Posted: September 23rd, 2022

Week 7 Assignment Evidence-Based Project, Part 4: Critical Appraisal of Research

NURS 6052/NURS5052/NRSE6052 Week 7 Assignment Evidence-Based Project, Part 4: Critical Appraisal of Research
Realtors rely on detailed property appraisals conducted using appraisal tools to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers.

Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action. Evidence Based Project Part 4 NURS 6052

In this Assignment, you will use appraisal tools to conduct a critical appraisal of published research. You will then present the results of your efforts.

To Prepare for Evidence Based Project Part 4 NURS 6052:
Review the Resources and consider the importance of critically appraising research evidence.

Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.

Review and download the Critical Appraisal Tools document provided in the Resources.

The Assignment (Evidence-Based Project)

Part 4A: Critical Appraisal of Research
Conduct a critical appraisal of the four peer-reviewed articles you selected and analyzed by completing the Critical Appraisal Tools document. Be sure to include:

An Assessment table

A levels of evidence table

An outcomes synthesis table

Part 4B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research. Evidence Based Project Part 4 NURS 6052

Evidence-Based Project, Part 4: Critical Appraisal of Research
Full APA Article #1 Article #2 Article #3 Article #4

formatted citation of selected article. Atkins, L., Sallis, A., Chadborn, T., Shaw, K., Schneider, A., Hopkins, S., Bunten, A., Michie, S., &Lorencatto, F.(2020). Evidence Based Project Part 4 NURS 6052
Reducing catheter-associated urinary tract infections: A systematic review of barriers and facilitators and strategic behavioral analysis of interventions. Evidence Based Project Part 4 NURS 6052

ImplementationScience, 15(1). https://doi.org/10.1186/ s13012-020-01001-2

Karadag Arli, S.,& Berivan Bakan, A. (2018). The development of the catheter- associated urinary tract infections controls the precautions
scale. The Journal of Continuing Education in Nursing, 49(11), 507-513. https://doi.org/ 10.3928/00220124-20181017-07

Kranz, J., Schmidt, S.,
Wagenlehner, F., & Schneidewind, L. (2020). Catheter- associated urinary tract infections in adult patients- preventive strategies and treatment

options. Deutsches AerzteblattOnline. https://doi.org/ 10.3238/arztebl.

2020.0083

Mekki, M. M., Hammami, M. A., & Zughaier, S. M. (2020). Virtual reality module depicting catheter- associated urinary tract infection as an educational tool to reduce antibiotic- resistant hospital- acquired bacterial infections. 2020 IEEE International Conference on Informatics, IoT, and Enabling Technologies (ICIoT). https://doi.org/ 10.1109/ iciot48696.2020.908948 8

Evidence Level *
(I, II, or III)

III, V V III I

Conceptual Framework

Describe the theoretical basis for the study (If there is not one mentioned in the article, say that here).**

The behavior change wheel (BCW).

Theoretical Domains Framework (TDF).

The Behaviour Change Techniques Taxonomy (BCTTv1).

Barlett’s test (BT) results were the conceptual framework used o compare the study’s variance.
And the Lawshe’s technique was used to validate the content.

The developed CAUTI Control Precautions Scale was used to assess health professionals’ knowledge and attitudes toward CAUTI control precautions. Virtual Reality (VR) and Augmented Reality (AR) are used as simulation models. The models are adopted to study the effectiveness of the learning outcomes in this study. Evidence Based Project Part 4 NURS 6052

Design/ Method

Describe the design and how the study was carried out (In detail, including inclusion/ exclusion criteria).

A mixed-methods (qualitative, quantitative, and interview) three-phased study:

Searching the MEDLINE, EMBASE, and PsycINFO electronic databases from 1995 upwards to November 2017. included empirical qualitative and quantitative research or systematic review articles with information on barriers to and facilitators of CAUTI-related behaviors.

Interviewing the stakeholder delegates, clinical commissioning groups, topic experts from relevant evidence- based guideline development groups to identify interventions to reduce CAUTI. Evidence Based Project Part 4 NURS 6052

A methodological study, with the use of a questionnaire/testing method known as Barlett’s test and test-retest methods, was used to analyze the study’s result.

The questionnaire was applied to 30 nurses who work in the university research hospital.

Lawshe’s content validity ratio was used to calculate the percentage values between minus one plus one. And excluding the minus coded items while including the plus items.

A systemic review of randomized clinical trials (RCT) methods.
With a review of articles published from 2000 to

March 2019 in Medline. Evidence Based Project Part 4 NURS 6052

Again, searching and analyzing the evidence with symptomatic CAUTI in adults as a primary or secondary goal.

An experimental study using current technologies like the VR and AR modules enhances the learning process and outcome.

The study incorporated technology systems like the blander, Cinema4D, Jmol, Painter, audacity, and Unity.

Sample/ Setting

The number and characteristic s of patients, attrition rate, etc.

The study was conducted in the USA, France, Canada, UK, Australia, Taiwan, and Thailand, using secondary, tertiary, nursing homes, and community care settings. The study was carried out in an undisclosed university research hospital in an anonymous city to determine its reliability. Thirty nurses from the same hospital were tested twice within 20 days intervals. Evidence Based Project Part 4 NURS 6052 A systemic review of the literature using data from acute care and a few nursing facilities. A total of 741 patients from eight separate RCTs comparing the duration and reasons for catheter use. A computer-based study, with the use of innovative technologies. Educating health professionals with the aid of 3D smart cameras to illustrate the actual reality.

Major Variables Studied

List and define dependent and independent variables

The study was a systematic review of the literature using the behavior change wheel (the theoretical model of behavior COM-B (Capability, Opportunity, and Motivation), TDF, and the Behavior Change Techniques Taxonomy (BCTT) to describe interventions and investigating barriers to and facilitators of behaviors. Evidence Based Project Part 4 NURS 6052 In this study, two primary methods were adopted (questionnaire and test-retest methods) for data collection and analysis. The were no significant variables used in this study, according to the writer. The study compared reports between two variables: Extended stay of catheter versus short stay.

Use of catheters on ambulatory patients versus non- ambulatory patients. Evidence Based Project Part 4 NURS 6052

The dependent variables are manipulated to the independent variable.
According to this study, the dependent variables are individuals used for the experimental research, with manipulating their bladders through the VR to determine the effects of antibiotics on the prevalence of CAUTI. The results are then compared with the independent variable with no form of manipulation.

Measuremen t

Identify primary statistics used to answer clinical questions (You need to list the actual tests done).

The study screened the titles and abstracts against the inclusion and exclusion criteria independently by two reviewers. Also, two reviewers screen the full texts of studies meeting the inclusion and exclusion criteria against the same standards.
At both phases, when decisions on any paper that were inconclusive, another review group intervened.

Comparing findings to establish the relationship between the theoretical and interventional contents and how they affect CAUTI-related behaviors. Evidence Based Project Part 4 NURS 6052

The study started with a review of relevant literature on CAUTI precautions. Followed by validation of reliability and accuracy of the results. The researchers developed a testing scale by writing down positive and negative items on CAUTI precautions. The researchers consulted three groups of nurse experts on infection control. The questionnaire test tools were administered to thirty nurses working at the university hospital. Evidence Based Project Part 4 NURS 6052 The literature search yielded 508 results. Of which 69 studies were inclusive in the analysis. The included studies were clustered as follows: need, duration, type of catheter, prophylaxis, education programs, and studies with multiple interventions. A total of 28 systematic reviews, including nine Cochrane reviews and 41 randomized controlled trials, were identified. The study was accomplished through a VR CAUTI module, with the aids of different technology gadgets like Blender, Cinema4D, Jmol, Substance Painter, Audacity, Sculptress, and Unity. With the 4D camera, it was possible to animate the E-Coli structure. And the Jmol guided the introduction of the antibiotic’s (Ciprofloxacin) structure into the bladder. The process was completed with other designs like; the substance painter, which created and enhanced the applied textures into the bladder to detect collisions.

Data Analysis Statistical or Qualitative findings

(You need to enter the actual numbers determined by the statistical tests or qualitative data).

The study conducted a three-step framework and thematic analysis to synthesize and explain barriers to and facilitators of CAUTI-related behaviors identified in the systematic review:
Analysis of the framework by deductively coding extracted data according to barriers and facilitators into the COM-B (Capability, Opportunity, and Motivation) and TDF domains Thematic analysis within each TDF domain, grouping similar data points and inductively generating summary theme labels

Ranking TDF domains in terms of importance according to frequency, elaboration, and evidence of conflict beliefs within the fields.

The data was validated using expert opinions with the SPSS software. And the Kaiser- Meyer-Olkin (KMO) value is expected to be higher than 0.60, while the Barlett’s test should be enough for data analysis.
However, the KMO value in this regard was 0.886, and Barlett’s test was enough. As a result of these factors, the analysis showed that Catheter- Associated Urinary Tract Infections Control Precautions Scale (CAUTICPS) has a percentage value of 55.6 of the total variance. And the factors were classified using the Varimax axis rotation technique to standard precaution, maintenance of closed drainage system, and the catheter bag change. Evidence Based Project Part 4 NURS 6052

A single RCT investigated perioperative transurethral catheterization in patients undergoing knee replacement surgery. Two different protocols were compared: preoperative catheterization versus catheterization as needed for postoperative urinary retention. The CA-UTI rate was 1.6% in the former group and 1.7% in the latter. Experimental study. The data were analyzed in three phases;
At the pre-productive phase: The initial phase using a storyboard to create asset textures like the bladder and ureter muscles, sac, and sizes. This phase revealed the roughness of the structure of the urinary tract.

The production phase comprises creating the bladder, catheter, ciprofloxacin model, E- Coli model, Biofilm textures, which enabled the bacteria’s guided actions.

The post-production phase was the editing stage of the experiment. Both the sound, music, and lights were edited to the high-end VR devices.

Findings and Recommend ations

General findings and recommendat ions of the research

The study identified environmental context, knowledge, beliefs, social Influences, decision processes, and professional role as barriers to CAUTI prevention.
And further identified interventions to reduce CAUTI that are implemented currently in England: Education and training on behavioral change for CAUTI prevention.

This study suggests that targeting motivational, social, and environmental influences may lead to more effective intervention design and refinement. Evidence Based Project Part 4 NURS 6052

The article summed standard precautions maintained closed drainage system, and the catheter bag change as factors to CAUTICPS.
Also, the study’s report suggested the importance of continuous education and training of healthcare professionals in the prevention of CAUTI.

Again, the study also lacks information on the number of measurable factors, and instead, the researchers collected data about the nature of the elements using the measurement tool.

However, there is a general view that the sample size on this scale was insufficient. It was aspected to be at least 300 to 500 people, or the number of people should be at least five or ten times bigger than the number of the items in the scale. The researchers suggested that particular emphasis should focus on the sample size when performing factor analysis.

Various measures, like careful consideration of the indication for catheterization, short stay, and nursing personnel training, can effectively lower the incidence of CAUTI. The available evidence is markedly heterogeneous in some respects; thus, no recommendations can be given on specific questions relevant to CA- UTI. Evidence Based Project Part 4 NURS 6052 The concept of the VR CAUTI module is proven to be scientifically accurate for depicting CAUTI. It is designed for use in the medical field to educate medical professionals and maximize learning outcomes.
The study recommends that VR-based modules have good potentials to maximize the learning experience and are compatible with the internet of things (IoT), which is the current 4th revolution in the industry.

Appraisal and Study Quality

Describe the general worth of this research to practice.

What are the strengths and limitations of study?

What are the risks associated with implementati on of the suggested practices or processes detailed in the research?

What is the feasibility of use in your practice?

In general, identifying behavioral barriers and facilitators of CAUTI is the right action. Thus, recommendable for the effective prevention of CAUTI. Evidence Based Project Part 4 NURS 6052

The strength of this research is in the analysis and interpretation of data. Studies have shown that positive behavior such as adequate hand-hygiene when handling urinary catheters prevents CAUTI, while negative behavior promotes it.

The limitation was on the difficulties of identifying barriers and facilitators to CAUTI, which is a risk to practice. Because of the study based on the bundles rather than specific behaviors in the

systematic review.

The result of this study set an example of the use of scales in the prevention of healthcare- acquired infections (HAI). With these scales, it will be easy to assess healthcare providers’ knowledge and provide adequate education for quality and reliable patient care. Also, creating awareness of CAUTI. Evidence Based Project Part 4 NURS 6052
The testing scales used in this study is reliable, and it showed a high level of knowledge and attitudes of the healthcare workers. Thus, recommendable for future use.

One significant risk associated with this study is that it was carried out in only one university and one state hospital. Thus, leaving the view of other nurses from various and more critical healthcare settings.

Therefore, it is advisable to be cautious with applying the findings of this study, and the outcome should not be generalized.

The result of the study is worthy of implementation in the healthcare facilities but with caution.

This review’s strengths include a large sample size based on the articles selected for the literature review. Strengths also include a control group, which allows researchers to compare the cause and effect.

The study’s limitations are due to the use of only randomized trials and systematic reviews for analysis. Evidence Based Project Part 4 NURS 6052

This study’s outcome is generally worth of use in the health institution for various reasons as stated above.
The strength of the study lies in its ability to conduct experimental research on a full human bladder. Again, the processes used to analyze the data were on current evidence.

After going through this study, the writer could not determine the risk associated with the study outcome. This is because of the newness of the study, coupled with it meeting the standards of the revolving nature of the healthcare system.

Secondly, the study was recently published; therefore, no risk has been reported so far.

Key findings

The study identified barriers to and facilitators of CAUTI and behavioral change as an excellent intervention to CAUTI prevention. Evidence Based Project Part 4 NURS 6052 The methodological study result showed the value and reliability of the CAUTI control precaution scale. This was evidenced by its total score ranging between
0.479 and 0.948. And is a useful tool in assessing the knowledge and attitudes of the healthcare workers towards CAUTI control precautions.

The systematic review showed the routine insertion of an indwelling catheters post- surgery was more risk than the benefit of urinary tract infection.

The catheter stay should be as shortest period possible to minimize urinary tract infection frequency.

The rapid spread of CAUTI resulting from antibiotic-resistance infection (ARI) has become a global threat. However, it has led to this study to combat the spread through the use of a VR module of education. Thus, ti curbs the process of CAUTI resulting from ARBI.

Outcomes

The article described that CAUTI is preventable by promoting positive behavior change for CAUTI prevention. The study successfully formed the Likert scale with 15 items and three factors. Among which are standard precautions, maintenance of closed drainage system, and catheter-bag change factors. Thus, necessary for assessing the knowledge and attitude of healthcare workers about CAUTI precautions. Evidence Based Project Part 4 NURS 6052 The study reveals the various criteria that need to be in place when inserting an indwelling catheter; mass education of the staff and all healthcare providers, and reasonable evidence of its use to reduce the risk of CAUTI. The study reveals the essential distinction between catheter-associated infection and the proper treatment of CAUTI. The study successfully described the effectiveness of the VR based educational tool to maximize the learning outcome. Thus, enhancing the spread of antibiotic-resistance nosocomial infection.

General Notes/ Comments

The study used a mixed-method to review, analyze, and investigate barriers to and facilitators of CAUTI-related behaviors. And in the end, the study described the importance of targeting motivational, social, and environmental influences as more effective ways to CAUTI prevention. Evidence Based Project Part 4 NURS 6052 The use of questionnaire/test- retest methods in this study allows for opinions from other subject matter experts. The inclusiveness of different theoretical frameworks demonstrated evidence in the study, thus, making it reliable and accountable. A careful decision on the type, reason, and duration of the catheter in situ reduces CAUTI frequencies.

In treating CAUTI, it is essential to choose appropriate antibiotics and consider its resistance state to achieve an optimal level of care. Evidence Based Project Part 4 NURS 6052

There are many studies on the cause, effects, and outcomes of CAUTI on the affected individual and society.
However, this recent study aims to adopt the current technology in the medical profession, enhance knowledge, and create awareness to the masses. It is thereby reducing the burden of the prevalence of ARI.

Part 4B: Critical Appraisal of Research
There are many literature outputs regularly, making it almost impossible to determine its reliability and accuracy. Therefore, critical appraisal of scientific literature is very crucial, especially in the medical industry, to enable the healthcare provider to adhere to the best practices possible that is based on evidence Umesh et al., 2016). The above articles by four different researchers focus on the prevalence of causes, prevention, and the impact of catheter-associated urinary tract infection (CAUTI). The researchers’ view on CAUTI remains the same, which attributes CAUTI as a preventable hospital-acquired infection (HAI) through the best practice. Evidence Based Project Part 4 NURS 6052

According to Atkins et al. (2020), reducing the need for an antibiotic is essential for CAUTI prevention. Atkins et al. (2020) justified their findings by conducting a systemic review study to identify the effect of behavioral change and its barriers to CAUTI prevention. The study results showed that interventions like; education and training showed great value to CAUTI precautions.

However, the study also suggested addressing environmental, social, and motivational factors to CAUTI prevention. Evidence Based Project Part 4 NURS 6052

The study by Karadag et al. (2018) aimed to develop measures to evaluate the healthcare workers’ knowledge and attitude about CAUTI. The study’s result was evident by the development of the CAUTI Control Precautions Scale, which includes standard precautions, maintenance of closed drainage systems, and catheter-bag change factors as the tools for CAUTI prevention.

Following Kranz et al. (2020 Evidence Based Project Part 4 NURS 6052), careful consideration, including reasonable indication for the use of an indwelling urinary catheter, the duration it remains in situ, and the healthcare providers’ training in the patient’s care are essential strategies for preventing CAUTI.

The study reinforced the knowledge of healthcare professionals on the potentials of developing resistance to the antibiotic.

Finally, Mekki et al. (2020) conducted an experimental study, incorporating the current technology system. The survey outcome proved useful in medical education in training healthcare professionals, thus enhancing evidence-based knowledge and maximizing learning outcomes.

In conclusion, much evidence has shown that CAUTI is one of the HAI and the leading cause of death worldwide. However, studies have proven that various measures, including behavioral change, standard precautions, reasonable indication, and duration for its use and training of the staff, can effectively lower the incidence of CAUTI. Evidence Based Project Part 4 NURS 6052

References
Atkins, L., Sallis, A., Chadborn, T., Shaw, K., Schneider, A., Hopkins, S., Bunten, A., Michie, S., &Lorencatto, F. (2020). Reducing catheter-associated urinary tract infections: A systematic review of barriers and facilitators and strategic behavioral analysis of interventions. ImplementationScience, 15(1). https://doi.org/10.1186/s13012-020-01001-2

Karadag Arli, S.,& Berivan Bakan, A. (2018). The development of the catheter-associated urinary tract infections controls the precautions scale. The Journal of Continuing Education in Nursing, 49(11), 507-513. https://doi.org/ 10.3928/00220124-20181017-07

Kranz, J., Schmidt, S., Wagenlehner, F., & Schneidewind, L. (2020). Catheter-associated urinary tract infections in adult patients- preventive strategies and treatment options. Deutsches AerzteblattOnline. https://doi.org/10.3238/arztebl.2020.0083

Mekki, M. M., Hammami, M. A., & Zughaier, S. M. (2020). Virtual reality module depicting catheter-associated urinary tract infection as an educational tool to reduce antibiotic-resistant hospital-acquired bacterial infections. 2020 IEEE International Conference on Informatics, IoT, and Enabling Technologies (ICIoT). https://doi.org/10.1109/iciot48696.2020.9089488

Umesh, G., Karippacheril, J. G., & Magazine, R. (2016). Critical appraisal of published literature. Indian Journal Anesthesia, 60(9), 670–673. https://doi.org/10.4103/0019-5049.190624

NURS 6052/NURS5052/NRSE6052 Week 9 Assignment
Evidence-Based Project, Part 5: Recommending an Evidence-Based Practice Change

The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes. Evidence Based Project Part 4 NURS 6052

In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

Reflect on the four peer-reviewed articles you critically appraised in Module 4.

Reflect on your current healthcare organization and think about potential opportunities for evidence-based change.

The Assignment: (Evidence-Based Project)

Part 5: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide PowerPoint presentation in which you do the following:

Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)

Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general. Evidence Based Project Part 4 NURS 6052

Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.

Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.

Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.

Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.

Add a lessons learned section that includes the following:

A summary of the critical appraisal of the peer-reviewed articles you previously submitted

An explanation about what you learned from completing the Assessment table (1 slide)

An explanation about what you learned from completing the levels of evidence table (1 slide)

An explanation about what you learned from completing the outcomes synthesis table (1 slide)

NURS 6052/NURS5052/NRSE6052 Week 11 Assignment
Evidence-Based Capstone Project, Part 6: Disseminating Results

The dissemination of EBP results serves multiple important roles. Sharing results makes the case for your decisions. It also adds to the body of knowledge, which creates opportunities for future practitioners. By presenting results, you also become an advocate for EBP, creating a culture within your organization or beyond that informs, educates, and promotes the effective use of EBP. Evidence Based Project Part 4 NURS 6052

To Prepare:

Review the final PowerPoint presentation you submitted in Module 5, and make any necessary changes based on the feedback you have received and on lessons you have learned throughout the course.

Consider the best method of disseminating the results of your presentation to an audience.

To Complete:

Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project.

Be sure to incorporate any feedback or changes from your presentation submission in Module 5.

Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.

Evidence-Based Capstone Project, Part 6: Disseminating Results Sample Brief
Introduction
A level two trauma hospital that provides acute care
My facility is serving an estimated 100,000 people in its
The prevention of pressure ulcers is one of the significant priorities of the facility
I am working.

This presentation will discuss the proposed evidenced-base project for pressure ulcer
To explain various strategies applied for the dissemination of EBP change and it’s positive
Above all else, our hospital’s goal is to commit to the care and improvement of human life by delivering high-quality care. In adopting EBP in daily clinical practice, that requires frequent change, which is a big challenge as the majority of the staff is reluctant to change.

As there is a lack of education, training, time, and inadequate support from the administration provided to the team. (Fineout-Overholt et al., 2005 Evidence Based Project Part 4 NURS 6052)

Current Problem: Pressure Ulcer Prevention
Pressure ulcer still imposed a significant challenge for healthcare organizations and
It results in poor health outcomes, extended hospital stay, and increased
Pressure Ulcers are mostly preventable with proper care and
Stakeholders involve patients, families, clinicians, and non-clinical
Pressure ulcer impacts the delivery of high-quality care leading to increase patient mortality, reduced patient satisfaction, and increases hospital costs. All healthcare provider considers pressure ulcer prevention as their priority and a key care quality indicator. (Payne, 2016 Evidence Based Project Part 4 NURS 6052)

The Evidence-Based Idea for a Change
Complete skin assessment every eight hours using the Braden
To recommend innovative strategies in using support
Actively engage patients and families in pressure ulcer prevention
Provide adequate staffing to manage incontinence and hydration in a timely
Reposition patient every two hours to offload pressure using wedges and
Ensure adequate nutrition to promote wound
The focus of evidence-based practice (EBP) is providing precise research in making valuable decisions that promote the best healthcare outcome for patients and families base on patient preferences, values, and clinical expertise. (Melnyk & Fineout-Overholt, 2018) Therefore, the organizations should provide interprofessional training and education for the sustainability of efficient, high-quality care, and return of investment. (Opperman et al., 2016 Evidence Based Project Part 4 NURS 6052).

Dissemination of EBP Plan
Dissemination is sharing information aiming to create awareness across all levels of the organization.
Highlight as a multidisciplinary
To fill in the knowledge gap between EBP and Contribute knowledge and accept feedbacks that appeal to the team. Organizational adoption of knowledge transfer and change to improve the workplace environment to reduce the incidence rate in preventing pressure ulcers is a vital component to ensure (Melnyk & Fineout-Overholt, 2018 Evidence Based Project Part 4 NURS 6052)
And the dissemination of ideas should highlight patient-centeredness establish by discussion, practice, reflection, and research, in achieving collective and individual advantages base on EBP and clinical expertise. (Stevens, 2013 Evidence Based Project Part 4 NURS 6052)

Dissemination Strategy: Electronic Poster Board Presentation
The ability to increased knowledge, change attitudes, and alter
Prove to be valuable in the waiting room/breakroom in conveying information.
Provide a short and concise overview of
Able to reach a wide range of viewers due to its ready availability to review
Actively engages participants in a dynamic and interactive
It presents the material in multimedia and
Using an effective dissemination method of your EBP plan can involve different approaches to the communication process, such as the use of electronic posters as a reliable method of communication to spread information. Electronic communication skills are essentials, as electronic poster presentation is becoming popular and its demand is increasing rapidly, allowing electronic poster presentations to have a positive impact on electronic communication between health professionals, colleagues, and patients. (Masters et al., 2018 Evidence Based Project Part 4 NURS 6052)

The Rationale for Dissemination Strategy

Presently adjustable to the growing technological learning demands of the
Commonly use to communicate knowledge
Quickly form discussion, and information will spread at a faster
To promote interdisciplinary teamwork and active
The electronic poster presentation is gaining its popularity with local and national conferences,providing value and opportunity to discuss a new evolving idea, technology, method, or avenue of disciplines. (Melnyk & Fineout-Overholt, 2018 Evidence Based Project Part 4 NURS 6052)

References
Fineout-Overholt, E., Melnyk, B., & Schultz, A. (2005). Transforming health care from the inside out: Advancing evidence-based practice in the 21st century. Journal of Professional Nursing, 21(6), 335–344. https://doi.org/10.1016/j.profnurs.2005.10.005

Folan, A., Downie, S., & Bond, A. (2015). Systematic review: Is prescription of pressure- relieving air cushions justified in acute and subacute settings?. Hong Kong Journal of Occupational Therapy, 26(1), 25–32. https://doi.org/10.1016/j.hkjot.2015.12.002

Masters, K., Treasure-Jones, T., & Elferink, R. (2018). Teaching medical and health sciences students to develop e-posters with learning toolbox. MedEdPublish, 7(2). https://doi.org/10.15694/mep.2018.0000072.1

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare. Lippincott Williams & Wilkins.

Opperman, C., Liebig, D., Bowling, J., Johnson, C., & Harper, M. (2016). Measuring return on investment for professional development activities. Journal for Nurses in Professional Development, 32(4), 176–184. https://doi.org/10.1097/nnd.0000000000000274

Payne, D. (2016). Strategies to support prevention, identification and management of pressure ulcers in the community. British Journal of Community Nursing, 21(Sup6), S10–S18. https://doi.org/10.12968/bjcn.2016.21.sup6.s10

Stevens, K. (2013). The impact of evidence-based practice in nursing and the next big ideas.” OJIN: The Online Journal of Issues in Nursing, 18(2). https://doi.org/10.3912/OJIN.Vol18No02Man04

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Introduction:

The following paper focuses on the dissemination of an evidence-based plan to reduce the incidence rate of pressure ulcers. The plan includes recommendations such as completing skin assessment, engaging patients and families in pressure ulcer prevention, providing adequate staffing, repositioning patients, and ensuring proper nutrition. The aim of the paper is to discuss the dissemination strategy for the plan, which involves electronic poster board presentation. The paper discusses the rationale for this strategy and provides supporting evidence for its effectiveness.

Evidence-Based Plan:

The evidence-based plan to prevent pressure ulcers is a comprehensive approach that involves various strategies. The plan recommends completing skin assessment every eight hours using the Braden scale, actively engaging patients and families in pressure ulcer prevention, providing adequate staffing to manage incontinence and hydration in a timely manner, repositioning patients every two hours to offload pressure using wedges and pillows, and ensuring adequate nutrition to promote wound healing. The focus of evidence-based practice (EBP) is to provide precise research to make valuable decisions that promote the best healthcare outcomes for patients and families, based on patient preferences, values, and clinical expertise.

Dissemination of EBP Plan:

Dissemination is the process of sharing information to create awareness across all levels of the organization. Dissemination of the evidence-based plan to prevent pressure ulcers should be multidisciplinary and aimed at filling the knowledge gap between EBP and clinical practice. It should also involve knowledge transfer and change adoption to improve the workplace environment and reduce the incidence rate of pressure ulcers. Dissemination should also be patient-centered, involving discussions, practice, reflection, and research to achieve collective and individual advantages based on EBP and clinical expertise.

Dissemination Strategy: Electronic Poster Board Presentation:

Electronic poster board presentation is an effective dissemination strategy for the evidence-based plan to prevent pressure ulcers. This strategy involves the use of electronic posters to convey information, increase knowledge, change attitudes, and alter behavior. Electronic poster board presentation is a valuable approach for waiting rooms or break rooms and provides a short and concise overview of the plan. The strategy can reach a wide range of viewers due to its ready availability for review and can actively engage participants in a dynamic and interactive manner. Electronic poster board presentation presents the material in multimedia, making it more appealing and effective.

Rationale for Dissemination Strategy:

Electronic poster board presentation is an effective dissemination strategy for the evidence-based plan to prevent pressure ulcers for several reasons. First, it is adjustable to the growing technological learning demands of the healthcare industry. Second, it is commonly used to communicate knowledge in various settings. Third, it can quickly form discussions, and information will spread at a faster pace. Fourth, it promotes interdisciplinary teamwork and active participation. Fifth, electronic poster board presentation is gaining popularity with local and national conferences, providing value and opportunity to discuss new evolving ideas, technology, methods, or avenues of disciplines.

Conclusion:

In conclusion, the dissemination of the evidence-based plan to prevent pressure ulcers is essential to reduce the incidence rate of pressure ulcers in healthcare settings. Electronic poster board presentation is an effective dissemination strategy that promotes the adoption of EBP, enhances interdisciplinary teamwork, and actively engages participants in a dynamic and interactive manner. Therefore, healthcare organizations should consider this strategy for the dissemination of their EBP plans.

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