Evaluation Table 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 find ...

1. Evaluation Table
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.

2. 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

3. 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

4. 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.
Levels of Evidence Table
Author and year of selected article

5. 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

6. 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.

7. Systematic guidelines would help to improve knowledge and
skill for implementing EBP
Outcomes Synthesis Table
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

8. 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

9. 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.
© 2018 Laureate Education Inc.
1