Guidelines to writing a Strong Nursing Evidence-Based Practice (EBP) Paper

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Being a key element in the healthcare sector today, evidence-based practice (EBP) is one of the main topics you won’t escape in your curricular as a student in the medical field.

This transformative approach to solving healthcare problems is vital in exploring complex situations that may arise in the line of duty.

Having a good understanding of the evidence-based practice at the educational level helps nurses and other medical practitioners to utilize the best research evidence gathered and relate it with the background of the problem.

In nursing, the implementation of evidence-based practice has been touted as being an effective way of increasing patient outcomes in the most efficient way.

Through knowledge gained in the nursing lecture rooms, the learners can integrate the theoretical knowledge with the outcomes from an evidence-based practice to come up with strong conclusive recommendations and solutions to existing problems.

Currently, the health sector is focusing more on equipping healthcare professionals with new skills and knowledge to bridge the theoretical and practical gaps that have seen dwindling results as far as patient outcome is concerned.

Through revising the education curriculum for health practitioners, the EBP model has been emphasized as the best quality improvement process that is patient-centered and result-oriented.

More importantly, the EBP model has been hailed as the best way to enable healthcare workers to perform their duties in interdisciplinary teams with effective communication, cooperation, and collaboration.

It is thus important for nursing students to have an early understanding of how to utilize EBP as a model tool for bridging the theoretical and practical gap in their working environment.

Before we move further, let us define the term evidence-based practice as used in the nursing sector.

What is a Nursing Evidence-based Practice Paper?

In the nursing curriculum, an evidence-based practice paper is a written assignment where learners present the information gathered after reviewing and assessment of a given practical situation both in theory and in practice.

At some point in your nursing course, you may be required to conduct a practical project that will need you to identify a problem to be solved and present your findings in form of an evidence-based practice paper.

This may either be an individual assignment or a group assignment depending on the preference of the institution.

In most nursing colleges in the US, instructors prefer giving EBP assignments as group assignments.

The EBP papers are intended to equip nursing students with the knowledge of reviewing research studies based on good healthcare practice guidelines as a basis for decision making.

It is thus important to present your nursing evidence-based paper in the most comprehensive and coherent manner that demonstrates a good grasp of the concept both in theory and in practice.

This is done best through a thoughtful process and in-depth analysis of data through collaboration with fellow students and the instructor.

The process also requires a systematic review of the problem and brainstorming sessions to come up with viable solutions and recommendations on the subject matter.

EBP papers do not focus more on the actual research of the problem. The most important part is sifting through the available evidence and using your knowledge and skills to draw conclusions from them.

This means that most of your evidence will come from collecting and reviewing secondary data that is available on your chosen topic.

Examples of nursing Evidence-based Practice

The early works of one of the most famous healthcare workers, Florence Nightingale are considered as some of the pioneering examples of evidence-based practice in nursing.

However, most healthcare historians consider Dr. Archie Cochrane as the person who helped to mainstream the idea of EBP as the foundation of making informed decisions based on randomized controlled trials as opposed to personal choices.

Currently, there are various ways in the nursing profession where evidence-based practices are applied.

As a nursing student, it is important to have in mind several nursing evidence-based topics before jumping into the research.

These topics can be found by closely examining the daily practices involved in a professional nursing setup.

Some examples of evidence-based practice in the nursing environment include:

  • A study on how oxygen should be given to patients with COPD to avoid issues related to acidosis and hypercarbia.
  • How to prevent patients from contracting illnesses at the hospital through EBPs focused on infection control.
  • EBP that focuses on controlling infant mortality in the hospital by changing some traditional practices that could be harmful to newborn babies.
  • Carrying out EBP studies to eliminate instances of patient discomfort during blood transfusion.
  • Studying hospital procedures that are likely to lead to cross-contamination and confusion when administering drugs to patients.
  • Studies to improve interactions and communication between patients and nurses at the hospital.
  • EBP can also be used to examine the effectiveness of training and onboarding new nurses and other health practitioners into a health center.
  • Studying the impact of nurse’s shift scheduling and patient scheduling on admission and discharge.

Sample Question on Nursing Evidence-Based Practice

In hospitalized patients at risk of readmission, does early discharge planning reduce the number of hospital readmissions compared to limited education during discharge?

Important Points

Evidence synthesis is best done through group discussion. All team members share their perspectives, and the team uses critical thinking to arrive at a judgment based on consensus during the synthesis process.

Members of the group are encouraged to use both subjective and objective reasoning in the synthesis process to come up with the solution to the problem.

The synthesis process should be divided into three major parts as shown in the diagram below.

EBP Process

Through reasoning, the group handling the task can:

  • Reviews the quality appraisal of the individual pieces of evidence
  • Assesses and assimilates consistencies in findings
  • Evaluates the meaning and relevance of the findings
  • Merges findings that may either enhance the team’s knowledge or generate new insights, perspectives, and understandings
  • Highlights inconsistencies in findings
  • Makes recommendations based on the synthesis process.

When evidence includes multiple studies of Level I and Level II evidence, there is a similar population or setting of interest, and there is consistency across findings, EBP teams can have greater confidence in recommending a practice change.

However, with a majority of Level II and Level III evidence, the team should proceed cautiously in making practice changes. In this instance, recommendation(s) typically include completing a pilot before deciding to implement a full-scale change.

Generally, practice changes are not made on Level IV or Level V evidence alone. Nonetheless, teams have a variety of options for actions that include, but are not limited to:

  • creating awareness campaigns
  • conducting informational and educational updates
  • monitoring evidence sources for new information
  • Designing research studies.

The quality rating is used to appraise both individual quality of evidence and overall quality of evidence.

Answering the Question

In hospitalized patients at risk of readmission, does early discharge planning reduce the number of hospital readmissions compared to limited education during discharge?

 CategoryTotal No. of Sources/ LevelOverall Quality RatingSynthesis of Findings: Evidence that Answers the EBP Question
Level I Experimental studyRandomized controlled trial (RCT)Systematic review of RCTs with or without meta-analysisExplanatory mixed method design that includes only a Level I quantitative study3A        Two out of three RCTs suggest that extending self-care educational intervention as part of the early discharge plan will help reduce hospital readmission.

With this in mind, healthcare professionals may choose to combine the use of multimedia education with predischarge home visits and regular telephone calls to avoid risks of hospital readmissions.

However, 1 out of 3 RCTs suggest that providing patients with access to 12-week self-management training and health coaching through telephone call will not necessarily reduce hospital readmissions due to patients’ low adherence to self-management guidelines.
Level II Quasi-experimental studiesSystematic review of a combination of RCTs and quasi-experimental studies, or quasi-experimental studies only, with or without meta-analysisExplanatory mixed method design that includes only a Level II quantitative study0  
Level III Nonexperimental studySystematic review of a combination of RCTs, quasi-experimental and nonexperimental studies, or nonexperimental studies only, with or without meta- analysisQualitative study or meta- synthesisExplanatory mixed method design that includes only a level III Quantitative study0  
Level IV Opinions of respected authorities and/or reports of nationally recognized expert committees or consensus panels based on scientific evidence0  
Level V Evidence obtained from literature or integrative reviews, quality improvement, program evaluation, financial evaluation, or case reportsOpinion of nationally recognized expert(s) based on experiential evidence0  

Based on your synthesis, which of the following four pathways to translation represents the overall strength of the evidence?

  1. Strong, compelling evidence, consistent results: Solid indication for a practice change is indicated.
  1. Good and consistent evidence: Consider pilot of change or further investigation.
  1. Good but conflicting evidence: No indication for practice change; consider further investigation for new evidence or develop a research study.
  1. Little or no evidence: No indication for practice change; consider further investigation for new evidence, develop a research study, or discontinue project. If you selected either the first option or the second option, continue. If not, STOP because translation is not indicated.

Recommendations based on evidence synthesis and selected translation pathway

  • Extending self-care educational intervention as part of HF patients’ early discharge plan will help reduce hospital readmission (Level I, 1, 2).
  • Combining home care visits and telephone call self-care educational intervention and telephone call follow-up as part of the HF patients’ early discharge plan is effective in terms of reducing hospital readmission (Level I, 1, 2).
  • Patients’ low adherence to self-management guidelines could result to hospital readmission (Level 1, 3). Therefore, part of recommendation is that healthcare professionals should see to it that the patients will adhere to self-management guidelines.

Consider the following in Your ‘Fit’ Examination

Are the recommendations:

  • Compatible with the unit/departmental/organizational cultural values or norms?
  • Consistent with unit/departmental/organizational assumptions, structures, attitudes, beliefs, and/or practices?
  • Consistent with the unit/departmental/organizational priorities?

Consider the following questions in your ‘feasibility’ Examination

  • Can we do what they did in our work environment?
  • Are the following supports available?
    1. Resources
    2. Funding
    3. Approval from administration and clinical leaders
    4. Stakeholder support
  • Is it likely that the recommendations can be implemented within the unit/department/ organization?

Compiling a Nursing EBP Paper Results

The pertinent findings for each level of evidence are synthesized, and a quality rating is assigned to each level.

Total number of sources per level

Record the number of sources of evidence for each level.

Overall quality rating

Summarize the overall quality of evidence for each level. Use Appendix D to rate the quality of evidence.

Synthesis of Findings: Evidence that Answers the EBP Question.

  • Include only findings from evidence of A or B quality.
  • Include only statements that directly answer the EBP question.
  • Summarize findings within each level of evidence.
  • Record article number(s) from individual evidence summary in parentheses next to each statement so that the source of the finding is easy to identify.

Develop recommendations based on evidence synthesis and the selected translation pathway.

Review the synthesis of findings and determine which of the following four path- ways to translation represents the overall strength of the evidence:

  • Strong, compelling evidence, consistent results: Solid indication for a practice change is indicated.
  • Good and consistent evidence: Consider pilot of change or further investigation.
  • Good but conflicting evidence: No indication for practice change; consider further investigation for new evidence or develop a research study.
  • Little or no evidence: No indication for practice change; consider further investigation for new evidence, develop a research study, or discontinue the project.

Fit and feasibility in Nursing EBP

Even when evidence is strong and of high quality, it may not be appropriate to implement a change in practice. It is crucial to examine feasibility that considers the resources available, the readiness for change, and the balance between risk and benefit.

Fit refers to the compatibility of the proposed change with the organization’s mission, goals, objectives, and priorities. A change that does not fit within the organizational priorities will be less likely to receive leadership and financial support, making success difficult.

Implementing processes with a low likelihood of success wastes valuable time and resources on efforts that produce negligible benefits.

Final Word

Conducting an EBP study can be a tasking and time consuming activity that may drain you especially when your schedule is tight.

That is why Top Quality papers is offering to give you a helping hand and ease that burden.

Simply place an order with us here and watch as our experienced writers handle your nursing EBP paper.

Hire a Professional Writer Now!

Place your order now by following a few simple steps on our website. We have a pool of qualified writers ready to work on all your assignments.
We guarantee you:
>Professionalism and Timeliness
>100% plagiarism-free paper
>Free unlimited revisions

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