Evidence-based Practice Process.
NOW FOR AN ORIGINAL PAPER ASSIGNMENT:Evidence-based Practice Process.
Melynk and Fineout-Overholt (2011) note that there are seven steps to the evidence-based practice (EBP) process. The first step is to cultivate a spirit of inquiry. To encourage this spirit of inquiry, you are asked in this discussion to:
Identify a problem or issue from within your specialty area that you feel needs to be improved upon. The Doctor of Nursing Practice site (http://www.doctorsofnursingpractice.org/resources/dnp-scholarly-projects/) provides many examples of these projects. The list below may help focus your thoughts.
Educational program
Evidence-based healthcare policy change
Evidence-based clinical issue or protocol for specific disease/condition
Discuss the relevance of the issue from your perspective (not the literature at this juncture) in relation to your selected advanced role option.
What piqued your interest about this issue or problem?
How does it relate to your area of specialization?
What gave you the idea that evidence exists to support this change? See “note” below.
Provide a rationale as to why this will be an evidence-based project to improve outcomes and not generate new evidence (research).
Please remember that the project will not be implemented during this course and no data will be collected. The outcome of this course is to complete a project proposal only.
Week 2 – Assignment 1 Discussion
Melynk and Fineout-Overholt (2011) note that there are seven steps to the evidence-based practice (EBP) process. The first step is to cultivate a spirit of inquiry. To encourage this spirit of inquiry, you are asked in this discussion to:
Briefly describe the problem or issue that you have decided to be the topic for your project proposal in order to orient your classmates and faculty
Indicate how it relates to your area of specialization
State your PICOT question. Indicate in parentheses after each segment, what part of PICOT the preceding words represent. For example: In patients recently discharged from the hospital following care for heart failure (P), do hand-off calls by the nurse to the primary care provider using the SBAR format (situation, background, assessment, recommendation) (I) compared to no calls (C) decrease readmission rates (O) over a one year period (T).
Discuss which process model resonates with you and will help keep you focused during the project. Process models included in your text (Melnyk & Fineout-Overholt, 2011) are:
Clinical scholar model
Stetler model of evidence-based practice
Iowa model of evidence-based practice to promote quality care
Model for evidence-based practice change by Rosswurm and Larrabee
Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model
Provide feedback to your classmates that focuses on:
The use of correct PICOT format for the question to guide the literature search.
Does the question reflect a clinical research question or one appropriate for an evidence-based practice project?
Week 3 – Assignment 1 Discussion
In this discussion, you will share your search strategies that you have employed to find evidence for your study. For this discussion:
State your PICOT question. Did using the terms used in this question lead you to useful research studies?
What MESH terms have you tried? Did they help you find additional studies? Are you finding MESH terms useful to expand or delimit your search?
Are you finding relevant articles? If not, how did you modify your search to increase productivity?
Indicate which databases you used—those you found useful and those that were not.
What levels of evidence do the studies you are finding represent?
Post any questions or concerns you may have and provide feedback and recommendations to your classmates. Working together and sharing search strategies is very helpful.
Use the Search Tracker to keep track of search terms.
Using the appropriate Rapid Clinical Appraisal (RCA) Tools, appraise one or two articles and add the information to your Evaluation Table to receive feedback from faculty. At this juncture, your table is a work in progress. You will complete it in Week 4. The RCA Tools and Evaluation Table in Word for you to complete can be found in the Week 3 Overview section.
Week 4 – Assignment 1 Discussion
Discuss your experience completing the rapid critical appraisal process.
Was it really “rapid” or was it more of a laborious process?
Did reading the abstract help you make quick decisions about including or excluding the study?
What worked best for you in terms of the approach you decided to use to complete the appraisal and Evaluation Table? What didn’t
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