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) plays an essential role in nursing by ensuring that patient care is guided by the best available research. Chronic Obstructive Pulmonary Disease (COPD) significantly impacts the quality of life for many individuals, particularly due to smoking-related symptoms and poor medication adherence. This paper explores the application of the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model, with a focus on smoking cessation among COPD patients. It will discuss the associated issues, outline the model’s steps, and review evidence that can improve outcomes for these patients.

Issue Associated with the Diagnosis

COPD is a chronic, progressive lung disease characterized by airflow limitation, leading to symptoms such as dyspnea, chronic cough, and reduced exercise capacity. A major challenge in managing COPD is smoking cessation, as continued tobacco use exacerbates the disease and worsens symptoms. Principe et al. (2024) emphasize that while smoking cessation offers numerous benefits, COPD patients often struggle to quit due to nicotine addiction, emotional dependence, and a lack of support. A meta-analysis conducted by Principe et al. (2024) revealed that smokers are 4.01 times more likely to develop COPD compared to non-smokers.

To address this, EBP integrates the best available evidence with clinical expertise and patient preferences. Han et al. (2023) suggest that structured smoking cessation programs that combine behavioral counseling, pharmacotherapy, and pulmonary rehabilitation lead to better outcomes than simple advice. Evidence shows that combining nicotine replacement therapy with cognitive-behavioral interventions significantly improves success rates for quitting smoking. By applying the JHNEBP model, nurses can systematically evaluate and implement effective smoking cessation strategies, ensuring interventions are evidence-based and patient-centered. Ultimately, this approach not only enhances disease management but also reduces hospitalizations and improves the overall quality of life for COPD patients (Jiang et al., 2024).

EBP Model and Its Steps

The JHNEBP model provides a structured framework for incorporating research findings into clinical practice. It is particularly useful for addressing smoking cessation in COPD patients by focusing on evidence-based decision-making tailored to the individual needs of each patient. The model consists of three key steps: Practice Question, Evidence Translation (PET). The first step involves formulating a well-defined clinical question using the PICO (Population, Intervention, Comparison, Outcome) framework (Brunt & Morris, 2023). The next step involves conducting a comprehensive literature review to identify high-quality research studies, guidelines, and expert opinions on smoking cessation for COPD patients.

The reliability and applicability of each resource are critically evaluated to ensure that practice decisions are informed by the most relevant and current data. Once the evidence is collected, the next phase is to implement the evidence-based interventions in the clinical setting, which includes developing interdisciplinary smoking cessation programs, incorporating behavioral counseling, pharmacotherapy, and pulmonary rehabilitation, and monitoring patient outcomes. Challenges such as patient motivation and resource limitations can be addressed through education and support (Coleman et al., 2022). The JHNEBP model provides a clear, step-by-step approach that leads to patient-centered smoking cessation interventions, improving the overall management of COPD.

Application of the JHNEBP Model to Evidence Search

The JHNEBP model was utilized to identify evidence-supported interventions for smoking cessation in COPD patients. The PET methodology guided the search process by focusing on the PICO framework: COPD patients (P) who participate in structured smoking cessation programs versus those receiving standard advice (C) to achieve improved cessation success rates and better disease management (O). The evidence search was conducted across several databases, including PubMed, CINAHL, and the Cochrane Library, using key terms such as COPD, smoking cessation, nicotine replacement therapy, behavioral counseling, and pulmonary rehabilitation.

Each selected study was critically evaluated for credibility and relevance, ensuring that the best available evidence was used to inform clinical decisions. Despite challenges such as the overwhelming volume of available literature and the lack of COPD-specific smoking cessation research, the JHNEBP model enabled a focused search that led to the identification of the most relevant studies for implementation in clinical practice.

Credibility and Relevance of Resources

The research conducted by Principe et al. (2024), Han et al. (2023), and Jiang et al. (2024) provides strong evidence regarding smoking cessation strategies for COPD patients. These sources were evaluated using the CRAAP criteria to assess their credibility and relevance to EBP. Principe et al. (2024) conducted a meta-analysis that synthesized findings from multiple studies, providing robust evidence on the risks of smoking in COPD development.

This resource is highly valuable due to its recent publication and comprehensive data. Han et al. (2023) explored structured smoking cessation programs that combine behavioral counseling with pharmacotherapy and pulmonary rehabilitation, offering practical tools for healthcare providers. This study supports current EBP models and demonstrates the authors’ reliability based on their institutional affiliations. Jiang et al. (2024) emphasize the role of nurses in implementing smoking cessation interventions for COPD patients, further supporting the effectiveness of the JHNEBP model. The credibility of these studies, along with their relevance to clinical practice, makes them 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 grounded in evidence-based practices that are tailored to individual needs. By leveraging credible research, nurses can implement structured smoking cessation programs that improve patient outcomes, reduce disease progression, and support long-term COPD management.

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

NURS FPX 4025 Assessment 2 Applying an EBP Model

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

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., Devaraj, A., Kemp, S. V., Addis, J., Derbyshire, J., Chen, M., Morris, K., Laverty, A. A., & Hopkinson, N. S. (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

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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 find relevant studies, guidelines, and expert opinions on smoking cessation.	Coleman et al., 2022; Williams et al., 2022
Implementation	Apply the evidence in practice by designing structured programs and monitoring patient outcomes.	Jiang et al., 2024