Assignment: Evidence-Based Practice Research Paper

Assignment: Evidence-Based Practice Research Paper

Assignment Evidence Based Practice Research Paper

Organizational culture is a critical determinant of successful implementation of evidence-based practice in any health organization. It is therefore important that nurses and other healthcare providers undertake an assessment of their organizations to determine their readiness to support evidence-based practice. The tool for evidence-based practice that was utilized for this task was obtained from the book by Cameron and Quinn (2011). The tool comprises of now and preference questions. The now questions examines the current situation of the organization while preference questions examines what an ideal organization should be. The average scores for the now questions was 75% out of 100%. The average score for the preferred questions was found to be 85% out of 100. The results show that the organizational culture in our hospital can support the implementation of evidence-based practice to promote quality nursing care.

The survey tool pointed out some of the facilitators as well as barriers to evidence-based practice in our organization. Some of the facilitators include leadership support, teamwork, trust, and encouraging of innovation and risk taking behaviors in the organization. It also included aspects such as the use of management styles that encourage independence and leadership that focuses on mentorship, nurturing, and facilitation of knowledge and skills development among the staffs. The survey identified potential barriers to the implementation of evidence-based practice, which include lack of organizational support, staff low-level of awareness towards evidence-based practice, and the high workload in the organization. Therefore, despite the organization being ready to implement evidence-based practice, it should explore different ways in which it can address the potential barriers to successful use of evidence-based practice by its staffs.Assignment Evidence Based Practice Research Paper

Section B: Proposal/Problem Statement and Literature Review

The refined PICOT statement from the proposed intervention is as follows:

In African-American patients with major depressive disorder, will the use of combined intervention involving cognitive behavioral therapy and antidepressants reduce severity of complications when compared to the use of antidepressants alone within 12 months?

The need for this intervention arose from two factors. Firstly, evidence has consistently shown that individuals from African-American backgrounds are least affected by major depressive disorder. However, the complications associated with the condition among them are high. As a result, it increases the need for a study examining effective methods of managing the disorder among this population. Secondly, the management of major depressive disorder relies mainly on the use of antidepressants. However, the use of non-pharmacological interventions has also proven effective in managing the disorder. Therefore, it raises the need to investigate the outcomes associated with the combined therapy when compared to monotherapy in the treatment of the disorder.

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Some studies have been conducted in the past to determine the efficacy of combined therapy vs. monotherapy in the management of

Assignment Evidence-Based Practice Research Paper
Assignment Evidence-Based Practice Research Paper

major depressive disorder and reduction of the severity of symptoms associated with the disorder. A meta-analysis by Boschloo et al., (2019) explored the efficacy of using antidepressants vs. cognitive behavioral therapy in treating depression. The researchers examined results reported in 17 randomized controlled clinical trials, which investigated the efficacy of the two treatments. Symptoms that include depressed mood, feelings of guilt, suicidal thoughts, and general somatic symptoms were improved with the use of medications and cognitive behavioral therapy. However, this research is associated with the limitation of failing to use study participants in investigating the topic. Despite this weakness, the researchers recommended the use of the combined therapy since it could result in improved outcomes with the treatment.

Corruble et al., (2016) conducted a study that examined the effectiveness of telephone-administered psychotherapy with antidepressant in the treatment of major depressive disorder. The researchers used 221 adults with major depressive disorder who were assigned randomly to eight sessions of weekly treatment with psychotherapy and antidepressants. The control group was administered with intensive clinical management of the disorder using agomelatine. The outcomes showed that there was a high response rate with the use of the combined treatment when compared to antidepressants alone. Despite the study having used human subjects, it had the weakness of being conducted over a short period (Corruble et al., 2016). Kamenov et al., (2017) conducted a meta-analysis to examine the efficacy of pharmacotherapy, psychotherapy, and their combination on quality of life as well as functioning in patients with depression. The researchers used 153 outcome trials that involved 29, 879 participants. The outcomes of the review showed that combined therapy has significant health outcomes as evidenced by reduction in severity of the symptoms of the disorder as well as enhanced quality of life (Kamenov et al., 2017). While this study did not use human subjects, its utilization of many trials as its source of evidence raises the credibility of its findings. According to Kamenov et al., (2017), few clinical trials have been conducted to examine the effectiveness of the combined therapy in the treatment of major depressive disorder. As a result, this proposed intervention will bridge the gap in evidence on the topic.

In order to formulate your evidence-based practice (EBP), you need to assess your organization. In this assignment, you will be responsible for setting the stage for EBP. This assignment is conducted in two parts: an organizational cultural and readiness assessment and the proposal/problem statement and literature review, which you completed in NUR-550.

Section A: Organizational Culture and Readiness Assessment

It is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation. Select an appropriate organizational culture survey tool and use this instrument to assess the organization\’s readiness.
Develop an analysis of 250 words from the results of the survey, addressing your organization\’s readiness level, possible project barriers and facilitators, and how to integrate clinical inquiry, providing strategies that strengthen the organization\’s weaker areas.
Make sure to include the rationale for the survey category scores that were significantly high and low, incorporating details or examples. Explain how to integrate clinical inquiry into the organization.
Submit a summary of your results. The actual survey results do not need to be included.

Section B: Proposal/Problem Statement and Literature Review

In NUR-550, you developed a PICOT statement and literature review for a population quality initiative. In 500-750 words, include the following:
Refine your PICOT into a proposal or problem statement.
Provide a summary of the research you conducted to support your PICOT, including subjects, methods, key findings, and limitations.
General Guidelines:
You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Lopes Write Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.


Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed
  • Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
  • Here are some helpful links
  • Student paper example
  • Citing Sources
  • The Writing Center is a great resource