Research Proposal Instructions And Outline: The Purpose Of ✓ Solved
Research Proposal Instructions and Outline The purpose of
The purpose of the signature assignment is for students to apply the research and EBP concepts they have learned in this course and develop a framework for the initial steps of the student’s capstone project. The assignment allows the student to initiate the steps for planning, researching and developing an evidence-based practice intervention project proposal.
Essential Components of the Final Project Proposal will include:
1. Introduction– Provide an introduction to your topic or project. The introduction gives the reader an accurate, concrete understanding of what the project will cover and what can be gained from implementation of this project.
2. Overview of the Problem – Discuss the problem, why the problem is worth exploring and the potential contribution of the proposed project to the discipline of nursing.
3. Project Purpose Statement – Provide a declarative sentence or two which summarizes the specific topic and goals of the project.
4. Background and Significance – State the importance of the problem and emphasize what is innovative about your proposed project. Discuss the potential impact of your project on your anticipated results to the betterment of health and/or health outcomes.
5. PICOt formatted Clinical Project Question(s)– Provide the Population, Intervention, Comparison, Expected Outcomes and Timeframe for the proposed project.
6. Literature Review – Provide the key terms used to guide a search for evidence and discuss at least five (5) summaries of relevant, credible, recent, evidence-based research studies to support the project proposal.
7. Critical Appraisal of Literature – Discuss the strengths and weaknesses of the evidence, what is known from the evidence, and what gaps in evidence were found from the appraisal of evidence-based research studies.
8. Develop an EBP Standard – Describe two to three interventions (or a bundle of care) from the evidence and discuss how individual patient preferences or the preferences of others will be considered.
9. Implications – Summarize the potential contributions of the proposed project for nursing research, education and practice.
10. Conclusion Make a Level One heading from each of the above topics: Introduction, Overview of the Problem, Project Purpose Statement, etc. If the information needs to be divided further, use Level Two headings.
This is an APA formatted paper. It must have a title page, page numbers, and a References section.
Paper For Above Instructions
Title: Enhancing Patient Outcomes through Evidence-Based Practice Interventions
The significance of incorporating evidence-based practice (EBP) in nursing cannot be overstated. This research proposal aims to explore the necessity of implementing EBP interventions to improve patient outcomes significantly. This project will cover the identification of key health issues, the development of a robust intervention strategy, and the appraisal of existing literature to ensure that the proposal is founded on solid evidence. The focus will be directed towards a specific healthcare problem: the high rates of hospital readmissions in patients following discharge, specifically those with chronic diseases such as heart failure and chronic obstructive pulmonary disease (COPD).
Overview of the Problem
Hospital readmissions pose a considerable challenge to healthcare systems worldwide, with a reported incidence of 20% within 30 days post-discharge in patients with chronic conditions (Hernandez et al., 2010). This problem is worth exploring due to its implications on patient health, healthcare costs, and overall quality of care. Implementing effective EBP interventions has the potential to mitigate these rates and enhance quality of life for patients by reducing complications, improving continuity of care, and fostering better self-management of their conditions (Jencks, Williams, & Coleman, 2009).
Project Purpose Statement
The primary aim of this project is to formulate a comprehensive plan utilizing EBP interventions designed to reduce hospital readmission rates among patients with chronic diseases. This will involve implementing standardized discharge protocols, follow-up care, and patient education programs aimed at empowering patients in their self-care.
Background and Significance
The issue of hospital readmissions is critical as it directly affects healthcare costs, with estimates suggesting that readmissions contribute to approximately $17 billion annually in Medicare expenditures in the United States alone (Centers for Medicare & Medicaid Services, 2013). This project stands out as it proposes innovative practices such as incorporating telehealth follow-ups and transitional care teams, which have been shown to be effective in other studies (Weiss & Costa, 2015).
The innovative component of this project is the integration of patient preferences and involvement in their care plans, emphasizing the person-centered approach in managing chronic diseases. This is crucial as studies indicate that patient engagement leads to better adherence to treatment plans and ultimately improved health outcomes (Hibbard & Greene, 2013).
PICOt Formatted Clinical Project Question
This project will address the following clinical question: In patients with chronic diseases (Population), how does implementing standardized discharge protocols and follow-up care (Intervention) compared to the usual care (Comparison) affect the readmission rates (Expected Outcomes) within 30 days post-discharge (Timeframe)?
Literature Review
To support the proposal, key terms such as "hospital readmissions," "transitional care," "discharge protocols," and "chronic disease management" will be utilized during the literature search. An initial review identified several credible studies that confirm the effectiveness of EBP interventions in reducing readmissions:
Study 1: Jack et al. (2009) examined a transitional care model that significantly reduced readmission rates among elderly patients.
Study 2: Naylor et al. (2011) demonstrated that structured follow-up visits post-discharge could effectively minimize hospital readmission rates.
Study 3: Weingart et al. (2014) focused on patient education and self-management, revealing its substantial impact on patient outcomes.
Study 4: Hesselink et al. (2012) emphasized the importance of communication between inpatient and outpatient settings in reducing readmissions.
Study 5: Tzeng et al. (2015) identified specific characteristics of patients that predict readmission, highlighting the need for tailored interventions.
Critical Appraisal of Literature
The literature reviewed presents compelling evidence supporting the effectiveness of EBP interventions in addressing the problem of hospital readmissions. The strengths of these studies include robust methodologies and substantial sample sizes. However, gaps exist, particularly in exploring long-term impacts post-implementation and the barriers faced by patients in adhering to self-management guidelines. Future research should focus on these areas, ensuring comprehensive evaluation and continued improvement of implemented interventions.
Develop an EBP Standard
Two to three evidence-based interventions chosen for this project include: 1) Establishing a personalized discharge plan involving the patient in decision-making, and 2) Implementing a follow-up system combining telehealth visits and in-person check-ups within one week post-discharge. Considering patient preferences will significantly inform the implementation of these standards, ensuring they align with patient values and needs.
Implications
This project stands to contribute significantly to nursing research by providing data on EBP effectiveness in reducing readmission rates. In education, it will serve as a case study on the necessity of integrating EBP into nursing curricula, ensuring future nurses are equipped with essential skills. For practice, the implementation of these EBP interventions promises enhanced quality of care and patient satisfaction.
Conclusion
In conclusion, addressing hospital readmission rates through EBP interventions presents an opportunity to advance nursing practice significantly. With a well-structured proposal backed by credible research, this project aims to enhance patient outcomes and contribute positively to the healthcare system.
References
- Centers for Medicare & Medicaid Services. (2013). Readmissions reduction programs. Retrieved from [URL]
- Hernandez, A. F., et al. (2010). Hospital readmission in patients with heart failure: a new measure of quality of care. Journal of Cardiac Failure, 16(7), 582-596.
- Hibbard, J. H., & Greene, J. (2013). What the Evidence Shows about Patient Activation: Better Health Outcomes and Care Experiences. Health Affairs, 32(2), 207-214.
- Jack, B. W., et al. (2009). A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Annals of Internal Medicine, 150(3), 178-187.
- Jencks, S. F., Williams, M. V., & Coleman, E. A. (2009). Rehospitalizations among patients in the Medicare fee-for-service program. New England Journal of Medicine, 360(14), 1418-1428.
- Naylor, M. D., et al. (2011). Comprehensive discharge planning and home follow-up of hospitalized elders: a randomized clinical trial. JAMA, 281(7), 613-620.
- Tzeng, H. M., et al. (2015). Exploring the characteristics of patients that influence readmission risk. Journal of Nursing Administration, 45(5), 237-245.
- Weingart, S. N., et al. (2014). Patient-reported outcomes in patients with chronic conditions: what the evidence shows about adherence, outcomes, and healthcare utilization. The American Journal of Medicine, 127(2), 119-125.
- Weiss, M. E., & Costa, L. L. (2015). Reducing hospital readmission rates: An evidence-based framework. Nursing Clinics of North America, 50(4), 581-597.
- Hesselink, G., et al. (2012). Improving patient discharge and reducing hospital readmissions by using intervention mapping. BMC Health Services Research, 12(1), 1-11.