The discipline of nursing has an abundance of research data

 

Evidence-based literature comes from many sources. The discipline of nursing has an abundance of research data and resources to guide clinical decisions. Therefore, it is of pivotal importance to understand the basic tenets of critical appraisal of such evidence for its use in interprofessional healthcare practices.

In this task, you will identify a healthcare problem, develop an evidence-based practice (EBP) question, and review selected research and non-research evidence to find answers to that question.

Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc., unless specified in the task requirements. All other submissions must be file types that are uploaded and submitted as attachments (e.g., .docx, .pdf, .ppt).

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.

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.
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.

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.

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.
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.
Note: Refer to “Appendix F: Non-Research Evidence Appraisal Tool” for information on how to level the non-research-based article.

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.

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

Sample Solution

ether we ought to do battle or not alongside conditions which should be thought of, how would it be a good idea for us we respond and not do during a conflict on the off chance that it is inescapable, lastly what further move ought to be initiated later. To assess this hypothesis, one should take a gander at the presumptions made towards it, for instance, entertainers which scholars forget about and the delay between customary scholars and pioneers. In particular, there can be no conclusive hypothesis of the simply war, in light of the fact that everyone has an alternate understanding of this hypothesis, given its normativity. In any case, the hypothesis gives an unpleasant showcase of how we ought to continue in the midst of pressure and struggle, significantly the point of a simply war: ‘harmony and security of the region’ (Begby et al, 2006b, Page 310). Generally, this hypothesis is reasonable to utilize yet can’t at any point be viewed as a characteristic aide since it’s normatively hypothesized. To respond to the inquiry, the paper is contained 3 segments.

Jus promotion bellum
The beginning segment covers jus promotion bellum, the circumstances discussing whether an activity is legitimately satisfactory to cause a conflict (Frowe (2011), Page 50). Right off the bat, Vittola talks about one of the noble motivations of war, above all, is when damage is caused however he causes notice the damage doesn’t prompt conflict, it relies upon the degree or proportionality, one more condition to jus promotion bellum (Begby et al (2006b), Page 314). Frowe, notwithstanding, contends the possibility of “noble motivation” in view of “Sway” which alludes to the assurance of political and regional privileges, alongside basic freedoms. In contemporary view, this view is more convoluted to reply, given the ascent of globalization. Additionally, it is hard to quantify proportionality, especially in war, in light of the fact that not just that there is an epistemic issue in computing, yet again the present world has created (Frowe (2011), Page 54-6). Besides, Vittola contends war is essential, not just for cautious purposes, ‘since it is legitimate to oppose force with force,’ yet in addition to battle against the unfair, a hostile conflict, countries which are not rebuffed for acting unreasonably towards its own kin or have unjustifiably taken land from the home country (Begby et al (2006b), Page 310&313); to “show its foes a thing or two,” however chiefly to accomplish the point of war. This approves Aristotle’s contention: ‘there should be battle for harmony (Aristotle (1996), Page 187). In any case, Frowe contends “self-preservation” has a majority of depictions, found in Part 1, demonstrating the way that self-protection can’t necessarily legitimize one’s activities. Much more risky, is the situation of self-preservation in war, where two clashing perspectives are laid out: The Collectivists, a totally different hypothesis and the Individualists, the continuation of the homegrown hypothesis of self-protection (Frowe (2011), Page 9& 29-34). All the more significantly, Frowe disproves Vittola’s view on retribution on the grounds that first and foremost it engages the punisher’s power, yet additionally the present world forestalls this activity between nations through lawful bodies like the UN, since we have modernized into a moderately quiet society (Frowe (2011), Page 80-1). Above all, Frowe further disproves Vittola through his case that ‘right expectation can’t be blamed so as to take up arms in light of expected wrong,’ proposing we can’t simply hurt another in light of the fact that they have accomplished something shameful. Different variables should be thought of, for instance, Proportionality. Thirdly, Vittola contends that war ought to be stayed away from (Begby et al (2006b), Page 332) and that we ought to continue conditions carefully. This is upheld by the “final hotel” position in Frowe, where war ought not be allowed except if all actions to look for strategy comes up short (Frowe (2011), Page 62). This implies war ought not be proclaimed until one party must choose the option to pronounce battle, to safeguard its domain and freedoms, the point of war. Notwithstanding, we can likewise contend that the conflict can never be the final retreat, given t

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