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Assignment Overview:
This discussion-based assignment is designed to facilitate in-depth engagement with evidence-based practice (EBP) by critically examining a clinical problem and exploring evidence to guide potential solutions. Through peer interaction, students will deepen their understanding of EBP principles, refine their critical thinking skills, and enhance their ability to evaluate research evidence for clinical application.

Purpose: The purpose of this assignment is to foster a collaborative learning environment where students apply evidence-based methodologies to address real-world clinical problems.
Skills: Students will utilize structured tools like the EBP matrix to strengthen their ability to evaluate and implement evidence-based interventions in nursing practice which is an important skill for an advanced practice nurse in healthcare.
For the purpose of this discussion, students will utilize structured tools like the EBP matrix to strengthen their ability to evaluate and implement evidence-based interventions into practice.
After the completion of this assignment, the student will be able to:
Identify a clinical problem and formulate a focused PICO question.
Conduct a systematic literature review to locate high-quality evidence.
Use the Johns Hopkins Nursing EBP Tool to evaluate and categorize evidence based on its level and quality.
Develop an evidence matrix summarizing findings to support clinical decision-making.
1 1.1e-g, 1.2f, 1.2j, 1.3d-f, 2.2h, 2.3f-g, 2.5j, 2.6i-j, 2.9g, 3.3e, 4.1h-j, 4.2f-g, 7.2h-i, 9.2i, 9.6h
Task: For this assignment, the student will demonstrate the ability to critique the role of the DNP in the use of an assigned evidence-based practice (EBP) model and apply it to a chosen practice problem.
This assignment is intended to be a discussion and interaction among peers. Please follow APA formatting/structure for all other aspects of the discussion. Peer reviewed journal references are required for your postings and will strengthen your points within the discussion (see rubric).
This discussion question will be “worth” a total of 15 points of your overall grade for this course. Grading will be assigned by the faculty based on the quality and content of your posts; your level of participation in the discussion will be considered in the grading. Students are expected to cross post to at least 2 peers in the discussion. Your cross post should provide a substantial posting that offers new or additional information to what was originally discussed. Including “I agree” or “nice work” comments do not constitute as a substantial cross post and may affect your grade.
Discussion Limit: The initial post should be approximately 500 words. The cross post should be approximately 250 words. Expected word counts do not include references.

 

Struggling with where to start this assignment? Follow this guide to tackle your assignment easily!

For this assignment, you’re expected to use evidence-based practice (EBP) to address a clinical problem by critically reviewing literature, developing a focused PICO question, and utilizing the Johns Hopkins Nursing EBP Tool to assess the quality of the evidence. Below is an outline for how you could approach this task:

1. Introduction: Identifying a Clinical Problem

• Problem Selection: Choose a clinical problem that is relevant to your practice area, such as reducing hospital readmissions, managing chronic pain in elderly patients, or preventing surgical site infections.
• Clinical Significance: Briefly explain why this problem is important in your practice setting. For example, you could note that hospital readmissions significantly increase healthcare costs and negatively affect patient outcomes.

2. Formulating the PICO Question

• P (Population/Patient): Who is the patient population affected by this problem? For example, elderly patients with chronic diseases or surgical patients.
• I (Intervention): What is the intervention being considered? For example, an evidence-based care protocol or medication management.
• C (Comparison): What is the comparison to the intervention? For example, usual care or alternative treatments.
• O (Outcome): What is the desired outcome? For example, a reduction in readmissions, pain relief, or a decrease in infection rates.

Example of PICO Question:

• For elderly patients with chronic pain, does the use of non-pharmacological interventions (I) compared to opioid medications (C) reduce pain and improve quality of life (O) within six months?

3. Conducting the Literature Review

• Searching for Evidence: Conduct a systematic literature search using databases such as PubMed, CINAHL, or Cochrane Library. Focus on high-quality, peer-reviewed articles published in the past five years.
• Incorporating Inclusion Criteria: Select studies based on specific inclusion criteria such as population characteristics, study design (e.g., randomized controlled trials), and relevance to your clinical problem.

4. Using the Johns Hopkins Nursing EBP Tool

• Level of Evidence: Review each article to assess its level of evidence (e.g., Level I, II, III). Use the Johns Hopkins tool to classify the quality of the studies (e.g., high, moderate, low).
• Critical Appraisal: Evaluate the methodological quality of the studies, such as sample size, control group, and statistical analysis. Summarize the findings, noting strengths and limitations of each study.

5. Developing an Evidence Matrix

• Matrix Creation: Create an evidence matrix to summarize the findings from the literature. The matrix should include:
  • Citation (Author, year)
  • Study design
  • Key findings
  • Strength of evidence (based on the Johns Hopkins tool)
  • Implications for practice
  • Limitations of the study

6. Applying the Evidence to Clinical Practice

• Recommendation: Based on the high-quality evidence gathered, provide a recommendation for your clinical practice. For example, if the evidence supports non-pharmacological interventions for chronic pain management, recommend the implementation of these interventions in your practice setting.

7. Discussion and Conclusion

• Critical Reflection: Reflect on the process of using EBP to address the clinical problem. Consider how the evidence informed your practice decision and the challenges faced during the process.
• The Role of the DNP: Discuss how the Doctor of Nursing Practice (DNP) role is essential in leading and implementing evidence-based practices. A DNP nurse is responsible for applying research findings to improve patient outcomes, contribute to healthcare policy, and mentor others in using EBP to drive quality improvement.

8. References

• Cite at least 3-5 peer-reviewed journal articles, ensuring you use APA format.

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