3. Identifies the Clinical Practice Problem and Guideline Identifies the PRACTICE PROBLEM and describes WHY this practice problem is of significance to nursing (15) Identifies the current specific standardized guideline selected for use in this paper and that addresses the problem. Provides a copy of the standard or a link to the full guideline. (10) Authors are identified and a description of HOW the guideline was developed is described. (10) Begin the Body of the Paper!
4. Establishes the Research Support Identifies the best evidence that supports the standardized guideline, best practice, or bundle. (The research that has been completed that provides the evidence that supports the guideline, best practice, or bundle). Identified from references of the guideline, best practice, or bundle chosen. Using the form provided, identifies the FULL reference for the research study, the setting, purpose, research design, sample, findings, and limitations. Identifies and justifies the LEVEL of evidence for EACH study. (60) Uses the strongest evidence found; especially considers meta-analyses, integrative reviews of research, clinical trials, and quasi-experimental studies related to the chosen topic. (10) Provides a narrative summary of the levels of evidence of the six studies representing the “body of evidence” supporting your proposed clinical change. (10) ESTABLISH THE RESEARCH SUPPORT
5. RESEARCH EVIDENCE TABLE Research Article (provide FULL reference): Setting Purpose Research design Sample studied Findings Limitations Level of Evidence and Justification for Level.
6. APPLICATION TO PRACTICE Identifies a practice setting in which the change will be implemented. (5) Justifies why this practice setting is an appropriate setting for implementation of the identified evidence based change. (5) Considers how administration, nurses, and physicians might feel about the change. Would the change be supported? Would it be resisted? Why? (5) Answers the question: Who Makes the Decision to Change Practice? (5)
7. EVIDENCE-BASED MANAGEMENT Provides a plan for how the guideline, best practice, or bundle might be implemented. Who? (5) What? (5) Why? (5) When? (5) Identifies a change theory to use in the implementation of the guideline and describes how the change theory would guide the practice change. (15) Identifies cost factors to implement the change. (5)
8. Identifies the expected nursing sensitive outcome or outcomes of the change. (10) Identifies how the outcome will be measured and provides a copy of a tool to demonstrate the measurement of the outcome or outcomes. (10) Discusses who will collect outcome data, analyze it, and make changes based on the results. (10) Discusses how the change will be sustained. (10) OUTCOMES
10. Final Reflection Thoughtful reflection on the experience of seeking the evidence for a change in clinical practice: Discusses how the experience broadened and strengthened understanding of evidence based NURSING practice. (15) Envisions how to move forward as an advanced practice nurse using the understanding and skills developed during the writing of the paper. (15)
