Evidence Based Practice and Applied Nursing Research

A. Discuss the impact of a clinical practice problem on the patient(s) and the organization it affects.

• Identify the following PICO components of the clinical practice problem:
  • patient/population/problem (P)
  • intervention (I)
  • comparison (C)
  • outcome (O)
• Develop an evidence-based practice (EBP) question based on the clinical practice problem discussed in part A and the PICO components identified in part A1.

Note:  Refer to “Appendix B: Question Development Tool” for information on the creation of an EBP question. 

B. Select a research-based article that answers your EBP question from part A2 to conduct an evidence appraisal.

• Discuss the background or introduction (i.e., the purpose) of the research article.
• Describe the research methodology.
• Identify the level of evidence using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model.

Note: The article you select should not be more than five years old.  Note:  Refer to “Appendix E: Research Evidence Appraisal Tool” for information on how to level a research-based article. 

• Summarize how the researcher analyzed the data in the article.
• Summarize the ethical consideration(s) of the research-based article. If none are present, explain why.
• Identify the quality rating of the research-based article according to the JHNEBP model.  

Note:  Refer to “Appendix E: Research Evidence Appraisal Tool” for information on how to establish the quality rating. 

7. Analyze the results or conclusions of the research-based article and explain how the article helps answer your EBP question.  

C. Select a non-research article from a peer-reviewed journal that helps to answer your EBP question from part A2 to conduct an evidence appraisal.

• Discuss the background or introduction (i.e., the purpose) of the non-research article.
• Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline).
• Identify the level of evidence using the JHNEBP model.  

Note: The article you select should not be more than five years old.  Note:  Refer to “Appendix F: Non-Research Evidence Appraisal Tool” for information on how to level the non-research-based article. 

• Identify the quality rating of the non-research-based article according to the JHNEBP model.
• Discuss how the author’s recommendation(s) in the article helps to answer your EBP question.  

D. Recommend a practice change that addresses your EBP question using both the research and non-research articles you selected for Part B and Part C.

• Explain how you would involve three key stakeholders in supporting the practice change recommendation.
• Discuss one specific barrier you may encounter when implementing the practice change recommendation.
• Identify one strategy that could be used to overcome the barrier discussed in part D2.
• Identify one outcome (the O component in PICO) from your EBP question to measure the recommended practice change.  

E. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

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