Highlights
You will integrate your knowledge and understanding of concepts and principles related to evidence-based practice and contextualise this to an inconsistent clinical practice that you have observed, or a clinical issue or local health need.Specifically, you will define a problem, identify a need for change, and demonstrate an understanding of significance of the problem or issue to nursing
knowledge and practice reality.
1. Identify and discuss an inconsistent or little-known approach to clinical practice, a clinical issue or local health need, or a controversial policy that you wish to investigate, to determine whether it is based on
evidence, tradition or misconception (What is the problem?).
2. Summarise the context for the clinical practice or health policy you wish to investigate.
3. Justify and support your rationale for selecting this area of concern to investigate and identify a need for change (What is the significance of the problem? Why do we need to do something about it?)
4. Then, express this area of concern as a searchable question using the PICO (or other) format. Identify the domain in which your question fits and the best design to answer the question.
5. Formulate a search strategy using relevant key search terms and search for the best available evidence to answer your searchable question. Attach a one-page printout of your search history as an appendix.
6. Identify five (5) – 10 (ten) research articles that represent the best available evidence to address your question about the inconsistent/little known practice, policy, or issue. For each article, identify its place on a hierarchy of evidence (e.g. JBI, NHMRC). Attach a one-page evidence summary table containing the relevant details from each article.
7. Justify and support your rationale for choosing each article, addressing the PICO terms and question domain. Note: One of these articles MUST be a systematic review or an evidence-based guideline that you will use in part 2 of this assessment.
What you need to do: Part 2. – Evidence Report
You will synthesise the body of research knowledge. Then, you will apply standards/criteria for review and evaluation of the state of the research to critically appraise the highest level of evidence in the topic area that is relevant to your clinical question. Finally, you will formulate recommendations for practice and research and present your argument for change into an evidence summary report.
1. Synthesise the body of evidence from the five to ten research articles you found ending a discussion with your conclusion or ‘bottom line” about what the evidence tells us.
2. Identify the evidence that is the highest level of evidence addressing the PICO question. Justify and support your rationale as to why this is the best evidence and how it addresses your PICO question.
3. Identify and select an appropriate tool to appraise the evidence.
4. Critically appraise the highest level of evidence relevant to your chosen clinical practice or health policy. Justify and support your rationale for your appraisal findings.
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