dentify the problem.What have you noticed in your work or school environment that isn’t achieving the desired patient or learning outcomes? What needs to change in nursing, what can you change with the support of evidence in the literature?

Using 800-1,000 words, discuss methods to evaluate the effectiveness of your proposed solution and variables to be assessed when evaluating project outcomes
November 16, 2020
explain treatment and management strategies for patients presenting with signs and symptoms resulting from their nonadherence.
November 16, 2020

dentify the problem.What have you noticed in your work or school environment that isn’t achieving the desired patient or learning outcomes? What needs to change in nursing, what can you change with the support of evidence in the literature?

 

 

identify the problem.What have you noticed in your work or school environment that isn’t achieving the desired patient or learning outcomes? What needs to
change in nursing, what can you change with the support of evidence in the literature?

Role of Research and the Importance of the Searchable Clinical Question (graded)
The practice of nursing is deeply rooted in nursing knowledge, and nursing knowledge is generated and disseminated through reading, using, and creating nursing
research. Professional nurses rely on research findings to inform their practice decisions; they use critical thinking to apply research directly to specific patient care
situations. The research process allows nurses to ask and answer questions systematically that will ensure that decisions are based on sound science and rigorous
inquiry. Nursing research helps nurses in a variety of settings answer questions about patient care, education, and administration.
As you contemplate your role in the research process, read the following article.
Kumar, S. (2015). Type 1 diabetes mellitus-common cases. Indian Journal of Endocrinology & Metabolism, 19, S76–S77. doi:10.4103/2230-8210.155409. The link to the
website may be found in the Syllabus, or the Week 1 Assignments page.
Choose one case study, and formulate one searchable, clinical question in the PICO(T) format. There are several potential questions that could be asked. Identify
whether the focus of your question is assessment, etiology, treatment, or prognosis. Remember to integrate references.
Week 2 discussion
Search for Literature and Levels of Evidence
Reflect on your practice, and identify a significant nursing clinical issue or change project that you would like to search for evidence in online sources. Formulate
searchable, clinical questions in the PICO(T) format for your nursing clinical issue.
Next, review the guidelines for the PICOT/Evidence Appraisal Assignment due Week 3. Use your PICOT elements to search for one report of a single, original study that
has been published within the last 5 years from the CCN Library that is relevant to your nursing clinical issue. Briefly describe how it is relevant to your nursing clinical
issue. Remember to give a complete reference to the study.
Week 3 discussion
Research Problems, Designs, and Sample
This week, we will discuss the research design and sample for your nursing clinical issue. The research design flows from the research question and outlines the plan for
the study that will answer the research question. The design identifies the major components of the study. It is important to remember that there is no one best design for
a research study.
After you review the designs, describe which research design you would expect to find when searching for evidence relevant to your own research question. Why?
Explain your answer.
The most common sampling method is the convenience sample; therefore, many of the studies that you find for evidence use this sampling method. What are the
implications for using a convenience sample on the way you interpret and use the findings?
Week 4 discussion
Ethical and Legal Issues
Read one of the following.
Stefaniak, M., & Mazurkiewicz, B. (2017). The importance of adhering to high standards of research ethics. British Journal of Nursing, 26(1), 62. The link to the article
may be found in the Syllabus, or the Week 4 Assignments page.
Feeney, S., & Freeman, N. K. (2016). Ethical issues: Responsibilities and dilemmas. YC: Young Children, 71(1), 86. The link to the article may be found in the Syllabus,
or the Week 4 Assignments page.
Questions for the first article:
Describe one reason for adhering to high standards in ethics.
What are the dangers of conflict of interest?
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Questions for the second article:
Describe the difference between ethical responsibility and ethical dilemma.
Share an experience of ethical dilemma or moral distress in nursing today.
Week 5 discussion
Data Collection and Measurement
Access the following information. You may read the PDF online or download it.
American Nurses Association. (2014). Fast facts: The nursing workforce 2014: Growth, salaries, education, demographics & trends. ANA. The link to the website may be
found in the Syllabus, or the Week 5 Assignments page.
Review these facts, and describe what the results say about this sample of the nursing workforce. What do you believe was the intent of the researcher who designed
the survey?
The next process for our study is to collect data. The research design will indicate the best data to be collected. The tools that we use to collect data need to be reliable
and valid. Define these terms with respect to research, and explain why they are important.
Consider data collection and measurement methods for your nursing clinical issue. Explain how you would collect data and what measurement methods you would use.
Week 6 discussion
Data Results and Analysis
After the data are collected, it is time to analyze the results!
Discuss one of the four basic rules for understanding results in a research study.
Compare clinical significance and statistical significance. Which one is more meaningful when considering applying evidence to your practice?
Compare descriptive statistics and inferential statistics in research. Please give an example of each type that could be collected in a study that would be done on your
nursing clinical issue you identified in previous weeks.
Week 7 discussion
Applying and Sharing Evidence to Practice
After the data have been analyzed, conclusions are made regarding what the findings mean. Then, this information must be shared with your healthcare team.
Choose one of the articles from the RRL assignment, and discuss the findings. Would you apply the evidence found to your practice? Explain your answer.
Translating research into practice is the final and most important step in the research process. Review information you found in your Week 3 Assignment, and explain
ways in which you would share the research-based evidence with your peers.
Week 8 discussion
Where Do You Go From Here?
Improving patient outcomes is paramount to healthcare improvement today. How has your thinking changed about nursing research and evidence- based practice as the
result of this course? Will the information you learned during this course be helpful in your nursing role today?
Week 3 PICOT/Evidence Appraisal Assignment
PICOT Worksheet:
Guidelines and Grading Rubric
PURPOSE
Clear identification of the problem or opportunity is the first step in evidence-based nursing. This assignment offers a tool to assist in the identification of the problem,
proposed intervention, and desired outcomes. Completion of the assignment will include identification of the problem or concern using the PICOT format.
COURSE OUTCOMES
This assignment enables the student to meet the following Course Outcome.
CO 1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)
DUE DATE
This assignment consists of the completion of the PICOT question Worksheet. Submit the completed worksheet to the Dropbox by Sunday, 11:59 p.m. MT at the end
ofWeek 3.
POINTS
This assignment is worth 200 points.
DIRECTIONS
1. Read these guidelines including the grading rubrics below. Watch this video on how to complete the assignment at http://www.brainshark.com/devry/vu?
pi=zIAz11yLtvzHr05z0
2. Download the PICOT worksheet form from Course Resources. Consider what is the nursing problem or issue that you have uncovered. Make sure it is related to
nursing, i.e., one that a nurse can solve independently. Do not select a medical problem that is dependent upon a medical professional to resolve.
3. Submit the completed PICOT Worksheet to the Week 3 Dropbox.
GRADING CRITERIA: PICOT WORKSHEET
Category Points % Description
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PICOT question 50 25% Question or nursing problem is identified and is an independent nursing decision.
PICOT elements 50 25% PICOT elements are correctly identified. Outcomes are measurable.
Practice issue and scope of the problem 50 25% Practice issue/problem is thoroughly described. The need for change is evident. Practice area is identified. Identification
of the practice issue is clear. Scope of the problem is identified.
Evidence and search terms 50 25% Appropriately identifies the types of evidences that should be gathered. Uses manageable search terms and ways in which the
search can be narrowed is discussed.
TOTAL 200 100
EXAMPLE 1:
What is the PICO question? Will influenza immunization compliancy rates increase if flu clinics are provided in a Flu PODS and immunization clinics at convenient times
covering all shifts?
Define each element of the question below:
P- (Patient, population, or problem): Hospital employees and volunteers required to have the influenza immunization annually
I -(Intervention): Offer multiple Flu “PODS” and immunization clinics to hospital employees and volunteers making it convenient to receive the required immunization.
Offer at a variety of times, available to all shifts
C- (Comparison with other treatment/current practice): Compare analytics showing employees and volunteers who received flu shot prior to 2016 when Flu PODS and
immunization clinics were not offered compared to 2016 where Flu PODS and immunization clinics are offered to accommodate shifts. Track number of
employees/volunteers coming at each hour time frame.
O- (Desired outcome): Increase of compliance of receiving the annual mandatory flu shot by employees and volunteers
EXAMPLE 2:
What is the PICO question? For non-diabetic patients on corticosteroid therapy, does monitoring for headache, fatigue, nausea, vomiting, and blurred vision hourly vs. no
observations for signs of hyperglycemia promote improvement of pulmonary complications?
Define each element of the question below:
P- (Patient, population, or problem): Non-diabetic patients on corticosteroid therapy.
I- (Intervention): Monitoring for headache, fatigue, nausea, vomiting, and blurred vision
C- (Comparison with other treatment/current practice): No observations for signs of hyperglycemia
O- (Desired outcome): Improvement of pulmonary complications
T-(Time): 90 days
PICOTWorksheet – Week 3
PART 1: PICOT QUESTION
Name:
Date:
Your Instructor’s Name:
Purpose: To identify a problem or concern that nursing can change and develop a PICOT question to guide the change project.
Directions:Use the form below to complete the Week 3 Assignment PICOT Evidence Worksheet. This includes filling in the table with information about your research
question and your PICOT elements and the second part is filling in the Evidence Worksheet.
Step 1: Select the key PICO terms for searching the evidence. Clearly define your PICOT question. List each element P (problem, population, or problem), I
(intervention), C (Comparison with other treatment/current practice), and O (Desired outcome), T (Time Frame). Is the potential solution something for which you (as
nurse or student) can find a solution through evidence research? Look in your book for guidelines to developing your PICOT questionand also read the required articles.
Step 2: Identify the problem.What have you noticed in your work or school environment that isn’t achieving the desired patient or learning outcomes? What needs to
change in nursing, what can you change with the support of evidence in the literature? Describe the problem or practice issue that you want to research. What is your
practice area; clinical, education, or administration? (This is NOT where you will list your PICOT question)
Step 3: How was the practice issues identified?How did you come to know this was a problem in your clinical practice? Review the listed concerns and check all that
apply.
Step 4: What evidence must be gathered? What sources of reliable information will be helpful for your particular question?
Step 5: What terms will you use in order to make sure that your search is wide enough to obtain required information but narrow enough to keep it focused? How will you
narrow your search if needed?
PICOT Question
What is the PICOT question?
Define each element of the question below:
P- (Patient, population, or problem):
I- (Intervention):
C- (Comparison with other treatment/current practice):
O- (Desired outcome):
T-(Time Frame):
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What is the practice issue/problem? What is the scope of the issue? What is the need for change?
What is the practice area?
___ Clinical
___ Education
___ Administration
___ Other
How was the practice issue identified? (check all that apply)
___ Safety/risk management concerns
___ Unsatisfactory patient outcomes
___ Wide variations in practice
___ Significant financial concerns
___ Difference between hospital and community practice
___ Clinical practice issue is a concern
___ Procedure or process is a time waster
___ Clinical practice issue has no scientific base
___ Other:
What evidence must be gathered? (check all that apply)
___ Literature search
___ Guidelines
___ Expert Opinion
___ Patient Preferences ___ Clinical Expertise
___ Financial Analysis
___ Standards (Regulatory, professional, community)
___ Other
Search terms/How to narrow the search?
Week 5 Reading Research Literature
Reading Research Literature
Guidelines and Grading Rubric– Week5
The student will read research literature to determine the research purpose, question, design, population, sample, limitations, data collection and analysis.
COURSE OUTCOMES
This assignment enables the student to meet the following course outcomes:
CO 2: Apply research principles to the interpretation of the content of published research studies. (PO #4 and8)
CO 4: Evaluate published nursing research for credibility and lab significance related to evidence-based practice. (PO #4 and8)
POINTS:This assignment is worth 225 points.
DUE DATE:Submit to the Reading Research Literature basket in the Dropbox by 11:59 p.m. MT Sundayat the end of Week 5.
REQUIREMENTS
1. Download the research articles from the Chamberlain library.
Retrieve the following research articles:Make sure you are viewing the full text PDF. If you view the article in HTML format, you may not be able to see the tables and
figures that are referenced in the questions.
Velayutham, S. G., Chandra, S. R., Bharath, S., & Shankar, R. G. (2017). Quantitative balance and gait measurement in patients with frontotemporal dementia and
Alzheimer diseases: A pilot study. Indian Journal of Psychological Medicine, 39(2), 176-182. 203132. doi:10.4103/0253-7176.203132. Retrieved from
http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=122248443&site=eds-live&scope=site
Pals, R. S., Hansen, U. M., Johansen, C. B., Hansen, C. S., Jørgensen, M. E., Fleischer, J., &Willaing, I. (2015). Making sense of a new technology in clinical practice: A
qualitative study of patient and physician perspectives. BMC Health Services Research, 15(1), 1-10. doi:10.1186/s12913-015-1071-1. Retrieved from
http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=her&AN=109884152&site=eds-live
2. Download the NR439_Reading_Research_Literature_form.
3. Watch the video on how to complete this assignment at http://www.brainshark.com/devry/vu?pi=zGCzbNjK4zHr05z0.
4. Type answers to the questions directly onto the form. Your formdoes NOT need to follow APA formatting; however, you are expected to use correct grammar, spelling,
syntax, and write in complete sentences.
5. Save the fileby clicking Save as and adding your last name, e.g., NR439_W5_Reading_Research_Literature_Form_Smith.docx.
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6. Submit to the Week 5 Reading Research Literature basket in the Dropbox by 11:59 p.m. MT Sunday at the end of Week 5. Please post questions about this paper in
the Week 5Q&A Forum.
GRADING CRITERIA
Category Points % Description
Velayutham, et al article: Question 1 10 4% Identifies the purpose of the research article.
Question 2 10 4% Identifies the research question implied in the study.
Question 3 10 4% Describes the research design of the study.
Question 4 10 4% Identifies and describes the population.
Question 5 10 4% Was the sample approach adequate for the research design
Question 6 10 4% Describe the data collection procedure
Question 7 10 4% How were the data analyzed
Question 8 10 4% Describes the limitations in the study.
Question 9 10 4% Describes the authors’ conclusions.
Question 10 10 5% How does this advance knowledge in the field.
Pals et al article: Question 11 10 5% Identifies the purpose of the research article.
Question 12 10 5% Identifies the research question implied in the study.
Question 13 10 5% Describes the research design of the study.
Question 14 10 5% Identifies and describes the population.
Question 15 10 5% Was the sample approach adequate for the research design
Question 16 10 5% Describe the data collection procedure
Question 17 10 5% How were the data analyzed
Question 18 10 5% Describes the limitations in the study.
Question 19 10 5% Describes the authors’ conclusions.
Question 20 10 5% How does this advance knowledge in the field.
Style and Writing 25 11% Names file, includes name on paper. Writes in complete sentences with no grammar, spelling, or syntax errors.
Total 225 pts 100% A quality assignment will meet or exceed all of the above requirements
Reading Research Literature – Week 5
Type your answers to the following questions using complete sentences and correct grammar, spelling, and syntax. Click Save as and save the file with your last name
and assignment, e.g.,NR439_Reading_Research_Literature_Smith.Submit by 11:59 pm MT Sunday at the end of Week 5. The guidelines and grading rubric for this
assignment may be found on the assignment page.
Title: RRL
Name:[replace this text with your name]
The following questions pertain to:
Velayutham, S. G., Chandra, S. R., Bharath, S., & Shankar, R. G. (2017). Quantitative balance and gait measurement in patients with frontotemporal dementia and
Alzheimer diseases: A pilot study. Indian Journal of Psychological Medicine, 39(2), 176-182. doi:10.4103/0253-7176.203132
http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=122248443&site=eds-live&scope=site
(http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=122248443&site=eds-live&scope=site)
1) What is the purpose of this research?
2) What is the research question (or questions)? This may be implicit or explicit.
3) Give a complete description of theresearch design of this study.
4) What is the population (sample) for this study.
5) Was the sampleapproach adequate for the research design that was selected and explain why
6) Describe the data collection procedure.
7) How were the data analyzed after collection?
8) Discuss the limitations found in the study.
9) Discuss the authors’ conclusions. Do you feel these conclusions are based on the data that they collected?
10) How does this advance knowledge in the field
The following questions pertain to:
Pals, R. S., Hansen, U. M., Johansen, C. B., Hansen, C. S., Jørgensen, M. E., Fleischer, J., & Willaing, I. (2015). Making sense of a new technology in clinical practice: a
qualitative study of patient and physician perspectives. BMC Health Services Research, 15(1), 1-10. doi:10.1186/s12913-015-1071-1
http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=her&AN=109884152&site=eds-live
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11) What is the purpose of this research?
12) What is the research question (or questions)? This may be implicit or explicit.
13) Give a complete description of the research design of this study.
14) What is the population (sample) for this study?
15) Was the sample spproach adequate for the research design that was selected and explain why.
16) Describe the data collection procedure.
17) How were the data analyzed?
18) Discuss the limitations found in the study?
19) Discuss the authors’ conclusions. Do you feel these conclusions are based on the data that they collected?
20) How does this advance knowledge in the field.
Week 6 Research Article Critique Paper
Research Article Critique:
Guidelines and Grading Rubric – Week 6
PURPOSE
The purpose of this assignment is for the student to learn to examine, analyze, critique, and summarize an original research article. Student is to select an article from a
list located in Course Resources. There is a choice of articles from whichyou must choose ONE to complete this assignment.
COURSE OUTCOMES
Through this assignment, the student will demonstrate the ability to meet the following course outcomes:
CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO #7)
CO2: Apply research principles to the interpretation of the content of published research studies. (POs #4 and 8)
CO4: Evaluate published nursing research for credibility and lab significance related to evidence-based practice. (POs #4 and 8)
CO5: Recognize the role of research findings in evidence-based practice. (POs #7 and 8)
POINTS
The assignment is worth a total of 175 points.
DUE DATE
You are to submit your paper to the Week 6 Dropbox by Sunday 11:59 p.m. MT at the end of Week 6.
REQUIREMENTS
Through this assignment, the student will:
1. Critique a peer-reviewed study, and in your own words, describe the research question, sample, design of study, data collection method, findings, and limitations of
each. (CO 1, CO2,)
2. Summarize the research article and evaluate the significance to nursing. Do not just quote the author’s words. Paraphrase the information. (CO 4, CO5).
GUIDELINES TO WRITING THE PAPER
1. Course Resources lists articles from which you are to selectONE to analyze.
2. Retrieve the full-text version of the article from the library. Read it thoroughly.
3. Introduction (one paragraph): The introduction should be interesting and capture the reader’s attention.
a. Provide a brief description of the research article to be discussed.
b. Discuss the purpose of your paper. The purpose statement of the paper should relate to the research article reviewed and the implications that it has to evidence
based nursing practice.
c. You will need to summarize and analyze the information from the article in your own words
4. Describe the research question for this study in a paragraph.
a. Describe the research in greater detail.
b. Include your observations about this question.
c. Discuss events or trends that could have affected this question.
d. You will need to summarize and analyze the information from the article in your own words
5. Describe the research design of this study, and in your own words discuss the design.
a. Discuss the research design of the study.
b. Discuss the strengths and weaknesses of the type of design and hypothesize why the author utilized the design as opposed to others.
c. You will need to summarize the information from the article in your own words
6. Describethe sample.
a. Briefly describe the sample size used for this study
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b. Make a judgment as to whether the sample size was adequate and defend your answer.
c. Describe the number or participants and determine if the number of participants was adequate compared to the research question and the intent of the study.
d. Are these numbers adequate? Discuss gaps in that you identified.
e. You will need to summarize and analyze the information from the article in your own words
7. Describe the data collection method(s)’
a. Who collected the data?
b. What tools were used?
c. What were the ethical considerations addressed and discuss gaps you identified.
d. You will need to summarize and analyze the information from the article in your own words
8. Describe the limitations of the study.
a. Identify the limitations within the study
b. Describe how the limitations could be overcome in subsequent studies
c. Comment on why limitations are important to list and discuss within a study
d. You will need to summarize and analyze the information from the article in your own words
9. Describe the findings reported in the study.
a. Describe the findings reported in the study
b. Discuss whether the findings of the study answered the research question posed within the study
c. Discuss the credibility of the findings
d. If the findings do not support the research question posed within the study, what do you believe is the reason?
e. You will need to summarize and analyze the information from the article in your own words
10. Summary
a. Summarize important points from the body of your paper including the key components of the paper.
b. Include a statement about the research question and the findings.
c. Discuss the probability of implementation into practice. Based on these findings, is the evidence that you found on your topic strong enough to suggest a change in
practice, or an idea for practice?
d. End with a concluding statement.
11. Citations and Referencesmust be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference
format. In-text citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then
cite the source.
12. Reference Page: The Reference Page should start on a new page (insert a page break). All references should be cited within the body of the paperas (Author, year)
and the full reference should be included in APA format on the reference page. A url link alone is not an adequate reference. See the APA Guidelines in Course
Resources for examples of properly formatted references.
GRADING CRITERIA
Category Points % Description
Research Question 20 11% Describe, analyze, and summarize the research question for this study your own words.
Design of Study 20 11% Describe, analyze, and summarize the research design of this study in your own words.
Sample/Population of the Study 25 14% Describe, analyze, and summarize the sample in your own words.
Data Collection Methods 25 14% Describe, analyze, and summarize the data collection method(s)’ in your own words.
Limitations 20 12% Describe, analyze, and summarize the limitations of the study in your own words.
Findings 20 12% Describe, analyze, and summarize the findings reported in the study in your own words.
Summary of Article
(See rubric for categories and breakdown of points.) 25 14% Summarize important points from the body of your paper including the key components of the paper and
discuss the probability of implementation into practice.
Grammar, Punctuation, and Spelling/ APA Formatting 20 12% No errors in grammar, punctuation, spelling, and APA formatting.
Total 175 100% A quality paper will meet or exceed all of the above requirements.
NR439 Articles List for Week 6 Research Article Critique
Katon, W., Russo, J., & Gavin, A. (2014). Predictors of postpartum depression. Journal of Women’s Health (15409996), 23(9), 753-759. doi:10.1089/jwh.2014.4824. (7p.)
Persistent link to this record (Permalink):
http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103890366&site=eds-live&scope=site
Murfet, G. O., Allen, P., &Hingston, T. J. (2014). Maternal and neonatal health outcomes following the implementation of an innovative model of nurse practitioner-led
care for diabetes in pregnancy. Journal of Advanced Nursing, 70(5), 1150-1163.doi:10.1111/jan.12277. (14p.)

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