NR716 Week 1 Discussion The Evidence-Based Intervention
This discussion demonstrates your understanding of the evidence-based intervention in a quantitative research study as the intervention you translate to patients in your practice change project. As you work to find solutions for your selected practice problem during the design phase of your future practice change project, an evidence-based intervention is found through the critical review and appraisal of quantitative research. As stated in this week’s lesson, the evidence-based intervention you are looking for is not the standard of care for your patients. Recall the implementation timeframe for your Chamberlain DNP practice change project is 8 to 12 weeks. However, the published research you find will have taken place over a much longer timeframe. A single research study could be 1 to 3 years or longer. The important element of finding the right research supporting your intervention is that the intervention was shown to impact the outcome with statistical significance.
Instructions
- As a DNP student, you are searching for an evidence-based intervention to translate into practice. Using the practice problem you selected in NR715, continue your search and appraisal of evidence by analyzing one quantitative randomized control trial or quasi-experimental research study. This research study should not be one that was used in NR715.
- Appraise the quantitative research study using the Johns Hopkins Research Evidence Appraisal Tool. Transfer your findings to the Johns Hopkins Individual Evidence Summary Tool. Do not submit the Johns Hopkins Research Appraisal Tool.
- Include your completed Johns Hopkins Individual Evidence Summary Tool and permalink to the selected research study.
- Analyze the selected single research study and place the information in the Johns Hopkins Individual Evidence Summary Tool. Address the following in the discussion:
- Identify the outcomes specific to the intervention measured by the research team.
- Considering implementation fidelity, identify and describe the steps you would take during the design phase to translate/ implement this intervention in a practice setting.
Solution: NR716 Week 1 Discussion The Evidence-Based Intervention
The selected practice problem is heart failure (HF). One randomized controlled trial (RCT) focused on heart disease is by Man et al. (2024), whose aim was to establish the effectiveness of digital consults (DC) in HF care and management, specifically, optimizing guideline-directed medical therapy (GDMT) in patients with HF and reduced ejection fraction (HFrEF). The study was conducted across four healthcare centers in the Netherlands, using 150 participants, randomized to either the DC group (n=78) or the usual care group (n=72). The DC intervention involved (i) digital sharing of home-monitored vital signs, pharmacotherapy use, and patient-reported outcomes from patient to clinician; (ii) patient education via e-learning on heart failure management; (iii) integration of GDMT recommendations into clinicians’ electronic health records (EHRs) for personalized care. The study’s primary outcome was the change in GDMT score over 12 weeks, a composite measure of adherence to ESC heart failure guidelines. The primary outcomes were that the DC group had a significantly greater improvement in GDMT scores than the usual care group (1.19 vs. 0.08, p < 0.001) (primary outcome). The secondary….
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