Capella FPX 4025 Assessment 2

Name

Capella university

NURS-FPX4025 Research and Evidence-Based Decision Making

Prof. Name

Date

Applying an EBP Model

Evidence-Based Practice (EBP) is crucial for nursing, patient care being evidence-driven by the best available research. Chronic Obstructive Pulmonary Disease (COPD) heavily affects the quality of life for many patients, especially in relation to smoking-related symptoms and bad medication adherence. This paper uses the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model with smoking cessation in COPD patients. It will discuss the problem, outline the model’s process, and examine reliable evidence to enhance the results for patients.

Issue Associated with the Diagnosis

COPD is a chronic and progressive lung disease that involves airflow limitation and results in dyspnea, chronic cough, and reduced exercise performance. One of the main problems with COPD is smoking cessation because continued tobacco smoking can make the disease worsen and symptoms become more severe. Principe et al. (2024) explore that smoking cessation has numerous benefits, but many COPD smokers have difficulty stopping smoking due to nicotine addiction and the emotional burden of smoking, as well as a lack of support. A newly conducted meta-analysis verified that individuals who smoke possess a 4.01-fold increased likelihood of acquiring COPD (Principe et al., 2024).

Evidence-based practice (EBP) is the key to tackling smoking cessation in COPD patients as it combines the best evidence it has at the moment with clinical expertise and patient preference. Han et al. (2023) highlight that medical professionals use structured smoking cessation programs that combine behavioral counseling with medical interventions and pulmonary rehabilitation to achieve better patient cessation outcomes and clinical results. This study shows that combining nicotine replacement therapy with cognitive-behavioral interventions was significantly enhanced compared to simple advice alone to quit.  

Applying the JHNEBP model, nurses can systematically evaluate and translate into practice the most effective smoking cessation techniques for COPD patients. By taking this approach, interventions are founded on sound evidence rather than unwritten practices that can not be effective. Plus, using EBP fosters patient brooked care, providing patients with education and liberty to accomplish adherence with smoking come plans. In the long run, dealing with this by means of an EBP approach enhances disease management, reduces hospitalizations, and results in a superior quality of life for COPD patients (Jiang et al., 2024).

EBP Model and Its Steps

The JHNEBP model provides a systematic way for nurses to incorporate research findings into practice. This model is relevant for treating smoking cessation in COPD patients as it is based on a structured, evidence-based approach to decision-making tailored to the needs of the individual patient. Practice Question Evidence Translation (PET) is the three parts of the model. The first part is determining a well-defined, focused clinical question using the PICO (Population, Intervention, Comparison, Outcome) framework (Brunt & Morris, 2023).

The next step is to perform a literature review to identify well conducted research studies, guidelines, and references to experts guidelines on smoking cessation in patients with COPD. Findings from several peer-reviewed journal studies, systematic reviews, and meta-analyses constitute the most compelling evidence. The reliability and usefulness of each resource are critically evaluated so that the most relevant and current data informs practice decisions. The goal is to implement the investigating-based intervention in the practical setting of the clinic.

This includes designing smoking cessation interdisciplinary programs implementing behavioral counseling, pharmacotherapy, and pulmonary rehabilitation, as well as monitoring patient outcomes and adherence. Implementation challenges, including patient motivation and resource availability, are handled by education and support methods (Coleman et al., 2022). The JHNEBP Model is appropriate for this issue because it offers a directive, step-by-step strategy of incorporating research into nursing practice, leading to effective, patient-centered smoking cessation measures in managing COPD.

Application of the JHNEBP Model to Evidence Search

The JHNEBP model was used to determine evidence-supported interventions for smoking cessation treatments in patients with COPD. The research framework employs PET methodology for conducting effective searches of relevant evidence. The practice question began with PICO format focusing on COPD patients (P) who receive structured smoking cessation programs versus standard advice (C) to achieve better outcomes, including cessation success rates and disease control (O). The framework served to optimize search parameters for achieving relevant results (Williams et al., 2022).

A complete investigation of research publications occurred through combined searches in PubMed, CINAHL, and Cochrane Library framework to find articles about COPD smoking cessation. The research used COPD together with smoking cessation and both nicotine replacement therapy and behavioral counseling and pulmonary rehabilitation as essential search terms. The analysis process included a detailed evaluation of chosen studies to assess credibility together with relevance and applicability, as this step ensured clinical decisions relied on strong evidence.

The evidence search involved multiple difficulties that arose. The large quantity of available literature about smoking cessation rendered it challenging to locate research dedicated to COPD alone. Most articles implemented universal smoking cessation plans without acknowledging the physiological or behavioral characteristics of COPD patients. The competing information across research studies made it difficult to find the most powerful intervention because investigators needed to analyze research methods and demographic groups and extended results. Full-text article access proved difficult, requiring readers to work with abstracts, system reviews, and institutional access to get comprehensive data. The JHNEBP Model delivered successful results by developing better search techniques and studying evidence to choose the most relevant and dependable findings for implementation in practice.

Credibility and Relevance of Resources

The study resources from Principe et al. (2024), Han et al. (2023), and Jiang et al. (2024) deliver powerful evidence-based data about smoking cessation approaches for patients with COPD. Such evaluation based on the CRAAP criteria allows healthcare practitioners to determine both the reliability and practice relevance of these sources for EBP. Principe et al. (2024) analyzed multiple studies through a meta-analysis, which produced strong research on smoking risks leading to COPD development. A meta-analysis combining various studies’ information increases research power while minimizing prejudice. This resource holds great value because of both its recent publication and precise information contents, which support effective smoking cessation applications.

Han et al. (2023) describe structured smoking cessation programs by presenting clinical information about behavioral counseling and medical therapies alongside pulmonary rehabilitation programming. The study includes relevant information because it supports current EBP models and offers healthcare providers practical tools for patient-focused care. The authors of this work demonstrate their reliability through their institutional affiliations at respected institutions. The JHNEBP model has shown its effectiveness in translating research into practice, according to Jiang et al. (2024). Improving clinical outcomes serves as the main objective of the study, which directly benefits nursing practice in COPD treatment. The systematic methodology used within this study increases both accuracy and authority levels.

 The research study performed by Principe et al. (2024) maintains the highest level of evidence because it offers wide-ranging data, although Han et al. (2023) and Jiang et al. (2024) present significant findings regarding clinical implementation. These sources establish a powerful base for evidence-based practice strategies in smoking cessation for patients with COPD.

Conclsuion

The application of the JHNEBP model ensures that smoking cessation interventions for COPD patients are evidence-based and patient-centered. By utilizing credible research, nurses can implement structured programs that enhance smoking cessation success rates. This approach improves patient outcomes, reduces disease progression, and supports 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 

Capella FPX 4025 Assessment 2

Principe, R., Zagà, V., Martucci, P., Michele, L., Barbetta, C., Serafini, A., Cattaruzza, M., & Giacomozzi, C. (2024). Original articles and reviews 14 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