The principles and context of evidence based practice (EBP) to evaluate a nursing practice

The purpose of the Evidence Based Patient Safety Project is to use the principles and context of evidence based practice (EBP) to evaluate a nursing practice, policy, or procedure in light of current evidence and make recommendations for change/improvement. Choose a policy or procedure currently in place on the unit in which you have your pediatric clinical. Use headings to prepare the paper.
BACKGROUND (5 points)

• Describe the practice/policy/procedure and outcomes/implications
THE QUESTION (5 points)

• Pose an answerable question. For example: Does the blood product administration policy used by Advocate Lutheran General Hospital meet the current best practice?
THE SEARCH (10 points)

• Describe the search strategy.
• Discuss how potential, relevant research reports were identified.
• What were the inclusion and exclusion criteria?
• How many studies were included in the final appraisal of the evidence? (for the sake of this project use only 5 sources)

A. Develop a matrix of the evidence and place in a table format. The matrix may include, if available, integrative reports, clinical practice guidelines, meta-analyses as well as single studies.

Use the following columns (this may be slightly adapted or indicate N/A for practice guidelines, meta-analysis etc)

• Name of author, date, title of study, journal
• Hypothesis, if there is no hypothesis the question, if there is no question the purpose.
• Design.
• Sample: Size of sample, important demographics, inclusion and exclusion criteria
• Data Collection Instruments/Procedures including reliability and validity
• Statistical Results/Findings
• Implications/Conclusions related to adoption to practice

B. State of the Science Summary addressing the following questions. Answer as many as you can.
• How much variation was there and how was the intervention delivered across the studies/reports?
• How much variation was there in the outcome(s) studied across the studies/reports?
Why are they compelling?

• What findings are inconsistent across the studies/reports?
• What findings are out right contradictory across the studies/reports?
• Note the level of evidence from the various the studies/reports and the findings associated with them.
• Of the consistent findings, how many the studies/reports have a treatment effect that was clinically significant?
• What outcome(s) is this intervention highly effective in bringing about?
• What side effects, harm, or burden is associated with this intervention?
• Is the evidence picture sufficiently complete (i.e. knowledge regarding: benefits, risk, burden, underlying mechanism, specifics of administration)?

Make a determination of whether sufficient evidence exists to support either current practice or a need to change the practice

• Create a Change Team. Discuss who will be part of the team to implement the change and why you have chosen these individuals.

• Develop a Change Strategy. Use the following table to identify 2-3 objectives for the project that you could use to implement the change. These objectives must be measurable and specific. In the second column, state the specific methods or plans to meet the objectives. Specify who will be responsible and the timetable to implement each objective. In the last column, specifically state measurable outcomes of how you will evaluate whether or not you have successfully met the objective. (Add additional rows to this chart, if needed).
Objectives Method/Plan Responsibility Completion Date Measurable Outcomes

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