This week you will identify the focus of your project and anticipate the ethical, legal, and regulatory concerns that may arise in your career as a nursing leader.
For this summative assessment, create a presentation that communicates the focus and scope of your project. You may select from multiple venues to explain the details of your plan. You will demonstrate problem-solving skills as you organize the details of your plan.
Review Appendix B – Question Development Tool from Johns Hopkins Nursing Evidence-Based Practice: Model and Guidelines.
Begin your plan with the following:
- Define the problem.
- Identify the problem to be addressed and the setting in which it occurs.
- Outline your proposal to address the problem.
- Identify and discuss ethical, legal, and regulatory concerns relating to the problem.
- Explain why you chose the problem.
Support your plan by gathering as much information about your selected problem as possible. Consider both qualitative and quantitative data. For example:
- Leader and peer interviews
- Patient/customer surveys
- Quality improvement (QI) reports from the facility
- Benchmarking studies/baseline data.
- If baseline data is available:
- What are the goals?
- Are current practices meeting the organizational goals?
- Are the prescribed practices followed?
How to Write a Nursing Evidence-Based Practice Project Proposal Presentation
Introduction
Provide an overview of the purpose of the presentation and explain that the project serves as the foundation for an evidence-based practice (EBP) initiative designed to improve healthcare quality, patient safety, and organizational outcomes. Introduce the selected clinical problem, explain why it is important to nursing practice, and describe how evidence-based practice supports systematic improvements in patient care. Briefly mention that the presentation will identify the clinical issue, analyze ethical, legal, and regulatory considerations, present supporting evidence, and outline the proposed improvement strategy using the Johns Hopkins Nursing Evidence-Based Practice Model (Dang et al., 2022).
Title Slide
Include:
Project title
Student name
Course
Instructor
Date
Focus Keyphrase Slide
State the focus keyphrase.
Explain why it is central to the project.
Project Overview
Introduce the purpose of the presentation.
Briefly describe the healthcare problem.
Identify the practice setting.
Explain the anticipated benefits of the proposed evidence-based practice change.
Define the Problem
Clearly define the healthcare problem.
Explain:
Current clinical issue
Who is affected
Frequency of occurrence
Impact on patient safety
Impact on healthcare quality
Impact on organizational performance
Support the discussion with current evidence and statistics.
Clinical Setting
Describe the healthcare organization or clinical environment.
Explain:
Hospital or clinic type
Patient population
Healthcare providers involved
Current workflow
Existing challenges
Resources currently available
Background of the Problem
Discuss:
Current evidence regarding the problem
National statistics
Local organizational concerns
Financial implications
Patient safety implications
Quality improvement implications
Support with recent peer-reviewed literature.
PICOT Question
Develop the PICOT question.
Clearly identify:
Population
Intervention
Comparison
Outcome
Timeframe
Explain how the PICOT question guides the evidence search.
Proposal for Improvement
Describe the proposed intervention.
Explain:
Evidence supporting the intervention
How it improves current practice
Expected patient outcomes
Expected organizational outcomes
Potential implementation process
Why This Problem Was Selected
Discuss:
Personal clinical observations
Organizational importance
Patient impact
Alignment with quality improvement initiatives
Alignment with nursing leadership responsibilities
National healthcare priorities
Ethical Considerations
Discuss ethical issues associated with the project.
Examples include:
Patient autonomy
Beneficence
Nonmaleficence
Justice
Confidentiality
Informed consent
Protection of vulnerable populations
Explain how ethical conflicts can be minimized during implementation.
Legal Considerations
Discuss legal issues such as:
HIPAA compliance
Patient privacy
Documentation accuracy
Professional standards of care
Scope of practice
Liability
Risk management
Explain how the project complies with healthcare regulations.
Regulatory Considerations
Discuss applicable regulations and standards.
Examples include:
The Joint Commission standards
CMS quality measures
State Board of Nursing regulations
Organizational policies
Evidence-Based Practice guidelines
Patient safety regulations
Explain how these regulations support successful implementation.
Qualitative Data Collection
Discuss qualitative information that will support the project.
Examples include:
Leader interviews
Staff interviews
Focus groups
Patient interviews
Observation of workflows
Employee feedback
Discuss how qualitative findings will identify barriers and opportunities.
Quantitative Data Collection
Explain quantitative sources such as:
Patient satisfaction scores
Hospital-acquired infection rates
Medication error reports
Quality improvement reports
Readmission rates
Electronic health record reports
Compliance audits
Benchmarking data
Describe how quantitative evidence supports decision making.
Baseline Data Analysis
If baseline data are available, discuss:
Current performance
Existing quality indicators
Current compliance rates
Current patient outcomes
Performance gaps
Need for improvement
Organizational Goals
Discuss:
Current organizational quality goals
Safety goals
Performance benchmarks
Strategic priorities
Explain whether current performance meets organizational expectations.
Current Practice Evaluation
Evaluate current clinical practice.
Discuss:
Strengths
Weaknesses
Evidence-practice gaps
Staff compliance
Workflow challenges
Areas needing improvement
Expected Outcomes
Describe anticipated improvements, including:
Improved patient safety
Reduced complications
Better clinical outcomes
Higher patient satisfaction
Improved staff compliance
Cost reduction
Improved quality indicators
Enhanced organizational performance
Evidence Supporting the Proposal
Summarize recent peer-reviewed research supporting the intervention.
Discuss:
Best practice recommendations
Clinical guidelines
Systematic reviews
Practice recommendations
Strength of evidence
Implementation Considerations
Describe:
Required resources
Staff education
Leadership support
Timeline
Communication strategy
Potential barriers
Strategies to overcome resistance
Evaluation plan
Johns Hopkins Evidence-Based Practice Model
Explain how the project follows:
Practice Question
Evidence
Translation
Describe how each phase supports successful implementation.
Summary
Summarize:
The clinical problem
Importance of addressing the issue
Evidence supporting the intervention
Ethical, legal, and regulatory considerations
Expected improvements
Benefits for patients, nurses, and the organization
References
Include recent APA 7th edition references in alphabetical order.
Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2022). Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines (4th ed.). Sigma Theta Tau International.
Institute for Healthcare Improvement. (2023). Science of improvement: How to improve. https://www.ihi.org
Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing and healthcare: A guide to best practice (5th ed.). Wolters Kluwer.
The Joint Commission. (2024). National Patient Safety Goals. https://www.jointcommission.org
U.S. Department of Health and Human Services. (2024). Healthy People 2030. https://health.gov/healthypeople
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