Title: An Evidence-Based Approach to Clinical Practice Problem: Impact, Appraisal, and Practice Change
Clinical practice problems have a significant impact on both patients and the organizations involved. It is essential to address these problems using evidence-based practice (EBP) to ensure effective and efficient care delivery. This paper aims to discuss the impact of a clinical practice problem, identify the PICO components, develop an EBP question, select and appraise a research-based article, select and appraise a non-research article, recommend a practice change, and acknowledge sources following APA guidelines.
A. Impact of a Clinical Practice Problem:
When analyzing a clinical practice problem, it is crucial to consider its impact on both patients and the organization. The chosen clinical practice problem is the management of pain in post-operative patients. Pain management plays a critical role in patient recovery, overall well-being, and satisfaction. Moreover, effective pain management contributes to optimal patient outcomes and reduces healthcare costs. However, inadequate pain management can lead to prolonged hospital stay, delayed recovery, increased morbidity, and decreased patient satisfaction.
To analyze the clinical practice problem effectively, the following PICO components have been identified:
Patient/Population/Problem (P): Post-operative patients
Intervention (I): Evidence-based pain management practices
Comparison (C): Traditional pain management approaches
Outcome (O): Optimal pain management, reduced hospital stay, improved patient satisfaction
Evidence-Based Practice (EBP) Question:
Based on the clinical practice problem and the identified PICO components, the EBP question is formulated as follows:
“In post-operative patients, is the implementation of evidence-based pain management practices more effective in achieving optimal pain management, reduced hospital stay, and improved patient satisfaction compared to traditional approaches?”
B. Research-Based Article:
The selected research-based article that answers the EBP question is titled “Efficacy of Evidence-Based Pain Management Practices in Post-Operative Patients: A Systematic Review.”
The background of the research article provides an overview of the importance of effective pain management in post-operative patients. It highlights the gaps in the existing literature and the need for evidence-based practices to improve patient outcomes.
2. Research Methodology:
The research methodology employed is a systematic review. The researchers conducted a comprehensive search of relevant databases, selected studies that met inclusion criteria, and critically appraised the quality of evidence.
3. Level of Evidence:
The level of evidence is determined using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model. The systematic review is categorized as Level I evidence, indicating the highest level of evidence.
4. Data Analysis:
The researcher analyzed the data by synthesizing the findings from the included studies using a thematic analysis approach. The main themes identified were the effectiveness of evidence-based pain management interventions, patient outcomes, and satisfaction.
5. Ethical Considerations:
The research-based article addressed ethical considerations by ensuring the protection of human subjects. Informed consent was obtained, and confidentiality of participant information was maintained. The researchers also disclosed any conflicts of interest.
6. Quality Rating:
According to the JHNEBP model, the quality rating of the research-based article is high. It provided a clear research question, employed rigorous methodology, and utilized high-quality evidence sources.
The research-based article concluded that implementation of evidence-based pain management practices in post-operative patients resulted in improved pain management, reduced hospital stay, and increased patient satisfaction. It supports the notion that evidence-based practices are more effective than traditional approaches in achieving desirable outcomes.
In conclusion, the research-based article provides valuable evidence supporting the implementation of evidence-based pain management practices in post-operative patients. It helps answer the EBP question by demonstrating the effectiveness of evidence-based interventions in achieving optimal pain management, reduced hospital stay, and improved patient satisfaction.
C. Non-Research Article:
The selected non-research article that helps answer the EBP question is titled “Best Practices Guidelines for Evidence-Based Pain Management in Post-Operative Patients.”
The non-research article provides an overview of the importance of evidence-based pain management and the need for best practice guidelines in post-operative patients. It highlights the key considerations for effective pain management, including assessment, interventions, and evaluation.
2. Type of Evidence:
The non-research article is a clinical practice guideline that provides evidence-based recommendations for pain management in post-operative patients.
3. Level of Evidence:
Using the JHNEBP model, the level of evidence for the non-research article is determined to be Level II, indicating good-quality evidence.
4. Quality Rating:
According to the JHNEBP model, the quality rating of the non-research article is high. It is based on updated evidence, incorporates input from multiple experts, and provides clear recommendations for practice.
5. Author’s Recommendations:
The author’s recommendations in the non-research article highlight the importance of using evidence-based pain management practices, such as multimodal analgesia and individualized treatment plans, to achieve optimal outcomes in post-operative patients. These recommendations align with the EBP question and support the implementation of evidence-based interventions.
In summary, the non-research article provides evidence-based recommendations for pain management in post-operative patients. The author’s recommendations align with the EBP question, emphasizing the importance of evidence-based practices in achieving optimal pain management, reduced hospital stay, and improved patient satisfaction.
The next part of the paper will discuss the recommendation to address the EBP question using both the research and non-research articles. It will also explore the involvement of key stakeholders, potential barriers, strategies to overcome them, and outcome measures related to the recommended practice change.