The document outlines a project where a team of two must design a database in MS Access for an organization, submitting it in three phases with accompanying presentations. Each phase involves developing a data flow diagram, entity relationship diagram, organizing information into tables, and applying data normalization, culminating in an SQL query. It also emphasizes the importance of organizational culture and readiness for change in implementing evidence-based practice in a healthcare setting, specifically addressing fall reduction strategies.

1. Project: Designing a Database using MS Access
Description: Working in a team of two members, you have to
design a Database for an organization.
The project will be completed and submitted incrementally. You
will have to submit the project in three phases. Every increment
submission will be accompanied by a presentation of completed
work.
In the first phase you need to work on the following: (30 points)
1. Determine the purpose of your database
2. Design the DFD (Data Flow Diagram) for your system.
Recommended tool to design DFD is MS Visio or Visual
Paradigm but it is not required.
3. Design the ERD (Entity Relationship Diagram)
In the second phase you need to work on the following: (40
points)
1. Find and organize the information required
2. Divide your information items into major entities or subjects,
such as Products or Orders. Each subject then becomes a table.
3. Decide what information you want to store in each table.
Each item becomes a field, and is displayed as a column in the
table. For example, an Employees table might include fields
such as Last Name and Hire Date.
4. Choose each table’s primary key. The primary key is a
column that is used to uniquely identify each row. An example
might be Product ID or Order ID.
In the third & final phase you need to the following: (30 points)
1. Apply the data normalization rules to see if your tables are
structured correctly. Make adjustments to the tables, as needed.
2. Write SQL (Structured Query language) to retrieve the data

2. Briefly described your healthcare organization, including its
culture and readiness for change.
SLIDE 3
Described the current problem or opportunity for change. The
circumstances surrounding the need for change, the scope of the
issue, the stakeholders involved, and the risks associated with
change implementation in general was described.
Proposed an evidence-based idea for a change in practice using
an evidence-based practice approach to decision making.
SLIDE 5
• Described your plan for knowledge transfer of this change,
including knowledge creation, dissemination, and organizational
adoption and implementation.
SLIDE 6
Described the measurable outcomes.
RECOMMENDING AN EVIDENCE-BASED PRACTICE
CHANGE
student’s name
instructor
course
date
Organizational Culture And Readiness For Change
The first assessment will help to determine the ability of the

3. current organization to accept change to the nursing practice
Prior assessment of the organization’s challenges to change
embracement is key to provide solutions to health care problems
in the society
According to the Organization Culture Assessment Instrument
(OCAI), the staff responses indicate the willingness of the
organization to change
Current Problem Or Opportunity For Change
The need for change is to reduce falls
The main barrier to this facility is lack of sufficient knowledge
about evidence-based practice implementation
Patients with falls require a long duration of hospital stay for
the management of the condition.
Patients, clinicians, researchers, nurses, and doctors will
support the project and influence the staff during its adoption.
A Proposed Evidence-based Idea For A Change In Practice
Using An EBP Approach To Decision Making
A Stepping On is an evidence-based program proposed in our
facility to empower elderly people to practice health behaviors
that improve home-care management, minimize falls rates and
improve quality of life (Clemson & Swann, 2007).
Stepping On will:
Reduce fall-related deaths
Reduce fall-related health problems
Reduce falls

4. A Plan For Knowledge Transfer Of This Change
Provide training for nurses and non-staff in fall risk reduction
strategies
Set aside resources and come up with plans to “make the case”
for reducing falls across stakeholders diversity (LoBiondo-
Wood & Haber, 2017).
Train healthcare providers
Measurable Outcomes I Hope To Achieve With The
Implementation Of This Evidence-based Change
Creating systems and policies that reduce fall rates
Increase public awareness about fall prevention
Healthcare facility to record zero fall rates
A Summary Of The Critical Appraisal Of The Peer-reviewed
Articles I Previously Submitted
All the four peer-reviewed articles were examined by filtering
the quality and content of the resources to determine the
credibility and validity of each (LoBiondo-Wood & Haber,
2017).
Also, the articles enhanced healthcare professional's skill since
it determined whether the research evidence is true (free of
bias) and relevant to their patients.
An Explanation About What I Learned From Completing The

5. Evaluation Table
Evaluation table helped me realize that before starting any
monitoring activity, I have to:
Develop an evidence-based research question
Know how the stakeholders will collect data to track indicators
Know how to analyze the monitored data, and
To know how to disseminate the results of the collected
information
An Explanation About What I Learned From Completing The
Levels Of Evidence Table
Levels of Evidence" tables have helped me understand the
importance of developing an outline and grade the best evidence
(Dang & Dearholt, 2017).
Also, the review question of the study with the type of level of
evidence used determine the choice of study design (LoBiondo-
Wood & Haber, 2017).
An Explanation About What I Learned From Completing The
Outcomes Synthesis Table
I realized that, outcome synthesis table simply answered my
PICOT question
The writing must remain objective and accurately report the
information from the original sources.
References
Clemson, L., & Swann, M. (2007). Stepping on–building

6. confidence and reducing falls: an effective educational program
for seniors.
Dang, D., & Dearholt, S. L. (2017). Johns Hopkins nursing
evidence-based practice: Model and guidelines. Sigma Theta
Tau.
LoBiondo-Wood, G., & Haber, J. (2017). Nursing research-E-
book: methods and critical appraisal for evidence-based
practice. Elsevier Health Sciences.