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Essay Instructions: Here are the instructions for this critical appraisal
- These critical appraisals are individual work. Students are expected to complete the appraisals individually without collaboration with any other student in any section of the course.
- Students will use the rapid critical appraisal checklists located on pages 513-518 in the Melnyk and Fineout-Overholt book. Forms can be found in the Assignments Section of Blackboard. The rapid critical appraisal checklists will be submitted via the Proper Assignment Link under the Assignment Section of Blackboard.
- Each student will individually complete a rapid clinical appraisal of a randomly assigned research study and an evidence-based clinical practice guideline. Course faculty will assign the research study for analysis. Students will be randomly assigned to one of two or three research studies.
- Each student will complete a rapid clinical appraisal on the evidence-based clinical guideline listed under the topic list for which the student indicated interest.

Research Study Critical Appraisal Criteria

NOTE: This table represents general point assignment. Specific grading rubrics will vary somewhat based on the study assigned and the number of questions for that type of study.

Evidence-based Clinical Practice Guidelines Critical Appraisal Criteria

Points Criterion
10 Credibility
5 Applicability/Generalizability

Essay Instructions: This is a 3 part project. Part one, is the "Introduction/Background" portion.
Part two is the is the Methods/Implementation section.
Part three is the final "Project Proposal" to be submitted to stakeholders/administration of a hospital.
This is my assignment Rubric:
" The goal of evidence-based practice (EBP) is to provide high quality, safe, and cost-effective care. Changes in practice are driven by new problems that arise or new knowledge that becomes available. Barriers to implementation of practice changes include lack of knowledge and skill for accessing current research, and lack of familiarity and expertise in effecting change. Prior to implementing a change in practice, preparing a formal , evidence-based proposal is an appropriate strategy to support change. The ability to critically appraise evidence is essential for determining which evidence should be put into practice. The goal of this assignment is to increase your ability to appraise and synthesize evidence to provide a logical argument in support of a proposal for a practice change, and to provide experience in designing a detailed implementation plan for this project". I am to review existing evidence and develop a proposal for practice change to resolve the problem or implement the new knowledge in my clinical setting.
My clinical problem that I have identified is " Decreasing hospital acquired infections that are related to indwelling medical devices/apparatuses such as, urinary catheters, central lines etc., by changing ordinary practice to EBP. I also would like to address the poor adherence to practice guidelines, and personal care practices delivered by nurses, practitioners, nurse-aides, etc. I am hoping you will be able to assist me with "part two" the Methods/Implementation section. I must request that research material be no-more than 5-7 years old, unless it is a seminal piece of research.

Essay Instructions: Assignment 1 - Evaluating Organizational Change
Description:

This Assignment provides an overview of how to evaluate evidence-based practice quality improvement in a practice change.

Directions:

Introduce an overview of a healthcare system practice guideline, preferably where you work or have worked. Paper should be about Clabsi
Discuss how different professionals in the healthcare system (nurses, pharmacists, technicians, etc.) are held to this guideline.
Identify the research/reference used by the system to adopt the guideline.
Define the evidence used to define the guideline.
Determine the level of evidence used in the EBP identified.
Provide an opinion on how well this guideline is followed by professionals in the system.
Conclude with a concise overview of the guideline and the discussion in the paper.
Write the paper in 8?10 pages, using APA format.

Essay Instructions: Review the article (see “Clinical Practice Guideline” --uploaded resource) and do the
following:
1. Discuss whether watchful waiting is an appropriate approach for treating children
with acute otitis media, based on the evidence presented in the article.
2. Discuss how you would apply the findings in the attached article to improve nursing
practice in the clinic.
3. Discuss ethical issues that could arise in researching and changing clinical practice
guidelines, based on the evidence-based research.
a. Include issues of vulnerable populations, confidentiality, and informed consent when
research involves children.
4. Include all in-text citations and references in APA format.