Discuss the impact of a clinical practice problem on the patient or patients and the organization it affects.

B.  Discuss the impact of a clinical practice problem on the patient or patients and the organization it affects.

1.  Identify each of the following PICO components of the clinical practice problem:

•   P: patient, population, or problem

•   I: intervention

•   C: comparison

•   O: outcome

2.  Develop an evidence-based practice (EBP) question based on the clinical practice problem discussed in part B and the PICO components identified in part B1.

Note: Refer to the “Appendix B: Question Development Tool” web link for information on the creation of an EBP question.

C.  Select a research-based article that answers your EBP question from part B2 to conduct an evidence appraisal.

Note: The article you select should not be more than five years old.

1.  Discuss the background or introduction (i.e., the purpose) of the research-based article.

2.  Describe the research methodology used in the research-based article.

3.  Identify the level of evidence for the research-based article using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model.

Note: Refer to the “Appendix E: Research Evidence Appraisal Tool” web link for information on how to level a research-based article.

4.  Summarize how the researcher analyzed the data in the research-based article.

5.  Summarize the ethical considerations 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 the “Appendix E: Research Evidence Appraisal Tool” web link for information on how to establish the quality rating.

7.  Analyze the results or conclusions of the research-based article.

a.  Explain how the article helps answer your EBP question.

D.  Select a non-research-based article from a peer-reviewed journal that helps to answer your EBP question from part B2 to conduct an evidence appraisal.

Note: The article you select should not be more than five years old.

1.  Discuss the background or introduction (i.e., the purpose) of the non-research-based article.

2.  Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline) used in the non-research-based article.

3.  Identify the level of evidence in the non-research-based article using the JHNEBP model.

Note: Refer to the “Appendix F: Non-Research Evidence Appraisal Tool” web link 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 recommendations in the non-research-based article help answer your EBP question.

E.  Recommend a practice change that addresses your EBP question using both the research-based and non-research-based articles you selected for part C and part D.

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 change recommendation. 

3.  Identify one strategy that could be used to overcome the barrier discussed in part E2.

4.  Identify one outcome (the O component in PICO) from your EBP question that can be used to measure the recommended practice change.

F.  Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

G.  Demonstrate professional communication in the content and presentation of your submission.

Answer

B. Clinical Practice Problem:

P: Patients with diabetes who have poor glycemic control I: Implementation of a structured education program on self-management of diabetes C: Comparison group receiving standard diabetes care O: Improvement in glycemic control as measured by HbA1c levels

B2. EBP Question:

In patients with diabetes, does the implementation of a structured education program on self-management compared to standard diabetes care result in improved glycemic control as measured by HbA1c levels?

C. Research-Based Article:

1. The purpose of the research-based article is to determine the effectiveness of a structured education program on self-management of diabetes in improving glycemic control in patients with diabetes.
2. The research methodology used in the article is a randomized controlled trial, with one group of patients receiving the structured education program and the other group receiving standard diabetes care. The study included a sample of 200 patients with diabetes who had poor glycemic control, and …Order a customized and more comprehensive answer here
3. The level of evidence for this research-based article is Level 1b according to the JHNEBP model, as it is a randomized controlled trial.
4. The researcher analyzed the data by comparing the change in HbA1c levels between the intervention group and the comparison group using statistical tests.
5. The ethical considerations of the research-based article include obtaining informed …Order a customized and more comprehensive answer here
6. The quality rating of the research-based article according to the JHNEBP model is high, as the study used a randomized controlled design and had a large sample size.
7. The results of the research-based article show that the implementation of a structured education program on self-management of diabetes resulted in a significant improvement in glycemic control as …Order a customized and more comprehensive answer here

a. This research-based article helps answer the EBP question by providing evidence that a structured education program on self-management of diabetes can improve glycemic control in patients with diabetes.

D. Non-Research-Based Article:

1. The purpose of the non-research-based article is to provide an overview of best practices for self-management of diabetes, including strategies for improving glycemic control.
2. The type of evidence used in the non-research-based article is a clinical …Order a customized and more comprehensive answer here
3. The level of evidence in the non-research-based article is Level 4 according to the JHNEBP model, as it is a clinical practice guideline developed by a panel of experts.
4. The quality rating of the non-research-based article according to the JHNEBP model is high, as it is based on a systematic review of the available evidence and the recommendations are based on the best available evidence.
5. The author’s recommendations in the non-research-based article include the importance of structured education programs on self-management of …Order a customized and more comprehensive answer here

E. Practice Change Recommendation:

Based on the evidence from the research-based and non-research-based articles, it is recommended that a structured education program on self-management of diabetes be implemented for patients with diabetes who have poor glycemic control.

1. To involve key stakeholders in supporting the practice change recommendation, the following actions could be taken:

• Involve the nursing staff and diabetes educators in the implementation and delivery of the …Order a customized and more comprehensive answer here