NURS-FPX4025 Research and Evidence-Based Decision Making
Assessment 1 Instructions: Analyzing Research Paper
Description
Identify and write a summary of the various factors that contribute to the credibility of a research article related to a diagnosis of interest that you identified from the Sentinel U simulation on Patient Management & Delegation. In the module, there are 10 patients listed with various diagnosis. Select one diagnosis of interest to you from the simulation.
Introduction
Evidence-based practice (EBP) integrates the best evidence available to guide optimal nursing care, with a goal to enhance safety and quality. EBP is crucial to nursing practice because it incorporates the best evidence from current literature, along with the expertise of the practicing nurse. The concern for quality care that flows from EBP generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise. To gain the knowledge, you require a good understanding of how to search for scholarly resources, as well as make decisions regarding the content of the scholarly resources.
Professional Context
As a baccalaureate-prepared nurse, you will be responsible for providing patient-centered, competent care based on current evidence-based best practices. You will be required to do research, analysis, and dissemination of best evidence to stay abreast of these best practices. Understanding where to go to find credible evidence, determining the type of evidence and being able to make decisions based on the findings of credible evidence is the foundation of evidence-based care.
Preparation
Review the What Is Scholarly? Campus page. Specifically, look at the following two items on the page:
- What Are Peer-Reviewed Articles?
- Anatomy of a Scholarly Article.
These will give you the factors that contribute to credibility, which you will need to identify in the article you choose for this assessment.
Also, look at the “Find EPB Articles” section of the Evidence-Based Practice in Nursing & Health Sciences library guide (found in the guide’s left-hand menu). This may help you locate an article to use for this assessment.
Instructions
Write a 2-page analysis of a scholarly research article, demonstrating your ability to locate credible, useful evidence related to a diagnosis of interest selected from the Sentinel U simulation on Patient Management & Delegation. There are 10 patients, each with a different medical diagnosis. Select one patient with a diagnosis of interest to you.
Once you have chosen your diagnosis of interest from the Sentinel U simulation, complete the following:
- Use a credible search engine to locate a research article on your topic.
- Review the article for the following criteria:
- Type of study (quantitative or qualitative, the level on the pyramid of evidence, methodology).
- Credibility factors.
- Importance of content to selected diagnosis.
- The ability to apply the content in your current workplace or patient population.
- Take a screenshot of the abstract and paste it into a Word document (see the Example of Screenshot [PDF] document). You can refer to the instructions in the Taking Screenshots [PDF] document. Research and Evidence-Based Decision Making
- Create a table or series of text boxes next to or below the screenshot and use that to label each criterion.
- Also take a screenshot of the patient and the diagnosis from Sentinel U simulation you used.
- Write up a summary of your findings on the second page. Note what information is important to your specified diagnosis. How credible is the article you’ve found and how useful is it related to your specified diagnosis and your ability to apply it?
- Include a link to your article.
- Include a reference to your article in APA format.
Review the Analyzing a Research Paper scoring guide for specific details of grading prior to submission.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
- Competency 1: Interpret findings from scholarly quantitative, qualitative, and outcomes research articles and studies.
- Determine the type of study and the level of evidence according to the pyramid of evidence.
- Identify the credibility factors of an article.
- Summarize the findings of an article, noting what information is important to a specified diagnosis.
- Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.
- Summarize the ability to generalize article findings in a specified work space and patient population.
- Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
- Provide an APA-formatted reference and link to an article. Research and Evidence-Based Decision Making
- Scoring Guide
Use the scoring guide to understand how your assessment will be evaluated.
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- Determines the type of study and the level of evidence according to the pyramid of evidence, providing reasons for the determinations.
- Identifies the credibility factors of an article, including if the article is peer-reviewed.
- Summarizes the findings of an article, noting what information is important to a specified diagnosis, and the information’s implications.
- Summarizes the ability to generalize article findings in a specified work space and patient population, providing examples.
- Provides a flawless APA-formatted reference and link to an article.
Assessment 2 Instructions: Applying an EBP Model
Develop a 3–5 page scholarly paper in which you explain the diagnosis you researched for Assessment 1, and then apply the steps of an EBP model to your search for evidence to address your diagnosis issue.
Introduction
The goal of using evidence-based research findings is to enhance safety and quality of patient care and ensure optimal outcomes are achieved. It is not uncommon to hear a nurse say, “why change it as we’ve always done it this way.” However, this is no longer acceptable in today’s practice environment. The profession of nursing has evolved, and the expectation is that the professional nurse has a scientific foundation to support the care that is provided. As the profession of nursing continues to evolve and engage in healthcare transformation, baccalaureate-prepared nurses are expanding, taking on leadership roles that include incorporating EBPs. To be able to do this, the nurse needs to understand the criteria that make a resource credible, as this is crucial when deciding if the research is valid and reliable for implementation into healthcare settings. The nurse will need to incorporate the use of EBP models.
EBP models are designed to assist the nurse in developing a plan to gather evidence to answer a practice problem or question. It is a systematic approach to direct the user to incorporate scholarly findings into current practice. Research and Evidence-Based Decision Making These EBP models lead the nurse through the decision-making process of evaluating the literature to determine the best practice evidence for the practice issue or question.
Professional Context
As a baccalaureate-prepared nurse, you will be responsible for locating and identifying credible and scholarly resources to incorporate the best available evidence for the purposes of enhancing clinical reasoning and judgement skills. When reliable and relevant evidence-based findings are utilized, patients, healthcare systems, and nursing practice outcomes are positively impacted.
Preparation
Review all resources for this assessment, as well as the scoring guide for details of how this assessment will be graded. You will use the specific diagnosis or health issue you selected for Assessment 1. You can refer to the overview of common EBP models in the Evidence-Based Practice Models media for help in choosing the most appropriate EBP model for your issue.
Instructions
Complete the following:
- Consider your diagnosis from Assessment 1.
- Explain an issue associated with this diagnosis that could benefit from an EBP approach.
- Choose the EBP model you wish to implement. Research and Evidence-Based Decision Making
- Describe each step of the EBP model of your choice.
- Apply the steps of the model to your search for evidence for your diagnosis issue, and describe how you applied them.
- Locate at least three separate resources of evidence to assist with your diagnosis issue.
- Analyze the credibility and relevance of each resource as it relates to your diagnosis.
This is a paper and should be 3–5 pages, not including the title page or reference page. The paper must be in APA format.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
- Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.
- Analyze the credibility and relevance of each resource as it relates to a diagnosis.
- Competency 3: Apply an evidence-based practice model to address a practice issue.
- Explain an issue associated with a chosen diagnosis that could benefit from an EBP approach.
- Describe each step of a chosen EBP model. Research and Evidence-Based Decision Making
- Describe how the steps of a chosen EPB model were applied to search for evidence for a diagnosis issue.
- Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
- Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
- Apply APA formatting to in-text citations and references, exhibiting adherence to most aspects of APA format.
Continue Reading; BUS-FPX4802: Overview of Change Management Strategy Hands-On Experience Project.
Assessment 3 Instructions: PICO(T) Questions and an Evidence-Based Approach
Create a 3–5 page submission in which you develop a PICO(T) question for the diagnosis you worked with in the first two assessments and analyze the evidence you locate to answer the question.
PICO(T) is an acronym that helps researchers and practitioners define aspects of a potential study or investigation.
It stands for:
- P – Patient/population/problem.
- I – Intervention.
- C – Comparison (of potential interventions, typically).
- O – Outcomes.
- T – Time frame (if time frame is relevant).
The end goal of applying PICO(T) is to develop a question that can help guide the search for evidence (Boswell & Cannon, 2015). From this perspective, a PICO(T) question can be a valuable starting point for nurses who are beginning to apply an evidence-based model. By taking the time to precisely define the areas in which the nurse will be looking for evidence, searches become more efficient and effective. Essentially, by precisely defining the types of evidence within specific areas, the nurse will be more likely to discover
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relevant and useful evidence during their search. When applying the PICO(T) approach, the nurse can isolate the interventions of interest and compare to other existing interventions for the evidenced impact on the outcomeAs a baccalaureate-prepared nurse, you will be responsible for locating and identifying credible and scholarly resources to incorporate the best available evidence for the purposes of enhancing clinical reasoning and judgement skills. When reliable and relevant evidence-based findings are utilized, patients, healthcare systems, and nursing practice outcomes are positively impacted.
PICO(T) is a framework that can help you structure your definition of the issue, potential approach that you are going to use, and your predictions related to the issue. Word choice is important in the PICO(T) process because different word choices for similar concepts will lead you toward different existing evidence and research studies that would help inform the development of your initial question. Research and Evidence-Based Decision Making When writing a PICO(T)-formatted research question, you want to focus on the impact of the intervention and the comparison on the outcome you desire.
For this assessment, please use the diagnosis you worked with in the first two assessments.
After reviewing the materials you created to research a specific diagnosis in the first two assessments, apply the PICO(T) process to develop a research question and research it.
Your initial goal is to define the population, intervention, comparison, and outcome. In some cases, a time frame is relevant and you should include that as well, when writing a question you can research related to your issue of interest. After you define your question, research it, and organize your initial findings, select the two sources of evidence that seem the most relevant to your question and analyze them in more depth. Specifically, interpret each source’s specific findings and best practices related to your chosen diagnosis, and explain how the evidence would help you plan and make decisions related to your question.
If you need some structure to organize your initial thoughts and research, the PICO(T) Question and Library Search template (accessible from the Create PICO(T) Questions page) might be helpful.
In your submission, make sure you address the following:
- Review the PICO(T) process.
- Explain your diagnosis from Assessment 1 in terms of outcomes, risks, and complications. In your explanation, be sure to include the risks and complications for vulnerable populations or those affected by healthcare disparities and the impact of those disparities.
- Consider your diagnosis from Assessment 1. Develop a research question using the PICO(T) process to address an issue of your choosing related to your diagnosis.
- Properly format your PICO(T) question to guide your search of the literature.
- Describe your search of the literature, noting search engines, key words, and credibility factors. Research and Evidence-Based Decision Making
- Locate evidence that explores your intervention and comparison of your PICO(T) question with an emphasis on your specific outcome (at least three diagnosis-issue-specific sources of evidence (scholarly articles). Research and Evidence-Based Decision Making
- Explain the content of each of your scholarly articles.
- Explain the credibility and relevance of each of the articles you chose to your diagnosis issue.
- Analyze the evidence. Determine the answer to your PICO(T) question based on your analysis of the evidence.
Your assessment should also meet the following requirements:
- Length of submission:Create a 3–5-page submission focused on defining a research question and interpreting evidence relevant to answering it.
- Number of references:Cite a minimum of four sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.
- APA formatting: Format references and citations according to the current APA style.
Related; NURS-FPX4050 Assessment 2 Instructions: Ethical and Policy Factors in Care Coordination
Assessment 4 Instructions: Remote Collaboration and Evidence-Based Care
Create a 5-10 minute video of yourself, as a presenter, in which you will propose an evidence-based plan to improve the outcomes the patient in the provided case study, and examine how remote collaboration provided benefits or challenges to designing and delivering the care.
Introduction
As technologies and the health care industry continue to evolve, remote care, diagnosis, and collaboration are becoming increasingly more regular methods by which nurses are expected to work. Learning the ways in which evidence-based models and care can help remote work produce better outcomes will become critical for success. Additionally, Research and Evidence-Based Decision Making understanding how to leverage EBP principles in collaboration will be important in the success of institutions delivering quality, safe, and cost-effective care. It could also lead to better job satisfaction for those engaging in remote collaboration.
Remote care and diagnosis is a continuing and increasingly important method for nurses to help deliver care to patients to promote safety and enhance health outcomes. Understanding best EBPs and building competence in delivering nursing care to remote patients is a key competency for all nurses. Additionally, in some scenarios, Research and Evidence-Based Decision Making while you may be delivering care in person you may be collaborating with a physician or other team members who are remote. Understanding the benefits and challenges of interdisciplinary collaboration is vital to developing effective communication strategies when coordinating care. So, being proficient at communicating and working with remote health care team members is also critical to delivering quality, evidence-base care.
SCENARIO
Review the case study in the Assessment 04 Supplement: Remote Collaboration and Evidence-Based Care [PDF] Download Assessment 04 Supplement: Remote Collaboration and Evidence-Based Care [PDF]resource. Research and Evidence-Based Decision Making – You will use this case study as the focus for this assessment.
INSTRUCTIONS
For this assessment, you are a presenter! You will create a 5–10-minute video using Kaltura or similar software. In the video:
- Propose an evidence-based care plan that you believe will improve the safety and outcomes of the patient in the case study presented in the Assessment 04 Supplement: Remote Collaboration and Evidence-Based Care [PDF]Download Assessment 04 Supplement: Remote Collaboration and Evidence-Based Care [PDF] Add your thoughts on what more could be done for the patient and what more information may have been needed.
- Discuss the ways in which an EBP model and relevant evidence helped you to develop and make decisions about the plan you proposed
- Wrap up your video by identifying the benefits of the remote collaboration in the scenario, as well as discuss strategies you found in the literature or best practices that could help mitigate or overcome one or more of the collaboration challenges you observed in the scenario.
Be sure you mention any articles, authors, and other relevant sources of evidence that helped inform your video. Discuss why these sources of evidence are credible and relevant. Research and Evidence-Based Decision Making
Important: You are required to submit an APA-formatted reference list of the sources you cited specifically in your video or used to inform your presentation. You are required to submit a narrative of all your video content to this assessment and to SafeAssign.
The following media is an example learner submission in which the speaker successfully addresses all competencies in the assessment.
- Exemplar Kaltura Reflection.
- Please note that the scenario that the speaker discusses in the exemplar is different from the Vila Health scenario you should be addressing in your video. So, the type of communication expected is being model, but the details related to the scenario in your submission will be different.
Make sure that your video addresses the following grading criteria: Research and Evidence-Based Decision Making
- Propose your own evidence-based care plan to improve the safety and outcomes for a patient in the provided case study.
- Explain the ways in which you used an EBP model to help develop your plan of care for the client.
- Reflect on which evidence you found in your search that was most relevant and useful when making decisions regarding your care plan.
- Identify benefits and strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.
- Communicate in a professional manner that is easily audible and uses proper grammar, including a reference list formatted in current APA style.
Your assessment should meet the following requirements:
- Length of video: 5-10 minutes.
- References: Cite at least three professional or scholarly sources of evidence to support the assertions you make in your video. Include additional properly cited references as necessary to support your statements.
- APA reference page: Submit a correctly formatted APA reference page that shows all the sources you used to create and deliver your video. Be sure to format the reference page according to current APA style. Submit a narrative of all of your video content.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
- Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.
- Reflect on which evidence you collected that was most relevant and useful when making decisions regarding the care plan.
- Competency 3: Apply an evidence-based practice model to address a practice issue.
- Explain the ways in which you used the specific evidence-based practice model to help develop the care plan identifying what interventions would be necessary. This requires a particular evidence-based model, such as the Johns Hopkins, Iowa, Stetler, or other.
- Competency 4: Plan care based on the best available Research and Evidence-Based Decision Making evidence.
- Propose your evidence-based care plan to improve the safety and outcomes for the Vila Health patient with a discussion of new content for the care plan. Research and Evidence-Based Decision Making
- Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
- Identify benefits and propose strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.
- Communicate via video with clear sound and light, and include a narrative of video content.
- Provide a full reference list that is relevant and evidence-based (published within five years), exhibiting nearly flawless adherence to APA format.
Read; MHA-FPX5016 Assessment 1: Analysis of Electronic Health Records Systems
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