Evidence-Based Practice For Patients With Cardiovascular Disease
Evidence-Based Practice For Patients With Cardiovascular Disease
The PICOT question for this EBP project is: In patients with cardiovascular disease (P), does nurse-led education (I), compared to standard patient education (C), affect clinical outcomes (O) within nine months (T)?
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.
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Include the following: Evidence-Based Practice For Patients With Cardiovascular Disease
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.
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.
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.
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. Evidence-Based Practice For Patients With Cardiovascular Disease
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.
Explain the process for delivering the intervention and indicate if any training will be needed.
Discuss the stakeholders that are needed to implement the plan.
Consider all of the aspects of your implementation plan and discuss potential barriers or challenges to the plan. Propose strategies for overcoming these.
Establish the feasibility of the implementation plan.
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.
The current evidence-based practice (EBP) project proposal targets patients with cardiovascular diseases (CVDs) being treated at the project manager’s healthcare organization. Cardiovascular diseases were the leading cause of death in the US in 2018. Roth et al. (2020) highlight that stroke and ischemic heart diseases are leading causes of mortality and significant contributor to disability. Policy support and patient education are needed to reduce adverse events in people with CVDs (Rippe et al., 2018). The project manager seeks to adopt nurse-led patient education to improve the knowledge levels about the disease and improve patient outcomes. The PICOT question for this EBP project is: In patients with cardiovascular disease (P), does nurse-led education (I), compared to standard patient education (C), affect clinical outcomes (O) within nine months (T)? Evidence-Based Practice For Patients With Cardiovascular Disease
Setting and Access to Potential Subjects
The setting of implementation is a tertiary hospital with a cardiac unit. The unit has 50 beds, with an average of 12 patients per day. Eight full-time registered nurses and two part-time registered nurses are on the unit. The unit would be a good candidate for this type of intervention due to its high volume of patients and its proximity to other institutions with experience in nurse-led education. Additionally, the unit’s nurses are experienced in providing care to patients with cardiovascular disease and are likely to be receptive to adopting a nurse-led educational approach. Given the high volume of patients and experienced nurses on the unit, it is likely that a project could be conducted to assess the potential benefits of such an intervention. The access to potential subjects will involve providing patients with details about the project, requesting each patient to sign up for the educational program, and giving consent to participation throughout the project. About 100 patients are expected to take part in the project. The author has included a draft of the consent in the appendices section Evidence-Based Practice For Patients With Cardiovascular Disease.
Timeline
The project will take approximately nine months. The project manager will implement the plan at any date after the project’s approval. Following the approval by the hospital administration, the project manager will collect pre-implementation data about patient knowledge and the incidence of poor outcomes related to low literacy levels, lack of knowledge, and poo self-management at home. The collection of such data will occur in the first two weeks. The implementation of nurse-led education will commence whereby the project manager will allow the team for the project to cause gradual changes in knowledge, attitude, and practice among the patients. The period of nine months will be ideal to allow the project implementation to bear outcomes. In the ninth month, the project manager will evaluate the outcomes to determine the impact of the intervention on patients’ knowledge and clinical outcomes. The project manager has included a timeline draft in the appendices section Evidence-Based Practice For Patients With Cardiovascular Disease.
Budget and Resource List
The project implementation will utilize several resources ranging from patient reading materials, journals for nurse educators, writing materials, a projector, white board, marker pens, and incentive sin from notebooks. However, the hospital will provide a whiteboard, marker pens, and a projector. The human resources utilized in the project will be four nurses conducting nurse-led education in shifts and two hospital administrators. The project manager will request four nurses to volunteer to take positions at patient trainers. Volunteering will help avoid cost of human resources which could have a huge cost implication of the EBP project. More costs will be related to travel expenses because the project manager will travel to and from the implementation setting; hence such costs have been captured in the budget. The project manager has included a budget and resource list draft in the appendices section Evidence-Based Practice For Patients With Cardiovascular Disease.
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Qualitative or Quantitative Design
The project manager would select a quantitative design in data collection to help collect data about numerical values of clinical outcomes and knowledge levels. The project does not intend to determine patients’ or card providers’ experiences, perceptions, or opinions regarding the project. Thus quantitative design alone will help collect the required data. According to Smith & Hasan (2020), quantitative methods help explore the extent of change caused by implementation strategies. The rationale for choosing the design is that the project manager seeks to determine the change in knowledge after implementation and note the incidence of poor outcomes documented in numerical values. Besides, the quantitative design will help determine trends, averages, patterns, and cause-effect relationships between the intervention and outcomes. The current EBP project is practical because it chooses the appropriate design to help determine the effectiveness of an intervention and help make predictions about the outcome of the same intervention when generalized to a broader patient population.
Methods and Instruments
The inclusion criteria for the sample will be all patients with cardiovascular diseases, including children, their parents or guardians, and adults. The author will invite each patient by sending them a message via email addresses and phone numbers provided at the hospital. The attachments of the mail will be the participant information and consent form. The project manager and nurse administrators will monitor the project implementation. Data collection will utilize a questionnaire to help elicit responses from the patients regarding their diagnosis and knowledge of disease management Evidence-Based Practice For Patients With Cardiovascular Disease.
Process for Delivering the Intervention
Implementation will commence after nurses, and all key stakeholders are trained to implement the plan. The training is expected to equip nurses with the knowledge and skills to implement nurse-led patient education about the different CVDs. Nurses will use charts, the whiteboard, journals, and writing materials to help deliver the content. The resources will help promote learning via hearing and seeing.
Stakeholders that Are Needed
Stakeholders are the several individuals who have direct interest on a project (Boaz et al., 2018). Nurses, nurse administrators, hospital administration, patients, and relatives make the list of stakeholders to implement the plan in this EBP project. Relatives or guardians of children recruited in the project will help implement the knowledge gained on behalf of children who would not capture the content taught. Nurses will deliver the content while other care team members will continue with nurse-led education to ensure sustained intervention and help prevent poor patient outcomes Evidence-Based Practice For Patients With Cardiovascular Disease.
Potential Barriers to Implementation Plan and Strategies for Overcoming Them
Mathieson, Grande & Luker (2019) highlight that the common barriers to project implementation include negative attitudes and beliefs, insufficient time, and staff shortage. The potential barriers to the current project include tight work schedules and insufficient time for nurses to implement patient teaching. The project manager will overcome the barriers by working with nurse managers to reschedule nurse duty shifts to allow more patient education time. Besides, the project manager will work with nurse managers to recruit four nurses from other departments to work with the cardiovascular disease department. Another barrier is insufficient knowledge about EBP among nurses. The project manager will overcome the barrier by ensuring that nurses’ training equips them with knowledge and skills for implementing effective and comprehensive nurse-led education.
Feasibility of the Implementation Plan
The project manager foresees that full implementation of the project will have positive impact on patients’ knowledge and clinical outcomes. The data collection design, methods and instrument offer a practical approach that will lead the project manager to a conclusion on whether nurse-led education is effective for enhancing good clinical outcomes. Thus, the project manager believes that the implementation plan is feasible and will be approved to help move forward with the change project Evidence-Based Practice For Patients With Cardiovascular Disease.
References
Boaz, A., Hanney, S., Borst, R., O’Shea, A., & Kok, M. (2018). How to engage stakeholders in research: Design principles to support improvement. Health Research Policy and Systems, 16(1), 60. https://doi.org/10.1186/s12961-018-0337-6
Mathieson, A., Grande, G., & Luker, K. (2019). Strategies, facilitators and barriers to implementation of evidence-based practice in community nursing: A systematic mixed-studies review and qualitative synthesis. Primary Health Care Research & Development, 20, e6. https://doi.org/10.1017/S1463423618000488
Rippe J. M. (2018). Lifestyle strategies for risk factor reduction, prevention, and treatment of cardiovascular disease. American Journal of Lifestyle Medicine, 13(2), 204–212. https://doi.org/10.1177/1559827618812395
Roth, G. A., Mensah, G. A., Johnson, C. O., Addolorato, G., Ammirati, E., Baddour, L. M., … & GBD-NHLBI-JACC Global Burden of Cardiovascular Diseases Writing Group. (2020). Global burden of cardiovascular diseases and risk factors, 1990–2019: Update from the GBD 2019 study. Journal of the American College of Cardiology, 76(25), 2982-3021. https://doi.org/10.1016/j.jacc.2020.11.010
Smith, J. D., & Hasan, M. (2020). Quantitative approaches for the evaluation of implementation research studies. Psychiatry Research, 283, 112521. https://doi.org/10.1016/j.psychres.2019.112521 Evidence-Based Practice For Patients With Cardiovascular Disease
Appendices
Appendix I: Consent
Consent form for participation in the evidence-based practice project
Study Description: You are invited to participate in the project mentioned above. The project aims to implement nurse-led education to improve cardiovascular health and overall clinical outcomes.
Risk/Discomfort: There is no risk or discomfort imposed on you in participating in this study despite spending 10-20 minutes filling in the questionnaires.
Benefits: Your information will help us identify the gap in knowledge, changes in knowledge, and improvement of your status
Confidentiality: Your responses will be kept confidential; therefore, you are not required to indicate your name on the questionnaire.
Voluntary Participation: You can refuse to participate in this study. You are not forced to respond to the questions asked. You also have the full right to withdraw from participation without penalty.
Contact information: If you have any concerns about this project or if any problem arises, contact the cardiovascular disease department or the hospital administration
Consent
I have read this consent form and have been allowed to ask questions. I give my consent to participate in this EBP project.
Participant’s signature…………………………………… Date………….
Appendix II: Timeline
| Activity | First month | Second month | Third month | Fourth month | Fifth month | Sixth month | Seventh month | Eighth month | Ninth month |
| Approval of project plan and collection of pre-implementation data | |||||||||
| Training of nurses
Begin project implementation |
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| Continuing implementation with monitoring | |||||||||
| Monitoring | |||||||||
| Monitoring | |||||||||
| Collection and analysis of data | |||||||||
| Evaluation |
Appendix III: Budget and Resource List
| Resource | Item | Cost |
| Planning and preparing the project proposal | Library, stationery, and printing | $ 10 |
| Training equipment | Marker pens, projector, whiteboard, pens, | Provided by the hospital |
| Training staff | Cost of training session’s meals | $40 |
| Data collection | Questionnaires and refreshments | $40 |
| Data analysis, computer costs | SPPS, Ms. Excel | $12 |
| Incentives | Notebooks, pens | $12 |
| Miscellaneous | Traveling | $ 10 |
| Total | $ 124 |
Appendix IV: Methods
Inclusion – patients with cardiovascular diseases, including children, their parents or guardians, and adults
Sending messages of invitation
Recruiting patients or subjects
Training nurses
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Pre-implementation assessment
Implementing nurse-led education
Monitoring – through the help of nurse administrators
Data collection – incidences of adverse events, readmissions, and visits to the emergency department with exacerbations of CVD symptoms.
- Post-implementation assessment of patients’ or caregiver’s knowledge
Evaluation – evaluation of patients’ knowledge levels and changes in clinical outcomes Evidence-Based Practice For Patients With Cardiovascular Disease