Capella FPX 4025 Assessment 2
Student Name
Capella University
NURS-FPX4025 Research and Evidence-Based Decision Making
Prof. Name
Date
Applying an EBP Model
Understanding the Significance of Evidence-Based Practice in COPD
Evidence-Based Practice (EBP) is foundational to modern nursing, ensuring patient care is grounded in the latest and most credible research. In patients suffering from Chronic Obstructive Pulmonary Disease (COPD), challenges such as ongoing tobacco use and poor adherence to treatment significantly impact health outcomes. This paper utilizes the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model to address smoking cessation in individuals with COPD. It explores the clinical issue, describes the steps of the model, and evaluates the use of research-based evidence to support improved clinical interventions.
Clinical Concern in COPD Management
COPD is a long-term, debilitating condition marked by persistent airflow limitations and symptoms such as breathlessness, coughing, and reduced physical endurance. One of the core issues in COPD management is smoking cessation, as continuous tobacco use worsens the disease trajectory and intensifies symptoms. According to Principe et al. (2024), while the benefits of quitting smoking are well-documented, patients face substantial barriers including nicotine dependency, emotional attachment to smoking, and limited support systems. A recent meta-analysis confirmed that smokers have a 4.01 times greater risk of developing COPD (Principe et al., 2024).
To confront this issue, EBP offers an integrated approach that merges current scientific evidence, patient preferences, and clinical expertise. Han et al. (2023) emphasized that multifaceted smoking cessation programs combining behavioral therapies, pharmacologic treatment, and pulmonary rehabilitation are more effective than general advice alone. The combination of nicotine replacement therapy (NRT) and cognitive-behavioral counseling significantly increases success rates in quitting smoking.
Through the JHNEBP model, nurses can apply structured evidence to evaluate and adopt the most effective smoking cessation strategies. This systematic process ensures the interventions are both research-informed and patient-specific. Moreover, applying EBP empowers patients through education and shared decision-making, ultimately reducing hospital admissions, improving quality of life, and enhancing disease management outcomes (Jiang et al., 2024).
EBP Model and Its Steps
Implementing the JHNEBP Model in COPD Smoking Cessation
The JHNEBP model offers a rigorous and organized approach for incorporating research into clinical decision-making. Particularly relevant in COPD treatment, the model emphasizes individualized, evidence-based patient care. The model consists of three key components—Practice Question, Evidence, and Translation (PET). Initially, the clinical issue is framed using the PICO (Population, Intervention, Comparison, Outcome) format to form a clear research question (Brunt & Morris, 2023).
The next phase involves an exhaustive literature review to gather high-quality evidence from peer-reviewed journals, systematic reviews, and expert guidelines on smoking cessation for COPD patients. Evaluating the credibility and applicability of these resources is essential to ensure current best practices inform care. Once the best available evidence is identified, interventions are developed and tailored to clinical settings.
Typical implementation strategies include interdisciplinary programs combining behavioral counseling, pharmacologic aids like NRT, and pulmonary rehabilitation. This step also involves tracking outcomes such as smoking cessation rates and treatment adherence. Challenges such as patient motivation and limited resources are addressed through supportive educational interventions (Coleman et al., 2022). The JHNEBP model supports a sequential, evidence-driven plan that facilitates effective, personalized COPD care interventions.
Application of the JHNEBP Model to Evidence Search
Utilizing PET Methodology for Evidence Identification
The PET framework of the JHNEBP model was utilized to investigate smoking cessation interventions for COPD patients. A PICO-formulated clinical question was constructed to compare structured cessation programs (I) against standard advice (C) in COPD patients (P), with the aim of improving cessation outcomes (O) (Williams et al., 2022).
Extensive literature searches were conducted in databases including PubMed, CINAHL, and the Cochrane Library. Keywords such as “COPD,” “smoking cessation,” “nicotine replacement therapy,” and “behavioral counseling” were used to extract pertinent articles. Studies were appraised based on credibility, relevance, and alignment with clinical objectives.
The evidence search posed several difficulties, including a vast volume of literature and limited COPD-specific interventions. Most studies generalized cessation strategies rather than tailoring them to COPD populations. Contradictory findings and limited access to full-text articles further complicated the selection process. Nonetheless, the JHNEBP model’s structured methodology helped refine the search process and identify applicable and trustworthy evidence for practice integration.
Credibility and Relevance of Sources
Evaluating Sources Using the CRAAP Test
Several scholarly sources were assessed for credibility and relevance using the CRAAP criteria (Currency, Relevance, Authority, Accuracy, and Purpose). The findings are summarized in the table below:
| Source | Currency | Relevance | Authority | Accuracy | Purpose |
|---|---|---|---|---|---|
| Principe et al. (2024) | Published in 2024 | Focuses on smoking’s impact on COPD and cessation strategies | Public health researchers, medical doctors | Meta-analysis with strong methodology | Inform evidence-based cessation strategies |
| Han et al. (2023) | Published in 2023 | Covers theory-based interventions and outcomes | Authors from reputable health institutions | Systematic evidence on clinical practices | Provide practical EBP solutions for clinicians |
| Jiang et al. (2024) | Published in 2024 | Highlights the nurse’s role in EBP and smoking cessation | Peer-reviewed BMC Nursing journal | Emphasizes EBP implementation and outcomes | Guide nurses on applying evidence in smoking cessation interventions |
Principe et al. (2024) provide high-level evidence through a comprehensive meta-analysis, supporting cessation as a crucial factor in COPD management. Han et al. (2023) supplement this by outlining the effectiveness of behaviorally-informed interventions, while Jiang et al. (2024) addresses the critical role nurses play in implementing such practices. Together, these studies form a strong foundation for EBP-based clinical application.
Conclusion
Utilizing the JHNEBP model for smoking cessation in COPD patients ensures interventions are grounded in evidence, centered on patient needs, and tailored to clinical realities. Through structured approaches, such as interdisciplinary support and validated therapeutic methods, nurses can improve cessation success rates, mitigate disease progression, and enhance patient well-being. By applying credible and relevant research, healthcare teams can ensure high-quality, effective care that addresses one of the most pressing modifiable risks in 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
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
Capella FPX 4025 Assessment 2
Principe, R., Zagà, V., Martucci, P., Michele, L., Barbetta, C., Serafini, A., Cattaruzza, M., & Giacomozzi, C. (2024). Original articles and reviews 14 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.2022.06.04