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NURS 6052 EVIDENCE-BASED PROJECT, PART 1: IDENTIFYING RESEARCH METHODOLOGIES

NURS 6052 EVIDENCE-BASED PROJECT, PART 1: IDENTIFYING RESEARCH METHODOLOGIES

Matrix Worksheet Template

Mental health disorders such as depression have immense impact on the affected populations and their significant others. Depression lowers the patient’s quality of life, as evidenced by the increased care needs, loss of productivity, and premature mortality. Nurses and other healthcare providers are increasingly involved in the implementation of evidence-based interventions to minimize burden due to depression in their populations. An example is exploring the effectiveness of technology incorporation into the treatments adopted for patients with major depression. Therefore, the purpose of this paper is to explore the effectiveness of telehealth interventions in improving the treatment outcomes in depression.

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Full citation of selected article Article #1 Article #2 Article #3 Article #4
References

Bellanti, D. M., Kelber, M. S., Workman, D. E., Beech, E. H., & Belsher, B. E. (2022). Rapid Review on the Effectiveness of Telehealth Interventions for the Treatment of Behavioral Health Disorders. Military Medicine, 187(5–6), e577–e588. https://doi.org/10.1093/milmed/usab318

 

 

 Egede, L. E., Dismuke, C. E., Walker, R. J., Acierno, R., & Frueh, B. C. (2018). Cost-Effectiveness of Behavioral Activation for Depression in Older Adult Veterans: In-Person Care Versus Telehealth. The Journal of Clinical Psychiatry, 79(5), 3853. https://doi.org/10.4088/JCP.17m11888 Scott, A. M., Clark, J., Greenwood, H., Krzyzaniak, N., Cardona, M., Peiris, R., Sims, R., & Glasziou, P. (2022). Telehealth v. face-to-face provision of care to patients with depression: A systematic review and meta-analysis. Psychological Medicine, 52(14), 2852–2860. https://doi.org/10.1017/S0033291722002331 Zhao, L., Chen, J., Lan, L., Deng, N., Liao, Y., Yue, L., Chen, I., Wen, S. W., & Xie, R. (2021). Effectiveness of Telehealth Interventions for Women With Postpartum Depression: Systematic Review and Meta-analysis. JMIR MHealth and UHealth, 9(10), e32544. https://doi.org/10.2196/32544
Why you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of the ethics of research related to your clinical issue of interest) I chose this article because it examines the effectiveness of telehealth interventions for treating behavioral health disorders. The research shows that the use of telehealth in behavioral problems such as depression is comparable to face-to-face provision of psychiatry and psychotherapy services. The ethics of research related to my clinical issue of interest includes ensuring informed consent, privacy, and confidentiality when using telehealth interventions.

 

 

 I chose this study because it supports the use of telehealth in mental health problems that include depression. The research shows that telehealth interventions are cost-effective as compared to face-to-face delivery of treatment interventions. The ethics of research that relate to my clinical issue of interest include safety, quality, efficiency, and patient empowerment. I chose this article because it demonstrates the effectiveness of telehealth among patients with depression as compared to face-to-face. The article demonstrates the feasibility of telehealth interventions alongside their applicability to addressing the needs of patients suffering from depression. The research ethics that will inform my clinical issue of interest include beneficence, informed consent, and patient autonomy. I chose this study because it explores the effectiveness of telehealth in improving depressive and anxiety symptoms among patients with post-partum depression. The study informs the relevance of telehealth use in the delivery of virtual care for patients suffering from mental health disorders. The issue of ethics that relates to my clinical issue is informed consent and data privacy and confidentiality.
Brief description of the aims of the research of each peer-reviewed article The aim of this research was to investigate the effectiveness of behavioral health treatments delivered in person as compared to telehealth through telephone and teleconference. The aim of this study was to examine whether the delivery of behavioral activation for depression through telehealth was cost-effective as compared to in-person care. The aim of this study was to compare the real-time to face-to-face therapy for patients suffering from depression. The aim of this study was to evaluate the effectiveness of telehealth interventions in reducing anxiety and depressive symptoms in women with post-partum depression.
Brief description of the research methodology used Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific. This study was quantitative research. The researchers searched relevant articles on PubMed database where hand-searching of relevant systematic review, dual screening, dual of risk bias assessment, and data abstraction were done.

 

 

 

 

 The research was quantitative. It was a randomized, non-inferior trial that involved assigning participants to 1 of 2 arms of 8-week behavioral activation therapy either through telehealth or in-person. The study was quantitative. It was a systematic review that utilized evidence from articles that were obtained from databases that included Cochrane Central, Embase, and Medline. The included studies were mainly randomized controlled trials that compared the use of telehealth vs face-to-face for patients with major depression. The study was quantitative. It was a systematic review and meta-analysis of evidence from articles that were obtained from databases that included CINAHL, Cochrane library, PsycINFO, CNKI, and Wanfang.
A brief description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected. One of the strengths of this study is that it compares the effectiveness of telehealth interventions with the traditional face-to-face interaction in the delivery of behavioral interventions. It also reviewed best-available evidence on the topic to come up with conclusive evidence. The reliability and validity of findings were maintained by having a third researcher independently assessing the relevance, appropriateness, and need for the selected articles and data abstraction.

 

 The strength of this research is that it randomized participants into either control or intervention groups to determine the true effect of the interventions. The randomization also enhanced the validity and reliability of the research. The other strength is the use of a large sample size, which strengthened the generalizability of findings. One of the strengths of this study is that it reviewed evidence obtained from randomized controlled trials to come up with conclusive evidence on the effectiveness of telehealth as compared to face-to-face interventions in depression. The other strength is the inclusion of studies that used a high number of participants, which enhanced the generalizability of outcomes. The authors achieved reliability by using a large sample size. They ensured validity by selecting studies that related to the topic and using independent researchers in searching and extracting data from the selected articles. The study is associated with the strength of utilizing randomized controlled trials for the systematic review and meta-analysis. It also used a large sample size to ensure reliability and validity of findings. The selected studies were reviewed for potential bias, to ensure the obtained results had a high reliability rate.
General Notes/Comments This article informs the need for telehealth in the delivery of behavioral interventions for patients with mental health problems.

 

 

 

 

 

 

 This research demonstrates that the use of telehealth is cost-effective as compared to the use of in-person interventions. This article shows the effectiveness of telehealth interventions in improving treatment outcomes among patients with depression. This study supports the use of telehealth interventions to improve outcomes among patients suffering from depression.

Conclusion

            In summary, the reviewed data shows that telehealth interventions are effective in improving outcomes among patients suffering from depression. The studies show that telehealth interventions may be used to complement the use of face-to-face interventions. The results also show that telehealth reduce the costs associated with depression treatment. Therefore, its use should be explored in my practice site.

 

References

Bellanti, D. M., Kelber, M. S., Workman, D. E., Beech, E. H., & Belsher, B. E. (2022). Rapid Review on the Effectiveness of Telehealth Interventions for the Treatment of Behavioral Health Disorders. Military Medicine, 187(5–6), e577–e588. https://doi.org/10.1093/milmed/usab318

Egede, L. E., Dismuke, C. E., Walker, R. J., Acierno, R., & Frueh, B. C. (2018). Cost-Effectiveness of Behavioral Activation for Depression in Older Adult Veterans: In-Person Care Versus Telehealth. The Journal of Clinical Psychiatry, 79(5), 3853. https://doi.org/10.4088/JCP.17m11888

Scott, A. M., Clark, J., Greenwood, H., Krzyzaniak, N., Cardona, M., Peiris, R., Sims, R., & Glasziou, P. (2022). Telehealth v. face-to-face provision of care to patients with depression: A systematic review and meta-analysis. Psychological Medicine, 52(14), 2852–2860. https://doi.org/10.1017/S0033291722002331

Zhao, L., Chen, J., Lan, L., Deng, N., Liao, Y., Yue, L., Chen, I., Wen, S. W., & Xie, R. (2021). Effectiveness of Telehealth Interventions for Women With Postpartum Depression: Systematic Review and Meta-analysis. JMIR MHealth and UHealth, 9(10), e32544. https://doi.org/10.2196/32544

 

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EVIDENCE-BASED PROJECT, PART 1: IDENTIFYING RESEARCH METHODOLOGIES

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

 LEARNING RESOURCES

Required Readings

Required Media

To Prepare:

  • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course.
  • Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
  • Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
  • Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

  • The full citation of each peer-reviewed article in APA format.
  • A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
  • A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
  • A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
  • A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

BY DAY 7 OF WEEK 3

Submit your Evidence-Based Project.

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

  1. To submit your completed assignment, save your Assignment as MD2Assgn+last name+first initial
  2. Then, click on Start Assignment near the top of the page.
  3. Next, click on Upload File and select Submit Assignment for review.

Rubric

NURS_6052_Module02_Week03_Assignment_Rubric

NURS_6052_Module02_Week03_Assignment_Rubric

CriteriaRatingsPtsThis criterion is linked to a Learning Outcome

Part 1: Identifying Research Methodologies After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each article. Your analysis should include the following: *The full citation of each peer-reviewed article in APA format *A brief statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest. *A brief description of the aims of the research of each article *A brief description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed methods approach.90 to >80.0 pts

Excellent

The response accurately and clearly provides a full citation of each article in APA format. …The responses accurately and thoroughly explain the selection of these articles and/or how they relate to a clinical issue of interest, including a detailed explanation of the ethics of research. …The responses accurately and clearly describe the aims of the research. …The responses accurately and clearly describe the research methodology used, and clearly identify the type of methodology used with specific and relevant examples. …The responses accurately and clearly describe the strengths of each of the research methodologies used, including a detailed explanation of the reliability and validity of how the methodology was applied in each of the articles selected.

80 to >71.0 pts

Good

The response accurately provides a full citation of each article in APA format. …The responses accurately explain the selection of these articles and/or how they relate to a clinical issue of interest, including a detailed explanation of the ethics of research. …The responses accurately describe the aims of the research. …The responses accurately describe the research methodology used, and clearly identify the type of methodology used with specific and relevant examples. …The responses accurately describe the strengths of each of the research methodologies used, including a detailed explanation of the reliability and validity of how the methodology was applied in each of the articles selected.

71 to >62.0 pts

Fair

The response provides incomplete or inaccurate citations of each peer-reviewed article in APA format. …The responses inaccurately or vaguely explain the selection of these articles and/or how they relate to a clinical issue of interest, including the explanation of the ethics. …The responses inaccurately or vaguely describe the aims of the research of each article. …The responses inaccurately or vaguely describe the research methodology used and the type of methodology used, with only some examples. …The responses inaccurately or vaguely describe the strengths of each of the research methodologies used, including the explanation of the reliability and validity of how the methodology was applied in each of the articles selected.

62 to >0 pts

Poor

The response inaccurately and vaguely provides a citation of each peer-reviewed article in APA format or is missing. …The responses inaccurately & vaguely explain the selection of these articles and/or how they relate to a clinical issue, including the explanation of ethics of research, or they are missing. …The responses inaccurately and vaguely describe the aims of the research, or they are missing. …The responses inaccurately and vaguely describe the research methodology used, the type of methodology used with no examples present, or they are missing. …The responses inaccurately and vaguely describe the strengths of each of the methodologies used, including the explanation of the reliability and validity of the methodology, or they are missing.

90 pts

This criterion is linked to a Learning Outcome

Resource Synthesis5 to >4.0 pts

Excellent

The responses provide a complete, detailed, and specific synthesis of two outside resources related to the selection of articles and two or three course-specific resources in addition to the four articles reviewed in the matrix.

4 to >3.0 pts

Good

The responses provide an accurate synthesis of at least one outside resource related to the selection of articles. The response integrates at least one outside resource and two or three course-specific resources in addition to the four articles reviewed in the matrix.

3 to >2.0 pts

Fair

The responses provided vaguely or inaccurately synthesize outside resources related to the selection of the articles. The response minimally integrates resources that may support the responses provided in addition to the four articles reviewed in the matrix.

2 to >0 pts

Poor

The responses provide a vague and inaccurate synthesis of outside resources related to the selection of the articles and fail to integrate any resources to support the responses provided, or synthesis is missing.

5 pts

This criterion is linked to a Learning Outcome

Written Expression and Formatting—English Writing Standards: Correct grammar, mechanics, and proper punctuation.5 to >4.0 pts

Excellent

Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.0 pts

Good

Contains a few (one or two) grammar, spelling, and punctuation errors.

3 pts

Fair

Contains several (three or four) grammar, spelling, and punctuation errors.

3 to >0 pts

Poor

Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

5 pts

Total Points: 100

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