NURS FPX 4025 Assessment 2

Name

Capella university

NURS-FPX4025 Research and Evidence-Based Decision Making

Prof. Name

Date

Applying an Evidence-Based Practice (EBP) Model

Evidence-Based Practice (EBP) is an essential approach in nursing, ensuring that patient care is based on the most reliable research. Chronic Obstructive Pulmonary Disease (COPD) significantly affects patients’ quality of life, particularly due to smoking-related complications and poor medication adherence. This discussion explores the use of the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model to enhance smoking cessation efforts for COPD patients. It addresses the challenges associated with the condition, outlines the structured steps of the JHNEBP model, and reviews relevant evidence to improve patient outcomes.

Issue Associated with the Diagnosis

COPD is a progressive respiratory disease that causes airflow limitation, leading to symptoms such as chronic cough, shortness of breath, and reduced exercise tolerance. One of the biggest challenges in managing COPD is smoking cessation, as continued tobacco use worsens the condition and accelerates disease progression. According to Principe et al. (2024), smoking cessation provides significant health benefits, yet many COPD patients struggle to quit due to nicotine dependence, emotional attachment, and insufficient support systems. Their meta-analysis found that smokers have a 4.01 times higher likelihood of developing COPD than non-smokers.

EBP integrates the best research evidence with clinical expertise and patient preferences to address this issue effectively. Han et al. (2023) emphasize that structured smoking cessation programs—including behavioral counseling, pharmacotherapy, and pulmonary rehabilitation—lead to better outcomes compared to basic cessation advice. Evidence suggests that combining nicotine replacement therapy with cognitive-behavioral interventions significantly increases quit rates. By applying the JHNEBP model, nurses can systematically evaluate and implement effective smoking cessation strategies, improving disease management, reducing hospitalizations, and enhancing the overall quality of life for COPD patients (Jiang et al., 2024).

EBP Model and Its Steps

The JHNEBP model offers a structured process for integrating research findings into clinical practice, particularly in smoking cessation interventions for COPD patients. This model consists of three primary steps: Practice Question, Evidence Translation, and Implementation (PET).

Practice Question: This step involves defining a clear clinical question using the PICO (Population, Intervention, Comparison, Outcome) framework. This structured approach helps healthcare professionals identify key concerns and develop targeted interventions for COPD patients struggling with smoking cessation (Brunt & Morris, 2023).
Evidence Translation: The second step involves conducting a comprehensive literature review to gather relevant studies, clinical guidelines, and expert recommendations on smoking cessation strategies. Each source is critically appraised for reliability and applicability to ensure that clinical decisions are informed by high-quality evidence (Coleman et al., 2022).
Implementation: In the final step, evidence-based interventions are applied in the clinical setting. This may include the development of interdisciplinary smoking cessation programs that incorporate behavioral counseling, pharmacotherapy, and pulmonary rehabilitation. The effectiveness of these interventions is continuously monitored, addressing challenges such as patient motivation and limited resources through education and support (Jiang et al., 2024). By following the JHNEBP model, healthcare providers can systematically implement smoking cessation programs that are both evidence-based and patient-centered.

Application of the JHNEBP Model to Evidence Search

The JHNEBP model was used to identify evidence-based interventions for smoking cessation in COPD patients. The PET framework guided the evidence search, focusing on COPD patients (P) undergoing structured smoking cessation programs (I) compared to those receiving standard cessation advice (C) to assess improvements in smoking cessation rates and disease management (O). This search was conducted across key medical databases such as PubMed, CINAHL, and the Cochrane Library, utilizing search terms like COPD, smoking cessation, nicotine replacement therapy, behavioral counseling, and pulmonary rehabilitation.

Each selected study was critically analyzed for credibility and relevance, ensuring the most reliable evidence guided clinical decision-making. Despite challenges such as the overwhelming volume of literature and limited research focusing specifically on COPD-related smoking cessation, the JHNEBP model facilitated a systematic and targeted approach. This method ensured that the most relevant studies were identified for practical implementation in clinical settings.

Credibility and Relevance of Resources

Several studies, including those by Principe et al. (2024), Han et al. (2023), and Jiang et al. (2024), provide strong evidence on smoking cessation interventions for COPD patients. These resources were evaluated using the CRAAP (Currency, Relevance, Authority, Accuracy, and Purpose) criteria to determine their credibility and applicability to EBP. Principe et al. (2024) conducted a meta-analysis that synthesized data from multiple studies, offering compelling evidence on smoking-related risks and cessation benefits. Han et al. (2023) examined structured smoking cessation programs, highlighting the effectiveness of combining behavioral counseling with pharmacotherapy. Additionally, Jiang et al. (2024) explored the role of nurses in implementing smoking cessation interventions, reinforcing the importance of the JHNEBP model in improving COPD patient care. The credibility and relevance of these studies make them critical resources for guiding evidence-based smoking cessation strategies in clinical practice.

Conclusion

The application of the JHNEBP model ensures that smoking cessation interventions for COPD patients are based on high-quality, evidence-based practices. By leveraging credible research, nurses can develop structured smoking cessation programs that improve patient outcomes, slow disease progression, and support long-term COPD management. This systematic approach enhances the effectiveness of smoking cessation efforts, ultimately leading to better health outcomes for individuals with COPD.

Table: EBP Model and Its Application

Step	Description	References
Practice Question	Define a clear clinical question using the PICO framework to focus on COPD-related smoking cessation.	Brunt & Morris, 2023
Evidence Translation	Conduct a thorough literature review to identify relevant studies, guidelines, and expert opinions.	Coleman et al., 2022; Williams et al., 2022
Implementation	Apply the findings in practice through structured programs, monitor patient outcomes, and provide support.	Jiang et al., 2024

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