University of St. FrancisMaster of Science in Nursing ProgramN613: Evidence-Based Practice in HealthcareGrading and Development Guidelines for Evidence Based Practice Project The purpose of the Evidence Based Practice (EBP) Project is to use the principles and context of EBP to evaluate a nursing practice, policy, or procedure in light of current evidence and make recommendations for change/improvement. Prepare the final project report using the following sections and guidelines. Use APA 7th edition format for all margins, citations, references, and headings as you prepare the paper. Title Page (3 points)Introduction (5 points)Background (10 points)ï'·Paint a broad picture and rationale for undertaking this projectï'·Include any data and a targeted literature review of published papers written in the last FIVE years to support the need for the projectï'·Describe the practice/policy/procedure and outcomes/implicationsQuestion (5 points)ï'·Pose an answerable question in PICOT format (Melnyk & Fineout-Overholt, 2011). Use the PICOT templates to develop your full questions, and include it in the appendix of your paper. Search (5 points)ï'·Describe the search strategy per Melnyk and your lecturesï'·Discuss how potential, relevant research reports were identifiedï'·Explain what databases were chosen and used, and what studies were identifiedï'·What were the inclusion and exclusion criteria?ï'·How many studies were included in the final appraisal of the evidence?Critically Appraise the Evidence (15 points)A. Matrix (10 points). Develop an excel file (or a table in word) of the evidence. The matrix may include, if available, integrative reports, clinical practice guidelines, meta-analyses as well as single studies. Use the following columns (this may be slightly adapted or indicate N/A for practice guidelines, meta-analysis etc) ï'·Name of author, date, title of study, journalï'·Level of Evidence (Use Box 1.2, p. 10 in Melnyk & Fineout-Overholt)ï'·Hypothesis, if there is no hypothesis the question, if there is no question the purpose. ï'·Design. Must be specific. ï'·Sample: Size of sample, important demographics, inclusion and exclusion criteriaï'·Data Collection Instruments/Procedures including reliability and validityï'·Statistical Results/Findingsï'·Implications/Conclusions related to adoption to practiceB. State of the Science Summary addressing the following questions. Respond to the questions in paragraph form and cite the sources. (15 points)ï'·How much variation was there and how was the intervention delivered across the studies/reports?ï'·How much variation was there in the outcome(s) studied across the studies/reports?ï'·What findings are supported by more than one study/ reports?ï'·What findings are supported by just one study, but are compelling? Why are they compelling?ï'·What findings are inconsistent across the studies/reports?ï'·What findings are out right contradictory across the studies/reports?ï'·Note the level of evidence from the various the studies/reports and the findings associated with them. ï'·Of the consistent findings, how many the studies/reports have a treatment effect that was clinically significant?ï'·What outcome(s) is this intervention highly effective in bringing about?ï'·What side effects, harm, or burden is associated with this intervention?ï'·Is the evidence picture sufficiently complete (i.e. knowledge regarding: benefits, risk, burden, underlying mechanism, specifics of administration)?Make a determination of whether sufficient evidence exists to support either current practice or a need to change the practiceImplement a Change in Clinical Practice (12 points)ï'·Assess the environment for change. Consider:o The population in your specific setting and patient preferences and valueso Clinical expertise and preferenceso Available resources for implementing the change ï'·Identify a Change Team. Discuss who will be part of the team to implement the change and why you have chosen these individuals. ï'·Develop a Change Strategy. Use the following table to identify 2-3 objectives for the project that you could use to implement the change. These objectives must be measurable and specific. In the second column, state the specific methods or plans to meet the objectives. Specify who will be responsible and the timetable to implement each objective. In the last column, specifically state measurable outcomes of how you will evaluate whether or not you have successfully met the objective. (Add additional rows to this chart, if needed). ObjectivesMethod/PlanResponsibilityCompletion DateMeasurable OutcomesEvaluation Plan (10 points)From the last column of the above table, copy and paste the measurable objectives. Complete the rest of the columns. Add additional rows to this table if necessaryMeasurable outcomesMethod and Tools for MeasuringResponsibilityTimelinesResources (8 points)ï'·Discuss the resources; you need for the first year of the change in practice. ï'·Project costs of additional supplies, equipment, and personnel as appropriate. ï'·Project costs savings. ï'·Use an Excel spreadsheet for this purpose Conclusion (5 points)WRITING STYLE AND APA (7 points) you completed the first part of this in order 277049 please use that paper as I guide to complete this second part

ANSWER. PAPER DETAILS
Academic Level	College
Subject Area	Nursing
Paper Type	Essay
Number of Pages	10 Page(s)/2750 words
Sources	5
Format	APA
Spacing	Double Spacing

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