A. Discuss the impact of a clinical practice problem on the patient(s) and the organization it affects.
1. Identify the following PICO components of the clinical practice problem: • patient/population/problem (P)• intervention (I) • comparison (C) • outcome (O)
2. 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.
B. Select a research-based article that answers your EBP question from part A2 to conduct an evidence appraisal.
1. Discuss the background or introduction (i.e., the purpose) of the research article.
2. Describe the research methodology.
3. 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.
4. Summarize how the researcher analyzed the data in the article.
5. Summarize the ethical consideration(s) of the research-based article. If none are present, explain why.
6. Identify the quality rating of the research-based article according to the JHNEBP model.
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.
1. Discuss the background or introduction (i.e., the purpose) of the non-research article.
2. Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline).
3. Identify the level of evidence using the JHNEBP model. Note: The article you select should not be more than five years old.
4. Identify the quality rating of the non-research-based article according to the JHNEBP model.
5. 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.
1. Explain how you would involve three key stakeholders in supporting the practice change recommendation.
2. Discuss one specific barrier you may encounter when implementing the practice change recommendation.
3. Identify one strategy that could be used to overcome the barrier discussed in part D2.
4. Identify one outcome (the O component in PICO) from your EBP question to measure the recommended practice change.
Minimum of 3 sentences needed. (1 – summary of intervention from EBP question, 2 – Sentence paraphrasing support from research article with citation (author, year), 3 – Sentence paraphrasing support from non- research article with citation (author, year). PICO ex: Do nurses who practice mindfulness-based interventions have less stress and burnout than nurses who do not practice any mindfullness interventions? Possible articles for you to use if you decide to use mindfulness as a topic which was recommended: