Impact of a clinical practice problem on the patient or patients and the organization it affects.

  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.

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