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Develop a project proposal using
evidence-based practice
Identifying principle methods to conduct
research using evidence-based practice
The specific purposes of Evidence-Based Nursing are:
To identify, using predefined criteria, the best quantitative and qualitative
original and review articles on the meaning, cause, course, assessment,
prevention, treatment, or economics of health problems managed by nurses
and on quality assurance
To summaries this literature in the form of “structured abstracts” that
describe the question, methods, results, and evidence-based conclusions of
studies in a reproducible and accurate fashion
To provide brief, highly expert comment on the context of each article, its
methods, and clinical applications that its findings warrant
To disseminate the summaries in a timely fashion to nurses.
Ability of evidence-based practice to gain access to new
ideas and thinking, find solutions, opportunities to
develop practice, service provision, positive outcomes,
integrated workforce
BASIC CRITERIA
 Original or review articles
 In English
 Quantitative and qualitative studies
 About topics that are important to the clinical practice of nurses in any setting
 Analysis of each article is consistent with the study question.
QUANTITATIVE STUDIES
 Studies of prevention or treatment must meet these additional criteria
 Studies of assessment (screening or diagnosis) must meet these additional
criteria
 Studies of prognosis must meet these additional criteria
 Studies of causation must meet these additional criteria
 Studies of quality improvement or continuing education must meet these
additional criteria
 Studies of the economics of healthcare programmes or interventions must
meet these additional criteria
 Clinical prediction guides must meet these additional criteria
 Review articles must meet these additional criteria
QUALITATIVE STUDIES
Content reflects the phenomenon of interest from the
perspective of people experiencing it
Data collection methods are appropriate for qualitative
data
Analyses are appropriate for qualitative data.
Primary research methods used for an
evidence-based practice approach
Elements of the process of developing
the project proposal
 To be successful, project proposal should perform
the following:
show that you understand what the client is
looking for
prove that you are the best person for the tasks at
hand
convince the prospect that either they can afford
you or they cannot afford not to hire you
project proposal should have the
following key elements
 1. Client’s Requirements and Goals
 2. Tasks Involved and Your Fee for Each
 3. Breakdown of Each Task with Costs
 4. Delivery Schedule
 5. Work Process
 6. Mode of Payment
 7. Samples or Proof That You Can Do the Job
 8. Clear Indication of the Next Steps
 9. Invoice for First Payment
 10. Contact Information
Identifying suitable title and research
questions using one of the Practice Themes
 brainstorm for ideas
 choose a topic that will enable you to read and understand the
literature
 ensure that the topic is manageable and that material is available
 make a list of key words
 be flexible
 define your topic as a focused research question
 research and read more about your topic
 formulate a thesis statement
What is a research question?
A research question is the question around which you center your research. It
should be:
clear: it provides enough specifics that one’s audience can easily understand
its purpose without needing additional explanation.
focused: it is narrow enough that it can be answered thoroughly in the space
the writing task allows.
concise: it is expressed in the fewest possible words.
complex: it is not answerable with a simple “yes” or “no,” but rather
requires synthesis and analysis of ideas and sources prior to composition of an
answer.
arguable: its potential answers are open to debate rather than accepted
facts.
Considering potential impact of
research, using evidence-based-practice
 Value and reasons for evidence-
based practice.
 Nursing research is important
because it leads to an increase
in knowledge about
nursing practice, administration
and education
 This integration of knowledge
and experience leads to better
patient outcomes, safer, more
efficient and effective care.
 It's important for student
nurses to learn the value of
evidence-based practice, in
order to provide high-quality
care.
 It is never too early. EBP is a
based on research, evidence
on best practices, and the
consideration of individual
patient's needs, preferences
Identifying potential participants or sample
Ethical considerations
SOURCES OF ETHICAL ISSUSES:
THE RESEARCH PROBLEM ITSELF
SETTINGS
PROCEDURE
METHODS OF DATA COLLECTION
PARTICIPANTS
DATA
Developing a timeline for research
 https://www.uidaho.edu/~/media/UIdaho-Responsive/Files/class/general-college/research/Web-Visual-Tim
 https://www.apu.edu/library/downloads/guide_researchprocess.pdf
Presenting potential evidence-based
practice study to an audience
Steps of Evidence-Based Practice
Knowledge creation and distillation 
Diffusion and dissemination 
End user adoption, implementation, and
institutionalization 

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Project proposal and methods used

  • 1. LO3 Develop a project proposal using evidence-based practice
  • 2. Identifying principle methods to conduct research using evidence-based practice The specific purposes of Evidence-Based Nursing are: To identify, using predefined criteria, the best quantitative and qualitative original and review articles on the meaning, cause, course, assessment, prevention, treatment, or economics of health problems managed by nurses and on quality assurance To summaries this literature in the form of “structured abstracts” that describe the question, methods, results, and evidence-based conclusions of studies in a reproducible and accurate fashion To provide brief, highly expert comment on the context of each article, its methods, and clinical applications that its findings warrant To disseminate the summaries in a timely fashion to nurses.
  • 3. Ability of evidence-based practice to gain access to new ideas and thinking, find solutions, opportunities to develop practice, service provision, positive outcomes, integrated workforce BASIC CRITERIA  Original or review articles  In English  Quantitative and qualitative studies  About topics that are important to the clinical practice of nurses in any setting  Analysis of each article is consistent with the study question.
  • 4. QUANTITATIVE STUDIES  Studies of prevention or treatment must meet these additional criteria  Studies of assessment (screening or diagnosis) must meet these additional criteria  Studies of prognosis must meet these additional criteria  Studies of causation must meet these additional criteria  Studies of quality improvement or continuing education must meet these additional criteria  Studies of the economics of healthcare programmes or interventions must meet these additional criteria  Clinical prediction guides must meet these additional criteria  Review articles must meet these additional criteria
  • 5. QUALITATIVE STUDIES Content reflects the phenomenon of interest from the perspective of people experiencing it Data collection methods are appropriate for qualitative data Analyses are appropriate for qualitative data.
  • 6. Primary research methods used for an evidence-based practice approach
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  • 14. Elements of the process of developing the project proposal  To be successful, project proposal should perform the following: show that you understand what the client is looking for prove that you are the best person for the tasks at hand convince the prospect that either they can afford you or they cannot afford not to hire you
  • 15. project proposal should have the following key elements  1. Client’s Requirements and Goals  2. Tasks Involved and Your Fee for Each  3. Breakdown of Each Task with Costs  4. Delivery Schedule  5. Work Process  6. Mode of Payment  7. Samples or Proof That You Can Do the Job  8. Clear Indication of the Next Steps  9. Invoice for First Payment  10. Contact Information
  • 16. Identifying suitable title and research questions using one of the Practice Themes  brainstorm for ideas  choose a topic that will enable you to read and understand the literature  ensure that the topic is manageable and that material is available  make a list of key words  be flexible  define your topic as a focused research question  research and read more about your topic  formulate a thesis statement
  • 17. What is a research question? A research question is the question around which you center your research. It should be: clear: it provides enough specifics that one’s audience can easily understand its purpose without needing additional explanation. focused: it is narrow enough that it can be answered thoroughly in the space the writing task allows. concise: it is expressed in the fewest possible words. complex: it is not answerable with a simple “yes” or “no,” but rather requires synthesis and analysis of ideas and sources prior to composition of an answer. arguable: its potential answers are open to debate rather than accepted facts.
  • 18. Considering potential impact of research, using evidence-based-practice  Value and reasons for evidence- based practice.  Nursing research is important because it leads to an increase in knowledge about nursing practice, administration and education  This integration of knowledge and experience leads to better patient outcomes, safer, more efficient and effective care.  It's important for student nurses to learn the value of evidence-based practice, in order to provide high-quality care.  It is never too early. EBP is a based on research, evidence on best practices, and the consideration of individual patient's needs, preferences
  • 20. Ethical considerations SOURCES OF ETHICAL ISSUSES: THE RESEARCH PROBLEM ITSELF SETTINGS PROCEDURE METHODS OF DATA COLLECTION PARTICIPANTS DATA
  • 21. Developing a timeline for research  https://www.uidaho.edu/~/media/UIdaho-Responsive/Files/class/general-college/research/Web-Visual-Tim  https://www.apu.edu/library/downloads/guide_researchprocess.pdf
  • 22. Presenting potential evidence-based practice study to an audience Steps of Evidence-Based Practice Knowledge creation and distillation  Diffusion and dissemination  End user adoption, implementation, and institutionalization 

Editor's Notes

  1. QUANTITATIVE STUDIES Studies of prevention or treatment must meet these additional criteria: Random allocation of participants to comparison groups Follow up (end point assessment) of ⩾80% of those entering the investigation Outcome measure of known or probable clinical importance. Studies of assessment (screening or diagnosis) must meet these additional criteria: Inclusion of a spectrum of participants, some, but not all of whom, have the condition of interest Objective diagnostic (“gold”) standard (eg, central venous pressure) or current clinical standard for diagnosis (eg, sphygmomanometer reading for hypertension), preferably with documentation of reproducible criteria for subjectively interpreted diagnostic standard (ie, report of statistically significant measure of agreement beyond chance among observers) Each participant must receive both the new test and some form of the diagnostic standard Interpretation of diagnostic standard without knowledge of test result Interpretation of test without knowledge of diagnostic standard result. Studies of prognosis must meet these additional criteria: Inception cohort (first onset or assembled at a uniform point in the development of a condition or disease) of individuals, all initially free of the outcome of interest Follow up of ⩾80% of participants until the occurrence of a major study endpoint or to the end of the study. Studies of causation must meet these additional criteria: Observations concerning the relation between modifiable exposures and putative clinical outcomes Prospective data collection with clearly identified comparison group(s) for those at risk of, or having, the outcome of interest (in descending order of preference, from randomised controlled trials, quasi-randomised controlled trials, non-randomised controlled trials, cohort study with case by case matching or statistical adjustment to create comparable groups, or nested case control studies) Blinding (masking) of observers of outcome to exposure (criterion assumed to be met if outcome is objective, eg, all cause mortality or self administered psychometric test) Studies of quality improvement or continuing education must meet these additional criteria: Random allocation of participants or units to comparison groups Follow up of ⩾80% of participants Outcome measure of known or probable clinical importance. Studies of the economics of healthcare programmes or interventions must meet these additional criteria: The economic question must compare alternative courses of action Alternative diagnostic or therapeutic services or quality assurance activities must be compared on the basis of both the outcomes produced (effectiveness) and resources consumed (costs) Evidence of effectiveness must be from a study (or studies) of real (not hypothetical) patients, which meets the criteria for treatment, assessment, quality assurance, or a review article Results should be presented in terms of the incremental or additional costs and outcomes of one intervention over another Where there is uncertainty in the estimates or imprecision in the measurement, a sensitivity analysis should be done. Clinical prediction guides must meet these additional criteria: The guide must be generated in ⩾1 set of real (not hypothetical) patients (training set) The guide must be validated in an independent set of real patients (test set) The guide must pertain to treatment, assessment, prognosis, or causation. Review articles must meet these additional criteria: A clear statement of the clinical topic being reviewed A clear description of the sources and methods for identifying articles Specification of the inclusion and exclusion criteria for selecting articles for detailed review ⩾ 1 article in the review must meet the above noted criteria for treatment, assessment, prognosis, causation, quality assurance, or economics of healthcare programmes.
  2. QUALITATIVE STUDIES Content reflects the phenomenon of interest from the perspective of people experiencing it Data collection methods are appropriate for qualitative data Analyses are appropriate for qualitative data. These criteria are subject to modification if, for example, it becomes feasible to apply higher standards that increase the validity and applicability of studies for clinical practice. The objective of Evidence-Based Nursing is to abstract only the very best literature, consistent with a reasonable number of articles “making it through the filter”.
  3. To be successful, the project proposal should perform the following: show that understand what the client s looking for prove that are the best person for the tasks at hand convince the prospect that ether they can afford or they cannot afford not to her To accomplish all this, the project proposal should have the following key elements: 1. client’s Requirements and Goals The summary of the clients’ requirements and goals s a critical part of the project proposal. Take the time to really understand what the prospect s looking for to ensure a better outcome. Furthermore, by showing how well ’ve pad attention to the prospect’s needs, ’ll set the self apart from the competitors. 2. Tasks involved and The Fee for Each List down the man tasks ’re going to do, along with the fee will charge for each. Provide enough detail that anybody will be able to say when have delivered or completed the task. 3. Breakdown of Each Task with Costs t’s not enough to simply say what bag tasks will do. Break them down so the prospect appreciates how much work and skill t takes to complete each one. 4. Delivery Schedule Make the clear how long will take to complete each task and how milestones should be approved by the client. 5. Work Process Describe how usually work with client. Will have a meeting after the client approves the proposal? Describe how will to track all client communication. Be specific now so and the client won’t be n for surprises later on. 6. Mode of Payment in this part, specify how want to get pad. Do require a deposit or full payment before starting on a project? Describe means of payment for example, electronic bank transfer. 7. Samples or Proof That Can Do the Job Make t easy for prospects to decide that ’re suitable for this project. Attach samples of work, or links to samples that show how ’ve completed similar projects in the past. 8. Clear nicator of the Next Steps Tell the prospect clearly what he should do f he ether wants to proceed with the project, or f he has further questions before he can make a decision. 9. invoke for First Payment Obviously, should include this only of require a deposit before start a project. 10. Contact information Make sure the project proposals include the name and contact details–including the email address even for are emailing the proposal. Don’t assume the prospect will simply hit the “reply” button, or take the time to find the contact information f he doesn’t see t right away.
  4. Knowledge creation and distillation is conducting research (with expected variation in readiness for use in health care delivery systems) and then packaging relevant research findings into products that can be put into action—such as specific practice recommendations—thereby increasing the likelihood that research evidence will find its way into practice Diffusion and dissemination involves partnering with professional opinion leaders and health care organizations to disseminate knowledge that can form the basis of action (e.g., essential elements for discharge teaching for hospitalized patient with heart failure) to potential users. End user adoption, implementation, and institutionalization is the final stage of the knowledge transfer process.37This stage focuses on getting organizations, teams, and individuals to adopt and consistently use evidence-based research findings and innovations in everyday practice