In 750-1,000 words, develop an evaluation plan to be included in your final evidence-based practice project proposal. You will use the evaluation plan in the Topic 8 assignment, during which you will synthesize the v

Evidence-Based Practice Project Proposal-Evaluation Plan

This intervention plan focuses on implementing a three-hour order set as a standard for treating sepsis patients in an acute care setting. The project is to create awareness regarding the need for early diagnosis and treatment to prevent infection from worsening. The goal is to improve patient outcomes and decrease morbidity and mortality rates. Notably, the primary cause of death due to sepsis is the late diagnosis (Gilbert, 2018). This is to say the condition can be treated if diagnosed early. The intervention plan aims to incorporate the Johns Hopkins Evidence-Based Practice Framework to facilitate sepsis bundled care by promoting a standing order for three-hour sepsis interventions and, having these put into place and administering a knowledge assessment for nurses to be followed up with education and a post-education knowledge assessment. This paper evaluates the effectiveness of the selected evidence-based practice plan and framework.

Expected Outcomes

The PICOT for this implementation proposal is: In adult sepsis patients (P), does sepsis bundled care (I), when compared to routine clinical care (C), reduce hospital mortality rate, reduce admission rates, and reduce the length of stay (O) from the first 24H to discharge (T)? The primary objective is to improve compliance with the sepsis bundled process. The expected outcomes are that serum lactate level, blood cultures, weight-based fluid administration/resuscitation, and antibiotic administration will be ordered as an order set and become a standard for early sepsis intervention, resulting in decreased non-compliance rates of the core measure three-hour sepsis bundles/order set. Education will be provided to nursing staff regarding early recognition of sepsis and the need for bundled care.

Data Collection Methods

The project considered several methods for collecting qualitative and quantitative data, including interviewing, observation, recording, and questionnaires. Data will be collected via chart abstractions, and the CMS sepsis guidelines for the three-hour bundle will be used as an audit tool. Variables, including serum lactate level, blood cultures, weight-based fluid administration/resuscitation, and antibiotic administration, will all be reviewed. Each variable will have a yes or no response option. This will determine if the sepsis bundle interventions were completed per the sepsis bundle order set guideline. Specifically, data abstracted from charts will be audited for compliance with the early intervention, three-hour bundle, before Emergency Department (ED) nursing education. Then, the same data will be abstracted and audited to determine the exact compliance after the instruction. This data will then be examined to conclude if this practice has improved the observance of the core measures before and after all staff education and intervention implementation.

Statistical Test Strategy

A questionnaire completed by nursing staff will be examined using statistical analysis to identify their acknowledgment and comprehension. The questionnaire will be given out before initial staff education. This will help establish a baseline for the ED nurses’ knowledge level. The initial questionnaire will later be compared with the ED nurses’ awareness and understanding after a time frame, post-education, and in-services. A paired-sample t-test is one statistical test that can reach the mean scores for the same group of people on two different occasions. The two requirements for a paired t-test are one categorical independent variable (time) and one continuous, dependent variable (knowledge of sepsis bundles) measured on two different occasions. (Ranganathan et al., 2015, p. 247) This test will be helpful in both looking at the patient’s medical record information to determine improvement and the survey information from the nurses to assess their levels of sepsis education.

Statistical Test Strategy

The sepsis bundled care evidence-based practice project will employ the simple linear regression test analysis strategy in analyzing the collected information. Researchers use this data analysis method to quantify the relationship between a single independent variable and the corresponding dependent variable (Averkam, 2021). Simple linear regression is suitable for this research project because it focuses on one independent and dependent variable. Specifically, the independent variable of the intervention plan is the knowledge and implementation of bundled care. In contrast, the dependent variable is the outcome of sepsis patients. In addition, focusing on specific elements increases the quality and scope of the information collected, making it more reliable in making evidence-based medical conclusions