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Evidence-Based Practice Proposal – Section B: Problem Description Write a paper of 500‐750 words (not including the title page and reference page) on your proposed problem description for your EBP project. The paper should address the following: 1. Describe the background of the problem. Tell the story of the issue and why it deserves attention. 2. Identify the stakeholders/change agents. Who, or what organizations, are concerned, may benefit from, or are affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc. 3. Use the feedback from the Topic 2 main forum post and refine your PICOT question. Make sure that the question fits with your graduate degree specialization. 4. State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence‐based practice is introduced to identify the expected changes. 5. 5) Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources. 6. Develop an initial reference list to assure that there is adequate literature to support your evidence‐based practice project. Follow the “Steps to an Efficient Search to Answer a Clinical Question” box in chapter 3 of the textbook. Use “NUR‐699 Search Method Example” to assist you. 7. 7) The majority of references should be research articles. However, national sources such as Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Department of Health and Human Resources (HHS), or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you are gathering statistics to provide the rationale for the problem. 8. Once you get into the literature, you may find there is very little research to support your topic and you will have to start all over again. Remember, in order for this to be an evidence‐based project, you must have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice, then further research would need to be conducted. Prepare this assignment according to the APA guidelines. NO ABSTRACT NEEDED. Search Method Example Search Method A comprehensive electronic search was completed using the following databases: Cochrane Central Register of Controlled Trials Cochrane Database of Systematic Reviews National Guideline Clearinghouse CINAHL Ovid Medline The search included English-only published articles between 1990 and 2005. Key words used in the search were: Pediatric asthma education Self-management Self-monitoring Grade school children Systematic reviews Randomized controlled trials Search results revealed 75 publications. The abstracts were screened and 10 studies were relevant to pediatric asthma education involving self-management, self-monitoring behaviors, self-efficacy, and educational programs with various interventions. These studies included three systematic reviews, five randomized control trials (RCT), one cohort descriptive study, and one qualitative study. Refer to Appendix A for a complete reference list.               

Re-define POCOT question Can reducing wait time in Ambulatory Care Clinics positively impact the psychodynamic status of the patient needing urgent care as opposed to shorter wait time in Private Practice and patient’s outcome within one year. Population– Ambulatory Care Clinics patient Intervention – Reducing waiting time in Ambulatory care clinics Comparison – Shorter wait time in Private Care Clinics Outcome – Creating positive impact on patients’ psychodynamic status

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