777292 Topic: Evidence Based Proposal Critique

Number of Pages: 1 (Double Spaced)

Number of sources: 1

Writing Style: APA

Type of document: Article Critique

Academic Level:Undergraduate

Category:   Nursing

Language Style: English (U.S.)

Order Instructions:


Topic: Evidence Based Proposal Critique

Number of Pages: 1 (Double Spaced)

Number of sources: 1

Writing Style: APA

Type of document: Article Critique

Academic Level:Undergraduate

Category: Nursing

Language Style: English (U.S.)

Order Instructions:


Hello, this is a research proposal critique for 3 of my classmates. I will attach three students power point presentation that needs to be peer reviewed individually. Please section each critique based on the number provided so there is no confusion with submission. Directions:

Review all of the presentations but provide critical commentary only to five others posted. Address the strengths of the proposal as well as recommendations for improvement

Workplace Violence Prevention Program to Reduce Violence in Emergency Department and improve Safety of Employees

Presented by

Date: 09/12/18


Workplace Violence

“Workplace violence is the act or threat of violence, ranging from verbal abuse to physical assaults directed toward persons at work or on duty. The impact of workplace violence can range from psychological issues to physical injury, or even death” (NIOSH,2016).

Problem Description

Workplace violence (WPV) is a weighty problem in all health care settings.

Emergency room nurses and employees experience physical and verbal assaults from patients and visitors in a higher rate.

According to the Emergency Department (ED) Violence Surveillance Study conducted between 2009 and 2011 by Emergency Nurses Association, the overall frequency of physical and verbal assaults towards ED nurses was 54.5 percent during a one-week period (Emergency Nurses Association, 2011).

According to American Nurses Association’s Health Risk Appraisal survey, it is reported that 21 percent of registered nurses and nursing students being physically assaulted, and more than 50 percent were verbally abused in a 12-month period (OSHA, 2015). It is necessary to the organization to recognize and acknowledge the violence directed towards health care workers from patients and visitors. So that the institution can prepare staff to handle violence and address the impact more effectively (Sentinel Event Alert, 2018). The Joint Commission recommends to the healthcare organizations to define workplace violence and put systems into place across the organization that enable staff to report workplace violence instances, including verbal abuse.


PICOT Question

In an Emergency department, how does a workplace violence prevention program improve the safe work environment for nurses and other healthcare employees compared with the current practice?  


Evidence From Literature

Study evidences provides the understanding of nationwide workplace violence (WPV) problem among the nurses and indicate the importance of developing a workplace violence prevention program (WPVPP).

Implementing a WPVPP helps effect change in the ED and hospitals in general by enhancing nurses’ perceptions of safety, and consequently ensuring that a healthy work environment based on trust respect, and safety is created in the ED (Martinez, 2016).

WPV increases stress level of ED nurses and it adversely affects the patient care (Gates, Gillespie & Succop, 2011). A cross sectional study conducted among Nurses from 100 hospitals in Taiwan found that 49.6 percent of nurses had an experience of at least one kind

Fall Prevention in an Acute Care Setting

Falls prevention program presentation

Evidence-based practice proposal

Alyssa N. Jolicoeur rn, BSN, cen

Grand canyon university

September 12th 2018



Discuss how to determine the organizational culture and readiness

Discuss the problem of falls in an acute care setting (problem description)

Discuss the foreground question

Discuss the supporting literature and how it applies to the problem

Discuss the solution to the problem as found in research

Learn about the change model for successful implementation of evidence-based practice (EBP)

Discuss the plan of implementation of this proposal

Discuss the plan of continuing evaluation for quality improvement


Organizational Culture and Readiness

Determining an organization’s willingness and readiness for change is vital for success.

Seven elements to an organizations culture (Glaser & Associates, 2018)



Information Flow

Employee involvement



Customer Service

This Photo by Unknown Author is licensed under CC BY

Without enough readiness, a new practice change will ultimately fail if not instituted into an organization properly. When instituting something new into an organization determining whether they are ready will only help success. The person that is initiating the change or proposal should analyze these seven different elements. The educators should give a clear picture to the organization and it’s employees a their strengths and weaknesses (Glaser & Associates, 2018).


Organizational Readiness




Customer Service




Informational Flow

Employee engagement


The employees perceive the institution to be trustworthy, fair, consistent and for the most part management and employees create a team approach to their relationship (Glaser & Associates, 2018).

The hospital does work on transparency, however not all the information travels to all. Most departments do not cross and know how the others work although it is noticed to be a problem and leadership is actively working on the issue. Morale seems to be a problem at our facility as it is in most. Employees do feel respected however there

Cultural competence: evidence based project


Why Cultural competence?

It is a standard of care for nursing staff and ancillary staff.

Builds patient rapport.

Allows for staff to be more competent and confident in their care.

Staff within Steward Health Care reported being uncomfortable with addressing culture needs.

50% of nursing staff reported interest in specialized culture training.

Retrieved from: google images

Evidence Based practice is strongly linked to positive patient outcomes, therefore it is an essential skill to practicing health care professionals (Milner, 2018). In regard to culturally competent and spiritually competent nursing care, 40% of nurses felt uncomfortable in addressing patient’s needs. Consequently 70% believed that culturally and spiritually based nursing care influences better patient outcomes. These survey categories were utilized to gather data on if there was a significant need for change. In addition, 50% of nurses that were surveyed said that they would engage in specialized training regarding cultural and spiritual competence. This evaluates readiness for change and growth amongst the nursing staff.


Facilitating change

Assessing readiness for change.

Identifying protentional barriers.

Utilizing positive changes to encourage staff.

Setting examples through management.

Retrieved from google images

Clinical inquiry will be integrated through utilization of implementation science which is creating generalized knowledge through study designs that are powered to show a difference in the intervention being tested (Granger, 2018). When implementing changes within a facility there are always protentional barriers. In implementing specialized cultural and spiritual training for nurses’ barriers could include resistance to change, lack of comfort, lack of participation. In utilization of clinical inquiries and evidence of positive change within patient outcomes barriers will be overcome.


Problem Description

The United States is continuing to grow more diverse through race and ethnicity.

Each culture has specific needs regarding everyday life and health care needs.

Needs can include dietary, philosophies, and traditions.

As health acre providers these needs need to be addressed and understood in order to give the best possible holistic care.

Retrieved from google images

It is projected that in the United States will continue to be more racially and ethnically diverse within the upcoming years. With that being said, it is estimated that the Hispanic population will be that if 29% by 2060. While i

Article Critique


Student’s Name

Institution Name


Evidence Based Proposal Critique: Article Critique

First: The proposal Cultural competence: evidence based project in this proposal the work is much better and impressive but proposed solution for obtaining cultural and spiritual competence is to implement a mandatory specialized training program. The training program will be presented by the education program and will be a continuous program so that staff can sign up throughout the year to meet their mandatory education. How would know this program is vital in providing and what are the flaws in the current solution. How would like to fix these issue. The answer should be technically and should supported by evidence

Second: The proposal about Workplace Violence Prevention Program to Reduce Violence in Emergency Department and improve Safety of Employees is in very well detail and the did very great job bout I would to add that the problems statement should more explain and should more elaborate like what are the problems in the existing systems. Also should mention the existing system with solution in details. And additionally to enhance the implementation of the solution. The workplace violence policy statement is required. The policies should be mentioned in very details. Conclude that the project is impressive.

Third: In the proposal and idea of the Fall Prevention in an Acute Care Setting there are no reasons behind the problem statement that why would like to select to fix these issue (Jolicoeur, 2018). Patients that are admitted to the hospital or an acute care setting are at great risk to fall causing injuries or even death how would you know about this? What are reason? This should be include. And madding more, what are the main objective and efficiency of the proposed work? What are the current system working on it? That should be in very details and very technically.


Jolicoeur, A. (2018). Fall Prevention in an Acute Care Setting. Falls prevention program presentation: Evidence-Based Practice Proposal. Grand Canyon University. Phoenix, AZ