundles described in the
SSC guidelines of 2012. All nurses, lab and radiology personnel, and physicians
will be trained and educated on all protocol steps.

Data
Collection Plan

Data collection will be from the EMRs pre-and post-implementation. Data to be collected includes, chief
complaint on arrival to triage, age > 18 years, NEWS score, SIRS
criteria, sepsis screening information, and nurse compliance with sepsis care
protocol components. Primary data results are nurse compliance with sepsis care
bundle components, secondary data to be compared are mortality rates, ICU
admissions, and length of stay. All due diligence will be taken to ensure that
information will be kept private and confidential. All data will be managed and
maintained by the project manager. Data
analysis will be entered the SPSS for statistical analysis. Utilizing a chi square test of independence
to calculate screening compliance pre-and post- implementation. Secondary
analysis will include examining compliance impact on the secondary data on
pre-and post- protocol implementation patients whose EMR indicates a diagnosis
of sepsis.

Strategies
to manage barriers

There are a variety of strategies that are utilized in overcoming
barriers to the implementation of evidence-based practice, there is need for
formal evaluation to ascertain the impact on the proposed change, knowledge,
attitude and skills of nurses are identified as the main barriers to EBP in
sepsis care included in this is the lack of baseline knowledge of sepsis care,
lack of triage recognition and delay of diagnosis leading to decrease protocol
use and poor patient outcomes. Utilization of online systems to obtain
databases with appraised evidence to enhance the awareness along with education
and training on good communication. A
commitment must be made to advance evidence-based practice and allocate
efficient resources for implementation.

Feasibility

Evaluation of the feasibility of the implementation of the EBP
practice focuses on the knowledge, skills, personnel cost and computer related
cost. Clinician knowledge and skills
indicate that they are prepared to get the research into practice. Personnel costs are justified in that there
will be staff employed to ensure the effective implementation of the plan. All
special lab labels will be used to identify stat lab tests for sepsis patients
ensuring that results are obtained in < 1 hour as recommended in the
SSC guidelines. Computer related costs will be incurred with the purchase of
SPSS program, and the addition of the NEWS score trigger and are justified in
their necessity for the project.

Plan
to maintain, revise, extend or discontinue

Here the project team will evaluate the efficacy of the timely
implementation for the ED sepsis care protocol.
If the proposed ED sepsis care protocol is ascertained as ineffective,
it shall be discontinued. The project
manager anticipated providing the required education and training to identify
the any needed revisions early to ensure implementation of the best evidence-
based sepsis protocols. There will be ongoing education and updates as needed
to ensure that all practitioners are using all the best evidence in practice
and all protocols remain up to date. Extension of the implementation period is
not anticipated now due to the extended length of the current plan, any
possible need for extension will be assessed later.