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In hospitals, how does improper hand washing affect hospital acquired UTIs in the Med Surg unit and ICU? Use the John Hopkins EBP approach

Team Evidence-Based Practice Project Proposal Components/Guidelines

 

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Each evidence-based practice (EBP) project is unique. The following guidelines may be revised according to the project advisor. The EBP proposal is done according to APA format. The following sections are usually included in an evidence-based practice project proposal. See Appendix A for formatting guidelines of EBP project paper.

 

TITLE PAGE – The title includes all relevant variables, types of study, and sample. Please follow the Title Page Formatting Guide.

 

ABSTRACT – The abstract provides a summary of your evidence-based practice project. It is typically between 120 – 250 words but is not more than 350 words. Items to include in the abstract are:

 

Clinical Problem – in one sentence if possible

Purpose of the project – state the same way as you do throughout your EBP project Summary of evidence and strength of evidence supporting practice change Proposed practice change

Implementation strategies Evaluation methods Outcomes

Conclusions/Nursing Implications

 

 

The abstract for your proposal includes all the above elements except the outcomes and conclusions/nursing implications. Outcomes and conclusions/nursing implications will be included when you have completed your project.

 

CHAPTER I – INTRODUCTION

 

Introduction: The introduction tells the reader what is in the chapter. You will have an introduction to each chapter and the purpose is the same for each chapter – to tell what is in the chapter and how it is organized. For instance, you might state what piqued your interest in this clinical issue.

 

Identification of the Clinical Problem: This needs to include the general area of concern, a brief background about the concern, and the significance of the concern. A justification of the need is also included. Follow a format suggested by your advisor or one that fits your project. Support it with examples and citations, as appropriate. Conclude with a synopsis of the clinical problem.

 

Purpose: This is a broad reflection of the focus of your project.

 

PICO/PICOT Statement: It is stated as a clinical practice problem format, such as PICO (Population, Intervention, Comparison, Outcome) or PICOT (Population, Intervention, Comparison, Outcome, Timeline).

 

CHAPTER II – REVIEW OF EVIDENCE (EBP)

 

Introduction: This chapter, as does every chapter, has an introduction section. This section provides the reader with the organization of the chapter.

 

Specific Section: The headings used in this section will be titled using the concepts and elements of the study – NOT “SPECIFIC SECTION.” You may start with a review of the theoretical literature on one or more concepts. Then the heading would be something like “Review of Evidence on …” This review can be captured in other sections that address the specific concept(s), and depends on the evidence and nature of the study’s purpose.

 

As you review the purpose of the EBP project remember that each concept or topic needs to be addressed in the evidence review chapter.

 

For example, if purposes of an evidence-based practice project were to:

Develop an evidence-based approach to diabetes education for the Hispanic population receiving care at a migrant clinic.

 

The headings you would have in CHAPTER II could include:

  • Diabetes among Hispanic population (if enough evidence is available, you could narrow the heading to type 2 diabetes in the Hispanic migrant population or other focus that is appropriate for the proposed population)
  • Approaches to diabetes education for the Hispanic population (need to be based on available evidence)

 

Guidelines or systematic reviews

  • Review existing guidelines applicable to your
  • Review systematic reviews applicable to your

 

 

 

Synthesize in a narrative format the following items.

  • How literature was searched
  • Selection criteria used
  • Databases searched over which years
  • Data abstraction process
  • Characteristics of studies included/excluded and rationale for each

 

Synthesize the literature in a narrative form.

  • Synthesize the review of national/institutional guidelines, systematic reviews, and current, seminal, and landmark
  • Describe the overall levels of evidence with
  • Identification of gaps in clinical knowledge related to the clinical

 

Remember:

  • A table of the evidence reviewed is included in this chapter or as an
  • Provide a synthesis of the studies, not a paragraph on each
  • Cite references according to current APA
  • Summarize the evidence of each

 

Evaluation of Evidence: Include an analysis of the value of the strength of the evidence in answering your clinical question. Include the rating system used to evaluate the evidence and include the strength of evidence in your narrative and in the review of evidence table.

 

Conceptual Model, Theory, or Map (if applicable): The conceptual model, theory, or map used to guide the study needs to be presented. How the project is guided by the theory or model needs to be discussed. Not all studies will have a conceptual model or theory.

 

Summary: The summary will provide information about the evidence as well the conceptual model, theory, or map that guides the project. It would include a summary analysis of all the evidence found.

 

CHAPTER III – NURSING PROBLEM AND PROPOSED RECOMMENDATIONS FOR PRACTICE CHANGE

 

Introduction: Review purpose of the project and tell reader the organization of the chapter.

 

Identification of Problem or Issue: Restatement of the clinical question. The clinical question flows logically from introduction and literature review.

 

Recommendation Summary: Statement of recommendation, reference(s) in support of recommendation, strength of evidence supporting recommendation, and timeline.

 

Evaluation of Utility: Clinical feasibility and usefulness of proposed intervention; analysis of benefits and risks of intervention; cost analysis and resources needed to implement the intervention; how the proposed intervention compares to the supporting literature.

 

 

 

Recommendation for Implementation of Practice Change: State your proposed practice change proposal developed from the evidence-based recommendations and how it might be (or was) sustained in practice.

 

Sample/Practice Setting/Clinical Context: Identify sample and setting (size, setting characteristics, rationale for selecting this setting, how sample and setting compare with those described in the literature). If need IRB approval, note where obtained (e.g., SU only or other agencies).

 

Outcome Measures/Tools: What indicators will you use, or have used, to measure the success of implementing the innovation or change? Include reliability and validity properties if using established tools.

 

Summary: Summarize the problem, recommendations, sample/setting, and outcome measures.

 

Team EBP Paper Format: Please follow this format precisely. You will need to address each element of this format for grading purposes.

 

 

TITLE PAGE FORMAT

 

 

 

 

 

TITLE

 

 

 

 

 

 

A [Evidence-based Practice Project]

Submitted to the Faculty

College of Nursing and Public Health

South University

 

 

 

 

Consider whether you want to use your middle initial.

by  (Student) (Student)

 

 

 

 

In Partial Fullfillment of the Requirements for the Degree of

Bachelors of Science in Nursing

 

 

 

Date of your research project proposal meeting or research project final oral examination.

Date

 

 

  TABLE OF CONTENTS (EBP Project)  
Page
LIST OF TABLES……………………………………………………………….….. vi
LIST OF FIGURES……………………………………………………………….… vii
CHAPTER
I. INTRODUCTION.……………………………………………………. 1
  Introduction to the Problem……………………………………….…..

Problem Statement…………………………………………………….

Purpose of the Project………….….……………………………………

2

3

4

II. REVIEW OF THE LITERATURE.…………………………….……..…  
  Introduction……………………………………………………………  
  Review of the Literature…………..…………………………………..  
  Evaluation of Evidence………………………………………………..

Conceptual Model or Theory………………………………………….

Conceptual Map (if utilized)…………………………………………..

Summary………………………………………………………………

 
III. NURSING PROBLEM AND RECOMMENDATIONS……………….  
  Introduction……………………………………………………………

Identification of Problem or Issue…………………………………….

Recommendation Summary……………………………………………

Recommendations for Utility………………………………………….

Recommendation for Implementation of Practice Change……………

 
IV. IMPLEMENTATION PLAN………………………………….………..  
  Introduction…………………………………………………………….

Implementation Plan…………………………………………………..

 
  Sample/Practice Setting/Clinical Context………………..……

Readiness for Change Assessment……………………..……..

Outcome Measures/Tools…………..…………………………

Data Collection Procedure……..……………………………..

Financial Analysis……………………………………………..

Data Analysis Plan…..………………………………………..

Ethical Considerations…………………………………………

 

 

 

  Summary………………………………………………………………
V. DISCUSSION AND CONCLUSIONS…..…………………….………..
  Sub-title..……………………………………………………………….

Sub-title………………………………………………………………..

 

 

 

 

REFERENCES……………………………………………………………………….
APPENDIX A. TITLE IN CAPS………………………………………………..
APPENDIX B. TITLE IN CAPS………………………………………………..
APPENDIX C. TITLE IN CAPS………………………………………………..

 

 

 

 

LIST OF TABLES
Table Page
1. Demographic Characteristics of Study Sample………………………………..
2.  
3.  
4.  

 

 

 

LIST OF FIGURES
Figure Page
1. Conceptual Map.……….……………………………………………………….
2.  
3.  
4.  

 

 

 

 

EXAMPLE OF HEADINGS OR DIVISIONS OF TEXT

 

Follow APA on the use of section headings.

 

 

 

Level 1 Heading

 

Title (other than title page)

 

Centered, Boldface, Uppercase and Lowercase Heading

Level 2 Heading All of Title is Flush Left, Boldface, Uppercase and Lowercase Heading
Level 3 Heading Indented, boldface, lowercase paragraph heading ending

with a period.

Level 4 Heading Indented, boldface, italicized, lowercase paragraph ending with a period.
Level 5 Heading Indented, italicized, lowercase paragraph heading ending

with a period.

 

 

 

 

American Psychological Association. (2010). Publication Manual of the American Psychological Association (6th ed., p. 62). Washington, DC: Author.

 

 

Examples of Table Format

 

 

Table 1

 

Participant Demographics

 

  N % Mean SD Range
Age 295 42.71 10.41 20 – 73
Years at Organization 299 13.67 9.58 .5 – 41
Years of Experience 299 15.67 8.50 .5 – 41
Gender          
Female 292 97.7
Male 7 2.3

 

 

If the table is continued onto a second page, the title reads as: Table 1 (continued)

Participant Demographics

 

  N % Mean SD Range
Specialty Area            
Med/Surg 175 59%  
Critical Care 124 41%  
Certification            
Yes 100 33%  
No 199 67%  

 

 

Example of Figure Format

 

 

 

 

 

 

 

 

 

 

 

Figure1. Figure content is explained here.

 

 

 

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