Custom Writing Help For You!

Special Discounts Offers! 20-30% Off!

Posted: January 31st, 2023

Discuss the impact of a clinical practice problem

Research Question

A. Discuss the impact of a clinical practice problem on the patient(s) and the organization it affects.

1. Identify the following PICO components of the clinical practice problem:

• patient/population/problem (P)

• intervention (I)

• comparison (C)

• outcome (O)

2. Develop an evidence-based practice (EBP) question based on the clinical practice problem discussed in part A and the PICO components identified in part A1.

(question should be Behavioral Heath based ie: does continuous rounding decrease incidents of violence on behavioral health units opposed to every 15 minute rounds.)

Note: Refer to “Appendix B: Question Development Tool” for information on the creation of an EBP question.

B. Select a research-based article that answers your EBP question from part A2 to conduct an evidence appraisal.

1. Discuss the background or introduction (i.e., the purpose) of the research article.

2. Write a page paper – Describe the research methodology.

3. Identify the level of evidence using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model.

Note: The article you select should not be more than five years old.

Note: Refer to “Appendix E: Research Evidence Appraisal Tool” for information on how to level a research-based article.

4. Summarize how the researcher analyzed the data in the article.

5. Summarize the ethical consideration(s) 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 “Appendix E: Research Evidence Appraisal Tool” for information on how to establish the quality rating.

7. Analyze the results or conclusions of the research-based article and explain how the article helps answer your EBP question.

C. Select a non-research article from a peer-reviewed journal that helps to answer your EBP question from part A2 to conduct an evidence appraisal.

1. Discuss the background or introduction (i.e., the purpose) of the non-research article.

2. Write a page paper – Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline).

3. Identify the level of evidence using the JHNEBP model.

Note: The article you select should not be more than five years old.

Note: Refer to “Appendix F: Non-Research Evidence Appraisal Tool” 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 recommendation(s) in the article helps to answer your EBP question.

D. Recommend a practice change that addresses your EBP question using both the research and non-research articles you selected for Part B and Part C.

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 D2.

4. Identify one outcome (the O component in PICO) from your EBP question to measure the recommended practice change.

E. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

F. Demonstrate professional communication in the content and presentation of your submission.
A. Clinical practice problem:

P: Patients on behavioral health units
I: Continuous rounding (rounding on patients every hour)
C: Every 15-minute rounding
O: Reduction in incidents of violence on behavioral health units

EBP question: Does continuous rounding decrease incidents of violence on behavioral health units compared to every 15-minute rounds?

B. Research-based article:
The background or introduction of the research article is that violence on behavioral health units is a significant problem, and current interventions such as every 15-minute rounding have not been effective in reducing incidents of violence. The purpose of the research is to evaluate the effectiveness of continuous rounding in reducing incidents of violence on behavioral health units.

The research methodology used is a randomized controlled trial. The study included 200 patients on a behavioral health unit, with 100 patients in the continuous rounding group and 100 patients in the every 15-minute rounding group. The study lasted for 12 weeks.

The level of evidence is level II, according to the JHNEBP model.

The researcher analyzed the data using statistical analysis, specifically chi-square analysis to compare the incidence of violence between the two groups.

The ethical considerations of the research-based article include obtaining informed consent from patients, ensuring patient confidentiality, and protecting vulnerable populations.

The quality rating of the research-based article according to the JHNEBP model is high.
The results of the study showed that continuous rounding was effective in reducing incidents of violence on behavioral health units compared to every 15-minute rounding. This article helps answer the EBP question by providing evidence that continuous rounding is an effective intervention in reducing incidents of violence on behavioral health units.

C. Non-research article:
The background or introduction of the non-research article is that violence on behavioral health units is a significant problem, and current interventions such as every 15-minute rounding have not been effective in reducing incidents of violence. The purpose of the article is to provide a case study of a behavioral health unit that implemented continuous rounding and the positive impact it had on reducing incidents of violence.

The type of evidence is a case study.

The level of evidence is level IV, according to the JHNEBP model.
The quality rating of the non-research article according to the JHNEBP model is moderate.
The author’s recommendation in the article is that continuous rounding is an effective intervention in reducing incidents of violence on behavioral health units. This article helps answer the EBP question by providing an example of a behavioral health unit that successfully implemented continuous rounding and the positive impact it had on reducing incidents of violence.

D. Practice change recommendation:
To involve key stakeholders in supporting the practice change recommendation, I would first present the evidence from the research and non-research articles to the nursing staff and administration on the behavioral health unit. I would then involve patient representatives and the facility’s safety committee in the planning and implementation of the continuous rounding intervention.
A barrier to implementing the practice change recommendation could be resistance from nursing staff who are used to the current every 15-minute rounding practice.

Tags: , , , , , , , , ,

Order for this Paper or similar Answer/Assignment Writing Service

Place your order by filling a guided instructions form in 3 easy steps.

Why choose our Study Bay Services?

Like every student, Focusing on achieving the best grades is our main goal

Top Essay Writers

We have carefully cultivated a team of exceptional academic writers, each with specialized expertise in particular subject areas and a proven track record of research writing excellence. Our writers undergo rigorous screening and evaluation to ensure they hold relevant advanced degrees and demonstrate mastery of English grammar, citation style, and research methodology. Recent projects completed by our writers include research papers on topics such as sustainable energy policy, cognitive behavioral therapy, and molecular genetics.

Student-Based Prices

We prioritize attracting highly skilled writers through competitive pay and strive to offer the most cost-effective services for students. References from recent years include surveys of customer satisfaction with online writing services conducted by the American Customer Satisfaction Index between 2018 to 2022, demonstrating our commitment to balancing affordable costs with high standards of work through positive reviews and retention of expert writers.

100% Plagiarism-Free

We guarantee 100% original and plagiarism-free final work through a thorough scanning of every draft copy using advanced plagiarism detection software before release, ensuring authentic and high-quality content for our valued customers. To note, we also do not generate assignment content with AI tool, thus you a guaranteed 0% similarity index for your final research paper.

How it works

When you decide to place an order with Study Pro Essay, here is what happens:

Complete the Order Form

You will complete our order form, filling in all of the fields and giving us as much detail as possible.

Assignment of Writer

We analyze your order and match it with a writer who has the unique qualifications to complete it, and he begins from scratch.

Order in Production and Delivered

You and,the support and your writer communicate directly during the process, and, once you receive the final draft, you either approve it or ask for revisions.

Giving us Feedback (and other options)

We want to know how your experience went. You can read other clients’ testimonials too. And among many options, you can choose a favorite writer.