Hypertension Evidence Based Practice Proposal Paper

In 1,000-1,500 words, provide a description of the methods to 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 approval form, then one must be created. Although you will not be submitting the consent or approval forms in Topic 5 with the narrative, you will include the consent or approval forms in the appendices for the final paper.
  2. Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, you will include the timeline in the appendices for the final paper.
  3. Describe the resources (human, fiscal, and other) or changes needed in the implementation of the 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 the narrative, you will include the resource list in the appendices for the final paper Hypertension Evidence Based Practice Proposal Paper.

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  4. Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, you will include the instruments in the appendices for the final paper.
  5. Explain the process for delivering the (intervention) solution and indicate if any training will be needed.
  6. Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, you will include the data collection tools 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, consumable supplies, equipment (if not provided by the institute), computer-related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, you will include the budget plan in the appendices for the final paper.
  9. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation Hypertension Evidence Based Practice Proposal Paper.

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Lopes Write. Refer to the Lopes Write Technical Support articles for assistance.

Course Code NUR-590 Class Code NUR-590-O501 Criteria Content Percentage 70.0% Setting and Access to Potential Subjects 5.0% Amount of Time Needed to Complete This Project 5.0% Resources or Changes Needed in the Implementation of the Solution 10.0% Methods And Instruments 10.0% Process for Delivering the Intervention Solution 10.0% Data Collection, Including Data Management and Analysis Processes 5.0% Strategies to Deal With the Management of Any Barriers, Facilitators, and Challenges 5.0% Feasibility of the Implementation Plan 5.0% Plans to Maintain, Extend, Revise, and Discontinue a Proposed Solution After Implementation 10.0% Required Sources 5.0% Organization and Effectiveness 20.0% Thesis Development and Purpose 7.0% Argument Logic and Construction 8.0% Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Format 10.0% Paper Format (Use of appropriate style for the major and assignment) 5.0% Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Total Weightage 100% Assignment Title Evidence-Based Practice Proposal – Section E: Implementation Plan Unsatisfactory (0.00%) A description of setting and access to potential subjects is not included. A description of the amount of time needed to complete this project is not included. A description of the resources or changes needed in the implementation of the solution is not included Hypertension Evidence Based Practice Proposal Paper.

A description of methods and instruments is not included. A description of the process for delivering the intervention solution is not included. A description of data collection, including data management and analysis processes, is not included. A description of strategies to deal with the management of any barriers, facilitators, and challenges is not included. A description of the feasibility of the implementation plan is not included. A description of plans to maintain, extend, revise, and discontinue a proposed solution after implementation is not included. Sources are not included. Paper lacks any discernible overall purpose or organizing claim. Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Template is not used appropriately or documentation format is rarely followed correctly. Sources are not documented. Total Points 100.0 Less than Satisfactory (80.00%) A description of setting and access to potential subjects is present, but it lacks detail or is incomplete. A description of the amount of time needed to complete this project is present, but it lacks detail or is incomplete. A description of the resources or changes needed in the implementation of the solution is present, but it lacks detail or is incomplete. A description of methods and instruments is present, but it lacks detail or is incomplete. A description of the process for delivering the intervention solution is present, but it lacks detail or is incomplete. A description of data collection, including data management and analysis processes, is present, but it lacks detail or is incomplete. A description of strategies to deal with the management of any barriers, facilitators, and challenges is present, but it lacks detail or is incomplete. A description of the feasibility of the implementation plan is present, but it lacks detail or is incomplete. A description of plans to maintain, extend, revise, and discontinue a proposed solution after implementation is present, but it lacks detail or is incomplete. Number of required sources is only partially met. Thesis is insufficiently developed or vague. Purpose is not clear. Sufficient justification of claims is lacking. Argument lacks consistent unity Hypertension Evidence Based Practice Proposal Paper.

There are obvious flaws in the logic. Some sources have questionable credibility. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Satisfactory (88.00%) A description of setting and access to potential subjects is present. A description of the amount of time needed to complete this project is present. A description of the resources or changes needed in the implementation of the solution is present. A description of methods and instruments is present. A description of the process for delivering the intervention solution is present. A description of data collection, including data management and analysis processes, is present. A description of strategies to deal with the management of any barriers, facilitators, and challenges is present. A description of the feasibility of the implementation plan is present. A description of plans to maintain, extend, revise, and discontinue a proposed solution after implementation is present. Number of required sources is met, but sources are outdated or inappropriate. Thesis is apparent and appropriate to purpose. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Template is used, and formatting is correct, although some minor errors may be present. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Good (92.00%) A description of setting and access to potential subjects is clearly provided and well developed. A description of the amount of time needed to complete this project is clearly provided and well developed. A description of the resources or changes needed in the implementation of the solution is clearly provided and well developed. A description of methods and instruments is clearly provided and well developed. A description of the process for delivering the intervention solution is clearly provided and well developed. A description of data collection, including data management and analysis processes, is clearly provided and well developed. A description of strategies to deal with the management of any barriers, facilitators, and challenges is clearly provided and well developed. A description of the feasibility of the implementation plan is clearly provided and well developed. A description of plans to maintain, extend, revise, and discontinue a proposed solution after implementation is clearly provided and well developed. Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Argument shows logical progressions Hypertension Evidence Based Practice Proposal Paper.

Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Template is fully used; There are virtually no errors in formatting style. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Excellent (100.00%) A comprehensive description of setting and access to potential subjects is thoroughly developed with supporting details. A comprehensive description of the amount of time needed to complete this project is thoroughly developed with supporting details. A comprehensive description of the resources or changes needed in the implementation of the solution is thoroughly developed with supporting details. A comprehensive description of methods and instruments is thoroughly developed with supporting details. A comprehensive description of the process for delivering the intervention solution is thoroughly developed with supporting details. A comprehensive description of data collection, including data management and analysis processes, is thoroughly developed with supporting details. Comments A comprehensive description of strategies to deal with the management of any barriers, facilitators, and challenges is thoroughly developed with supporting details. A comprehensive description the feasibility of the implementation plan is thoroughly developed with supporting details. A comprehensive description of plans to maintain, extend, revise, and discontinue a proposed solution after implementation is thoroughly developed with supporting details. Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. Writer is clearly in command of standard, written, academic English. All format elements are correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Points Earned Running head: EVIDENCE-BASED PRACTICE PROPOSAL Evidence-Based Practice Proposal: Solution Description Grand Canyon University Decembre 2020 Evidence-Based Practice Proposal: Solution Description 1 EVIDENCE-BASED PRACTICE PROPOSAL 2 Proposed Solution Analysis of the African American cohort lifestyle activities indicate various non-healthy practices that are primarily attributed to compromised lifestyle attributes. American healthcare organizations should focus on the improvement metrics, such as championing for the consumption of healthy diets, and could be attained through initiating and standardizing public awareness campaigns with a focus on the behavioral modification aspect (Whelton et al., 2016). The healthcare team should educate them on ways to choose and incorporate healthy meals and snacks in their daily regimens consequently helping them to avoid the high risk foods that predispose them to undesired complications. Research shows that adopting the dietary approaches to stop hypertension (DASH) eating plan includes incorporating various nutrients, including proteins, potassium and fiber, and eliminating high salt amounts and saturated fats. According to Scisney-Matlock et al. (2015)Hypertension Evidence Based Practice Proposal Paper,

the lifestyle component also involves focusing on maintenance of healthy weight through incorporating physical activities, and eliminating detrimental practices, such as excessive smoking and alcohol consumption. There is an established correlation between overweight and obesity and development of such conditions like high blood pressure. There are also a variety of identified literacy gaps between the distinct American races that ultimately impact the knowledge and skills surrounding healthcare access and control. Gaps also exist in federal and state level assistance to the access to healthcare services, for instance through the Medicaid program. There should be efforts towards increasing the beneficiaries to such insurance programs by the majority of the African Americans to foster equality in healthcare access and affordability, while eliminating the associated negative effects of the condition (Fang et al., 2016). Besides impacting the health-seeking behaviors, knowledge gaps EVIDENCE-BASED PRACTICE PROPOSAL 3 also impact other vital attributes including literacy in the use and appropriate adherence to the medication within the treatment plan. Bridging the gap includes initiating public awareness, for instance, of the risks and consequences of developing hypertension, and control measures at the individual level (Pavlik et al., 2015). Notably, the intervention is realistic for the healthcare organization, although the lack of nursing skills and managerial commitment may impede effective delivery of the intervention. Organization Culture Public awareness campaigns that focus on the patient cohort are consistent with the healthcare organization’s culture and resources as it aims at improving the health and healthrelated metrics of the clients. The contemporary resources within the healthcare organization are adequate to facilitate garnering nursing skills and fostering managerial commitment imperative in the overall cultural transition. The community focuses on improved health of the individuals, and could facilitate the process through enabling access to insurance cover by the majority for health access and equity. Expected Outcomes The prospected immediate and long-term impact constitutes reducing the prevalent racial disparities in the incidence and prevalence of hypertension among the American population, which include mitigation against the identified genetic predisposition to the illness. Besides, there is need to focus on the awareness levels of the population, hence the outcome constitute improving their knowledge and skills on the healthy practices against hypertension. The overall objective is the reduction in the new diagnoses, and effective management of the existing patients thereby reducing the associated mortality rates. EVIDENCE-BASED PRACTICE PROPOSAL 4 Methods to Achieve Outcomes Initiating a workplace collaboration culture is imperative in enabling a multidisciplinary taskforce in solving the health threat. Internal improvement programs focus on initiating education programs that target the distinct healthcare team and should focus on improving their respective cultural awareness aspects, professionalism and code of conduct, compassion, time management and effective communication skills. Additional methods include spearheading the formulation of policies that promote access to healthcare services by the population (Fang et al., 2016)Hypertension Evidence Based Practice Proposal Paper.

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Barriers that could prevent the success of the program include individual differences among the different healthcare providers and may pose a challenge to initiating collaborative teamwork. Resource inadequacy may also be detrimental to the program success and also need to be addressed. Outcome Impact Reduced incidence and prevalence rates associated with hypertension, and improved management and treatment approaches reflects improvement in the quality of care accessed by the American population. Improved access to quality healthcare, for instance, through increased insurance cover enables the provision of patient-centered care that is characteristic of improved healthcare outcomes within a population. The improved skills by the healthcare organization workforce also impact the professional expertise involved in effective care provision, and is a foundation for a continued access to quality care services. References EVIDENCE-BASED PRACTICE PROPOSAL Fang, J., Zhao, G., Wang, G., Ayala, C., & Loustalot, F. (2016). Insurance status among adults with hypertension—The impact of Underinsurance. Journal of the American Heart Association, 5(12). https://doi.org/10.1161/jaha.116.004313 Pavlik, V., Chan, W., Hyman, D., Feldman, P., Ogedegbe, G., Schwartz, J., McDonald, M., Einhorn, P., & Tobin, J. (2015). Designing and evaluating health systems level hypertension control interventions for African-Americans: Lessons from a pooled analysis of three cluster randomized trials. Current Hypertension Reviews, 11(2), 123-131. https://doi.org/10.2174/1573402111666150325234503 Scisney-Matlock, M., Brough, E., Daramola, O., Jones, M., Jones, L., & Holmes, S. (2015). Therapeutic lifestyle changes to decrease unhealthy eating patterns and improve blood pressure in African Americans. Hypertension in High Risk African Americans, 35-58. https://doi.org/10.1007/978-1-4939-2010-5_3 Whelton, P. K., Einhorn, P. T., Muntner, P., Appel, L. J., Cushman, W. C., Diez Roux, A. V., Ferdinand, K. C., Rahman, M., Taylor, H. A., Ard, J., Arnett, D. K., Carter, B. L., Davis, B. R., Freedman, B. I., Cooper, L. A., Cooper, R., DesvigneNickens, P., Gavini, N., Go, A. S., … Cutler, J. A. (2016). Research needs to improve hypertension treatment and control in African Americans. Hypertension, 68(5), 10661072. https://doi.org/10.1161/hypertensionaha.116.07905 5 Hypertension Evidence Based Practice Proposal Paper