EBP projects
N316 EBP Paper Part 3 Helpful Hints
General Information
APA 7 Publication Manual (Student Guidance)
JHNEBP Model should be included in the references
Combine EBP Papers one (1) and two(2), including corrections, with EBP Paper 3.
See Addendum B-4, page 12 of the Syllabus for additional information
Table 2 Content: Addendum B-4, page 13 Strengths and Weaknesses
Use the template for Table 2.
List at least (2) strengths and (2) weakness in the study design, sample or methods for each study.
Not everything is a strength or weakness, see Slide #7
In the first column labeled “Source” include only the first author and year (i.e., Smith, 2020).
In the last column “JHNEBP Score”, list both the level of evidence (rating) and the grade (quality)
Table 2 Content: Addendum B-5, page 14 of 19 Rating and Grading the Evidence
Use the Johns Hopkins Nursing Evidence-Based Practice Model in Addendum B-5 to rate the research design (Level) and grade the quality of the evidence.
Rate the level of evidence I-V based on the type of research design.
LEVELS
I: Evidence from experimental study, RCT, or meta-analysis of RCTs
II: Evidence from quasi experimental study
III: Evidence obtained from a non-experimental study, qualitative study or meta-synthesis (qualitative study synthesis)
IV: Opinion of nationally recognized experts based on research evidence or expert consensus panel (systematic review, clinical practice guidelines)
V: Opinion of individual expert based on non-research evidence. (Includes case studies; literature review; organizational experience e.g., quality improvement and financial data; clinical expertise, or personal experience)
Table 2 Content: Addendum B-5, page 14 of 19 Rating and Grading the Evidence
Use the Johns Hopkins Nursing Evidence-Based Practice Model in Addendum B-5 to rate the research design (Level) and grade the quality of the evidence.
Grade the quality of evidence A – High, B – Good, C – Low/major flaw based on the criteria.
Consistent, generalizable results: Are the study findings consistent with other studies on the topic (see Discussion), and are the results generalizable to people with the same issue but different characteristics?
Sufficient sample: Is the sample size sufficient? If so, how do you know? Was a power analysis used? Was the sample size based on previous research?
Adequate control: Was the environment controlled, was their blinding, were the groups similar, were researchers and assistants trained on administering the intervention?
Definitive conclusions: If adequate control, with strong study design and statistical analysis, and the intervention was administered correctly then it could be said that definitive conclusions existed.
Consistent recommendations based on extensive literature review: refer to the literature review, was the review relevant to the study, was the literature current, were there scientific studies included in the review and were they relevant to the study.
Strengths and Weaknesses Narrative
Use the strengths and weaknesses described in the table to write the narrative.
The narrative:
describe each strength and weakness
explain why it is a strength or weakness (how it makes the study strong or weak)
Do not write about more than 2 strengths and 2 weaknesses.
Include citations when necessary
A Note about Strengths and Weaknesses
Statistical significance is not a strength and lack of statistical significance is not a weakness – you will lose points if included in the table
Unequal groups is a weakness, but equal groups is not a strength because groups are expected to be equal
In general, having an inclusion/exclusion criteria is not a strength. A specific criteria that strengthens the study can be considered a strength. Not including a criteria that could strengthen the study would be a weakness. Not having an inclusion criteria is a weakness.
If something is listed as a strength, it cannot be listed as a weakness
Recommendation
Using the JHNEBP ratings and grades for strength and quality of evidence from Table 2 develop a single recommendation for nursing practice based on your analysis and critique of the selected studies.
Write a narrative explaining your recommendation based on the following questions:
Should practicing nurses use the evidence you reviewed to guide their practice? Why or why not?
Was clinical significance demonstrated?
What other factors should be considered before implementing this recommendation?
Feasibility of recommendations – how easy or difficult to implement and why.
Implications for future research – what future research should be conducted.
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