NURS 4100 Quality and Safety Through Evidence-Based Practice

Evidence-Based Practice Paper Guide

Impact Model

(Source:  Brown, S. (2014). Evidence-based nursing: The research practice connection.  Burlington, MA:  Jones and Bartlett Learning.)

Step 1Ask and Search

1. ASK– identify evidence-based practice (EBP) question

Write in PICO format

P –  patient population

I  –  intervention/issue

C – comparison intervention

O – outcome(s)

For example, in patients with acute myocardial infarction, does ambulation within the first 24 hours as compared to those who remain on bedrest for the first 48 hours result in increased participation in cardiac rehabilitation following discharge from the hospital?

Be sure to have your project approved by your Instructor before continuing with the steps.

Assignment Week 1:  Submit the completed Evidence-Based Problem and Question Template to theWeek 1 Assignment link. (Refer to the grading rubric in Course Information for assignment details.)

1. SEARCH

Identify search terms and search engines.  Find a minimum of five EBP articles that have been published within the last 5 years.  Be sure to look at the systematic reviews and the national clinical practice guidelines.

Assignment Week 2:  Submit a 1- to 2-page paper describing two sources
ofevidence you have found, where they fit in the hierarchy of evidence, and the value of these sources in better understanding your evidence-based practice problem.  Summarize the findings in the literature that you retrieved. Submit to the Week 2 assignment link.(Refer to the grading rubric in Course Information for assignment details.)

Step 2                   Appraise the literature

Critique each article using the appropriate Appraisal Guide provided inWeek 4 Resources. In the final paper, a critique of at least five of the articles used for your project will need to be submitted.

Assignment Week 4:  Submit critiques of two of the articles using the appropriate Appraisal Guide provided to the Week 4 Resources.(Refer to the grading rubric in Course Information for assignment details.)

Step 3                     Design the project

Describe each step of the project clearly and completely. Clearly explain the recommended evidence-based change including the setting, health care consumers affected, and the rationale for the change.

Assignment Week 5:  Submit a 2- to 3-page paper discussing your EBP plan. Include the PICO clinical question, recommended change in practice, and the evidence to support the plan.(Refer to the grading rubric in Course Information for assignment details.)

Step 4                       EBP

The final step is to discuss how the outcomes from the plan will be evaluated.  Identify the criteria that will be used to measure the effectiveness of the change.  For example, how many individuals following an acute myocardial infarction are participating in or have participated in the cardiac rehabilitation program? The final EBP plan needs to be developed into a power point for posting in the classroom.

Assignment Week 6: Develop a voice overPowerPoint presentation.

Post the presentation in the Week 6 Discussion board by Day 3. Use the week 6 submission link to submit the final copy of the PowerPoint to your Instructor for grading.(Refer to the grading rubric in Course Information for assignment details.)