identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

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The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.

In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

  • Reflect on the four peer-reviewed articles you critically appraised in Module 4.
  • Reflect on your current healthcare organization and think about potential opportunities for evidence-based change.

The Assignment: (Evidence-Based Project)

Part 5: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide PowerPoint presentation in which you do the following:

  • Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
  • Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
  • Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
  • Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
  • Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
  • Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
  • Add a lessons learned section that includes the following:
    • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
    • An explanation about what you learned from completing the evaluation table (1 slide)
    • An explanation about what you learned from completing the levels of evidence table (1 slide)
    • An explanation about what you learned from completing the outcomes synthesis table (1 slide)Evaluation Table
      Full citation of selected article Article #1 Article #2 Article #3 Article #4
      Melnyk, B. M. (2018). Arcc: An Evidence-Based System-Wide Model for Implementation and Sustainability of Evidence-Based Practice. Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice step by step: Critical appraisal of the evidence: part I. AJN The American Journal of Nursing, 110(7), 47-52. Williamson, K. M. (2009). Evidence-based practice: Critical appraisal of qualitative evidence. Journal of the American Psychiatric Nurses Association, 15(3), 202-207. Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice, step by step: Critical appraisal of the evidence Part III. AJN The American Journal of Nursing, 110(11), 43-51.
      Conceptual Framework

      Describe the theoretical basis for the study

      		 This study aimed at implementing the ARCC Model to implement and sustain the use of evidence-based practices in healthcare. This study used a step-by-step approach to provide guidelines on the effective implementation of EBP in the healing contexts. This study used the Grounded theory to develop new categories and integrate them into the data. This study used a step-by-step approach to provide guidelines on the effective implementation of EBP in the healing contexts.
      Design/Method Describe the design

      and how the study

      was carried out

      		 This article used multiple studies to support the ARCC Model. These resources used descriptive correlational, psychometric, randomized controlled and quasi-experimental designs. This study used the qualitative methods to conduct a critical appraisal of evidence The article used a qualitative design to explore different concepts and experiences. This study used the qualitative methods to conduct a critical appraisal of evidence
      Sample/Setting

      The number and

      characteristics of

      patients,

      attrition rate, etc.

      		 The resources used in the article had different sample sizes that mainly consisted of nurses.

      		 The study did not have a definitive sample but it focused mainly on nurses. This article used a sample size of about 50 participants that mainly consisted of nurses. The study did not have a definitive sample but it focused mainly on nurses.
      Major Variables Studied

      List and define dependent and independent variables

      		 Independent: ARCC Model

      Dependent: EBP care

      		 Independent: Evidence-based practice

      Dependent: Nursing profession

      		 Independent: Evidence-based practice

      Dependent: Qualitative evidence

      		 Independent: Evidence-based practice

      Dependent: Nursing profession
      Measurement

      Identify primary statistics used to answer clinical questions

      		 Sustainability of Evidence-Based Practice Critical appraisal of the evidence Critical appraisal of qualitative evidence Critical appraisal of the evidence
      Data Analysis

      Statistical or

      qualitative

      findings

      		 Qualitative findings Qualitative findings Qualitative findings Qualitative findings
      Findings and Recommendations

      General findings and recommendations of the research

      		 Implementing the ARCC Model helps to improve overall quality of care. Nurses require adequate knowledge and skills for consistent implementation of EBP. Critical appraisal helps to determine the reliability, validity, and usefulness of healing approaches. Nurses should create environments of care and supportive organizational culture to improve patient outcomes.
      Appraisal

      Describe the general worth of this research to practice. What are the strengths and limitations of study? What are the risks associated with implementation of the suggested practices or processes detailed in the research? What is the feasibility of

      use in your practice?

      		 The appraisal shows that the article provides substantial evidence and models that would improve nursing practice. The appraisal shows that the article provides effective guidelines for implementing EBP in nursing. The appraisal shows that the article provides effective guidelines for critical appraisal of qualitative evidence in nursing. The appraisal shows that the article provides effective guidelines for implementing EBP in nursing.
      General Notes/Comments Nurses should use the article as a source of reference The document provides crucial guidelines for improving patient care The article would help physicians to evaluate and understand research evidence. Nurses should borrow the conceptual and practical guidelines from the study to improve their practice.

      Levels of Evidence Table

      Author and year of selected article Article #1 Article #2 Article #3 Article #4
      Melnyk, B. M. (2018). Arcc: An Evidence-Based System-Wide Model for Implementation and Sustainability of Evidence-Based Practice. Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice step by step: Critical appraisal of the evidence: part I. AJN The American Journal of Nursing, 110(7), 47-52. Williamson, K. M. (2009). Evidence-based practice: Critical appraisal of qualitative evidence. Journal of the American Psychiatric Nurses Association, 15(3), 202-207. Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice, step by step: Critical appraisal of the evidence Part III. AJN The American Journal of Nursing, 110(11), 43-51.
      Study Design

      Theoretical basis for the study

      		 ARCC Model A step-by-step approach Grounded theory A step-by-step approach
      Sample/Setting

      The number and

      characteristics of

      patients

      		 The article used different sample sizes that mainly consisted of nurses.

      		 The study did not have a definitive sample but it focused mainly on nurses. This article used a sample size of about 50 participants that mainly consisted of nurses. The study did not have a definitive sample but it focused mainly on nurses.
      Evidence Level *

      (I, II, or III)

      		 Level II Level IV Level III Level IV
      Outcomes Improvement in overall quality of care. Development of adequate knowledge and skills for consistent implementation of EBP. Improved skills to determine the reliability, validity, and usefulness of healing approaches. Development of adequate knowledge and skills for consistent implementation of EBP.
      General Notes/Comments ARCC Model is sufficient for improving the quality of care Systematic guidelines would help to improve knowledge and skill for implementing EBP Grounded theory would help in comprehensive evaluation of different healing approaches. Systematic guidelines would help to improve knowledge and skill for implementing EBP

      Outcomes Synthesis Table

      Author and year of selected article Article #1 Article #2 Article #3 Article #4
      Melnyk, B. M. (2018). Arcc: An Evidence-Based System-Wide Model for Implementation and Sustainability of Evidence-Based Practice. Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice step by step: Critical appraisal of the evidence: part I. AJN The American Journal of Nursing, 110(7), 47-52. Williamson, K. M. (2009). Evidence-based practice: Critical appraisal of qualitative evidence. Journal of the American Psychiatric Nurses Association, 15(3), 202-207. Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice, step by step: Critical appraisal of the evidence Part III. AJN The American Journal of Nursing, 110(11), 43-51.
      Sample/Setting

      The number and

      characteristics of

      patients

      		 The article used different sample sizes that mainly consisted of nurses. The study did not have a definitive sample but it focused mainly on nurses. This article used a sample size of about 50 participants that mainly consisted of nurses. The study did not have a definitive sample but it focused mainly on nurses.
      Outcomes

      		 Improvement in overall quality of care. Development of adequate knowledge and skills for consistent implementation of EBP. Improved skills to determine the reliability, validity, and usefulness of healing approaches. Development of adequate knowledge and skills for consistent implementation of EBP.
      Key Findings EBP environments help to provide support, encouragement, , and sustainable care systems Observation of systematic guidelines would help in efficient implementation of EBP Qualitative evidence provides physicians with advanced appraisal skills that influence improved patient outcomes. Observation of systematic guidelines would help in efficient implementation of EBP
      Appraisal and Study Quality Appraisal and study are of sufficient quality Appraisal and study are of sufficient quality Appraisal and study are of sufficient quality Appraisal and study are of sufficient quality
      General Notes/Comments The article provides crucial information about the implementation of EBP Study gives crucial guidelines for implementing EBP in healthcare Critical appraisal of qualitative evidence helps improve the quality of nursing practice Nurses should observe guidelines to eliminate issues when implementing EBP.

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