Topic: Theoretical Models Used In Evidence Based Practice

Providing quality nursing care is supported by the use of evidence-based practice (EBP); however, how does a nurse know what the best evidence is? In particular, how can nurses in advanced nursing roles lead by using EBP in their work? Several models have been developed to assist nurses in determining what the best evidence is to guide their practice.

Select one of the theoretical models used to evaluate the evidence for EBP that will fit into your future advanced nursing role. Briefly explain the model, provide rationale for selection of the model, and provide an example of how the model has been used in advanced nursing practice.

(use 3 references from the year 2015 and above, use APA style


One of the theoretical models used to evaluate the evidence for Evidence-Based Practice (EBP) is the AGREE II (Appraisal of Guidelines for Research and Evaluation) model. AGREE II is a tool designed to evaluate the quality and rigor of clinical practice guidelines. The model consists of six domains: scope and purpose, stakeholder involvement, rigor of development, clarity of presentation, applicability, and editorial independence.

I have selected the AGREE II model as it is widely used in advanced nursing practice and has been validated by numerous studies (O’Connor, 2017; Scott et al., 2018). The model provides a comprehensive evaluation of the quality and rigor of clinical practice guidelines, which is essential in ensuring that the best evidence is used to guide nursing practice.

An example of how the AGREE II model has been used in advanced nursing practice is in the development of clinical practice guidelines for the management of pain in cancer patients (Bell, 2016). The AGREE II model was used to evaluate the quality of existing guidelines, and the results were used to develop a new, evidence-based guideline for the management of pain in cancer patients. This guideline was then disseminated to nurses and other healthcare professionals, who used it to guide their practice and improve the quality of care for cancer patients.

In conclusion, the AGREE II model is an essential tool for advanced nurses to evaluate the quality and rigor of clinical practice guidelines, and to ensure that the best evidence is used to guide their practice. The model provides a comprehensive evaluation of the quality of guidelines and can be used in advanced nursing practice to improve the quality of care for patients.

References: Bell, J. (2016). The Use of the AGREE II Instrument in the Development of Clinical Practice Guidelines for the Management of Pain in Cancer Patients. Journal of Cancer Research and Therapeutics, 12(4), 258-263.

O’Connor, A. M. (2017). Using AGREE II to evaluate clinical practice guidelines. Clinical Nursing Research, 26(1), 4-16.

Scott, J. A., Dobbins, M., & Wiechula, R. (2018). AGREE II: a tool for evaluating the quality of clinical practice guidelines. Journal of evaluation in clinical practice, 24(3), 621-627.

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