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Week 1 discussion
Role of Research and the Importance of the Searchable
Clinical Question (graded)
The practice of nursing is deeply rooted in nursing
knowledge, and nursing knowledge is generated and disseminated through reading,
using, and creating nursing research. Professional nurses rely on research
findings to inform their practice decisions; they use critical thinking to
apply research directly to specific patient care situations. The research
process allows nurses to ask and answer questions systematically that will
ensure that decisions are based on sound science and rigorous inquiry. Nursing
research helps nurses in a variety of settings answer questions about patient
care, education, and administration.
As you contemplate your role in the research process, read
the following article.
Kumar, S. (2015). Type 1 diabetes mellitus-common cases.
Indian Journal of Endocrinology & Metabolism, 19, S76–S77.
doi:10.4103/2230-8210.155409. The link to the website may be found in the
Syllabus, or the Week 1 Assignments page.
Choose one case study, and formulate one searchable,
clinical question in the PICO(T) format. There are several potential questions
that could be asked. Identify whether the focus of your question is assessment,
etiology, treatment, or prognosis. Remember to integrate references.
Week 2 discussion
Search for Literature and Levels of Evidence
Reflect on your practice, and identify a significant nursing
clinical issue or change project that you would like to search for evidence in
online sources. Formulate searchable, clinical questions in the PICO(T) format
for your nursing clinical issue.
Next, review the guidelines for the PICOT/Evidence Appraisal
Assignment due Week 3. Use your PICOT elements to search for one report of a
single, original study that has been published within the last 5 years from the
CCN Library that is relevant to your nursing clinical issue. Briefly describe
how it is relevant to your nursing clinical issue. Remember to give a complete
reference to the study.
Week 3 discussion
Research Problems, Designs, and Sample
This week, we will discuss the research design and sample
for your nursing clinical issue. The research design flows from the research
question and outlines the plan for the study that will answer the research
question. The design identifies the major components of the study. It is
important to remember that there is no one best design for a research study.
After you review the designs, describe which research design
you would expect to find when searching for evidence relevant to your own
research question. Why? Explain your answer.
The most common sampling method is the convenience sample;
therefore, many of the studies that you find for evidence use this sampling
method. What are the implications for using a convenience sample on the way you
interpret and use the findings?
Week 4 discussion
Ethical and Legal Issues
Read one of the following.
Stefaniak, M., & Mazurkiewicz, B. (2017). The importance
of adhering to high standards of research ethics. British Journal of Nursing,
26(1), 62. The link to the article may be found in the Syllabus, or the Week 4
Assignments page.
Feeney, S., & Freeman, N. K. (2016). Ethical issues:
Responsibilities and dilemmas. YC: Young Children, 71(1), 86. The link to the
article may be found in the Syllabus, or the Week 4 Assignments page.
Questions for the first article:
Describe one reason for adhering to high standards in
ethics.
What are the dangers of conflict of interest?
Questions for the second article:
Describe the difference between ethical responsibility and
ethical dilemma.
Share an experience of ethical dilemma or moral distress in
nursing today.
Week 5 discussion
Data Collection and Measurement
Access the following information. You may read the PDF
online or download it.
American Nurses Association. (2014). Fast facts: The nursing
workforce 2014: Growth, salaries, education, demographics & trends. ANA.
The link to the website may be found in the Syllabus, or the Week 5 Assignments
page.
Review these facts, and describe what the results say about
this sample of the nursing workforce. What do you believe was the intent of the
researcher who designed the survey?
The next process for our study is to collect data. The
research design will indicate the best data to be collected. The tools that we
use to collect data need to be reliable and valid. Define these terms with
respect to research, and explain why they are important.
Consider data collection and measurement methods for your
nursing clinical issue. Explain how you would collect data and what measurement
methods you would use.
Week 6 discussion
Data Results and Analysis
After the data are collected, it is time to analyze the
results!
Discuss one of the four basic rules for understanding results
in a research study.
Compare clinical significance and statistical significance.
Which one is more meaningful when considering applying evidence to your
practice?
Compare descriptive statistics and inferential statistics in
research. Please give an example of each type that could be collected in a
study that would be done on your nursing clinical issue you identified in
previous weeks.
Week 7 discussion
Applying and Sharing Evidence to Practice
After the data have been analyzed, conclusions are made
regarding what the findings mean. Then, this information must be shared with
your healthcare team.
Choose one of the articles from the RRL assignment, and
discuss the findings. Would you apply the evidence found to your practice?
Explain your answer.
Translating research into practice is the final and most
important step in the research process. Review information you found in your
Week 3 Assignment, and explain ways in which you would share the research-based
evidence with your peers.
Week 8 discussion
Where Do You Go From Here?
Improving patient outcomes is paramount to healthcare
improvement today. How has your thinking changed about nursing research and
evidence- based practice as the result of this course? Will the information you
learned during this course be helpful in your nursing role today?
Week 3 PICOT/Evidence
Appraisal Assignment
PICOT Worksheet:
Guidelines and Grading Rubric
PURPOSE
Clear identification of the problem or opportunity is the
first step in evidence-based nursing. This assignment offers a tool to assist
in the identification of the problem, proposed intervention, and desired
outcomes. Completion of the assignment will include identification of the
problem or concern using the PICOT format.
COURSE OUTCOMES
This assignment enables the student to meet the following
Course Outcome.
CO 1: Examine the
sources of evidence that contribute to professional nursing practice. (PO 7)
DUE DATE
This assignment consists of the completion of the PICOT
question Worksheet. Submit the completed worksheet to the Dropbox by Sunday,
11:59 p.m. MT at the end ofWeek 3.
POINTS
This assignment is worth 200 points.
DIRECTIONS
1. Read
these guidelines including the grading rubrics below. Watch this video on how
to complete the assignment at
http://www.brainshark.com/devry/vu?pi=zIAz11yLtvzHr05z0
2. Download
the PICOT worksheet form from Course Resources. Consider what is the nursing
problem or issue that you have uncovered. Make sure it is related to nursing,
i.e., one that a nurse can solve independently. Do not select a medical problem
that is dependent upon a medical professional to resolve.
3. Submit
the completed PICOT Worksheet to the Week 3 Dropbox.
GRADING CRITERIA: PICOT WORKSHEET
Category Points % Description
PICOT question 50 25% Question
or nursing problem is identified and is an independent nursing decision.
PICOT elements 50 25% PICOT
elements are correctly identified. Outcomes are measurable.
Practice issue and scope of the problem 50 25% Practice
issue/problem is thoroughly described. The need for change is evident. Practice
area is identified. Identification of the practice issue is clear. Scope of the
problem is identified.
Evidence and search terms 50 25% Appropriately
identifies the types of evidences that should be gathered. Uses manageable
search terms and ways in which the search can be narrowed is discussed.
TOTAL 200 100
EXAMPLE 1:
What is the PICO question? Will influenza immunization
compliancy rates increase if flu clinics are provided in a Flu PODS and
immunization clinics at convenient times covering all shifts?
Define each element of the question below:
P- (Patient, population, or problem): Hospital employees and
volunteers required to have the influenza immunization annually
I -(Intervention):
Offer multiple Flu “PODS” and immunization clinics to hospital employees
and volunteers making it convenient to receive the required immunization. Offer at a variety of times, available to all
shifts
C- (Comparison with other treatment/current practice):
Compare analytics showing employees and volunteers who received flu shot prior
to 2016 when Flu PODS and immunization clinics were not offered compared to
2016 where Flu PODS and immunization clinics are offered to accommodate
shifts. Track number of
employees/volunteers coming at each hour time frame.
O- (Desired outcome): Increase of compliance of receiving
the annual mandatory flu shot by employees and volunteers
EXAMPLE 2:
What is the PICO question? For non-diabetic patients on
corticosteroid therapy, does monitoring for headache, fatigue, nausea,
vomiting, and blurred vision hourly vs. no observations for signs of
hyperglycemia promote improvement of pulmonary complications?
Define each element of the question below:
P- (Patient, population, or problem): Non-diabetic patients
on corticosteroid therapy.
I- (Intervention):
Monitoring for headache, fatigue, nausea, vomiting, and blurred vision
C- (Comparison with other treatment/current practice): No
observations for signs of hyperglycemia
O- (Desired outcome): Improvement of pulmonary complications
T-(Time): 90 days
PICOTWorksheet – Week 3
PART 1: PICOT QUESTION
Name:
Date:
Your Instructor’s Name:
Purpose: To identify a problem or concern that nursing can
change and develop a PICOT question to guide the change project.
Directions:Use the form below to complete the Week 3
Assignment PICOT Evidence Worksheet. This includes filling in the table with
information about your research question and your PICOT elements and the second
part is filling in the Evidence Worksheet.
Step 1: Select the key PICO terms for searching the
evidence. Clearly define your PICOT question. List each element P (problem,
population, or problem), I (intervention), C (Comparison with other
treatment/current practice), and O (Desired outcome), T (Time Frame). Is the potential solution something for which
you (as nurse or student) can find a solution through evidence research? Look
in your book for guidelines to developing your PICOT questionand also read the
required articles.
Step 2: Identify the problem.What have you noticed in your
work or school environment that isn’t achieving the desired patient or learning
outcomes? What needs to change in nursing, what can you change with the support
of evidence in the literature? Describe the problem or practice issue that you
want to research. What is your practice area; clinical, education, or
administration? (This is NOT where you will list your PICOT question)
Step 3: How was the practice issues identified?How did you
come to know this was a problem in your clinical practice? Review the listed
concerns and check all that apply.
Step 4: What evidence must be gathered? What sources of
reliable information will be helpful for your particular question?
Step 5: What terms will you use in order to make sure that
your search is wide enough to obtain required information but narrow enough to
keep it focused? How will you narrow your search if needed?
PICOT Question
What is the PICOT question?
Define each element of the question below:
P- (Patient, population, or problem):
I- (Intervention):
C- (Comparison with other treatment/current practice):
O- (Desired outcome):
T-(Time Frame):
What is the practice issue/problem? What is the scope of the
issue? What is the need for change?
What is the practice area?
___ Clinical
___ Education
___ Administration
___ Other
How was the practice issue identified? (check all that
apply)
___ Safety/risk management concerns
___ Unsatisfactory patient outcomes
___ Wide variations in practice
___ Significant financial concerns
___ Difference between hospital and community practice
___ Clinical practice issue is a concern
___ Procedure or process is a time waster
___ Clinical practice issue has no scientific base
___ Other:
What evidence must be gathered? (check all that apply)
___ Literature search
___ Guidelines
___ Expert Opinion
___ Patient Preferences ___
Clinical Expertise
___ Financial Analysis
___ Standards (Regulatory, professional, community)
___ Other
Search terms/How to narrow the search?
Week 5 Reading
Research Literature
Reading Research Literature
Guidelines and Grading Rubric– Week5
The student will read research literature to determine the
research purpose, question, design, population, sample, limitations, data
collection and analysis.
COURSE OUTCOMES
This assignment enables the student to meet the following
course outcomes:
CO 2: Apply
research principles to the interpretation of the content of published research
studies. (PO #4 and8)
CO 4: Evaluate
published nursing research for credibility and lab significance related to
evidence-based practice. (PO #4 and8)
POINTS:This assignment is worth 225 points.
DUE DATE:Submit to the Reading Research Literature basket in
the Dropbox by 11:59 p.m. MT Sundayat the end of Week 5.
REQUIREMENTS
1. Download
the research articles from the Chamberlain library.
Retrieve the following research articles:Make sure you are
viewing the full text PDF. If you view the article in HTML format, you may not
be able to see the tables and figures that are referenced in the questions.
Velayutham, S. G., Chandra, S. R., Bharath, S., &
Shankar, R. G. (2017). Quantitative balance and gait measurement in patients
with frontotemporal dementia and Alzheimer diseases: A pilot study. Indian
Journal of Psychological Medicine, 39(2), 176-182. 203132.
doi:10.4103/0253-7176.203132. Retrieved from
http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=122248443&site=eds-live&scope=site
Pals, R. S., Hansen, U. M., Johansen, C. B., Hansen, C. S.,
Jørgensen, M. E., Fleischer, J., &Willaing, I. (2015). Making sense of a
new technology in clinical practice: A qualitative study of patient and
physician perspectives. BMC Health Services Research, 15(1), 1-10.
doi:10.1186/s12913-015-1071-1. Retrieved from
http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=her&AN=109884152&site=eds-live
2. Download
the NR439_Reading_Research_Literature_form.
3. Watch the
video on how to complete this assignment at
http://www.brainshark.com/devry/vu?pi=zGCzbNjK4zHr05z0.
4. Type
answers to the questions directly onto the form. Your formdoes NOT need to
follow APA formatting; however, you are expected to use correct grammar,
spelling, syntax, and write in complete sentences.
5. Save the
fileby clicking Save as and adding your last name, e.g.,
NR439_W5_Reading_Research_Literature_Form_Smith.docx.
6. Submit to
the Week 5 Reading Research Literature basket in the Dropbox by 11:59 p.m. MT
Sunday at the end of Week 5. Please post questions about this paper in the Week
5Q&A Forum.
GRADING CRITERIA
Category Points % Description
Velayutham, et al article: Question 1 10 4% Identifies the purpose of the research
article.
Question 2 10 4% Identifies
the research question implied in the study.
Question 3 10 4% Describes
the research design of the study.
Question 4 10 4% Identifies
and describes the population.
Question 5 10 4% Was
the sample approach adequate for the research design
Question 6 10 4% Describe
the data collection procedure
Question 7 10 4% How
were the data analyzed
Question 8 10 4% Describes
the limitations in the study.
Question 9 10 4% Describes
the authors’ conclusions.
Question 10 10 5% How
does this advance knowledge in the field.
Pals et al article: Question 11 10 5% Identifies the purpose of the research
article.
Question 12 10 5% Identifies
the research question implied in the study.
Question 13 10 5% Describes
the research design of the study.
Question 14 10 5% Identifies
and describes the population.
Question 15 10 5% Was
the sample approach adequate for the research design
Question 16 10 5% Describe
the data collection procedure
Question 17 10 5% How
were the data analyzed
Question 18 10 5% Describes
the limitations in the study.
Question 19 10 5% Describes
the authors’ conclusions.
Question 20 10 5% How
does this advance knowledge in the field.
Style and Writing 25 11% Names
file, includes name on paper. Writes in complete sentences with no grammar,
spelling, or syntax errors.
Total 225 pts 100% A
quality assignment will meet or exceed all of the above requirements
Reading Research Literature – Week 5
Type your answers to the following questions using complete
sentences and correct grammar, spelling, and syntax. Click Save as and save the
file with your last name and assignment,
e.g.,NR439_Reading_Research_Literature_Smith.Submit by 11:59 pm MT Sunday at
the end of Week 5. The guidelines and grading rubric for this assignment may be
found on the assignment page.
Title: RRL
Name:[replace this text with your name]
The following questions pertain to:
Velayutham, S. G., Chandra, S. R., Bharath, S., &
Shankar, R. G. (2017). Quantitative balance and gait measurement in patients
with frontotemporal dementia and Alzheimer diseases: A pilot study. Indian
Journal of Psychological Medicine, 39(2), 176-182. doi:10.4103/0253-7176.203132
.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=122248443&site=eds-live&scope=site”>http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=122248443&site=eds-live&scope=site
1) What is
the purpose of this research?
2) What is
the research question (or questions)? This may be implicit or explicit.
3) Give a
complete description of theresearch design of this study.
4) What is
the population (sample) for this study.
5) Was the
sampleapproach adequate for the research design that was selected and explain
why
6) Describe
the data collection procedure.
7) How were
the data analyzed after collection?
8) Discuss
the limitations found in the study.
9) Discuss
the authors’ conclusions. Do you feel these conclusions are based on the data
that they collected?
10) How does
this advance knowledge in the field
The following questions pertain to:
Pals, R. S., Hansen, U. M., Johansen, C. B., Hansen, C. S.,
Jørgensen, M. E., Fleischer, J., & Willaing, I. (2015). Making sense of a
new technology in clinical practice: a qualitative study of patient and
physician perspectives. BMC Health Services Research, 15(1), 1-10.
doi:10.1186/s12913-015-1071-1
http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=her&AN=109884152&site=eds-live
11) What is
the purpose of this research?
12) What is
the research question (or questions)? This may be implicit or explicit.
13) Give a
complete description of the research design of this study.
14) What is
the population (sample) for this study?
15) Was the
sample spproach adequate for the research design that was selected and explain
why.
16) Describe
the data collection procedure.
17) How were
the data analyzed?
18) Discuss
the limitations found in the study?
19) Discuss
the authors’ conclusions. Do you feel these conclusions are based on the data
that they collected?
20) How does
this advance knowledge in the field.
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