NURS-FPX4025 Assessment 2 Applying an EBP Model – Step-by-Step Guide With Example Answer
The first step before starting to write the NURS-FPX4025 Assessment 2 Applying an EBP Model is to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment.
It is also important to identify the paper’s audience and purpose, as this will help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, review its use, including writing citations and referencing the resources used. You should also review the formatting requirements for the title page and headings in the paper, as outlined by Capella University.
How to Research and Prepare for NURS-FPX4025 Assessment 2 Applying an EBP Model
The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify a list of keywords related to your topic using various combinations. The first step is to visit the Capella University library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from the Capella University Library, PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last 5 years and go through each to check for credibility. Ensure that you obtain the references in the required format, such as APA, so that you can save time when creating the final reference list.
You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next, create a detailed outline of the paper to help you develop headings and subheadings for the content. Ensure that you plan what point will go into each paragraph.
How to Write the Introduction for NURS-FPX4025 Assessment 2 Applying an EBP Model
The introduction of the paper is the most crucial part, as it helps provide the context of your work and determines whether the reader will be interested in reading through to the end. Begin with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.
How to Write the Body for NURS-FPX4025 Assessment 2 Applying an EBP Model
The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence collected from the research, and ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance, as well as how it relates to the thesis statement. You should maintain a logical flow between paragraphs by using transition words and a flow of ideas.
How to Write the In-text Citations for NURS-FPX4025 Assessment 2 Applying an EBP Model
In-text citations help readers give credit to the authors of the references they have used in their work. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:
“The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Morelli et al. (2024), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Alawiye (2024) highlights that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.”
How to Write the Conclusion for NURS-FPX4025 Assessment 2 Applying an EBP Model
When writing the conclusion of the paper, start by restating your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper by restating them. Discuss the implications of your findings and your arguments. Conclude with a call to action that leaves a lasting impression on the reader or offers recommendations.
How to Format the Reference List for NURS-FPX4025 Assessment 2 Applying an EBP Model
The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically, and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication.
Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:
References
Morelli, S., Daniele, C., D’Avenio, G., Grigioni, M., & Giansanti, D. (2024). Optimizing telehealth: Leveraging Key Performance Indicators for enhanced telehealth and digital healthcare outcomes (Telemechron Study). Healthcare, 12(13), 1319. https://doi.org/10.3390/healthcare12131319
Alawiye, T. (2024). The impact of digital technology on healthcare delivery and patient outcomes. E-Health Telecommunication Systems and Networks, 13, 13-22. 10.4236/etsn.2024.132002.
NURS-FPX4025 Assessment 2 Applying an EBP Model Instructions
Develop a 3–5 page scholarly paper in which you explain the diagnosis you researched for Assessment 1, and then apply the steps of an EBP model to your search for evidence to address your diagnosis issue. Have a look at NURS-FPX4025 Assessment 3 Applying the PICO(T) Process.
Introduction
The goal of using evidence-based research findings is to enhance safety and quality of patient care and ensure optimal outcomes are achieved. It is not uncommon to hear a nurse say, “why change it as we’ve always done it this way.” However, this is no longer acceptable in today’s practice environment. The profession of nursing has evolved, and the expectation is that the professional nurse has a scientific foundation to support the care that is provided.
As the profession of nursing continues to evolve and engage in healthcare transformation, baccalaureate-prepared nurses are expanding, taking on leadership roles that include incorporating EBPs. To be able to do this, the nurse needs to understand the criteria that make a resource credible, as this is crucial when deciding if the research is valid and reliable for implementation into healthcare settings. The nurse will need to incorporate the use of EBP models.
EBP models are designed to assist the nurse in developing a plan to gather evidence to answer a practice problem or question. It is a systematic approach to direct the user to incorporate scholarly findings into current practice. These EBP models lead the nurse through the decision-making process of evaluating the literature to determine the best practice evidence for the practice issue or question.
Professional Context
As a baccalaureate-prepared nurse, you will be responsible for locating and identifying credible and scholarly resources to incorporate the best available evidence for the purposes of enhancing clinical reasoning and judgement skills. When reliable and relevant evidence-based findings are utilized, patients, healthcare systems, and nursing practice outcomes are positively impacted.
Preparation
Review all resources for this assessment, as well as the scoring guide for details of how this assessment will be graded. You will use the specific diagnosis or health issue you selected for Assessment 1. You can refer to the overview of common EBP models in the Evidence-Based Practice Models media for help in choosing the most appropriate EBP model for your issue.
Instructions
Complete the following:
- Consider your diagnosis from Assessment 1.
- Explain an issue associated with this diagnosis that could benefit from an EBP approach.
- Choose the EBP model you wish to implement.
- Describe each step of the EBP model of your choice.
- Apply the steps of the model to your search for evidence for your diagnosis issue, and describe how you applied them.
- Locate at least three separate resources of evidence to assist with your diagnosis issue.
- Analyze the credibility and relevance of each resource as it relates to your diagnosis.
This is a paper and should be 3–5 pages, not including the title page or reference page. The paper must be in APA format.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
- Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.
- Analyze the credibility and relevance of each resource as it relates to a diagnosis.
- Competency 3: Apply an evidence-based practice model to address a practice issue.
- Explain an issue associated with a chosen diagnosis that could benefit from an EBP approach.
- Describe each step of a chosen EBP model.
- Describe how the steps of a chosen EPB model were applied to search for evidence for a diagnosis issue.
- Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
- Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
- Apply APA formatting to in-text citations and references, exhibiting adherence to most aspects of APA format.
NURS-FPX4025 Assessment 2 Applying an EBP Model Example
Applying an EBP Model
The diagnosis explored in week 1 is hyperemesis gravidarum, a condition characterized by severe nausea, vomiting, electrolyte imbalance, dehydration, and weight loss. In its severity, hyperemesis gravidarum differs from ordinary morning sickness, and if left untreated, it can lead to poor health outcomes for the mother and the baby. Hyperemesis gravidarum is the third leading cause of hospitalization among pregnant women, caused and aggravated by psychological and biological factors, necessitating its evidence-based management (Emami-Sahebi et al., 2021). This paper examines an issue associated with the diagnosis of hyperemesis gravidarum, applies an evidence-based practice model to address the issue, and discusses research evidence related to the topic.
Issue Associated with the Diagnosis
The issue that could benefit from an EBP approach is psychological problems associated with hyperemesis gravidarum (HG). According to Nijsten et al. (2022), psychological issues such as anxiety, depression, and emotional distress are common in HG and are associated with distressful and disruptive symptoms. An EBP approach can be used to justify the issue’s existence, select the most effective intervention to address it and implement that intervention.
EBP can also be used to determine the safest and most effective pharmacological and non-pharmacological interventions to improve maternal and fetal health. Poor psychological health can significantly impact patient outcomes, negatively affecting their motivation and collaboration in care, ultimately leading to poorer health outcomes (Nijsten et al., 2022). Effective, evidence-based interventions are thus crucial to addressing this issue, and they can benefit from an EBP approach.
Evidence-Based Practice Model
The selected EBP model is the IOWA model of evidence-based practice. The first step of the model involves identifying the issue or opportunity for change, which entails recognizing clinical problems that require improvement and could benefit from evidence-based practice (EBP) interventions (Tucker et al., 2021). The second step is to clearly state the purpose and determine its relevance to the organization’s priorities. The step ensures that the identified issue aligns with the organization’s priorities and goals.
The third step is forming a coalition/ team, which entails creating an interdisciplinary team to address the issue and collaborating to gather, evaluate, and implement evidence. The fourth step is assembling, appraising, and synthesizing evidence. This step involves critically collecting the best available evidence to appraise and critically determine its relevance and applicability. The fifth step is designing and piloting the practice, which entails implementing a small-scale trial or pilot study to test the selected in a controlled setting.
The sixth step entails evaluating the pilot test to derive lessons from the pilot study and utilizing these lessons (Tucker et al., 2021). The final step is the dissemination of results, which involves sharing the findings and outcomes through suitable channels. The model is suitable for this issue because it focuses on improving practice. The pilot test approach in the IOWA EBP model is also suitable for addressing this issue.
Evidence-Based Practice Model Application
The issue identified is psychological problems associated with HG. The issue could benefit from evidence-based interventions. The current organization focuses on holistic patient care, emphasizing the importance of ensuring patients’ overall well-being. Thus, the issue aligns with the organizational priorities and goals of the healthcare setting. The team identified areas for improvement that include psychiatric mental health practitioners, psychologists, psychiatrists, primary care physicians, and nurses who are directly involved in caring for HG patients and implementing evidence-based practices (EBP). The evidence assembled from the research focuses on areas such as the burden of the problem and the effectiveness of evidence-based interventions to address the issue. Concerns in this step include identifying the best intervention amidst the scarce resources.
Research evaluation shows that hyperemesis gravidarum leads to psychological issues such as guilt for leaving family (49.5%), crying (56.9%), suicidal thoughts (9.2%), and poor concentration (33.9%) (El-Skaan et al., 2023). Issues such as marital disarray are common. In addition, the severity of the HG, especially electrolyte imbalance, directly correlates with the intensity of mental health issues. The intervention also informed research on interventions to address psychological issues, which included cognitive-behavioral therapy, mindfulness-based stress reduction, trauma-informed therapy, psycho-education, and support groups (Juliana & Nurlianto, 2024).
In the fifth step, research on studies evaluating the various interventions to address psychological issues is crucial. Concerns include the quality and certainty of evidence supporting the interventions, as well as their applicability to the current practice site. The last two steps entail lessons learned from the practice and dissemination of the results. These last steps help derive valuable lessons from researchers who implemented psychoeducation in hyperemesis gravidarum.
Sources Appriasal and Relevance
Psychological issues associated with hyperemesis gravidarum can benefit from evidence-based practices. Resources focused on showcasing the existing problems and the various evidence-based practice (EBP) interventions that can be used to address them, along with their efficiency based on research. The resources selected to assist with the issues are as follows:
Jayashree, S., Bhuriya, S., Manohar, S., & Vidya, C. S. (2023). Study of psychological morbidity in Hyperemesis Gravidarum. Journal of Morphological Sciences, 40. https://doi.org/10.51929/jms.40.225.2023
Jayashree et al. (2023) conducted a cross-sectional design to explore the psychological morbidity of hyperemesis gravidarum, specifically the severity of anxiety and depression. The study is published in a peer-reviewed journal- the Journal of Morphological Sciences, and has undergone a peer-review process. The cross-sectional methodology, combined with established tools such as the Beck’s Depression Inventory (BDI) and the Hamilton Anxiety Scale (HAM-A), provides a structured and validated approach to the inquiry. Statistical analysis, conducted using Microsoft Excel and SPSS systems, enhances the study’s credibility.
However, the small sample size and study limitation to one hospital can limit the credibility of the study results. The sample size (n = 51) is relatively small but targeted and relevant to the research question. A common theme in the study is the under-identification and management of psychological issues in hyperemesis gravidarum. The study results showed that the HG cases were more prominent in primigravida (60.8%), 17.7% had mild to moderate anxiety disorder, 11..8% had borderline depression, 35.3.% had mild depression, 17.6% had moderate depression, 3.9% had severe depression. The study also showed that the prevalence of depression was higher in pregnant women with a history of HG.
El-Skaan, R. G. A., Abdelrahman, R. M., & Hassan, A. M. A. (2023). Retrospective analysis of Hyperemesis Gravidarum and its psychological impact during hospital admission. The Journal of Obstetrics and Gynecology of India, 73 (Suppl 1), 19-24. https://doi.org/10.1007/s13224-023-01787-3
El-Skaan et al. (2023) conducted a retrospective study to evaluate the psychological impact of hyperemesis gravidarum. The study is moderate evidence. The study utilized a sizable sample size (n = 109), making its results more generalizable. The study results showed that disease severity and laboratory investigations Na and K levels) were significantly positively correlated. The depressive symptoms such as guilt for leaving family (49.5%), crying (56.9%), suicidal thoughts (9.2%), and poor concentration (33.9%). The study is significant in the diagnosis of HG, as it reveals that HG has psychological impacts beyond its physiological effects. Consequently, a holistic approach to patient care should be adopted to enhance care delivery and improve patient health outcomes. Thus, the medical staff should be aware of the psychological impact of the disease and refer patients to specialists in severe care to improve their health outcomes.
Nijsten, K., van der Minnen, L. M., Dean, C., Bais, J. M., Ris-Stalpers, C., van Eekelen, R., Bremer, H. A., van der Ham, D. P., Heidema, W. M., Huisjes, A., Kleiverda, G., Kuppens, S. M., van Laar, J. O. E H., Langenveld,J., van der Made, F., Papatsonis, D., Pelinck, M., Pernet, P. J., van Rheenen-Flach, L., and Painter, R. C. (2022). Depression, anxiety, and post-traumatic stress disorder symptoms after Hyperemesis Gravidarum: A prospective cohort study. The Journal of Maternal-Fetal & Neonatal Medicine, 35(25), 10055-10063. https://doi.org/10.1080/14767058.2022.2089550 ,
Nijsten et al. (2022) conducted a prospective cohort study with a moderate level of evidence. The non-experimental approach to knowledge inquiry makes it more suitable than other research. The study utilized an appreciable sample population (n=215) of women admitted with HG in 19 hospitals in the Netherlands, making its results generalizable. It is also open-access and peer-reviewed, making it subject to public scrutiny and quality assurance.
The patients completed the Hospital itself and Depression Scale at six weeks and during the following and the PTSD checklist during the follow-up session. The study supports that HG has psychological impacts that are dependent on the disease’s severity and interventions implemented to address them. The study measured the severity of HG using the Pregnancy Unique Quantification of Emesis (PQUE-24), which assesses weight change, duration, admissions after the first trimester, and readmissions.
The study results showed that 24.1% of participants had an anxiety score above 8, 20.4% had a depression score of 8 and above at six weeks post-partum and at follow-up, 39.7% had an anxiety score of 8 and above, 27,4 % had depression score of 8 and above, and 21.9% had a PCL-5 score of below 31 (indicative of PTSD) (Nijsten et al., 2022). The study shows that the psychological impacts of HG, such as depression, anxiety, and PTSD, are common immediately after and years after HG has occurred. The study highlights the issue’s significance, emphasizing the importance of early detection and management to prevent medical and psychological complications.
Conclusion
Psychological issues in hyperemesis gravidarum are rampant, underdiagnosed, and undermanaged. Evidence from research shows that these problems persist when not managed and cause psychological issues years later. Patients with HG should, therefore, receive comprehensive care that addresses their overall needs, including emotional and psychological well-being. The IOWA EBP model can be utilized to inform the research and implementation of an evidence-based intervention aimed at addressing the problem. The studies evaluated confirm the issue’s burden, including prevalence and risk years after the diagnosis. The management of psychological issues is thus crucial to improving the quality of life of HG women.
References
El-Skaan, R. G. A., Abdelrahman, R. M., & Hassan, A. M. A. (2023). Retrospective analysis of Hyperemesis Gravidarum and its psychological impact during hospital admission. The Journal of Obstetrics and Gynecology of India, 73(Suppl 1), 19-24. https://doi.org/10.1007/s13224-023-01787-3
Jayashree, S., Bhuriya, S., Manohar, S., & Vidya, C. S. (2023). Study of psychological morbidity in Hyperemesis Gravidarum. Journal of Morphological Sciences, 40. https://doi.org/10.51929/jms.40.225.2023
Juliana, M., & Nurlianto, Y. (2024). A thorough systematic review of the impact of educational interventions on the quality of life for pregnant women experiencing nausea and vomiting. The Indonesian Journal of General Medicine, 1(6), 1-13.
Nijsten, K., van der Minnen, L. M., Dean, C., Bais, J. M., Ris-Stalpers, C., van Eekelen, R., Bremer, H. A., van der Ham, D. P., Heidema, W. M., Huisjes, A., Kleiverda, G., Kuppens, S. M., van Laar, J. O. E H., Langenveld, J., van der Made, F., Papatsonis, D., Pelinck, M., Pernet, P. J., van Rheenen-Flach, L., and Painter, R. C. (2022). Depression, anxiety, and post-traumatic stress disorder symptoms after Hyperemesis Gravidarum: A prospective cohort study. The Journal of Maternal-Fetal & Neonatal Medicine, 35(25), 10055-10063. https://doi.org/10.1080/14767058.2022.2089550
Tucker, S., McNett, M., Mazurek Melnyk, B., Hanrahan, K., Hunter, S. C., Kim, B., Cullen, L., & Kitson, A. (2021). Implementation science: Application of evidence‐based practice models to improve healthcare quality. Worldviews on Evidence‐Based Nursing, 18(2), 76-84. https://doi.org/10.1111/wvn.12495