1. Nur 699 wk 5 EBP Section F: Implementation Plan Example
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Section F Implementation PlanNUR 699 GC Week 5 Assignment 2Evidence-Based Practice
Proposal – Section F: Implementation PlanDetails:In 500-750 words (not including the title
page and reference page), provide a description of the methodsto be used to implement the
proposed solution. Include the following:1.Describe the setting and access to potential
subjects. If there is a need for a consent or approvalform, then one must be created.
Although you will not be submitting the consent or approvalform(s) in Topic 5 with the
narrative, the consent or approval form(s) should be placed in theappendices for the final
Nur 699 wk 5 EBP Section F: Implementation Plan Example paper.2.Describe the amount of
time needed to complete this project. Create a timeline. Make sure thetimeline is general
enough that it can be implemented at any date. Although you will not besubmitting the
timeline in Topic 5 with the narrative, the timeline should be placed in theappendices for
the final paper.3.Describe the resources (human, fiscal, and other) or changes needed in the
implementation ofthe solution. Consider the clinical tools or process changes that would
need to take place.Provide a resource list. Although you will not be submitting the resource
list in Topic 5 with thenarrative, the resource list should be placed in the appendices for the
final paper.4.Describe the methods and instruments, such as a questionnaire, scale, or test
to be used formonitoring the implementation of the proposed solution. Develop the
instruments. Although youwill not be submitting the individual instruments in Topic 5 with
the narrative, the instrumentsshould be placed in the appendices for the final paper. Nur
699 wk 5 EBP Section F: Implementation Plan Example.5.Explain the process for delivering
the (intervention) solution and indicate if any training will beneeded.6.Provide an outline of
the data collection plan. Describe how data management will be maintainedand by whom.
Furthermore, provide an explanation of how the data analysis and interpretationRate 4
more documents to earn a free unlock. Helpful Unhelpfulprocess will be conducted. Develop
the data collection tools that will be needed. Although you willnot be submitting the data
collection tools in Topic 5 with the narrative, the data collection toolsshould be placed in the
appendices for the final paper.7.Describe the strategies to deal with the management of any
barriers, facilitators, and challenges.8.Establish the feasibility of the implementation plan.
Address the costs for personnel, consumablesupplies, equipment (if not provided by the
institute), computer related costs (librarianconsultation, database access, etc.), and other

2. costs (travel, presentation development). Makesure to provide a brief rationale for each.
Develop a budget plan. Although you will not besubmitting the budget plan in Topic 5 with
the narrative, the budget plan should be placed in theappendices for the final
paper.9.Describe the plans to maintain, extend, revise, and discontinue a proposed solution
afterimplementation.Prepare this assignment according to the APA guidelines found in the
APA Style Guide, located in theStudent Success Center. An abstract is not required.This
assignment uses a rubric. Please review the rubric prior to beginning the assignment to
becomefamiliar with the expectations for successful completion. Nur 699 wk 5 EBP Section
F: Implementation Plan ExampleYou are required to submit this assignment to Turnitin.
Please refer to the directions in the StudentSuccess Center. Evidence-Based Practice –
Section F: Implementation PlanImplementation PlanImplementing a change within a
healthcare organization encompasses many different aspects. There are different phases,
different people, different obstacles or barriers, as well as different drivers. The purpose of
this paper is to describe the methods used to implement the Hester Davis Scale for Falls
Risk Assessment (HDS).The HDS pilot is taking place at Kaiser Permanente, Downey Medical
Center on unit 4 West (the orthopedic/medical surgical unit). The setting will be in an acute
care setting on a medical surgical unit. Consent to use the falls mats and bed and chair
alarms are not required, as there are no invasive interventions or treatments. Educating the
patient includes explanation of the care plan interventions.Being that this pilot is broken
into phases, there is no specific timeframe to complete each phase. Phase 1, the initial roll
out, was begun in December, 2015 and completed on April 4, 2016. That was four and a half
months. Phase 2 began on April 5, 2016. It will be refined, as needed, based on the metrics
on documentation and falls or falls with injury, as well as observation of the staff’s
compliance with the use of the care plans’ interventions. Phase 3 will begin once phase 2 is
complete.During the pilot and training phases, Hester Davis will not charge for use of the
HDS tool. However, there are licensing fees associated with the HDS (no discussion at this
time). As for the tools to be used with the interventions, there is the falls mat, chair alarms,
and bed alarms. All of the beds on the orthopedic/medical surgical unit have bed alarms.
The staff must be trained the appropriate alarms to place on the beds. The chair alarms are
being provided by Posey for testing purposes. Currently, KP is working with two different
vendors in regards to the floor mats. There is no contract with any of the vendors, in place,
at this time, so everything is currently on loan for the purpose of the pilot. Getting a contract
in place with Region takes some time, so this is something that will be address at a later
time. Amy Hester and her team are available by phone, and we have a standing weekly
Webex meeting on Thursdays at 4 pm. Nursing staff is also needed to ensure proper roll
out.Methods used to monitor the implementation are documentation in the HDS in
EPIC/Health Connect (KP’s electronic medical records), Stat It reports (Risk Management
Falls metrics) and observation. Health Connect/EPIC is where staff documents their
assessments on their patients. Monitoring 4 West staff documentation randomly will
provide information about HDS documentation, as well as the care plan interventions (use
of bed or chair alarms and floor mats). Nur 699 wk 5 EBP Section F: Implementation Plan
Example. Stat It reports are generated and sent every time a UOR (Unusual Occurrence
Report) is completed after a fall. Monitoring these and reaching out to the unit, if a fall

3. occurs on the unit will give more detailed information about the fall. Lastly, random
observations will show who is actually using the interventions recommended in the care
plans Nur 699 wk 5 EBP Section F: Implementation Plan Example.Initially, the champions
will be trained on proper documentation in the HDS and the correct interventions set forth
in the care plans. A computer generated training program has been put in place in KP Learn
(a computer program that is used for training purposes). The staff is asked to review the
education and the champions will walk the floor to assist the staff with training, as well.
Staff have been introduced to the chair alarm and the fall mats, are aware about where they
are stored and have been taught how and when to use both.The CIS (Clinical Information
Specialist), Stella, is responsible for monitoring of all falls within the medical center and
creating a spreadsheet that provides detailed information that could have contributed to
the fall. As for the Stat It reports, these are generated when a fall takes place and will be
monitored by Risk Management and the Improvement Advisor, overseeing the project. Both
of the reports are shared and discussed during the weekly Webex among all the key
stakeholders.Through training of the champions, the department administrators are hoping
to mitigate any barriers. Through the weekly Webex meetings, potential barriers or
challenges are addressed and answers are provided by Amy Hester and her team on how to
address those potential barriers. The most important aspect of any change process is to be
honest and forthcoming with information.This implementation plan is feasible. At this time,
the increased costs are associated with the nursing staff champions. These individuals are
hourly staff and for every hour they are training rather than working the floor, those are
additional fees. Being that the champions have a huge role, their hours and fees associated
with the trainings have been pre-approved. Nur 699 wk 5 EBP Section F: Implementation
Plan Example.The pilot is just that: a practice of the change project. So, based on the
information found during the process, these small tests of change will be re-evaluated and
changes will be made based on the information. In order to sustain the changes, a
dashboard will be created in Health Connect/EPIC to see if everyone on the unit, then the
floors, are documenting on HDS. The dashboard will advise the managers and charge nurses
as to who is documenting properly. ReferencesAgency for Healthcare Research and Quality
(ahrq). (2014). Never Events. Retrieved from
https://psnet.ahrq.gov/primers/primer/3/never-eventsBrown, C.G. (2014). The Iowa
model of evidence-based practice to promote quality care: An illustrated example in
oncology nursing. Clinical Journal of Oncology Nursing, 18(2): 157-9. Retrieved from
http://search.proquest.com/openview/68c6cc558c8cabfd155e5c10648895fc/1?pq-
origsite=gscholar&cbl=33118Cummins, R. (2015). Patient falls: First predict, then
prevent. University of Mississippi Medical Center. Retrieved from
https://www.umc.edu/News_and_Publications/Press_Release/2015-02-23-
00_Patient_falls__First_predict,_then_prevent.aspxDupins, K. (2014). Falls and frailty:
Finding who is at risk and keeping them safe. UAMS Journal. Retrieved from
http://journal.uams.edu/article/falls-and-frailty-finding-whos-at-risk-and-keeping-them-
safe/Hester, A.L. and Davis, D.M. (2013). Validation of the Hester Davis scale for falls risk
assessment in neurosciences population. Journal of Neuroscience, 45(5): 298-305.
Retrieved from

4. http://journals.lww.com/jnnonline/Abstract/2013/10000/Validation_of_the_Hester_Davis
_Scale_for_Fall_Risk.8.aspx Nur 699 wk 5 EBP Section F: Implementation Plan Example