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The dissemination of an evidence-based practice project proposal is an important part of the final project. Dissemination of your project to a local association or clinical site/practice informs important stakeholders of evidence-based interventions that can improve clinical practice and ultimately patient outcomes.

For this assignment, develop a professional presentation that could be disseminated to a professional group of your peers.

Develop a 12-15 slide PowerPoint detailing your evidence-based practice project proposal.  ideo.

Evidence-Based Practice Project Proposal Presentation – Rubric
Introduction
Collapse All
6 points
Criteria Description
Introduction
5. 5: Excellent
6 points
The introduction is succinct, captures the attention of the audience, clearly
identifies PICOT statement and the fundamental aspects of the evidence-based
practice project proposal that will be the main talking points and for the
presentation.
4. 4: Good
5.52 points
The introduction is adequate. The PICOT statement and the fundamental aspects of
the evidence-based practice project proposal that will be the main talking points
and PICOT statement for the presentation are discussed.
3. 3: Satisfactory
5.28 points
The introduction generally presents the PICOT statement and most of the
fundamental aspects of the evidence-based practice project proposal that will be
the main talking points and for the presentation.
2. 2: Less Than Satisfactory
4.8 points
The introduction omits key aspects of the PICOT and fundamental aspects of the
evidence-based practice project proposal that will be the main talking points and
PICOT statement for the presentation.
Organizational and Cultural Readiness
12 points
Criteria Description
Organizational and Cultural Readiness
5. 5: Excellent
12 points
The organizational culture and readiness are thoroughly discussed and provide
insight into the organization challenges.
4. 4: Good
11.04 points
The organizational culture and readiness are adequately discussed and provide the
necessary insight into the organization challenges.
3. 3: Satisfactory
10.56 points
The organizational culture and readiness are generally discussed and provide
insight into some of the challenges faced by the organization.
2. 2: Less Than Satisfactory
9.6 points
The discussion on the organizational culture and readiness is incomplete.
1. 1: Unsatisfactory
0 points
The discussion on the organizational culture and readiness is not included.
Problem Statement and Literature Review
18 points
Criteria Description
Problem Statement and Literature Review
5. 5: Excellent
18 points
The problem statement is consistent throughout the presentation and concisely
describes the issue using strong evidence-based support from the literature review
to rationalize and justify the problem. The research from the literature review is
current, relevant, and used to provide excellent rationale and support throughout.
4. 4: Good
16.56 points
The problem describes the issue using evidence-based support from the literature
review to rationalize and justify the problem. The research from the literature
review is current, relevant, and used to provide adequate rationale and support
throughout.
3. 3: Satisfactory
15.84 points
The problem statement summarizes the issue and uses evidence-based support
from some of the literature review to rationalize and justify the problem. The
research from the literature review provides general support overall.
2. 2: Less Than Satisfactory
14.4 points
The problem statement outlines the issue. Support from the research from the
literature review is inconsistent.
Change Model or Framework
Criteria Description
12 points
Change Model or Framework
5. 5: Excellent
12 points
The selected model or framework and its application to the proposed
implementation are thoroughly described.
4. 4: Good
11.04 points
The selected model or framework and its application to the proposed
implementation are adequately described.
3. 3: Satisfactory
10.56 points
The selected model or framework and its application to the proposed
implementation are generally described.
2. 2: Less Than Satisfactory
9.6 points
The selected model or framework is and its application to the proposed
implementation are only partially described.
Implementation Plan
12 points
Criteria Description
Implementation Plan
5. 5: Excellent
12 points
The implementation plan is thoroughly described and provides the details for the
various aspects.
4. 4: Good
11.04 points
The implementation plan is adequately described and provides the details for the
various aspects.
3. 3: Satisfactory
10.56 points
The implementation plan is generally described and provides an overall outline for
the various aspects.
2. 2: Less Than Satisfactory
The implementation plan is only partially described.
9.6 points
1. 1: Unsatisfactory
0 points
Evaluation Plan
12 points
Criteria Description
Evaluation Plan
5. 5: Excellent
12 points
The evaluation plan is thoroughly described and provides the details for the various
aspects.
4. 4: Good
11.04 points
The evaluation plan is adequately described and provides key information for the
various aspects.
3. 3: Satisfactory
10.56 points
The evaluation plan is outlined and provides general information for most aspects.
2. 2: Less Than Satisfactory
9.6 points
The evaluation plan is only partially described.
1. 1: Unsatisfactory
0 points
Conclusion
6 points
Criteria Description
Conclusion
5. 5: Excellent
6 points
The conclusion is short, clear and summarizes the key points of the presentation in
a powerful and memorable way.
4. 4: Good
5.52 points
The conclusion summarizes the key points of the presentation in a concise manner.
3. 3: Satisfactory
The conclusion outlines the broad aspects of the presentation.
5.28 points
2. 2: Less Than Satisfactory
4.8 points
The conclusion mentions some aspects of the presentation, but there are some key
aspects missing.
1. 1: Unsatisfactory
0 points
Research
6 points
Criteria Description
Research
5. 5: Excellent
6 points
Research is supportive of the rationale presented. Sources are distinctive.
Addresses all of the issues stated in the assignment criteria.
4. 4: Good
5.52 points
Research is timely and relevant, and addresses all of the issues stated in the
assignment criteria.
3. 3: Satisfactory
5.28 points
Research is adequate. Sources are standard in relevance, quality of outside sources,
or timeliness.
2. 2: Less Than Satisfactory
4.8 points
Few outside sources were used to support the assignment. Limited research is
apparent.
1. 1: Unsatisfactory
0 points
Presentation
12 points
Criteria Description
Presentation PowerPoint, speaker notes, Loom voice over or video.
5. 5: Excellent
12 points
The submission is presented effectively, and all of the required elements creatively
contribute to the presentation of the concepts.
4. 4: Good
11.04 points
The submission is presented effectively and contains all of the required elements.
3. 3: Satisfactory
10.56 points
The submission contains minor inconsistencies that are not overly distracting.
Presentation contains a majority of the required elements.
2. 2: Less Than Satisfactory
9.6 points
The submission is ineffective, contains multiple inconsistencies, or is missing a few
of the required elements.
1. 1: Unsatisfactory
0 points
The submission is incoherent, contains major inconsistencies, is not presented
effectively, or is missing a substantial amount of the required elements.
Aesthetic Quality
6 points
Criteria Description
Aesthetic Quality
5. 5: Excellent
6 points
Design is clean. Skillful handling of text and visuals creates a distinctive and
effective presentation. Overall, effective and functional audio, text, or visuals are
evident.
4. 4: Good
5.52 points
Design is appropriate and integrates a variety of objects, charts, and graphs to
amplify the message.
3. 3: Satisfactory
5.28 points
Design is fairly clean, with a few exceptions. Materials add to, not detract from the
presentation. Materials used were quality products and easy to see or hear.
2. 2: Less Than Satisfactory
4.8 points
Design detracts from purpose. Text and visuals are too simplistic, cluttered, and
busy. Little or no creativity or inventiveness is present.
1. 1: Unsatisfactory
Synthesis
0 points
6 points
Criteria Description
Synthesis
5. 5: Excellent
6 points
Synthesis is unique. Synthesis shows careful planning and attention to how
disparate elements fit together. The combination of elements is verified.
4. 4: Good
5.52 points
Synthesis integrates ideas to form a cohesive whole. Combination of elements is
logical and justified.
3. 3: Satisfactory
5.28 points
Synthesis integrates ideas but does not adequately form a cohesive whole.
Combination of elements at times is confusing.
2. 2: Less Than Satisfactory
4.8 points
Synthesis integrates ideas inadequately. The combination of elements is not logical.
1. 1: Unsatisfactory
S th i d
t
0 points
f ll i t
t id
t f
h i
h l Th
Mechanics of Writing
6 points
Criteria Description
Mechanics of Writing Includes spelling, punctuation, grammar, and language use.
5. 5: Excellent
6 points
The writer is clearly in command of standard, written, academic English.
4. 4: Good
5.52 points
Prose is largely free of mechanical errors, although a few may be present. The
writer uses a variety of effective sentence structures and figures of speech.
3. 3: Satisfactory
5.28 points
Some mechanical errors or typos are present, but they are not overly distracting to
the reader. Correct and varied sentence structure and audience-appropriate
language are employed.
4.8 points
2. 2: Less Than Satisfactory
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in
language choice (register) or word choice are present. Sentence structure is correct
but not varied.
1. 1: Unsatisfactory
0 points
Documentation of Sources
6 points
Criteria Description
Documentation of Sources Citations, footnotes, references, bibliography, etc., as
appropriate to assignment and style.
5. 5: Excellent
6 points
Sources are completely and correctly documented, as appropriate to assignment
and style, and format is free of error.
4. 4: Good
5.52 points
Sources are documented, as appropriate to assignment and style, and format is
mostly correct.
3. 3: Satisfactory
5.28 points
Sources are documented, as appropriate to assignment and style, although some
formatting errors may be present.
2. 2: Less Than Satisfactory
Documentation of sources is inconsistent or incorrect, as appropriate to
assignment and style, with numerous formatting errors.
Total 120 points
4.8 points
PICOT Draft
Name_____________________________________
Part 1: A relevant nursing problem that will be selected for this discussion is the increased prevalence of
hospital-acquired illnesses. Also known as healthcare-associated infections (HCAIs), these illnesses affect an
individual while receiving the much-needed care. The infections appear 48 hours or more following hospital
admission. The infections can also occur within 30 days after receiving the much-needed healthcare (Haque et
al., 2018). HCAIs are a sign of poor health outcomes. For the patient, it increases the hospital stay and
deteriorates the much-needed quality of care. For healthcare organizations, it adversely affects the reputation of
the facility and increases the rate of resource utilization. Patients in the ward are more likely to suffer from these
infections (Haque et al., 2018). More importantly, older patients are at more risk because of their
immunocompromised status.
I selected hospital-acquired infections because this is a serious problem in the healthcare sector and nurses are a
part of it. Since they are the professionals with the most contact with the patient, nurses can quickly spread the
HCAIs to their patients. Nurses are also well-poised to improve the public health status in the healthcare
department to prevent the spread of illnesses to patients.
Part II: In the table below, describe the population and the intervention. (You will continue drafting the PICOT,
completing the shaded areas in Topic 3.)
PICOT Question
P
I
C
Older patients in the ward. As previously noted, older patients in the ward
have compromised immunity, and this could increase their probability of
acquiring HCAIs.
The use of 2% chlorohexidine gluconate (CHG) disinfectant wipes applied
Intervention to patient’s hand three times a day. In addition, strict use of protective
barriers by nurses to prevent the spread of infections. Examples include
gloves, gowns, face masks, protective eyewear, and a face shield.
Nurses could also consider practicing basic hand hygiene by washing hands
Comparison or disinfection. However, compared to the use of protective barriers,
constant hygiene practices will require more time and resources.
Population
© 2021. Grand Canyon University. All Rights Reserved.
O
Outcome
T
Timeframe
PICOT
Reduction in the number of HCAIs in the hospital setting and establishing a
safe environment devoid of secondary infections.
The entire hospital stay
In older patients in the ward (Population), how effective is the use of use of 2%
chlorohexidine gluconate (CHG) disinfectant wipes applied to the patient’s hands and strict
use of protective barriers by nurses (Intervention) compared to hand hygiene without other
solutions (Comparison) in controlling hospital-acquired infections (Outcome) during 30
days post discharge from the hospital(Time)?
Problem Hospital-acquired infections are prevalent in the healthcare environment. Solutions to this
Statement problem depend on many strategies, including the use of protective barriers, hygiene, and
other public health strategies. Nurses have been implicated in the spread of these illnesses.
Therefore, by embracing protective barriers while interacting with the patient, the problem
can be prevented.
References
Haque, M., Sartelli, M., McKimm, J., & Bakar, M. A. (2018). Healthcare-associated infections–an
overview. Infection and drug resistance, 11, 2321.
© 2021. Grand Canyon University. All Rights Reserved.
1
Northshore Health System
Mehul Abraham
Grand Canyon University
NUR-590
06/15/2022
2
Northshore Health System
Organization culture refers to the traditions and norms that firms follow as they operate
towards their goals. Organizational culture enables employees to stick to a standard design
model, which aids in the company’s daily operations. Corporate culture also encompasses
practices the company has been conducting since its development (Spicer, 2020). Some aspects
of the organization’s culture include the system of communication, the method of employment,
and the decision-making methods. Organizational culture is found across all institutions because
all organizations have a way of conducting operations. The companies include but are not limited
to insurance companies, educational institutions, design firms, and health institutions. This study
discusses the organizational culture of the Northshore health system.
Organization’s Culture
Northshore health system was founded in 1891 as Evanston Northwestern Hospital across
the United States of America. In the 1900’s it expanded its operations and became a teaching
hospital. The health system follows various procedures and values to achieve its goals. First, the
company embraces a democratic system of governance. The system allows all the employees to
participate in the decision-making for the institution (Pritchard et al., 2021). The chief executive
committee comes up with the idea and passes it to the junior officers to gauge what the
employees think about the suggestion. Junior employees are also involved in the firm’s meetings
and decisions approval.
However, it should be noted that even though every employee is involved in the decisionmaking process, the executive committee gives the final verdict concerning the changes. Every
employee aligns with the organization’s core mission to preserve and enhance the quality of life
for humans in the institutions. Every employee in the institution is loyal to the clients and
ensures that the clients are accorded the most appropriate services. For instance, the customer
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needs are catered for whenever a concern is raised. For instance, when the customer requests a
service, the nurses at the organization and other health practitioners attend to the patient before
embarking on their regular duties. The health practitioners also check on the patients regularly to
ensure that every patient is in the proper order.
The institution also embraces team management. Employees are encouraged to work in
teams to improve the quality of their nursing outcomes. Every team has a team leader who
manages other employees and workers towards achieving a particular target in the organization
(Turich, n.d). Furthermore, the institution follows a purist culture where it focuses on what the
firm considers best for the company. The firm focuses on the quality of the services and listens to
client feedback to evaluate the level of appreciation.
The organization’s culture supports change for the betterment of the institution. For
instance, in 2008, the company changed its name from Evanston Northwestern Hospital to
Northshore health system. The institution changed its name to integrate its services and ensure
that it attracts global customers. The company also began engaging in mergers and acquisitions
to expand its market across the globe organization (Turich, n.d). In 2000, Highland Park merged
with Northshore, and also in 2021, Edward – Elmhurst health planned to integrate with the health
system. The collaborative changes in the organizations are made to improve the company’s profit
margins and productivity.
Partnership Self-Assessment Tool
The partnership self-assessment tool refers to the questionnaires submitted to the
organization’s partners to evaluate their views about the partnership. For this case, the
Northshore health system would use the partnership assessment tool to evaluate its level of
partnership success with partners such as Edward Elmhurst and Highland Park hospital. Some
4
aspects that the questionnaire will aim to establish include the partnership’s efficacy, demerits,
and any partners’ suggestions. Anticipated weaknesses include misunderstandings between the
two organizations’ employees due to different organizational cultures (Loban et al., 2021). The
strengths include expanding the market as the Northshore Company would now attract clients
from across the globe. If one of the partners employs workers from different parts of the globe,
the communication barrier could be a problem because of the different languages in the
partnership. However, stakeholder support will be essential to ensure that the changes in the
organization are successful.
Best Health Care Process and Systems
The best health care systems I would recommend for the institution were insurance and
financing programs. Patients admitted to the healthcare institution will be awarded the chance to
enroll in the insurance program to cover them in case of a future ailment (Waitzberg et al., 2021).
Insurance programs will allow the low-income individuals in the region to get health care
services. I would also recommend the company embrace an affordable financial system where
the firm minimizes the cost of the treatment to allow more clients to be admitted to the firm.
Strategies
The firm needs to embrace effective strategies to facilitate its readiness of the firm. An
effective strategy would include the workers in decision-making during the change management
process. The institution should involve every worker in decision-making for the processed
changes (Koliev, 2020). The company should evaluate the employees’ responses and make the
final decision as to whether to implement the changes or not. Therefore, a participatory strategy
is the best for the company’s development.
Stakeholders and Team Members
5
The process would encompass the firm’s employees and the executive committee.
Decisions will be based on an inclusive meeting between the executive, junior employees, and
the community members. The executive members will sponsor the financial issues, while the
junior members will be expected to rectify any mistake committed by executive members
(Koliev, 2020). The community members will be allowed to participate in the meetings for the
organization to understand the public perception concerning the changes.
Information and Communication Technologies
The company will adopt computers and integrated communication methods to enhance
efficacy. For instance, the company would adopt a local network that allows the internal
stakeholders to communicate efficiently. Online communication will save time and space, thus
enabling the organization to meet its goals.
6
References
Koliev, F. (2020). Shaming and democracy: Explaining inter-state shaming in international
organizations. International Political Science Review, 41(4), 538-553.
Loban, E., Scott, C., Lewis, V., Law, S., & Haggerty, J. (2021, August). Activating Partnership
Assets to Produce Synergy in Primary Health Care: A Mixed Methods Study. In
Healthcare (Vol. 9, No. 8, p. 1060). MDPI.
Pritchard, D., Hulick, P. J., & Wells, C. J. (2021). Integrating personalized medicine into health
systems: progress and a path forward. Personalized Medicine, 18(6), 527-531.
Spicer, A. (2020). Organizational culture and COVID-19. Journal of Management Studies,
57(8), 1737-1740.
Waitzberg, R., Quentin, W., Webb, E., & Glied, S. (2021). The Structure and Financing of
Health Care Systems Affected How Providers Coped With COVID‐19. The Milbank
Quarterly, 99(2), 542.
1
Change Model
Mehul Abraham
GCU
NUR-590
Instructor’s Name
Date
2
Change Model
EBP project relates to ways to reduce healthcare-associated infection in the older population.
Healthcare-associated infections (HAI), also known as nosocomial infections, refer to an infection acquired
during the process of receiving healthcare services, which was not present during the patient’s time of
admission (Sikora and Zahra, 2022). Essentially, nosocomial infections have been shown to be one of the
major causes of morbidity and mortality among patients receiving care within hospitals, especially the older
population (Gao, 2022). Hence, healthcare leaders, including nurses, must strive to reduce the incidences of
nosocomial infections as part of attaining the ‘Triple Aim’ goals, which aim at the improvement of the U.S.
health care system in general. Contextually, nurses, as well as other healthcare professionals, must
implement effective change initiatives that will cost-effectively reduce hospital-related infections among
elderly patients as well as advance institutional goals and objectives. Balancing change is, nevertheless, a
key challenge in a patient-centered care model, whereby knowledge to change theory is fundamental to
altering organizational systems as well as offering safe and reliable patient care.
Selected Model for Change
Evidence-based practice is an approach to clinical management and treatment that
emerged within the last few decades. EBP is a way of assessing patients by looking for ways to
help them with their problems. Clinical judgment and an awareness of research methodology are
required for effective evidence-based practice. EBP has been adopted to improve both the
standard of patient healthcare and the safety of patients (Tucker, 2021). Within the context of the
evidence-based proposal project, the trans-theoretical model of transformation will be
implemented. Prochaska and DiClemente developed the model to facilitate organizational
transformation. I chose the model because it allows firms to make changes by providing them
with the necessary tools. Besides, it is possible to make excellent use of the model due to its
3
capability of facilitating planned change and monitoring and assessing changes after they have
been implemented. The model’s process of transformation is broken down into six stages: precontemplation, reflection, preparedness, execution, and maintenance and completion.
Stages of The Model
The model starts with the step known as pre-contemplation. Adopters still in the precontemplation stage don’t perceive the need to change their behaviors and aren’t ready to do so. It
is not common knowledge among nurses and other healthcare workforce members that
integrating health and it may enhance the quality and safety of treatment. As a result, they are
reluctant to change how the organization, among other things, delivers medications. Adopters are
open to new ideas while at the contemplation stage of the adoption process. They are aware of
the positive aspects of change and the need for innovative strategies in their day-to-day
operations. Because they are aware of the negative effects that their actions have on the overall
quality of healthcare, nurses and other professionals in the healthcare industry are considering
the implementation of integrated health information systems to reduce the number of prescription
mistakes. In the third phase, known as preparation, adopters get ready to implement the change
in the not-too-distant future. They are conscious of the advantages and potential drawbacks of
altering their actions. They take action to bring about the change they want in their typical
routines. Integrated health information systems are being used by nurses and other healthcare
professionals at this stage (Worth, 2022). They use it with extreme care, concentrating on its
advantages, disadvantages, and future growth potential.
The model’s fourth stage is to take action. Most of the persons involved have embraced
and agreed to continue utilizing the new system. Implementers adjust their efforts to make the
implementation process more efficient. Nurses and other health care professionals have
4
experienced the advantages of the change and are ready to adapt their behavior to keep the shift
continuing in this phase (Worth, 2022). The sixth phase is maintenance. Health care providers
have made long-term improvements and are willing to do things that prevent them from
returning to their previous habits. Healthcare professionals believe that medication safety should
undergo modification.
To put it another way, they build up the habits that are necessary for the shift to take
place. The last stage is known as a termination. At this time, implementers choose not to return
to their previous practices, which were responsible for an increase in the number of incorrect
medication administrations (Saunders et al., 2019). At this moment, nurses and other healthcare
workers are hesitant to implement traditional procedures. As a direct result of this, the
adjustment has been incorporated into the culture of the business, and it will be applied to patient
care in a compatible and lasting way.
Application
It is feasible that the models or frameworks may help nurses and other health care
workers implement the results of studies into practice, ultimately improving patient outcomes.
Utilizing a practice model is one of the most effective strategies for nurses to operate and
manage the evidence-based practice. These models show how to combine a medical problem
with an intervention backed by research to enhance an organization or a department. This
improvement aims to make the organization or department more effective. When a project is
being implemented, it is in everyone’s best interest to use a tried-and-true framework so that it
has the best chance of being successful and lasting for a significant amount of time (DeNisco,
2019). If these methods are not used in therapeutic settings, there is the potential for a subsequent
gap to form
5
References
Gao Y, Wang C, Wang Y, Li J, Wang J, Wang S, Tian Y, Liu J, Diao X, Zhao W. (2022). Establishment and
Validation of a Nomogram to Predict Hospital-Acquired Infection in Elderly Patients After Cardiac
Surgery. Clinical Interventions in Aging, 17(1), 141-150. https://doi.org/10.2147/CIA.S351226
Tucker, S., McNett, M., Mazurek Melnyk, B., Hanrahan, K., Hunter, S. C., Kim, B., … & Kitson,
A. (2021). Implementation science: Application of evidence‐based practice models to
improve healthcare quality. Worldviews on Evidence‐Based Nursing, 18(2), 76-84.
Saunders, H., Gallagher‐Ford, L., Kvist, T., & Vehviläinen‐Julkunen, K. (2019). Practicing
healthcare professionals’ evidence‐based practice competencies: An overview of
systematic reviews. Worldviews on Evidence‐Based Nursing, 16(3), 176-185
Sikora A, Zahra F. (2022). Nosocomial Infections. StatPearls Publishers
DeNisco, S. M. (2019). Advanced Practice Nursing: Essential Knowledge for the Profession:
Essential Knowledge for the Profession. Jones & Bartlett Learning.
Worth, P. (2022). An introduction to the trans-theoretical model of change. In Positive
Psychology Across the Lifespan (pp. 113-128). Routledge.
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Concept map
Essential steps that will be utilized in the project include:
•
Identifying the need for change
•
Determining whether the change can be considered a healthcare organization
•
Reflecting and synthesizing literature related to the change
•
Evaluating the availability and merit and conducting research
•
If there is credible and reliable evidence, piloting the practice change takes place
•
Appraising the pilot for the level of success, if the pilot is successful, the next step
priority
involves disseminating the findings within the organization and recommending an actual change

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