Initial EBP Question: In online undergraduate Nursing Programs (P), how does online simulation (S) compared to clinical experience with actual patients (C) affect a nurse’s clinical competence (O)? | ||||||
EBP Team Leader(s): Andrea Barbosa | ||||||
EBP Team Members: clinical hours workgroup | ||||||
Activities | Start Date | Days Required | End Date | Person Assigned | Milestone | Comment/ Resources Required |
PRACTICE QUESTION: | ||||||
Step 1: Recruit interprofessional team | 8/21 | 10 | 9/31 | Dean/Self | Form an interprofessional team | Faculty, dean, and student nurse meetings |
Step 2: Define the problem | 8/31 | 7 | 9/7 | Nurse Students/ Self/faculty/dean | Determine the problem | Cooperative learning among peers so gaps between practices can be identified |
Step 3: Develop and refine the EBP question | 9/7 | 7 | 10/14 | Nurse Students/ Self/faculty/dean | Identify background question | Faculty, dean, and student nurse meetings |
Step 4: Identify stakeholders | 10/5 | 1 | 10/6 | Dean/self | Identify staff and students that show interest and/or concern about the topic. | Faculty, dean, and student nurse meetings |
Step 5: Determine responsibility for project leadership | 10/12 | 1 | 10/12 | Dean/Self | Assess knowledge on the subject; assess the motivation and capacity for change | Dean and self-meeting to evaluate organization structure and strategies for change |
Step 6: Schedule team meetings | 10/26 | 3 | 10/29 | Faculty/Dean | Organize calendar for the project | Reserve room; ensure team member availability and complete presentation |
EVIDENCE: | ||||||
Step 7: Conduct internal and external search for evidence | 9/11 | 14 | 9/25 | Self | Determine the evidence to search | School protocol, current curriculum, and school financial data |
Step 8: Appraise the level and quality of each piece of evidence | 9/15 | 20 | 10/5 | Self | Research Review | Appraisal tool A |
Step 9: Summarize the individual evidence | 9/22 | 7 | 9/29 | Self | Sums the evidence documents that answer the PSCO question | Appraisal tool B |
Step 10: Synthesize the overall strength and quality of evidence | 9/29 | 7 | 10/6 | Self | Determine the overall quality for each level of evidence | Appraisal tool B |
Step 11: Develop recommendations for change based on evidence synthesis: ■■ Strong, compelling evidence, consistent results ■■ Good evidence, consistent results ■■ Good evidence, conflicting results ■■ Insufficient or absent evidence | 10/3 | 10 | 10/13 | Self | Consider possible ways to convert evidence into practice | Verify evidence results that support school needs |
TRANSLATION: | ||||||
Step 12: Determine fit, feasibility, and appropriateness of recommendation(s) for translation path | 11/3 | 4 | 11/7 | Self | Evaluate stakeholders understanding and expectations. | Round table discussion |
Step 13: Create an action plan | 11/9 | 10 | 11/19 | Self | Evaluate resources, choose progressive objectives, request feedback, and consider each member’s responsibility. | Action planning tool |
Step 14: Secure support and resources to implement action plan | 11/16 | 7 | 11/23 | Self/faculty/dean/ administrators committee. | Obtain support from organization leaders. | Meeting administration, Dean, committee, and faculty |
Step 15: Implement action plan | 11/23 | 1 | 11/24 | Faculty/student nurse/committee/ administrators/ dean | Evaluate stakeholders’ knowledge of the practice change and their availability during the implementation. | Round table discussion |
Step 16: Evaluate outcomes | 11/23 | 1 | 11/24 | Self/faculty/ student nurse/ dean/committee | Post-inservice survey | Evaluate stakeholder’s understanding of the subjects by reviewing the survey |
Step 17: Report outcomes to stakeholders | 11/27 | 1 | 11/28 | dean | Review survey with stakeholders | Authorization from the Dean for a new meeting with the staff. |
Step 18: Identify next steps | 11/27 | 1 | 11/28 | Committee/ dean/faculty | New meeting | Evaluate stakeholder’s motivation to continue the new plan. |
Step 19: Disseminate findings | 12/4 | 2 | 12/6 |
| Evaluate school support | Follow-up meetings. |