NURS 8114 Search-Based Questions
NURS 8114 Search-Based Questions
NURS 8114 Search-Based Questions
Search-Based Questions- main post
The search for evidence to address a clinical issue is both a rewarding and daunting experience. Finding evidence that can improve patient outcomes and work environments is exciting. At the same time the shear mass of evidence that is uncovered leads to bewilderment on what exactly needs to be changed to reach the goal of best practice. As I search for evidence to support a practice change in my facility, I need to focus on a clear question and work toward answering that question with the evidence I find.
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What is Working?
I have delved into the Walden library on previous occasions and am familiar with the search engines therein. The CIHNAHL and Medline combined search engine tends to be my favorite as it is easy to use and results in a myriad of relevant articles. Boolean operators and specific search parameters have enabled me to pin down articles that best fit my critical question of “How can incident reporting systems be used to create a stronger culture of patient safety within the hospital setting?” By searching Culture of safety and incident reporting, I was able to find a plethora of appropriate articles. I have been able to further whittle the results down by clarifying parameters to include only peer reviewed articles published since 2018. Reading the summaries of the resulting studies has allowed me to find articles most suited to answer my question.
Challenges and Concerns
The challenge I am facing is in reading those articles with a critical eye on how this information can be utilized to change the safety culture of my facility. Is this article relevant to the needs of and resources available to my hospital? I am also plagued with the doubt that I am not asking the right question. When I was presented with this clinical, I only had a vague idea of what was needed. As I have conducted my literature search, I have come across so much information that it is hard to find a focus. Do I concentrate on educational methods to overcome the barriers to incident reporting or is it better to focus on providing timely responses to reported incidents? Ultimately, to find my aim, I need to consult with management. They can help steer me in the direction that will yield the needed results.
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Conclusion
Overall, I feel that the research is going well. I have found many articles and studies that will help with a practice change proposal. Once I am able to focus the goal of my search, I am confident that I will be able to make a positive change in my facility’s safety of patient culture.
The Discussion this week invites you to check in with colleagues and your Instructor on your experience as you begin your Module 4 Assignment to conduct a literature search in the Walden Library. This Discussion is a particularly good example of how colleagues can support one another in tandem as common work gets underway.
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Note what you are discovering about search strategies that could be of benefit to colleagues, and prepare to consider their recommendations as well. Be sure that you begin your search of scholarly literature in the Walden Library promptly this week, to be prepared to post by Day 3. References and citations are not required for this Discussion.
To prepare:
- Review the Week 8 Learning Resources, with particular attention to the Walden Library resources to support your literature search.
- Evaluate your process as you access the resource materials and your literature search gets underway. Keep in mind the importance of selecting current literature, i.e., published in the previous 5 years. Consider what is working for you in identifying search topics related to your critical question and in finding relevant current articles, and what questions you have for colleagues and your Instructor.
- Also draw on your Week 7 Discussion experience in identifying scholarly articles related to your critical question and comments from colleagues to act on as you begin your literature search. Be proactive in stating your questions and needs and clarifying your search process, to maximize the value of this Discussion and your Assignment in this module.
- In addition to your Discussion post, you may also contact the Instructor directly by email with specific questions or needs related to your literature search. Follow the guidelines in the Course Syllabus for contacting the Instructor.
With these thoughts in mind …
By Day 3 of Week 8
Post a summary of your experience in beginning your literature search and assess your initial progress. Explain what is working for you in terms of a plan or search strategy for finding relevant, current literature, including Walden Library support resources you would recommend. Explain issues of concern and specific questions regarding the search process. References and citations are not required.
Read a selection of your colleagues’ posts.
By Day 6 of Week 8
Respond to at least two colleagues on 2 different days with suggestions of how to help and/or confirmation of similar issues/questions. No references are required.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 8 Discussion Rubric
Post by Day 3 of Week 8 and Respond by Day 6 of Week 8
To Participate in this Discussion:
Week 8 Discussion
Module 4 Assignment: Investigating a Critical Practice Question Through a Literature Review
This week you will begin your Module 4 Assignment, which is intended to inform and support your planning for your DNP Project in your program of study. This Assignment has two parts: a literature review in the Walden Library of research to address the critical practice question that you framed in Week 7, and a critical assessment of your search outcomes in which you synthesize the evidence. Both Parts 1 and 2 will be due by Day 7 of Week 10. Plan your time accordingly.
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To prepare:
- Analyze your critical practice question from the Week 7 Discussion. Based on feedback from colleagues and your Instructor, revise your question, as necessary, to ensure a clear and relevant focus for your literature search.
- Review the Learning Resources to support your search.
- Access the Individual Evidence Summary Tool Template document from the Learning Resources. This is a fillable PDF document that you will complete with at least 10 scholarly articles relevant to your critical practice question. Scan the template to ensure you understand how to enter information for each article you identify.
- Use the Week 8 Discussion to guide and clarify your search process and to pose any questions related to the template categories, search terms, or others.
The Assignment
Part 1: Literature Review (10+ scholarly articles)
Using the Walden Library as your source, search to select at least 10 scholarly articles that represent current literature (i.e., published within the previous 5 years) with evidence that addresses your critical question and could inform a practice change initiative for quality improvement. Using the Individual Evidence Summary Tool template document, complete all sections for each article.
Part 2: Critical Assessment (7+ pages)
In a paper of at least 7 pages, plus cover page and references page, include the following:
- Write a critical assessment of your search outcomes that synthesizes the evidence from your literature review.
- Demonstrate clear connections between the practice problem that informs your critical question, your appraisal of evidence that addresses the critical question, and resulting clarification on the need for a practice change initiative focusing on quality improvement. Be specific and provide examples.
Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting.
There is no submission due this week.
Complete Parts 1 and 2 of your Assignment by Day 7 of Week 10.
What’s Coming Up in Week 9?
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Next week you will continue your literature search in the Walden Library and begin appraising the evidence in the scholarly resources you are gathering. You should be using the Individual Evidence Summary Tool template to record required information about each resource you select, and to support your analysis and evaluation process.
There is no Discussion this week, to provide maximum time for your literature review. Keep in mind your Module 4 Assignment includes a critical assessment paper, which is also due by Day 7 of Week 10. Be sure to contact your Instructor with questions or concerns regarding this Assignment.
Looking Ahead: Week 10 Discussion
Week 10 includes a Discussion in which you will share preliminary outcomes and analysis from your literature review with colleagues. Your initial post is due by Day 3. Plan your time accordingly in Week 9 to ensure you are prepared for both the Week 10 Discussion and completing your Module 4 Assignment.
Next Week
Week 8: Components of Evidence-Based Practice: Searching the Evidence
Reflect on the thought you apply in evaluating a patient’s symptoms. In some situations the problem and response may be clear and direct. In others, you consider whether you have the information you need or whether you need more. Bring to mind what you might look for, such as more patient history or test results, to gather evidence that supports a successful treatment.
Searching the evidence for evidence-based practice also requires a careful and judicious process. Your topic may produce a rush of scholarly articles, and a scan of each may signal promising results. Or you may need to continue to search, or to refine your search terms. Searching the evidence involves time and close attention, just like searching to understand a patient’s needs.
This week you will begin your literature search in the Walden Library for evidence to inform a practice change. Your Discussion with colleagues can help launch a successful search.
Learning Objectives
Students will:
- Evaluate literature search experience
- Apply literature search strategies
- Evaluate scholarly articles for a literature review
- Analyze scholarly literature for evidence
- Evaluate quality of evidence to inform practice changes
- Synthesize research to support nursing practice problems
- Justify quality improvement/practice change initiatives
Learning Resources
Required Readings (click to expand/reduce)
Dang, D., & Dearholt, S. L. (Eds.). (2018). Johns Hopkins nursing evidence-based practice: Model and guidelines (3rd ed.). Sigma Theta Tau International.
- Chapter 5, “Searching for Evidence” (pp. 79–96)
(Review from Week 4).
(Review from Module 3)
https://academicguides.waldenu.edu/writingcenter/webinars/graduate#s-lg-box-2773873
Document: Individual Evidence Summary Tool Template (PDF document)
Required Media (click to expand/reduce)
Optional Resources (click to expand/reduce)
Rubric Detail
Select Grid View or List View to change the rubric’s layout.
Name: NURS_8114_Week8_Discussion_Rubric
| Excellent
90%–100% |
Good
80%–89% |
Fair
70%–79% |
Poor
0%–69% |
|||
| Main Posting:
Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module. |
40 (40%) – 44 (44%)Thoroughly responds to the Discussion question(s).
Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module. No less than 75% of post has exceptional depth and breadth. |
35 (35%) – 39 (39%)Responds to most of the Discussion question(s).
Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module. 50% of the post has exceptional depth and breadth. |
31 (31%) – 34 (34%)Responds to some of the Discussion question(s).
One to two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. |
0 (0%) – 30 (30%)Does not respond to the Discussion question(s). Lacks depth or superficially addresses criteria.
Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. |
||
| Main Posting:
Writing |
6 (6%) – 6 (6%)Written clearly and concisely.
Contains no grammatical or spelling errors. Adheres to current APA manual writing rules and style. |
5 (5%) – 5 (5%)Written concisely.
May contain one to two grammatical or spelling errors. Adheres to current APA manual writing rules and style. |
4 (4%) – 4 (4%)Written somewhat concisely.
May contain more than two spelling or grammatical errors. Contains some APA formatting errors. |
0 (0%) – 3 (3%)Not written clearly or concisely.
Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style. |
||
| Main Posting:
Timely and full participation |
9 (9%) – 10 (10%)Meets requirements for timely, full, and active participation.
Posts main Discussion by due date. |
8 (8%) – 8 (8%)Meets requirements for full participation.
Posts main Discussion by due date. |
7 (7%) – 7 (7%)Posts main Discussion by due date. | 0 (0%) – 6 (6%)Does not meet requirements for full participation.
Does not post main Discussion by due date. |
||
| First Response:
Post to colleague’s main post that is reflective. |
9 (9%) – 9 (9%)Response exhibits critical thinking and application to practice settings.
Responds to questions posed by faculty. |
8 (8%) – 8 (8%)Response has some depth and may exhibit critical thinking or application to practice setting. | 7 (7%) – 7 (7%)Response is on topic and may have some depth. | 0 (0%) – 6 (6%)Response may not be on topic and lacks depth. | ||
| First Response: Writing |
6 (6%) – 6 (6%)Communication is professional and respectful to colleagues.
Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas. Response is effectively written in standard, edited English. |
5 (5%) – 5 (5%)Communication is mostly professional and respectful to colleagues.
Response to faculty questions are mostly answered, if posed. Provides opinions and ideas. Response is written in standard, edited English. |
4 (4%) – 4 (4%)Response posed in the Discussion may lack effective professional communication.
Response to faculty questions are somewhat answered, if posed. |
0 (0%) – 3 (3%)Responses posted in the Discussion lack effective communication.
Response to faculty questions are missing. |
||
| First Response: Timely and full participation |
5 (5%) – 5 (5%)Meets requirements for timely, full, and active participation.
Posts by due date. |
4 (4%) – 4 (4%)Meets requirements for full participation.
Posts by due date. |
3 (3%) – 3 (3%)Posts by due date. | 0 (0%) – 2 (2%)Does not meet requirements for full participation.
Does not post by due date. |
||
| Second Response: Post to colleague’s main post that is reflective. |
9 (9%) – 9 (9%)Response exhibits critical thinking and application to practice settings.
Responds to questions posed by faculty. |
8 (8%) – 8 (8%)Response has some depth and may exhibit critical thinking or application to practice setting. | 7 (7%) – 7 (7%)Response is on topic and may have some depth. | 0 (0%) – 6 (6%)Response may not be on topic and lacks depth. | ||
| Second Response: Writing |
6 (6%) – 6 (6%)Communication is professional and respectful to colleagues.
Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas. Response is effectively written in standard, edited English. |
5 (5%) – 5 (5%)Communication is mostly professional and respectful to colleagues.
Response to faculty questions are mostly answered, if posed. Provides opinions and ideas. Response is written in standard, edited English. |
4 (4%) – 4 (4%)Response posed in the Discussion may lack effective professional communication.
Response to faculty questions are somewhat answered, if posed. |
0 (0%) – 3 (3%)Responses posted in the Discussion lack effective communication.
Response to faculty questions are missing. |
||
| Second Response: Timely and full participation |
5 (5%) – 5 (5%)Meets requirements for timely, full, and active participation.
Posts by due date. |
4 (4%) – 4 (4%)Meets requirements for full participation.
Posts by due date. |
3 (3%) – 3 (3%)Posts by due date. | 0 (0%) – 2 (2%)Does not meet requirements for full participation.
Does not post by due date. |
||
| Total Points: 100 | ||||||
Name: NURS_8114_Week8_Discussion_Rubric