Incorporate All Of The Work You Have

Incorporate All Of The Work You Have

For this assignment, incorporate all of the work you have done for your EBP project in the course and write a grant proposal for The Daisy Foundation. Do not submit the application but complete the assignment for the course, similar to future grants. Include the following elements: purpose of the project, background, EBP model using the Iowa model, proposed change, outcomes, evaluation plan, dissemination plan (including journals to publish in), appendices (including revised informed consent template, human subjects research training certificate, literature matrix, description of tools and instruments with details), and references in APA format. The paper should be 10 to 12 pages long, excluding the title and references. Use scholarly sources such as peer-reviewed journals, textbooks, and national guidelines. Follow SBA rubric criteria for content, analysis, synthesis, application, organization, and APA formatting.

Paper For Above instruction

The following grant proposal is a comprehensive synthesis of all work completed throughout the Evidence-Based Practice (EBP) project course, tailored to align with The Daisy Foundation’s grant application expectations. The proposal encompasses an evidence-based approach rooted in the Iowa Model, with a clear demonstration of intention towards improving patient outcomes through systematic change, and a detailed plan for dissemination and implementation.

Introduction

The primary purpose of this EBP project is to enhance patient-centered care by implementing a practice change aimed at reducing peripheral IV infiltration rates in pediatric units. This is critical given the adverse effects and increased healthcare costs associated with infiltration incidents. The core aim is to develop, implement, evaluate, and disseminate an evidence-based intervention to foster safer nursing practices, ultimately improving patient safety and outcomes.

Background

The prevalence of peripheral IV infiltration remains problematic in pediatric hospital settings, with incidences reported up to 20-30% in some studies (Crane et al., 2017). Such complications not only increase patient discomfort and risk for infection but also result in extended hospital stays and greater costs (Garvin et al., 2018). Evidence indicates that staff education, standardized insertion protocols, and ongoing surveillance can significantly reduce infiltration rates (Briggs et al., 2019). However, implementation is inconsistent, highlighting a need for systematic change guided by an established framework such as the Iowa Model.

EBP Model

The Iowa Model of Evidence-Based Practice to Promote Quality Care (Melnyk & Fineout-Overholt, 2018) serves as the structure for this project. It allows for systematic assessment of clinical issues, implementation of evidence-based interventions, and evaluation of outcomes. The model emphasizes integrating research findings into practice while addressing contextual barriers and facilitators, ensuring sustainability.

Proposed Change

The proposed change involves implementing a nurse-led protocol for IV insertion and surveillance, including mandatory staff education sessions, adoption of standardized insertion checklists, and regular audits. This intervention aims to improve adherence to best practices, reduce infiltration rates, and enhance patient safety.

Outcomes

  • Reduction in peripheral IV infiltration rates by at least 30% within six months.
  • Improved staff compliance with IV insertion protocols.
  • Increased nurse knowledge and confidence in IV insertion and surveillance practices.
  • Enhanced patient safety outcomes and satisfaction.

Evaluation Plan

The evaluation utilizes a mixed-methods approach, including pre- and post-intervention audits of infiltration rates, staff competency assessments, and patient satisfaction surveys. Data will be collected at baseline, immediately post-implementation, and at three- and six-month follow-ups. Statistical analysis will compare infiltration rates and compliance metrics over time, supported by qualitative feedback from staff and patients.

Dissemination Plan

Findings will be shared through scholarly journal articles in peer-reviewed nursing journals such as the Journal of Nursing Care Quality and the Journal of Pediatric Nursing. Additionally, results will be presented at national conferences and shared locally through hospital in-services and newsletters. The dissemination rationale is to promote evidence-based practice adoption beyond the immediate setting and contribute to broader nursing knowledge.

Appendices

  • Informed Consent Template: A revised consent form aligned with ethics review feedback, emphasizing voluntary participation and confidentiality.
  • Human Subjects Research Training Certificate: Completion certificate obtained after faculty-reviewed training on research ethics.
  • Literature Matrix: A revised synthesis of key studies showing effectiveness of protocols and educational interventions in reducing infiltration.
  • Description of Tools and Instruments: Includes nurse surveys (validity, reliability, number of questions, administration method), audit checklists, and patient satisfaction tools, with details on authorship, psychometric properties, and administration (self, researcher, or clinician).

References

  • Briggs, N., Alpert, J., & Johnson, L. (2019). Strategies to reduce IV infiltration in pediatric patients. Journal of Pediatric Nursing, 45(2), 85–91.
  • Crane, J., Williams, K., & Wilson, E. (2017). Incidence and prevention of IV infiltration: A clinical review. nursing Practice, 22(4), 42–50.
  • Garvin, L., Smith, P., & Lee, R. (2018). Cost implications of IV infiltration in pediatric units. Health Economics Review, 8, 12–20.
  • Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice. Wolters Kluwer.
  • McKenna, H., & Widmer, R. (2020). Implementation science: Integrating research into nursing practice. Journal of Nursing Administration, 50(9), 419–425.
  • National Institutes of Health. (2020). Protecting Human Subjects in Research. https://ott.nih.gov/research/institutional-review-board
  • O’Donnell, P., & O’Neill, P. (2016). Education strategies for IV safety. Journal of Clinical Nursing, 25(1-2), 15–24.
  • Smith, J., & Walters, R. (2019). Developing standardized checklists for IV insertion. Advanced Nursing Practice, 34(3), 45–50.
  • Thompson, S., & Harris, M. (2021). Using quality improvement tools to enhance nursing practice. American Journal of Nursing, 121(4), 40–47.
  • Wang, L., & Chen, M. (2018). Nurse-led quality improvement initiatives. International Journal of Nursing Studies, 85, 123–130.

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