NR505 Advanced Research Methods: Evidence-Based Practice
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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 (1932present). Retrieved from.niehs.nih.gov/research/resources/bioethics/timeline/index.cfm”>http://www.niehs.nih.gov/r esearch/resources/bioethics/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 Requirements Through this assignment, the student will 1. 1. Conduct a systematic search of relevant databases to find research-based evidence related to a nursing problem (CO 2); 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. 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 peer-reviewed 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.
1. 2. 3.
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) 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 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)
1. 2. 3. 4. 5. 6. 7.
(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. 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 Fully describes the relevance of the problem addressed in the SRR to 25 14.28 research problem practice. Critiques the research rigor of the studies Fully critiques the rigor of the studies used in the SRR (see lesson’s levels of 25 14.28 used in the SRR evidence). Critiques the levels of evidence, Fully critiques the levels of evidence of specifically the designs of the studies 25 14.28 the studies included in the SRR included in the SRR. Critiques the clarity with which the Fully describes the clarity with which 25 14.28 studies are presented and critiqued. the studies are presented and critiqued
Describes the overall findings of the studies, as summarized in the SRR. Critiques the conclusions of the SRR, with implications for your current practice and future research
25 25
Grammar, punctuation, and spelling reflect format written work.
10
APA formatting
10
Submit a copy of the systematic research 5 article you are critiquing. 175
Fully describes the overall findings of the studies summarized in the SRR Critiques the conclusions of the SRR, 14.28 with implications for current practice andfuture research Grammar, spelling, word usage, and 5.71 punctuation are consistent with rules for formal written work. 5.71 APA formatting is correct Submits a copy of the permalink of the 2.85 systematic research article that you are critiquing A quality assignment will meet or 100% exceed all of the above requirements. 14.28
NR505 Analysis and Application of Clinical Practice
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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 & FineoutOverholt (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. Scope and Purpose 25 12.5 Includes the health question(s) covered by the guideline Describes the stakeholder involvement in the Stakeholder Involvement 25 12.5 development of the document. Identifies the target population. Critiques the rigor of the development of the document. Describes the systematic methods used to develop the Rigor of Development 25 12.5 guideline. Include level of evidence of the studies used to develop the guideline. Provides thekey recommendations of the document. Clarity & presentation 25 12.5 Discusses different options for managing the condition (Recommendations) or issue in the guideline. Identifies facilitators, barriers, costs, and outcome measurement for application of the document.. Application 25 12.5 Identifies key monitoring and/or auditing criteria (outcomes) Discusses conflict of interest and how competing Editorial Independence 25 12.5 interests of the CPG group members recorded and addressed. Summarizes how the CPG answers the key clinical questions presented in the CPG. Discusses how the Summary 25 12.5 student, as the advanced practice nurse, would apply the CPG in practice. Uses appropriate grammar, syntax, and 10 5 No more than 2 errors in grammar, syntax, or spelling. spelling APA 6th Edition 10 5 No more than 2 APA 6thedition errors.
Attach pdf file of the Clinical Practice Guidelines
5
2.5
A pdf copy of the Clinical Practice Guidelines submitted.
Total
200
100%
A quality assignment will meet or exceed all of the above requirements.
Grading Rubric Meets (80%) Competent or satisfactory level of performance
Needs Improvement (38%) Poor or failing level of performance
Developing (0) Unsatisfactory level of performance
22 Points
20Points
10 Points
0 Points
Describes the Describes the scope and purpose scope and of the document. purpose of the Includes the health document but question(s) has occasional covered by the missing guideline information.
Describes the scope and purpose of the document with a minimal amount of information presented.
Weakly describes the scope and purpose of the document.
Does not include the scope or purpose of the health question covered by the guideline.
Stakeholder Involvement
22 Points
20Points
10 Points
Assignment Criteria
Exceptional Exceeds (100%) (88%) Outstanding or Very good or highest level of high level of performance performance
ContentPossible Points = 175 Points Scope and 25 Points Purpose
25 Points
Describes the Describes the stakeholder Describes all of stakeholder involvement in the stakeholders involvement in the involvement in the the development of development of development of the document the document. the document with a minimal Identifies the with occasional amount of target population information information missing. presented. Rigor of Development Critiques the rigor of the development of the document. Describes the systematic
25 Points
22 Points
Critiques the Critiques the rigor of the rigor of the development of development of the document. the document. Describes the Describes the systematic systematic
0 Points
Does not Does not describe the describe the stakeholder stakeholder involvement in involvement in the the development of development of the document the document OR does not AND does not identify the identify the target target population. population. 20Points
10 Points
Does not Does not critique the critique the rigor of the rigor of the development of development of the document. the document. Does not Does not
0 Points
methods used to develop the methods used to describe the describe the guideline. develop the systematic systematic methods used to Includes the guideline. methods used methods used develop the levels of Includes the to develop the to develop the guideline. Includes evidence of the levels of guideline. guideline. level of evidence studies used to evidence of the ORDoes not ANDDoes not of the studies used develop the studies used to include the include the to develop the guidelines. develop the levels of levels of guidelines. Some guidelines. evidence of the evidence of the Elaborates on rigor occasional Provides a studies used to studies used to of development. important minimal amountdevelop the develop the information is of information. guidelines. guidelines. missing. Clarity & Presentation 25 Points 22 Points 20Points 10 Points 0 Points (Recommendatio ns) Provides thekey Provides recommendatio thekey Does not Does not ns of the Provides theall key recommendatio provide or provide or document. recommendations ns of the provide thekey provide thekey Discusses of the document. document. recommendatio recommendatio different Discusses different Discusses ns of the ns of the options for options for different document. document. managing the managing the options for ORDoes not ANDDoes not condition or condition or issue managing the discuss discuss issue addressed addressed in the condition or different different in the guideline. guideline. issue addressed options for options for Briefly Elaborates on the in the managing the managing the elaborates on clarity and guideline. condition or condition or the clarity and presentation of the Missing some issue addressed issue addressed presentation of recommendations. occasional in the in the the important guideline. guideline. recommendatio information. ns. Application 25 Points 22 Points 20Points 10 Points 0 Points Identifies Identifies Briefly Does not Does not facilitators, facilitators, Identifies Identify Identifies barriers (real or barriers (real or facilitators, facilitators, facilitators, potential), costs, potential), barriers (real or barriers (real or barriers (real or and outcome costs, and potential), costs,potential), potential), measurement for outcome and outcome costs, and costs, and application of the measurement measurement outcome outcome document. for application for application measurement measurement Identifies key of the of the for application for application
monitoring or auditing criteria (outcomes).
document. Identifies key of the of the monitoring or document. document. document. auditing criteria Identifies key ORDoes not ANDDoes not (outcomes). monitoring or identify key identify key Some auditing criteria monitoring or monitoring or occasional (outcomes). auditing criteriaauditing criteria important (outcomes). (outcomes). information is missing.
Editorial Independence
25 Points
Summary
22 Points
20Points
10 Points
0 Points
Does not discuss Discusses Briefly conflict of conflict of discusses Does not Discusses interest of interest of conflict of discuss conflict conflict of group group members. interest of of interest of interest of members. Discusses how group group group Does not competing members. members. Does members. discuss how interests of the Briefly not discuss Discusses how competing CPG group discusses how how competing competing interests of members are competing interests of the interests of the the CPG recorded and interests of the CPG group CPG group group addressed. CPG group members are members are members are Addresses how members are recorded and recorded and recorded and the views of the recorded and addressed. addressed. addressed. funding body addressed. ORDoes not Addresses how AND are kept from Briefly address how the views of the Does not influencing the addresses how the views of the funding body address how content of the the views of thefunding body are kept from the views of guideline. Some funding body are kept from influencing the the funding occasional are kept from influencing the content of the body are kept important influencing the content of the guideline. from information is content of the guideline. influencing missing. guideline. the content of the guideline. 25 Points 22 Points 20Points 10 Points 0 Points Summarizes Summarizes the Briefly Does not Does not the paper. paper. summarizes the summarize the summarize Discusses Discusses paper. Briefly paper. Does not the paper. whether or not whether or not discusses discuss whetherDoes not the CPG the CPG whether or not or not the CPG discuss answers the answers the key the CPG answers the whether or not key clinical clinical answers the key clinical the CPG question(s) question(s) key clinical question(s) answers the
key clinical presented in the presented in the question(s) CPG and CPG. Discusses question(s) presented in the presented in elaborates. how the student,presented in the CPG. ORDoes the Discusses how as the advance CPG. Briefly not discuss CPG.ANDDo the student, as practice nurse, discusses how how the es not discuss the advance will apply the the student, as student, as the how the practice nurse, CPG in the advance advance student, as the will apply the practice. Some practice nurse, practice nurse, advance CPG in occasional will apply the will apply the practice nurse, practice with important CPG in CPG in will apply the specific information is practice. practice. CPG in examples. missing. practice. Content Subtotal____/175 points FormatPossible Points = 25 Points Uses appropriate grammar, syntax, 10Points and spelling
9 Points
8 Points
0 Points
6 or more errors in grammar, syntax, or spelling APA 6th edition 10Points 9 Points 4 Points 0 Points 6 or more APA 6thedition errorsORTurnit th No APA 6 edition 1-2 APA 3-4 APA 5 APA in similarity errors 6thedition errors 6thedition errors 6thedition errors percentage on student written work is higher than 24%. Attach pdf copy of the Clinical 5 Points 0 Points Practice Guideline No pdf file of Pdf file of the the Clinical Clinical Practice Practice Guideline attached Guideline attached Format Subtotal____/25 1-2 errors in No errors in grammar, grammar, syntax, syntax, or or spelling spelling
3-4 errors in grammar, syntax, or spelling
5 or more errors in grammar, syntax, or spelling 8 Points
4 Points
points Total Points_____/200 points