This week you will be working on an evaluation plan that will be attached to your EBP in Week 9.  Submit your Evaluation Plan to the DB –listed as 1-2-3…  (Remember you are evaluating the change to your practice not the PICOT)

 We used a PICOT question to assist us in our search for evidence–thus making you think there is research involved in your project.  In truth, I can understand the confusion–but the purpose of the PICOT is to assist in your search for support in implementing the change.  Once you have the support then you are evaluating the change not the question. NSG6999 Graduate Project in Nursing SU09 – Week 7 and 8..

Supporting one—Challenging one.

By the end of the week, comment on the responses of at least two other students by supporting a minimum of one post and challenging a minimum of one post.  You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area. Please only start a new thread with your original post. Hit reply to respond to a peer.

It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. NSG6999 Graduate Project in Nursing SU09 – Week 7 and 8.

NSG6999 Graduate Project in Nursing SU09 – Week 7 and 8 Sample Solution

Implementation plan for the EBP project proposal

PICOT

In young adults with Anorexia Nervosa (P) in a primary clinical practice does implementing an alternative treatment with the practice of yoga as a stress reduction technique (I) compared to those do not practicing yoga (C) decrease the number of relapses (O) over 18 months period (T)?

I will follow the outline steps:

Step 1: Identifying the stakeholders:

The stakeholders in the planned implementation will be persons who have volunteered for the study (Brewer & Alexandrov, 2015).  I will be seeking 100 participants for the 18-months study in an outpatient setting such as treatment clinics for ED and support groups. The champions for administration and tracking of questionnaires would include nursing staff and group leaders if they are individually committed to improving patient outcomes through EBP (Kim, Ecoff, Brown, Gallo, Stichler, & Davidson, 2017).

Step 2: Identifying potential barriers:

The barriers are those factors that can adversely affect the success of the intervention; they can be both internal and external (Singh & Kant, 2008). A key factor will be considered facilitator or barrier to the extent that contributes positively or negatively to the success of the project (Singh & Kan, 2008). Barriers to addressing when working in outpatient/group-based settings will likely begin with difficulty recruiting and maintain volunteers during the whole length of the study (Singh & Kan, 2008). To maximize study participation, participants will receive some monetary compensation each time they will complete the questionnaires (Kim et al., 2017). Using self-reporting questionnaires could also result in social desirability bias by participants as described by Althubaiti, (2016). It will be prevented by using an external validation method, such as medical record checks (Althubaiti, 2016).

Step 3: Identifying tools to measure the change:

This study will span 18 months and will include a therapeutic yoga class with a frequency of two times a week. The participants will be randomly enrolled in either the interventional group (participating in a yoga class) or in the control group (receiving standard treatment).  I would like to establish a baseline evaluation, to track patients progress during the interventional period every twelve weeks, at six-time points throughout the intervention, and end of the response. I am theorizing to use the following instruments Beck Depression Inventory (BDI) (Beck, Ward, Mendelson, Mock, & Erbaugh, 1961); Beck Anxiety Inventory (BAI) (Beck, Epstein, Brown, & Steer, 1988); Eating Disorder Risk Composite from the Eating Disorder Inventory-3 (EDRC) (Garner, 2004); Emotional Avoidance Questionnaire (EAQ) (Taylor, Laposa, & Alden, 2004), Eating Disorder Examination-Questionnaire (EDE-Q) (Berg, Peterson, Frazier, & Crow, 2012); Positive and Negative Affect Schedule (PANAS) questionnaires, and   biophysical measurements such as BMI (Watson, Clark, & Tellegen, 1988).

References

Althubaiti, A. (2016). Information bias in health research: definition, pitfalls, and adjustment methods.Journal of multidisciplinary healthcare, 9, 211.

Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of general psychiatry, 4(6), 561-571.

Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: psychometric properties. Journal of consulting and clinical psychology, 56(6), 893.

Berg, K. C., Peterson, C. B., Frazier, P., & Crow, S. J. (2012). Psychometric evaluation of the eating disorder examination and eating disorder examination-questionnaire: A systematic review of the literature. International Journal of Eating Disorders, 45(3), 428–438.

https://doi.org/10.1002/eat.20931

Brewer, B., Alexandrov, W., (2015). The Role of Outcomes and Quality Improvement in Enhancing and Evaluating Practice Changes. Evidence-Based Practice in Nursing & Healthcare, 3rd Edition. [South University]. Retrieved from https://digitalbookshelf.southuniversity.edu/#/books/undefined/

Garner, D. M. (2004). EDI-3 Eating Disorder Inventory-3 Professional Manual. Lutz, FL: Psychological Assessment Resources.

Kim, S. C., Ecoff, L., Brown, C. E., Gallo, A. ? M., Stichler, J. F., & Davidson, J. E. (2017). Benefits of a Regional Evidence-Based Practice Fellowship Program: A Test of the ARCC Model. Worldviews on Evidence-Based Nursing, 14(2), 90–98. https://doi.org/10.1111/wvn.12199

Singh, M., & Kant, R. (2007). Knowledge management barriers: An interpretive structural modeling approach. IEEE Conference Publication. Retrieved from

https://www.semanticscholar.org/paper/Knowledge-management-barriers%3A-An-interpretive-Singh-Kant/7ceaf95950135af9b19441e4c33a6

Taylor, C. T., Laposa, J. M., & Alden, L. E. (2004). Is avoidant personality disorder more than just social avoidance? Journal of Personality Disorders, 18(6), 571-594.

Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of personality and social psychology,54(6), 1063.