Benchmark -Evidence-Based Practice Project: Literature Review

Benchmark -Evidence-Based Practice Project: Literature Review

Nursing practice problems vary in magnitude and scope due to their multidimensional nature. Nurses search for supporting evidence from current, peer-reviewed sources when exploring interventions for different issues. The evidence should be authoritative and relevant to the topic of interest. In nursing practice, quantitative, qualitative, and mixed-methods studies are common sources of evidence. It is crucial to ensure the evidence is as high-level as possible. The purpose of this paper is to review the research articles supporting the evidence-based practice project.

Clinical Issue Description

The clinical issue necessitating an evidence-based intervention is nurse burnout in the emergency department. Nurse burnout is widespread in nursing practice, but emergency nurses experience it at higher magnitudes than other units. According to Lee et al. (2021), emergency nurses work in the most stressful hospital departments and an emotionally and physically draining environment. The probability of encountering life-and-death situations, workplace violence, and attending to patients classified as high equity is also high in the emergency department. These experiences increase the burnout rates in this critical unit leading to adverse outcomes such as nurses no longer finding meaning or enjoying their work.

PICOT statement: In nurses experiencing burnout in the emergency department(P), can weekly (one-hour) education on mindfulness breathing meditation (I) compared to no education (C) reduce the cases of burnout (O) in six months (T)?

Search Methods

As stated in the PICOT, education on mindfulness breathing meditation has been suggested as an effective evidence-based intervention for nurse burnout. The search was restricted to the leading health sciences and nursing databases, including PubMed, Medline, Ovid, SAGE Journals, BioMed Central, and CINAHL Complete. The articles that met the inclusion criteria explored the effectiveness of mindfulness breathing on nurse burnout when used alone or combined with other mindfulness-based practices. High-level evidence articles, such as randomized controlled trials, were prioritized. All articles were also published in the last five years and peer-reviewed.

Synthesis of Literature

Many researchers have explored the impact of mindfulness breathing exercises on nurse burnout and its causes and provide different findings. Ameli et al. (2020) conducted a randomized controlled trial among healthcare professionals at a US biomedical research hospital. The intervention group received a 5-session, 7.5-hour program on mindfulness-based self-care, while the control group continued with life-as-usual practices. The primary outcome was stress level. The intervention group had lower stress and anxiety levels after the program than the control group. The article supports the EBP practice project proposal by underlining the effectiveness of mindfulness programs that include mindfulness breathing in reducing stress and anxiety (leading causes of burnout) among healthcare professionals.

In a different study, Brun et al. (2023) assessed the impact of a compassion-centered mindfulness program on healthcare professionals. In this exploratory qualitative study, eleven healthcare professionals received a mindfulness-based curriculum for four days consecutively or once a week for four weeks as they wished. Data were collected via interviews examining how the program enabled participants to work in stressful environments. The primary finding was that training allowed participants to accept difficult work experiences with less reactivity and more perceived equanimity. The article supports the PICOT by confirming the effectiveness of mindfulness-based interventions that include mindfulness breathing in improving healthcare professionals’ resilience.

Pan et al. (2019) conducted a mixed-methods study among nurses in an AIDS care center in China. Nurses received mindfulness-based training of 2-hour sessions weekly for six weeks. Data were collected via questionnaires (quantitative) and interviews (qualitative). The key finding was a significant change in various facets of mindfulness, such as awareness and self-control, after the program. Nurses who received the training also showed a remarkable decrease in daily life pressures post-intervention. The article demonstrates the effectiveness of mindfulness breathing and related strategies in reducing nurses’ stress levels.

Depression, anxiety, and stress are common among nurses experiencing burnout. Since they hamper patient care, Komariah et al. (2022) conducted a randomized controlled trial on the impact of mindfulness breathing meditation on depression, anxiety, and stress among nursing students. Participants were randomized into an intervention group that received the training (61 students) and a control group (61 students) with no training. Komariah et al. (2022) found that mindfulness breathing meditation decreased the variables’ mean scores in the intervention group, with stress and anxiety showing a significant difference. The article supports the PICOT by confirming the effectiveness of mindfulness breathing in mitigating the damaging effects of burnout-related experiences.

In another study, Yıldırım and Çiriş Yıldız (2022) examined the effect of mindfulness breathing and music therapy practice among healthcare professionals in a COVID-19 department at a Turkish university. Participants were randomized into an intervention and a control group of fifty-two participants each. The intervention group received education on mindfulness breathing and music therapy practice. During the post-intervention evaluation, Yıldırım and Çiriş Yıldız (2022) found that the mindfulness-based breathing and music therapy program decreased the stress and work-related strain levels and improved the psychological well-being of nurses. The article supports the PICOT by confirming that nurse burnout can be reduced via interventions that involve mindfulness breathing practices.

Slatyer et al. (2018) explored nurses’ experiences of a mindfulness-based self-care and resiliency intervention. In this study, researchers reported the qualitative findings of a larger mixed-methods study among nurse professionals in a tertiary acute care hospital in Australia. Twenty nurses received a one-day educational workshop on compassion fatigue resiliency and introduction to mindfulness. Data via unstructured interviews revealed that nurses embraced the training since it helped them develop inner calm and engage in self-care. The article supports the PICOT since it confirms the effectiveness of mindfulness-based interventions in assisting nurses to overcome workplace stressors.

Lin et al. (2019) examined the impact of a mindfulness-based stress reduction program on nurses’ stress, affect, and resilience. In this randomized controlled trial, participants in the intervention group received a modified 8-week mindfulness-based program on mindfulness eating, yoga, mindfulness breathing, and body scan, among other techniques. Post-intervention data showed that the education program reduced stress levels, increased positive affect, and improved resilience among nurses. The article supports the PICOT by confirming the effectiveness of mindfulness breathing and related interventions in reducing burnout through improved resilience and reduced stress.

The other study relevant to the project issue is a retrospective study by Luo et al. (2023). In this study, researchers examined the effect of mindfulness decompression therapy on nurses’ mental health and job burnout. Participants were categorized into a group receiving a psychological nursing intervention and others that received the same combined with mindfulness decompression therapy. Outcomes were compared pre-and post-intervention. Luo et al. (2023) found that psychological distress and job burnout levels had significantly reduced in the group that received the mindfulness decompression therapy. The article supports the PICOT since it confirms that burnout stressors can be reduced via mindfulness-based interventions.

Benchmark -Evidence-Based Practice Project: Literature Review

Benchmark -Evidence-Based Practice Project: Literature Review

The purpose of this assignment is to write a review of the research articles you evaluated in your Topic 5 “Evidence-Based Practice Project: Evaluation of Literature” assignment. If you have been directed by your instructor to select different articles in order to meet the requirements for a literature review or to better support your evidence-based practice project proposal, complete this step prior to writing your review.

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A literature review provides a concise comparison of the literature for the reader and explains how the research demonstrates support for your PICOT. You will use the

literature review in this assignment in NUR-590, during which you will write a final paper detailing your evidence-based practice project proposal.

In a paper of 1,250-1,500, select eight of the ten articles you evaluated that demonstrate clear support for your evidence-based practice and complete the following for each article:

• Introduction – Describe the clinical issue or problem you are addressing. Present your PICOT statement.
• Search methods – Describe your search strategy and the criteria that you used in choosing and searching for your articles.
• Synthesis of the literature – For each article, write a paragraph discussing the main components (subjects, methods, key findings) and provide rationale for how the article supports your PICOT.
• Comparison of articles – Compare the articles (similarities and differences, themes, methods, conclusions, limitations, controversies).
• Suggestions for future research: Based on your analysis of the literature, discuss identified gaps and which areas require further research.
• Conclusion – Provide a summary statement of what you found in the literature.
• Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper. Benchmark -Evidence-Based Practice Project: Literature Review
  

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

You are required to cite eight 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.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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 required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. Benchmark -Evidence-Based Practice Project: Literature Review

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing

3.2: Analyze appropriate research from databases and other information sources to improve health care practices and processes.

Course Code Class Code Assignment Title Total Points
NUR-550 NUR-550-O503 Benchmark -Evidence-Based Practice Project: Literature Review 175.0

Criteria Percentage Unsatisfactory (0.00%) Less Than Satisfactory (80.00%) Satisfactory (88.00%) Good (92.00%) Excellent (100.00%)
Content 70.0%
Introduction 5.0% The clinical issue or problem and PICOT statement are omitted. The clinical issue or problem and PICOT statement are incomplete or incorrect. The clinical issue or problem and PICOT statement are presented. Some aspects are vague. There are minor inaccuracies. The clinical issue or problem and PICOT statement are adequately described. The clinical issue or problem and PICOT statement are thoroughly described.

Search Methods 10.0% The search strategy and criteria used in choosing and searching for articles are omitted. The search strategy and criteria used in choosing and searching for articles are only partially described. The search strategy and criteria used in choosing and searching for articles are summarized. More information is needed. The search strategy and criteria used in choosing and searching for articles are described. Some detail is needed for clarity or accuracy. The search strategy and criteria used in choosing and searching for articles is thoroughly described.

Benchmark -Evidence-Based Practice Project: Literature Review Synthesis of Literature 10.0% A well-developed paragraph for each article is presented. The main components (subjects, methods, key findings) are thoroughly discussed, and substantial rationale for how each article supports the PICOT is clearly provided. A paragraph for one or more article is missing. All articles are presented, but the synthesis of literature is incomplete. A summary for each article is presented. The main components (subjects, methods, key findings) are generally discussed. General rationale for how each article supports the PICOT is provided. More information is needed. A paragraph for each article is presented. The main components (subjects, methods, key findings) are adequately discussed, and rationale for how each article supports the PICOT is provided. Some detail is needed for clarity or accuracy.

Comparison of Articles 10.0% One or more article is missing in the comparison. All articles are presented, but the comparison is incomplete. A general comparison of the similarities, differences, themes, methods, conclusions, limitations, and controversies among the articles is presented. Some aspects are unclear. More information is needed. A comparison of the similarities, differences, themes, methods, conclusions, limitations, and controversies among the articles is adequately presented. Some detail is needed for clarity or accuracy. A detailed comparison of the similarities, differences, themes, methods, conclusions, limitations, and controversies among the articles is thoroughly presented.

Suggestions for Future Research 10.0% Identified gaps and areas requiring further research are omitted. Identified gaps and areas requiring further research are only partially presented. Some identified gaps and areas requiring further research are generally discussed. The narrative is generally based on the analysis of the literature. More information is needed. Identified gaps and areas requiring further research are adequately discussed. The narrative is based on the analysis of the literature. Some detail is needed for clarity or accuracy. Identified gaps and areas requiring further research are thoroughly discussed and clearly based on the analysis of the literature. The narrative is insightful and demonstrates an understanding of research analysis necessary for future study.

Conclusion 5.0% The conclusion is omitted. A conclusion is presented but fails to present a summary statement of what was found in the literature. The conclusion presents a vague summary statement of was found in the literature. There are inaccuracies. The conclusion presents an adequate summary statement of what was found in the literature. The conclusion is well-developed and presents a clear and accurate summary statement of what was found in the literature.

Ability to Analyze (C3.2) 10.0% The literature review presented does not demonstrate an ability to analyze appropriate research from databases and other information sources to improve health care practices and processes. The literature review presented does not consistently demonstrate an ability to analyze appropriate research from databases and other information sources to improve health care practices and processes. The literature review presented demonstrates a general ability to analyze appropriate research from databases and other information sources to improve health care practices and processes. The literature review presented demonstrates an adequate ability to analyze appropriate research from databases and other information sources to improve health care practices and processes. The literature review presented demonstrates a strong ability to analyze appropriate research from databases and other information sources to improve health care practices and processes.

Appendix 5.0% The appendix and required resources are omitted. The APA Writing Checklist is attached, but an appendix has not been created. The paper does not reflect the use of the APA Writing Checklist during development The APA Writing Checklist is attached and in the appendix. The APA Writing Checklist was generally used in development of the paper, but some aspects are inconsistent with the paper format or quality. The APA Writing Checklist is attached in the appendix. It is apparent that the APA Writing Checklist was used in development of the paper. The APA Writing Checklist is attached in the appendix. It is clearly evident by the quality of the paper that the APA Writing Checklist was used in development.

Required Sources 5.0% Sources are not included. Number of required sources is only partially met. Number of required sources is met, but sources are outdated or inappropriate. Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content. Number of required resources is met. Sources are current and appropriate for the assignment criteria and nursing content.

Organization and Effectiveness 20.0%
Thesis Development and Purpose 7.0% Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.  Benchmark -Evidence-Based Practice Project: Literature Review Synthesis of Literature

Argument Logic and Construction 8.0% Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Writer is clearly in command of standard, written, academic English.

Format 10.0%
Paper Format (Use of appropriate style for the major and assignment) 5.0% Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Topic 7 DQ 1

Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal). What impact do these population health policies and initiatives have on advanced nursing practice?

Re: Topic 7 DQ 1

Policy issues are critical determinants of the healthcare approaches that would be adopted by the healthcare organizations and professionals to address the health disparities. The United States healthcare system is structured upon a set of policy structure that guides the implementation and application of healthcare practices. One of the major policy issues in the country is staffing. For the past decade, the healthcare industry has been reporting a significant shortage of healthcare workers attributed to the increase in population and healthcare demands (Snavely, 2016). The elderly population has immensely grown leading to increased patient demands which impact the provider-to-patient ratio. One of the changes experienced in advanced nursing practice due to this policy issue is adjustments in the scope of practice. The majority of states are considering options for increasing the scope of APRNs for the primary goals of counteracting challenges in physician shortages (Snavely, 2016). Some states have considered giving APRNs prescription authority which would ultimately enhance the hospitals’ preparedness in addressing the increased population health needs.

The other policy issue affecting the healthcare industry at the federal level is privacy and confidentiality responsibilities collectively heightened by the increased adoption of technology by the healthcare industry. In the past two decades, healthcare organizations have rapidly adopted some of the technological trends including telehealth, Clinical Decision Support Systems, and electronic health recording systems (Bhuyan et al., 2017). The continuous adoption has raised concerns on the protection of patient information and elevated the need for including patients in their case management as critical decision-making stakeholders. Advanced practice nursing has been subjected to more serious consideration on healthcare informatics which is more of an integration of the medical principles with technological standards. Therefore, APRNs are now required to have background knowledge in computing and technology to enhance their compatibility with the current healthcare delivery system.

References

Bhuyan, S. S., Kim, H., Isehunwa, O. O., Kumar, N., Bhatt, J., Wyant, D. K., … & Dasgupta, D. (2017). Privacy and security issues in mobile health: Current research and future directions. Health policy and technology, 6(2), 188-191.

Snavely, T. M. (2016). A brief economic analysis of the looming nursing shortage in the United States. Nursing Economics, 34(2), 98-101.

The occurrence of medication administration errors hinders effective attainment of quality and safe patient care and outcomes. Medication administration errors are significant safety issue in health care sector, especially when there are different crises affecting healthcare and quality outcomes. The susceptibility of patients to medication administration errors increase with reduced number of healthcare workers against an increase in demand for services due to several factors. Medication administration errors (MAEs) increase the length of stay for critically ill patients and cost of care. Studies demonstrate that leveraging health information technologies that include barcode scanning and other interventions can reduce and prevent the occurrence of these events, especially among the critically ill patients. The purpose of this literature review is to offer a comparison of the articles that supports the evidence-based practice project of using health information technology to reduce the occurrence of medication administration errors among the critically ill patients. The review also identifies the methods used to search the literature and synthesizes it for effective understanding and use for the selected eight articles.

PICOT Statement

The use of health information technology can reduce and prevent the prevalence of medication administration errors (MAEs) among critically ill patients. The use of interventions like barcode scanning and electronic dispensation ensures that human errors that occur during medication dispensation are reduced or minimized, especially the critically-ill patients in different health settings.

PICOT Question for the Evidence-Based Practice Project

Among the critically ill patients (P), does the integration of health information technology (I) compared to conventional medication administration process (C), lead to a reduction in medication administration errors (O) during patient’s stay (T)?

Search Methods of the Literature

Effective search of articles comprises of using appropriate approaches and terms that align with the topic of interest. In this assignment, I employed different yet related strategies to search for the articles that support the EBP project. These included using institutional library to get databases of journals and their published peer-reviewed articles. I used terms like “peer review” and “scholarly works” about medication administration errors. Through these approaches, I obtained the articles that I used in providing this literature review as they support my EBP project. I also ensured that the article meet the criteria of being published within the last five years and are relevant to the nursing context and use.

Synthesis of Literature

Article 1