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

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

B1. The PICO components of the clinical practice problem are as follows:

P: patient population with type 2 diabetes I: implementation of a self-monitoring blood glucose (SMBG) program C: comparison group receiving standard care without SMBG program O: improvement in glycemic control as measured by hemoglobin A1c (HbA1c) levels

B2. An evidence-based practice (EBP) question based on this clinical practice problem could be: “In patients with type 2 diabetes, does the implementation of a self-monitoring blood glucose (SMBG) program result in a greater improvement in glycemic control as measured by hemoglobin A1c (HbA1c) levels compared to Order a customized and more comprehensive answer here

C1. The purpose of the research-based article is to determine the effectiveness of an SMBG program in improving glycemic control in patients with type 2 diabetes.

C2. The research methodology used in the article is a randomized controlled trial in which patients with type 2 diabetes were assigned to either an intervention group receiving an SMBG program or a control group receiving standard care.

C3. The level of evidence for this research-based article is level 1b according to the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model, as it is a randomized controlled trial with a moderate sample size.

C4. The researcher analyzed the data by comparing the mean HbA1c levels of the intervention and control groups at the beginning and end of the study. Statistical analysis was used to determine the …Order a customized and more comprehensive answer here

C5. The ethical considerations of the research-based article include obtaining informed consent from all participants, ensuring confidentiality of patient information, and protecting the rights of the study participants.

C6. The quality rating of the research-based article according to the JHNEBP model is good, as the study design is appropriate for the research question and the results are clearly reported.

C7. The results of the research-based article show that the implementation of an SMBG program resulted in a significant improvement in glycemic control as measured by HbA1c levels compared to standard care without an SMBG program. This helps answer the EBP question by providing evidence that the implementation…Order a customized and more comprehensive answer here

D1. The background or introduction of the non-research-based article is to review the current evidence on the use of SMBG programs in patients with type 2 diabetes and to provide recommendations for clinical practice.

D2. The type of evidence used in the non-research-based article is a clinical practice guideline.

D3. The level of evidence in the non-research-based…Order a customized and more comprehensive answer here