Roger’s diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck’s change curve model or the transtheoretical model of behavioral change. Other conceptual models, such as a utilization model (Stetler’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying your evidence-based proposal in clinical practice. Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model.

In 500-750 words (not including the title page and references page), discuss applying one of the change models to the implementation plan:

  1. Identify the selected model or theoretical framework and discuss its relevance to your project.
  2. Discuss each of the stages in the change model/framework.
  3. Describe how you would apply each stage in your proposed implementation.

In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 4 with the narrative, you will include the conceptual model in the appendices for the final paper.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

Please add 5 references that are 5 years or less. I have attached my most current essay to help you with the essay.


Proposed Evidence-Based Practice Project Solution

Diane Boll

Grand Canyon University: NUR 590


Proposed solutions

Diabetes mellitus type 2 is generally considered a lifestyle condition and this makes it more prevalent among individuals from lower socioeconomic status. This is because of the many barriers that prevent such individuals from accessing quality healthcare. Thus, providing improved and better healthcare to such people can be very crucial in reducing the prevalence of Diabetes mellitus type 2 (Ong et al., 2018). Achieving this would require adequately funding the healthcare facilities especially in areas where people with lower socioeconomic status live to facilitate preventive care for type 2 diabetes. Also, ensuring there is an adequate number of healthcare providers such as nurses and physicians especially in the remote areas where an individual from low-income communities’ lives is crucial in reducing the prevalence of type 2 diabetes (Ong et al., 2018). This will ensure such individuals have access to quality healthcare concerning diabetes whenever they need it. Health promotional services that involve encouraging people to practice good dietary and healthy lifestyles can offer important solutions in the management of diabetes (Butler, 2017).

Organizational structure

The proposed solutions are consistent with the community culture of cooperation between different stakeholders to promote healthcare for all to achieve the objectives of Healthy People 2020. To effectively reduce the prevalence of type 2 diabetes, strong cooperation between healthcare providers, the healthcare system, and the community is necessary. This portrays a culture of togetherness towards the achievement of a society that is free from illnesses including type 2 diabetes.

Expected Outcomes

The availability of food, good housing, access to healthcare, good education, and improved nutritional practices are some of the factors that can help reduce the prevalence of diabetes type 2 among people in low-income communities. These factors will lead to a reduction in healthcare disparities that impact negatively individuals from such communities. The expected outcome from ensuring such factors are dealt with includes equal access to quality healthcare for people from these communities as far as the issue of diabetes mellitus type 2 is concerned. Achieving equity in access to healthcare services will greatly reduce the prevalence of type 2 diabetes and this would be an important milestone towards the achievement of the objectives of Healthy People 2020.

Method to achieve the outcomes

In achieving the expected outcome of the project;

a) The nurses will fully participate in the process of implementation of this practice.

b) The physicians and other allied healthcare providers will support the nursing staff in the process of implementing evidence-based practice.

c) The nurses will work in partnership with the regional and national research institutes to implement the evidence-based practice.

d) The organization will develop an EBP mentoring program tasked to train and motivate nurses to take responsibility for implementing the evidence-based practice.

Various barriers might hinder the process of implementing evidence-based practice which includes;

a) Lack of adequate time to go through the available literature from the research might lead to the workload on available nursing staff

b) An inadequate experience by nurses on the evidence-based practice due to limited training on the same (Duncombe, 2018)

c) Lack of adequate resources for some procedures to be done is a significant barrier to the implementation of EBP.

Outcome Impact

Quality care improvement

The outcomes of the project will have positive impacts on quality care improvement as it promotes early diagnosis of type 2 diabetes for patients and initiates effective treatment. The outcomes will also promote preventive care of the disease through good dietary and healthy lifestyles (Butler, 2017). Also, having an adequate number of healthcare providers as well as adequate funding will reduce healthcare access disparities hence improving the quality of healthcare services provided.



Butler, A. M. (2017). Social determinants of health and racial/ethnic disparities in type 2 diabetes in youth. Current diabetes reports, 17(8), 60.

Duncombe, D. C. (2018). A multi‐institutional study of the perceived barriers and facilitators to implementing evidence‐based practice. Journal of Clinical Nursing, 27(5-6), 1216-1226.

Ong, S. E., Koh, J. J. K., Toh, S. A. E. S., Chia, K. S., Balabanova, D., McKee, M., … & Legido-Quigley, H. (2018). Assessing the influence of health systems on type 2 diabetes mellitus awareness, treatment, adherence, and control: a systematic review. PloS one, 13(3), e0195086.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.


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