1. Application 4:
Planning for Change, Implementing and Evaluating EBP
Projects
Evaluating EBP Projects
Many factors influence how successfully an EBP Project is
implemented and evaluated. As noted in this week’s Learning
Resources, using a translation framework can facilitate effective
implementation and the evaluation of outcomes.
As you complete Application 4, revisit the evidence-based
practice model or framework you selected for your EBP Project
(Application 2
[see attached file]
). How does the model or framework facilitate the evaluation of
outcomes? Would another model or framework better meet the
needs of your project?
To prepare
for this week’s section of Application 4:
Continue (from this week’s Discussion
[ use the discussion you are currently working on for me]
) to:
Identify an appropriate method for evaluating your

2. outcomes.
Develop new practice guidelines based on the possible
results of the evaluation.
Create, if appropriate, new standards of care that would be
based on the new practice guidelines.
This paper should be written in APA format with a minimum of
8 scholarly references. All level 1 & 2 headers must be as in the
grading rubric (see attached file). The paper must also include
an introduction ending with a purpose statement and a
conclusion as per APA guidelines. Do not go over the required
maximum of 8-page. The Paper must be cited often and
throughout.
The full Application 4 is due by
Wednesday 10/31/18 before midgnight
of this week. Instructions for how to prepare for previous
sections of this Application have been provided in Weeks 8 and
9
(see attached files on WK8 & WK9 discussions you previously
did for me).
To complete: (See attached Grading Rubric)

3. Write a 4- to 8-page paper that addresses the following:
1)
Planning for EBP Change
(see attached file on WK8 Discussion)
a) Analyze the impact of implementing change in your practice
environment, including the factors that need to be considered
regarding stakeholders and end users.
b) Summarize the methods you would use to ensure that those
are adequately addressed.
2)
Implementing EBP Projects
(see attached file on WK9 Discussion)
a) Identify the desired outcomes of your EBP Project.
b) Describe any macro or micro systems issues that may inhibit
implementation and strategies for resolving those issues.
c) Explain how resolving your EBP Project issue will improve
quality and patient safety.
3)

4. Evaluating EBP Projects
(See this week Discussion you are currently working on)
a) Describe evaluation strategies.
b) Formulate new practice guidelines based on the possible
results of the evaluation of outcomes.
c) Describe, if appropriate, new standards of care relevant to the
new practice guidelines
Required Readings
White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016).
Translation of evidence into nursing and health care practice
(2nd ed.). New York, NY: Springer.
Chapter 4, “Translation of Evidence to Improve Clinical
Outcomes”
Chapter 5, “Translation of Evidence for Improving Safety
and Quality”
Chapter 7, “Translation of Evidence for Health Policy”
Chapter 17, “Data Management and Evaluation of

5. Translation”
Chapter 14, “Creating a Culture That Promotes Translation”
Chapter 15, “Best Practices in Translation: Challenges and
Barriers in Translation”
Darling, F. (2016).
Practitioners’ views and barriers to implementation of the
Keeping Birth Normal tool: A pilot study.
British Journal of Midwifery
, 24(7), 508-519.
Sadeghi-Bazargani, H., Tabrizi, J.S., & Azami-Aghdash, S.
(2014).
Barriers to evidence-based medicine: a systematic review.
Journal of Evaluation in Clinical Practice
, 20, 793-802.
Smith, E.L., Rice, K.L., & Agrell-Kann, M. (2015).
Improving quality outcomes using a champion model for
ancillary nursing staff,
Journal of Continuing Education in Nursing
, 46(12), 539-541.
Andermann, A., Pang, T., Newton, J.T., Davis, A., & Panisset,
U. (2016).

6. Evidence for health II: Overcoming barriers to using evidence
in policy and practice.
Health Research Policy and Systems,
14 (17) doi 10.1186/s12961-016-0086-3
Catallo, C. & Sidani, S
. The self-assessment for organizational capacity instrument for
evidence-informed health policy: Preliminary reliability and
validity of an instrument (2014).
Worldviews on Evidence-Based Nursing
, 11(1), 35–45.
Malterud, K., Bjelland, K., & Elvbakken, K.T
. (Evidence-based medicine – an appropriate tool for evidence-
based health policy? A case study from Norway.
Health Research Policy and Systems,
14 (15) doi 10.1186/s12961-016-0088-1
Rehfuess, E.A., Durao, S., Kyamanywa, P., Meerpohl, J. J.,
Young, T., & Rohwer, A. (2016).
An approach for setting evidence-based and stakeholder-
informed research priorities in low- and middle-income
countries,
Policy & Practice
, 94, 297–305 doi: http://dx.doi.org/10.2471/BLT.15.162966
Schaffer, M.A., Sandau, K.E., & Diedrick, L. (2013).
Evidence-based practice models for organizational change:

7. overview and practical applications.
Journal of Advanced Nursing
, 69(5), 1197-1209 (see attached file).
Erickson, K., Monsen, K.A., Artleson, I.S., Radosevich, D.M.,
Oftedahl, G., Neely, C., & Thorsen, D.R.
Translation of obesity practice guidelines: Measurement and
evaluation.
Public Health Nursing
, 12(3), 222–23. doi: 10.1111/phn.12169.
(see attached file)
Wang, Y., Xiao, L.D., Ullah, S., Guo-Ping, H., & De Bellis, A.
Evaluation of a nurse-led dementia education and knowledge
translation programme in primary care: A cluster randomized
controlled trial (2017).
Nurse Education Today
, 49, 1-7. https://doi.org/10.1016/j.nedt.2016.10.016.
(see attached file)
Abdullah, G., Rossy, D., Ploeg, J., Davies, B., Higuchi, K.,
Sikora, L., & Stacey, D. (2014).
Measuring the effectiveness of mentoring asa knowledge
translation intervention for implementing empirical evidence: A
systematic review.
Worldviews on Evidence-Based Nursing
, 11 (5) 284–300. https://doi-
org.ezp.waldenulibrary.org/10.1111/wvn.12060
(see attached file)

8. Einarson, A., Egberts, T.c., & Heerdink, E.R. (2015).
Antidepressant use in pregnancy: knowledge transfer and
translation of research findings.
Journal of Evaluation in Clinical Practice
, 21, 579-583 doi:10.1111/jep.12338
(see attached file)
PIICOT Question
In patients in extended intensive care within an urban acute care
facility in Eastern United States, how does early mobilization as
recommended by National Institute of Health and Care
Excellence clinical guidelines on rehabilitation of patients after
critical illness impact early transfers from intensive care as
measured 6 months post-implementation when compared to the
current standard of care including minimal mobilization of
patients?
P: Adult patients
I: in extended intensive care within an urban acute care facility
I: increased mobilization of the patients
C: minimal mobilization of the patients
O: early transfers of the patients from intensive care
T: 6 months