Assignment: Mankato PICOT Critiques And EBP Model Paper

Assignment: Mankato PICOT Critiques And EBP Model Paper ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Assignment: Mankato PICOT Critiques And EBP Model Paper Description undefinedOutline undefinedIntroduction Assignment: Mankato PICOT Critiques And EBP Model Paper undefined Theoretical Framework and EBP Model undefined PICOT Question/ PICOT Format undefined Search Parameters/Article Retrieval 8 points undefined Article Critiques undefined A).Appendix A: Qualitative Article Critique/s 22 points undefined B).Quantitative Article Critique/s (Put on a separate page) 22 points undefined C).White Papers/Cochrane Report/Systematic reviews 12 points undefined Summary4 points undefinedWrite a 2paragraph summary Attached is a rubric, a sample paper, and the qualitative portion of the paper that has already been written. Assignment: Mankato PICOT Critiques And EBP Model Paper picot_critiques_rupric.docx picot_critiques_sample_paper.docx qualitative_article_critique_portion.docx 1 Assignment 1-NUR 320 PICOT/Critiques 100 possible points APA TIPS: 1. Start with a cover page (I have made one and you can find it in the content area it will format your paper). Double space the paper but not the critiques in the tables. 2. Write in 12 font Times New Roman or Arial 3. DO NOT write in first person. 4. Reminder, do not use the word introduction. Use the title from the cover page at the top of the paper and center it. 5. Use the headers that are provided.10 points for APA. This is the first assignment in building a review of the literature. The problem you identify is going to be used for the next assignments so be sure it is a topic what you are interested in as you start to collet articles. This is a “building assignment” for a review of the literature. You do not have to worry about self-plagiarism when continue on to assignment 2 and so on. You will end with sevenarticles or more for the final paper. You will need to discuss the articles in a narrative format for the next assignment. Write about your topic in a paragraph. End with the purpose of this assignment is…. From this point on use the Bolded Headers that are provided.You may leave the point value for grading. 2 points Theoretical Framework and EBP Model 8 points Utilize Boykin &Schoenhofer on Nursing As Caring or another nursing theorists found atAssignment: Mankato PICOT Critiques And EBP Model Paper http://currentnursing.com/nursing_theory/nursing_theorists.html for this section of the paper. Explain how nursing theory fits with the EBP model for your study (list of models is in the content area and in your book). EBP models are also explained in the Rempher (2006) article found in the content area. Identify the name of the model.. In two to three paragraphs explain why thenursing theory and EBP modelfits your study with a reference to support your position. PICOT Question/ PICOT Format-2 points State your PICO questionwith several supportive statements on the issue and again in PICOt Format. Search Parameters/Article Retrieval8 points Start this paragraph introducing how you conducted this search and then make a table similar to the one below. Provide a brief explanation of how you retrieved your articles. List main topics and alternate terms from your PICO question that can be used for your search. Must be more than “The MNSU library” was utilized to find the articles. For example, the search conducted for this study consisted of retrieving a variety of articles from a number of scholarly search engines. The search engines utilized to retrieve articles were… The search engines are listed below in a table. Major keywords used in researching the concept of hope are included. Use the table and replace with your information as you may use other search engines. 2 An Integrated search includes other disciplines such as social work, psychology, sociology, counseling, theology, holistic/CAM or western medicine. End the paragraph with… From the selection of all of the articles retrieved7 were suitable for this study. In addition, the course textbook is a suitable reference. (You will need 7articles by the end of the paper; the articles must be 2006 or newer),* Critique boxes may be single spaced.3 articles are critiqued for assignment 1. They are1 quantitative, 1 qualitative, 1 a systematic review. (You must upload articles with the assignment do not upload links). For assignment 2 you will need 1 article from another discipline and 3 others of your choice with the three you already have. They will not have to be critiqued; however, since you are doing your searches you may want to gather all of your articles. Some additional sites to find EBP information: Johns Hopkins Welch Medical Library (LibGuide, 2017)Assignment: Mankato PICOT Critiques And EBP Model Paper www.ons.org/Research/PEP/ accessed 9/15/2017 (oncology) https://ctep-ebp.com/our-mission, accessed 9/15/2017 (This has an online modular program) (n.d.). Retrieved September 25, 2017, from https://www.lib.umn.edu/apps/instruction/ebp/ POLLNER Follow, J. (2010, October 29). PowerPoint. Retrieved September 26, 2017, from https://www.slideshare.net/terrybear11/powerpoint-5605925 This is a good site that shows a comparison. St. Mary’s University of Minnesota, (2013). Qualitative vs. quantitative research. Retrieved from http://www2.smumn.edu/deptpages/tclibrary/tutorials/finding/qualitative.php I have also included a comparison list in the content area.Remove the information in blue highlights after you write this section. Table 1: Search Parameters Keyword Google CINAHL PubMed Medline PsychInfo Pearling Hope >7 million 588 236 0 33532 0 Instrument or Hope scales 0 2537 0 0 242 3 Hope limit to English 0 0 236 121 239 0 Hope and cancer 0 0 0 123 0 0 Minority groups, nursing students, student retention 0 7822 0 3 0 10 American Indian, Education 0 5 0 0 0 0 Developed by Dr. Barbara Dahlen 3 Article Critiques A critique is the examination of a research article on a topic of interest considering the key concepts in the article. Below the tables depicts that examination. Use something similar to introduce your critiques. You may single space the critique tables.2 points Appendix A: Qualitative Article Critique/s22points Full reference goes here with level of evidence after it. 2 points After the reference mention if the authors were credible? Are they nurses? What were the levels of preparation? Was the article indexed? Phenomena and Thephenomena isusually a concept such as hope, fear, anxiety, pain, or perceptions of Research Question an event. 1point Purpose & Significance to Nursing What was the purpose of this study and how is it significant to nursing? 2point Method/design May be expressed in the article as qualitative descriptive, lived experiences, a narrative study, phenomenology, grounded theory approach, an ethnography, observations,storytelling, folklore, conversations, diaries, or even a case study? 2 points Data For example, Participants were interviewedone on one to discuss photographs and Gathering,setting, provide a personal definition of hope in a room at a local library. Assignment: Mankato PICOT Critiques And EBP Model Paper Sixty minutes was and time. provided for each interview. 2 points Participants/ Human subject protection Inclusion criteria: For example, N=12 people over age 65 who lived in south FL and spoke English were invited to be in the study. Recruited through a nursing home. Exclusion criteria: Any diagnosis of dementia. IRB: Was obtained from a university, an ethics committee in a hospital or nursing home setting? Did the participants sign a consent form? Was there any gift or money for agreeing to participate? This is protection of human subjects. 2 points Analysis Analysis may be: Thematic, simultaneous comparative analysis, color coding, coding using Colaizzi’s method, Guba & Lincoln orqualitative softwareif software was used what was it describe it briefly? 4 points Findings Theme clusters such as: anticipating the future, resources, positive emotions, or supportive relationships,supportive statements of participants, spirituality.5 points 4 Critique Example: Photography as a research tool was unique in guiding the interview process. The data collection, analysis and interpretation were very clear so the study could be easily replicated. Colaizzi’s method of analysis was clearly outlined. The findings of the study support other research on hope.2 points Appendix C: Quantitative Article Critique/s (Put on a separate page)22 points Reference goes here and level of evidence2points After the reference mention if the authors were credible? Where they nurses? What was the level of preparation? Was the article indexed? Purpose The purposes of this study….usually found in the abstract or near the beginning of the article. What is the significance of the study to nursing? 2 points Design Descriptive correlational survey, prospective, retrospective, cross sectional, quasi experimental or experimental are quantitative designs. Setting: describe this, for example a rural, mid-western community. Data collection sites/time: For example,six elderly county senior centers, a senior citizens’ community center, or a nursing home Conceptual Framework: Name one if used such as Loomis and Wood Model used for the study if none state that. 2 points Participants/ Human subject protection Convenience sample N=169. Selection Criteria: 65 or older, non-institutionalized, oriented, able to speak and write English, normal hearing, able to read large print page2points Exclusion needs to be included if identified. Assignment: Mankato PICOT Critiques And EBP Model Paper IRB: Was obtained from a university, an ethics committee in a hospital or nursing home setting? Did the participants sign a consent form? Was there any gift or money for agreeing to participate? This is protection of human subjects. Tools Identify scales if used such as Herth Hope Scale, Herth Hope Index, Quality of Life, Depression Scale, pain scale, or demographic questionnaire anything used to measuresomething.Note the scoring of the any scale used and what it means. Note the number of items on the scale, for example on the Herth Hope Index there are 12 items using a 5-point Likert scale. Do they mention the reliability and validity of the tool. 2 points Variables Name the independent (cause) and dependent variables(effects/outcomes)The independent variable is the value which is manipulated in an experiment. The dependent variable is the value observed by the researcher during an experiment.You 5 can also think IF (independent variable) THEN (dependent variable). 4 points Findings Was there any significance noted, what was it, or state there was no significance noted.2 points Analysis SPSS or SAS statistical package. Some tests may be multiple regression analysis. Correlation matrix used for all variables, T-test, Chi squares, any kind of statistical test that yielded numbers. 2 points Critique Was the article useful for the study? Was it difficult to read? 4 points Appendix D: White Papers/Cochrane Report/Systematic reviews12 points **A Cochrane report is when authors retrieve articles on one topic and then select the best to analyze for best practices. They do not do the research. You may see in the title a systematic review of the literature. Reference and Level of Evidence.1point Purpose 2 point Analysis/ How many types of articles were reviewed? What databases if any were searched? Strengths Were there any international journals in the review? If so how many and what countries. Were the journals peer reviewed? Was IRB mentioned? Was the risk of bias discussed? What was used to examine the evidence?AMSTAR, DARE, COLEMAN, GRADE, Duval and Tweedie’s trim-and-fill method orPRISMAmethodology? Assignment: Mankato PICOT Critiques And EBP Model Paper Did they use the Randomized Controlled Trial Psychotherapy Quality Rating Scale (RCT-PQRS) to rate the methodological quality of the articles? It is a comprehensive measuring tool with 24 components measuring six study quality dimensions. The AMSTAR is a validated instrument that uses 11 items to assess the degree to which review methods are unbiased. It has been determined AMSTAR has good agreement, reliability, construct validity, and feasibility (Pieper, Buechter, Li, Prediger, &Eikermann, 2015). Was the CRD Database of Abstracts of Reviews of Effects (DARE) criteria used in the review? (http://www.york.ac.uk/inst/crd/crddatabases.htm#DARE) 6 If the score is high it is a strong review score and the risk of bias was low. If it is low this means it is a low review score and the risk of bias is high. The Coleman Methodology score, was originally developed for and used to grade clinical studies which assesses methodology with use of ten criteria, giving a total score between 0 and 100. The higher the score the better the review and bias control. Was the GRADE system used in the review? Quality of evidence was assessed by the Grades of Recommendation, Assessment, Development and Evaluation (GRADE) system. The PRISMA guideline is usually looking at a minimum set of criteria and is most often seen in systematic reviews that are looking at interventions. It is a solid use of criteria to strengthen a study. Egger’s regression asymmetry test for assessment of “small studies effects.” “With respect to quality (risk of bias) assessment Jadad scaleis a scale which uses three criteria for quality assessment (randomization, double blinding, and description of adherence and dropouts), SIGN Quality of the Observational Studies with a Control Group was assessed against the scale developed by the Scottish Intercollegiate Guidelines Network (SIGN). SIGN checklist for Cohort Studies answers the question “What are the effects of this exposure?” and includes two sections. Analysis/ 5 points If the above are not mentioned they are weaknesses. 2 points Weaknesses Summary What were the recommendations for practice? Are further studies needed? 2 points Summary4 points Write a 2paragraph summary. References 8 pointsgo on a separate page Add your 3articles in the assignment area with this assignment to use for verification of information. Running Head: PICOT/Critiques Assignment 1: PICOT/Critiques Matthew S. Nelson, RN Minnesota State University: Mankato N320W-02, Critical Inquiry and Evidence-based Practice for RNs Norma Krumwiede, EdD, RN PICOT/Critiques 2 Assignment 1: PICOT and Critiques Deep vein thrombosis (DVT) is a preventable complication of critical illness as an emboli from DVT may cause a life-threatening stroke or pulmonary embolism. Assignment: Mankato PICOT Critiques And EBP Model Paper Intensive Care Unit (ICU) patients who are mechanically ventilated are at a greater risk for development of DVT due to immobility resulting from illness severity and mobility restrictions usually associated with mechanical ventilation (MV) (Hong et al., 2013, p. 1840). Hong et al. (2013) found that without prophylaxis, one in nine (11.1%) ICU patients develops a DVT within two days of admission. Being that greater than 10% of ICU patients will likely develop a DVT in just two days without intervention, it is of utmost importance to determine which interventions are the most effective, feasible to implement, and preferential to the patient. The purpose of this assignment is to consider literature on the relative efficacy and benefits of two such interventions – sequential compression device (SCD) therapy (a standard of care) and early mobilization. Theoretical Framework and EBP Model 8 points Florence Nightingale postulated that a patient’s inherent reparative powers are facilitated by the physical, psychological, and social environments (“Nursing Theories”, 2011). With its holistic nature, Nightingale’s nursing theory was ahead of its time. Early mobilization capitalizes on interaction with these three environments, while SCD therapy leaves the patient in a passive state. Through early mobilization, the patient interacts with their physical environment, is rewarded psychologically with at least a limited sense of control over their experience and is actively engaging socially with others. The evidence-based practice (EBP) model chosen to inform this project is the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model (Melnyk & Fineout-Overholt, 2019, p. 413-414). This model begins with curiosity about best practices for addressing an issue. PICOT/Critiques 3 Identification of the issue triggers the process of forming a practice question, gathering and screening evidence, and translating evidence to practice, summarized by the acronym PET shown in Figure 1. Figure 1 Johns Hopkins EBP Process Initial Term Description Actions P Practice PICOT Question Formulating the question, choosing a leader and an interdisciplinary team. E Evidence Gathering, screening, summarizing, synthesizing Evaluating the cumulative strength of evidence, then making one of four recommendations: initiate change, pilot program, additional research, discontinue project. T Translatio n Putting evidence Considering feasibility of recommended practices, into practice making an implementation plan, and putting it into action. Evaluating and sharing results. Assignment: Mankato PICOT Critiques And EBP Model Paper This model follows a straight-forward process with ten accompanying tools to guide each stage of implementation (Melnyk & Fineout-Overholt, 2019, p. 413). PICOT Question/ PICOT Format-2 points Sequential compression device therapy is a standard of care for prevention of DVT. SCD use is often coupled with pharmacological prophylaxis, such as, subcutaneous heparin injections. Although they are effective in prevention of DVT, both measures come with undesirable effects. Heparin injections often cause bruising. SCDs add to the list of tethers that hinder mobility and comfort and may be refused by patients who don’t perceive any immediate benefit. For these PICOT/Critiques 4 reasons and others, patients may prefer other options. Early mobilization engages patients with their environment actively and has been shown to decrease ICU and hospital length of stay, duration of MV, and occurrence of delirium (Dirkes & Kozlowsi, 2019, p. 34). Early mobilization is proposed as another option for DVT prevention. The PICOT question is as follows: In critically ill mechanically ventilated adult patients, how does early mobilization compared with sequential compression device therapy affect incidence of deep vein thromboses? Search Parameters/Article Retrieval 8 points For the purposes of this study, articles included were retrieved online from medical, nursing and psychology databases. Relevant search terms included: deep vein thrombosis, DVT, sequential compression device, early mobilization, and mechanically ventilated. Search was limited to full text, peer reviewed articles published within the last ten years. Scholarly databases searched include PubMed, CINAHL, Cochrane Database of Systematic Reviews (Cochrane DSR), and PsychInfo. The resulting number of relevant articles from the databases, relative to the tailoring process of search terms and filters utilized to find the most relevant results are depicted in Table 1. Table 1 Parameters for Evidence Search Keyword Deep Vein Thrombosis OR DVT AND Sequential Compression Device Full Text/English Language Publication Date 2009-2019 DVT prevention*AND Sequential Compression Device PubMe d 161 CINAH L 8,318 Cochrane DSR 8 PsychInf o 215 18 10 6 1,865 1,252 201 8 2 1 205 151 37 PICOT/Critiques 5 DVT Prevention* (TI) AND Sequential Compression Device (TI) DVT Prevention*(TI) AND Early Mobilization (TI) NOT Sequential Compression Device Mechanically Ventilated (TI) AND Early Mobilization (TI) [2009-2019, English, Full Text) 0 12 1 2 0 0 6 2 6 4 0 0 Article Critiques Three types of articles were reviewed – one qualitative, one quantitative, and one systematic review. Assignment: Mankato PICOT Critiques And EBP Model Paper They were critiqued for reliability of evidence and for relevance to the PICOT question. The critiques are depicted in the tables below.2 points Appendix A: Qualitative Article Critique/s 22 points Wang, K., Zhang, B., Li, C., & Wang, C. (2009). Qualitative analysis of patients’ intensive care experience during mechanical ventilation. Journal of Clinical Nursing, 18(2), 183-190. doi: 10.1111/j.1365-2702.2008.02518.x Level of evidence: VI, a single qualitative study. Author credentials include: associate professor of school of nursing (PhD), nursing science graduate student, hospital nursing department chief (RN), medical school professor (PhD, MD). Phenomena and Research Question Purpose & Significance to Nursing Perception of an event: “What is it like to experience mechanical ventilation treatment at an ICU?” The authors’ stated purpose is to understand the patient experience of mechanical ventilation (MV) in the ICU. The study is significant to nursing because understanding patients’ experience with MV can help us anticipate and eliminate or mitigate stressors that cause suffering. The authors point out that, despite a history of patient testimony regarding pain and fear with MV, little has changed to … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10