A. Discuss the impact of a clinical practice problem on the patient(s) and the organization it affects.

1. Identify the following PICO components of the clinical practice problem:

• patient/population/problem (P)

• intervention (I)

• comparison (C)

• outcome (O)

2. Develop an evidence-based practice (EBP) question based on the clinical practice problem discussed in part A and the PICO components identified in part A1.

B. Select a research-based article that answers your EBP question from part A2 to conduct an evidence appraisal.

1. Discuss the background or introduction (i.e., the purpose) of the research article.
2. Describe the research methodology.
3. Identify the level of evidence using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model.
4. Summarize how the researcher analyzed the data in the article.
5. Summarize the ethical consideration(s) of the research-based article. If none are present, explain why.
6. Identify the quality rating of the research-based article according to the JHNEBP model.
7. Analyze the results or conclusions of the research-based article and explain how the article helps answer your EBP question.

C. Select a non-research article from a peer-reviewed journal that helps to answer your EBP question from part A2 to conduct an evidence appraisal.

1. Discuss the background or introduction (i.e., the purpose) of the non-research article.
2. Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline).
3. Identify the level of evidence using the JHNEBP model.