NUR 699 EBP Proposal-FinalPaper.docx - Running head...

Running head: EVIDENCE-BASED PRACTICE PROPOSAL FINAL PAPER 1
Evidence-Based Practice Proposal Final Paper
Lizy Windsor
Grand Canyon University
Evidence-Based Practice Project
NUR 699
October 31, 2012

EVIDENCE-BASED PRACTICE PROPOSAL FINAL PAPER 2
Evidence-Based Practice Proposal Final Paper
Table of Contents
1. Abstract …………………………………………………………… 3
2. Section A: Organizational Culture and Readiness Assessment …… 4
3. Section B: Problem Description …………………………………… 7
4. Section C: Literature Support ……………………………………… 10
5. Section D: Solution Description …………………………………… 13
6. Section E: Change Model ………………………………………… 17
7. Section F: Implementation Plan …………………………………… 22
8. Section G: Evaluation of Process ………………………………… 29
9. Conclusion ………………………………………………………… 35
10. References ………………………………………………………… 36
11. Appendices …………………………………………………………
i. Appendix A: Critical Appraisal Checklists ……………… 42
ii. Appendix B: Evaluation Tables …………………………… 46
iii. Appendix C: Conceptual Model …………………………… 50
iv. Appendix D: Timeline …………………………………… 51
v. Appendix E: Resource List ………………………………… 52
vi. Appendix F: Proposal Instruments ………………………… 53
vii. Appendix G: Budget ……………………………………… 57
viii. Appendix H: Data Collection Tools ……………………… 58
ix. Appendix I: Handout tool ………………………………… 60
x. Appendix J: Consent Form ………………………………… 61

EVIDENCE-BASED PRACTICE PROPOSAL FINAL PAPER 3
Abstract
Presented forth is a study proposed by Ms. Lizy Windsor, affiliated with Banner Good
Samaritan Medical Center, located in central Phoenix. The study is projected to present
information on capnography for use in procedural sedation in the emergency department,
applying an evidence-based approach. This study explores the organizational culture of the
facility and conducts a readiness assessment, prior to identifying the clinical issue and providing
evidence linked to the use of capnography in procedural sedation. Additionally, the study
presents the solution for the problem and provides the implementation plan, based on the
conceptual framework of the Iowa Model. The expected outcome was recognized as a
conspicuous reduction in occurrences of hypoventilation, apnea, and hypoxia during procedural
sedation in the ED, thus reducing negative patient outcomes, and improving patient safety.