NR451 – Week 5: Evidence-Based Practice Change Project Paper
Institution: Chamberlain University College of Nursing
Course: NR451 – RN to BSN Capstone Course
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Start My OrderAssignment Type: Written Paper | Length: 3–4 pages | Weight: 25% of final grade
Overview
The goal of this assessment is to apply principles of evidence-based practice to propose a change that improves patient outcomes or enhances nursing care quality. Students will identify a clinical issue within their workplace, evaluate supporting evidence, and develop a feasible change implementation plan aligned with current nursing standards.
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Assignment Purpose
The assessment develops critical thinking and decision-making skills by linking research evidence to clinical improvement. It reinforces the RN-to-BSN program outcome of using evidence and research to improve health outcomes and nursing practices across diverse settings.
Assignment Instructions
- Select a clinical or organizational problem that impacts patient care, such as infection prevention, patient falls, or medication safety.
- Identify the practice gap and summarize evidence supporting a proposed change.
- Describe the proposed EBP change intervention or practice improvement initiative.
- Discuss stakeholder involvement, resource requirements, and potential barriers to implementation.
- Summarize expected outcomes and how success will be measured through evaluation metrics.
- Include at least four peer-reviewed references (published 2018–2026) to support your project.
Formatting and Submission Requirements
- Paper length: 3–4 double-spaced pages, excluding title and reference pages.
- APA 7th edition formatting required.
- Submit through the Week 5 assignment dropbox in Canvas.
Learning Objectives
- Apply evidence-based practice principles to a clinical or organizational issue.
- Evaluate research findings for quality and relevance to nursing practice.
- Develop an actionable EBP change proposal supported by scholarly literature.
- Communicate proposed interventions effectively using academic writing standards.
Grading Rubric
| Criteria | Exemplary (90–100%) | Proficient (80–89%) | Developing (70–79%) | Needs Improvement (<70%) |
|---|---|---|---|---|
| Identification of Clinical Issue | Clearly identifies a relevant, evidence-based clinical issue with measurable impact on patient outcomes. | Identifies a relevant issue but lacks measurable detail or supporting evidence. | Describes a general issue without clear connection to EBP or outcomes. | Fails to identify a valid or relevant issue. |
| Application of Evidence-Based Practice | Applies high-quality research to justify a change proposal with excellent synthesis and integration. | Applies evidence effectively with moderate synthesis and clarity. | Uses limited or outdated evidence with weak justification. | Does not apply evidence appropriately to the proposal. |
| Implementation Plan and Feasibility | Presents a detailed, practical implementation plan addressing stakeholders, resources, and barriers. | Provides a clear but moderately detailed implementation plan. | Mentions implementation briefly without detail or feasibility considerations. | Omits implementation details or presents an unrealistic plan. |
| Use of Scholarly Sources | Integrates ≥4 recent peer-reviewed sources seamlessly. | Uses 3–4 credible sources with minor synthesis issues. | Uses minimal or outdated sources. | Relies on non-scholarly or irrelevant references. |
| Writing and APA Style | Writing is concise, scholarly, and coherent; flawless APA formatting. | Minor writing or APA formatting errors. | Frequent writing issues affecting clarity. | Disorganized or poorly formatted submission. |
Improving hand hygiene compliance has a direct effect on hospital-acquired infection rates. Implementing electronic reminders at patient room entry points supports nurse compliance and decreases cross-contamination risks. Involving nurse champions and infection control committees helps reinforce accountability and sustainable behavior change (Huis et al., 2020).
References
- Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice (5th ed.). Wolters Kluwer. https://doi.org/10.1097/9781975185721
- Huis, A., Hulscher, M., Adang, E., Grol, R., & van Achterberg, T. (2020). Cost-effectiveness of a team and leaders-directed strategy to improve nurses’ hand hygiene. American Journal of Infection Control, 48(9), 1045–1051. https://doi.org/10.1016/j.ajic.2020.06.212
- White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2021). Translation of Evidence into Nursing and Health Care (3rd ed.). Springer. https://doi.org/10.1891/9780826151243
- Schaffer, M. A., Sandau, K. E., & Diedrick, L. (2019). Evidence-based practice models for organizational change. Journal of Nursing Administration, 49(12), 623–629. https://doi.org/10.1097/NNA.0000000000000828
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