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  1.  Evidence based nursing practice 


    Write an essay about  Evidence based nursing practice 


Subject Essay Writing Pages 5 Style APA


1. What is the problem?             

While its effects are severely felt among the old people who have other conditions, COVID 19 is a viral disease that has affected individuals globally. Presenting with several symptoms such as shortness of breath, fever, and lack of sense of taste and smell, the disease has caused lives of hundred individuals across the globe. In some parts of the world, it has affected normal school learning, transport, and movement as a result to curb its spread. This has caused not only health related issues but also financial issues. A

 2. Why is the problem important and relevant? What would happen if it were not addressed?

World Health Organization (WHO) has put some measures such as keeping distant, wearing, mask and hand hygiene as the most potential strategies to prevent the spread of the disease spread. Notably, if the spread of the disease is not stopped or managed, several people including children are likely to lose their lives as observed in the past. On the same note a variety of activities such as education, movements, and jobs are likely to be halted in order to curb the spread of the disease. It is in this context that effective methods of stoppind spread of the disease are important.

 3. What is the current practice?

The current practice is just a way of stopping or preventing the spread of the disease. In the event that vaccine has not been widely supplied, the first way of addressing the issue is preventing its spread. For some counties there is lockdown of some regions to prevent individuals from hence spreading the disease.

 4. How was the problem identified?  (Check all that apply)

❑   Safety and risk-management concerns

❑   Quality concerns (efficiency, effectiveness, timeliness, equity, patient-centeredness)

❑   Unsatisfactory patient, staff, or organizational outcomes

❑  Variations in practice within the setting

❑  Variations in practice compared to community standard

❑  Current practice that has not been validated

❑  Financial concerns

  5. What are the PICO components?

P – (School Children)

I – (Washing hands and wearing mask)

C – (No washing hands and wearing mask)

O – (Reduce the spread of COVID 19)

6. InitialEBPquestion           ❑ Background❑Foreground             

You will all use the same Background question:  What are the best Personal Protective safety practices for healthcare staff?


7. List possible search terms, databases to search, and search strategies.

1.       Google Scholar

2.       PubMed

3.       EBSCOHost

4.       CINAHL

5.       Proquest

8. What evidence must be gathered?(Check all that apply)            

❑   Publications (e.g., EBSCOHost, PubMed, CINAHL, Embase)

❑   Standards (regulatory, professional, community)

❑   Guidelines         

❑   Organizational data (e.g., QI, financial data, local clinical expertise, patient/family preferences)

❑   Position statements

9. Revised EBP question

(Revisions in the EBP question may not be evident until after the initial evidence review; the revision can be in the background question or a change from the background to a foregroundquestion)

Among school children (P) does washing hands and wearing masks(I) compared to no washing hands and wearing masks(C) effective in reducing the spread of COVID 19(O)


  1. Go to the UWF e-library database (CINAHL, Cochrane Reviews, OneSource, etc.).
  2. Use your focused PICO(T) search words (from #9 above) to find an article that provides evidence for your question.
  3. Copy and paste the found article’s abstract.
  4. List the reference in APA7 format above the abstract.













Directions for Use of the Question Development Tool


ThisformisusedtodevelopananswerableEBPquestionandtoguidetheteam intheevidencesearchprocess.Thequestion,searchterms,searchstrategy,and sourcesofevidencecanberevisedastheEBPteamrefinestheEBPquestion.


What is the problem, and why is it important?

Indicate why the project was undertaken. What led the team to seek evidence? Ensure that the problem statement defines the actual problem and does not includeasolution.Wheneverpossible,quantifytheextentoftheproblem.Validate the final problem description with practicing staff. It is important for the inter-professionalteamtotakethetimetogethertoreflect,gatherinformation,observe currentpractice,listentoclinicians,visualizehowtheprocesscanbedifferentor improved,andprobetheproblemdescriptioninordertodevelopasharedunderstandingoftheproblem.


What is the current practice?



How was the problem identified?

Check all the statements that apply.


What are the PICO components?


I(intervention)e.g.,treatment,medication,education,diagnostictest,orbest practice(s)

C (comparison with other interventions or current practice for foreground questions; is not applicable for background questions, which identify best practice)

O (outcomes) stated in measurable terms; may be a structure, a process, or an outcome measure based on the desired change (e.g., decrease in falls, decrease in length of stay, increase in patient satisfaction)




Initial EBP question

A starting question (usually a background question) that is often refined and adjusted as the team searches through the literature:

  • Background questions are broad and are used when the team has little knowledge, experience, or expertise in the area of interest. Background questions are often used to identify best practices.
  • Foreground questions are focused, with specific comparisons of two or more ideas or interventions. Foreground questions provide specific bodies of evidence related to the EBP question. Foreground questions often flow from an initial background question and literature review.


List possible search terms, databases to search, and search strategies.

Using PICO components and the initial EBP question, list search terms. Terms can be added or adjusted throughout the evidence search. Document the search terms, search strategy, and databases queried in sufficient detail for replication.

What evidence must be gathered?

Check the types of evidence the team will gather based on the PICO and initial EBP question.


Revised EBP question

Often, the question that you start with may not be the final EBP question. Back- ground questions can be refined or changed to a foreground question based on the evidence review. Foreground questions are focused questions that include specific comparisons and produce a narrower range of evidence.


Measurement plan

Measurescanbeaddedorchangedasthereviewoftheliteratureiscompleted andthetranslationplanningbegins:

  • A measure is an amount or a degree of something, such as number of falls with injury. Each measure must be converted to a metric, which is calculated before and after implementing the change.
  • Metrics let you know whether the change was successful. They have a numerator and a denominator and are typically expressed as rates or percent. For example, a metric for the measure falls-with-injury would be the number of falls with injury (numerator) divided by 1,000 patient days (denominator). Other examples of metrics include the number of direct care RNs (numerator) on a unit divided by the total number of direct care staff (denominator); the number of medication errors divided by 1,000 orders.



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