The State of the Science in Practice The phrase evidence-based practice may be most often thought of as a clinical reference; however, research evidence is applicable in every specialty area. What types of research evidence support your work environment? How does research evidence inform your practice? Now, how current do you think the science is that underlies your practice? How current is the evidence that supports your specialty practice guidelines? To prepare: Bring to mind an issue related to your practice. You may use the      issue you are exploring for your EBP Project, or another current issue in      your specialty area. If possible, examine practices and/or practice guidelines      established to address your selected issue and determine how current the      evidence is that supports them. Using the Walden Library, locate recently published articles that      discuss research translated into evidence that applies to your selected      practice issue. If you are unable to locate current articles (within the      last five years), use the Internet to find evidence-based practice      articles on this topic. Consider the following questions: How current is the science that supported the       practice or practice guidelines? What new evidence has emerged since the       practice guidelines were crafted and adopted? By tomorrow 09/11/18 12 by 10 pm, write a minimum of 550 words in APA format with at least 3 scholarly references less than 5 years old. Include the level one header as numbered below: Post a cohesive scholarly response that addresses the following: 1) Discuss the state of the scientific underpinnings that relate to your selected issue. (see my PIICOT question at the bottom of this page). 2) How current is the science that supported the practice or practice guidelines? 3) What new evidence has emerged since the practice guidelines were crafted and adopted? Provide two examples that support your assessment. Required Readings White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer. Chapter      1, “Evidence-Based Practice” Chapter      2, “The Science of Translation and Major Frameworks” Terry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning. Pages      15-18, “The Process of Translating Evidence Into Clinical Practice” Chapter      3, “Conducting a Literature Review” Djulbergovic, B. (2014). A framework to bridge the gaps between evidence-based medicine, health outcomes, and improvement and implementation science. Journal of Oncology Practice , 10(3), 200-202. Note: You will access this article from the Walden Library databases. Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part 1. American Journal o ...

1. The State of the Science in Practice
The phrase
evidence-based practice
may be most often thought of as a clinical reference; however,
research evidence is applicable in every specialty area. What
types of research evidence support your work environment?
How does research evidence inform your practice?
Now, how current do you think the science is that underlies
your practice? How current is the evidence that supports your
specialty practice guidelines?
To prepare:
Bring to mind an issue related to your practice. You may use the
issue you are exploring for your EBP Project, or another
current issue in your specialty area.
If possible, examine practices and/or practice guidelines
established to address your selected issue and determine how
current the evidence is that supports them.
Using the Walden Library, locate recently published articles
that discuss research translated into evidence that applies to
your selected practice issue. If you are unable to locate
current articles (within the last five years), use the Internet
to find evidence-based practice articles on this topic.

2. Consider the following questions:
How current is the science that supported the practice or
practice guidelines?
What new evidence has emerged since the practice
guidelines were crafted and adopted?
By tomorrow 09/11/18 12 by 10 pm, write a minimum of 550
words in APA format with at least 3 scholarly references less
than 5 years old. Include the level one header as numbered
below:
Post
a cohesive scholarly response that addresses the following:
1) Discuss the state of the scientific underpinnings that relate to
your selected issue. (see my PIICOT question at the bottom of
this page).
2) How current is the science that supported the practice or
practice guidelines?
3) What new evidence has emerged since the practice guidelines
were crafted and adopted? Provide two examples that support
your assessment.
Required Readings

3. White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016).
Translation of evidence into nursing and health care practice
(2nd ed.). New York, NY: Springer.
Chapter 1, “Evidence-Based Practice”
Chapter 2, “The Science of Translation and Major
Frameworks”
Terry, A. J. (2018).
Clinical research for the doctor of nursing practice
(3rd ed.). Burlington, MA: Jones & Bartlett Learning.
Pages 15-18, “The Process of Translating Evidence Into
Clinical Practice”
Chapter 3, “Conducting a Literature Review”
Djulbergovic, B. (2014). A framework to bridge the gaps
between evidence-based medicine, health outcomes, and
improvement and implementation science.
Journal of Oncology Practice
, 10(3), 200-202.
Note: You will access this article from the Walden Library
databases.

4. Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., &
Williamson, K.M. (2010). Evidence-based practice step-by-step:
Critical appraisal of the evidence: Part 1.
American Journal of Nursing
, 110(7), 47-52.
Note: You will access this article from the Walden Library
databases.
Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., &
Williamson, K.M. (2010). Evidence-based practice step-by-step:
Critical appraisal of the evidence: Part II.
American Journal of Nursing
, 110(9), 41-48.
Note: You will access this article from the Walden Library
databases.
Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., &
Williamson, K.M. (2010). Evidence-based practice step-by-step:
Critical appraisal of the evidence: Part III.
American Journal of Nursing
, 110(11), 43-51
Note: You will access this article from the Walden Library
databases.
Guyatt, G., Oxman, A. D., Akl, E. A., Kunz, R., Vist, G.,
Brozek, J.,

5. Schünemann, H. J. (2011). GRADE guidelines: 1. Introduction-
GRADE evidence profiles and summary of findings tables.
Journal of Clinical Epidemiology
, 64 (4), 383-394.
Note: You will access this article from the Walden Library
databases.
Jeffs, L., Beswick, S., Lo, J., Campbell, H., Ferris, E., &
Sidani, S. (2013). Defining what evidence is, linking it to
patient outcomes, and making it relevant to practice: Insight
from clinical nurses.
Applied Nursing Research
, 26, 105-109.
Note: You will access this article from the Walden Library
databases.
Leung, K., Trevena, L., & Waters, D. (2014). Systematic review
of instruments for measuring nurses’ knowledge, skills and
attitudes for evidence-based practice.
Journal of Advanced Nursing,
70(10), 2181–2195.
Note: You will access this article from the Walden Library
databases.

6. Rosswurm, M. A., & Larrabee, J. H. (1999). A model for change
to evidence-based practice.
Journal of Nursing Scholarship
, 31(4), 317-322.
Note: You will access this article from the Walden Library
databases.
Additional Research
Conduct your own research on translational science and how it
is utilized in your specialty area. Review your specialty area
websites and search for articles on evidence-based practice that
address the translation of research into practice. This
information will inform the Discussion.
Optional Resources
Terry, A. J. (2018).
Clinical research for the doctor of nursing practice
(3rd ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 14, “Reducing 30-Day Hospital Readmission of the
Patient with Heart Failure: An Evidence-Based Quality
Improvement Project”
Chapter 15, “Reducing 30-Day Hospital Readmission of the

7. Patient with Heart Failure: An Evidence-Based Quality
Improvement Project”
Chapter 16, “The Impact of Evidence-Based Design”
Chapter 17, “The Lived Experience of Chronic Pain in Nurse
Educators”
As you develop sections of your Project Premise, you may wish
to review these examples of completed EBP project.
PIICOT Statement
In patients in extended intensive care within an urban acute care
facility in Eastern United States, how does early mobilization as
recommended by National Institute of Health and Care
Excellence clinical guidelines on rehabilitation of patients after
critical illness impact early transfers from intensive care as
measured 6 months post-implementation when compared to the
current standard of care including minimal mobilization of
patients?
P: Adult patients
I: in extended intensive care within an urban acute care facility
I: increased mobilization of the patients
C: minimal mobilization of the patients

8. O: early transfers of the patients from intensive care
T: 6 months