Non research evidence appraisal tool

Evidence Based Practice

A. Write a brief summary (suggested length of 2–3 pages) of the significance and background of a healthcare problem by doing the following:

1. Describe a healthcare problem

Note: A healthcare problem can be broad in nature or focused.

2. Explain the significance of the problem.

3. Describe the current practice related to the problem.

4. Discuss how the problem impacts the organization and/or patient’s cultural background (i.e., values, health behavior, and preferences).

B. Complete the attached “PICO Table Template” by identifying all the elements of the PICO.

1. Develop the PICO question.

C. Describe the search strategy (suggested length of 1–2 pages) you used to conduct the literature review by doing the following:

1. Identify the keywords used for the search.

2. Describe the number and types of articles that were available for consideration.

a. Discuss two research evidence and two non-research evidence sources that were considered (levels I–V).

Note: Be sure to upload a copy of the full text of the aritcles with your submission

D. Complete the attached “Evidence Matrix” to list five research evidence sources (levels I–III) from scholarly journal sources you locate in major medical databases.

Note: Four different authors should be used for research evidence. Research evidence must not be more than five years old.

E. Explain a recommended practice change (suggested length of 1–3 pages) that addresses the PICO question within the framework of the evidence collected and used in the attached “Evidence Matrix.”

F. Describe a process for implementing the recommendation from part E (suggested length of 2–3 pages) in which you do the following:

1. Explain how you would involve three key stakeholders in the decision to implement the recommendation.

2. Describe the specific barriers you may encounter in applying evidence to practice changes in the nursing practice setting.

3. Identify two strategies that could be used to overcome the barriers discussed in F2.

4. Identify one indicator to measure the outcome related to the recommendation.

G. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

Articles have already been chosen, if can be helpful. If you would like to choose an easier healthcare related problem or different articles, that is fine as well.

Johns Hopkins Nursing Evidence-Based Practice

Appendix B: Question Development Tool

1. What is the problem and why is it important?

2. What is the current practice?

3. What is the focus of the problem?

 Clinical  Educational  Administrative

4. How was the problem identified? (Check all that apply)

 Safety/risk management concerns  Quality concerns (efficiency, effectiveness,

timeliness, equity, patient-centeredness)  Unsatisfactory patient, staff, or organizational

outcomes  Variations in practice within the setting

 Variations in practice compared with external organizations

 Evidence validation for current practice  Financial concerns

5. What is the scope of the problem?

 Individual  Population  Institution/system

6. What are the PICO components?

P – (Patient, population, problem): I – (Intervention): C – (Comparison with other interventions, if applicable): O – (Outcomes that include metrics for evaluating results):

7. Initial EBP question:

8. List possible search terms, databases to search, and search strategies:

9. What evidence must be gathered? (Check all that apply)

 Literature search  Standards (regulatory, professional, community)  Guidelines  Expert opinion

 Patient/family preferences  Clinical expertise  Organizational data

© The Johns Hopkins Hospital/Johns Hopkins University. May not be used or reprinted without permission.

Johns Hopkins Nursing Evidence-Based Practice

Appendix B: Question Development Tool

Directions for Use of the Question Development Tool

Purpose: This form is used to develop an answerable question and to guide the team in the evidence search process. The question, search terms and strategy, and sources of evidence can be revised as the EBP team refines the EBP project focus.

What is the problem and why is it important? Indicate why the project was undertaken. What led the team to seek evidence? Make sure the problem statement defines the actual problem and does not include a solution statement.

What is the current practice? Define the current practice as it relates to the problem.

What is the focus of the problem? Is the problem a clinical concern (e.g., preventing blood stream infections); an educational concern (e.g., discharge teaching for patients); or an administrative concern (e.g., safety of 12-hour nursing shifts)?

How was the problem identified? Check the statements that describe how the problem was identified.

What is the scope of the problem? Does the problem look at an individual (e.g., clinician, patient, family member); a population (e.g., adult cardiac patients, recovery room nurses); or an institution/system (e.g., patient transportation, patient or staff satisfaction)?

What are the PICO components?

 P (patient, population, problem) e.g., age, sex, setting, ethnicity, condition, disease, type of patient, or population

 I (intervention) e.g., treatment, medications, education, diagnostic tests or best practice(s)

 C (comparison with other interventions or current practice) may not be applicable if your question is looking for best practice.

 O (outcome) stated in measurable terms, expected outcomes based on the intervention identified, e.g., decrease in fall rate, decrease in length of stay, increase in patient satisfaction.

Initial EBP Question. A starting question that can be refined and adjusted as the team searches through the literature.

List possible search terms. Using PICO components and the initial EBP question, list relevant terms to begin the evidence search. Terms can be added or adjusted as the evidence search continues. Document the search terms, strategy, and databases searched in sufficient detail for replication.

What evidence must be gathered? Check the types of evidence the team will gather based on the PICO and initial EBP question.