Evidence Based Project

            In the formulation of the strategic plan for the implementation of the change project, it is important to understand the stakeholders, the potential barriers and the appropriate change theory to use for the project.

            The major stakeholders to consider in the implementation of the project include the community (parents and their children), community health care center staff (health practitioners) and administration, the sponsoring agency, the policy makers working in various levels of the health care system, researchers, and other health service support organizations. To implement this evidence based research, the most relevant stakeholders will be the community, the health care practitioners, health care facility administration, policy makers, and researchers. The community that includes parents and their children serve as the recipients of the implemented project since they will be directly involved in the intervention processes such as receiving the educational programs that seek to promote the health outcomes of obese children within the community. The health care practitioners will work closely with the researchers in facilitating the intervention procedures through the provision of relevant education programs on how to promote the health outcomes of children with obesity. The two groups of stakeholders are the champions in the implementation process and will require relevant training on how to conduct the community-based education programs aimed at reducing childhood obesity levels. The health care facility administration will facilitate the entire implementation process by providing the necessary support as required by the care practitioners and the researchers assisting in the implementation. The policy makers will be involved in the implementation phase to assist in formulating health promotion guidelines for use by the health care providers in various clinical settings.   

            The potential barriers likely to affect the implementation process include; challenges in applying evidence in practice due to poor access to best evidence, organizational barriers, and low patient adherence to treatments. The challenge of applying evidence into practice will be addressed by developing incentives that encourage effective disease management systems. The challenge of accessing the best evidence will be addressed by improving the effectiveness of educational improvement programs for care providers. Organizational barriers and low patient adherence to treatments will be addressed by developing more effective strategies that encourage patients to adhere to health care advice and intervention strategies.

            The appropriate change theory for use in guiding the implementation will be Kurt Lewin’s change theory. It has three concepts that include; driving forces, restraining forces, and equilibrium. The three stages of implementing the theory are unfreezing, change, and refreezing. Unfreezing provides a mechanism for letting people let go an old pattern that was unproductive and helps in overcoming individual restraints (Shirey, 2013). For this project, the stage will involve providing education to the parents on how to promote the health outcomes of their children. The change involves thoughts, feelings, and behavior which result in a more productive outcome. The application in this project will involve the expected response by the parents after the intervention period. The refreezing stage helps to establish the change as a new habit and a standard operating procedure (Shirey, 2013). For this project, refreezing will involve the adoption of the acquired knowledge and education on proper nutrition, diet, and physical exercises and apply it in practice to the affected obese children.    

Week 9 Assignment 2: Evidence Based Project Proposal

            The involvement of stakeholders provides an effective way of conducting evidence based project since they have various inputs that enhance its relevance in solving the identified problem (Laycock, Bailie, Matthews & Bailie, 2016). The stakeholders incorporated in the project include the community (parents and their children), community health care center staff (health practitioners) and health care center superintendent, sponsoring agency representative, policy makers working in various levels of the health care system, researchers, and other health service support organizations. The participation of the stakeholders is crucial to the project since each has a specific role they play in ensuring successful completion and implementation. The community that comprises of the parents and their children participated in the project as the patients intended to receive the intended intervention of receiving education programs on health promotion and also providing data used for the comparison. The community health care practitioners worked in collaboration with the researchers in facilitating the administration of the intervention procedures to the patients and also in data collection and analysis. The participation of the community health care center superintendent was crucial in the provision of all the technical and administrative assistance as necessary throughout the project process. The superintendent is in charge of the health care center and thus helpful in providing some of the materials required for data collection such as the BMI tools. The sponsoring agency representative was essential in providing adequate financial support to ensure that the project was successful. The lack of adequate funds would have limited the scope of the project, hence necessary to have a reliable source of funding for the entire project from the start through to implementation and follow up. The policy makers and other health service support organizations were incorporated into the project to provide technical advice on how to undertake the project especially on the intervention and implementation guidelines.        

            In every project implementation, there are potential barriers that every researcher ought to address to limit their effects on the effectiveness of the intended outcomes (Wallis, 2012). For this project, there are several barriers to its implementation that stakeholders have to deal with. The barriers include challenges in handling a complex research; difficulties in developing evidence based clinical policy, challenges in applying evidence in practice, and organizational barriers. It is important to design an evidence based project that the researcher considers as easy to handle and synthesize its information other than dealing with complex research studies. The difficulties in creating an evidence based clinical policy will be addressed by having guidelines on how to develop clinical studies based on evidence and using information systems that integrate evidence with patient care. The challenges in applying evidence to practice will be addressed by encouraging effective care and disease management systems within the implementation area. The care providers and practitioners require comprehensive training on how to apply the guidelines and recommendations of evidence based research studies to their practice (DiCenso, Guyatt & Ciliska, 2014). It would be ineffective to have evidence based studies completed and not implemented by the care practitioners who have a key role in it. The challenges in the application of evidence to practice can be attributed to poor access to evidence and guidelines, hence necessary to improve the effectiveness of education and quality improvement programs for the care providers and practitioners. Organizational barriers such as low patient adherence to the intervention programs will be addressed through developing more effective strategies that encourage patients to adhere to the given advice and education in promoting their health outcomes. 

References

DiCenso, A., Guyatt, G., & Ciliska, D. (2014). Evidence-Based Nursing-E-Book: A Guide to Clinical Practice. Elsevier Health Sciences

Laycock, A., Bailie, J., Matthews, V., & Bailie, R. (2016) Interactive Dissemination: Engaging Stakeholders in the Use of Aggregated Quality Improvement Data for System-Wide Change in Australian Indigenous Primary Health Care: Frontiers in Public Health, 4, 84. 

 Shirey, M. R. (2013). Lewin’s theory of planned change as a strategic resource: Journal of Nursing Administration, 43(2), 69-72.

Wallis, L. (2012). Barriers to implementing evidence-based practice remain high for US nurses. AJN The American Journal of Nursing, 112(12), 15.

Sherry Roberts is the author of this paper. A senior editor at MeldaResearch.Com in urgent custom research papers. If you need a similar paper you can place your order from nursing school papers services.