I need 150 words for each of the assignment. Please include each with its own references. I will also appreciate non-plagiarized work.



Based on the PICOT you developed for NUR-550, summarize the change initiative you will be proposing. How does this support the population of focus, your setting, and role? Justify how the problem you selected to investigate is amenable to a research-based intervention using the PICOT format.

The following PICOT question will guide as the basis of proposed evidence-based practice project. For Hispanic adults residing in Arizona (P), how does introducing exercise protocol and cultural health nutrition (I) compare with utilization of universal protocols (C) in minimizing pervasiveness of Type 2 Diabetes (O) in 10 months (T).


Discuss the role of EBP in your specialty area of practice. Compare and contrast the role and implementation of EBP in your specialty with another advanced registered nurse specialty.


Chapter 21 in Advanced Practice Nursing: Essential Knowledge for the Profession.

Chapters 1-3 in Advanced Nursing Research: From Theory to Practice.

Chapters 1 and 2 in Evidence-Based Practice in Nursing and Healthcare.

Read “Striving for Evidence-Based Practice Innovations Through a Hybrid Model Journal Club: A Pilot Study,” by Wilson, Ice, Nakashima, Cox, Morse, Philip, and Vuong, from Nurse Education Today (2015). URL: http://www.sciencedirect.com.lopes.idm.oclc.org/science/article/pii/S0260691715000817

Read “Effect of Online Journal Club on Evidence-Based Practice Knowledge, Intent, and Utilization in School Nurses,” by Sortedahl, from Worldviews on Evidence-Based Nursing (2012). URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edswss&AN=000303121300007&site=eds-live&scope=site

Read “6 Steps for Transforming Organizational EBP Culture,” by Ogiehor-Enoma, Taqueban, and Anosike, from Nursing Management (2010). URL:https://lopes.idm.oclc.org/login?url=http://gateway.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&NEWS=N&PAGE=fulltext&AN=00006247-201005000-00004&LSLINK=80&D=ovft

Read “About the CEBM?” located on the Centre for Evidence Based Medicine website. URL: http://www.cebm.net/about

Read the Evidence-Based Practice tutorial, located on the Duke University website. URL: http://guides.mclibrary.duke.edu/c.php?g=158201&p=1036002

Explore the Resources page on the Centre for Evidence Based Medicine website. URL: http://www.cebm.net/category/ebm-resources/   

Explore the Evidence Based Medicine page of the University of Illinois Library of the Health Sciences website. Use this website as a resource for your project. URL: http://researchguides.uic.edu/eb

Explore the Evidence Based Medicine Toolkit website. URL: http://www.ebm.med.ualberta.ca/



Do you foresee any issues with implementation of your project? Identify stakeholders who could assist in supporting you, and any theoretical frameworks (organizational change, leadership, role-specific) or models that could help you adapt.


What strategies will you use in your new practice as an advance registered nurse to review and critique literature pertinent to your practice?


Read Chapter 22 in Advanced Practice Nursing: Essential Knowledge for the Profession

Read Chapter 25 in Advanced Nursing Research: From Theory to Practice.URL: 

Read Chapter 3 in Evidence-Based Practice in Nursing and Healthcare. URL: 

Use the Joanna Briggs Institute EBP Database to search for EBP resources related to your project. URL: https://joannabriggs.org/jbi-approach-to-EBHC

Read the Guide to Clinical Preventive Services located on the Agency for Healthcare Research and Quality website. URL: https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide/index.html

Explore the Centre for Evidence-Based Medicine (CEBM) website. URL: http://www.cebm.net/

Explore the National Guideline Clearinghouse website.URL: http://www.guideline.gov/

Explore The Cochrane Collaboration website. URL: http://www.cochrane.org/

Explore the Star Model Research website.URL: https://www.uthscsa.edu/academics/nursing/star-model

Explore the Cochrane Library website.URL: http://www.thecochranelibrary.com/view/0/index.html

Explore the Agency for Healthcare Research and Quality website. URL: http://www.ahrq.gov/



What levels of evidence are present in relation to research and practice, and why are they important regardless of the method you use?


What factors must be assessed when critically appraising quantitative studies (e.g., validity, reliability, and applicability)? Which is the most important? Why?


Read “Supporting the Uptake of Nursing Guidelines: What You Really Need to Know to Move Nursing Guidelines Into Practice,” by Matthew-Maich, Ploeg, Dobbins, and Jack, from Worldviews on Evidence-Based Nursing (2013). URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=2012100833&site=ehost-live&scope=site

Read “Evidence Based Medicine: Levels of Evidence” located on the University of Illinois Library website. URL: http://researchguides.uic.edu/content.php?pid=232200&sid=1921074

Read “Critical Appraisal Tools,” located on the Centre for Evidence Based Medicine website. URL: http://www.cebm.net/critical-appraisal/

Study “Worksheet for Using Practice Guidelines,” located on the Evidence Based Medicine Toolkit website. URL: http://www.ebm.med.ualberta.ca/CPGWorksheet.html

Study “Template of Guideline Attributes,” located on the National Guideline Clearinghouse website. URL: http://www.guideline.gov/about/template-of-attributes.aspx

Review “Study Designs,” located on the Centre for Evidence Based Medicine website. URL: http://www.cebm.net/index.aspx?o=1039

Investigate the Nursing Best Practice Guidelines page of the Registered Nurses Association of Ontario website. URL: http://www.rnao.org/Page.asp?PageID=861&SiteNodeID=133



What are some of the obstacles or barriers to implementing EBP in nursing? Provide a rationale for your answer. Since there are numerous topics on the issue, it is not appropriate to repeat one that has already been mentioned unless providing new information.


Ensuring the protection of human subjects is necessary when conducting research projects. What are some methods that can be used to protect personal rights of someone in one of the groups that is labeled as vulnerable? Consider how a patient’s values and your own clinical judgment must be considered before applying the evidence in clinical decision making for an individual patient.


Read “The Role of a Research Nurse in Translating Evidence Into Practice,” by Houlston, from Nursing Management (2012). URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104555531&site=eds-live&scope=site

Explore the Office for Human Research Protections (OHRP) website. URL: http://www.hhs.gov/ohrp/



Identify the components of implementing your evidence-based practice project. What has been the most difficult component, and why? What do you think has gone well? Provide one piece of advice you would give to a colleague about the implementation process.


Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project. This could range from support of the evidence-based project proposal to communication gaps. How could you address these problems?


Read Chapters 16 and 17 in Advanced Nursing Research: From Theory to Practice

Read Chapters 11, 18, and 20 in Evidence-Based Practice in Nursing and Healthcare. 

Read “An Example of Qualitative Comparative Analysis in Nursing Research,” by Donnelly and Wiechula, from Nurse Researcher (2013). URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107955325&site=eds-live&scope=site

Read “Mechanisms Which Help Explain Implementation of Evidence-Based Practice in Residential Aged Care Facilities: A Grounded Theory Study,” by Masso, McCarthy, and Kitson, from International Journal of Nursing Studies (2014). URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=96521319&site=eds-live&scope=site

Study “Diffusion of Innovation in Health Care,” by Cain and Mittman (2002), located on the California Health Care Foundation website. URL: http://www.chcf.org/publications/2002/05/diffusion-of-innovation-in-health-care

Read “30 Safe Practices for Better Health Care,” located on the Agency for Healthcare Research and Quality (AHRQ) website. URL: http://archive.ahrq.gov/research/findings/factsheets/errors-safety/30safe/30-safe-practices.html

Explore the Center for Theory of Change website. URL: http://www.theoryofchange.org/



When reviewing the literature and different types of evidence for your project, what gaps in the findings did you encounter? How could these gaps influence other researchers?


What is the difference between statistically significant evidence and clinically significant evidence? How would each of these findings be used to advance an evidenced-based practice project?


Read Chapter 27 in Advanced Nursing Research: From Theory to Practice

Read Chapters 12 and 16 and Appendix F in Evidence-Based Practice in Nursing and Healthcare. 

Read “Research, Evidence-Based Practice, and Clinical Improvement/Innovation Posters,” from the AORN Journal (2015). URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109809571&site=eds-live&scope=site

Read “Round and Round We Go: Rounding Strategies to Impact Exemplary Professional Practice,” by Reimer and Herbener, from Clinical Journal of Oncology Nursing (2014). URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=99713777&site=eds-live&scope=site

Read “Discharge Planning Rounds to the Bedside: A Patient- and Family-Centered Approach,” by Wrobleski, Joswiak, Dunn, Maxson, and Holland, from MEDSURG Nursing (2014). URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=hch&AN=95701875&site=eds-live&scope=site



Identify the audience for your EBP proposal and discuss strategies for disseminating the proposal.


How will you ensure that all appropriate audiences receive information about research and EBP initiatives?


Read Chapters 22-24 in Advanced Nursing Research: From Theory to Practice

Review Chapters 11 and 16 and Appendix F in Evidence-Based Practice in Nursing and Healthcare. 

Read “A Foundation for Patient Safety: Phase I Implementation of Interdisciplinary Bedside Rounds in the Pediatric Intensive Care Unit,” by Licata, Aneja, Kyper, Spencer, Tharp, Scott, Fiedor, and Pasek, from Critical Care Nurse (2013). URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=hch&AN=87974048&site=eds-live&scope=site



Post a rough draft of your “Evidence-Based Practice Presentation.” The purpose of this draft is to get feedback from your peers. Identify at least two areas you would like specific feedback for improvement.

Peers are encouraged to also comment on anything they feel is successful or could be further improved. Review all of the presentations, but provide critical commentary for at least one other posted presentation.


The EBP process is a powerful way of advancing improvements in health care. Identify three strategies that you will now incorporate into your practice based on this course. Explain your rationale.


Review Chapters 22-24 in Advanced Nursing Research: From Theory to Practice.