Assignment: Evidence-Based Project, Part 4: Recommending an Evidence-Based Practice Change


The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.

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In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

  • Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
  • Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
  • Consider the best method of disseminating the results of your presentation to an audience. 

The Assignment: (Evidence-Based Project)

Part 4: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:

  • Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
  • Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
  • Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
  • Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
  • Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
  • Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
  • Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
  • Add a lessons learned section that includes the following:

    A summary of the critical appraisal of the peer-reviewed articles you previously submitted
    An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

Student’s Name Pamella Brown


Adverse effects of electroconvulsive therapy on cognitive

Matrix Worksheet Template

Use this document to complete Part 2 of the Module 2 Assessment,
Evidence-Based Project, Part 1: An Introduction to Clinical Inquiry and Part 2: Research Methodologies

Article 4 at the end.

of selected article

Article #1

Article #2

Article #3

Article #4

Bioque, Miquel, Mac‐Dowell, Karina S.,Meseguer,Macau, Elisabet,Valero, Ricard,Vieta, Eduard,Leza, Juan C.,Bernardo, Miquel.(2019) .Effects of electroconvulsive therapy in the systemic inflammatory balance of patients with severe mental disorder. Psychiatry& Clinical Neurosciences.Vol. 73 Issue 10, p628-635. 8p. 1 Diagram, 2 Charts, 2 Graphs.138990292: ISSN:1323-1316.DOI:10.1111/pcn.12906

Hirshbein, Laura D. (2010): A History of Electroconvulsive Treatment in Mental Illness
Journal of the History of the Behavioral Sciences Spring; Vol. 46 (2) .Wiley-Blackwell ISSN: 0022-5061:20100427: EPTOC49733042.DOI:10.1002/jhbs.20431

Hirshbein, Laura1,Sarvananda & Sharmalie. (2000). History, power, and electricity: American popular magazine accounts of electroconvulsive therapy, 1940–2005. Journal of the History of the Behavioral Sciences. Winter2008, Vol. 44 Issue 1, p1-18. 18p.ISSN: 0022-5061.DOI:10.1002/jhbs.20283

you chose this article and/or
how it relates
to the clinical issue of interest (include a brief
explanation of the ethics
of research related to your clinical issue of interest)

Our issue of interest is the treatment of dementia using a variety of methods. In this article, there are many tests, which have been performed to treat dementia. There is a brief history, which tells us how many people are on treatment with Electroconvulsive therapy (ECT). ECT has previously inadequate understanding, but efficient treatment emerged as a second way to convulsive insulin therapy. In this article, the writer describes that Electroconvulsive therapy was a brutal method that psychiatrists think to control ill persons. This method was used in Africa through which they treat their men became a medical problem. Panic medication is control by positive and negative terminals stick to the person’s temples. That test was conducted on patients who were willing to test themselves on their charges. In the past, it was a common practice for the treatment of dementia. Popular ECT discussions around this time-period have begun to show a vast rate of sarcasm of psychological performance in standard and Electroconvulsive therapy in separate

Problems associated with mental disorders. The role of ECT, electroconvulsive therapy, and antibodies in the treatment of this disease. It is used mainly in major bipolar disorder (BD), schizophrenia-related drug-resistant, and depression disorders. Presently, we check a brand new key point in specifically converting the natural immune system. The check or balance of inflammation for important methods includes the pathophysiology’s treatment of these psychiatric illnesses. The subject we selected throughout this study was about treatment and monitoring of mental health. This paper is related to an issue chosen in this way.

This document sheds light on the effects of (ECT) on the best way to treat mental disorders. Our exciting problem is the treatment of dementia using a variety of methods. Electroconvulsive therapy previously shows that it can be the most efficient treatment for major depressive and catatonic conditions than psychotherapy pharmacotherapy. However, ECT is also linked-through temporary impairment of brain function in medicine. These include therapy for the following shortcomings in orientation, quick memory functionality, attention, right speech, and administrative tasks that last from hours to months in most cases.

The treatment of dementia is used in a variety of ways. There are various scholars from history that researchers select as a basis. A historian with a sense of history, Reiss offers a variety of “literary” readings to add humor and understanding to our understanding of what he sees as the most significant problem of nineteenth-century Americans: the unconditional self-control of those who seem mentally incompetent to exercise personal freedom. He points out from the outset issue has been hearing beyond the legal and medical circles and has reached the extremities of culture.

description of the aims
of the research of each peer-reviewed article

The purpose of the study of this article is to understand the best practices and standard practices used in the treatment of mental disorders. Look from history on the importance and method of treating dementia. Psychological opposition in the last few decades certainly describes the resilience with which he attacks mental illness. The development of medication or depression. Then the formulation and (ECT) development are developed. We test popular ECT magazine presents and shocking treatments from the 1950s to 2005 to understand changes by time as community interaction with Electroconvulsive therapy and the emerging power. Popular ECT presentations become a path for lawyers and opponents to express their point of view on Electroconvulsive treatment and mental health. Knowing how it becomes a common practice for the treatment of mental disorders. Previously Electroconvulsive therapy became a viewpoint for lawyers as critics to express psychological power and provide security to threaten society.

Many effecting points in the recovery system’s function (immune) system and the check of inflammation like a vital function conclude in the pathophysiology of severe psychiatric illness. Previous Research has shown that the (ECT) changes specific inflammation or the recovery(immune) responses. The study’s purpose is to check the behavior of electroconvulsive therapy on the nuclear transcription factor κB (NF VerB), a key mechanism to control the immune response

It is the most effective way to treat mental disorders. History is ambiguous in electroconvulsive therapy. -related side important role in psychological functioning shows a lack of consensus in the history of electroconvulsive therapy-related role on its functioning.

Adverse effects of ECT on brain function.

It is obtaining enough and to the point data to get perfect conclusions.

Brief description of the
research methodology
used Be sure to identify if the methodology used was
, or a
approach. Be specific.

The Methodology of Research used in this article is mixed-methods Research.

Thirty of the patients with major psychiatric disorders receiving ECT treatment at our center have been included. 13 systemic biomarkers related to the NF (VerB) method analyze early two h after one ECT session.

The cognitive function uses a digital ascending number tapping test (DANTT). It is a psychometric measurement mode. Using a digital ascending number tapping test, the researchers, especially Research on the speed of functioning, high-quality performance, and digital search during treatment of patients aged between 36 to 76 years. They sum up like that ECT does not have different unique characteristics that alter cognitive functioning in those domains up to 2 hours during treatment. That was the main difference from the output of previous Research.


Mixed Research methodology used in this article.

A brief description of the
of each of the research methodologies used, including
of how the methodology was applied in each of the peer-reviewed articles you selected.

The use of multidisciplinary Research has provided researchers with history and experimental perspectives on disorders and treatments. A term used by opponents to spread the spread of mental illness by authorizing the control of patients who were brutally treated with shocking therapy. It gives a different account of ECT and its history.

The study demonstrates electroconvulsive therapy time on the canonical regulation of the congenital recovery (immune) system plus the balance. Such biomarkers can be important for therapeutic response subjects and help understand the natural function of electroconvulsive therapy function. These researches require considerable accuracy of interest in further investigations and the importance of translating this information.

ECT’s negative impact on mental functioning has been the object to investigation in many types of Research. The present Research does not give enough and to the point knowledge to make-dependable outputs about the extent and severity of disability in specific areas in mental functioning. Contrary to old researchers, this study did not provide a beneficial change in the loss of post-ECT in selected areas of understanding, namely processing speed, high performance, and visual search as measured by DANNT. These findings suggest that some cognitive factors may be protected in ECT, while other domains, which have been shown to show shortcomings in other studies, can be easily overlooked. The use of the digital ascending number tapping test presented in the analysis of experiments used in old Research such as routing that provides complete scores with no finding local activity in specific cognitive domains is an example of this approach

A detailed, comprehensive account of psychoanalysis’s construction from the beginning of the nineteenth century to the end of World War II. Psychoanalysis improved, with ongoing battles.

General Notes/Comments


Sasha S. Getty, Lawrence R. Faziola. (2017).Adverse effects of electroconvulsive therapy on cognitive performance.electroconvulsive therapy, cognitive performance, Mental Illness Vol 9, Iss 2 (2017)& Directory of Open Access Journals.ISSN:2036-7457,2036-7465.DOI:10.4081/mi.2017.7181:




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