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Evidence Based Practice Implementation And Evaluation Essay

Implementation and Evaluation of Evidence-Based Practice

Part one

Critical components for rapid critical appraisal of clinical practice guidelines and their importance

A rapid critical appraisal refers to the studys worthiness determination based on its applicability, reliability, and validity to clinical practice. In general, a rapid critical appraisal has to through some form of checklist to assist the reviewer in evaluating the effectiveness of the study and if it can apply to the patients. Although multiple rapid critical appraisal tools are available, most of them respond to three very critical questions to determine the studys worth (Grove et al. 2018). For example, what is the validity of the results? What was the result? Is it critical? Does the result respond to the PICOT question and would assist patient care within the setting?

To begin with, validity is the accuracy of the results. Validity seeks to establish how accurate are the study results and if they can be trusted (Ferrell et al. 2018). To determine this, first, the selection of the participants for the study should be evaluated. For instance, what method of selection was used, where they are chosen randomly or through other means? Were mechanisms to minimize biased outcomes based on participants selection criteria?

Additionally, there is a need to assess the completeness and accuracy of the data. For example, whether or not the studys authors used an instrument or a measure like a reliable and valid survey. Lastly, there is a need to assess the kind of data included and what data is excluded (Castellani et al. 2018). Moreover, is it possible that the researcher undertook practical steps to ensure complete and accurate data? Therefore, reliability would be the consistency and dependability on whether the results obtained accurately represent what is under the study.

Subsequently, another critical component asks about the results and if they are essential. In other words, the question seeks to determine what the study established and its meaningfulness. Also, to interpret the results, terminologies like effect size and significance level should be clearly understood to evaluate the treatment effect (Ferrell et al. 2018). Effect size is the relationship strength between the variables. A higher effect size translates to a strong relationship between the variables.

On the other hand, level...

This is very important because it would encourage stakeholders to have a role in evaluating outcome measures (Alatawi et al. 2020). As a result, one can develop a better project plan and the strategies to implement it.

Another strategy is to seek and establish administration support from ones institution because it is an acritical factor in success. Through administrative support, one can learn about prior projects that adopted similar implementation techniques and how they performed (Harvey et al. 2020). Moreover, the administration has a critical role in establishing cultures that support evidence-based practice. For example, our behavior can be changed by practicing; however, behavior change is hectic. It requires open-mindedness to new ideas, perseverance, and persistence. One may face barriers but has to find strategies to overcome them. Through teamwork, an evidence-based practice environment leading to better results can be assured for the patients (Alatawi et al. 2020). To conclude, leadership, change, and sustainability are the key strategies in overcoming challenges to evidence-based practice…

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References

Alatawi, M., Aljuhani, E., Alsufiany, F., Aleid, K., Rawah, R., Aljanabi, S., & Banakhar, M. (2020). Barriers of implementing evidence-based practice in nursing profession: A literature review. American Journal of Nursing Science, 9(1), 35-42.

Castellani, C., Duff, A. J., Bell, S. C., Heijerman, H. G., Munck, A., Ratjen, F., ... & Drevinek, P. (2018). ECFS best practice guidelines: the 2018 revision. Journal of cystic fibrosis, 17(2), 153-178.

Ferrell, B. R., Twaddle, M. L., Melnick, A., & Meier, D. E. (2018). National consensus project clinical practice guidelines for quality palliative care guidelines. Journal of palliative medicine, 21(12), 1684-1689.

Grove, S. K., & Gray, J. R. (2018). Understanding nursing research e-book: Building an evidence-based practice. Elsevier Health Sciences.

Harvey, G., Kelly, J., Kitson, A., Thornton, K., & Owen, V. (2020). Leadership for evidence-based practice—Enforcing or enabling implementation? Collegian, 27(1), 57-62.

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