NRS 433V Week 5 Question description

PICOT Statement and Research Critiques: Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.

The concept of Evidence-Based Practice (EBP) involves integrating clinical expertise, the most recent research, as well as patient preferences in order to formulate and implement best practices for patient care (Schmidt, 2018). Over time, nursing practice has evolved. Many archaic practices have become obsolete, as the importance of evidence-based practice in supporting nursing care and contributing to positive patient outcomes in a variety of settings and geographical locations cannot be overstated (Profetto-McGrath, 2005). Throughout nursing, medicine, and other health care disciplines, research evidence has greatly expanded. A high quality patient-centered health care system is essential to meeting the needs of society and the public. Personalized and holistic patient care is achieved through EBP, which forms the basis of nursing care, as it provides nurses with the opportunity to provide individualized, effective, dynamic nursing care [and this enhances efficient clinical judgment that invariably improves patient outcomes].

Currently, I am employed in a long-term acute care facility where the majority of the patients are geriatrics, vent dependent, and sometimes unconscious. The doctor has ordered Foley catheters on a few occasions for patients who do not really need them. However, nurses have been able to advocate for these patients by incorporating evidence-based reasons why inappropriate urinary catheter placement can be harmful to the patient, and condemning the order. Moreover, nurses always ensure thorough assessment of the right indications for catheterization (such as urologic surgery, neurogenic bladder, etc.) as well as sterile precautions during insertion and daily maintenance to prevent catheter-associated urinary tract infections (Mavin & Mill, 2015), which has been proven to be the most prevalent healthcare associated infection worldwide. One of the easiest ways to provide spiritual care is to simply ask patients how you can support them and then do your best to follow through on the request.

References.

Martha, S. (2018). Nursing research: Understanding methods for the best practice. Application of evidence based research in nursing practice. Retrieved from https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-bestpractice/v1.1/#/chapter/5

Mavin, C., & Mill, G. (2015). Using quality improvement method to prevent catheter associated UTI. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/26450817

Profetto-McGrath, J. (2005). Critical Thinking and Evidence-Based Practice. Journal of Professional Nursing, 21(6), 364–371. https://doiorg.lopes.idm.oclc.org/10.1016/j.profnurs.2005.10.002

PICOT Statement

Revise the PICOT statement you wrote in the Topic 1 assignment.

The final PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

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Research Critiques

In the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions (WILL PROVIDE THE PREVIOUS 2 PAPERS AND FEEDBACK).

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.

Refer to “Research Critique Guidelines.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change for PICOT Statement and Research Critiques

Discuss the link between the PICOT statement, the research articles (WILL REQUIRE AT LEAST 6 PEER REVIEWED ARTICLES OF LESS THAN 5 YEARS), and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center.

NRS 433V Week 5 Research Critique Guidelines

Benchmark – Research Critiques and PICOT Statement Final Draft

Research Critique Guidelines

Research Critique Guidelines

Qualitative Study

Background of Study:

• Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem.
• How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem.
• Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims.
• List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers.
• Were the purpose and research questions related to the problem?

Method of Study:

• Were qualitative methods appropriate to answer the research questions?
• Did the author identify a specific perspective from which the study was developed? If so, what was it?
• Did the author cite quantitative and qualitative studies relevant to the focus of the study? What other types of literature did the author include?
• Are the references current? For qualitative studies, the author may have included studies older than the 5-year limit typically used for quantitative studies. Findings of older qualitative studies may be relevant to a qualitative study.
• Did the author evaluate or indicate the weaknesses of the available studies?
• Did the literature review include adequate information to build a logical argument?
• When a researcher uses the grounded theory method of qualitative inquiry, the researcher may develop a framework or diagram as part of the findings of the study. Was a framework developed from the study findings?

Results of Study

• What were the study findings?
• What are the implications to nursing?
• Explain how the findings contribute to nursing knowledge/science. Would this impact practice, education, administration, or all areas of nursing?

Ethical Considerations

• Was the study approved by an Institutional Review Board?
• Was patient privacy protected?
• Were there ethical considerations regarding the treatment or lack of?

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Conclusion

• Emphasize the importance and congruity of the thesis statement.
• Provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice.
• Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice.
• Integrate a summary of the knowledge learned.

Quantitative Study

Background of Study:

• Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem.
• How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem.
• Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims.
• List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers.
• Were the purpose and research questions related to the problem?

 Methods of Study

• Identify the benefits and risks of participation addressed by the authors. Were there benefits or risks the authors do not identify?
• Was informed consent obtained from the subjects or participants?
• Did it seem that the subjects participated voluntarily in the study?
• Was institutional review board approval obtained from the agency in which the study was conducted?
• Are the major variables (independent and dependent variables) identified and defined? What were these variables?
• How were data collected in this study?
• What rationale did the author provide for using this data collection method?
• Identify the time period for data collection of the study.
• Describe the sequence of data collection events for a participant.
• Describe the data management and analysis methods used in the study.
• Did the author discuss how the rigor of the process was assured? For example, does the author describe maintaining a paper trail of critical decisions that were made during the analysis of the data? Was statistical software used to ensure accuracy of the analysis?
• What measures were used to minimize the effects of researcher bias (their experiences and perspectives)? For example, did two researchers independently analyze the data and compare their analyses?

Results of Study

• What is the researcher’s interpretation of findings?
• Are the findings valid or an accurate reflection of reality? Do you have confidence in the findings?
• What limitations of the study were identified by researchers?
• Was there a coherent logic to the presentation of findings?
• What implications do the findings have for nursing practice? For example, can the findings of the study be applied to general nursing practice, to a specific population, or to a specific area of nursing?
• What suggestions are made for further studies?

Ethical Considerations

• Was the study approved by an Institutional Review Board?
• Was patient privacy protected?
• Were there ethical considerations regarding the treatment or lack of?

Conclusion

• Emphasize the importance and congruity of the thesis statement.
• Provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice.
• Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice.
• Integrate a summary of the knowledge learned.

Reference

Burns, N., & Grove, S. (2011). Understanding nursing research (5th ed.). St. Louis, MO: Elsevier.

 

 

Benchmark – Research Critiques and PICOT Statement Final Draft  

	1 Unsatisfactory 0.00%	2 Less than Satisfactory 75.00%	3 Satisfactory 83.00%	4 Good 94.00%	5 Excellent 100.00%
60.0 %Content
5.0 %Nursing Practice Problem and PICOT Statement	A nursing practice problem is not clearly described and/or a PICOT statement is not included.	PICOT statement describes a nursing practice problem but lacks reliable sources.	PICOT statement describes a nursing practice problem and includes a few reliable sources.	PICOT statement articulates a nursing practice problem using supporting information from reliable sources.	PICOT statement clearly articulates a nursing practice problem using substantial supporting information from numerous reliable sources.
5.0 %Background of Study	Background of study including problem, significance to nursing, purpose, objective, and research questions is incomplete.	Background of study including problem, significance to nursing, purpose, objective, and research questions is included but lacks relevant details and explanation.	Background of study including problem, significance to nursing, purpose, objective, and research questions is partially complete and includes some relevant details and explanation.	Background of study including problem, significance to nursing, purpose, objective, and research questions is complete and includes relevant details and explanation.	Background of study including problem, significance to nursing, purpose, objective, and research questions is thorough with substantial relevant details and extensive explanation.
5.0 %Method of Study	Discussion of method of study including discussion of conceptual/theoretical framework is incomplete.	Discussion of method of study including discussion of conceptual/theoretical framework is included but lacks relevant details and explanation.	Discussion of method of study including discussion of conceptual/theoretical framework is partially complete and includes some relevant details and explanation.	Discussion of method of study including discussion of conceptual/theoretical framework is complete and includes relevant details and explanation.	Discussion of method of study including discussion of conceptual/theoretical framework is thorough with substantial relevant details and extensive explanation.
5.0 %Results of Study	Discussion of study results including findings and implications for nursing practice is incomplete.	Discussion of study results including findings and implications for nursing practice is included but lacks relevant details and explanation.	Discussion of study results including findings and implications for nursing practice is partially complete and includes some relevant details and explanation.	Discussion of study results including findings and implications for nursing practice is complete and includes relevant details and explanation.	Discussion of study results including findings and implications for nursing practice is thorough with substantial relevant details and extensive explanation.
5.0 %Ethical Considerations	Discussion of ethical considerations associated with the conduct of nursing research is incomplete.	Discussion of ethical considerations associated with the conduct of nursing research is included but lacks relevant details and explanation.	Discussion of ethical considerations associated with the conduct of nursing research is partially complete and includes some relevant details and explanation.	Discussion of ethical considerations associated with the conduct of nursing research is complete and includes relevant details and explanation.	Discussion of ethical considerations associated with the conduct of nursing research is thorough with substantial relevant details and extensive explanation.
5.0 %Conclusion	Conclusion does not summarize a critical appraisal and applicability of findings.	Conclusion is vague and does not discuss importance to nursing.	Conclusion summarizes utility of the research and importance to nursing practice.	Conclusion summarizes utility of the research from the critical appraisal and the findings importance to nursing practice.	Conclusion summarizes utility of the research from the critical appraisal, knowledge learned, and the importance of the findings to nursing practice.
10.0 %Evidence of Revision	Final paper does not demonstrate incorporation of feedback or evidence of revision on research critiques.	Incorporation of research critique feedback or evidence of revision is incomplete.	Incorporation of research critique feedback and evidence of revision are present.	Evidence of incorporation of research critique feedback and revision is clearly provided.	Evidence of incorporation of research critique feedback and revision is comprehensive and thoroughly developed.
10.0 %PICOT Statement, Research Article, and Nursing Practice Problem Link (C. 2.2)	Discussion of the link between the PICOT statement, research articles, and nursing practice problem is not included.	Discussion of the link between the PICOT statement, research articles, and nursing practice problem is incomplete or incorrect.	Discussion of the link between the PICOT statement, research articles, and nursing practice problem is included but lacks relevant details and supporting explanation.	Discussion of the link between the PICOT statement, research articles, and nursing practice problem is complete and includes relevant details and supporting explanation.	Discussion of the link between the PICOT statement, research articles, and nursing practice problem is extremely thorough with substantial relevant details and extensive supporting explanation.
10.0 %Proposed Evidence-Based Practice Change (C. 3.2)	The proposed evidence-based practice change is not included.	The proposed evidence-based practice change is incomplete or incorrect.	Discussion of the link between the PICOT statement, research articles, and nursing practice problem is included but lacks relevant details and supporting explanation. The proposed evidence-based practice change is included but lacks supporting explanation and relevant details.	The proposed evidence-based practice change is complete and includes supporting explanation and relevant details.	The proposed evidence-based practice change is extremely thorough and includes substantial supporting explanation and numerous relevant details.
30.0 %Organization and Effectiveness
10.0 %Thesis Development and Purpose	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.
10.0 %Argument Logic and Construction	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.	Argument is clear and convincing and presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
10.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)	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), sentence structure, or word choice are present.	Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.	Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.	Writer is clearly in command of standard, written, academic English.
10.0 %Format
5.0 %Paper Format (use of appropriate style for the major and assignment)	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.
5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)	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.
100 %Total Weightage

Qualitative Study

Background of Study:

• Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem.
• How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem.
• Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims.
• List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers.
• Were the purpose and research questions related to the problem?

Method of Study:

• Were qualitative methods appropriate to answer the research questions?
• Did the author identify a specific perspective from which the study was developed? If so, what was it?
• Did the author cite quantitative and qualitative studies relevant to the focus of the study? What other types of literature did the author include?
• Are the references current? For qualitative studies, the author may have included studies older than the 5-year limit typically used for quantitative studies. Findings of older qualitative studies may be relevant to a qualitative study.
• Did the author evaluate or indicate the weaknesses of the available studies?
• Did the literature review include adequate information to build a logical argument?
• When a researcher uses the grounded theory method of qualitative inquiry, the researcher may develop a framework or diagram as part of the findings of the study. Was a framework developed from the study findings?

 

Results of Study

• What were the study findings?
• What are the implications to nursing?
• Explain how the findings contribute to nursing knowledge/science. Would this impact practice, education, administration, or all areas of nursing?

Ethical Considerations

• Was the study approved by an Institutional Review Board?
• Was patient privacy protected?
• Were there ethical considerations regarding the treatment or lack of?

Conclusion

• Emphasize the importance and congruity of the thesis statement.
• Provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice.
• Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice.
• Integrate a summary of the knowledge learned.

Quantitative Study

Background of Study:

• Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem.
• How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem.
• Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims.
• List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers.
• Were the purpose and research questions related to the problem?

 Methods of Study

• Identify the benefits and risks of participation addressed by the authors. Were there benefits or risks the authors do not identify?
• Was informed consent obtained from the subjects or participants?
• Did it seem that the subjects participated voluntarily in the study?
• Was institutional review board approval obtained from the agency in which the study was conducted?
• Are the major variables (independent and dependent variables) identified and defined? What were these variables?
• How were data collected in this study?
• What rationale did the author provide for using this data collection method?
• Identify the time period for data collection of the study.
• Describe the sequence of data collection events for a participant.