Discuss any impact these changes may have on your practice or the field of nursing and how you may initiate change furnished with the knowledge from the national guideline.

1) Select a national guideline by searching the following sites: National Clearinghouseguidelines.gov, the Joanna Briggs Institute, or the Registered Nurse Association of Ontario  Then, select a local guideline from a location organization for Policy and Procedure related to the same problem. State the titles of the 2 guidelines.

2) From the national guideline, identify two — three recommendations that are applicable to a clinical area.

3) Compare the national and local guidelines and review of the national recommendations are included in the local guideline (1 to 2 paragraphs)

4) Discuss how these recommendations pertain to your nursing clinical PICOT question and give the strength of evidence for each recommendation.

5) Discuss any impact these changes may have on your practice or the field of nursing and how you may initiate change furnished with the knowledge from the national guideline.