MLM1 TASK 1: EVIDENCE BASED PRACTICE AND APPLIED NURSING RESEARCH
EVIDENCE BASED PRACTICE AND APPLIED NURSING RESEARCH — C361
PRFA — MLM1
TASK OVERVIEW SUBMISSIONS EVALUATION REPORT
COMPETENCIES
724.8.5 : Foundations of Inquiry
The graduate differentiates between quality improvement processes, evidence based practice, and research.
724.8.6 : Literature Review and Analysis
The graduate demonstrates knowledge of the process and outcomes of conducting a literature review.
724.8.7 : Ethics and Research
The graduate demonstrates understanding of the ethics of nursing research, particularly human subjects’ protections, informed consent, and alignment with patient and family values and preferences.
724.8.8 : Patient Outcomes
The graduate discriminates between identified standards and practices that do not provide improvements patient outcomes utilizing relevant sources of evidence and the application of nursing theory.
724.8.9 : Data Collection, Analysis, and Documentation
The graduate describes the process of data collection, analysis and implementation of evidence that can improve clinical practice from an interprofessional perspective.
INTRODUCTION
Evidence-based literature comes from many sources. The discipline of nursing has an abundance of research data and resources to guide clinical decisions. Therefore, it is of pivotal importance to understand the basic tenets of critical appraisal of such evidence for its use in interprofessional healthcare practices.
In this task, you will identify a healthcare problem, develop an evidence-based practice (EBP) question, and review selected research and non-research evidence to find answers to that questio
Note that while you will be analyzing only one research-based and one non-research-based article in this task, an actual evidence-based practice change would require the support of many high-quality research studies.
REQUIREMENTS
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from
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sources, even if cited correctly. The originality report that is provided when you submit your task can be used as a guide.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc., unless specified in the task requirements. All other submissions must be file types that are uploaded and submi as attachments (e.g., .docx, .pdf, .ppt).
A. Discuss the impact of a clinical practice problem on the patient(s) and the organization it affects. 1. Identify the following PICO components of the clinical practice problem:
- patient/population/problem (P)
- intervention (I)
- comparison (C)
- outcome (O)
2. Develop an evidence-based practice (EBP) question based on the clinical practice problem discussed in part A and the PICO components identified in part A
Note: Refer to “Appendix B: Question Development Tool” for information on the creation of an EBP question.
B. Select a research-based article that answers your EBP question from part A2 to conduct an evidence appraisal.
1. Discuss the background or introduction (i.e., the purpose) of the research article. 2. Describe the research methodology.
3. Identify the level of evidence using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model.
Note: The article you select should not be more than five years ol
Note: Refer to “Appendix E: Research Evidence Appraisal Tool” for information on how to level a research-based article.
4. Summarize how the researcher analyzed the data in the article.
5. Summarize the ethical consideration(s) 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 “Appendix E: Research Evidence Appraisal Tool” for information on how to establish the quality rating.
7. Analyze the results or conclusions of the research-based article and explain how the article helps answer your EBP question.
C. Select a non-research article from a peer-reviewed journal that helps to answer your EBP question from part A2 to conduct an evidence appraisal.
1. Discuss the background or introduction (i.e., the purpose) of the non-research article. 2. Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline).
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3. Identify the level of evidence using the JHNEBP model.
Note: The article you select should not be more than five years ol
Note: Refer to “Appendix F: Non-Research Evidence Appraisal Tool” 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 recommendation(s) in the article helps to answer your EBP question.
D. Recommend a practice change that addresses your EBP question using both the research and non research articles you selected for Part B and Part C.
1. Explain how you would involve three key stakeholders in supporting the practice change recommendation.
2. Discuss one specific barrier you may encounter when implementing the practice chan recommendation.
3. Identify one strategy that could be used to overcome the barrier discussed in part D2. 4. Identify one outcome (the O component in PICO) from your EBP question to measure the recommended practice change.
E. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.
F. Demonstrate professional communication in the content and presentation of your submission. File Restrictions
File name may contain only letters, numbers, spaces, and these symbols: ! -_. * ' ( )
File size limit: 200 MB
File types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, txt, qt, mov, mpg, avi, mp3, wav, mp4, wma, flv, asf, mpe wmv, m4v, svg, tif, tiff, jpeg, jpg, gif, png, zip, rar, tar, 7z
RUBRIC
A:CLINICAL PRACTICE PROBLEM
NOT EVIDENT
The submission does not iden tify a clinical practice problem or does not include a discussion of the impact of a clinical practice problem on the patient(s) and the organization it affects.
A1:PICO COMPONENTS
APPROACHING
COMPETENCE
The submission includes a dis cussion of the clinical practice problem but does not logically
address its impact on the patient(s) and the organization it affects.
COMPETENT
The submission includes a discus sion of the clinical practice prob lem that logically addresses its impact on the patient(s) and the organization it affects.
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NOT EVIDENT
The submission does not include each of the given PICO compo nents of the clinical practice
problem.
A2:EVIDENCE-BASED QUESTION
NOT EVIDENT
The submission does not include an EBP question.
B:SELECTION OF A RESEARCH-BASED ARTICLE
NOT EVIDENT
An article selection is not
provided.
APPROACHING
COMPETENCE
The submission includes each of the PICO components of the clinical practice problem, but 1 or more of the given compo nents are inaccurate or
incomplete.
APPROACHING
COMPETENCE
The submission includes an EBP question, but the EBP question does not appropriately address the clinical practice problem or
does not include all the PICO components.
APPROACHING
COMPETENCE
The selected article is not re search based or does not an swer the EBP question from part A2.
COMPETENT
The submission includes each of the given PICO components of the clinical practice problem. Each of the given components is accurate and complete.
COMPETENT
The submission includes an EBP question that appropriately ad dresses the clinical practice problem and includes all the PICO components.
COMPETENT
The selected article is research based and answers the EBP question from part A2.
B1:BACKGROUND/INTRODUCTION OF THE RESEARCH-BASED ARTICLE
NOT EVIDENT
The submission does not include a discussion of the background or introduction.
B2:RESEARCH METHODOLOGY
NOT EVIDENT
The submission does not include a description of the research
APPROACHING
COMPETENCE
The submission does not accu rately address a discussion of the background or introduction of the research-based article.
APPROACHING
COMPETENCE
COMPETENT
The submission accurately ad dresses a discussion of the back ground or introduction of the re search-based article.
COMPETENT
The submission includes a de scription that accurately de-
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methodology. The submission includes a de scription but inaccurately de
scribes the research
methodology.
B3:LEVEL OF EVIDENCE IN THE RESEARCH-BASED ARTICLE
scribes the research methodology.
NOT EVIDENT
The submission does not iden tify a level of evidence for the research-based article.
B4:ANALYSIS OF THE DATA
NOT EVIDENT
The submission does not include a summary of data analysis.
B5:ETHICAL CONSIDERATIONS
NOT EVIDENT
The submission does not include a summary of ethical considera tions. Or, the submission does not include an explanation of why no ethical considerations are present if the research based article contains none.
APPROACHING
COMPETENCE
The submission identifies a lev of evidence that is not accurate according to the JHNEBP model.
APPROACHING
COMPETENCE
The submission includes a sum mary of data analysis, but the summary does not accurately describe how the researcher an alyzed the data in the article.
APPROACHING
COMPETENCE
The submission includes a sum mary of ethical considerations, but the summary does not logi cally describe the ethical
consideration(s) of the research based article. Or, if no ethical considerations are present in the research-based article, the submission does not logically ex plain why none are present.
COMPETENT
The submission accurately iden tifies a level of evidence that based on the JHNEBP model.
COMPETENT
The submission includes a sum mary that accurately describes how the researcher analyzed the data in the article.
COMPETENT
The submission includes a sum mary that logically describes the ethical consideration(s) of the re search-based article. Or, if no ethical considerations are present, the submission includes a logical explanation of why none are present.
B6:QUALITY RATING OF THE RESEARCH-BASED ARTICLE
NOT EVIDENT
The submission does not iden tify a quality rating of the re
APPROACHING COMPETENCE
COMPETENT
The submission accurately iden tifies a quality rating according
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search-based article. The submission identifies a qual ity rating that is not accurate ac
cording to the JHNEBP mode
B7:RESULTS/CONCLUSIONS OF THE RESEARCH-BASED ARTICLE
the JHNEBP model.
NOT EVIDENT
The submission does not include an analysis of the results or con clusions of the research-based article.
APPROACHING
COMPETENCE
The submission includes an analysis of the results or conclu sions, but the analysis does not logically evaluate the results or conclusions of the research based article. Or the analysis does not appropriately explain how the results or conclusions helps answer the EBP question.
COMPETENT
The submission includes an analysis that logically evaluates the results or conclusions of the research-based article and ap propriately explains how the re sults or conclusions helps answer the EBP question.
C:SELECTION OF A NON-RESEARCH-BASED ARTICLE
NOT EVIDENT
An article selection is not provided.
APPROACHING
COMPETENCE
The selected article is not a non research article or does not an swer the EBP question from part A2.
COMPETENT
The selected article is a non-re search article and answers the EBP question from part A2.
C1:BACKGROUND/INTRODUCTION OF THE NON-RESEARCH ARTICLE
NOT EVIDENT
The submission does not include a discussion of the background or introduction.
C2:TYPE OF EVIDENCE
NOT EVIDENT
The submission does not include a description of a type of
evidence.
APPROACHING
COMPETENCE
The submission includes a dis cussion that does not accurately address the background or in troduction of the non-research based article.
APPROACHING
COMPETENCE
The submission includes a de scription of a type of evidence, but the description does not ac
COMPETENT
The submission includes a discus sion that accurately addresses the background or introduction of the non-research-based article.
COMPETENT
The submission includes a de scription that accurately de scribes the type of evidence used in the article.
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curately describe the type of ev
idence used in the article.
C3:LEVEL OF EVIDENCE IN THE NON-RESEARCH ARTICLE
NOT EVIDENT
The submission does not iden tify a level of evidence for the non-research-based article.
APPROACHING
COMPETENCE
The submission identifies a lev of evidence that is not accurate according to the JHNEBP model.
COMPETENT
The submission accurately iden tifies the level of evidence ac cording to the JHNEBP mode
C4:QUALITY RATING OF THE NON-RESEARCH ARTICLE
NOT EVIDENT
The submission does not iden tify a quality rating for the non research-based article.
C5:AUTHOR’S RECOMMENDATION
NOT EVIDENT
The submission does not include a discussion of the author’s recommendation(s) that helped answer the EBP question.
D:RECOMMENDED PRACTICE CHANGE
NOT EVIDENT
The submission does not include a practice change
recommendation.
APPROACHING
COMPETENCE
The submission identifies a qual ity rating that is not accurate ac cording to the JHNEBP mode
APPROACHING
COMPETENCE
The submission includes a dis cussion, but the discussion does not logically explain how the author’s recommendation(s) helped answer the EBP
question.
APPROACHING
COMPETENCE
The submission includes a prac tice change recommendation, but the recommendation does not appropriately address the EBP question. Or, the recom mendation does not accurately utilize both the research and
COMPETENT
The submission accurately iden tifies the quality rating accordi to the JHNEBP model.
COMPETENT
The submission includes a discus sion that logically explains how the author’s recommendation(s) helped answer the EBP question.
COMPETENT
The submission includes a prac tice change recommendation that appropriately addresses the EBP question and accurately uti lizes both the research and non research articles to show how the change should be made.
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D1:INVOLVEMENT OF KEY STAKEHOLDERS
NOT EVIDENT
The submission does not include an explanation of 3 key
stakeholders.
non-research articles to show how the change should be made.
APPROACHING
COMPETENCE
The submission includes an ex planation of 3 key stake holders’ involvement, but the explana tion does not describe how 1 or more of the stakeholders would appropriately support the prac tice change recommendation.
COMPETENT
The submission includes an ex planation of how 3 key stake holders would appropriately sup port the practice change
recommendation.
D2:BARRIER OF IMPLEMENTING THE PRACTICE CHANGE
NOT EVIDENT
The submission does not include a discussion of a specific barri
that might be encountered
when implementing the practice change recommendation.
D3:STRATEGY FOR OVERCOMING THE BARRIER
NOT EVIDENT
The submission does not iden
tify a strategy that could be used to overcome a barrier.
APPROACHING
COMPETENCE
The submission includes a dis cussion of a specific barrier th might be encountered, but the barrier discussed is not appro priate for the practice change
recommendation, or the barrier discussed would not feasibly be encountered during
implementation.
APPROACHING
COMPETENCE
The submission identifies strategy for overcoming a bar rier, but that strategy would not logically be used to overcome the barrier discussed in part D2.
COMPETENT
The submission includes a discus sion of a specific barrier th might feasibly be encountered during implementation, and the barrier discussed is appropriate for the practice change
recommendation.
COMPETENT
The submission identifies a strat egy that could logically be us to overcome the barrier dis cussed in part D2.
D4:OUTCOME TO MEASURE THE RECOMMEND PRACTICE CHANGE
NOT EVIDENT
The submission does not iden tify 1 outcome for measuring
APPROACHING COMPETENCE
COMPETENT
The submission identifies 1 out come from the EBP question th
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the recommended practice change.
E:APA SOURCES
NOT EVIDENT
The submission does not include in-text citations and references according to APA style for con tent that is quoted, paraphrased, or summarized.
F:PROFESSIONAL COMMUNICATION
NOT EVIDENT
Content is unstructured, is dis jointed, or contains pervasive errors in mechanics, usage, or
grammar. Vocabulary or tone is unprofessional or distracts from the topic.
WEB LINKS
The submission identifies 1 out come from the EBP questio but the outcome does not ap propriately measure the recom mended practice change.
APPROACHING
COMPETENCE
The submission includes in-text citations and references for con tent that is quoted, paraphrased,
or summarized but does not demonstrate a consistent appli cation of APA style.
APPROACHING
COMPETENCE
Content is poorly organized, is difficult to follow, or contains er rors in mechanics, usage, grammar that cause confusion. Terminology is misused or ineffective.
appropriately measures the rec ommended practice change.
COMPETENT
The submission includes in-text citations and references for con tent that is quoted, paraphrased,
or summarized and demon strates a consistent application of APA style.
COMPETENT
Content reflects attention to de tail, is organized, and focuses the main ideas as prescribed in the task or chosen by the candi date. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding.
Appendix B: Question Development Tool Appendix E: Research Evidence Appraisal Tool Appendix F: Non-Research Evidence Appraisal Tool
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