Evidence-Based Project, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews – Savvy Essay Writers | savvyessaywriters.net

Assignment: Evidence-Based Project, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

· Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

· Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.

· Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.

· Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

· Identify and briefly describe your chosen clinical issue of interest.

· Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.

· Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

· Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.

· Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

By Day 7 of Week 5

Submit Part 3 of your Evidence-Based Project.
Rubric Detail

Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

· Identify and briefly describe your chosen clinical issue of interest.

· Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.

· Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

· Provide APA citations of the four peer-reviewed articles you selected.

· Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

The presentation clearly and accurately identifies and describes in detail the chosen clinical issue of interest.

The presentation clearly and accurately describes in detail the developed PICO(T) question.

The presentation clearly and accurately identifies four or more research databases used to conduct a search for the peer-reviewed articles selected.

The presentation clearly and accurately provides full APA citations for at least four peer-reviewed articles selected, including a thorough and detailed explanation of the strengths of using systematic reviews for clinical research.

The presentation includes specific and relevant examples that fully support the research.

The presentation provides a complete, detailed, and accurate synthesis of two outside resources related to the peer-reviewed articles selected, and fully integrates at least two outside resources and two or three course-specific resources that fully support the presentation.

Written Expression and Formatting—Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided, which delineates all required criteria.

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

A clear and comprehensive purpose statement, introduction, and conclusion are provided, which delineates all required criteria.

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This assignment provides a learning activity for students to experience a practice-based scenario and apply a process worksheet designed to assist in the identification of an independent nursing problem or concern, develop a PICOT clinical question, and search for evidence using credible online databases/sources.

Examine the sources of evidence that contribute to professional nursing practice. (PO 7).

Course Outcomes

Assignment enables

This assignment enables the student to meet the following Course Outcomes.

CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

Apply research principles

CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8)

CO4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4 & 8)

CO5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)

Due Date

Submit the completed PPL Worksheet by Sunday, 11:59 p.m. MT at the end of Week 3.

Points

This assignment is worth 175 points.

Directions

1. Read over each of the following directions.
2. You must read the Assignment Practice Scenario below before completing the PPL Worksheet.
3. Download and use the required PPL Worksheet (Links to an external site.)Links to an external site..
4. Review the information provided in our library of how to search for journal articles here (Links to an external site.)Links to an external site..
5. Review the information provided in our library of how to locate and copy a journal permalink (Links to an external site.)Links to an external site..
6. You are required to complete the worksheet using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)Links to an external site.. Click on the envelope at the top of the page.
7. Complete each section of the Problem/PICOT/Literature (PPL) Worksheet. For the Clinical PICOT Question, you are required to use one type of question from the American Academy of Ambulatory Care Nursing (AAACN). Please access the template to select the question type from the following link:
   American Academy of Ambulatory Care Nursing (AAACN). (2018). AAACN research toolkit: Template for asking PICOT questions. Retrieved from https://www.aaacn.org/sites/default/files/documents/misc-docs/1e_PICOT_Questions_template.pdf  (Links to an external site.)Links to an external site.
8. Be sure to use the PPL grading rubric to make certain you are meeting all grading criteria of the PPL Worksheet.
9. Use correct grammar, spelling, punctuation, and in-text APA formatting.
10. Submit the completed PPL Worksheet on the Week 3 Assignment page.

**Academic Integrity Reminder**

Nursing values honesty

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment. Please see the grading criteria and rubrics on this page.

Please see the grading criteria and rubrics on this page.

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Assignment Practice Scenario

Conduct nursing research studies involving clinical practice problems

Your Chief Nurse Executive (CNE) recognizes you are pursuing your BSN and has asked you to be a member of the nursing evidence-based practice (NEBP) committee. She has advised the members that the purpose is to conduct nursing research studies involving clinical practice problems. Increasing nurses’ awareness of quality and safety concerns will help develop an attitude of inquiry and asking questions (Sherwood & Barnsteiner, 2017).

Baccalaureate nurses “collaborate in problem identification, participate in the process of search, retrieval, and documentation of evidence, and integrate evidence using credible databases and internet resources” (AACN, 2008, pp. 16-17).

The CNE has advised all members of the following areas of quality and safety clinical practice that each committee member needs to consider and choose one as a priority area for conducting a research study. Sources of research problems come from nursing clinical practice (Houser, 2018):

QualitySafetyPatient satisfaction
Patient educationFallsNon-pharmacological pain managementErrors (any). Examples include:

• Medication
• Patient identification
• Communication

Readmissions
Length of stay
CostsHealthcare Associated Infections (HAIs). (Any type)
Examples include:

• Central Line Associated Blood Stream Infections (CLABSI)
• Catheter Associated Urinary Tract Infections (CAUTI)
• Ventilator Associated Pneumonia (VAP)
• Surgical Site Infections (SSI)

SepsisDischarge Teaching/Coaching
Transitions of Care/Level of CarePressure Ulcers
Skin Integrity

Your CNE has requested that you are to select one area and complete the PPL Worksheet using that topic. The committee will collaborate and decide as a team which nursing clinical problem area will be the priority focus of their next research study. Thank you for your valuable contributions to this important NEBP committee.

References

American Association of Colleges of Nurses (AACN). (2008). Executive summary: The essentials of baccalaureate education for professional nursing practice (2008). Retrieved from http://www.aacnnursing.org/Education-Resources/AACN-Essentials

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Sudbury, MA: Jones and Bartlett.

Improving outcomes

Sherwood, G., & Barnsteiner, J. (2017). Quality and safety in nursing: A competency approach to improving outcomes (2nd ed.). Hoboken, NJ: Wiley-Blackwell.

Quality and Safety Education for Nurses (QSEN). (2018). QSEN knowledge, skills, and attitude competencies. Retrieved from http://qsen.org/competencies/pre-licensure-ksas/

Rubric

NR439 PPL Worksheet RubricNR439 PPL Worksheet RubricCriteriaRatingsPtsThis criterion is linked to a Learning OutcomeClinical Nursing Practice ProblemIdentify one quality or safety clinical priority area from the assignment guidelines practice scenario. Summarize the independent clinical nursing practice problem/issue you believe is the most important. Summarize your rationale (why) for choosing the problem.25.0 ptsClearly identifies one quality and safety clinical priority practice problem from the assignment guidelines practice scenario. Thoroughly summarizes the importance of the problem/issue. Thoroughly summarizes the rationale (why) the problem was chosen.22.0 ptsCriteria from the first column are mostly summarized or one criteria lacks details or is missing.20.0 ptsCriteria from the first column are minimally summarized or two criteria lack details or are not present.10.0 ptsCriteria from the first column are poorly summarized.0.0 ptsCriteria are not discussed.25.0 pts
This criterion is linked to a Learning OutcomeClinical PICOT QuestionUsing the AAACN Template for Asking PICOT Questions located in the assignment guidelines, write out your PICOT question. You must use one type of question from the AAACN template.20.0 ptsPICOT question with all 5 elements correct.18.0 ptsPICOT question with 4 elements correct.16.0 ptsPICOT question with 3 elements correct.8.0 ptsPICOT question with 1-2 elements correct.0.0 ptsPICOT question with no elements correct or no PICOT question present.20.0 pts
This criterion is linked to a Learning OutcomePICOT ElementsIdentify each of the elements for your PICOT.20.0 ptsAll 5 PICOT elements are correctly identified.18.0 pts4 PICOT elements are correctly identified.16.0 pts3 PICOT elements are correctly identified.8.0 pts1-2 PICOT elements are correctly identified.0.0 ptsNo PICOT elements are correctly identified or are not present.20.0 pts
This criterion is linked to a Learning OutcomeEvidence Retrieval ProcessUsing the Chamberlain College of Nursing library, locate an original nursing report/article of a single nursing study published from a nursing source/journal within the last 10 years that is relevant to your chosen clinical nursing practice problem/issue. Provide a complete APA reference to the study and the permalink. *Meta-analysis, Meta-synthesis, Systematic Reviews should not be used.20.0 ptsAll of the five criteria are present or one criteria is missing: 1. Complete study reference is provided in APA. 2. Uses the Chamberlain College of Nursing library by providing the permalink for the study. 3. Study is less than 10 years old. 4. Single original nursing study. 5. Study is from a nursing source/journal *Meta-analysis, Meta-synthesis, Systematic Reviews should not be used.18.0 ptsMissing two criteria from the A column.16.0 ptsMissing three criteria from the A column8.0 ptsMissing four criteria from the A column.0.0 ptsMissing all five criteria from the A column or none of the criteria are present.20.0 pts
This criterion is linked to a Learning OutcomeImplications of Literature EvidenceSummarizes how the study is relevant to your chosen clinical nursing practice problem/issue. Summarizes why you believe the nursing evidence-based practice committee should focus their next research study on this practice problem.25.0 ptsThoroughly summarizes how the study is relevant to your chosen clinical nursing practice problem/issue. Thoroughly summarizes why you believe the nursing evidence-based practice committee should focus their next research study on this practice problem. Excellent details provided.22.0 ptsMostly summarizes the criteria in the first column or one criteria lacks details.20.0 ptsFairly summarizes the criteria in the first column or one criteria is missing. Fair details are provided.10.0 ptsPoorly summarizes the criteria in the first column. Poor details are provided.0.0 ptsCriteria are…