A.  Discuss the impact of a clinical practice problem on the patient(s) and the organization it affects.

1.  Identify the following PICO components of the clinical practice problem:

•   patient/population/problem (P)

•   intervention (I)

•   comparison (C)

•   outcome (O)

2.  Develop an evidence-based practice (EBP) question based on the clinical practice problem discussed in part A and the PICO components identified in part A1.

 Note:  Refer to “Appendix B: Question Development Tool” for information on the creation of an EBP question. 

B.  Select a research-based article that answers your EBP question from part A2 to conduct an evidence appraisal.

1.  Discuss the background or introduction (i.e., the purpose) of the research article.

2.  Describe the research methodology.

3.  Identify the level of evidence using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model.

Note: The article you select should not be more than five years old. 
Note:  Refer to “Appendix E: Research Evidence Appraisal Tool” for information on how to level a research-based article.

4.  Summarize how the researcher analyzed the data in the article.

5.  Summarize the ethical consideration(s) of the research-based article. If none are present, explain why.

6.  Identify the quality rating of the research-based article according to the JHNEBP model.

Note:  Refer to “Appendix E: Research Evidence Appraisal Tool” for information on how to establish the quality rating.

7.  Analyze the results or conclusions of the research-based article and explain how the article helps answer your EBP question.

C.  Select a non-research article from a peer-reviewed journal that helps to answer your EBP question from part A2 to conduct an evidence appraisal.

1.  Discuss the background or introduction (i.e., the purpose) of the non-research article.

2.  Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline).

3.  Identify the level of evidence using the JHNEBP model.

Note: The article you select should not be more than five years old. 
Note:  Refer to “Appendix F: Non-Research Evidence Appraisal Tool” for information on how to level the non-research-based article.

4.  Identify the quality rating of the non-research-based article according to the JHNEBP model.

5.  Discuss how the author’s recommendation(s) in the article helps to answer your EBP question.

D.  Recommend a practice change that addresses your EBP question using both the research and non-research articles you selected for Part B and Part C.

1.  Explain how you would involve three key stakeholders in supporting the practice change recommendation.

2.  Discuss one specific barrier you may encounter when implementing the practice change recommendation.

3.  Identify one strategy that could be used to overcome the barrier discussed in part D2.

4.  Identify one outcome (the O component in PICO) from your EBP question to measure the recommended practice change.

E.  Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

F.  Demonstrate professional communication in the content and presentation of your submission.

Activity 6

Emergency Response Planning 

Emergency response planning is the organization, coordination, and direction of available resources to respond to an event or bring and emergency under control.

Select one of the scenarios below and complete the activity.

Earthquake Emergency Response

The healthcare team has just been notified that there was an earthquake in the Sentinel Mountains that has destroyed buildings in Industrial Heights and Casper Park residential area of Sentinel City®. 

• Visit the Industrial Heights and Casper Park residential areas of Sentinel City® and consider the impact zone of an earthquake.  Observe the services, routes and populations that may be involved with the city as a result of the earthquake.
• Create a report that describes the potential public health effects, infrastructure damage and environmental hazards related to the earthquake.  Describe the members and roles of the emergency management team and organizations (public and private) that would be activated in Sentinel City®. 
• Who are the members of the emergency response team that will be deployed? What private and public resources will assist with the response in the short and long term?
• What are the risks and benefits of the quick public responses that will be shared on social media?

Tornado Emergency Response

The healthcare team has just been notified that there was a tornado that ripped through Casper Park and Acer Tech Center in Sentinel City®. 

• Visit the Casper Park and Acer Tech Center areas of Sentinel City® and consider the impact zone of the tornado.  Observe the services, routes and populations that may be involved with the city as a result of the tornado.
• Create a report that describes the potential public health effects, infrastructure damage and environmental hazards related to the tornado.  Describe the members and roles of the emergency management team and organizations (public and private) that would be activated in Sentinel City®. 
• Who are the members of the emergency response team that will be deployed? What private and public resources will assist with the response in the short and long term?
• What are the risks and benefits of the quick public responses that will be shared on social media?

Civic Disturbance Emergency Response

The healthcare team has just been notified that there is a civic disturbance at City Hall with injuries in Sentinel City®.

• Visit the area City Hall.  Observe the services, routes and populations that may be involved with the city as a result of the civic disturbance.
• Create a report that describes the potential public health effects and environmental hazards related to the civic disturbance.  Describe the members and roles of the emergency management team and organizations (public and private) that would be activated in Sentinel City®. 
• Who are the members of the emergency response team that will be deployed? What private and public resources will assist with the response in the short and long term?
• What are the risks and benefits of the quick public responses that will be shared on social media?