NURS FPX 4025 Assessment 2

Student 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 vital in nursing as it ensures patient care is informed by the best available research. Chronic Obstructive Pulmonary Disease (COPD) is a prevalent condition that significantly impacts the quality of life for many individuals, especially due to smoking-related symptoms and poor medication adherence. This paper explores the application of the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model, with an emphasis on smoking cessation for COPD patients. It discusses the associated challenges, outlines the steps of the model, and reviews evidence that can improve patient outcomes.

Issue Associated with the Diagnosis

COPD is a progressive lung disease characterized by airflow limitation, which leads to symptoms such as dyspnea, chronic cough, and reduced exercise capacity. Smoking cessation is a critical challenge in managing COPD, as continued tobacco use worsens the disease and exacerbates symptoms. Principe et al. (2024) highlight that although smoking cessation offers numerous benefits, COPD patients often struggle to quit due to nicotine addiction, emotional dependence, and lack of support. A meta-analysis conducted by Principe et al. (2024) revealed that smokers are 4.01 times more likely to develop COPD than non-smokers.

EBP integrates the best available evidence with clinical expertise and patient preferences to address this issue. Han et al. (2023) suggest that structured smoking cessation programs combining behavioral counseling, pharmacotherapy, and pulmonary rehabilitation result in better outcomes than simple advice. Evidence supports that combining nicotine replacement therapy with cognitive-behavioral interventions significantly improves smoking cessation success rates. By applying the JHNEBP model, nurses can systematically evaluate and implement effective smoking cessation strategies, ensuring interventions are both evidence-based and patient-centered. This approach improves disease management, reduces hospitalizations, and enhances the quality of life for COPD patients (Jiang et al., 2024).

EBP Model and Its Steps

The JHNEBP model provides a structured approach to incorporating research findings into clinical practice. It is especially useful in addressing smoking cessation in COPD patients by focusing on evidence-based decision-making that is tailored to individual patient needs. The model consists of three key steps: Practice Question, Evidence Translation (PET), and Implementation. The first step involves formulating a clear clinical question using the PICO (Population, Intervention, Comparison, Outcome) framework (Brunt & Morris, 2023). The second step involves conducting a thorough literature review to identify relevant research studies, guidelines, and expert opinions on smoking cessation for COPD patients.

The reliability and applicability of each resource are critically assessed to ensure practice decisions are based on the most current and relevant data. The final step is to implement the evidence-based interventions in the clinical setting, including the development of interdisciplinary smoking cessation programs that incorporate behavioral counseling, pharmacotherapy, and pulmonary rehabilitation. Patient outcomes are continuously monitored, and challenges such as patient motivation and resource limitations are addressed through education and support (Coleman et al., 2022). The JHNEBP model offers a clear, step-by-step framework for creating patient-centered smoking cessation interventions that improve the overall management of COPD.

Application of the JHNEBP Model to Evidence Search

The JHNEBP model was applied to identify evidence-based interventions for smoking cessation in COPD patients. The PET methodology, guided by the PICO framework, focused on COPD patients (P) participating in structured smoking cessation programs compared to those receiving standard advice (C) to improve cessation success rates and disease management (O). The evidence search was conducted across databases such as PubMed, CINAHL, and the Cochrane Library, using key terms like COPD, smoking cessation, nicotine replacement therapy, behavioral counseling, and pulmonary rehabilitation.

Each selected study was critically evaluated for credibility and relevance, ensuring that the most reliable evidence was used to inform clinical decisions. Despite challenges such as an overwhelming volume of literature and limited COPD-specific smoking cessation research, the JHNEBP model facilitated a focused search, leading to the identification of the most relevant studies for clinical practice implementation.

Credibility and Relevance of Resources

The research by Principe et al. (2024), Han et al. (2023), and Jiang et al. (2024) offers robust evidence regarding smoking cessation strategies for COPD patients. These studies were evaluated using the CRAAP criteria for credibility and relevance to EBP. Principe et al. (2024) conducted a meta-analysis that synthesized data from multiple studies, providing strong evidence about the risks of smoking in the development of COPD. This resource is highly valuable due to its recent publication and comprehensive data. Han et al. (2023) examined structured smoking cessation programs combining behavioral counseling with pharmacotherapy and pulmonary rehabilitation, providing healthcare providers with practical tools. Jiang et al. (2024) highlighted the role of nurses in implementing smoking cessation interventions for COPD patients, further supporting the JHNEBP model’s effectiveness. The credibility and relevance of these studies make them essential for guiding evidence-based smoking cessation strategies for COPD patients.

Conclusion

The application of the JHNEBP model ensures that smoking cessation interventions for COPD patients are grounded in evidence-based practices tailored to individual needs. By utilizing credible research, nurses can implement structured smoking cessation programs that improve patient outcomes, reduce disease progression, and support 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

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

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

Table: EBP Model and Its Application