Evidenced Based Practice

Evidenced Based Practice
1.    Create a table using nine columns like the one below, using a spreadsheet or word-processing program.
2.    Once you have created these special categorical columns, you can now use them to analyze your data and help organize your review. Simply sort your spreadsheet or table on a column of interest and you will be able to get a new view or organizing framework for your data. When sorting, select all columns rather than sorting by one column as this would mix up your data.
Author(s)     Source    Date (year)    Research Type (experimental, quasi-experimental, case series, ethnographic, etc)    Population/
sample size    Outcome measures    Pertinent data from results    Suggested Conclusions    Comments
EBT1-Task2
Introduction:
Recent clinical guidelines suggest that watchful waiting is better than immediately beginning treatment with antibiotics when a child presents with otitis media. A group of nurses in the outpatient clinic decide to use evidence-based research for this practice to help them understand whether this is the appropriate care for the children they see. If they find it is grounded in the research, they will suggest a change in the clinical policy guidelines. They are aware that this policy may be a concern for parents who are used to getting antibiotics immediately when they bring their children to the clinics.
The nurses brought the following sources of evidence to their first meeting:
• American Academy of Pediatrics and American Academy of Family Physicians. (2004.) Clinical practice guideline: Diagnosis and management of acute otitis media. Retrieved May 17, 2008, from http://aappolicy.aappublications.org/cgi/content/full/pediatrics;113/5/1451
• Block, S. L. (1997). Causative pathogens, antibiotic resistance and therapeutic considerations in acute otitis media. Pediatric Infectious Disease Journal, 16, 449–456.
• Kelley, P. E., Friedman, N., Johnson, C. (2007). Ear, nose, and throat. In W. W. Hay, M. J. Levin, J. M. Sondheimer, & R. R. Deterding (Eds.), Current pediatric diagnosis and treatment (18th ed., pp. 459–492). New York: Lange Medical Books/McGraw-Hill.
• McCracken, G. H. (1998). Treatment of acute otitis media in an era of increasing microbial resistance. Pediatric Infectious Disease Journal, 17, 576–579.
• Results from interviews with parents who have brought their children into the clinic for acute otitis media.
Task:
A. Review the sources of evidence listed above and do the following:
1. Classify the type of each source of evidence as either a general information resource, a filtered resource, or an unfiltered resource.
2. Discuss whether each source of evidence is appropriate for this nursing practice situation.
3. Classify each source of evidence as primary research evidence, evidence summary, evidence-based guideline, or none of these.
B. Review the article (see “Clinical Practice Guideline” attached below) and do the following:
1. Discuss whether watchful waiting is an appropriate approach for treating children with acute otitis media, based on the evidence presented in the article.
C. Discuss how you would apply the findings in the attached article to improve nursing practice in the clinic.
D. Discuss ethical issues that could arise in researching and changing clinical practice guidelines, based on the evidence-based research.
1. Include issues of vulnerable populations, confidentiality, and informed consent when research involves children.
E. If you use sources, include all in-text citations and references in APA format.
Note: Please save word-processing documents as *.rtf (Rich Text Format) files.
Note: For definitions of terms commonly used in the rubric, see the attached Rubric Terms.
Note: When using sources to support ideas and elements in a paper or project, the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the paper or project.
Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from sources, even if cited correctly. For tips on using APA style, please refer to the APA Handout web link included in the General Instructions section
This Rubric will be used to grade your work
EBT1 – 724.8.3-01-05
Levels/Criteria    Unacceptable     Needs Revision     Meets Standard     Exemplary     Score/Level
Articulation of Response (clarity, organization, word usage, ease of understandability)     There is no evidence of response to the prompts.     The articulation of the response is weak.     The articulation of the response is adequate.     The articulation of the response is skillful.
Accuracy of Mechanics (grammar, punctuation, spelling)     The work includes several major errors that disrupt the meaning or flow of the response.     The work includes a few major errors and/or many minor errors that interfere with the clarity of the response.     The work includes a few minor errors but no readily detectable major errors.     The work includes no readily detectable major or minor errors.
A1. Types of Sources of Evidence     The candidate correctly classifies the type of 0–3 of the sources of evidence.     The candidate correctly classifies the type of 4 of the sources of evidence.     Not applicable.     The candidate correctly classifies the type of 5 of the sources of evidence.
A2. Appropriateness of Sources of Evidence     The candidate provides a logical discussion of whether 0–3 of the sources of evidence are appropriate for this nursing practice situation.     The candidate provides a logical discussion of whether 4 of the sources of evidence are appropriate for this nursing practice situation.     Not applicable.     The candidate provides a logical discussion of whether 5 of the sources of evidence are appropriate for this nursing practice situation.
A3. Classification of Sources of Evidence     The candidate correctly classifies 0–3 of the sources of evidence as primary research evidence, evidence summary, evidence-based guideline, or none of these.     The candidate correctly classifies 4 of the sources of evidence as primary research evidence, evidence summary, evidence-based guideline, or none of these.     Not applicable.     The candidate correctly classifies 5 of the sources of evidence as primary research evidence, evidence summary, evidence-based guideline, or none of these.
B1. Watchful Waiting     The candidate does not discuss whether watchful waiting is an appropriate approach for treating children with acute otitis media, based on the evidence presented in the article.     The candidate provides an illogical discussion of whether watchful waiting is an appropriate approach for treating children with acute otitis media, based on the evidence presented in the article.     The candidate provides a logical discussion of whether watchful waiting is an appropriate approach for treating children with acute otitis media, based on the evidence presented in the article.     The candidate provides a credible and well-supported discussion of whether watchful waiting is an appropriate approach for treating children with acute otitis media, based on the evidence presented in the article.
C. Application of Findings     The candidate does not discuss how to apply the findings in the article to improve nursing practice in the clinic.     The candidate provides an illogical discussion of how to apply the findings in the article to improve nursing practice in the clinic.     The candidate provides a logical discussion of how to apply the findings in the article to improve nursing practice in the clinic.     The candidate provides a credible and well-supported discussion of how to apply the findings in the article to improve nursing practice in the clinic.
D. Ethical Issues     The candidate does not discuss ethical issues that could arise in researching and changing clinical practice guidelines, based on the evidence-based research.     The candidate provides an illogical discussion of ethical issues that could arise in researching and changing clinical practice guidelines, based on the evidence-based research.     The candidate provides a logical discussion of ethical issues that could arise in researching and changing clinical practice guidelines, based on the evidence-based research.     The candidate provides a credible and well-supported discussion of ethical issues that could arise in researching and changing clinical practice guidelines, based on the evidence-based research.
D1. Issues     The candidate does not include issues of vulnerable populations, confidentiality, and informed consent when research involves children.     Not applicable.     Not applicable.     The candidate includes issues of vulnerable populations, confidentiality, and informed consent when research involves children.
E. Sources     If the candidate uses sources, the candidate does not provide in-text citations and/or references for each source used.     If the candidate uses sources, the candidate provides appropriate in-text citations and/or references with major deviations from APA style.     If the candidate uses sources, the candidate provides appropriate in-text citations and/or references with minor deviations from APA style.     If the candidate uses sources, the candidate provides appropriate in-text citations and/or references with no readily detectable deviations from APA style, OR the candidate does not use sources.