NRS 465 Topic 7 Discussion 1 & 2 Paper

Topic 7 DQ 1
Evaluating the effectiveness of an evidence-based practice project requires one to determine the outcomes based on set objectives (Connor et al., 2023). The proposed project is about enhancing medication adherence among elderly patients with chronic conditions. The core objectives of the proposed change project include improving medication adherence by 30% among the target population, empowering the population to make better decisions and choices, and improving poly-pharmacy as well as managing comorbidity. The fourth objective is to improve inter-professional collaboration and approaches to promote patient health. The core outcomes of this proposed project are improving medication adherence and reducing adverse events and complications related to poor or non-adherence to medications among elderly patients.

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The first objective of the proposed capstone change project is to improve medication adherence among geriatric patients. The associated outcome is to increase adherence rates by 30% in the selected population for effective and quality care and life. To evaluate if this outcome was attained, the team will collect data on medication adherence rates before the implementation of the new measures, implement the suggested intervention, and continue collecting data during the execution of the proposed strategy (Melnyk et al., 2022). The final evaluation step will be to compare the data before and after the implementation to determine if there is an increase in adherence to medication.
The integration of quality improvement models like the Plan-Do-Study-Act (PDSA) will be critical to determine if the project made a difference in practice based on the pre-and-post-implementation evaluation strategy. In this case, the PDSA model will help identify areas that require improvement to attain the set target if the project does not meet the expected outcome based on its objectives (Cardoso et al., 2021). The implication is that evaluating the effectiveness of an evidence-based practice project is essential to determine its impact on the targeted population.

References
Cardoso, D., Couto, F., Cardoso, A. F., Bobrowicz-Campos, E., Santos, L., Rodrigues, R., … &
Apóstolo, J. (2021). The effectiveness of an evidence-based practice (EBP) educational program on undergraduate nursing students’ EBP knowledge and skills: A cluster randomized control trial. International journal of environmental research and public health, 18(1): 293. DOI: 10.3390/ijerph18010293
Connor, L., Dean, J., McNett, M., Tydings, D. M., Shrout, A., Gorsuch, P. F., … &
Gallagher‐Ford, L. (2023). Evidence‐based practice improves patient outcomes and healthcare system return on investment: Findings from a scoping review. Worldviews on evidence‐based nursing, 20(1): 6-15. https://doi.org/10.1111/wvn.12621
Melnyk, B. M., & Fineout-Overholt, E. (2022). Evidence-based practice in nursing &
Healthcare: A guide to best practice. Lippincott Williams & Wilkins.

Topic 7 DQ 2
The completion of the proposed Capstone project change assignment will require critical additional information and a concrete plan to get it. The additional information that will be critical in completing this assignment includes conducting a detailed review of the literature, getting sufficient statistical data, an effective understanding of hospital policies, and analyzing the collected data to make inferences and identify themes (Bellot et al., 2024). The literature review will offer research studies and articles related to medication adherence rates and their significance while statistical data will offer information on the present rates among elderly patients. Hospital policies will offer more information on procedures and expected approaches to implement the proposed intervention while data analysis will focus on proven methods to gather appropriate data to determine the effectiveness of the project.
The plan to obtain this additional information includes seeking articles in journals and databases accessible through the university library, conducting interviews and surveys, and observing nurses and other providers implementing the suggested intervention (Melnyk et al., 2022). The plan will also entail conducting a comparative analysis to compare findings and the outcomes based on existing research. Through this plan, the project will identify gaps in the current knowledge and what is needed to bridge them for better medication adherence in the targeted health population.
The methodology area is one section of the assignment that will require a review and possibly revision to attain the set goals and objectives. The methodology is a core part of the implementation plan and will ensure that collected data and its analysis are effective in deciphering outcomes (Connor et al., 2023). The revision of this section will also depend on peer feedback as additional opinions on areas like literature review, proposed plan, and outcome measures will be integrated into the final submission for the project.

References
Bellot, J., Fennessey, A., Gerolamo, A., Kerr, M., & Wenner, T. (2024). Design and
Implementation of a Nursing Capstone Across a Multisite Health System. Journal of nursing education, 63(5), 292-297. DOI: 10.3928/01484834-20240305-03
Connor, L., Dean, J., McNett, M., Tydings, D. M., Shrout, A., Gorsuch, P. F., … &
Gallagher‐Ford, L. (2023). Evidence‐based practice improves patient outcomes and healthcare system return on investment: Findings from a scoping review. Worldviews on evidence‐based nursing, 20(1): 6-15. https://doi.org/10.1111/wvn.12621
Melnyk, B. M., & Fineout-Overholt, E. (2022). Evidence-based practice in nursing &
Healthcare: A guide to best practice. Lippincott Williams & Wilkins.

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Topic 7 DQ 1

In order to evaluate an evidence-based practice project, it is important to be able to determine the effectiveness of your change. Based on faculty feedback from your Topic 5 implementation plan, make updates to your objectives and outcomes. List one objective and its associated outcome. How will you be able to evaluate whether or not this outcome was met? Discuss how using this process of evaluation will allow you to evaluate whether your project made a difference in practice.

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN DQ Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

Topic 7 DQ 2

Look ahead at the Topic 8 Benchmark – Capstone Project Change Proposal assignment. What additional information do you need to complete your capstone project paper in Topic 8? Describe your plan to obtain it. Identify one area of the Topic 8 assignment that you will need to review and potentially revise. Discuss the aspects that you might want additional feedback on from your peers and post it here.

In responses to your peers, provide feedback on areas classmates identified in their initial DQ response and suggest ways to improve or additional considerations to take into account.

Initial discussion question posts should be a minimum of 200 words. References will not be required. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN DQ Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively. Please note: Criterion 2 on the “RN-BSN DQ Rubric” will only assess for word count.