1. Describe only one specific situation with a patient. A nursing situation is an exchange between the nurse and the
nursed (patient) where coming to know other occurs. Once you have described the nursing situation in a half-page,
describe the problem as you see it.
2. Next, develop one PICOT question (see p. 30, Box 2.1 templates for a PICOT Question). The types of PICOT
questions include intervention, prognoses/prediction, diagnosis or diagnostic test, etiology, and meaning. Next, read
the clinical scenarios found on pages 31-37 to view examples of clinical scenarios with PICOT questions. Again, you
are to develop one PICOT question.
3. Locate one EBP/QI article related to the nursing situation (you prepared) that is a report of an evidence-based
practice or a quality improvement project. Though this assignment involves finding one article, keep in mind that a true
review of the evidence includes a span of time often beginning with a classic article and then over the last 5-7 years.
Look for a report of a quality improvement project or a systematic review.
a. The basic element for evidence is research. To make it easier to translate evidence in practice, researchers may
summarize, synthesize/reanalyze research through publication of various types of evidence systematic reviews, metasyntheses,
meta-analyses, clinical practice guidelines, consensus/position statements, and literature reviews. These
cut down the time needed for lengthy literature searches as some of the work is already done.
b. For this assignment, identify one of these types of evidence (current within the past 5 years) related to the topic of
nursing situation. These sources can come from the library databases such as the Cochrane Collaboration (systematic
reviews) or from National Guideline Clearinghouse (NGC) (clinical guidelines), and finally from professional
organizations such as the American Association of Critical-Care Nurses. The evidence should be a systematic review,
meta-synthesis, meta-analysis, clinical guideline, consensus/position statement, or a literature review and not a report
of single research study.
c. To help you identify these articles of evidence, use either “evidence-based practice” or “quality improvement” as
a search term. The articles must come from professional, peer-reviewed journals. There are several journals dedicated
to the study of evidence-based nursing and quality including:
Journal of Nursing Care Quality, BMJ Quality and Safety, and Quality Management in Healthcare. Other journals
may include specialty nursing journals such as Critical Care Nurse, Neonatal Network, and Med/Surg Nursing
Journal, etc. No single research articles are acceptable for this assignment.
Systematic Cochrane Review, Worldviews on Evidence-Based Nursing,
a. Once you have identified the source of evidence, in a short summary (not more than one-to-two pages), discuss
the original problem, identify where you found the evidence, and summarize its content. For the summary, focus on
how the evidence was generated and the recommendations for practice.

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