NURS 6052 Evidence-Based Project, Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews
Introduction & Identification of Clinical Issue of Interest
vHeart failure (HF) as a national health quality care concern due to its effects
vNurse-led interventions essential in reducing rates of HF readmissions within 30 days
vHuman-factors are important in dealing with readmissions associated with heart failure (HF)
vStudies are categorical that nurse-led education improves self-care among patients after discharge
vPurpose of the Presentation
-
Description on the Development of PICOT Question for the Clinical Issue
vEBP entails a process that researchers deploy to gather the best evidence
vPICOT lays the ground to analyze clinical issues and develop questions aimed at creating keywords to formulate interventions
vPICOT framework allows researchers to gather evidence to solve a clinical issue of interest
vPICOT framework ensures that nursing researchers understand the population, interventions through research and attainment of expected outcomes
vTimelines are also essential as they ensure that interventions are implemented within set duration
PICOT Question
vPopulation: Heart failure patients aged 65 years and above discharged from hospital within 30 days
vIntervention: Nurse-led education to enhance disease management
vComparison: Normal practice
vOutcome: Reduce readmission rate by 50%
vTime: Within 6 months
PICOT Question
Among heart failure patients aged 65 years and above discharged from hospital within 30 days (P), does the use of nurse-led education (I) compared to normal practice (C), reduce readmissions by 50% (O) within 6 months (T)?
Four Research Databases Used
- PubMed
vFree search engine
vIncludes MEDLINE database of references & abstracts
MEDLINE with Full Text (EBSCO)
vRobust database offering full text articles and health journals
CINAHL Complete
vBest research tools for nursing and allied health professionals
Science Direct
vLeading discovery platform for peer-reviewed literature by Elsevier Journals and open access articles
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Evidence-Based Project, Part 2: 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.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
Learning Resources
Required Readings
- Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.
- Chapter 2, “Asking Compelling Clinical Questions” (pp. 37–60)
- Chapter 3, “Finding Relevant Evidence to Answer Clinical Questions” (pp. 62–104)
- Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks
- Links to an external site. for LIS professionals. Evidence Based Library and Information Practice, 6(2), 75–80.
- Library of Congress. (n.d.). Search/browse help – Boolean operators and nesting
- Links to an external site.. Retrieved September 19, 2018, from https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchBoolean.html
- Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice.
- Links to an external site. American Journal of Nursing, 110(3), 58–61.
- Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2009).Evidence-based practice: Step by step: Igniting a spirit of inquiry
- Links to an external site..
- Links to an external site. American Journal of Nursing, 109(11), 49–52. doi:10.1097/01.NAJ.0000363354.53883.58
- Stillwell, S.B., Fineout-Overhold, E., Melnyk, B.M., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Searching for evidence.
- Links to an external site. American Journal of Nursing, 110(5), 41-47.
- Walden University Library. (n.d.-a). Databases A-Z: Nursing
- Links to an external site.. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981
- Walden University Library. (n.d.-c).Evidence-based practice research: CINAHL search help
- Links to an external site.. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/cinahlsearchhelp
- Walden University Library. (n.d.-d). Evidence-based practice research: Joanna Briggs Institute search help
- Links to an external site.. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/jbisearchhelp
- Walden University Library. (n.d.-e). Evidence-based practice research: MEDLINE search help
- Links to an external site.. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/medlinesearchhelp
- Walden University Library. (n.d.-f). Keyword searching: Finding articles on your topic: Boolean terms
- Links to an external site.. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/boolean
- Walden University Library. (n.d.-g). Keyword searching: Finding articles on your topic: Introduction to keyword searching
- Links to an external site.. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/searching-basics
- Walden University Library. (n.d.-h). Quick Answers: How do I find a systematic review article related to health, medicine, or nursing?
- Links to an external site. Retrieved September 6, 2019, from https://academicanswers.waldenu.edu/faq/72670
- Walden University Library. (n.d.-i). Systematic review.
- Links to an external site. Retrieved January 22, 2020, from https://academicguides.waldenu.edu/library/healthevidence/types#s-lg-box-1520654
Required Media
Walden University, LLC. (Producer). (2018). Searching the Evidence [Video file]. Baltimore, MD: Author.
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 2: 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 2 of your Evidence-Based Project.
submission information
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- To submit your completed assignment, save your Assignment as MD3Assgn+last name+first initial
- Then, click on Start Assignment near the top of the page.
- Next, click on Upload File and select Submit Assignment for review.
Rubric
NURS_6052_Module03_Week05_Assignment_Rubric
Criteria | Ratings | Pts | ||||
---|---|---|---|---|---|---|
This criterion is linked to a Learning Outcome Part 2: 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. · 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. |
|
80 pts | ||||
This criterion is linked to a Learning Outcome Resource Synthesis |
|
5 pts | ||||
This criterion is linked to a Learning Outcome Resource FormattingAppropriate peer-reviewed articles are included and citations use APA format. |
|
5 pts | ||||
This criterion is linked to a Learning Outcome PowerPoint Presentation:The presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order. |
|
5 pts | ||||
This criterion is linked to a Learning Outcome Written Expression and Formatting—English Writing Standards:Correct grammar, mechanics, and proper punctuation. |
|
5 pts | ||||
Total Points: 100 |