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School of General Studies ​hi everyone so I made this little voiceover PowerPoint to kind of help guide you a little bit more if you're feeling like you need a little more guidance regarding your group EBP project anyone ever feel like this comic in doing group projects um yeah I love office space and I love all these little memes that have this guy Adam anyways I know I felt this way many times during grad school doing lots of group projects I hope that your groups are working out well and hopefully this isn't something that over it requires too much work on your part it should be something that once you really get a handle on what you're trying to do it should go fairly quickly so let's just dive in to what we're going to be okay so basically I'm going to run you through the ten step of your EBP project template and this is also following the rubric the rubric goes the grading rubric goes exactly the same way through the ten different components of your project plan I do have that template there for you as a guide you don't have to use it if you'd rather write it in paper format that's fine but you're also welcome to just fill in the template as well so the first section is your clinical problem it's almost identical to what you're doing in your individual papers you are talking about the prevalence of your problem so how bad is it maybe giving some statistics nationally internationally statewide countywide however that how whatever you can find what the problem is and how big is it what are the consequence is the problem so this is where we talked about in class there's usually three avenues there's consequences that are related to patient health outcomes or any kind of patient outcomes there's consequences related to nursing so how our nurse is affected by this problem and then usually there are financial outcomes how is the hospital or the organization affected financially by this problem you're going to want to then address current practice what is currently happening at your facility in regards to this problem and why is that not ideal what's not working about it why is that not the best way to go about dealing with this problem in your paper and in this project make sure you tie this to nursing sometimes students pick a problem that is a general health care problem and they don't tie it to how this affects nurses so please make sure that you do that you are so cific about how it connects to nursing this next section is just basically putting your Pico question out there you want to have all four elements of your Pico you can have it as a purpose statement or as a question I think it's probably easier to write as a question make sure that you have all four elements clearly defined or explained so your Pico can be fairly general in the way that it's worded as long as you then have a little bit of an explanation after it about what each element of the Pico specifically means or how you're you know what's your specific app patient health outcome or what's your specific intervention if it's general in the question again connect this to this needs to be clearly connected to the problem that you just identified in the first section so for your project purpose again this is a brief statement kind of like the objective statement or the purpose statement that you would find in research articles where it says the purpose of this study is to or the objective of this study is to so this is kind of the same idea for you you are identifying the purpose of your project what are you planning to do about this problem so it needs to be connected to your nursing problem that you first identified it needs to connect your action plan that will talk about a little bit later which is your actual like intervention plan and it needs to be folk specific so not just some general statement about you know helping you know improving sleep for patients in the ICU you need to be like specific in this statement about what you'd like to do what you'd like to accomplish so when this in this section the description of your projects i have several people ask me you're trying to clarify with me and i saw i just want to make this clear that there is only one project site so for your group project you guys are choosing one facility it can be one of the facilities that one of you currently work at that might be easier to kind of picture how this is going to go down or if that's just really not working for you if none of your facilities really line up with your project topic then you can make up a just a sec fictitious hospital unit whatever so it's up to you how you want to do this but whatever you do as a group you decide on your project site and then these are the four things that you need to talk about when you're describing it so you need to talk about what kind of healthcare facility it is what kind of unit it is you need to talk about the role of the nurse this is important because you guys are nurses that are going to be making these kinds of changes and so how what is your role what kind of functions do you have and how does that connect to maybe the problem or your intervention nursing can look very different depending on the settings so that's why this is important to kind of talk just a little bit about what the nurse does on that unit as far as leadership or management this is important because if your leadership doesn't care about your project or if leadership is just not supportive in general of projects or if leadership is not visible and the unit very often you're going to run into some problems when you come up with a plan for an EBP project and you'd like it to be carried out so again this is something where if you're picking a real unit talk

about what leadership with lie part they supportive are they not supportive are they visible or they involved in patient care what does that look like or make it up if you're out of theoretical if you're coming up with a makeup place and then EBP culture kind of goes along with that so what is the culture like on your unit regarding EBP to people even know what EBP memes do people are people encouraged to start EBP projects is their funding available for those kinds of things is it something that's required to move up your ladder or your clinical ladder so all things to think about when you're talking about your project site this is a really simple section your population so who exactly are you going to be doing this epp plan with your population so what's the gender the age range the medical problem and or diagnosis there can be one there can be many depending on what you kind of unit you've chosen and who you're working with and then socioeconomic status this is important because a lot of times for your project to really make a difference you need maybe you need family support maybe you need support when they go home and that can be affected by socioeconomic status so be thinking about how that may impact what you'd like to do in your workplace project description this is really the nuts and bolts of this entire project what is your plan what are you going to do the requirement on the rubric is that you have at least four steps there are I'm sure many many more than four steps that would be necessary to implement any sort of a project in a hospital setting or even an outpatient setting but I want you to be able to identify at least four steps or things that really need to occur to make this happen they need to be logical they need to be meaningful and cohesive so it needs to flow it needs to make says why they're in the order in the order that they are and always always connect this to the project purpose how is it how is it not only the purpose with the problem so how is connecting to the problem houses connecting to the purpose statement what you said you were going to set out to do so stakeholders it's kind of a funny word but basically what it means is who has stake in this who do you need buy-in from and who would be affected by your project if you implemented this I think all of you can come up with many more than five stakeholders but you need to identify at least five and it briefly explain why their stakeholders why you either need their buy-in or why they will be influenced or affected by the project so for your evidence synthesis and this is also a big meaty part of your project this is where you are coming up with a summary of each group members article and then connecting those summaries to your project purpose and plan so this is where I've talked to several of you about articles that you've chosen that may not have been the best choice at first and the reason is because a lot of times you're the reason for a lot of you is that your articles need to really be clearly supporting what your plan is and so if your article doesn't offer any kind of an intervention then it's not really that helpful when you're coming up with your own plan now i have had groups in the past where they had articles that were a little bit conflicting maybe one article for example had a group who did was looking at trying to prevent Falls and they had different articles where one was saying this intervention worked and what was saying it didn't work that's okay you don't have to just go searching for anything that lines up exactly with your idea but then you need to clearly articulate you know well this article actually didn't support this intervention or this one said it should be done a little differently you just need to be able to talk about that and make it clear how that relates to your plan so it doesn't have to be cookie cutter perfect but what I want you to be able to do is be able to Reeve your evidence and make sense of it and apply it to your plan you can either do this section as like three different summaries that you then tie together at the end or you can kind of talk about them all together it doesn't matter to me how you do it as long as each group members article is represented and it's connected to the whole project so internal evidence is the term that we give for what's going on in your actual setting the problems in your actual setting and how that is big basically begging for a practice change another way that we talked about this in EBP language is a gap in practice have we identified that there's a gap between the problem in the solution or between the evidence and what's really being done so in this setting in this section again you're going back to your specific setting that you've chosen wizard whether it's a real one or a made-up one and you need to talk about what the problem looks like in that setting so the problem is Falls what's your fall rate on this specific unit what are the consequences of the falls on this specific unit so again it has to be specific to the setting and it needs to again make sense for why you want to have a change taking place and then this last section is talking about how you're going to measure what you're doing because if we don't measure it then we don't know if it's effective right this is like kind of the crux of it all so you need to be able to come up with at least one outcome with a definition to make sure you have it clearly defined if your outcome is looking at hypertension well please define what hypertension is and you know several of you have asked me about if it's okay to have more than one outcome definitely it is just make sure that every outcome you list you define it you talk about how you're going to measure it in your timeline so these things are all need to line up for every outcome so when we talk about a measurement tool or an instrument if you're measuring hypertension this would be the blood pressure cuff that you would use in some cases you may not have actual measurement tool if you're looking at Falls that would be some sort of a chart review i'm assuming so and this doesn't always apply but if it does then you do need to talk about what

specific tool you would use when i talked when I measured anxiety and kids in my dnp project I had to choose a specific anxiety scale i chose the beck anxiety inventory so if you're looking at something like that you need to find a very specific tool and what I recommend is just looking at what your articles use and going with something that your articles already use the timeline for measure of it just means when are you going to measure this you're going to measure this I'm assuming before you do an intervention and then maybe a month in two months in and three months or six months it's not totally up to you how you want to measure depending on what you're trying to accomplish and what makes sense in your unit again as always connect this to the purpose that you've stated to your action plan and to your evidence does your what are your studies measuring what are their outcomes and hopefully that informs what you're going to measure so bottom line is this project as a template or huzzy as you're filling it out also as your presentation which is basically just talking about these 10 points needs to be a convincing plan that would make administrators want to jump on board and say yes yes oh my goodness I can't believe we haven't thought of this or I can't believe we haven't implemented this already this needs to happen on our unit we have a problem let's fix it so convincing us is not only by your um tone and your presentation style but also by your evidence and the way you put all of this information together on paper and I can't wait to hear what incredible ideas you guys come up with I'm always always impressed and amazed at what I hear in this class and just hope that maybe in some cases they will actually change will actually happen you'll actually do something about it in your real workplace so best of luck to you and we will see you in week 5 ASA College.