PICO AND EVIDENCE BASED PRATICE

The graduate demonstrates understanding of the ethics ofnursing research, particularly human subjects protections, informed consent,and alignment with patient and family values and preferences.

724.8.8 : Patient Outcomes

The graduate discriminates between identified standards andpractices that do not provide improvements in patient outcomes utilizingrelevant sources of evidence and the application of nursing theory.

724.8.9 : Data Collection, Analysis, and Documentation

The graduate describes the process of data collection,analysis and implementation of evidence that can improve clinical practice froman interprofessional perspective.

INTRODUCTION

Evidence-based literature comes from many sources. Thediscipline of nursing has an abundance of research data and resources to guideclinical decisions. Therefore, it is of pivotal importance to understand thebasic tenets of critical appraisal of such evidence for its use ininterprofessional healthcare practices.

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

Note that while you will be analyzing only oneresearch-based and one non-research-based article in this task, an actualevidence-based practice change would require the support of many high-qualityresearch studies.

REQUIREMENTS

Your submission must be your original work. No more than acombined total of 30% of the submission and no more than a 10% match to any oneindividual source can be directly quoted or closely paraphrased from sources,even if cited correctly. The originality report that is provided when yousubmit your task can be used as a guide.

You must use the rubric to direct the creation of yoursubmission because it provides detailed criteria that will be used to evaluateyour work. Each requirement below may be evaluated by more than one rubricaspect. The rubric aspect titles may contain hyperlinks to relevant portions ofthe course.

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

A.  Discuss the impactof a clinical practice problem on the patient(s) and the organization itaffects.

1.  Identify thefollowing PICO components of the clinical practice problem:

  patient/population/problem (P)

   intervention (I)

   comparison (C)

   outcome (O)

2.  Develop anevidence-based practice (EBP) question based on the clinical practice problemdiscussed in part A and the PICO components identified in part A1.

Note:  Refer toAppendix B: Question Development Tool for information on the creation of anEBP question.

B.  Select aresearch-based article that answers your EBP question from part A2 to conductan evidence appraisal.

1.  Discuss thebackground or introduction (i.e., the purpose) of the research article.

2.  Describe theresearch methodology.

3.  Identify the levelof evidence using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP)model.

Note: The article you select should not be more than fiveyears old.

Note:  Refer toAppendix E: Research Evidence Appraisal Tool for information on how to levela research-based article.

4.  Summarize how theresearcher analyzed the data in the article.

5.  Summarize theethical consideration(s) of the research-based article. If none are present,explain why.

6.  Identify thequality rating of the research-based article according to the JHNEBP model.

Note:  Refer toAppendix E: Research Evidence Appraisal Tool for information on how toestablish the quality rating.

7.  Analyze theresults or conclusions of the research-based article and explain how thearticle helps answer your EBP question.

C.  Select anon-research article from a peer-reviewed journal that helps to answer your EBPquestion from part A2 to conduct an evidence appraisal.

1.  Discuss thebackground or introduction (i.e., the purpose) of the non-research article.

2.  Describe the typeof evidence (e.g., case study, quality improvement project, clinical practiceguideline).

3.  Identify the levelof evidence using the JHNEBP model.

Note: The article you select should not be more than fiveyears old.

Note:  Refer toAppendix F: Non-Research Evidence Appraisal Tool for information on how tolevel the non-research-based article.

4.  Identify thequality rating of the non-research-based article according to the JHNEBP model.

5.  Discuss how theauthors recommendation(s) in the article helps to answer your EBP question.

D.  Recommend apractice change that addresses your EBP question using both the research andnon-research articles you selected for Part B and Part C.

1.  Explain how youwould involve three key stakeholders in supporting the practice changerecommendation.

2.  Discuss onespecific barrier you may encounter when implementing the practice changerecommendation.

3.  Identify onestrategy that could be used to overcome the barrier discussed in part D2.

4.  Identify oneoutcome (the O component in PICO) from your EBP question to measure therecommended practice change.

E.  Acknowledgesources, using APA-formatted in-text citations and references, for content thatis quoted, paraphrased, or summarized.

F.  Demonstrateprofessional communication in the content and presentation of your submission.