Did you find that your question was appropriate or did you need to revise or change it as you delved deeper into the problem and evidence?
EXCELSIOR – NUR513 RESEARCH AND EVIDENCE-BASED PRACTICE Module 2

Discussion

DQ1 Finding and Evaluating Evidence

This activity will address the following module outcome:

MO 2: Assess evidence and analyze its usefulness for a clinical problem. (EPSLO 2; SLO 5)

Using key words from the compelling clinical question you developed in Module 1, perform a preliminary literature search for relevant articles, applying the information in Chapter 3 of Melnyk & Fineout- Overholt (2019). Complete either the quantitativePreview the document [XLSX, file size 21 KB] or qualitativePreview the document [XLSX, file size 21 KB] Research Score Card for one of the articles. This search will begin building the external evidence you need for the Investigation of a Clinical Problem Paper, Part I. You will eventually complete Research Critique Forms on all articles for your paper, but only one is required for this discussion.

Exemplars for quantitative Preview the document [DOCX, file size 25 KB] and qualitative Preview the document [DOCX, file size 25 KB] research are provided for guidance.

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EXCELSIOR – NUR513 RESEARCH AND EVIDENCE-BASED PRACTICE Module 2
EXCELSIOR – NUR513 RESEARCH AND EVIDENCE-BASED PRACTICE Module 2

Based on your learning activities, respond to the following prompts:

Did you find that your question was appropriate or did you need to revise or change it as you delved deeper into the problem and evidence? Did the literature search challenge any pre-conceived notions you had about the topic?

Briefly summarize in 1-2 paragraphs, all components listed on the Research Critique Form from the article you chose on your topic.

Did you feel the theoretical basis of the study (if identified) was appropriate? Why is it important for research to be guided by theory?

Now that you’ve identified evidence to address your client’s problem or situation, the next step in the EBP process is to assess the internal and external evidence. When assessing the evidence, keep in mind that each type of evidence serves a unique purpose for your clinical decision making.

Internal evidence, or the data and observations collected on an individual client, is collected both for the accountability of your session and for tracking a client’s performance. When assessing the internal evidence, you are determining whether an intervention has impacted your client. You may analyze your data to address the following questions (adapted from Higginbotham & Satchidanand, 2019):EXCELSIOR – NUR513 RESEARCH AND EVIDENCE-BASED PRACTICE Module 2

Is your client demonstrating a response to the intervention?
Is that response significant, especially for the client?
How much longer should you continue the intervention?
Is it time to change the therapy target, intervention approach, or service delivery model?
External evidence, found in scientific research literature, answers clinical questions such as whether an assessment measures what it intended to measure or whether a treatment approach is effective in causing change in individuals. Because the quality of external evidence is variable, this step of assessing the evidence is crucial and includes determining the reliability, importance, and applicability of the relevant scientific research to your client’s condition and needs.