Nursing paper

NU471 Evidence Based Practice Paper Rubric

Student name: _____________________________________________________________________

Topic/Title of paper: ________________________________________________________________

Points: ________/135 points

Part one of the EBP paper:

First, identify a clinical problem. Then, find an evidence-based change in nursing practice to make improvement.

Find 2 background articles that describe the population and current situation (professional literature, within last 10 years). Literature reviews and meta-analyses may be used for background articles.

Find 5 supportive evidence articles. These must be original research articles that support your intervention. Professional literature, at least 3 pages long, original research studies within the last 10 years. NO editorials or opinion articles.

First section of article is a review of each supportive evidence article, followed by a summary of that total research.

Part two of the EBP paper:

The next section is a plan to implement your intervention into a specific clinical unit. This plan should be specific and detailed enough that anyone could take it to the unit and actually make it happen as written. Must involve a change in nursing practice that will include nursing staff.

You are writing a clinical change in practice, NOT a research study! No control group. The change will be implemented for all eligible patients within the unit. You will collect data before and after the intervention to compare and determine if outcomes were met.

PICO worksheet must be submitted in the dropbox by the due date. If you are not sure if an article is appropriate please check with the professor prior to writing your EBP paper. Faculty will not approve articles submitted within 1 week of paper deadline.

Students are allowed one pre-read which must be submitted by no later than 1 week prior to the due date for the paper.

Critical Attributes

Excellent 100%-90%

Rare Errors

Satisfactory 89%-75%

Occasional Errors

Needs Improvement

74%-0%

Frequent Errors

Part 1:

I. Introduction and relevance to nursing practice

10 points

10-9 points

Describe the nursing problem and the specific setting where the problem exists.

Reference at least 2 background articles.

Identify the intervention or evidence-based guidelines that will be implemented to address the problem.

Include the clinical question in PICO format. 2 specific, measureable outcomes are identified.

8-5 points

Describes the problem but does not mention the specific setting where the problem exists.

Identifies only 1 background reference.

Identifies in vague terms the intervention that will be implemented.

Part of PICO question absent.

4-0 points

Problem not clearly stated and specific setting not mentioned.

No background articles referenced.

Intervention not mentioned in introduction.

PICO question not present or missing 2 or more components.

II. Supportive evidence

30 points

30-25 points

Five original relevant research articles referenced.

When referencing the articles:

Includes the author and year.

If using a direct quote also includes page number as well as the author and year. Every paragraph has a reference noted.

Each article is identified as to if qualitative or quantitative research, a brief summary of the article including sample size, how the research was conducted and how the intervention was measured. Includes the results including limitations. Discusses the quality of the study as it relates to intervention.

At the end of the supportive evidence section includes a summary of all articles. This section should synthesize information from the 7 articles and sources must be cited.

24-15 points

Four original relevant research articles referenced.

When referencing the articles:

Includes the author and year on most references.

If using a direct quote does not include page numbers as well as the author and year. Most paragraphs have a reference noted.

Most articles are identified as to if qualitative or quantitative research, a brief summary of the article including sample size, how the research was conducted and how they measured their intervention. Includes the results including limitations. Discusses the quality of the study as it relates to intervention.

At the end of the supportive evidence section summary of articles is vague or summarizes the problem but not the interventions in research.

14-0 points

Three or less original relevant research articles referenced.

When referencing the articles:

Includes the author and year on some or none of the references.

If using a direct quote does not include page numbers as well as the author and year. Most paragraphs not referenced

Some to none of the articles are identified as to if qualitative or quantitative research, a brief summary of the article including sample size, how the research was conducted and how they measured the intervention. Missing the results and/or the limitations. No discussion of the quality of the study or how it relates to the intervention. Or articles are not relevant to the intervention/problem identified.

Summary of supportive evidence section is missing.

Part 2

III Implementation potential (unfreezing)

20 points

20-16 points

Addresses transferability of the intervention or guidelines to the practice setting

Discusses the feasibility of implementing the intervention including the costs vs. benefits, the specific team who will lead the intervention and their roles.

Identifies barriers to implementing the intervention and solutions how these will be addressed

15-10points

Addresses transferability of the intervention or guidelines to the practice setting but fails to give specific information so reader can see feasibility of intervention.

Discusses implementing the intervention including the costs vs. benefits in a vague manner, Identifies the team but does not identify their role in the intervention implementation. Or the team is too large for the proposed change.

Identifies some barriers to implementing the intervention and limited solutions/how these will be addressed.

9-0 points

No transferability of the intervention or guidelines to the practice setting is addressed.

Discusses the feasibility of implementing the intervention in vague terms. Does not address the costs vs. benefits, the specific team who will lead the intervention and their roles.

Identifies only one or no barriers to implementing the intervention or fails to address possible solutions/how these will be addressed

IV Development and implementation (movement)

20 points

20-16 points

Discusses training and education of staff, patients, families, and any other relevant groups. Specifically identifies what the education will include and method of instruction (ie: written, role playing, video, etc.)

Describes an overall plan for implementing the intervention or guidelines in the practice setting in detail.

Identifies strategies for marketing the change as needed.

Client preference is identified and addressed if client wishes to opt out.

15-10 points

Discusses training and education of some but not all relevant people affected by the change. Education is vague and lacks detail or is the exact same for all groups involved or doesn’t include the method of instruction.

Overall plan for implementing the intervention or guidelines in the practice setting is vague and missing portions.

Limited strategies for marketing the change are included.

States client preference if chooses to opt out, but no strategies to address this included in paper.

9-0 points

No or limited discussion of training and education. Or education not addressed for all involved or doesn’t include the method of instruction.

Overall plan for implementing the intervention or guidelines in the practice setting is missing large portions or too vague to understand how the intervention would be implemented. Or the intervention chosen is not a nursing intervention but would require a doctor’s order or is a product.

No or minimal strategies for marketing the change are included.

Client preferences and strategies to address are not included.

V Evaluation (refreezing)

10 points

10-8 points

Describes how the intervention will be measured referring back to the expected outcomes in the PICO question.

Includes a guideline for the time frame for the intervention as well as includes a discussion of the timeline, the methods used to collect the data, including in the appendix a sample of the tool used if appropriate.

States who is responsible for collecting and analyzing data. Evaluation tool developed if necessary. Explains how costs vs benefits will be evaluated

7-5 points

Describes in vague terms how the intervention will be measured. Evaluations only part of the expected outcomes from the PICO question. No time frame for the intervention to be evaluated is included or how the intervention will be evaluated is vague and doesn’t adequately evaluate the expected outcomes.

No sample of the tool used if appropriate or evaluation tool not well-developed if necessary.

Explanation of how costs vs benefits vague.

4-0 points

Expected outcomes from PICO question not evaluated or evaluated in such vague terms hard to decipher what is being evaluated.

No evaluation tool identified or described.

Timeline for on-going evaluation not present. Explanation of how costs vs benefits absent

VI. Conclusion/Summary

10 points

10-9 points

Key points of the whole paper as well as the implementation summarized in a concise manner.

An overview of the research utilization or EBP project well-summarized

8-5 points

Summary is vague and doesn’t address either the research or the intervention that was discussed for implementation.

4-0 points

Unclear summary of intervention or introduces new information into the summary or no summary present.

Include this with part 1 of paper-should be emailed to professor

VII. Reference List

10 points

10-9 points

Uses at least five professional research articles. (articles that support the intervention for the specific problem)

At least two background references (these articles address/describe the problem that has led to the proposed suggested intervention)

Used APA formatting in the reference list

Only articles that are cited in the paper are included on the reference paper.

Research articles are from an approved country (USA, Canada, England, Sweden, Germany, Australia, Denmark, Ireland, Wales, Spain, Japan)

References are current (within last 5 - 10 years).

References are Primary sources.

8-5 points

Uses four professional research articles. (articles that support the intervention for the specific problem)

Only one background reference used (these articles address/describe the problem that has led to the proposed suggested intervention) or article is not a reference or an approved article.

Some APA formatting in the reference list.

Extra articles that are not cited in the paper are included on the reference paper or references are missing from the reference page.

Some articles are from a country not on the approved list (,Russia, some countries in South America, Africa, Iran, Iraq, Saudia Arabia, North or South Korea-unless prior approval given)

References are older than 10-15 years.

References are secondary sources.

4-0 points

Uses three or less professional research articles. (articles that support the intervention for the specific problem)

No background reference used (these articles address/describe the problem that has led to the proposed suggested intervention) or article is a lay article or not an approved article. Research is from a country not approved to use in paper.

Sources not cited using APA format in the reference list.

Articles/references are missing from the reference page.

All articles are from a country not approved (Russia, some countries in South America, Africa, Iran, Iraq, Saudia Arabia, North or South Korea-unless prior approval given)

References are older than 15 years.

References are secondary sources or lay sources.

Category

Excellent 100%-90%

Rare Errors

Satisfactory 89%-75%

Occasional Errors

Needs Improvement 74%-0%

Frequent Errors

CLARITY

5 Points APA pp. 65-70

GRAMMAR

5 Points APA pp.78-79,87-96, 106-114

Clear, concise sentences throughout the paper.

Clear, concise sentences throughout most of the paper.

Frequent unclear sentences.

Sentence structure is grammatically correct (e.g. avoids incomplete or run on sentences).

Occasional errors in sentence structure.

Frequent errors in sentence structure.

Referent of pronoun is clear. Singular noun (student) in agreement with pronoun (she or he).

Referent of pronoun is almost always clear. Singular noun (student) in agreement with pronoun (she or he).

Frequent unclear use of pronoun. Singular noun (student) used with plural pronoun (they).

Fully developed focused paragraphs that transition smoothly. Paragraphs are understood with first reading and are of appropriate length.

Occasional passage or paragraph unfocused, difficult to understand with first reading or of inappropriate length. Lack of transition in a few areas.

Many areas not understood with first reading. Paragraphs are frequently inappropriate in length and/or have more than one focus. Lack of transition in many areas.

Spells out abbreviations and acronyms with first use.

Occasional use of abbreviations and acronyms without spelling out on first use.

Frequent use of abbreviations and acronyms without spelling out on first use.

Rare errors in punctuation.

Occasional errors in punctuation.

Frequent errors in punctuation.

Rare errors in spelling.

Occasional errors in spelling.

Frequent errors in spelling.

Rare errors in capitalization.

Occasional errors in capitalization.

Frequent errors in capitalization.

Rare errors in use of numbers (spells numbers zero to nine and at beginning of sentence).

Occasional errors in use of number/words.

Frequent errors in use of numbers/words.

VOICE

5 Points

APA pp.73-76

Writing consistently engages the reader, uses appropriate tone for audience.

Writing is clear and tone is appropriate for audience throughout most of paper.

The writing style is superficial, cursory, or oversimplified.

Writing reflects respect for client or participant and reader. Favors terms such as “person with diabetes” rather than “diabetic”.

Occasional use of language that labels persons.

Use of biased language that is patronizing or offensive.

Uses both first and third person voice appropriately. Uses active voice rather than passive voice. Avoids the use of ‘you’ or ‘your’.

Appropriate use of both first and third person voice with occasional errors. Uses active rather than passive voice.

Frequent errors in use of first or third person voice or passive over active voice.

Avoids use of potentially identifying information such as names, client initials, dates of care, institutions/units.

Uses unnecessary details such as client initials, institution or date.

Uses a combination of potentially identifying information such as names, client initials, dates and institution/unit.

SCORE

Category

Excellent 100%-90%

Rare Errors

Satisfactory 89%-75%

Occasional Errors

Needs Improvement 74%-0%

Frequent Errors

APA ELEMENTS

10 Points

Uses appropriate format for paper including running head, title, page numbers, 12 font Times New Roman, spacing, margins and required headings (course specific). APA p. 23 and p. 62

Occasional errors in format for paper including running head, title, page numbers, font, Times New Roman, spacing, margins and headings (course specific).

Frequent errors in APA format.

Uses appropriate in-text citations.

APA p. 92, pp. 112-114,

Occasional in-text citation errors.

Frequent errors in-text citations.

Meets reference page requirements. APA pp 174-179, 198-215

Occasional errors in reference page requirements.

Frequent errors in reference page requirements.

All sources cited in text are included on reference page. All sources on reference page are cited in the body of the paper.

Reference list is missing one source cited in the paper or includes one source that was not cited in the paper.

Reference list is missing more than one source cited in the paper and/or includes more than one source that was not cited in the paper.

Appropriate use of direct quotes (course specific).

Over-use of direct quotes.

Excessive use of direct quotes.

SCORE

Paper Requirements

Title page requirements

(APA p. 23)

Body of paper requirements

(APA p. 62, pp. 228 - 230

Headings

(APA pp. 62-63)

Reference page requirements

**List is NOT all inclusive

(APA pp. 174 – 179, 198 – 215)

· Running head: TITLE OF PAPER (font Times New Roman)

· Page number 1 inch in upper right

· 1 inch margins

· Times New Roman

· 12 font

· Double spaced

· Title/Author/Affiliation

· Date/Course Number

· TITLE OF PAPER

· Flush upper left as running head

· Page number

· Consecutively numbered starting with 2 in upper right hand corner

· Times New Roman

· 12 font

· Left justified

· Double spaced

· 1 inch margins

· Single sided

· Follows paper length guidelines (course specific)

Headings follow a top-down progression; begin with the highest level of heading. A paper’s introduction does not carry a heading (p.63). Headings should not be labeled with numbers or letters. A minimum of two levels of heading is preferred.

· Title of paper as the running head and page number continues on reference page

· References

· As title, centered on page

· Double spaced

· No double-double space between references

· References are alphabetized by surname of first author or by first significant word of organizations name

· Last name is followed by a comma then the authors first name initial only.

· Article title upper/lowercase capitalizing only the first word and first word after colon

· Page numbers need to be present for articles

· doi present when available

· Hanging indent after first line of source

· Italics for book title, journal title and journal volume number (if given)

·

·

Level of Heading

Format

·

·

1

Centered, Boldface, Uppercase and Lowercase Heading

·

·

2

Flush Left, Boldface, Uppercase and Lowercase Heading

·

·

3

Indented, boldface, lowercase paragraph heading ending with a period.

·

·

4

Indented, boldface, italicized, lowercase paragraph heading ending with period.

·

·

5

Indented, italicized, lowercase paragraph heading with a period.

· Papers must be submitted by due date.  Extensions will be given only in extreme circumstances. Failure to submit a formal paper will result in failure of a course.

· Ten percent of the total points per day can be deducted for papers submitted late without a proper extension. These points cannot be earned if the paper is rewritten. If this deduction causes the overall score to fall below 75%, the paper may not be rewritten.

· Faculty will require students to rewrite any paper scoring less than 75%. 

· No more than 75% can be earned on any paper requiring resubmission and only one submission will be accepted.

· The paper must be rewritten to meet all the specifications of the satisfactory column in the rubric to earn 75% of the points.  If the rewritten work does not meet all the specifications of the satisfactory column on the rubric, the student will earn the grade on the initial submission. 

· Papers achieving 75% or more may not be rewritten.

· The rewritten paper will be posted on the portfolio.  Due dates for rewrites will be determined by faculty on an individual basis.