NR505 Advanced Research Methods: Evidence-Based Practice
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NR505 Advanced Research Methods: Evidence-Based Practice NR 505 Full Course NR505 week 1 discussion Write a quantitative research question using the PICO(T) model about a health or safety issue observed in the Ironridge or Summerville community or your practice setting.Conducta search of the literature for the quantitative research question. (Remember you can use this topic and quantitative research article as part of your Research Summary Table assignment).Provide a brief summary of your quantitative research article. You will not be able to see other’s posts for this forum until you have posted your response to the threaded discussion thread. NR505 week 2 discussion Review the differences in predictive and prescriptive studies and select a predictive or prescriptive article that you found in your literature search. What are the independent variables (IV), dependent variables (DV), and mediating variables (MVs) that you find in the article? How do determining IVs, DVs, and MVs help you discern the theory tested in the research? In your particular article, what risk factors are identified, or what recommendations are provided?
NR505 week 3 discussion Plan a Qualitative Study (graded) Write a qualitative research question using the PICO(T) model using the P (population), I (abstract concept), O (outcome), and T (time) from the PICO(T) model about an issue from your practice setting.Conduct a search of the literature for a qualitative research article that would answer your qualitative research question. What qualitative research design (Phenomenology, Grounded Theory, Ethnography) did you select and why? Provide a summary of
the study. How will you make sure that the information you obtain is trustworthy? How is trustworthiness in qualitative research similar and different from reliability and validity? NR505 week 4 discussion
What are the various types of sampling, along with their advantages and disadvantages? As we think about sampling and ethical practices, review these two documents on ethical issues in research: Tuskegee syphilis study at.cdc.gov/tuskegee/”>http://www.cdc.gov/tuskegee/ An overview of questionable studies: Resnik, D. (2012). Research ethics timeline (1932-present). Retrieved from.niehs.nih.gov/research/resources/bioethics/timeline/index.cfm”>http://www.niehs.nih.gov/research/resources/bio ethics/timeline/index.cfm What are the implications of this information with respect to the recruitment of human subjects in a study related to your chosen issue? NR505 week 5 discussion Inferential Statistics (graded) Complete a PICO(T) search on a topic that pertains to your practice setting. Select one of the articles from your search. Identify the descriptive statistics. Then describe the inferential tests that were used in the article (in other words, t-tests and chi-squares). Given the p-values related to the tests, how do you interpret the results? Are they statistically significant, also clinically significant? What are the recommendations based on this paper? Share some alternate explanations (mediating or intervening variables) for the results of the study. If your chosen study does not contain inferential tests, then choose a different article that does contain inferential tests so you can participate in the discussion. NR505 week 6 discussion Evidence-Based Models (graded)Read the box above about Mr. Lowell and his facility. As an advanced practice nurse, you will looking at various evidence based practice models and choosing two of them to compare and contrast here. After you compare and contrast them, discuss which one you would recommend to this facility and why? Remember to support your posts with scholarly research in APA 6th ed format. NR505 week 7 discussion Quality, Safety, and Costs (graded) Class, this week I would like for you to think about a patient scenario related to our Summerville scenario. Mr. Lowell is especially concerned about a costly high infection rate in surgical patients at St. Louis Medical Center, along with a lack of concern about patient’s psychological needs. He has read about the efforts of the QSEN Institute (.org/”>http://qsen.org) to promote quality and safety. He was surprised to see that patient concerns are inherent in the quality improvement conversation. Place yourself in the role of nurse educator to help the new staff education director and the clinical practice council study both problems. How would you explain the relationships among quality, safety, and costs to the director and staff? How would you demonstrate the importance of nursing care in addressing this issue? What outcome variables would you recommend? NR505 week 8 discussion
What specific skills and knowledge that you gained through this course will be most important as you plan and implement your practicum project? Describe a concrete way in which you anticipate using these skills and knowledge.
NR505 week 3 Research Summary Table Research Summary Table Guidelines with Scoring Rubric Purpose The purpose of this assignment is for the student to learn to assimilate, analyze, critique, and summarize original research articles. In other words, select a report of a single, original study. Course Outcomes Through this assignment, the student will demonstrate the ability to: (CO 2) Formulate and analyze nursing/clinical problems related to nursing and other disciplines. (PO 1, 2, 4, 6, 7, 8, 9, 10) (CO 3) Synthesize for dissemination the research findings from nursing and related disciplines. (PO 1, 3, 4, 5, 6, 7, 9, 11) Due Date:Sunday 11:59 p.m. MT at the end of Week 3 Total Points Possible: 165 Points
1. 2. 3.
Requirements Through this assignment, the student will 1. Conduct a systematic search of relevant databases to find research-based evidence related to a nursing problem (CO 2); 2. Construct a summary table of four peer-reviewedquantitative single original studies, indicating the purpose, sample, design/level of evidence, findings, and limitations of each (CO 3); and 3. Summarize the findings of the four studies as a whole (CO 3). Preparing the Table Conduct a PICO(T) search on the nursing problem related to your practice setting.Select the four most recent peerreviewed studiesthat describe original research in a single study (do not select a meta-analysis, systematic review of research, or integrative literature review). Refer to the Types of Articles Found in the Nursing and Healthcaredocument in the Course Resource section to make sure that you are using the correct document. Construct a table summarizing the four most credible and recent studies, using the Research Summary template on the next page (also found in Course Resource Section). Analyze each article and provide the following information in brief format: purpose of the study; type of sample and number of participants; design of the study, along with the level of evidence; findings of the study; and limitations of the study. Preparing the Summary
1. 2.
Briefly (2-4 pages; not including cover page and reference page(s)) summarize the results of the four studies as a whole. Follow this outline: I. In a short paragraph, restate your research question and describe your search strategy. (10 points) II. Analysis of the designs used in the studies presented in your research summary table. (10 points) III. Where do these studies fall on the LevelsofEvidence table? What is the significance of this information?(10 points)
1. 2. 3.
IV. Based on these studies, what are the findings? What is the answer to the research question?How well do the studies answer or fail to answer the question? Provide rationale to support your answer.(10 points) V. Howwas eachsample selected and how many participants in the studies. Is this number adequate? Why or why not? (10 points) VI. Overall, what are the limitations of the study, and how can these limitations be overcome in subsequent studies? (10 points) VII. 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? Why or why not?Please provide a rationale for your answer.(10 points) Provide your references, formatted in APA style, after the summary. Include the doi number for each article. Submit a permalink of each article you have chosen for this assignment (directions on how to obtain a permalink are located in the Course Resource section). Instructions for setting up your paper in APA 6th edition format. Look at the example document for this assignment. Start your paper as you would other APA 6thedition format professional papers. Copy and paste the table into your APA paper. This should allow your paper to remain in a vertical format. Your paper should be one document. Research Summary Table (template provided in separate document)
NR505 week 5 Critique of Systematic Research Review
1. 2. 3. 4. 5. 6.
Critique of Systematic Research Review (SRR) Guidelineswith Scoring Rubric Purpose The purpose of this assignment is to provide students with practice in identifying, reading, and critiquing systematic research reviews related to nursing. A systematic review is defined as “A summary of evidence, typically conducted by an expert or expert panel on a particular topic, that uses a rigorous process (to minimize bias) for identifying, appraising, and synthesizing studies to answer a specific clinical question and draw conclusions about the data gathered (Melnyk&Fineout-Overholt,2011, p.582). Course Outcomes Through this assignment, the student will demonstrate the ability to (CO 3) Synthesize for dissemination the research findings from nursing and related disciplines. (PO 1, 3, 4, 5, 6, 7, 9, 11) (CO 4) Compare and critique quantitative and qualitative designs and methodologies for research studies. (PO 4, 7, 9, 11) Due Date:Sunday 11:59 p.m. MT at the end of Week 5 Total Points Possible:175 Points Requirements: 1. Choose an SRR that pertains to your practice setting.Describe the relevance of the nursingresearch problem addressed in a SRR to practice. (CO 3, 6) 2. Critique the levels of evidence of the studies used in the SRR, specifically the designs of the studies included. (CO 6) 3. Critique the clarity with which the studies are presented and critiqued. (CO 6) 4. Describe the overall findings of the studies, as summarized in the SRR. (CO 3, 6) 5. Critique the conclusions of the SRR, with implications for your current practice andfuture research. (CO 3, 6) 6. Utilize the Cochrane Database of Systematic Reviews to locate a true SRR for this assignment.
7.
7. Paper length should be between 4-6 pages (not including cover page and reference page(s). Preparing the paper Consult your faculty member if you are uncertain about whether your article is a true SRR. If it is not, your grade will be affected because you will not be able to address all of the above objectives. Important: Submit a copy of the systematic research review that you are critiquing as a separate document before submitting your paper.This will help Turnitin from returning a high similarity percentage on your written work. Remember to keep Turnitin similarity to 24% or less or you will be deducted points on APA. References Melnyk, B.M., &Fineout-Overholt, E. (2011).Evidence-based practice in nursing &healthcare(2nded.). Philadelphia, PA: Wolters Kluwer/Lippincott, Williams,& Wilkins. Turnitin® This assignment will be submitted to Turnitin.You learned about Turnitin in your NR500 course, so you should be familiar with how to access it. Additionally, you will find an instructional announcement about Turnitin® in the course and in the Student Handbook. Category Points % Description Describes the relevance of the research problem Fully describes the relevance of the research 25 14.28 addressed in the SRR to practice. problem Critiques the research rigor of the studies used in Fully critiques the rigor of the studies used in the 25 14.28 the SRR (see lesson’s levels of evidence). SRR Critiques the levels of evidence, specifically the Fully critiques the levels of evidence of the 25 14.28 designs of the studies included in the SRR. studies included in the SRR Critiques the clarity with which the studies are Fully describes the clarity with which the studies 25 14.28 presented and critiqued. are presented and critiqued Describes the overall findings of the studies, as Fully describes the overall findings of the studies 25 14.28 summarized in the SRR. summarized in the SRR Critiques the conclusions of the SRR, with Critiques the conclusions of the SRR, with implications for your current practice and future 25 14.28 implications for current practiceandfuture research research Grammar, punctuation, and spelling reflect format Grammar, spelling, word usage, and punctuation 10 5.71 written work. are consistent with rules for formal written work. APA formatting 10 5.71 APA formatting is correct Submit a copy of the systematic research article Submits a copy of the permalink of the 5 2.85 you are critiquing. systematic research article that you are critiquing A quality assignment will meet or exceed all 175 100% of the above requirements.
NR505 Analysis and Application of Clinical Practice Analysis and Application of Clinical Practice Guidelines & Scoring Rubric Purpose
The purpose of this assignment is to provide an opportunity for students to apply and disseminate information based on practice summaries. The most common type of practice summary in healthcare is the clinical practice guideline (CPG). Course Outcomes Through this assignment, the student will demonstrate the ability to (CO 3) Synthesize for dissemination the research findings from nursing and related disciplines (POs 1, 3, 4, 5, 9); and (CO 6) Utilize the principles of evidence-based practice to propose strategies that can address nursing issues (POs 1, 3, 4, 5, 7, 9). Due Date:Sunday 11:59 p.m. MT at the end of Week 7 Total Points Possible:200 Points Requirements: Through this assignment, the student will Develop summary of a clinical practice guideline. (COs 3, 6) Preparing the paper You will develop a summary that you could use within an evidence-basedpractice (EBP) committee or related venue to share with your colleagues. This paper will be 2-4 pages in length. Select a clinical practice guidelines that addresses an issue pertinent to your practice setting. Search the literature and evidence-based practice websites and databases to find a recent clinical practice
guideline (no more than 5 years) related to the issue you select. The course Webliography provides websites where you can find clinical practice guidelines, but there are many others available in specialty-organization websites. Analyze and critique the clinical practice guideline. Use the Clinical Practice Guideline Summary Template in
Course Resources to develop your paper. Components include: o scope and purpose of the clinical practice guidelines; o stakeholder involvement; o rigor of development; o clarity and presentation o applicability o editorial independence Attach URL address of the Clinical Practice Guidelines on the reference page of your paper. Note: Thetemplate isan outline to assist you in setting up your paper so you will be sure to address those topics in your paper in addition to other information to meet the criteria for this assignment. Your paper should be in APA 6th ed format. Do not copy and paste the template into your paper. The summary sheetis amended from the AGREE instrument on page 200 of Melnyk & Fineout-Overholt (2015). Your summaryshould be approximately 5–6 pages long (Paper lengths do not include cover page or reference page(s). Category Points % Description Describes the scope and purpose of the document. Includes the health Scope and Purpose 25 12.5 question(s) covered by the guideline Describes the stakeholder involvement in the development of the Stakeholder Involvement 25 12.5 document. Identifies the target population. Critiques the rigor of the development of the document. Describes the Rigor of Development 25 12.5 systematic methods used to develop the guideline. Include level of evidence of the studies used to develop the guideline. Clarity & presentation Provides thekey recommendations of the document. Discusses different 25 12.5 (Recommendations) options for managing the condition or issue in the guideline. Identifies facilitators, barriers, costs, and outcome measurement for Application 25 12.5 application of the document.. Identifies key monitoring and/or auditing criteria (outcomes)
Editorial Independence
25
Summary
25
Uses appropriate grammar, 10 syntax, and spelling APA 6th Edition 10 Attach pdf file of the Clinical 5 Practice Guidelines Total
200
Discusses conflict of interest and how competing interests of the CPG group members recorded and addressed. Summarizes how the CPG answers the key clinical questions presented 12.5 in the CPG. Discusses how the student, as the advanced practice nurse, would apply the CPG in practice. 12.5
5
No more than 2 errors in grammar, syntax, or spelling.
5
No more than 2 APA 6thedition errors.
2.5
A pdf copy of the Clinical Practice Guidelines submitted.
100%
A quality assignment will meet or exceed all of the above requirements.
Grading Rubric Exceptional (100%) Assignment Criteria Outstanding or highest level of performance ContentPossible Points = 175 Points Scope and Purpose 25 Points
Exceeds (88%) Very good or high level of performance
Meets Needs Developing (80%) Improvement (0) Competent or (38%) Unsatisfactory satisfactory level of Poor or failing level level of performance of performance performance
22 Points 20Points 10 Points 0 Points Describes the Describes the scope Describes the Does not include scope and purpose and purpose of the scope and purpose Weakly describes the scope or of the document document. Includes of the document the scope and purpose of the with a minimal the health question(s) but has occasional purpose of the health question amount of covered by the missing document. covered by the information guideline information. guideline. presented. Stakeholder 25 Points 22 Points 20Points 10 Points 0 Points Involvement Describes the Describes the Does not describe Does not describe Describes all of the stakeholder stakeholder the stakeholder the stakeholder stakeholders involvement in the involvement in the involvement in the involvement in the involvement in the development of thedevelopment of the development of the development of the development of the document with document with a document OR document AND document. Identifies occasional minimal amount of does not identify does not identify the target population information information the target the target missing. presented. population. population. Rigor of 25 Points 22 Points 20Points 10 Points 0 Points Development Critiques the rigor of Critiques the rigor Critiques the rigor Does not critique Does not critique the development of the of the developmentof the development the rigor of the the rigor of the document. Describes of the document. of the document. development of the development of the the systematic Describes the Describes the document. Does document. Does methods used to systematic systematic methods not describe the not describe the develop the guideline. methods used to used to develop the systematic systematic Includes level of develop the guideline. Includes methods used to methods used to evidence of the studiesguideline. Includes the levels of develop the develop the
the levels of evidence of the studies used to used to develop the develop the guidelines. Elaborates guidelines. Some on rigor of occasional development. important information is missing. Clarity & Presentation 25 Points (Recommendations)
evidence of the studies used to develop the guidelines. Provides a minimal amount of information.
guideline. guideline. ORDoes ANDDoes not not include the include the levels levels of evidence of evidence of the of the studies used studies used to to develop the develop the guidelines. guidelines.
22 Points
20Points
10 Points
0 Points
Provides thekey Provides thekey recommendations Does not provide Does not provide recommendations of the document. or provide thekey or provide thekey of the document. Discusses different recommendations recommendations Discusses different options for of the document. of the document. options for managing the ORDoes not ANDDoes not managing the condition or issue discuss different discuss different condition or issue addressed in the options for options for addressed in the guideline. Briefly managing the managing the guideline. Missing elaborates on the condition or issue condition or issue some occasional clarity and addressed in the addressed in the important presentation of the guideline. guideline. information. recommendations. Application 25 Points 22 Points 20Points 10 Points 0 Points Identifies facilitators, barriers Does not Identify Does not Identifies (real or potential), Briefly Identifies facilitators, barriers facilitators, barriers costs, and Identifies facilitators, facilitators, barriers (real or potential), (real or potential), outcome barriers (real or (real or potential), costs, and costs, and measurement for potential), costs, and costs, and outcome outcome outcome application of the outcome measurement measurement for measurement for measurement for document. for application of the application of the application of the application of the Identifies key document. Identifies document. document. document. monitoring or key monitoring or Identifies key ORDoes not ANDDoes not auditing criteria auditing criteria monitoring or identify key identify key (outcomes). Some (outcomes). auditing criteria monitoring or monitoring or occasional (outcomes). auditing criteria auditing criteria important (outcomes). (outcomes). information is missing. Editorial 25 Points 22 Points 20Points 10 Points 0 Points Independence Discusses conflict Discusses conflict Briefly discusses Does not discuss Does not of interest of group of interest of group conflict of interest conflict of interest discuss conflict members. members. of group members. of group members. of interest of Discusses how Discusses how Briefly discusses Does not discuss group members. Provides theall key recommendations of the document. Discusses different options for managing the condition or issue addressed in the guideline. Elaborates on the clarity and presentation of the recommendations.
competing interests how competing competing of the CPG group how competing interests of the interests of the members are interests of the CPG group CPG group recorded and CPG group members are members are addressed. members are recorded and recorded and Addresses how the recorded and addressed. addressed. views of the funding addressed. Briefly ORDoes not Addresses how thebody are kept from addresses how the address how the views of the influencing the views of the views of the funding body are content of the funding body are funding body are kept from guideline. Some kept from kept from influencing the occasional influencing the influencing the content of the important content of the content of the guideline. information is guideline. guideline. missing. Summary
Content Subtotal____/175 points FormatPossible Points = 25 Points Uses appropriate grammar, syntax, and spelling
25 Points
Does not discuss how competing interests of the CPG group members are recorded and addressed. AND Does not address how the views of the funding body are kept from influencing the content of the guideline. 0 Points
22 Points 20Points 10 Points Summarizes the Does not Summarizes the Does not paper. Discusses summarize the paper. Discusses Briefly summarizes summarize the whether or not the paper. Does not whether or not the the paper. Briefly paper. Does not CPG answers the discuss whether or CPG answers the discusses whether discuss whether key clinical not the CPG key clinical or not the CPG or not the CPG question(s) answers the key question(s) answers the key answers the key presented in the clinical question(s) presented in the clinical question(s) clinical CPG. Discusses presented in the CPG and presented in the question(s) how the student, as CPG. ORDoes not elaborates. CPG. Briefly presented in the the advance discuss how the Discusses how the discusses how the CPG.ANDDoes practice nurse, will student, as the student, as the student, as the not discuss how apply the CPG in advance practice advance practice advance practice the student, as practice. Some nurse, will apply nurse, will apply nurse, will apply the advance occasional the CPG in the CPG in the CPG in practice nurse, important practice. practice with practice. will apply the information is specific examples. CPG in practice. missing.
10Points
1-2 errors in No errors in grammar, grammar, syntax, syntax, or spelling or spelling APA 6th edition 10Points th No APA 6 edition 1-2 APA 6thedition errors errors
9 Points
8 Points
3-4 errors in 5 or more errors in grammar, syntax, or grammar, syntax, spelling or spelling 9 Points 8 Points th 3-4 APA 6 edition 5 APA 6thedition errors errors
4 Points
0 Points
6 or more errors in grammar, syntax, or spelling 4 Points 0 Points 6 or more APA 6thedition
errorsORTurnitin similarity percentage on student written work is higher than 24%. Attach pdf copy of the Clinical Practice Guideline Pdf file of the Clinical Practice Guideline attached Format Subtotal____/25 points Total Points_____/200 points
5 Points No pdf file of the Clinical Practice Guideline attached
0 Points