NURS FPX 4025 Assessment 2 Applying an EBP Model

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Capella university

NURS-FPX4025 Research and Evidence-Based Decision Making

Prof. Name

Date

Applying an Evidence-Based Practice (EBP) Model

Evidence-based practice (EBP) is essential in nursing, ensuring that patient care is guided by the most reliable research. Chronic Obstructive Pulmonary Disease (COPD) significantly affects the quality of life, primarily due to smoking-related symptoms and poor adherence to treatment regimens. Addressing smoking cessation in COPD patients is critical, as continued tobacco use worsens the disease. This paper applies the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model to promote smoking cessation among COPD patients. It explores the key issues, outlines the model’s steps, and reviews evidence-based interventions to improve patient outcomes.

Issue Associated with the Diagnosis

COPD is a progressive lung disease characterized by airflow obstruction, leading to persistent symptoms such as dyspnea, chronic cough, and reduced physical activity. One of the major challenges in managing COPD is smoking cessation, as continued tobacco use exacerbates symptoms and accelerates disease progression. Principe et al. (2024) highlight that while quitting smoking offers numerous health benefits, COPD patients often struggle due to nicotine addiction, emotional dependence, and inadequate support. Their meta-analysis found that smokers are 4.01 times more likely to develop COPD compared to non-smokers.

The integration of EBP ensures that patient care is informed by the best available research, clinical expertise, and individual patient preferences. Han et al. (2023) emphasize that structured smoking cessation programs combining behavioral counseling, pharmacotherapy, and pulmonary rehabilitation are more effective than general advice. Research indicates that using nicotine replacement therapy along with cognitive-behavioral strategies significantly improves smoking cessation success rates. By employing the JHNEBP model, nurses can systematically evaluate and implement the most effective interventions, improving COPD management, reducing hospitalizations, and enhancing patients’ overall quality of life (Jiang et al., 2024).

EBP Model and Its Steps

The JHNEBP model provides a systematic approach to integrating research into clinical practice, making it a valuable framework for addressing smoking cessation among COPD patients. The model follows three key steps: Practice Question, Evidence Translation, and Implementation (Brunt & Morris, 2023).

The first step involves defining a well-structured clinical question using the PICO (Population, Intervention, Comparison, Outcome) framework. This ensures that the problem is clearly identified, guiding the search for relevant evidence. The second step, evidence translation, entails conducting a comprehensive literature review to identify high-quality research studies, clinical guidelines, and expert recommendations regarding smoking cessation interventions for COPD patients. The reliability of each source is critically assessed to ensure that only the most credible data inform clinical decisions.

NURS FPX 4025 Assessment 2

Once relevant evidence is gathered, the final step involves implementing evidence-based interventions in practice. This includes establishing interdisciplinary smoking cessation programs, incorporating behavioral therapy, pharmacotherapy, and pulmonary rehabilitation strategies while monitoring patient outcomes. Addressing barriers such as patient motivation and resource constraints is crucial, and education plays a key role in facilitating successful interventions (Coleman et al., 2022). The JHNEBP model ensures that smoking cessation strategies are structured, patient-centered, and supported by strong evidence, ultimately improving COPD management.

Application of the JHNEBP Model to Evidence Search

The JHNEBP model was applied to guide the search for evidence-based smoking cessation interventions for COPD patients. The PET (Practice Question, Evidence Translation, Implementation) framework helped define the research focus using the PICO approach: COPD patients (P) receiving structured smoking cessation programs (I) versus those receiving standard advice (C) to achieve improved cessation rates and better disease management (O). The search was conducted across multiple databases, including PubMed, CINAHL, and the Cochrane Library, using keywords such as COPD, smoking cessation, nicotine replacement therapy, behavioral counseling, and pulmonary rehabilitation.

Each study was critically assessed for credibility and relevance, ensuring that the best available evidence informed clinical practice. Despite challenges such as the overwhelming volume of literature and the limited availability of COPD-specific smoking cessation research, the JHNEBP model provided a structured approach to narrowing down the most relevant studies for implementation.

Credibility and Relevance of Resources

The studies conducted by Principe et al. (2024), Han et al. (2023), and Jiang et al. (2024) offer strong evidence regarding smoking cessation strategies for COPD patients. These sources were evaluated using the CRAAP criteria to assess their credibility and relevance. Principe et al. (2024) conducted a comprehensive meta-analysis, providing valuable insights into smoking-related risks in COPD patients.

Han et al. (2023) explored structured smoking cessation programs integrating behavioral counseling, pharmacotherapy, and pulmonary rehabilitation, making their findings applicable to current EBP models. Jiang et al. (2024) focused on the role of nurses in implementing smoking cessation interventions, reinforcing the importance of the JHNEBP model in nursing practice. The credibility and clinical relevance of these studies ensure that they are essential for guiding evidence-based smoking cessation strategies for COPD patients.

Conclusion

The application of the JHNEBP model ensures that smoking cessation interventions for COPD patients are based on reliable evidence and tailored to individual needs. By leveraging high-quality research, nurses can implement structured programs that enhance smoking cessation success, reduce disease progression, and improve long-term COPD management. The integration of EBP into nursing practice promotes better patient outcomes and supports more effective, patient-centered care.

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Table: EBP Model and Its Application

Step	Description	References
Practice Question	Define a clear clinical question using the PICO framework (Population, Intervention, Comparison, Outcome).	Brunt & Morris, 2023
Evidence Translation	Conduct a literature review to identify relevant studies, guidelines, and expert opinions on smoking cessation.	Coleman et al., 2022; Williams et al., 2022
Implementation	Apply evidence in practice by designing structured programs and monitoring patient outcomes.	Jiang et al., 2024

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References

Brunt, B. A., & Morris, M. M. (2023, March 4). Nursing professional development evidence-based practice. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK589676/

Coleman, S. R. M., Menson, K. E., Kaminsky, D. A., & Gaalema, D. E. (2022). Smoking cessation interventions for patients with chronic obstructive pulmonary disease: A narrative review with implications for pulmonary rehabilitation. Journal of Cardiopulmonary Rehabilitation and Prevention, 43(4). https://doi.org/10.1097/HCR.0000000000000764

Han, M. K., Fu, Y., Ji, Q., Duan, X., & Fang, X. (2023). The effectiveness of theory-based smoking cessation interventions in patients with chronic obstructive pulmonary disease: A meta-analysis. BioMed Central Public Health, 23(1), 1510. https://doi.org/10.1186/s12889-023-16441-w

NURS FPX 4025 Assessment 2

Jiang, Y., Zhao, Y., Tang, P., Wang, X., Guo, Y., & Tang, L. (2024). The role of nurses in smoking cessation interventions for patients: A scoping review. BioMed Central Nursing, 23(1), 803. https://doi.org/10.1186/s12912-024-02470-2

Principe, R., Zagà, V., Martucci, P., Michele, L., Barbetta, C., Serafini, A., Cattaruzza, M., & Giacomozzi, C. (2024). Smoking cessation in the management of chronic obstructive pulmonary disease (COPD): Narrative review and recommendations. Ann Ist Super Sanità, 60(1), 14–28. https://doi.org/10.4415/ANN_24_01_04

Williams, P. J., Philip, K. E. J., Gill, N. K., Flannery, D., Buttery, S., Bartlett, E. C., et al. (2022). Immediate, remote smoking cessation intervention in participants undergoing a targeted lung health check: Quit smoking lung health intervention trial, a randomized controlled trial. Chest, 163(2), 455–463. https://doi.org/10.1016/j.chest.2022.06.048