Diabetes Self-Care Management Education (DSME) using empowerment and behavioral change strategies

9622Considerations and Challenges for Implementation
discuss potential barriers and/or facilitators, which could impact your proposed project’s implementation. Are the nursing staff resistant to change? Is there currently a culture inherent in the site where the use of evidence-based practice is openly used/welcomed by staff? Will staffing levels affect your implementation? What strategies might you use to overcome any barriers you might face? How will you capitalize upon any facilitators you have identified?
Outcomes

Provide a full discussion in regard to the outcome(s) you will use to determine the impact of the intervention you will implement. The articles that provide the evidence for the intervention will also provide the outcome. Use the same outcome from the intervention research articles. In other words, researchers have tested the intervention on a specific outcome, and we know that the intervention is effective with that outcome. The same research articles will usually have the data collection tool that is effective in collecting data for the outcome. Select a data collection instrument/survey which has been published and is reliable and validated. If you are using a survey, have you received permission to use the survey? (provide a copy of the permission letter/email as an Appendix and refer to it here.) What will it measure? How has the survey been tested for validity and reliability (Cronbach Alpha)? How many questions are asked? What type of questions are asked (what numeric scale is used, Likert, etc.)? How will you administer the survey (pen/paper or electronically)? When will it be administered? Approximately how long will it take your population to complete? No demographic data should be collected unless it is necessary to help you to answer your PICOT question. Include assurances, or at least estimates, or the validity and reliability of the instrument, and reference to an appendix in which the reader will find the complete instrument and all correspondence and directions which will be sent to the respondent subjects in the sample
If abstracting data from the Electronic Health Record, the Enterprise Data Warehouse, or a database, what data will be part of the abstracted report? State all data points that will be abstracted and who will pull the data, and how (i.e. manual chart audit, or analyst will write a report), and the timeframe for the first and second data abstractions. Consider if you need a simple compliance tool documenting if the intervention (assessment, toolkit, education) is being completed.