Framework or Model for Change – NUR 590 EBP

This article covers NUR 590 Benchmark – Evidence-Based Practice Proposal Project Framework or Model for Change.

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NUR 590 Benchmark – Evidence-Based Practice Proposal Project Framework or Model for Change

NUR 590 Benchmark – Evidence-Based Practice Proposal Project Framework or Model for Change

Framework or Model for Change

Selected Model

The trans-theoretical model of change will be employed for implementing the evidence-based proposal project. Prochaska and DiClemente developed the model to guide organizational changes. It providers strategies needed in organizations for the implementation of change. The applicability of the model is that it will promote systematic implementation of change as well as monitoring and evaluation of the change initiatives. The steps of change, as stated in the model include pre-contemplation, contemplation, preparation, action, maintenance, and termination (Singh & Ramdeo, 2020).

Stages of Change and their Application

Pre-contemplation is the first stage in the model where the adopters are unaware of the need for change and not ready to change their behaviors in the near future. They lack understanding of the negative effect of their current behaviors on organizational outcomes. The nurses and other healthcare providers are not aware of the benefits of integration of health information technology on safety and quality of care at this step. They do not intend to change their approaches to medication administration in the organization (Singh & Ramdeo, 2020).

Contemplation is the second step where there is a willingness for change from the adopters. They understand the benefits of change and need for innovative practices in their routines (Hodges, 2020). Nurses and other healthcare providers are aware of the disadvantages of their behaviors on patient safety, making them contemplate adopting integrated health information systems to prevent medication errors. Preparation is the third step where the adopters are prepared to implement the change in the near future. They are aware of the benefits and risks of the change in their routines. They initiate steps that would ensure desired change in their routines. Nurses and other healthcare providers start using integrated health information systems in this stage (Singh & Ramdeo, 2020). They use it gradually focusing on its strengths, weaknesses, and opportunities to enhance its effectiveness in use.

Action is the fourth step in the model where the implementers have embraced the change and are willing to sustain its use. The implementers modify their actions to support the successful implementation process. Nurses and other healthcare providers have experienced the benefits of the change in this step and willing to change their behaviors to sustain the change (Lynda et al., 2021). Maintenance is the fifth step where the implementers have achieved sustainable change and willing to engage in activities that prevent relapse in behaviors. Nurses and other healthcare providers have understood the benefits of change on medication safety. As a result, they strengthen successful behaviors needed for the change. Termination is the last stage where the implementers are not willing anymore to relapse to their old behaviors that increased medication administration errors (Singh & Ramdeo, 2020). The nurses and other healthcare providers have not willing to use the conventional methods in this stage. As a result, the change is incorporated into the organizational culture for its sustained and consistent use in patient care.

Assessment Description

Applying a model or framework for change ensures that a process is in place to guide the efforts for change. In 500-750 words, discuss the model or framework you will use to implement your evidence-based practice proposal project. You will use the model or framework you select in the Topic 8 assignment, during which you will synthesize the

NUR 590 Benchmark Evidence-Based Practice Proposal Project Framework or Model for Change

various aspects of your project into a final paper detailing your evidence-based practice project proposal.

Include the following:

  1. Identify the selected model or framework for change and discuss its relevance to your project.
  2. Discuss each of the stages in the change model/framework.
  1. Describe how you would apply each stage of the model or theoretical framework in your proposed implementation.
  2. Create a concept map for the conceptual model or framework you selected to illustrate how it will be applied to your project. Attach this as an appendix at the end of your paper.

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite minimum of four 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.

Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

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 LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. Benchmark – Evidence-Based Practice Proposal Project Framework or Model for Change

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing

1.2 Apply theoretical frameworks from nursing and other disciplines to make decisions regarding practice and health-related problems at the individual and population level. NUR 590 Benchmark Evidence-Based Practice Proposal Project Framework or Model for Change

Topic 3 DQ 1

The models or framework could help nurses and other healthcare providers to translate the research findings into clinical practice while improving patient outcomes. Numerous evidence-based practice models are available to help nurses organize and systemically track progress in the implementation of evidence into practice. These models provide a step-by-step guide on how to take a clinical problem and match it with an intervention based on research to make an organizational or departmental change to practice (Brown.C. G.2014). Use of an established framework for implementation provides a structure to implementation efforts and increase the likelihood of project success and sustainability over time. Failure to utilize these approaches has the potential to create a secondary gap in knowledge translation within clinical settings (Tucker et al 2021).

Brown. C .G(2014). The lowa model of Evidence-Based Practice to promote Quality care An Illustrated Example in Oncology Nursing. Clinical Journal of Oncology Nursing vol (18) https://cjon.ons.org/files/987UI80063M01166.

Tucker. S, McNett. M, Mazurek. M. B, Hanarahan. K, Hunter. S.C, Kim. B, Callen. L & Kitson. A (2021). Implementation science: Application of Evidence-Based practice Models to Improve Healthcare Quality. Worldviews on Evidence-Based Nursing. 18:76-84. https://doi.org/10.1111/wvn.12495.

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Framework or Model for Change
Framework or Model for Change

Benchmark – Evidence-Based Practice Proposal Project: Framework or Model for Change – Rubric

Collapse All

Selected Model or Framework for Change

12 points

Criteria Description

Selected Model or Framework for Change

5. 5: Excellent

12 points

The selected model or framework and its relevance to the project are thoroughly discussed. Rationale or support is provided.

4. 4: Good

11.04 points

The selected model or framework and its relevance to the project are discussed. Some detail is needed for clarity or support.

3. 3: Satisfactory

10.56 points

The selected model or framework and its relevance to the project are incomplete.

2. 2: Less Than Satisfactory

9.6 points

The selected model or framework and its relevance to the project are summarized. More information or support is needed.

1. 1: Unsatisfactory

0 points

The selected model or framework and its relevance to the project are not discussed.

Stages for Model or Framework

13 points

Criteria Description

Stages for Model or Framework

5. 5: Excellent

13 points

The stages in the change model or framework are outlined. There are some inaccuracies. More information is needed.

4. 4: Good

11.96 points

The stages in the change model or framework are thoroughly discussed.

3. 3: Satisfactory

11.44 points

The stages in the change model or framework are discussed. Some detail is needed for clarity or accuracy.

2. 2: Less Than Satisfactory

10.4 points

The stages in the change model or framework are not discussed.

1. 1: Unsatisfactory

0 points

The stages in the change model or framework are only partially discussed.

Application of Model or Framework to Proposed Implementation

15 points

Criteria Description

Application of Model or Framework to Proposed Implementation

5. 5: Excellent

15 points

Application of each stage of the model or theoretical framework to the proposed implementation is thoroughly described.

4. 4: Good

13.8 points

General application of each stage of the model or theoretical framework to the proposed implementation is outlined. More information is needed. Benchmark – Evidence-Based Practice Proposal Project Framework or Model for Change

3. 3: Satisfactory

13.2 points

Application of each stage of the model or theoretical framework to the proposed implementation is described. Some detail is needed for clarity or support.

2. 2: Less Than Satisfactory

12 points

Application of each stage of the model or theoretical framework to the proposed implementation is incomplete. NUR 590 Benchmark Evidence-Based Practice Proposal Project Framework or Model for Change

1. 1: Unsatisfactory

0 points

Application of each stage of the model or theoretical framework to the proposed implementation is omitted. Benchmark – Evidence-Based Practice Proposal Project Framework or Model for Change

Concept Map for Model or Framework

15 points

Criteria Description

Concept Map for Model or Framework

5. 5: Excellent

15 points

A detailed and accurate concept map for the selected conceptual model or framework is attached in the Appendix.

4. 4: Good

13.8 points

A concept map for the selected conceptual model or framework is attached in the Appendix. Some detail is needed for clarity or accuracy.

3. 3: Satisfactory

13.2 points

A general concept map for the selected conceptual model or framework is attached in the Appendix. There are inaccuracies.

2. 2: Less Than Satisfactory

12 points

The concept map for the selected conceptual model or framework is incomplete or inaccurate. The concept map is attached, but not in the Appendix.

1. 1: Unsatisfactory

0 points

A concept map for the selected conceptual model or framework is omitted.

Application of Theoretical Framework in Decision Making (B)

10 points

Criteria Description

Application of Theoretical Framework in Decision Making (C.1.2)

5. 5: Excellent

10 points

The author has clearly demonstrated the ability to effectively apply theoretical frameworks from nursing and other disciplines to make decisions regarding practice and health-related problems at the individual and population level.

4. 4: Good

9.2 points

The ability to apply theoretical frameworks from nursing and other disciplines to make decisions regarding practice and health-related problems at the individual and population level is adequately demonstrated.

3. 3: Satisfactory

8.8 points

The ability to apply theoretical frameworks from nursing and other disciplines to make decisions regarding practice and health-related problems at the individual and population level is generally demonstrated. There are some gaps or inaccuracies.

2. 2: Less Than Satisfactory

8 points

The ability to apply theoretical frameworks from nursing and other disciplines to make decisions regarding practice and health-related problems at the individual and population level is not consistently demonstrated. There are significant gaps and inaccuracies.

1. 1: Unsatisfactory

0 points

The ability to apply theoretical frameworks from nursing and other disciplines to make decisions regarding practice and health-related problems at the individual and population level is not demonstrated.

Required Sources

5 points

Criteria Description

Required Sources

5. 5: Excellent

5 points

Number of required sources is met, but sources are outdated or inappropriate.

4. 4: Good

4.6 points

Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.

3. 3: Satisfactory

4.4 points

Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.

2. 2: Less Than Satisfactory

4 points

Sources are not included.

1. 1: Unsatisfactory

0 points

Number of required sources is only partially met.

Thesis Development and Purpose

7 points

Criteria Description

Thesis Development and Purpose

5. 5: Excellent

7 points

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Benchmark – Evidence-Based Practice Proposal Project Framework or Model for Change

4. 4: Good

6.44 points

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

3. 3: Satisfactory

6.16 points

Thesis is apparent and appropriate to purpose.

2. 2: Less Than Satisfactory

5.6 points

Thesis is insufficiently developed or vague. Purpose is not clear.

1. 1: Unsatisfactory

0 points

Paper lacks any discernible overall purpose or organizing claim.

Argument Logic and Construction

8 points

Criteria Description

Argument Logic and Construction

5. 5: Excellent

8 points

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

4. 4: Good

7.36 points

Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

3. 3: Satisfactory

7.04 points

Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

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Framework or Model for Change
Framework or Model for Change
2. 2: Less Than Satisfactory

6.4 points

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

1. 1: Unsatisfactory

0 points

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

5 points

Criteria Description

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

5. 5: Excellent

5 points

Writer is clearly in command of standard, written, academic English.

4. 4: Good

4.6 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

4.4 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.

2. 2: Less Than Satisfactory

4 points

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

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Paper Format (Use of appropriate style for the major and assignment)

5 points

Criteria Description

Paper Format (Use of appropriate style for the major and assignment)

5. 5: Excellent

5 points

All format elements are correct.

4. 4: Good

4.6 points

Template is fully used; There are virtually no errors in formatting style.

3. 3: Satisfactory

4.4 points

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

2. 2: Less Than Satisfactory

4 points

Template is used, and formatting is correct, although some minor errors may be present.

1. 1: Unsatisfactory

0 points

Template is not used appropriately or documentation format is rarely followed correctly.

Documentation of Sources

5 points

Criteria Description

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

5. 5: Excellent

5 points

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

4. 4: Good

4.6 points

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

3. 3: Satisfactory

4.4 points

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

2. 2: Less Than Satisfactory

4 points

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

1. 1: Unsatisfactory

0 points

Sources are not documented.

Resources

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Evidence-Based Practice in Nursing and Healthcare : A Guide to Best Practice

Read Chapter 14 and review Chapter15 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice.View Resource


Critical Appraisal Tools

Read “Critical Appraisal Tools,” located on the Centre for Evidence Based Medicine (CEBM) website.

https://www.cebm.ox.ac.uk/resources/ebm-tools/critical-appraisal-tools


Worksheet for Using Practice Guidelines

Study “Worksheet for Using Practice Guidelines,” from the “Evidence Based Medicine Toolkit,” by Buckingham, Fisher, and Saunders (2

http://www.ebm.med.ualberta.ca/CPGWorksheet.html


Guidelines and Measures

Study “Guidelines and Measures,” located on the Agency for Healthcare Research and Quality website.

https://www.ahrq.gov/gam/index.html


Nursing Best Practice Guidelines

Investigate the Nursing Best Practice Guidelines page of the Registered Nurses Association of Ontario (RNAO) website.

http://www.rnao.org/Page.asp?PageID=861&SiteNodeID=133


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Framework or Model for Change
Framework or Model for Change

Evidence Based Medicine: Levels of Evidence

Read “Evidence Based Medicine: Levels of Evidence,” by the University of Illinois/Chicago’s Library of the Health Sciences at Peoria (2021)

http://researchguides.uic.edu/content.php?pid=232200&sid=1921074


Use of Evidence-Based Practice Models and Research Findings in Magnet-Designed Hospitals Across the United States: National Survey Results

Read “Use of Evidence-Based Practice Models and Research Findings in Magnet-Designed Hospitals Across the United States: National Survey Result

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=142632269&site=ehost-live&scope=site


Star Model

Explore the Star Model resources, located on the UT Health San Antonio School of Nursing website.

https://www.uthscsa.edu/academics/nursing/star-model


Advanced Practice Nursing: Essential Knowledge for the Profession

Read Chapter 6 in Advanced Practice Nursing: Essential Knowledge for the Profession.

View Resource


Updating the Stetler Model of Research Utilization to Facilitate Evidence-Based Practice

Read “Updating the Stetler Model of Research Utilization to Facilitate Evidence-Based Practice,” by Stetler, by Nursing Outlook (2

https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0029655401478390


Iowa Model of Evidence-Based Practice: Revisions and Validation

Read “Iowa Model of Evidence-Based Practice: Revisions and Validation,” by Buckwalter et al., from Worldviews on Evidence-Based Nursing

… Read More

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123692132&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost


A Test of the ARCC Model Improves Implementation of Evidence-Based Practice, Healthcare Culture, and Patient Outcomes

Read “A Test of the ARCC Model Improves Implementation of Evidence-Based Practice, Healthcare Culture, and Patient Outcomes,” by Melnyk, Fi

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121082056&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost


Study Designs

Review “Study Designs,” located on the Centre for Evidence Based Medicine (CEBM) website.

https://www.cebm.ox.ac.uk/

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