NUR702 Developing Evidence-based Practice     Assignment Guidelines for Problem Identification

Chatham University
Doctor of Nursing Practice (DNP) Program
NUR702 Developing Evidence-based Practice
Assignment Guidelines for Problem Identification

This assignment focuses on the initial steps of evidence-based practice (EBP) as described in chapters of your textbook:

Melnyk, B., & Fineout-Overholt, E.  Evidence-based practice in nursing & healthcare: A guide to best practice. Wolters Kluwer.

Through this assignment, the student will identify an actual clinical problem supported with internal data from their clinical practice setting.  A PICO format question will be formulated to be used as search terms for the research literature later in the course. The PICO described in this paper may or may not end up being the intervention ultimately selected following your review of the literature, but the PICO question initiates the terms used to search for the best evidence to support a solution to the clinical problem.

The purpose of this paper is to present everything you can about the clinical problem chosen. The clinical problem must have a link to patient outcomes/population health. This paper is not about your project or the intervention. Stay focused on the problem!
This is a scholarly paper. Scholarly papers are to be written in APA 7th Edition format.  Evaluation of the assignment will focus on content and demonstrated writing skills.  In order to be successful on this assignment, students must demonstrate scholarly writing skills consistent with doctoral level work. Students may elect or may be required by course faculty to work with a writing specialist.  This is accessible through the Chatham University Writing Support Services (see Course Material and Resource block).  Students may be required to submit all assignments to a writing specialist before submitting their work to faculty for evaluation and grading. Allow enough time for writing specialist’s turnaround time.  Students may also elect to use a private writing tutor or editor to help with their writing.
Required content and format of the problem identification assignment should include but is not limited to the following items:
Introduction (10 points).  Introduce the clinical problem from a global perspective, explaining why this is a concern. Then narrow in on clinical problem of interest within your facility. Include a purpose statement at the end of the paragraph introducing the purpose of the paper (identify and describe a clinical problem).  Please note the title (level 1 header) preceding this section is the same title as listed on the cover page. DO NOT use a header titled “Introduction” for this is assumed.

Background (15 points).  This includes information regarding the problem of interest. Students should approach from a global or national level/concern then drill down to the localized institutional problem.  Share the risk factors or causes associated with the problem. Share barriers to addressing the problem.  Provide supporting evidence to demonstrate that the clinical problem exists or is a concern within the facility where you will be doing your project.  If available, share data from your site, region, or national databases supporting the problem.  Do not name your practice site; just describe it thoroughly.

Significance (15 points).  Share the significance of the problem of interest for clinical practice.  Explain why it is important this problem needs to be addressed on a global/national level then drill down to your localized institutional problem.  Share the rates of the problem including any morbidity/mortality statistics, if applicable. Associate some financial value to this.  Describe how correcting this problem impacts financial status and may improve patient/health care outcomes (do not share your chosen intervention yet though),

PICO question (10 points).  Introduce/explain what the PICO acronym means and why it is utilized within EBP (e.g. to search the literature). Present the question that will guide the inquiry into the research literature in PICO format. (The “Time” of “T” aspect is optional since the Chatham projects are limited within 10-12 weeks.)
Develop a paragraph about each aspect of this acronym from your PICO question.  Each paragraph should clearly align the patient population, a possible intervention, and intended outcome(s).
These PICO elements will serve as the search terms for your later research literature review. The purpose of the literature review will be to uncover possible interventions you can use at your site to address the problem. Your PICO may or may not include the intervention (I) you ultimately select.

Conclusion (5 points).

Written in current 7th ed. APA format (10 points).

Correct spelling, grammar, and punctuation (10 points).

Organization and presentation of content (10 points).

This paper should be approximately 8-10 pages (not including cover page or references).
Use the Problem Identification TEMPLATE created in MS Word.  It is located in the Course Materials and Resources.




Rubric for Problem Identification Paper= 85 points (30% of final grade)

Grading Criteria Possible Points 85 Student Score
Introduction 10
Background 15
Significance 15
Conclusion 5
Written in APA (7th edition) format.   10
Correct spelling, grammar, and punctuation. 10
Organization and presentation of content. 10
Total 85

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