Write a paper of 500-750 words (not including the title page and reference page) on your proposed problem description for your EBP project. The paper should address the following:
1.Describe the background of the problem. Tell the story of the issue and why it deserves attention.
2.Identify the stakeholders/change agents. Who or what organizations are concerned may benefit from or are affected by this proposal. List the interested parties patients students agencies Joint Commission etc.
3.Use the feedback from the Topic 2 main forum post and refine your PICOT question. Make sure that the question fits with your graduate degree specialization.
4.State the purpose and project objectives in specific realistic and measurable terms. The objective should address what is to be gained. This is a restatement of the question providing focus. Measurements need to be taken before and after the evidence-based practice is introduced to identify the expected changes.
5.5) Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources.
6.Develop an initial reference list to assure that there is adequate literature to support your evidence-based practice project. Follow the Steps to an Efficient Search to Answer a Clinical Question box in chapter 3 of the textbook. Use NUR-699 Search Method Example to assist you.
7.7) The majority of references should be research articles. However national sources such as Centers for Disease Control and Prevention (CDC) National Center for Health Statistics (NCHS) Department of Health and Human Resources (HHS) or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you are gathering statistics to provide the rationale for the problem.
8.Once you get into the literature you may find there is very little research to support your topic and you will have to start all over again. Remember in order for this to be an evidence-based project you must have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice then further research would need to be conducted.
Steps to an Efficient Search to Answer a Clinical Question Box 3.3
Begin with PICOT questiongenerates keywords.
Establish inclusion/exclusion criteria before searching so that the studies that answer the question are easily identifiable. Apply these criteria after search strategy is complete
Use subject headings when available.
Expand the search using the explode option if not automatic.
Use available mechanisms to focus the search so that the topic of interest is the main point of the article.
Combine the searches generated from the PICOT keywords that mapped onto subject headings if the database does not automatically do this for you.
Limit the fina cohort of studies with meaningful limits such as language human type of study age and gender.
Organize studies in a meaningful way using reference management software.
Search Method Example
A comprehensive electronic search was completed using the following databases:
Cochrane Central Register of Controlled Trials
Cochrane Database of Systematic Reviews
National Guideline Clearinghouse