NURS FPX 4025 Assessment 2

NURS FPX 4025 Assessment 2 Applying an EBP Model

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Capella University

NURS-FPX4025 Research and Evidence-Based Decision Making

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Applying an Evidence-Based Practice (EBP) Model in COPD Management

Evidence-Based Practice (EBP) is a cornerstone in modern nursing, providing a structured approach to patient care through the use of the best available research. Chronic Obstructive Pulmonary Disease (COPD) significantly affects the quality of life for millions of individuals, particularly due to smoking-related symptoms and inadequate medication adherence. This paper delves into the application of the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model in the context of smoking cessation among COPD patients. The following sections outline the associated issues, describe the model’s key steps, and review evidence aimed at improving patient outcomes.

Issues Related to COPD Diagnosis

COPD is a progressive lung disease that restricts airflow, causing symptoms like shortness of breath, chronic coughing, and decreased exercise tolerance. One of the most significant challenges in managing COPD is addressing smoking cessation, as continued tobacco use exacerbates the condition and intensifies symptoms. Principe et al. (2024) highlight that although quitting smoking can significantly improve health outcomes, COPD patients face multiple obstacles, such as nicotine addiction, emotional dependence, and lack of sufficient support. A meta-analysis by Principe et al. (2024) reveals that smokers are 4.01 times more likely to develop COPD compared to non-smokers, emphasizing the need for effective smoking cessation strategies.

The EBP model integrates clinical expertise, patient preferences, and the best available evidence to guide decision-making. Han et al. (2023) propose that smoking cessation programs incorporating behavioral counseling, pharmacotherapy, and pulmonary rehabilitation result in more effective outcomes than simple advice. Research supports the combination of nicotine replacement therapy with cognitive-behavioral interventions as a more successful approach to quitting smoking. The JHNEBP model enables nurses to systematically evaluate and implement these evidence-based strategies to enhance disease management and reduce hospitalizations, ultimately improving the quality of life for COPD patients (Jiang et al., 2024).

Steps in the JHNEBP Model

The Johns Hopkins Nursing Evidence-Based Practice model provides a structured process for incorporating research findings into clinical practice. In the context of smoking cessation for COPD patients, the model focuses on evidence-based decision-making tailored to individual patient needs. The JHNEBP model includes three key steps: Practice Question, Evidence Translation (PET), and Implementation.

1. Practice Question: The first step is to formulate a well-defined clinical question, often using the PICO framework (Population, Intervention, Comparison, Outcome). For COPD patients, the question may focus on comparing the effectiveness of structured smoking cessation programs versus standard advice.

2. Evidence Translation (PET): This step involves conducting a thorough literature review to identify high-quality studies, guidelines, and expert recommendations on smoking cessation. Studies are critically evaluated for relevance, ensuring that clinical decisions are based on the most reliable and up-to-date evidence.

3. Implementation: Once evidence has been gathered, the next phase involves putting the evidence into practice by developing structured smoking cessation programs. These programs may include behavioral counseling, pharmacotherapy, and pulmonary rehabilitation, with an emphasis on monitoring patient outcomes and adjusting interventions as needed. Challenges such as patient motivation and limited resources can be addressed through ongoing education and support (Coleman et al., 2022). The structured approach offered by the JHNEBP model leads to patient-centered interventions that improve COPD management.

The JHNEBP Model in Evidence Search

The JHNEBP model played a critical role in identifying evidence-supported interventions for smoking cessation in COPD patients. Using the PICO framework, a focused search was conducted across various databases, including PubMed, CINAHL, and the Cochrane Library. Key search terms such as “COPD,” “smoking cessation,” “nicotine replacement therapy,” “behavioral counseling,” and “pulmonary rehabilitation” were used.

Studies were evaluated for credibility and relevance to ensure that the evidence used in clinical practice was the most applicable and high-quality available. Despite challenges like the abundance of research and a lack of specific studies on smoking cessation for COPD, the JHNEBP model facilitated a more focused approach, leading to the identification of key research that could be applied to practice.

Credibility and Relevance of Resources

The studies conducted by Principe et al. (2024), Han et al. (2023), and Jiang et al. (2024) provide robust evidence supporting smoking cessation interventions for COPD patients. These resources were critically evaluated using the CRAAP criteria (Currency, Relevance, Authority, Accuracy, Purpose) to ensure their reliability and applicability to evidence-based practice.

Principe et al. (2024) provided a comprehensive meta-analysis on the risks of smoking in COPD development, offering valuable insights for clinicians. Han et al. (2023) explored structured smoking cessation programs and demonstrated that combining behavioral counseling with pharmacotherapy and pulmonary rehabilitation produces effective results. Jiang et al. (2024) underscored the crucial role of nurses in implementing smoking cessation interventions, further reinforcing the applicability of the JHNEBP model in this context. These studies provide the necessary evidence to guide the development of smoking cessation programs that are effective and patient-centered.

Conclusion

The application of the Johns Hopkins Nursing Evidence-Based Practice model ensures that smoking cessation interventions for COPD patients are based on solid evidence and tailored to individual needs. By integrating credible research into practice, nurses can develop and implement smoking cessation programs that improve patient outcomes, reduce disease progression, and enhance 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

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

NURS FPX 4025 Assessment 2 Applying an EBP Model

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

Table: EBP Model and Its Application