Significance of the Problem Paper as the Evidence-Based Solutions Paper.

The Evidence-Based Solutions Paper aligns with Student Learning Outcomes 1) Substantiate an identified health care issue and 2) Analyze solutions to a health care issue based on a critical appraisal of the evidence.

Students will build upon the Significance of the Problem Paper as the Evidence-Based Solutions Paper.
The purpose of the Evidence-Based Solutions Paper is to describe the nature and significance of the local healthcare problem and conduct a review of the evidence on what is known about the healthcare problem and on effective interventions.

• Review of the Evidence .
o To organize and synthesize current relevant evidence and best practice standard based on the current evidence. Can also include classic evidence as needed to demonstrate historical/groundbreaking/foundational evidence.
 Encourage to use additional APA levels of heading 2, 3, 4, and 5 as needed including organizing main/overarching synthesis areas. Include a review of available research, guidelines, reviews, other literature, and supplemental evidence through a critical appraisal.
• To review additional evidence on what is known about the healthcare problem.
• To review evidence on effective interventions known to address or close what kinds of gaps or addressed what kinds of needed improvements.
• Describe why the interventions worked.
• Can also include evidence on interventions that did not work and why.
o To refer to the Hoffman et al. (2014) article as a resource for intervention description (e.g., Table 1 on p. 10 [recommended resource in SQUIRE 2.0 Guidelines]).
Hoffmann, T. C., Glasziou, P. P., Boutron, I., Milne, R., Perera, R. Moher, D., Altman, D. G., Barbour, V., Macdonald, H., Johnston, M., Lamb, S. E., Dixon-Woods, M., McCulloch, P., Wyatt, J. C., Chan, A. W., & Michie, S. (2014). Better reporting of interventions: Template for intervention description and replication (TIDieR) checklist and guide. BMJ, 348, 1-12. https://doi(dot)org/10.1136/bmj.g1687
 For example:
• Names of interventions
• Purposes/aims of the studies, projects, and/or programs
• Why/Rationale: Frameworks, models, concepts, and/or theories used
• What: Materials used and procedures in the interventions, models of delivery, number of times an intervention was delivered and over what period of time.
• Who: Roles/Team
• Locations of interventions or virtual
• Measures/Evaluation: Processes and/or results or outcomes

• Must include APA formatted table(s) of evidence as an Appendix or Appendices:
o Research
o Guidelines, Reviews, and Other Literature
o Supplemental Evidence
o “Briefly include the key elements found while reading that are relevant to the topic. Include only what is helpful and not a comprehensive list of findings.
o You must add a table note to specify the source(s) that you referred to determine the levels of evidence.
o John Hopkins Nursing Evidence, https://www(dot)hopkinsmedicine(dot)org/evidence-based-practice/ijhn_2017_ebp.html, or the Joanna Briggs Institute, https://joannabriggs(dot)org/jbi-approach-to-EBHC.