NURS FPX 4025 Assessment 2 Sample FREE DOWNLOAD

NURS FPX 4025 Assessment 2

Applying an EBP Model

Student name

Capella University

NURS-FPX4025 Research and Evidence-Based Decision Making

Professor’s Name

Submission Date

Role of Evidence-Based Practice on Appendicitis

Evidence-based practice (EBP) is essential in the modern world of nursing as it helps to make sure that the credible research is included in the process of treating a patient to provide the latter with safety, quality, and outcomes. Among the patients who survived the appendectomy procedure, the common practice of postoperative procedures has been associated with a delayed recovery rate, complication, and hospitalization (Abu-Baker et al., 2021). Nurses can solve these challenges with the help of an EBP model since they can systematically evaluate and integrate evidence-based strategies such as enhanced recovery after surgery (ERAS) rules. The Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model is used in this paper in regards to one of the delayed recovery phenomena in appendectomized patients, and demonstrates how the systematic implementation of evidence can result in care delivery and patient outcomes.

Issue Associated with Diagnosis

Delayed postoperative recovery with the concomitants such as long-term pain, slow mobilization, and long-term stay is one of the leading issues of acute appendicitis that requires appendectomy. The consequences of the current conventional postoperative care practices (delay of oral intake, limited early ambulation, use of opioids as the only pain management method) are slower recovery, decreased ambulation, early postoperative complications (e.g., ileus or infection), and more expensive healthcare. These delays have a harmful impact on patient safety and satisfaction and cost health care systems due to the growing length of stay and resource utilization (Abu-Baker et al., 2021). The advocacy of the EBP approach will be highly beneficial in this issue because the existing literature has identified the ways to improve recovery and facilitate its effectiveness by introducing early ambulation, multimodal administration of pain, initiation of oral intake, and ERAS. As demonstrated by Li et al. (2024), ERAS has the potential to reduce the number of complications, shorten the length of stay in a healthcare facility, and the cost received by the customer without sacrificing safety. Adopting these evidences into the clinic will allow nurses to improve patient outcomes, satisfaction, and organizational goals to improve quality and reduce costs.

Evidence-Based Practice Model

Johns Hopkins Nursing Evidence-Based Practice Model (JHNEBP) is a systematic aid designed to guide nurses in their clinical issue to evidence-based improvement. Its structure is the acronym PET, which means Practice, Evidence, and Translation, providing a systematic method of shifting between problem identification and a solution implementation (Tsistinas, 2020). In the Practice question phase, where the clinical issues are clearly clarified and operationalized into expert questions, occasionally in the PICOT form, the relevant stakeholders are invited to the table. The Evidence stage emphasizes searching, screening, and synthesizing the best quality studies and determining the level and quality of the evidence on a standardized rate scale (Tsistinas, 2020). The final step, which is Translation, is geared towards establishing the feasibility of changes in practice, trying it in actual life, measuring the outcomes, and then presenting the results in preparation for an extensive job.

This model is particularly applicable to the situation with delayed recovery following appendectomy, as it integrates two dimensions that are the rigidity of the evidence assessment and the expediency of its implementation. Compared to other models that emphasize the synthesis of evidence in specific instances, JHNEBP is more holistic when it comes to change (ensuring that the path to change takes into account the notion of interprofessional collaboration, plan-do-study-act (PDSA) structure, and sustainability planning) (Tsistinas, 2020). The findings indicated that the opportunities for nurses have to do not just involve implementing evidence-based interventions but also inspiring the structural shifts to ensure the integration of EBP over a long period (Ominyi & Alabi, 2025). It is a desirable methodological rigor and dwells upon applicability, and can be applied to implement ERAS evidence into effective postoperative care interventions among appendectomy patients.

Application of the Evidence-Based Practice Model to Acute Appendicitis

The JHNEBP Model was methodically used during the search for the relevant evidence on delayed recovery among patients who underwent appendectomy. The interprofessional team developed a (Population, Intervention, Comparison, Outcome, and Time) PICOT question in the Practice Question phase which is as follows: In patients recovering after appendectomy (P), what were the effects of the application of ERAS protocols (I), as compared to the use of standard post-surgery care (C) on pain management, recovery, and the length of stay at the hospital (O), in the acute care setting (T)? This was the question on which specific research was based. Data searching was done in databases accessible, i.e., PubMed, CINAHL, and ProQuest Nursing and Allied Health, and the search used the following keywords: appendectomy, enhanced recovery, postoperative outcomes, and ERAS. Since Moris et al. (2021) examined the diagnosis and treatment of acute appendicitis in detail, it is positive to learn about the clinical examination, imaging, and treatment. The peer-reviewed articles that were published within the last ten years were sifted to facilitate the current and reliable information. The sources were subsequently critically evaluated, and randomized controlled trials were evaluated by the JHNEBP Evidence Level and Quality Guide as Level I and clinical guidelines as Level IV, thereby allowing the team to prioritize high-quality studies.

In the course of the Translation stage, the information that was synthesized was evaluated in comparison to the way it would be verified in the practice setting, and the ERAS protocols were noted as viable and applicable in surgical units. Liu et al. (2024) established the opportunity to enhance evidence-based nursing interventions and improve interventions through the use of structured nursing care that could allow patients with appendicitis and evidence-based nursing interventions for the surgical site wound infection to get cured at a faster rate. One of the challenges encountered in this process was the problem of narrowing down generalized findings, as the major research carried out on ERAS was, in most cases, on colorectal or major abdominal surgery analysis and not on appendectomy. To address this, the inclusion criteria will be revised to prioritize the studies on laparoscopic surgery and generalizable ERAS interventions, such as pain management, fluid balance, and early mobilization. Such a procedure allowed choosing the evidence that might be regarded as credible and directly applicable to the procedure of appendectomy recovery.

Credibility and Relevance of Evidence

Li, Z.-L., Ma, H.-C., Yang, Y., Chen, J.-J., & Wang, Z.-J. (2024). Clinical study of enhanced recovery after surgery in laparoscopic appendectomy for acute appendicitis. World Journal of Gastrointestinal Surgery, 16(3), 816–822. https://doi.org/10.4240/wjgs.v16.i3.816

The former is a randomized controlled study by Li et al. (2024), which evaluated the utility of the Enhanced Recovery After Surgery (ERAS) practices in laparoscopic appendectomy. The article is an extremely pertinent study, as it is peer-reviewed, applied a large RCT design, and provided statistically significant outcomes in terms of pain reduction, hospital stay reduction, and cost reduction in the ERAS group. Its unconditional attention to patients in appendectomies makes it stand out among the general ERAS-based research, which makes it the most effective piece of evidence in this diagnosis.

Moris, D., Paulson, E. K., & Pappas, T. N. (2021). Diagnosis and management of acute appendicitis in adults: A review. Journal of the American Medical Association, 326(22), 2299–2311. https://doi.org/10.1001/jama.2021.20502

The second source is a guideline article by Moris et al. (2021) on an open-access medical journal, the Journal of the American Medical Association (JAMA), which is highly credible and peer-reviewed. The credibility of the journal is enhanced by the experienced levels of the authors, who are also surgeons and radiologists, in addition to the stringent levels of editorial standards and the extensive range of influence of the journal in clinical practices. Although the article addresses the management issue of appendicitis to a great extent, the value of its application is determined by the evidence-based views on the diagnostic methods, surgical decision-making, and postoperative therapy, which match the ERAS schedule and new recovery pathways. The review has demonstrated a good amount of depth of research over smaller studies done on a single institution, and this is one of the reasons why the review will be of special interest when making evidence-driven decisions applied in the care of appendectomy.

Liu, F., Zhou, J., & Wu, X. (2024). Effects of evidence‐based nursing on surgical site wound infection in patients undergoing acute appendicitis surgery: A meta‐analysis. International Wound Journal, 21(3). https://doi.org/10.1111/iwj.14539

The third reference is a meta-analysis study by Liu et al. (2024) in the International Wound Journal that examined the outcomes of evidence-based nursing interventions to prevent the occurrence of surgical site wounds in patients undergoing appendectomy. The article is quite credible as it is peer-reviewed, meta-analytic in style, and published by a wound care and surgical outcome journal. Compared to other factors, it applies in that it addresses a major complication of infection after an operation since the evidence-based nursing practices were well accredited to minimize the occurrence of wound infection and consequently achieve full recovery. This meta-analysis compiles information taken from multiple trials, contrary to a narrative review or small research, which will offer less powerful generalizability and dependability.

Conclusion

The Evidence-Based Practice Model of Johns Hopkins Nursing provided a systematic method of solving the issue of slow recovery after appendectomy. Based on the high-quality studies, ERAS protocols were effective in pain reduction, bowel recovery, and length of hospital stays. These findings can be applied to ensure safer and more feasible patient-based treatment. This process highlights the very important relevance of the EBP to translate research into actual clinical measures.

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Instructions To Write NURS FPX 4025 Assessment 2

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Instruction file for 4025 Assessment 2

Assessment 2 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.

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.

Scoring Guide for 4025 Assessment 2

Use the scoring guide to understand how your assessment will be evaluated.

Criterion 1

Explain an issue associated with a chosen diagnosis that could benefit from an EBP approach.

Distinguished

Explains an issue associated with a chosen diagnosis that could benefit from an EBP approach, and why the issue could benefit from such an approach.

Proficient

Explains an issue associated with a chosen diagnosis that could benefit from an EBP approach.

Basic

Explains an issue associated with a chosen diagnosis, though it’s not clear how the issue would benefit from an EBP approach.

Non Performance

Does not explain an issue associated with a chosen diagnosis that could benefit from an EBP approach.

Criterion 2

Describe each step of a chosen EBP model.

Distinguished

Describes each step of a chosen EBP model, and why this model is appropriate for the issue in question.

Proficient

Describes each step of a chosen EBP model.

Basic

Identifies each step of a chosen EBP model.

Non Performance

Does not describe each step of a chosen EBP model.

Criterion 3

Describe how the steps of a chosen EPB model were applied to search for evidence for a diagnosis issue.

Distinguished

Describes how the steps of a chosen EPB model were applied to search for evidence for a diagnosis issue, including questions or challenges that came up in applying the chosen model to the search process.

Proficient

Describes how the steps of a chosen EPB model were applied to search for evidence for a diagnosis issue.

Basic

Describes how the steps of a chosen EPB model were applied to search for evidence, though the diagnosis issue or what kind of resulting evidence was found may be unclear.

Non Performance

Does not describe how the steps of a chosen EPB model were applied to search for evidence for a diagnosis issue.

Criterion 4

Analyze the credibility and relevance of each resource as it relates to a diagnosis.

Distinguished

Analyses the credibility and relevance of each resource as it relates to a diagnosis, including what makes it better suited than other evidence.

Proficient
Analyzes the credibility and relevance of each resource as it relates to a diagnosis.
Basic
Analyzes the credibility of some of the resources, and their relationship to a diagnosis may not be clear.
Non Performance
Does not analyze the credibility and relevance of each resource as it relates to a diagnosis.

Criterion 5

Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

Distinguished
Organizes content with a clear purpose. Content flows logically with smooth transitions using coherent paragraphs, correct grammar/punctuation, word choice, and free of spelling errors.
Proficient
Organizes content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Basic
Organizes content with some logical flow and smooth transitions. Contains errors in grammar/punctuation, word choice, and spelling.
Non Performance
Does not organize content so ideas flow logically with smooth transitions; contains many errors in grammar/punctuation, word choice, and spelling.

Criterion 6

Apply APA formatting to in-text citations and references, exhibiting adherence to most aspects of APA format.

Distinguished

Exhibits adherence to most aspects of APA formatting of headings, in-text citations, and references. Correctly uses quotes and paraphrasing.

Proficient

Applies APA formatting to in-text citations and references, exhibiting adherence to most aspects of APA format.

Basic

Applies APA formatting to in-text citations, headings, and references incorrectly and/or inconsistently, detracting noticeable from the content. Inconsistently uses headings, quotes, and/or paraphrasing.

Non Performance

Does not apply APA formatting to headings, intent citations, and references. Does not use quotes or paraphrase correctly.

Use the resources linked below to help complete this assessment.

EBP Basics

This reading list focuses on various EBP models to find usable evidence to solve a healthcare issue:

Assessment 2: EBP Basics.

Apply EBP Models

This reading list explores applying an EBP model to a healthcare concern:

Assessment 2: Promoting EBP.

Familiarize yourself with the differences between some of the more common EBP models. Reviewing this resource will help you determine the model that best fits the issue for this assessment:

Evidence-Based Practice Models.

Appraising Evidence

Review the Evidence-Based Practice in Nursing & Health Sciences library guide, specifically the following:

Critically Appraise the Evidence. This will introduce you to a few of the EBP models and how to appraise evidence.
Review Levels of Evidence. Look at the “Level of Evidence Table” at the bottom of the page. This will provide detail about the different levels of evidence.

Capella Resources

Review the following Capella resources:

Bachelor of Nursing (BSN) Program Library Guide.
- The library research guide will be useful in guiding you through the Capella library, offering tips for searching the literature and other references for your assessments.
Databases A-Z: Nursing & Health Sciences.
- This is a list of the library databases that are relevant to nursing and health sciences.
Evidence-Based Practice in Nursing & Health Sciences.
- Library guide to EBP-related topics with a focus on nursing and health sciences.
Find Scholarly & Peer-Reviewed Sources.
- Guide to help you more efficiently locate scholarly and peer-reviewed resources.
Get Critical Search Skills.
- This guide offers a five-step approach to improving your research search effectiveness.

APA Style and Format

Capella University follows the style and formatting guidelines in the Publication Manual of the American Psychological Association, known informally as the APA manual. Refer to the Writing Center’s APA Module for tips on proper use of APA style and format.

Writing Resources

A variety of writing resources are available in the NHS Learner Success Lab, linked in the courseroom navigation menu. Access these resources to help you better understand and improve your writing.

BSN Practicum

Students enrolled in the BSN or RN-to-BSN degree program are required to complete direct practice hours.

Action Required

In preparation for your practicum experience, you will want to review your program-specific Practicum Campus page and begin the application process. Your site and preceptor must be approved before you start your practicum courses. You will not be able to enroll in any specialization or practicum course until you have received your practicum application approval. The review process can take 12 weeks or longer, so to ensure your program progression is not delayed, you should start your application process as soon as possible. Submit all requirements as soon as possible for review and approval.

SoNHS Practicum.

A List Of Capella Library References

Abu-Baker, N. N., Abu-Alrub, S., Obeidat, R. F., & Assmairan, K. (2021). Evidence-based practice beliefs and implementations: A cross-sectional study among undergraduate nursing students. BioMed Central (BMC) Nursing, 20(1), 1–8. https://doi.org/10.1186/s12912-020-00522-x

Ominyi, J., & Alabi, A. (2025). Enhancing evidence-based practice implementation in acute care: A qualitative case study of nurses’ roles, interprofessional collaboration, and professional development. Canadian Journal of Nursing Research. https://doi.org/10.1177/08445621251351056

Tsistinas, O. (2020). Subject Guides: Johns Hopkins Nursing Evidence-Based Practice: Johns Hopkins EBP Model. Guides.upstate.edu. https://guides.upstate.edu/c.php?g=1023176&p=7411252

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NURS FPX 4025 Assessment 2 Sample FREE DOWNLOAD