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For this summative assessment,

create

a presentation that communicates the focus and scope of your project. You may

select

from multiple venues to explain the details of your plan. You will demonstrate problem-solving skills as you organize the details of your plan.

Resource:

Question Development Tool

– Appendix B.

Begin your plan with the following:

Define

the problem.

Identify

the problem to      be addressed and the setting in which it occurs.

Outline

your proposal      to address the problem.

Identify

and

discuss

ethical, legal, and regulatory concerns relating to the problem.

Explain

why you chose      the problem.

Support

your plan by gathering as much information about your selected problem as possible. Consider both qualitative and quantitative data, for example:

Leader      and peer interviews

Patient/customer      surveys

Quality      improvement (QI) reports from the facility

Benchmarking      studies/baseline data.

If      baseline data is available:

What      are the goals?

Are      current practices meeting the organizational goals?

Are      the prescribed practices followed?

B
Copyright © 2017. Sigma Theta Tau International. All rights reserved.
Question Development Tool
Dang, D., & Dearholt, S. L. (2017). Johns hopkins nursing evidence-based practice : Model and guidelines. Sigma Theta Tau International.
Created from apollolib on 2022-07-11 21:22:25.
268 Johns Hopkins Nursing Evidence-Based Practice Question Development Tool
1. What is the problem?
2. Why is the problem important and relevant? What would happen if it were not addressed?
3. What is the current practice?
4. How was the problem identified? (Check all that apply.)
❑❑ Safety and risk-management
concerns
❑❑ Variations in practice compared to community
standard
❑❑ Quality concerns (efficiency,
effectiveness, timeliness, equity,
patient-centeredness)
❑❑ Current practice that has not been validated
❑❑ Financial concerns
❑❑ Unsatisfactory patient, staff, or
organizational outcomes
Copyright © 2017. Sigma Theta Tau International. All rights reserved.
❑❑ Variations in practice within the
setting
5. What are the PICO components?
P – (Patient, population, or problem)
I – (Intervention)
C – (Comparison with other interventions, if foreground question)
O – (Outcomes are qualitative or quantitative measures to determine the success of change)
6. Initial EBP question
❑ Background ❑ Foreground
Dang, D., & Dearholt, S. L. (2017). Johns hopkins nursing evidence-based practice : Model and guidelines. Sigma Theta Tau International.
Created from apollolib on 2022-07-11 21:22:25.
B
Question Development Tool
269
7. List possible search terms, databases to search, and search strategies.
8. What evidence must be gathered? (Check all that apply.)
❑❑ Publications (e.g., EBSCOHost,
PubMed, CINAHL, Embase)
❑❑ Organizational data (e.g., QI, financial data, local
clinical expertise, patient/family preferences)
❑❑ Standards (regulatory, professional,
community)
❑❑ Position statements
❑❑ Guidelines
9. Revised EBP question
(Revisions in the EBP question may not be evident until after the initial evidence review;
the revision can be in the background question or a change from the background to a
foreground question.)
Copyright © 2017. Sigma Theta Tau International. All rights reserved.
10. Outcome measurement plan
What will we
measure?
How will we
measure it?
How often will
we measure it?
(Structure, process,
outcome measures)
(Metrics
expressed as rate
or percent)
(Frequency)
Where will
we obtain
the data?
Dang, D., & Dearholt, S. L. (2017). Johns hopkins nursing evidence-based practice : Model and guidelines. Sigma Theta Tau International.
Created from apollolib on 2022-07-11 21:22:25.
Who will
collect the
data?
To whom
will we
report the
data?
270 Johns Hopkins Nursing Evidence-Based Practice Question Development Tool
Directions for Use of the Question Development Tool
Purpose
This form is used to develop an answerable EBP question and to guide the team
in the evidence search process. The question, search terms, search strategy, and
sources of evidence can be revised as the EBP team refines the EBP question.
What is the problem, and why is it important?
Indicate why the project was undertaken. What led the team to seek evidence?
Ensure that the problem statement defines the actual problem and does not include a solution. Whenever possible, quantify the extent of the problem. Validate
the final problem description with practicing staff. It is important for the interprofessional team to take the time together to reflect, gather information, observe
current practice, listen to clinicians, visualize how the process can be different or
improved, and probe the problem description in order to develop a shared understanding of the problem.
What is the current practice?
Copyright © 2017. Sigma Theta Tau International. All rights reserved.
Define the current practice as it relates to the problem. Think about current policies and procedures. Observe practices. What do you see?
How was the problem identified?
Check all the statements that apply.
What are the PICO components?
P (patient, population, problem) e.g., age, sex, setting, ethnicity, condition, disease,
type of patient, or population
I (intervention) e.g., treatment, medication, education, diagnostic test, or best
practice(s)
C (comparison with other interventions or current practice for foreground
questions; is not applicable for background questions, which identify best practice)
Dang, D., & Dearholt, S. L. (2017). Johns hopkins nursing evidence-based practice : Model and guidelines. Sigma Theta Tau International.
Created from apollolib on 2022-07-11 21:22:25.
B
Question Development Tool
271
O (outcomes) stated in measurable terms; may be a structure, a process, or an
outcome measure based on the desired change (e.g., decrease in falls, decrease in
length of stay, increase in patient satisfaction)
Initial EBP question
A starting question (usually a background question) that is often refined and adjusted as the team searches through the literature:
â– â– 
â– â– 
Background questions are broad and are used when the team has little
knowledge, experience, or expertise in the area of interest. Background
questions are often used to identify best practices.
Foreground questions are focused, with specific comparisons of two or
more ideas or interventions. Foreground questions provide specific bodies
of evidence related to the EBP question. Foreground questions often flow
from an initial background question and literature review.
List possible search terms, databases to search, and search strategies.
Copyright © 2017. Sigma Theta Tau International. All rights reserved.
Using PICO components and the initial EBP question, list search terms. Terms can
be added or adjusted throughout the evidence search. Document the search terms,
search strategy, and databases queried in sufficient detail for replication.
What evidence must be gathered?
Check the types of evidence the team will gather based on the PICO and initial
EBP question.
Revised EBP question
Often, the question that you start with may not be the final EBP question. Background questions can be refined or changed to a foreground question based on
the evidence review. Foreground questions are focused questions that include specific comparisons and produce a narrower range of evidence.
Dang, D., & Dearholt, S. L. (2017). Johns hopkins nursing evidence-based practice : Model and guidelines. Sigma Theta Tau International.
Created from apollolib on 2022-07-11 21:22:25.
272 Johns Hopkins Nursing Evidence-Based Practice Question Development Tool
Measurement plan
Measures can be added or changed as the review of the literature is completed
and the translation planning begins:
â– â– 
Metrics let you know whether the change was successful. They have a
numerator and a denominator and are typically expressed as rates or
percent. For example, a metric for the measure falls-with-injury would be
the number of falls with injury (numerator) divided by 1,000 patient days
(denominator). Other examples of metrics include the number of direct
care RNs (numerator) on a unit divided by the total number of direct care
staff (denominator); the number of medication errors divided by 1,000
orders.
Copyright © 2017. Sigma Theta Tau International. All rights reserved.
â– â– 
A measure is an amount or a degree of something, such as number of falls
with injury. Each measure must be converted to a metric, which is calculated before and after implementing the change.
Dang, D., & Dearholt, S. L. (2017). Johns hopkins nursing evidence-based practice : Model and guidelines. Sigma Theta Tau International.
Created from apollolib on 2022-07-11 21:22:25.
C
Copyright © 2017. Sigma Theta Tau International. All rights reserved.
Stakeholder Analysis Tool
Dang, D., & Dearholt, S. L. (2017). Johns hopkins nursing evidence-based practice : Model and guidelines. Sigma Theta Tau International.
Created from apollolib on 2022-07-11 21:22:25.

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