Executive Solution Overview
B. Discuss the impact of a clinical practice problem on the patient or patients and the organization it affects. 1. Identify _each_ of the following PICO components of the clinical practice problem: • _P_: patient, population, or problem • _I_: intervention • _C_: comparison • _O_: outcome 2. Deve…
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B. Discuss the impact of a clinical practice problem on the patient or patients and the organization it affects.
1. Identify _each_ of the following PICO components of the clinical practice problem:
• _P_: patient, population, or problem
• _I_: intervention
• _C_: comparison
• _O_: outcome
2. Develop an evidence-based practice (EBP) question based on the clinical practice problem discussed in part B and the PICO components identified in part B1.
_Note: Refer to the “Appendix B: Question Development Tool” web link for information on the creation of an EBP question._
C. Select a research-based article that answers your EBP question from part B2 to conduct an evidence appraisal.
_Note: The article you select should not be more than five years old._
1. Discuss the background or introduction (i.e., the purpose) of the research-based article.
2. Describe the research methodology used in the research-based article.
3. Identify the level of evidence for the research-based article using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model.
_Note: Refer to the “Appendix E: Research Evidence Appraisal Tool” web link for information on how to level a research-based article._
4. Summarize how the researcher analyzed the data in the research-based article.
5. Summarize the ethical considerations 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 the “Appendix E: Research Evidence Appraisal Tool” web link for information on how to establish the quality rating._
7. Analyze the results or conclusions of the research-based article.
a. 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.
_Note: The article you select should not be more than five years old._
1. Discuss the background or introduction (i.e., the purpose) of the non-research-based article.
2. Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline) used in the non-research-based article.
3. Identify the level of evidence in the non-research-based article using the JHNEBP model.
_Note: Refer to the “Appendix F: Non-Research Evidence Appraisal Tool” web link 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 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 for part C and part D.
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 E2.
4. 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.
– 2 years ago
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