NURS FPX 4025 Assessment 2

NURS FPX 4025 Assessment 2 Applying an EBP Model

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 fundamental in nursing, ensuring that clinical decisions are guided by the best available research. One major health challenge is chronic obstructive pulmonary disease (COPD), a progressive lung disease primarily linked to smoking. The management of COPD is complicated by patients’ difficulty in quitting smoking, which exacerbates disease progression. Research has shown that smoking cessation significantly improves COPD outcomes; however, many patients struggle due to nicotine addiction, emotional dependence, and inadequate support systems (Principe et al., 2024). By using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model, healthcare professionals can systematically implement effective interventions to assist COPD patients in quitting smoking. This paper discusses the key issues surrounding COPD and smoking cessation, explores the JHNEBP model’s steps, and examines evidence-based interventions to enhance patient outcomes.

Issue Associated with COPD and Smoking Cessation

COPD is a major health issue characterized by chronic airflow limitation, persistent cough, and shortness of breath, significantly impacting patients’ quality of life. The leading cause of COPD is smoking, which contributes to airway inflammation and lung function decline. Principe et al. (2024) found that smokers are 4.01 times more likely to develop COPD compared to non-smokers. While smoking cessation provides substantial health benefits, many patients struggle due to physiological and psychological nicotine dependence.

Integrating EBP in COPD management ensures that care strategies are guided by scientific research, clinical expertise, and patient preferences. Han et al. (2023) emphasize that structured programs combining behavioral counseling, pharmacotherapy, and pulmonary rehabilitation are more effective than simply advising patients to quit. Nicotine replacement therapy (NRT) and cognitive-behavioral interventions have been found to increase smoking cessation success rates. The JHNEBP model provides a structured approach for evaluating and applying evidence-based interventions, ultimately improving patient adherence, reducing hospitalizations, and enhancing quality of life (Jiang et al., 2024).

Application of the JHNEBP Model

The JHNEBP model provides a structured framework for incorporating research into nursing practice, making it particularly effective in guiding smoking cessation interventions for COPD patients. This model comprises three steps: Practice Question, Evidence Translation, and Implementation (Brunt & Morris, 2023).

1. Practice Question:
   The first step involves formulating a clear clinical question using the PICO (Population, Intervention, Comparison, Outcome) framework. In this case, the focus is on identifying effective smoking cessation interventions for COPD patients.

2. Evidence Translation:
   This step entails conducting a comprehensive literature review to identify high-quality research, clinical guidelines, and expert recommendations on smoking cessation. Evaluating the credibility and relevance of studies ensures that only strong, evidence-based interventions influence clinical decision-making (Coleman et al., 2022).

3. Implementation:
   The final step involves applying evidence-based interventions into clinical practice. This includes integrating behavioral therapy, pharmacotherapy, and pulmonary rehabilitation into smoking cessation programs. Addressing barriers such as patient motivation and resource availability is crucial for achieving successful outcomes. Additionally, nurses play a key role in educating patients and providing ongoing support to enhance adherence to cessation strategies (Jiang et al., 2024). The JHNEBP model ensures a structured and patient-centered approach, leading to improved COPD management.

Evidence Search and Evaluation

The JHNEBP model’s PET (Practice Question, Evidence Translation, Implementation) framework was used to conduct an evidence-based search for smoking cessation interventions. Searches were performed in PubMed, CINAHL, and Cochrane Library, using keywords such as COPD, smoking cessation, nicotine replacement therapy, behavioral counseling, and pulmonary rehabilitation. Each study was critically analyzed for credibility, relevance, and applicability.

To assess the credibility of sources, the CRAAP (Currency, Relevance, Authority, Accuracy, and Purpose) test was applied. Studies such as those by Principe et al. (2024) and Han et al. (2023) provided strong evidence supporting structured smoking cessation interventions, making them relevant to EBP. The research by Jiang et al. (2024) reinforced the importance of nurses in implementing cessation strategies, further validating the application of the JHNEBP model in clinical settings.

Conclusion

Applying the JHNEBP model to smoking cessation interventions ensures that nursing practices are grounded in reliable research and tailored to patient needs. By implementing structured programs that combine behavioral therapy, pharmacotherapy, and pulmonary rehabilitation, healthcare providers can significantly enhance smoking cessation rates, slow COPD progression, and improve patient outcomes. Integrating EBP into clinical practice promotes patient-centered care, ultimately leading to better long-term COPD management.

Table: JHNEBP Model and Its Application

References

Brunt, B. A., & Morris, M. M. (2023). 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 Applying an EBP Model

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

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,