Identify a healthcare problem, develop an evidence-based practice (EBP) question, and review selected research-based and non-research-based evidence to find answers to that question.

Identify a healthcare problem, develop an evidence-based practice (EBP) question, and review selected research-based and non-research-based evidence to find answers to that question.  Evidence Based Practice question: In nurses working in an emergency room, how does the implementation of a sterile blood culture collection kit with adequate blood culture collection training, compared to the standard practice of blood culture collection, reduce the rate of blood culture contamination? P: Emergency room nurses I: Blood culture collection training with sterile collection kits C: Existing collection practice O: Blood culture contamination rate reduction A. Select a research-based article that answers your EBP question to conduct an evidence appraisal. Note: Please use research-based article attached: “A Prospective Study on the Comparison of Contamination Rate and Risk Factors of Blood Culture Done in the Emergency Department and Medical High‑Dependency Unit/Medicine Intensive Care Units” 1. Discuss the background or introduction (i.e., the purpose) of the research-based article. 2. Describe the research methodology used in the research-based article. 3. Identify the level of evidence for the research-based article using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model. Note: Refer to the “Johns Hopkins Nursing Evidence-Based Practice Research Evidence Appraisal Tool” for information on how to level a research-based article. 4. Summarize how the researcher analyzed the data in the research-based article. 5. Summarize the ethical considerations of the research-based article. If none are present, explain why. 6. Identify the quality rating of the research-based article according to the JHNEBP model. Note: Refer to the “Johns Hopkins Nursing Evidence-Based Practice Research Evidence Appraisal Tool” for information on how to establish the quality rating. 7. Analyze the results or conclusions of the research-based article. a. Explain how the article helps answer your EBP question. B. Select a non-research-based article from a peer-reviewed journal that helps to answer your EBP question to conduct an evidence appraisal. Note: Please use non-research based article attached: “Reducing Blood Culture Contamination; a Quality Improvement Project in Emergency Department” 1. Discuss the background or introduction (i.e., the purpose) of the non-research-based article. 2. Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline) used in the non-research-based article. 3. Identify the level of evidence in the non-research-based article using the JHNEBP model. Note: Refer to the “Johns Hopkins Nursing Evidence-Based Practice NonResearch Evidence Appraisal Tool” for information on how to level a research-based article. 4. Identify the quality rating of the non-research-based article according to the JHNEBP model. 5. Discuss how the author’s recommendations in the non-research-based article help answer your EBP question. C. Recommend a practice change that addresses your EBP question using both the research-based and non-research-based articles you selected for part C and part D. 1. Explain how you would involve three key stakeholders in supporting the practice change recommendation. 2. Discuss one specific barrier you may encounter when implementing the practice change recommendation. 3. Identify one strategy that could be used to overcome the barrier discussed in part E2. 4. Identify one outcome (the O component in PICO) from your EBP question that can be used to measure the recommended practice change. D. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarize