evidence-based practice proposal – section e: implementation plan | public health nurse

 

In 1,000-1,500 words, provide a description of the methods to be used to implement the proposed solution. Include the following:

  1. Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Although you will not be submitting the consent or approval forms in Topic 5 with the narrative, you will include the consent or approval forms in the appendices for the final paper.
  2. Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, you will include the timeline in the appendices for the final paper.
  3. Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, you will include the resource list in the appendices for the final paper.
  4. Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, you will include the instruments in the appendices for the final paper.
  5. Explain the process for delivering the (intervention) solution and indicate if any training will be needed.
  6. Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, you will include the data collection tools in the appendices for the final paper.
  7. Describe the strategies to deal with the management of any barriers, facilitators, and challenges.
  8. Establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer-related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, you will include the budget plan in the appendices for the final paper.
  9. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

The attached is what my essay needs to be about.

  

Social Economic Status and Diabetes Mellitus

Diane Boll

Grand Canyon University: NUR 590

12-16-2020

Social Economic Status and Diabetes Mellitus

Evidence-Based Practice can be defined as the systems, procedures, and processes that are applied in implementing quality research findings on decision making in the clinical setting. However, EBP has been adopted on a limited scope contributing to a significant gap in the best available clinical practices and those implemented in the actual clinical setting. EBP is essential to delivering health services because it eliminates the errors associated with obsolete information, the impact of subjective errors, and clinical practices resulting from unsubstantiated experiences. Due to rapid advances in medical knowledge about advancements in the treatments of Diabetes mellitus patients, suitable change models are required to implement rising changes and improvements in clinical practice. Rogers’ Diffusion of Innovation Model is an appropriate model for implementing desired changes for Diabetes Mellitus patients because it is effective across multiple clinical settings.

The first phase in the implementation of the Rogers Diffusion of Innovation Model is knowledge. In this phase, employees or associated personnel are educated about the functions and mechanisms involved in adopting innovative systems. Persuasion is the second phase, which entails creating individual perceptions about innovations’ attributes about the complexity and relative advantage of specific systems. For instance, in a hospital setting, if nurses perceive a new patient-records management system that a hospital is planning on adopting as complex, they are likely to prefer older systems over new systems (Pashaeypoor et al., 2016). Decision is the third phase of this model. Individuals make the final decisions on whether to dismiss or embrace an innovative system in this phase. The final step involves either adoption or dismissal (Mohammadi et al., 2018). If employees consider innovation as advantageous, they’ll accept its integration into clinical systems. In contrast, if they feel a system to be too expensive or too complicated, the possibilities of dismissing its application are high. 

Proposed changes for improving people’s social experiences suffering from diabetes Mellitus in various clinical settings are increasing funding for lower socioeconomic areas, increasing the number of healthcare providers in remote areas, and promoting health services concerning recommended healthy dietary lifestyles (Butler, 2017). These changes will improve access for individuals suffering from diabetes mellitus to essential care in their moments of need. Using Rogers’ Diffusion of Innovation Model will involve five phases. In the first phase, the community and members of the healthcare system will be educated on the proposed solutions’ reasons and benefits. 

The second phase will involve persuading people in the community and the healthcare system to participate in implementing these solutions. In the third phase, records will be taken on the willing participants of the model. The final phase is the decision or dismissal. Cooperation will be encouraged between healthcare givers and the community who have accepted the implementation of these solutions. For instance, hospital caregivers will be encouraged to conduct home visits, and the individuals suffering from diabetes mellitus will be asked to consider receiving treatment at home. The decisions of nurses and type 2 patients who chose not to participate in the program will also be respected. 

Implementing the Rogers Diffusion of Innovation Model in these proposed solutions to treat diabetes mellitus patients is expected to produce favorable outcomes. For instance, the prevalence of diabetes type 2 in rural areas is expected to reduce due to improved access to nutritional practices, good education on healthcare, and better healthcare access. Reduced type 2 diabetes cases are also expected to decrease due to the efforts to achieve healthcare equity in remote populations (Greenwood et al., 2017). This process’s common barriers include limited training for nurses on providing care to people in remote areas, especially in their homes, and bad time of making consultations from evidence-based research on the most suitable methods of implementing solutions aimed at reducing adverse diabetes mellitus outcomes (Avilés-Santa, 2020). However, appropriate systems will be designed to handle these challenges. 

References

Avilés-Santa, M. L., Monroig-Rivera, A., Soto-Soto, A., & Lindberg, N. M. (2020). Current State of Diabetes Mellitus Prevalence, Awareness, Treatment, and Control in Latin America: Challenges and Innovative Solutions to Improve Health Outcomes Across the Continent. Current diabetes reports, 20(11), 1-44.

Butler, A. M. (2017). Social determinants of health and racial/ethnic disparities in type 2 diabetes in youth. Current diabetes reports, 17(8), 60.

Greenwood, D. A., Gee, P. M., Fatkin, K. J., & Peeples, M. (2017). A systematic review of reviews evaluating technology-enabled diabetes self-management education and support. Journal of diabetes science and technology, 11(5), 1015-1027.

Mohammadi, M. M., Poursaberi, R., & Salahshoor, M. R. (2018). Evaluating the adoption of evidence-based practice using Rogers’s diffusion of innovation theory: a model testing study. Health promotion perspectives, 8(1), 25.

Pashaeypoor, S., Negarandeh, R., & Borumandnia, N. (2016). Factors affecting nurses’ adoption of evidence-based practice based on Rogers’ Diffusion of Innovations Model: A path analysis approach. Journal of hayat, 21(4), 103-112.

Attached is the rubric for the assignment, needs to be on Diabetes and Socioeconomic status, there needs to be at  least 10 references that is 2015 or less. I have attached last weeks assignment that was completed, this is a weekly assignment.  It is 1000 to 1500 words. I need it by Monday, no exceptions. 

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