Scroll for a complete NUR 506 Module 7 implementation plan for hip protectors in long-term care, with the evidence in brief, stakeholders, barriers organized by an implementation framework, a barrier-to-strategy table, a first test of change and measures. Searches like "nur 506 module 7 assignment", "nur506 module 7 implementation plan paper" and "nur 506 module 7 example" land here.
The NUR 506 Module 7 example, in full
Worn, Not Just Ordered: An Implementation Plan for Hip Protectors in a Nursing Home
[Student Name]
Southern New Hampshire University
NUR 506: Evidence-Based Practice
Module Seven Implementation Plan Paper
[Instructor Name]
[Date]
The organization, setting and figures below are a composite written as a model document. No real employer, client, colleague or patient is described.
Worn, Not Just Ordered: An Implementation Plan for Hip Protectors in a Nursing Home
The Evidence in Brief
A Cochrane review of 19 studies found that providing hip protectors to older people in nursing and residential care probably produces a small reduction in hip fractures, about 11 fewer per 1,000 residents, with moderate quality evidence. In the community, they showed little or no effect. They did not reduce falls, skin irritation was uncommon, and long-term adherence was poor (Santesso et al., 2014). The practical message is that hip protectors help only residents who wear them, so the implementation problem is adherence, not purchase.
A composite 120-bed nursing home had 7 hip fractures from falls in the past year. Hip protectors are stocked in the supply room but used by only a handful of residents. The director of clinical education has been asked to plan an implementation that targets residents at highest risk.
Stakeholders
Implementation depends on groups with different concerns. Residents and families care about comfort, dignity and appearance. Certified nursing assistants, who help residents dress and toilet, will do most of the daily work and care about time and ease. Licensed nurses assess fall risk and document. The director of nursing and administrator control budget and staffing. The medical director and consulting physical therapist can reinforce the recommendation, and the laundry staff must handle protectors without losing or damaging them. A plan that speaks only to nurses will fail at the laundry cart and the bedside at seven in the morning. Each group will be represented on a small implementation team.
Predicting Barriers
To predict barriers, the team used a consolidated implementation framework whose five domains ask about the new practice itself, pressures from outside the facility, the facility's own culture and resources, the people who must change, and the steps used to introduce the change (Damschroder et al., 2009). A systematic review of hip protector use in long-term care adds specific detail, grouping barriers and facilitators at the level of the system, the caregiver, the resident and the product: facility commitment and staffing, staff belief in the protectors' value, residents' illness and incontinence, and the comfort of the garment (Korall et al., 2015). Combining the two gave the list of likely barriers in the table below.
Barriers and Strategies
Each predicted barrier is paired with a strategy chosen to address it directly.
Table 1
Predicted Barriers and Matched Implementation Strategies
| Barrier | Level | Strategy |
|---|---|---|
| Protectors are uncomfortable or bulky | Product | Offer soft-shell protectors in several sizes; residents try two styles |
| Residents with incontinence need frequent changes | Resident | Stock enough pairs per resident; use designs compatible with briefs |
| Assistants doubt protectors work | Caregiver | Short huddle presenting the fracture data and a resident story |
| Extra time during morning care | System | Build protectors into the dressing routine and care plan |
| Protectors lost or damaged in laundry | System | Label each pair; laundry staff trained on handling |
| Residents or families refuse | Resident | Nurse explains benefit using absolute numbers and respects refusal |
| Use fades after initial enthusiasm | Process | Weekly adherence checks and a named champion on each shift |
Preparing Staff
Staff preparation will be brief and practical, because nursing assistants cannot leave the floor for long. A 15-minute huddle on each shift will present the problem in the facility's own terms, seven hip fractures last year and what each meant for the resident, followed by the evidence that protectors reduce fractures when worn. Assistants will then practice putting protectors on a colleague over clothing and on a resident who has agreed to help, including with a brief in place. The champions will keep a short picture guide on the unit and will be the first people other staff ask when a protector does not fit. Nurses will learn how to document protector use in the care plan and how to discuss the choice with residents and families.
The First Change
The first change will be small. On one 30-bed long-term unit, residents with a fall in the past six months or a high fall risk score and osteoporosis will be offered hip protectors. The unit's nursing assistants will choose two champions, one from day shift and one from evening shift, who will receive extra training and check adherence during rounds. For four weeks, the team will track how many eligible residents accept protectors, how many wear them on each check, and the reasons for any refusal or removal. At the end of four weeks the team will meet to decide what to change before extending the plan. This plan-do-study-act approach lets the team solve problems such as sizing and laundry on a scale that can be managed before they spread across the building.
Measures
Measures follow the chain from process to outcome. Process measures are the proportion of eligible residents offered protectors, the proportion who accept, and adherence, defined as wearing protectors at random checks during the day. A realistic early goal is that at least 70 percent of accepting residents are wearing protectors at each check. Balancing measures include skin irritation, complaints and extra care time. The outcome measure is the number of hip fractures from falls, tracked by quarter and compared with the previous year. Because fractures are infrequent in a single facility, the outcome will be interpreted cautiously, and adherence will be treated as the main indicator of successful implementation.
Respecting Resident Choice
The plan treats hip protectors as an offer, not a requirement. Residents with decision-making capacity may decline, and many will weigh comfort and dignity differently than staff do. For residents who cannot decide for themselves, the nurse will discuss the choice with the family or representative, using the same absolute numbers from the evidence. Refusals will be recorded with reasons, both to respect them and to learn which product or approach might be more acceptable. Framing the protector as one part of a broader fall prevention plan, alongside exercise, footwear and medication review, avoids suggesting that residents who decline are choosing to be unsafe.
Conclusion
The evidence that hip protectors modestly reduce hip fractures in nursing homes is established; what remains is to get them worn. This plan involves every group that touches the practice, predicts barriers with an implementation framework and a focused review, matches each barrier to a strategy, and starts with one unit and a four-week test. If adherence can be sustained on that unit, the facility will have a tested approach to extend to its highest-risk residents across the building.
References
Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science, 4, Article 50. https://doi.org/10.1186/1748-5908-4-50
Korall, A. M., Feldman, F., Scott, V. J., Wasdell, M., Gillan, R., Ross, D., Thompson-Franson, T., Leung, P.-M., & Lin, L. (2015). Facilitators of and barriers to hip protector acceptance and adherence in long-term care facilities: A systematic review. Journal of the American Medical Directors Association, 16(3), 185-193. https://doi.org/10.1016/j.jamda.2014.12.004
Santesso, N., Carrasco-Labra, A., & Brignardello-Petersen, R. (2014). Hip protectors for preventing hip fractures in older people. Cochrane Database of Systematic Reviews, (3), Article CD001255. https://doi.org/10.1002/14651858.CD001255.pub5
How this NUR 506 Module 7 example is structured
An implementation paper assumes the evidence question is answered and asks how to change practice, so the evidence is summarized in one short section. The plan then names who must be involved and what each group cares about. Barriers are predicted systematically with an implementation framework and a review of why hip protectors fail in practice, and a table matches each barrier to a specific strategy. The first change is deliberately small, one unit and one group of residents, and the paper ends with measures that will show whether the plan is working.
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Upload your NUR 506 implementation prompt, the rubric and the practice change you are recommending. An implementation plan written to that brief comes back within 24 to 48 hours; your first sample is free. The paper above is an original model document written by our desk, not a submitted student paper and not an official Southern New Hampshire University document.
NUR 506 Module 7 questions, answered
What does NUR 506 Module 7 usually ask for?
Late in an evidence-based practice course, students commonly plan how to translate evidence into practice: who the stakeholders are, what barriers and facilitators exist, which implementation strategies to use, and how to pilot and measure the change. Some prompts ask you to use a named model or framework.
What is an implementation framework?
It is a structured list of factors known to influence whether a practice change takes hold, such as features of the intervention, the organization's culture and resources, the people involved and the process used. Using one helps predict barriers systematically rather than guessing.
Why do hip protectors often fail in practice?
Mostly because residents do not wear them consistently. Reasons include discomfort, difficulty putting them on, incontinence, appearance, and staff doubts about their value or lack of time. Studies show benefit mainly when adherence is high, so implementation plans must focus on adherence.