NUR 550 Evidence-Based Practice Project Proposal: Research Design Comparison

Translational Research Graphic Organizer

Individuals and communities require optimal health to optimize their productivity and well-being. As care providers, change agents, and evidence-based practice (EBP) implementers, nursing professionals play a valuable role in addressing nursing practice problems. The interventions they propose are guided by translational research, which moves basic science discoveries into clinical practice (Molloy & Bearer, 2021). The purpose of this graphic organizer is to compare qualitative and quantitative translational research on a nursing practice problem.

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Nursing Practice Problem:

Practice problems in nursing adversely affect the work environment, increase healthcare costs, and hamper nurses’ productivity, among other effects. The high prevalence of type 2 diabetes among older adults is a significant nursing practice problem due to its regrettable impacts, such as increased patient visits, high healthcare costs, and the high risk for cardiovascular disease (Cigolle et al., 2022; Evans et al., 2022). If not effectively controlled, the increased patient visits could threaten nurses’ health and well-being due to a high workload. According to Kirwan et al. (2021), type 2 diabetes inhibits functional performance and independence among older adults. Therefore, interventions tailored to improve functional capacity and independence and other positive outcomes are crucial for improved health and reduced clinical visits.

Qualitative Article

Criteria	Peer-Reviewed Translational Article and Permalink/Working Link Che, S., Meng, M., Jiang, Y., Ye, X., & Xie, C. (2022). Perceptions of exercise and exercise instruction in patients with type 2 diabetes mellitus and sarcopenia: a qualitative study. BMC Geriatrics, 22(1), 892. https://doi.org/10.1186/s12877-022-03519-0
Methodology	The researchers conducted a qualitative study using a descriptive phenomenological approach. In phenomenological studies, researchers seek to understand an issue from the participants’ lived experiences (Alhazmi & Kaufmann, 2022). In a similar design, Che et al. (2022) conducted a series of personal semi-structured interviews among the participants to get an in-depth description of the phenomena related to how patients with type 2 diabetes and sarcopenia perceived physical exercises.
Goals	Physical exercises are valuable in helping older adults with type 2 diabetes increase muscle mass and strength. Therefore, the study explored how patients with type 2 diabetes and sarcopenia perceived exercise and exercise instruction from their perspective. Understanding their perceptions would help healthcare providers to understand benefits, tailor physical exercises according to patient needs, and address barriers to participation in such exercises.
Data Collection	Che et al. (2022) invited patients to participate in the interviews, each lasting approximately 15-35 minutes. The patients were adequately informed about the purpose, format, time to be taken, and other essentials to ensure informed consent. Data collection and analysis occurred simultaneously via an interview guide focusing on four main aspects. The first aspect was knowledge, attitudes, and everyday practices regarding exercise. Questions in this area explored the connection between physical exercises and improving blood glucose and how patients perceived and engaged in them. The second area was attitudes toward exercises, where patients answered whether they believed and accepted that exercises help treat diabetes mellitus. The third area was on practices of exercises to evaluate the type of exercises patients engage in. The second aspect was motivations, and the third aspect was barriers to exercise. The fourth aspect was attitudes toward exercise instruction.

Quantitative Article

Criteria	Peer-Reviewed Translational Article and Permalink/Working Link Kirwan, M., Chiu, C. L., Hay, M., & Laing, T. (2021). Community-Based Exercise and Lifestyle Program Improves Health Outcomes in Older Adults with Type 2 Diabetes. International Journal of Environmental Research and Public Health, 18(11), 6147. https://doi.org/10.3390/ijerph18116147
Methodology	Kirwan et al. (2021) conducted a pre-post evaluation study that compared the outcomes of a program at baseline and at eight weeks after completion. The program (Beat It) was designed to improve critical health aspects among older adults with type 2 diabetes, particularly anthropometric and physical fitness outcomes. Broadly, Beat It included twice-weekly supervised group exercises and an education program. The exercise program included aerobic, resistance, flexibility, and balance training. A total of 588 individuals participated.
Goals	Translational research is usually goal-driven to produce results that benefit populations and patients. In this study, researchers evaluated the efficacy of Beat It, which was largely a community-based exercise and lifestyle intervention. The results of the research would inform researchers and healthcare providers about the value of physical exercises in improving health outcomes among patients with type 2 diabetes. Such knowledge would be the foundation of health promotion in healthcare organizations and communities.
Data Collection	Researchers collected multiple data sets to evaluate the effectiveness of the Beat It program. The first component was sociodemographic variables, such as age, gender, and residence. Height and weight were also measured to calculate body mass index (BMI) and compare values before and after the study. The values were used to categorize participants as healthy, obese, or overweight. Other data were the waist circumference. Researchers also used arm curls and medicine ball throw tests to assess participants’ strength, flexibility, and aerobic capacity.

Conclusion

Translational research on type 2 diabetes prevention and management is extensive and applies different approaches. As revealed in the graphic organizer, researchers have explored the effectiveness of physical exercises on health outcomes such as functional capacity and independence among older adults with type 2 diabetes. Moving such scientific discoveries to clinical practice can help nursing professionals improve health outcomes among patients by implementing physical exercise programs tailored according to patient needs. Doing so could reduce clinical visits related to type 2 diabetes, improve care quality, and contribute immensely to the safety and health of the work environment.

References

Alhazmi, A. A., & Kaufmann, A. (2022). Phenomenological qualitative methods applied to the analysis of cross-cultural experience in novel educational social contexts. Frontiers in Psychology, 13, 1495. https://doi.org/10.3389/fpsyg.2022.785134

Che, S., Meng, M., Jiang, Y., Ye, X., & Xie, C. (2022). Perceptions of exercise and exercise instruction in patients with type 2 diabetes mellitus and sarcopenia: a qualitative study. BMC Geriatrics, 22(1), 892. https://doi.org/10.1186/s12877-022-03519-0

Cigolle, C. T., Blaum, C. S., Lyu, C., Ha, J., Kabeto, M., & Zhong, J. (2022). Associations of age at diagnosis and duration of diabetes with morbidity and mortality among older adults. JAMA Network Open, 5(9), e2232766-e2232766. doi:10.1001/jamanetworkopen.2022.32766

Evans, M., Chandramouli, A. S., Faurby, M., Matthiessen, K. S., Mogensen, P. B., & Verma, S. (2022). Healthcare costs and hospitalizations in US patients with type 2 diabetes and cardiovascular disease: a retrospective database study (OFFSET). Diabetes, Obesity & Metabolism, 24(7), 1300–1309. https://doi.org/10.1111/dom.14703

Kirwan, M., Chiu, C. L., Hay, M., & Laing, T. (2021). Community-Based Exercise and Lifestyle Program Improves Health Outcomes in Older Adults with Type 2 Diabetes. International Journal of Environmental Research and Public Health, 18(11), 6147. https://doi.org/10.3390/ijerph18116147

Molloy, E. J., & Bearer, C. F. (2021). Translational research is all-encompassing and lets everyone be a researcher. Pediatric Research, 90(1), 2-3. https://doi.org/10.1038/s41390-020-01225-4

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Assessment Description

The purpose of this assignment is to conduct a comparison on different research designs to better understand their design and application. Understanding the different types of research design is important so that nurses can effectively apply evidence-based research into practice to address issues and offer better patient care.

You will utilize your approved nursing practice problem to complete the evidence-based practice project proposal assignments for this course and NUR-590, during which you will synthesize all of the sections into a final written paper detailing your evidence-based practice project proposal.

Review feedback from your instructor on the Evidence-Based Practice Project Proposal: Identification of Nursing Practice Problem assignment submitted in Topic 1. If your original proposed nursing problem was outside the scope of nursing practice or not conducive to an evidence-based practice project proposal, work with your instructor to identify a new topic prior to beginning this assignment. If your proposed topic requires revision, complete this prior to beginning this assignment.

Conduct a literature search on your approved nursing practice problem. Select one qualitative translational research article and one quantitative translational research article for this assignment. Using the “Translational Research Graphic Organizer,” present your proposed topic and complete the tables.

Refer to “Evidence-Based Practice Project Proposal – Assignment Overview,” located in Class Resources, for an overview of the evidence-based practice project proposal assignments.

You are required to cite two peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

Attachments

NUR-550-RS2-TranslationalResearchGraphic

Evidence-Based Practice Project Proposal: Research Design Comparison – Rubric

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Rubric Criteria

Total100 points

Criterion	1. Unsatisfactory	2. Insufficient	3. Approaching	4. Acceptable	5. Target
Nursing Practice Problem (Revision) Nursing Practice Problem (Revision)	0 points The nursing practice problem was not included, or the required revisions were not made.	8 points The changes failed to meet the criteria for a relevant nursing practice problem for an evidence-based practice project proposal. Additional revisions are still required for approval.	8.8 points Revisions were made accordingly to improve the proposed nursing practice problem, but some aspects are inaccurate or unclear. Additional revisions are still required for approval.	9.2 points NA	10 points The nursing practice problem is clearly presented and approved. No revision was required, or all necessary revisions are were made.
Qualitative Article	0 points The qualitative translational research article is omitted.	8 points N/A	8.8 points Overall, the qualitative translational research article generally supports the proposed nursing practice problem. The proposed problem would be better supported with a different article.	9.2 points N/A	10 points A qualitative translational research article is listed. The article is peer-reviewed, published within the last five years, and pertains to the nursing practice problem. The assignment criteria are fully met.
Methodology of Qualitative Article	0 points The summary of the methodology in the qualitative translational research article is omitted.	8 points The summary of the methodology in the qualitative translational research article is incomplete. There are significant inaccuracies.	8.8 points The summary of the methodology in the qualitative translational research article is presented. Some aspects are incorrect or unclear.	9.2 points The summary of the methodology in the qualitative translational research article is adequately presented. Some aspects require more detail for accuracy or clarity.	10 points The summary of methodology in the qualitative translational research article is thorough and accurate. A clear understanding of methodologies is evident.
Qualitative Article Research Goals	0 points The summary of research goals in the qualitative translational research article is omitted.	8 points The summary of research goals in the qualitative translational research article is incomplete. There are significant inaccuracies.	8.8 points The summary of research goals in the qualitative translational research article is presented. Some aspects are incorrect or unclear.	9.2 points The summary of research goals in the qualitative translational research article is adequately presented. Some aspects require more detail for accuracy or clarity.	10 points The summary of research goals in the qualitative translational research article is thorough and accurate. A clear understanding of research goals is evident.
Qualitative Article Data Collection	0 points The summary of data collection in the qualitative translational research article is omitted.	8 points The summary of data collection in the qualitative translational research article is incomplete. There are significant inaccuracies.	8.8 points The summary of data collection in the qualitative translational research article is presented. Some aspects are incorrect or unclear.	9.2 points The summary of data collection in the qualitative translational research article is adequately presented. Some aspects require more detail for accuracy or clarity.	10 points The summary of data collection in the qualitative translational research article is thorough and accurate. A clear understanding of data collection is evident.
Quantitative Article	0 points The quantitative translational research article is omitted.	8 points N/A	8.8 points Overall, the quantitative translational research article generally supports the proposed nursing practice problem. The proposed problem would be better supported with a different article.	9.2 points N/A	10 points A quantitative translational research article is listed. The article is peer-reviewed, published within the last five years, and pertains to the nursing practice problem. The assignment criteria are fully met.
Methodology of Quantitative Article	0 points The summary of the methodology in the quantitative translational research article is omitted.	8 points The summary of the methodology in the quantitative translational research article is incomplete. There are significant inaccuracies.	8.8 points The summary of the methodology in the quantitative translational research article is presented. Some aspects are incorrect or unclear.	9.2 points The summary of the methodology in the quantitative translational research article is adequately presented. Some aspects require more detail for accuracy or clarity.	10 points The summary of methodology in the quantitative translational research article is thorough and accurate. A clear understanding of methodologies is evident.
Quantitative Article Research Goals	0 points The summary of research goals in the quantitative translational research article is omitted.	8 points The summary of research goals in the quantitative translational research article is incomplete. There are significant inaccuracies.	8.8 points The summary of research goals in the quantitative translational research article is presented. Some aspects are incorrect or unclear.	9.2 points The summary of research goals in the quantitative translational research article is adequately presented. Some aspects require more detail for accuracy or clarity.	10 points The summary of research goals in the quantitative translational research article is thorough and accurate. A clear understanding of research goals is evident.
Quantitative Article Data Collection	0 points The summary of data collection in the quantitative translational research article is omitted.	8 points The summary of data collection in the quantitative translational research article is incomplete. There are significant inaccuracies.	8.8 points The summary of data collection in the quantitative translational research article is presented. Some aspects are incorrect or unclear.	9.2 points The summary of data collection in the quantitative translational research article is adequately presented. Some aspects require more detail for accuracy or clarity.	10 points The summary of data collection in the quantitative translational research article is thorough and accurate. A clear understanding of data collection is evident.
Mechanics of Writing (Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.)	0 points Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.	4 points Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.	4.4 points Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.	4.6 points Few mechanical errors are present. Suitable language choice and sentence structure are used.	5 points No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.
Format/Documentation Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.	0 points Appropriate format is not used. No documentation of sources is provided.	4 points Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.	4.4 points Appropriate format and documentation are used, although there are some obvious errors.	4.6 points Appropriate format and documentation are used with only minor errors.	5 points No errors in formatting or documentation are present.

Criterion

1. Unsatisfactory

2. Insufficient

3. Approaching

4. Acceptable

5. Target

Nursing Practice Problem (Revision)

0 points

The nursing practice problem was not included, or the required revisions were not made.

8 points

The changes failed to meet the criteria for a relevant nursing practice problem for an evidence-based practice project proposal. Additional revisions are still required for approval.

8.8 points

Revisions were made accordingly to improve the proposed nursing practice problem, but some aspects are inaccurate or unclear. Additional revisions are still required for approval.

9.2 points

10 points

The nursing practice problem is clearly presented and approved. No revision was required, or all necessary revisions are were made.

Qualitative Article

0 points

The qualitative translational research article is omitted.

8 points

N/A

8.8 points

Overall, the qualitative translational research article generally supports the proposed nursing practice problem. The proposed problem would be better supported with a different article.

9.2 points

N/A

10 points

A qualitative translational research article is listed. The article is peer-reviewed, published within the last five years, and pertains to the nursing practice problem. The assignment criteria are fully met.

Methodology of Qualitative Article

0 points

The summary of the methodology in the qualitative translational research article is omitted.

8 points

The summary of the methodology in the qualitative translational research article is incomplete. There are significant inaccuracies.

8.8 points

The summary of the methodology in the qualitative translational research article is presented. Some aspects are incorrect or unclear.

9.2 points

The summary of the methodology in the qualitative translational research article is adequately presented. Some aspects require more detail for accuracy or clarity.

10 points

The summary of methodology in the qualitative translational research article is thorough and accurate. A clear understanding of methodologies is evident.

Qualitative Article Research Goals

0 points

The summary of research goals in the qualitative translational research article is omitted.

8 points

The summary of research goals in the qualitative translational research article is incomplete. There are significant inaccuracies.

8.8 points

The summary of research goals in the qualitative translational research article is presented. Some aspects are incorrect or unclear.

9.2 points

The summary of research goals in the qualitative translational research article is adequately presented. Some aspects require more detail for accuracy or clarity.

10 points

The summary of research goals in the qualitative translational research article is thorough and accurate. A clear understanding of research goals is evident.

Qualitative Article Data Collection

0 points

The summary of data collection in the qualitative translational research article is omitted.

8 points

The summary of data collection in the qualitative translational research article is incomplete. There are significant inaccuracies.

8.8 points

The summary of data collection in the qualitative translational research article is presented. Some aspects are incorrect or unclear.

9.2 points

The summary of data collection in the qualitative translational research article is adequately presented. Some aspects require more detail for accuracy or clarity.

10 points

The summary of data collection in the qualitative translational research article is thorough and accurate. A clear understanding of data collection is evident.

Quantitative Article

0 points

The quantitative translational research article is omitted.

8 points

N/A

8.8 points

Overall, the quantitative translational research article generally supports the proposed nursing practice problem. The proposed problem would be better supported with a different article.

9.2 points

N/A

10 points

A quantitative translational research article is listed. The article is peer-reviewed, published within the last five years, and pertains to the nursing practice problem. The assignment criteria are fully met.

Methodology of Quantitative Article

0 points

The summary of the methodology in the quantitative translational research article is omitted.

8 points

The summary of the methodology in the quantitative translational research article is incomplete. There are significant inaccuracies.

8.8 points

The summary of the methodology in the quantitative translational research article is presented. Some aspects are incorrect or unclear.

9.2 points

The summary of the methodology in the quantitative translational research article is adequately presented. Some aspects require more detail for accuracy or clarity.

10 points

The summary of methodology in the quantitative translational research article is thorough and accurate. A clear understanding of methodologies is evident.

Quantitative Article Research Goals

0 points

The summary of research goals in the quantitative translational research article is omitted.

8 points

The summary of research goals in the quantitative translational research article is incomplete. There are significant inaccuracies.

8.8 points

The summary of research goals in the quantitative translational research article is presented. Some aspects are incorrect or unclear.

9.2 points

The summary of research goals in the quantitative translational research article is adequately presented. Some aspects require more detail for accuracy or clarity.

10 points

The summary of research goals in the quantitative translational research article is thorough and accurate. A clear understanding of research goals is evident.

Quantitative Article Data Collection

0 points

The summary of data collection in the quantitative translational research article is omitted.

8 points

The summary of data collection in the quantitative translational research article is incomplete. There are significant inaccuracies.

8.8 points

The summary of data collection in the quantitative translational research article is presented. Some aspects are incorrect or unclear.

9.2 points

The summary of data collection in the quantitative translational research article is adequately presented. Some aspects require more detail for accuracy or clarity.

10 points

The summary of data collection in the quantitative translational research article is thorough and accurate. A clear understanding of data collection is evident.

Mechanics of Writing

(Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.)

0 points

Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.

4 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.

4.4 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.

4.6 points

Few mechanical errors are present. Suitable language choice and sentence structure are used.

5 points

No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.

Format/Documentation

Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.

0 points

Appropriate format is not used. No documentation of sources is provided.

4 points

Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.

4.4 points

Appropriate format and documentation are used, although there are some obvious errors.

4.6 points

Appropriate format and documentation are used with only minor errors.

5 points

No errors in formatting or documentation are present.