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 a critical component of nursing, ensuring that patient care is informed by the most reliable research. Chronic Obstructive Pulmonary Disease (COPD) is a condition that significantly impacts patients’ quality of life, mainly due to smoking-related symptoms and poor adherence to treatment regimens. Smoking cessation is crucial for COPD patients, as continued tobacco use exacerbates disease progression. Applying the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model can help improve smoking cessation interventions. This paper explores the key issues, outlines the model’s steps, and discusses evidence-based interventions to enhance patient outcomes.

Issue Associated with the Diagnosis

COPD is a progressive lung disease that leads to airflow obstruction and persistent symptoms such as dyspnea, chronic cough, and reduced physical activity. One of the most challenging aspects of managing COPD is ensuring patients quit smoking, as continued tobacco use accelerates disease progression. Principe et al. (2024) indicate that although quitting smoking provides significant health benefits, many COPD patients struggle due to nicotine addiction, emotional dependence, and lack of support. Their meta-analysis revealed that smokers are 4.01 times more likely to develop COPD than non-smokers.

Integrating EBP ensures that care is guided by the best available research, clinical expertise, and patient preferences. Han et al. (2023) emphasize that structured smoking cessation programs combining behavioral counseling, pharmacotherapy, and pulmonary rehabilitation are more effective than general advice. Research suggests that using nicotine replacement therapy alongside cognitive-behavioral strategies significantly enhances smoking cessation success rates. By employing the JHNEBP model, nurses can systematically evaluate and implement the most effective interventions, thereby improving COPD management, reducing hospitalizations, and enhancing patients’ quality of life (Jiang et al., 2024).

EBP Model and Its Steps

The JHNEBP model provides a structured framework for integrating research into clinical practice, making it a valuable tool for addressing smoking cessation among COPD patients. This model follows three primary steps: Practice Question, Evidence Translation, and Implementation (Brunt & Morris, 2023).

The first step involves formulating a well-structured clinical question using the PICO (Population, Intervention, Comparison, Outcome) framework, ensuring a clear problem definition that guides evidence searches. The second step, Evidence Translation, requires conducting a comprehensive literature review to identify high-quality research studies, clinical guidelines, and expert recommendations regarding smoking cessation interventions. Evaluating the reliability of sources ensures that only the most credible information influences clinical decisions.

Once relevant evidence is gathered, the final step is implementation, which involves applying evidence-based interventions in practice. This process includes creating interdisciplinary smoking cessation programs that incorporate behavioral therapy, pharmacotherapy, and pulmonary rehabilitation strategies. Addressing potential barriers such as patient motivation and resource constraints is essential for successful interventions. Education also plays a pivotal role in encouraging adherence to smoking cessation strategies (Coleman et al., 2022). The JHNEBP model ensures that interventions are structured, patient-centered, and evidence-based, ultimately improving COPD management.

Application of the JHNEBP Model to Evidence Search

The JHNEBP model was applied to guide the search for evidence-based smoking cessation interventions for COPD patients. The PET (Practice Question, Evidence Translation, Implementation) framework helped define the research focus using the PICO approach. The search was conducted across multiple databases, including PubMed, CINAHL, and the Cochrane Library, using relevant keywords such as COPD, smoking cessation, nicotine replacement therapy, behavioral counseling, and pulmonary rehabilitation.

Each study was critically assessed for credibility and relevance to ensure that the best available evidence informed clinical practice. Although challenges such as an overwhelming volume of literature and limited COPD-specific smoking cessation research were encountered, the JHNEBP model provided a structured approach for selecting the most relevant studies for implementation.

Credibility and Relevance of Resources

The studies conducted by Principe et al. (2024), Han et al. (2023), and Jiang et al. (2024) offer strong evidence regarding smoking cessation strategies for COPD patients. These sources were evaluated using the CRAAP criteria to assess their credibility and relevance. Principe et al. (2024) conducted a comprehensive meta-analysis that provided insights into smoking-related risks in COPD patients.

Han et al. (2023) explored structured smoking cessation programs integrating behavioral counseling, pharmacotherapy, and pulmonary rehabilitation, making their findings applicable to current EBP models. Jiang et al. (2024) examined the role of nurses in implementing smoking cessation interventions, reinforcing the importance of the JHNEBP model in nursing practice. The credibility and clinical relevance of these studies ensure their value in guiding evidence-based smoking cessation strategies.

Conclusion

Applying the JHNEBP model ensures that smoking cessation interventions for COPD patients are based on reliable evidence and tailored to individual needs. By leveraging high-quality research, nurses can implement structured programs that enhance smoking cessation success, reduce disease progression, and improve long-term COPD management. The integration of EBP into nursing practice promotes better patient outcomes and supports more effective, patient-centered care.

Table: EBP Model and Its Application

Step	Description	References
Practice Question	Define a clear clinical question using the PICO framework.	Brunt & Morris, 2023
Evidence Translation	Conduct a literature review to identify relevant studies, guidelines, and expert opinions on smoking cessation.	Coleman et al., 2022; Williams et al., 2022
Implementation	Apply evidence in practice by designing structured programs and monitoring patient outcomes.	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

NURS FPX 4025 Assessment 2

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

NURS FPX 4025 Assessment 2

Williams, P. J., Philip, K. E. J., Gill, N. K., Flannery, D., Buttery, S., Bartlett, E. C., et al. (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