: EVIDENCE-BASED PRACTICE PROPOSAL FINAL PAPER

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. Evidence generated from the pilot study could also be transferred to other areas that employ procedural sedation, such as other emergency departments, endoscopy suites, and cardiac catheterization suites.