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Evidence Based Practice, Proposal, Scholarly Paper

N5555 Nursing Research: Evidence Based Practice

APA 7th edition*, maximum of 15 pages**. Range of 12 – 15 pages for the body of the paper. Double space per APA; no extra line spacing between paragraphs. In-text references for the scholarly paper content.

Theory/Change Model

The primary selected theory for the EBP project and how theory directly applies to the EBP project
2 pts

            Childhood Obesity is one of the most challenging public health problems facing both developed and developing countries worldwide. According to the CDC from 2017-2000 the prevalence of obesity was 19.7% and affected about 14.7 million children and adolescents. With this severe problem it is important to find a model to guide our steps to identify the issues, research possible causes and solutions, and implement changes. The model I have chosen for my research is the Iowa Model.

            The reason I chose this model because in order to change the statistics we have make it a priority and form a team to look at the evidence and do studies to see which interventions are supported by the data. The Iowa Model focuses on making sure that we integrate and sustain the practice change with every visit when we see our pediatric patients (Melnyk, & Fineout-Overholt, 2019). Another reason I like this model is because the ultimate goal is to change our practice and get as many people on board as possible and to “hardwire people” to ask the difficult questions to improve the quality of the pediatric patient (Buckwalter et al., 2017). To improve childhood obesity in this country and to get providers, dieticians, parents on board we have to accomplish it purposefully within our organization and community and to be aware that change take time.


Buckwalter, K. C., Cullen, L., Hanrahan, K., Kleiber, C., McCarthy, A. M., Rakel, B., Steelman, V., Tripp-Reimer, T., Tucker, S., & Authored on behalf of the Iowa Model Collaborative (2017). Iowa Model of Evidence-Based Practice: Revisions and Validation. Worldviews on evidence-based nursing, 14(3), 175–182. (Links to an external site.)

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice (4th ed.). Wolters Kluwer.



IRB approval, site approval, funding
2 pts

Study Design

Quantitative or qualitative study and specific type of design associated with measuring impact of EBP intervention on primary outcome.
2 pts

Participants and Setting 2 pts

The project setting, state and d


Samuel Allen

Article number

Title of article, Author, Year


Sample Size and Type

Level of Evidence

Study Findings



Other info


Combinations of physical activity, sedentary time, and sleep duration and their associations with depressive symptom and other mental health problems in children and adolescents: a systematic review

Year: 2020

Authors: Sampasa-Kanyinga, H., Colman, I., Goldfield, G. S., Janssen, I., Wang, J., Podinic, I., Tremblay, M. S., Saunders, T. J., Sampson, M., & Chaput, J.-P.

School of Epidemiology and Public Health & Healthy Acute Living and Obesity Research Group in Canada

13 cross sectional studies. Involved 115,540 children and adolescents in 12 countries.

Inclusion criteria involved all three:

Physical activity, sedentary time, and sleep duration


If they met all three inclusion criteria it was associated with significantly lower odds of depression among adolescents compared with meeting one or any combination of two of them.

Excessive screen time and mental health problems may be direct or indirect. Direct pathways can affect interpersonal relationships or direct cognitive effects creating low emotional stability. Indirect pathways could be observed through insufficient sleep, and unhealthy eating habits.

The articles used for this study were only published in English or French.

Many of the studies only used a single item measure of mental health problems (e.g., depressive symptoms) which could raise validity and reliability issues.

The quality of evidence assessed using GRADE was “very low” quality mainly because of cross sectional nature.

The findings are favorable between meeting all three recommendations and better mental health among children and adolescents when compared with meeting none of the recommendations.

Meeting the screen time and sleep duration recommendations appeared to be associated with more mental health benefits then meeting the physical activity recommendation.



Screen time and Mental Health Among Adolescents Implications of the Rise in Digital Environment in South Africa

Year: 2022

Authors: Ranjit, K., Ntlantsana, V., Tomita, A., & Paruk, S.

Three public school in South Africa



Replacing Screen Time with Daily Activity to Improve Mental Health in Adolescents

Samuel Allen

University of Missouri-Kansas City

N5555 Nursing research

Dr. Lindholm



Exposure to screen media has been associated with the development of mental health problems. Screen use is higher among children and adolescents with sedentary lifestyles, who are also most likely to be obese. Screen time exposes children and adolescents to other intermediate factors that lead to the development of mental health problems including obesity, due to poor eating habits, and lack of physical activity. Children with high exposure to screen media are more likely to develop serious mental health problems that affect their physical functioning as well as academic performance. The purpose of this evidence-based scholarly paper is to establish whether replacing screen time with 30-minute exercise could improve overall mental health in adolescents compared with adolescents with a sedentary lifestyle. This paper utilizes a quasi-experimental study design to measure the effect of the intervention on the participant’s mental health. The participants of the project will include adolescents with high exposure to screen media who have been diagnosed with a mental health problem to determine the effect of the intervention on mental wellbeing. Replacing screen time with 30-minute activity is expected to lower the symptoms of mental health problems. The findings of the project would be used to help adolescents with mental health problems and also address other issues associated with a sedentary lifestyle such as childhood obesity.

Keywords: screen time, screen media, mental health, physical activity, adolescents

Replacing Screen Time with Daily Activity to Improve Mental Health in Adolescents

Significance of the Topic

           Screen media has been closely associated with mental health problems, behavioral problems, lower self-esteem, and lower health-related quality of life. Childhood obesity is a major health concern among adolescents with a sedentary lifestyle that increases the risk of developing serious mental health problems at a younger age. Current evidence associates screen media exposure with the development of childhood obesity, which affects children’s physical health, as well as emotional and social well-being (Stiglic & Viner, 2018). Studies have established that obese children are more likely to be