Evidenced Based Practice Change – Nursing

Process improvement in nursing practice- evidenced based practice
Include the body of the paper with the following titled sections:
Title (introduction)
Literature Review
Proposed Change
Proposed methods to measure outcomes

Describe the problem, including purpose and goal of the EBP review (EBP proposal paper part
1). Start with a global description of the importance of nursing and narrow your topic to the
organizational level.
Explain the Background of your problem, definition of the variables. Include any pertinent
background and history pertaining to your problem or topic of interest and what has led you to
believe this problem is of great significance to the nursing profession. The aim of this section is
to help the reader understand the concepts and definitions of your topic of study.
Identify your source and method for searching the evidence.
Find the highest level of evidence first and then proceed methodically through the hierarchy of
evidence to answer the focused question. Refer to the levels of evidence and explain on this
section how do you searched and classify the evidence.
Why are you trusting the results?
Include a review of the literature on your proposed change, practice guidelines or other synthesis
reports. Your paper should serve as a synthesis of what is currently known about your change,
and what is being investigated. Do not simply summarize each of your sources; rather, integrate
the information presented, and come up with your own interpretation of the data (you may use
tables in this section to summarize the evidence).
Discuss, appraise and synthesize evidence. Critical review of all evidence that you will use to
support your improvement efforts. Once the evidence is gathered, you must critically appraise
each study to ensure its credibility and clinical significance. An easy method for conducting critical appraisal is to answer these three key questions:
What were the results of the study? (In other words, what is the evidence?)
How valid are the results? (Can they be trusted?)
Will the results be helpful in caring for other patients? (Are they transferable?)
Include suggestions for improvement/change (Aim) to whatever it is you are researching. For
example, If you are proposing policy changes to current urinalysis protocols, how will this policy
impact the organization and stakeholders? Patient and/or population expected to benefit directly
from improved flow or process. Risk of participation is same as receiving usual care. If risk or
burden is higher than with usual care, consider research & IRB
State what EBP model will you use to plan for your project. What plans do you have to measure
key indicators, what about tools use to measure the outcomes, what is the validity or reliability if
any. Measures may include knowledge, attitude, behavior/practices, and outcomes
What about the sample? You may propose small but large enough samples to observe changes.
What is the feasible for data collection, minimal time needed, resources, costs.
How will you conduct the data analysis?
Who will be involve in the Organization?
Write the conclusion of your paper, summarizing the main points and explaining its main
purpose. Restate the topic, purpose, main points and the significant of your findings. End this
section with the implications for practice make emphasis on the future of your topic.

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