Capella FPX 4025 Assessment 2

Applying an EBP Model

Introduction

Evidence-Based Practice (EBP) is a cornerstone of quality nursing care, ensuring that clinical decisions are grounded in the most reliable research. In patients with Chronic Obstructive Pulmonary Disease (COPD), managing symptoms associated with smoking and promoting medication adherence are critical to enhancing their quality of life. This paper adopts the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model to address the issue of smoking cessation in individuals diagnosed with COPD. It explores the clinical problem, outlines the steps of the model, and integrates evidence-backed interventions aimed at improving patient outcomes.

Clinical Concern: Smoking in COPD Patients

COPD is a progressive respiratory illness marked by airflow obstruction, breathlessness, persistent cough, and diminished physical capability. Continued smoking significantly accelerates the disease’s progression. Although smoking cessation can greatly benefit COPD patients, many face barriers such as addiction, psychological reliance, and inadequate support systems (Principe et al., 2024). A recent meta-analysis revealed that individuals who smoke are over four times more likely to develop COPD compared to non-smokers (Principe et al., 2024).

EBP serves as a valuable framework for addressing smoking behaviors in COPD patients by merging scientific research, clinical judgment, and patient values. According to Han et al. (2023), evidence-based cessation programs that incorporate behavioral therapy, pharmacologic aids, and pulmonary rehabilitation prove more effective than simple advice. These structured interventions help patients achieve lasting lifestyle changes.

Utilizing the JHNEBP model provides a systematic method for healthcare providers to implement evidence-based smoking cessation strategies. This process moves beyond outdated practices and focuses on interventions supported by empirical evidence. It promotes education, patient involvement, and better adherence, which can collectively improve COPD control, reduce hospitalization rates, and enhance overall health outcomes (Jiang et al., 2024).

The JHNEBP Model and Its Components

The JHNEBP model offers a comprehensive and practical approach to incorporating research into nursing practices. It is particularly effective for addressing smoking cessation in COPD patients due to its emphasis on evidence-based and patient-oriented care. The model is divided into three primary steps: identifying the Practice Question, gathering Evidence, and initiating Translation (PET).

• Practice Question: A clinical question is framed using the PICO format (Population, Intervention, Comparison, Outcome), which ensures that the problem is clearly defined (Brunt & Morris, 2023).
• Evidence: This stage involves performing an exhaustive literature review, giving preference to systematic reviews, clinical guidelines, and peer-reviewed research.
• Translation: This final step focuses on applying the findings through interventions like cognitive-behavioral therapy, nicotine replacement therapy, and continuous patient monitoring (Coleman et al., 2022).

This structured model is ideal for clinical issues like smoking cessation in COPD, as it enables nurses to apply validated strategies within a patient-focused care plan.

Application of the JHNEBP Model in Evidence Discovery

The PET framework of the JHNEBP model guided the identification of effective smoking cessation methods tailored for COPD patients. The research inquiry was shaped using the PICO elements:

• Population (P): Individuals diagnosed with COPD.
• Intervention (I): Comprehensive smoking cessation programs.
• Comparison (C): Standard clinical advice to quit smoking.
• Outcome (O): Improved cessation rates and symptom control.

Database searches were conducted using platforms like PubMed, CINAHL, and the Cochrane Library. Keywords included “COPD,” “nicotine replacement,” “behavioral intervention,” and “pulmonary rehabilitation.” While the literature was abundant, filtering COPD-specific data was challenging. Many studies generalized smoking cessation strategies without addressing the unique needs of COPD patients. Additionally, inconsistencies across study designs necessitated rigorous evaluation of methodologies. In some cases, limited access to full-text studies required reliance on abstracts and reviews. Despite these challenges, the JHNEBP model provided a clear structure for curating high-quality, relevant sources.

Assessment of Source Credibility

The chosen resources were evaluated using the CRAAP (Currency, Relevance, Authority, Accuracy, and Purpose) criteria to ensure they offered credible and pertinent evidence. For example, Principe et al. (2024) provided a recent and comprehensive meta-analysis confirming the link between smoking and COPD onset. Han et al. (2023) validated the efficacy of theory-based interventions, and Jiang et al. (2024) detailed the role of nurses in implementing smoking cessation strategies. These resources offer a strong foundation for shaping nursing interventions that are both evidence-based and patient-centered.

Conclusion

The JHNEBP model empowers nurses to deliver effective, evidence-based smoking cessation interventions that align with the needs of COPD patients. By integrating valid research and focusing on patient engagement, healthcare professionals can improve cessation outcomes, slow disease advancement, and support long-term health goals.

Table Format Summary

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

Capella FPX 4025 Assessment 2

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

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., & 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

Capella FPX 4025 Assessment 2