What is a phenomenon of interest (POI)?What are clinical practice guidelines and how are they used by the healthcare team?

Maternal Mortality/Morbidity

Describe the nursing meta-paradigm. Provide support using at least one reference other than your textbook.

What is a phenomenon of interest (POI)?

Identify the POI that you are investigating.

Using the selected phenomenon of interest, write a PICO/PICo question (See Table 9.1 in your textbook).

Identify each element from your question: P (population), I (intervention), C (comparison), and O (outcome); or P (population), I (phenomenon of interest), Co (context).

Describe the relationship of each PICO/PICo element to the meta-paradigm element (Review Table 8.1 and Ch. 8 in textbook).

Using your PICO/PICo (keywords and phrases), perform a literature search.

Describe the types of evidence (studies) you found and what you learned from performing the search (Ex: were their more types of one study than another, very limited research if you narrowed too much, too broad with your search terms, etc.).

Identify the key words and phrases from the PICO/PICo you created which were used to search the evidence.

Describe at least two (2) bibliographic databases that were used in the search (name, brief history, and what makes it unique).

Describe the tools that were used to broaden/narrow your search (MeSH subject headings, Boolean operators, truncation- be specific).

What are clinical practice guidelines and how are they used by the healthcare team?

Provide the following information on the guideline:

Describe how and where you found the CPG.

Describe how the CPG relates/applies to your PICO.

 Identify one strategy that could be used to overcome the barrier discussed in part D2. Identify one outcome (the O component in PICO) from your EBP question to measure the recommended practice change.

Discuss the impact of a clinical practice problem on the patient(s) and the organization it affects.

Identify the following PICO components of the clinical practice problem:
patient/population/problem (P)
intervention (I)
comparison (C)

outcome (O)

Develop an evidence-based practice (EBP) question based on the clinical practice problem discussed in part A and the PICO components identified in part A1.

Select a research-based article that answers your EBP question from part A2 to conduct an evidence appraisal.

Discuss the background or introduction (i.e., the purpose) of the research article.

Describe the research methodology.

Identify the level of evidence using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model.

Summarize how the researcher analyzed the data in the article.

Summarize the ethical consideration(s) of the research-based article. If none are present, explain why.

Identify the quality rating of the research-based article according to the JHNEBP model.

Analyze the results or conclusions of the research-based article and explain how the article helps answer your EBP question.

Select a non-research article from a peer-reviewed journal that helps to answer your EBP question from part A2 to conduct an evidence appraisal.

Discuss the background or introduction (i.e., the purpose) of the non-research article.

Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline).

Identify the level of evidence using the JHNEBP model.

Identify the quality rating of the non-research-based article according to the JHNEBP model.

Discuss how the author’s recommendation(s) in the article helps to answer your EBP question.

Recommend a practice change that addresses your EBP question using both the research and non-research articles you selected for Part B and Part C.

Explain how you would involve three key stakeholders in supporting the practice change recommendation.

Discuss one specific barrier you may encounter when implementing the practice change recommendation.

Identify one strategy that could be used to overcome the barrier discussed in part D2.

Identify one outcome (the O component in PICO) from your EBP question to measure the recommended practice change.

 

Consider and restate your PICO(T) and the proposal for your final project. When you think of it as a type of new program development, what specific information will you need to obtain to create the cost-benefit analysis as part of your business plan for the project?

Week 5 Hawes discussion

Week 5: Cost-Benefit Analysis
Consider and restate your PICO(T) and the proposal for your final project. When you think of it as a type of new program development, what specific information will you need to obtain to create the cost-benefit analysis as part of your business plan for the project?

Identify your problem in PICO format or as a hypothesis format this should identify an intervention being assessed to address the problem

Research Assignment

Complete the attached template.

Article is attached as well.

Research Summary Table

Identify your problem in PICO format or as a hypothesis format this should identify an intervention being assessed to address the problem

Collect five (5) research studies (no older than 5 years) on a nursing intervention.

Only use these five (5) articles in your review of literature. These studies must be research in nature, no systematic reviews, how to, or other articles may be used.

Use the Research Summary Table Template to develop your table. Consulting the research articles and fill in the table in your own words.

The use of bullet points in the table is okay.

What does best practice care for musculoskeletal pain look like?

Pain relief for palliative cancer patients

What does best practice care for musculoskeletal pain look like?

After you have clearly stated your research question you can go on to identify your PICO/PICo terms, Synonyms and your search strategy. You can use tables and include a brief explanation of this, referring to those tables.

This should be followed by your inclusion/exclusion criteria. A PRISMA diagram may help explain your search results as well. That would make it clear about how you arrived at the papers you included in your review.

The reader (examiner) needs to be able to determine if the papers you have identified are relevant to your question and whether your search strategy is constructed well enough to have picked up all the relevant literature.

Thematic analysis and critical appraisal

The next section is your thematic analysis and critical appraisal of the papers. It would help to understand this section with an introduction explaining, briefly, what the themes you identified are, what methodologies the authors have used and how the papers rank in terms of the evidence hierarchy. Have a look at the example to see how others have structured theirs and how they have used tables to illustrate their analysis.

Your thematic analysis is very descriptive. The aim of this section should be for you to explain how all of your papers address each of your themes, comparing and contrasting accounts and identifying how well or otherwise the themes are covered.

Are there any gaps in knowledge, for instance. As it is, you appear to have provided a depth description of each theme using one paper for each theme.

You clearly know your subject, but it is important that you draw the papers together and analyse them together into your themes. The same should go for the critical appraisal.

Your draft is incomplete, as you note. Still to come is the critical appraisal. Be careful to use the right critical appraisal tool for the right methodology, ie use the qualitative CASP tool for qualitative papers, the RCT one for papers if they used RCTs and so on.

Have attached the original assignment done by you guys which needs improvements listed above, most areas needing improving? adding have highlighted in yellow.