A. Identify a current nursing practice within your healthcare setting that requires change.
1. Describe the current nursing practice.
The submission notes the poor compliance with the ventilator bundle. However, an explanation of the bundle or the current nursing practice for ventilator management could not be found
2. Discuss why the current nursing practice needs to be changed.
B. Identify the key stakeholders within your healthcare setting who are part of the current nursing practice.
1. Describe the role each identified key stakeholder will play to support the proposed practice change.
The submission appropriately recognizes the key stakeholders as the nurses, physicians, leaders, and infection control team. There are limited details regarding their roles, and it is unclear how these roles will support the proposed practice change to provide training to nurses on ventilator bundles and compliance.
C. Create an evidence critique table (see “Sample Evidence Critique Table”).
1. Identify five sources from scholarly peer-reviewed journals, which adhere to the following standards:
a. Each source must be published within the past five years.
b. Each source must relate to the change identified in part A.
c. Each source must be listed in the table using APA format.
2. Identify the evidence strength of each chosen source, using the Strength of Evidence information in the study plan.
The table of sources provides additional information for the five sources related to ventilator bundles and pneumonia prevention. The table lists three different numbers under the evidence strength and evidence hierarchy columns. The specific evidence strength rankings are not clear and difficult to determine if accurate. Please use the provided “Sample Evidence Critique Table” to guide the rankings.
3. Identify the evidence hierarchy of each chosen source, using the Evidence Hierarchy information in the study plan.
The provided table highlights accurate descriptions of the study designs for each of the five sources related to ventilator bundles and VAP prevention. However, the hierarchy section of the table notes the different hierarchies as combinations of numbers. This is an inaccurate ranking of evidence hierarchy. Please consider using the evidence critique example provided and the terminology from the 7 Level Model Rating System.
D. Develop an evidence summary based on the findings from part C that includes each of the five sources used (suggested length of 1–2 pages for all sources).
There is a sufficient summary of the sources Eom et al. (2014), Klompas et al. (2016), and Al-Thaqafy et al. (2014). There is a brief summary of the key conclusions of the sources from Tabaeian et al. (2017) and Borgert et al. (2015). However, the details are limited. Please provide additional details regarding the methods, findings, and conclusions to provide a complete evidence summary of these sources.
E. Recommend a specific best practice based on the evidence summary developed in part D.
F. Identify a practice change model that is appropriate to apply to the proposed practice change.
1. Justify why you chose the practice change model.
The paper properly identifies the Johns Hopkins Nursing Evidence-Based Practice Model. There is a discussion of the primary and secondary foundations of the model. However, a justification for the why the JHNEBP model was chosen is unclear.
2. Explain how to apply the identified model to guide the implementation of the proposed practice change.
The submission describes the foundations of the JHNEBP model. A discussion of how to apply the model to guide the implementation of the ventilator training for nurses could not be found.
G. Discuss possible barriers to successful implementation of the proposed practice change.
There is an adequate discussion of the recommended practice change to implement ventilator bundle training for nurses to improve compliance. The barriers to a successful implementation of the training could not be located.
H. Discuss any possible ethical implications that may arise while planning or implementing the proposed practice change.
In a different section, the paper discusses the association between poor ventilator management and infections. However, the possible ethical implications that may arise while planning or during the implementation of the ventilator training changes could not be found.
