NSB 502 Introduction to Evidence-based



Third year nursing unit NSB 502: Introduction to Evidence-based Practice: essay in the form of a submission

Developed by Dr Leigh Davis and Moira Cordiner

Synopsis of the task and its context

This unit is an introductory third year nursing unit at QUT. Leigh wanted to do a criteria sheet for a unit that had not been revised using CRA principles. She was aware of problems with the unit outline because it had too many objectives and many of them gave the impression of being specific tasks. New objectives were developed that still linked to the existing objectives. These new objectives informed the criteria for this task, thus the criteria were still aligned to the old objectives. The remainder of the unit will be revised in the future. This exercise demonstrates that you can develop criteria sheets that relate to objectives, even when these objectives are flawed and/or unmanageable in number. Students individually engage in the process of evidence-based practice in a real-life clinical situation, in which they determine the currency and level of evidence that is required to support nursing practice. They then develop a submission for practice change to the Director of the hospital in the scenario. The submission is in two parts: a structured essay of 2,000 words with headings and a completed draft policy (in a template).

Match between objectives/learning outcomes and criteria for the task

|Objectives (unrevised ) |Task-specific criteria |

|On completion of this unit you should be able to: | |

|1. Describe the notion of evidence and evidence-based practice, development of the evidence-based practice movement and strengths and weaknesses of |1. Demonstrate and apply knowledge of the principles of |

|the evidence-based process |evidence-based practice to the given scenario. |

|2. Explain the links between research, clinical expertise and evidence-based practice | |

|3. Differentiate between literature reviews, systematic reviews and evidence-based clinical guidelines and discuss their role in the evidence-based |2. Analyse and evaluate heath information and research to |

|process |justify selection of evidence, the draft policy and its |

| |acceptability. |

|4. Outline key elements in the evidence-based process and principles for appraising and implementing evidence in clinical practice | |

|5. Demonstrate, in written form, the ability to critically apply evidence-based principles to selected client problem | |

|6. Present written arguments that demonstrate a critical understanding of barriers and drivers to evidence utilization and strategies for | |

|facilitating the application of evidence to practice | |

|6. Present written arguments that demonstrate a critical understanding of barriers and drivers to evidence utilization and strategies for |3. Communicate to the director of nursing through scholarly |

|facilitating the application of evidence to practice |writing. |

Interpreting the criteria sheet on the next page

Note that this criteria sheet uses some descriptors across standards. For example, all the descriptors for criterion 1 (which is about the demonstrating and applying knowledge) and criterion 3 (about communicating) apply to standards HD and DN because this is what Leigh typically sees in student work and what she expects of students who reach these two standards. In the second criterion (about analysing, evaluating and justifying), the descriptors for standard HD and DN are all different. This means that it is these descriptors that distinguish a standard HD from a DN. This way of setting out standards can help you avoid ‘contriving’ a difference between the standards when, in some instances, there is no difference.

NSB 502 Introduction to Evidence-based Practice Assessment task: Submission for practice change- essay. Weighting 50%

|STUDENT NAME | |MARKER | |

|Criteria |HD (High Distinction) |DN (Distinction) |CR (Credit) |PP (Pass) |NN (Fail) |

|Demonstrate and apply knowledge |In your submission for practice change, you have: |In your submission for practice change, |In your submission for practice change, |In your submission for practice change, |

|of the principles of | |you have: |you have: |you have: |

|evidence-based practice to the | | | | |

|given scenario. | | | | |

| | | | | |

| | | | | |

|weighting 1/4 | | | | |

|(10 marks) | | | | |

| |explained why a hospital policy is needed by providing valid reasons that directly|explained why a hospital policy is |explained why a hospital policy is |stated that a hospital policy is needed |

| |relate to practice and patient outcomes |needed by providing valid reasons that |needed by providing reasons that are |by restating parts of the scenario |

| | |relate to some practice and patient |linked loosely to practice and patient | |

| | |outcomes |outcomes | |

| |used the PICO format to devise a plausible clinical question that directly relates|used the PICO format to devise a |used the PICO format to devise a |devised a question |

| |to the key issues |clinical question that mostly relates to|clinical question that relates to some | |

| | |the key issues |of the key issues | |

|Analyse and evaluate heath |comprehensively analysed and evaluated the selected sources to: |analysed and evaluated the selected |analysed and evaluated the selected |analysed and evaluated the selected |

|information and research to | |sources to: |sources to: |sources to: |

|justify selection of evidence, | | | | |

|the draft policy and its | | | | |

|acceptability. | | | | |

| | | | | |

| | | | | |

| | | | | |

|weighting 1/2 | | | | |

|(30 marks) | | | | |

| |complete the draft policy consistent |complete the draft policy consistent |complete the draft policy consistent |complete the draft policy by that is |partially completed the draft policy by:|

| |with the policy statement and objective |with the policy statement and objective |with the policy statement and objective |mostly consistent with the policy | |

| |by: |by: |by: |statement and objective by: | |

| |suggesting a realistic outcome standard |suggesting a realistic outcome standard |suggesting a realistic outcome standard |suggesting an outcome standard and |suggesting an outcome standard and/or |

| |and a range of valid evaluation methods |and valid evaluation methods |and evaluation methods |evaluation methods |evaluation method |

| |devising a detailed and logical sequence|devising a logical sequence of |devising a logical sequence of |devising a sequence of procedural steps |listing some procedural steps |

| |of procedural steps that reflect best |procedural steps that reflect best |procedural steps that mostly reflect |that reflect some aspects of best | |

| |practice |practice |best practice |practice | |

| |convincingly justify and support why the|justify and support why the draft policy|justify and support why the draft policy|justify and support why the draft policy|stated that the draft policy should be |

| |draft policy should be accepted by |should be accepted by considering the |should be accepted by describing links |should be accepted by referring to the |accepted |

| |considering the impact of the |impact of the evidence-based process on |between the evidence, nursing care and |evidence in the sources | |

| |evidence-based process on nursing care |nursing care and patient outcomes |patient outcomes | | |

| |and patient outcomes | | | | |

|Communicate to the director of |In your submission for practice change, you have: |In your submission for practice change, |In your submission for practice change, |In your submission for practice change, |

|nursing through scholarly | |you have: |you have: |you have: |

|writing. | | | | |

| | | | | |

| | | | | |

| | | | | |

|weighting 1/4 | | | | |

|(10 marks) | | | | |

| | | | | |

| | | | | |

| |clearly and concisely communicated in scholarly writing, in both the structured |communicated in scholarly writing that |communicated in scholarly writing that |used everyday rather than scholarly |

| |essay and the resulting draft policy |is mostly clear and concise, in both the|is mostly clear, in both the structured |writing in both the structured essay and|

| | |structured essay and the resulting draft|essay and the resulting draft policy |the resulting draft policy |

| | |policy | | |

| |correctly cited all sources by consistently adhering to a referencing convention, |correctly cited most sources by adhering|cited most sources using a referencing |partially acknowledged some sources |

| |in both the text, the reference list and the policy procedural steps |to a referencing convention in both the |convention, in both the text, the | |

| | |text, the reference list and the policy |reference list and the policy procedural| |

| | |procedural steps |steps, with occasional errors | |

|Comments |

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|Overall grade |

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|Marks /50 |

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