Week 6 Assignment: Evidence-Based Practice (EBP) Change Process Form
ACE Star Model of Knowledge Transformation
Guidance from Nurse Daniel will serve as your process mentor in the weekly Illustration section of the lesson. Please refrain from utilizing any information related to Nurse Daniel for your own topic, nursing intervention, or change project. Nurse Daniel’s role is solely for demonstrating the change process.
Name: [Your Name]
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Star Point 1: Discovery (Identification of Topic and Practice Issue)
Identify the subject matter and the nursing practice concern associated with it. (This should pertain to a nursing practice issue.)
Provide a brief explanation for your choice of topic. Include the extent of the issue or problem.
Star Point 2: Summary (Evidence Supporting the Need for Change)
Describe the practice-related issue in your own words and formulate your PICOT question.
Specify the systematic review selected from the CCN Library databases. Present the complete APA reference for the chosen systematic review.
List and provide concise descriptions of additional sources used for data and information. Include any supplementary scholarly sources in APA format.
Briefly summarize the primary findings from the systematic review in your own words and assess the strength of the evidence.
Outline one or two evidence-based solutions that will be considered for the trial project.
Star Point 3: Translation (Action Plan)
Identify existing care standards, practice guidelines, or protocols that can support your intervention planning. These may originate from your organization or the sources listed in your Summary section in Star Point 2.
List the stakeholders by their titles (do not include names) and delineate their roles and responsibilities in the change process. Limit the list to no more than five stakeholders.
What is your specific nursing role in the change process? Describe other nursing roles as well.
List the stakeholders based on their position titles (e.g., charge nurse, pharmacist, etc.). Explain why these stakeholders were selected and their significance to your project.
What type of cost analysis will be required before the trial, and who should be involved in this process?
NURS-6052 Discussion: Patient Preferences and Decision Making
Star Point 4: Implementation
Explain the process for obtaining approval to plan and initiate the trial. Is there a particular group, committee, or nurse leader responsible for this?
Detail the plan for educating the staff about the change process trial and how they will be affected or invited to participate.
Outline the timeline for implementing the change process, specifying the start and end dates, as well as the steps to be taken along the timeline.
List the measurable outcomes based on the PICOT. Describe how these will be assessed.
Are there any forms that might be employed for documentation during the pilot change process? Provide a description.
What resources will be accessible to the staff, including yourself, during the change pilot?
Will there be meetings involving specific stakeholders throughout the trial? If so, who are these stakeholders, and when are these meetings scheduled?
Star Point 5: Evaluation
How will you communicate the outcomes of the trial?
What are the subsequent actions for utilizing the information derived from the change process?
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