Discover Evidence Based Data Used in Clinical Practice

User Generated

enpurp

Health Medical

MN504

Purdue University

Description

Discover Evidence Based Data Used in Clinical Practice


Discover Evidence Based Data Used in Clinical Practice

Purpose:

This Assignment is helpful in developing the groundwork for understanding and integrating evidence-based practice in healthcare throughout the rest of the course. In this Assignment you will have the chance to see how the research you look for can be applied in the work you do in your practice.

Overview:

You will select a topic relevant to your practice area, post the topic to Discussion Board 2 for feedback, research the topic, and write a scholarly paper.

From the chapter readings and discussion, formulate a 3–5 page scholarly paper in APA format, providing an overview of the terms and function of EPB. An introduction, discussion and conclusion is expected in the overview on this topic

Directions:

  1. Formulate the question.
  2. Using the Cochrane database, research the question using the PICOT model and key words.
  3. Post your topic and a short summary of results for feedback from your instructor and peers by Day 5.
  4. Write a 3–5 page paper, reviewing evidence-based practice, as it relates to your practice question and integrate feedback from the instructor and/or peers.
  5. Include a minimum of three evidence-based references.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements:

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

  • follow the conventions of Standard English (correct grammar, punctuation, etc.);
  • be well ordered, logical, and unified, as well as original and insightful;
  • display superior content, organization, style, and mechanics; and
  • use APA 6th Edition format.
  • Please see the Writing Center located in the Academic Success Center in the student portal for assistance with writing, APA, and online communication. https://campus2.purdueglobal.edu/page/writing-centerRapid Critical Appraisal to Evaluate Evidence
  • Rapid critical appraisal is the opportunity to review evidence in a timely fashion. The ability to look at evidence and review it in a timely fashion will help your practice. You will learn how to look at the evidence that is returned from your database search, and identify what level of evidence is available from your search. For example, being able to identify that a randomized control trial is a reliable source of evidence, rather than an expert’s opinion.
    Five Components of a PICOT
    Recognizing the five components of PICOT questioning is the most pivotal aspect of evidence-based practice. Through PICOT, you can determine the patient population that you are working with, the intervention that you propose (based on the research), a comparison intervention and then review the outcome and the time it takes to reach the outcome. For example, determining how long it takes for the evidence-based intervention to improve the quality of life of a patient with terminal cancer.
    P = patient, population, or problem
    I = intervention, risk factor, assessment tool, or prognostic factor under scrutiny
    C = comparison (alternative to intervention; at times this element may be absent)
    O = outcome
    T = time (Is there a certain period of time that must transpire for the intervention to produce an outcome? At times this element may also be absent.
    How to Identify the Corresponding Research Design for the Foreground Question
    As you develop a PICOT format, you decide what research design you will use that best meets the needs of your clinical question. For example, if the intervention is a medication, then a case control study would be ideal to determine if the medication is effective compared to patients that do not receive the medication.
    How to Identify the Corresponding Research Design for the Foreground Question
    You will be able to identify the importance of evidence, recognizing that expert opinion and clinician opinion are the lowest level of evidence, with meta-analysis and randomized control trials at the top of the hierarchy.
    Difference Between Foreground and Background
    Foreground and background information must be distinguished for effective evidence-based PICOT development.
    Foreground information can be answered based on scientific evidence about diagnosing, treating, or even assisting patients. This would be the actual clinical question being researched. So, for example, the question of which analgesic works best to reduce a fever in a child would be foreground information
    Background information is broader in scope as it helps develop the foreground question. For this example on analgesic questioning, the background information would be “how do analgesics work in children?”

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Explanation & Answer

Attached. Please let me know if you have any questions or need revisions.

Running head: EVIDENCE-BASED PRACTICE

Evidence-Based Practice
Name
Institution

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EVIDENCE-BASED PRACTICE

2
Evidence-Based Practice

Evidence-based practice (EBP) is slowly becoming ubiquitous in the nursing profession,
especially with the industry’s focus on continuous quality improvement. A general definition of
EBP would present it as a healthcare delivery approach that integrates the best evidence to
inform clinical decision-making. The current use of EBP has been influenced by the superior
health outcomes that are achieved through the implementation of credible evidence in clinical
decision-making. Effective implementation can contributes to better health outcomes and
continuous quality, enhancing patient satisfaction and outcomes. EBP can be used to effectively
address the needs of people with mental health issues. Finding more effective and sustainable
methods to deliver care and preventive services to people with mental illness is crucial in nursing
care. This paper presents a discussion of the EBP process as applied to the telehealth use for
mental health care.
Discussion
Overview of EBP
The practice question revolves around the effectiveness of using telehealth to attend to
patients with mental illness. In order to explore this clinical problem, there is need for discussion
on the application of EBP and how it aligns with research. Primarily, EBP relies on research. The
difference between the two is that while research seeks to merely find answers and contribute to
current knowledge on a subject topic, EBP includes research and further its integration, clinical
expertise, and patient preference in clinical practice (Melnyk & Fineout-Overholt, 2018).
Therefore, research is an integral part of EBP because it is the approach through which evidence
is produced to support specific decisions and clinical processes. Therefore, EBP on telehealth

EVIDENCE-BASED PRACTICE

3

and mental illness would integrate research on the topic in clinical decision-making in addition to
providers’ expertise and patient preferences about using the technology.
The systematic implementation of EBP determines how effective the entire process can
be in addressing a clinical problem. EBP has six major steps which create a cycle. The first three
steps include asking the clinical question, searching for evidence about the question, and
critically appraising the evidence. The clinical question is the guiding question which is
formatted in the PICOT format. This format provides structure and narrows down the research to
a specific issue...

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