Evidence-Based Practice Project Proposal Discussion

EBP Proposal PICOT: 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 750-1,000 words, develop an evaluation plan to be included in your final evidence-based practice project proposal.

Provide the following criteria in the evaluation, making sure it is comprehensive and concise: Evidence-Based Practice Project Proposal Discussion

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Discuss the expected outcomes for your evidence-based practice project proposal.
Review the various data collection tools associated with your selected research design and select one data collection tool that would be effective for your research design. Explain how this tool is valid, reliable, and applicable.
Select a statistical test for your project and explain why it is best suited for the tool you choose.
Describe what methods you will apply to your data collection tool and how the outcomes will be measured and evaluated based on the tool you selected.
Propose strategies that will be taken if outcomes do not provide positive or expected results.
Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.

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. Evidence-Based Practice Project Proposal Discussion

The current EBP project seeks to implement nurse-led education for patients with cardiovascular diseases to improve their care outcomes. the PICOT question is – EBP Proposal PICOT: 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)? This paper intends to describe the evaluation plan including the expected outcomes, data collection tool, statistical test, methods of data collection and strategies to modify intervention after implementation.

The Expected Outcomes

According to Bagheri et al. (2022), nurse-led education among patients is effective in enhancing self‐efficacy, perceived self‐efficacy in controlling the symptoms and maintaining function among patients with CVDs such as cardiac diseases. The expected outcome of this project is that patients will have improved clinical outcomes due to nurse-led education. It is hoped that patients will have increased knowledge about how CVD affects them, be more self-sufficient in managing their health, and have increased self-efficacy in preventing or managing CVD. Additionally, it is hoped that nurse-led education will engender trust and collaboration among patients, nurses, and healthcare providers. Ultimately, the goal of this project is to improve patient care. Evidence-Based Practice Project Proposal Discussion

Data Collection Tool

The data collection tool that would be effective for this research design is a questionnaire survey. This tool is valid because it can measure the target population’s knowledge, self-management, and self-efficacy. According to Totten et al. (2020), the validity of a tool is the degree to which it represents the phenomenon of interest making the results comparable with those of prior studies. the tool is reliable because the responses would accurately reflect what the participants know about CVD. Finally, it is applicable in that it can be used in multiple settings and with various populations. For example, the survey could be used to measure CVD patients’ knowledge about their condition, self-management skills, and self-efficacy in managing their condition.

A survey can be an effective data collection tool for the research design that seeks to implement nurse-led education to improve the clinical outcomes of patients with cardiovascular diseases. The survey can help assess patients’ knowledge about how CVD affects them, self-management, and self-efficacy. Additionally, the survey can provide valuable information about patient preferences for nurse-led education interventions. Evidence-Based Practice Project Proposal Discussion

Statistical Test

The statistical test chosen for this data would be a t-test. The t-test is used to compare the means of the two groups and determine statistical significance of the difference between two groups (Wadhwa & Marappa-Ganeshan, 2022). This test would allow us to compare the mean scores of the two groups (those who received the intervention and those who did not) and determine if there was a significant difference. In this case, the project manager will compare patient outcomes between patients who received traditional and nurse-led education. The information would help us understand whether the intervention impacted knowledge about CVD, self-management, and self-efficacy. Additionally, this test would help us determine if specific areas of knowledge were improved more among those who received the intervention. This information would be helpful in planning future interventions aimed at improving clinical outcomes for patients with CVD. The t-test is most appropriate for this survey because it will allow us to compare the mean outcomes of the two groups. The t-test is best suited for this survey because it will allow us to compare the mean outcomes of the two groups. Additionally, the t-test is easy to use and can be performed quickly. Finally, the t-test is a reliable statistical test. These factors make the t-test a good choice for this survey.

Methods that will be Applied to Data Collection Tool

The survey will collect data on patients’ knowledge about CVD, self-management, and self-efficacy. Nurses working in the medical inpatient and outpatient clinics that serve patients with CVDs will be involved in collecting data from the survey. Patients will respond to open end questionnaires, which will be administered. According to Pantaleon (2019), the use of patient-reported outcomes is crucial for enhancing clinical care because it promotes the relationship between care providers and patients. Thus, patients will respond to the questionnaires during scheduled visits in the last month of the project when the evaluation phase will be taking place. Thus, the survey will be administered to patients in the cardiovascular care setting. The project outcomes will be measured and evaluated based on the survey data. The data will be analyzed to measure patient knowledge, self-management, and self-efficacy changes after they have undergone nurse-led education. The results of the analysis will help to improve patient care and outcomes. Evidence-Based Practice Project Proposal Discussion

Strategies That Will Be Taken if Outcomes Do Not Provide Positive or Expected Results

If the outcomes of this project are not positive or as expected, a few different strategies could be taken. One option would be to analyze why the project did not produce the desired results and then make changes to the intervention or design to improve outcomes. Another option would be to expand the project beyond its original goals to address other areas of patient knowledge and self-management that may be important for improving CVD outcomes. Additionally, partnering with other institutions or organizations may be necessary to increase the project’s impact. Finally, the project could be unsuccessful if it does not engage patients or their caregivers. If this is the case, it may be necessary to alter the intervention or outreach strategy to better connect with patients and their caregivers. Overall, if the project does not produce positive or expected results, it is important to analyze why this is the case and then make changes to improve outcomes.

Plans To Maintain, Extend, Revise, and Discontinue a Proposed Solution after Implementation

A comprehensive plan is essential to the success of any EBP project. The plan for maintaining the proposed solution of nurse-led patient education for cardiovascular disease should include regular monitoring and assessing the intervention’s impact on patient outcomes. The hospital will implement a feedback loop to optimize the intervention’s effectiveness. Ongoing development and refinement of the intervention helps ensure that it results in improved patient outcomes and remains beneficial to the healthcare organization (O’Cathain et al., 2019). Also, the ongoing development and refinement of the intervention will ensure that the intervention is updated and adapted as new knowledge becomes available. A continuous evaluation of the intervention’s impact on patient outcomes and modifications to the intervention will be needed. The hospital will adopt continual communication with patients, their caregivers, and the healthcare team to ensure patient engagement and satisfaction with the intervention. Each of these steps should be well planned and executed in order to ensure the intervention is effective and continues to provide benefits to patients. Evidence-Based Practice Project Proposal Discussion

According to Marzo et al. (2021), project outcomes are significant in determining the need for modifications on the intervention. for the current EBP project, the plans to extend, revise, and discontinue the proposed solution will include revision of the project to include a control group to compare the results of the intervention. Also, the intervention will be revised to include more nurse-led modules and sessions. The intervention will also be extended to other diseases in addition to cardiovascular diseases to help achieve better patient outcomes in patient populations where lack of knowledge and poor self-management practices contribute to patients’ poor outcomes. However, the intervention will be discontinued if it is not successful in improving the clinical outcomes of patients with cardiovascular diseases. The plans to extend and revise the proposed solution are intended to improve patient outcomes by providing effective nurse-led education for a wider population of patients. Evidence-Based Practice Project Proposal Discussion

References

Bagheri, H., Shakeri, S., Nazari, A. M., Goli, S., Khajeh, M., Mardani, A., & Vlaisavljevic, Z. (2022). Effectiveness of nurse‐led counselling and education on self‐efficacy of patients with acute coronary syndrome: A randomized controlled trial. Nursing Open, 9(1), 775-784. https://doi.org/10.1002/nop2.1129

Marzo, R. R., Bhattacharya, S., Ujang, N. B., Naing, T. W., Huong Fei, A. T., Chun, C. K., Xue Ting, C. P., Rajah, P. A., & Shanmuganathan, K. A. (2021). The impact of service quality provided by health-care centers and physicians on patient satisfaction. Journal of education and health promotion, 10, 160. https://doi.org/10.4103/jehp.jehp_979_20

O’Cathain, A., Croot, L., Sworn, K., Duncan, E., Rousseau, N., Turner, K., Yardley, L., & Hoddinott, P. (2019). Taxonomy of approaches to developing interventions to improve health: a systematic methods overview. Pilot and feasibility studies, 5, 41. https://doi.org/10.1186/s40814-019-0425-6

Pantaleon L. (2019). Why measuring outcomes is important in health care. Journal of veterinary internal medicine, 33(2), 356–362. https://doi.org/10.1111/jvim.15458

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Totten, V., Simon, E. L., Jalili, M., & Sawe, H. R. (2020). Acquiring data in medical research: A research primer for low- and middle-income countries. African journal of emergency medicine : Revue Africaine de la Medecine D’urgence, 10(Suppl 2), S135–S139. https://doi.org/10.1016/j.afjem.2020.09.009

Wadhwa, R. R., & Marappa-Ganeshan, R. (2022). T Test. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK553048/ Evidence-Based Practice Project Proposal Discussion