Assignment: Evidence-Based Project, Part 5: Recommending an Evidence-Based Practice Change

Full citation of selected article

Article #1

Article #2

Article #3

Article #4

Melnyk, B. M. (2018). Arcc: An Evidence-Based System-Wide Model for Implementation and Sustainability of Evidence-Based Practice.

Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice step by step: Critical appraisal of the evidence: part I. AJN The American Journal of Nursing, 110(7), 47-52.

Williamson, K. M. (2009). Evidence-based practice: Critical appraisal of qualitative evidence. Journal of the American Psychiatric Nurses Association, 15(3), 202-207.

Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice, step by step: Critical appraisal of the evidence Part III. AJN The American Journal of Nursing, 110(11), 43-51.

Conceptual Framework

Describe the theoretical basis for the study

This study aimed at implementing the ARCC Model to implement and sustain the use of evidence-based practices in healthcare.

This study used a step-by-step approach to provide guidelines on the effective implementation of EBP in the healing contexts.

This study used the Grounded theory to develop new categories and integrate them into the data.

This study used a step-by-step approach to provide guidelines on the effective implementation of EBP in the healing contexts.

Design/Method Describe the design

and how the study

was carried out

This article used multiple studies to support the ARCC Model. These resources used descriptive correlational, psychometric, randomized controlled and quasi-experimental designs.

This study used the qualitative methods to conduct a critical appraisal of evidence

The article used a qualitative design to explore different concepts and experiences.

This study used the qualitative methods to conduct a critical appraisal of evidence

Sample/Setting

The number and

characteristics of

patients,

attrition rate, etc.

The resources used in the article had different sample sizes that mainly consisted of nurses.

The study did not have a definitive sample but it focused mainly on nurses.

This article used a sample size of about 50 participants that mainly consisted of nurses.

The study did not have a definitive sample but it focused mainly on nurses.

Major Variables Studied

List and define dependent and independent variables

Independent: ARCC Model

Dependent: EBP care

Independent: Evidence-based practice

Dependent: Nursing profession

Independent: Evidence-based practice

Dependent: Qualitative evidence

Independent: Evidence-based practice

Dependent: Nursing profession

Measurement

Identify primary statistics used to answer clinical questions

Sustainability of Evidence-Based Practice

Critical appraisal of the evidence

Critical appraisal of qualitative evidence

Critical appraisal of the evidence

Data Analysis

Statistical or

qualitative

findings

Qualitative findings

Qualitative findings

Qualitative findings

Qualitative findings

Findings and Recommendations

General findings and recommendations of the research

Implementing the ARCC Model helps to improve overall quality of care.

Nurses require adequate knowledge and skills for consistent implementation of EBP.

Critical appraisal helps to determine the reliability, validity, and usefulness of healing approaches.

Nurses should create environments of care and supportive organizational culture to improve patient outcomes.

Appraisal

Describe the general worth of this research to practice. What are the strengths and limitations of study? What are the risks associated with implementation of the suggested practices or processes detailed in the research? What is the feasibility of

use in your practice?

The appraisal shows that the article provides substantial evidence and models that would improve nursing practice.

The appraisal shows that the article provides effective guidelines for implementing EBP in nursing.

The appraisal shows that the article provides effective guidelines for critical appraisal of qualitative evidence in nursing.

The appraisal shows that the article provides effective guidelines for implementing EBP in nursing.

General Notes/Comments

Nurses should use the article as a source of reference

The document provides crucial guidelines for improving patient care

The article would help physicians to evaluate and understand research evidence.

Nurses should borrow the conceptual and practical guidelines from the study to improve their practice.

Author and year of selected article

Article #1

Article #2

Article #3

Article #4

Melnyk, B. M. (2018). Arcc: An Evidence-Based System-Wide Model for Implementation and Sustainability of Evidence-Based Practice.

Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice step by step: Critical appraisal of the evidence: part I. AJN The American Journal of Nursing, 110(7), 47-52.

Williamson, K. M. (2009). Evidence-based practice: Critical appraisal of qualitative evidence. Journal of the American Psychiatric Nurses Association, 15(3), 202-207.

Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice, step by step: Critical appraisal of the evidence Part III. AJN The American Journal of Nursing, 110(11), 43-51.

Study Design

Theoretical basis for the study

ARCC Model

A step-by-step approach

Grounded theory

A step-by-step approach

Sample/Setting

The number and

characteristics of

patients

The article used different sample sizes that mainly consisted of nurses.

The study did not have a definitive sample but it focused mainly on nurses.

This article used a sample size of about 50 participants that mainly consisted of nurses.

The study did not have a definitive sample but it focused mainly on nurses.

Evidence Level *

(I, II, or III)

Level II

Level IV

Level III

Level IV

Outcomes

Improvement in overall quality of care.

Development of adequate knowledge and skills for consistent implementation of EBP.

Improved skills to determine the reliability, validity, and usefulness of healing approaches.

Development of adequate knowledge and skills for consistent implementation of EBP.

General Notes/Comments

ARCC Model is sufficient for improving the quality of care

Systematic guidelines would help to improve knowledge and skill for implementing EBP

Grounded theory would help in comprehensive evaluation of different healing approaches.

Systematic guidelines would help to improve knowledge and skill for implementing EBP

Author and year of selected article

Article #1

Article #2

Article #3

Article #4

Melnyk, B. M. (2018). Arcc: An Evidence-Based System-Wide Model for Implementation and Sustainability of Evidence-Based Practice.

Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice step by step: Critical appraisal of the evidence: part I. AJN The American Journal of Nursing, 110(7), 47-52.

Williamson, K. M. (2009). Evidence-based practice: Critical appraisal of qualitative evidence. Journal of the American Psychiatric Nurses Association, 15(3), 202-207.

Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice, step by step: Critical appraisal of the evidence Part III. AJN The American Journal of Nursing, 110(11), 43-51.

Sample/Setting

The number and

characteristics of

patients

The article used different sample sizes that mainly consisted of nurses.

The study did not have a definitive sample but it focused mainly on nurses.

This article used a sample size of about 50 participants that mainly consisted of nurses.

The study did not have a definitive sample but it focused mainly on nurses.

Outcomes

Improvement in overall quality of care.

Development of adequate knowledge and skills for consistent implementation of EBP.

Improved skills to determine the reliability, validity, and usefulness of healing approaches.

Development of adequate knowledge and skills for consistent implementation of EBP.

Key Findings

EBP environments help to provide support, encouragement, , and sustainable care systems

Observation of systematic guidelines would help in efficient implementation of EBP

Qualitative evidence provides physicians with advanced appraisal skills that influence improved patient outcomes.

Observation of systematic guidelines would help in efficient implementation of EBP

Appraisal and Study Quality

Appraisal and study are of sufficient quality

Appraisal and study are of sufficient quality

Appraisal and study are of sufficient quality

Appraisal and study are of sufficient quality

General Notes/Comments

The article provides crucial information about the implementation of EBP

Study gives crucial guidelines for implementing EBP in healthcare

Critical appraisal of qualitative evidence helps improve the quality of nursing practice

Nurses should observe guidelines to eliminate issues when implementing EBP.