Introduction:
In this task, you will identify a healthcare problem, develop an evidence-based practice (EBP) question, and review selected research-based and non-research-based evidence to find answers to that question.
Note that while you will be analyzing only one research-based and one non-research-based article in this task, an actual evidence-based practice change would require the support of many high-quality research studies.
Helpful Links:
Appendix B: Question Development Tool
https://eds.p.ebscohost.com/eds/ebookviewer/ebook?sid=c362e7d2-aa6c-4c2b-90fd-16ac931cd1ae%40redis&ppid=pp_267&vid=0&format=EB
Appendix E: Research Evidence Appraisal Tool
https://eds.p.ebscohost.com/eds/ebookviewer/ebook?sid=89595023-a2e9-4fa3-87a8-b4cb334c3bc2%40redis&ppid=pp_281&vid=0&format=EB
Appendix F: Non-Research Evidence Appraisal Tool
https://eds.p.ebscohost.com/eds/ebookviewer/ebook?sid=3230c1d3-73de-4108-b34f-249809dbf198%40redis&ppid=pp_291&vid=0&format=EB
Requirements:
B: Discuss the impact of a clinical practice problem on the patient or patients and the organization it affects.
B1: Identify each of the following PICO components of the clinical practice problem.
* P: patient, population, or problem
* I: intervention
* C: comparison
* O: outcome
B2: Develop an evidence based practice (EBP) question based on the clinical problem discussed in part B and the PICO components identified in part B1.
C: Select a research-based article that answers your EBP question from part B2 to conduct an evidence appraisal. (the article you select should not be more than five years old.)
C1: Discuss the background or introduction (i.e., purpose) of the research base article.
C2: Describe the research methodology used in the research-based article.
C3: Identify the level of evidence for the research based article using the John Hopkins Nursing Evidence Based Practice model.
C4: Summarize how the researcher analyzed the data in the research based article.
C5: Summarize the ethical considerations of the research based article. If none are present, explain why.
C6: Identify the quality rating of the research based article according to the JHNEBP model.
C7: Analyze the results or conclusions of the research based article.
C7a: Explain how the article helps answer your EBP question.
D: select a non-research based article from a peer reviewed journal that helps to answer your EBP question from part B2 to conduct an evidence appraisal.
D1: Discuss the background or introduction (i.e., the purpose) of the non-research based article.
D2: Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline) used in the non-research based article.
D3: Identify the level of evidence in the non-research based article using the JHNEBP model.
D4: Identify the quality rating of the non-research based article according to the JHNEBP model.
D5: Discuss how the authors recommendations in the non-research based article help answer your EBP question.
E: Recommend a practice change that addresses your EBP question using both the research-based and non-research-based articles you selected from part C and part D.
E1: Explain how you would involve three key stakeholders in supporting the practice change recommendation.
E2: Discuss one specific barrier you may encounter when implementing the practice change recommendation.
E3: Identify one strategy that could be used to overcome the barrier discussed in E2.
E4: Identify one outcome (the O component in PICO) from your EBP question that can be used to measure the recommended practice change.
F: Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
G: Demonstrate professional communication in the content and presentation of your submission.
Rubric:
B: Clinical Practice Problem
The submission includes a discussion of the clinical practice problem that logically addresses its impact on the patient or patients and the organization it affects.
B1: PICO Components
The submission includes each of the given PICO components of the clinical practice problem. Each of the given components is accurate and complete.
B2: Evidence-Based Question
Submission includes an evidence based practice (EBP) question that appropriately addresses the clinical practice problem and includes all the PICO components.
C: Selection of a Research-Based Article
The selected article is researched based and answers the EBP question from part B2.
C1: Background or Introduction of the Research-Based Article
The submission accurately discusses the background or introduction of the research-based article.
C2: Research Methodology in the Research-Based Article
The submission includes a description that accurately describes the research methodology used in the research-based article.
C3: Level of Evidence in the Research-Based Article
The submission accurately identifies the level of evidence for the research-based article that is based on the JHNEBP (John Hopkins Nursing Evidence Based Practice) model.
C4: Analysis of the Data
The submission includes a summary that accurately describes how the researcher analyzed the data in the article.
C5: Ethical Considerations of the Research-Based Article
The submission includes a summary that logically describes the ethical considerations of the research-based article. Or, if no ethical considerations are present, the submission includes a logical explanation of why none are present.
C6: Quality Rating of the Research-Based Article
The submission accurately identifies a quality rating of the research-based article according to the JHNEBP model.
C7: Results or Conclusions of the Research-Based Article
The submission includes an analysis that logically evaluates the results or conclusions of the research-based Article
C7a: How the Article Answers the EBP Question
The submission appropriately explains how the article helps answer the EBP question.
D: Selection of a Non-Research-Based Article
The selected article is a non-research-based article and answers the EBP question from part B2.
D1: Background or Introduction of the Non-Research-Based Article
The submission accurately discusses the background or introduction of the non-research-based article.
D2: Type of Evidence in the Non-Research-Based Article
The submission accurately describes the type of evidence used in the non-research-based article.
D3: Level of Evidence in the Non-Research-Based Article
The submission accurately identifies the level of evidence for the non-research-based article according to the JHNEBP model.
D4: Quality Rating of the Non-Research-Based Article
The submission accurately identifies the equality rating for the non-research based article according to the JHNEBP model.
D5: Author’s Recommendations in the Non-Research-Based Article
The submission includes a discussion that logically explains the author’s recommendations help answer the EBP question.
E: Recommended Practice Change
The submission includes a practice change recommendation that appropriately addresses the EBP question and accurately uses both the research based and non-research based articles to show how the change should be made.
E1: Involvement of Key Stakeholders
The submission includes an explanation of how 3 key stakeholders would appropriately support the practice change recommendation.
E2: Barrier of Implementing the Practice Change
The submission includes a discussion of 1 specific barrier that might feasibly be encountered during implementation, and the barrier discussed is appropriate for the practice change recommendation.
E3: Strategy for Overcoming the Barrier
The submission identifies one strategy that could logically be used to overcome the barrier discussed in part E2.
E4: Outcome to Measure the Recommended Practice Change
The submission identifies 1 outcome from the EBP question that appropriately measures the recommended practice change.
F: Sources
The submission includes in-text citations for sources that are properly quoted, paraphrased, or summarized in a reference list that accurately identifies the author date, title, and source location as available.
G: Professional Communication
Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate. Terminology is pertinent, is used correctly, and effectively convey the intended meaning. Mechanics, usage, and grammar, promote accurate interpretation and understanding.
