The impact of a clinical practice problem on the patient(s)
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.
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.
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.
Sample Solution
Evidence-based practice (EBP) impact has echoed across nursing practice, education, and science. The call for evidence-based quality improvement and healthcare transformation underscores the need for redesigning care that is effective, safe, and efficient. In line with multiple direction-setting recommendations from national experts, nurses have responded to launch initiatives that maximize the valuable contributions that nurses have made, can make, and will make, to fully deliver on the promise of EBP. Such initiatives include practice adoption; education and curricular realignment; model and theory development; scientific engagement in the new fields of research; and development of a national research network to study improvement.
