NR505 Advanced Research Methods: Evidence-Based Practice

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NR 505 Full Course

NR505 week 1 discussion

Write a quantitative research question using the PICO(T) model about a health or safety issue observed in the Ironridge or Summerville community or your practice setting.Conducta search of the literature for the quantitative research question. (Remember you can use this topic and quantitative research article as part of your Research Summary Table assignment).Provide a brief summary of your quantitative research article.

You will not be able to see other’s posts for this forum until you have posted your response to the threaded discussion thread.

NR505 week 2 discussion

Review the differences in predictive and prescriptive studies and select a predictive or prescriptive article that you found in your literature search. What are the independent variables (IV), dependent variables (DV), and mediating variables (MVs) that you find in the article? How do determining IVs, DVs, and MVs help you discern the theory tested in the research? In your particular article, what risk factors are identified, or what recommendations are provided?

NR505 week 3 discussion

Plan a Qualitative Study (graded)

Write a qualitative research question using the PICO(T) model using the P (population), I (abstract concept), O (outcome), and T (time) from the PICO(T) model about an issue from your practice setting. Conduct a search of the literature for a qualitative research article that would answer your qualitative research question. What qualitative research design (Phenomenology, Grounded Theory, Ethnography) did you select and why? Provide a summary of the study. How will you make sure that the information you obtain is trustworthy? How is trustworthiness in qualitative research similar and different from reliability and validity?

NR505 week 4 discussion

What are the various types of sampling, along with their advantages and disadvantages? As we think about sampling and ethical practices, review these two documents on ethical issues in research:

·         Tuskegee syphilis study at.cdc.gov/tuskegee/”>http://www.cdc.gov/tuskegee/

·         An overview of questionable studies: Resnik, D. (2012). Research ethics timeline (1932-present). Retrieved from.niehs.nih.gov/research/resources/bioethics/timeline/index.cfm”>http://www.niehs.nih.gov/research/resources/bioethics/timeline/index.cfm

What are the implications of this information with respect to the recruitment of human subjects in a study related to your chosen issue?

NR505 week 5 discussion

Inferential Statistics (graded)

Complete a PICO(T) search on a topic that pertains to your practice setting. Select one of the articles from your search. Identify the descriptive statistics. Then describe the inferential tests that were used in the article (in other words, t-tests and chi-squares). Given the p-values related to the tests, how do you interpret the results? Are they statistically significant, also clinically significant? What are the recommendations based on this paper? Share some alternate explanations (mediating or intervening variables) for the results of the study. If your chosen study does not contain inferential tests, then choose a different article that does contain inferential tests so you can participate in the discussion.

NR505 week 6 discussion

Evidence-Based Models (graded)Read the box above about Mr. Lowell and his facility. As an advanced practice nurse, you will looking at various evidence based practice models and choosing two of them to compare and contrast here. After you compare and contrast them, discuss which one you would recommend to this facility and why? Remember to support your posts with scholarly research in APA 6th ed format.

NR505 week 7 discussion

Quality, Safety, and Costs (graded)

Class, this week I would like for you to think about a patient scenario related to our Summerville scenario. Mr. Lowell is especially concerned about a costly high infection rate in surgical patients at St. Louis Medical Center, along with a lack of concern about patient’s psychological needs. He has read about the efforts of the QSEN Institute (.org/”>http://qsen.org) to promote quality and safety. He was surprised to see that patient concerns are inherent in the quality improvement conversation. Place yourself in the role of nurse educator to help the new staff education director and the clinical practice council study both problems. How would you explain the relationships among quality, safety, and costs to the director and staff? How would you demonstrate the importance of nursing care in addressing this issue? What outcome variables would you recommend?

NR505 week 8 discussion

What specific skills and knowledge that you gained through this course will be most important as you plan and implement your practicum project? Describe a concrete way in which you anticipate using these skills and knowledge.

NR505 week 3 Research Summary Table

Research Summary Table

Guidelines with Scoring Rubric

Purpose

The purpose of this assignment is for the student to learn to assimilate, analyze, critique, and summarize original research articles. In other words, select a report of a single, original study.

Course Outcomes

Through this assignment, the student will demonstrate the ability to:

(CO 2) Formulate and analyze nursing/clinical problems related to nursing and other disciplines. (PO 1, 2, 4, 6, 7, 8, 9, 10)

(CO 3) Synthesize for dissemination the research findings from nursing and related disciplines. (PO 1, 3, 4, 5, 6, 7, 9, 11)

Due Date:Sunday 11:59 p.m. MT at the end of Week 3

Total Points Possible: 165 Points

Requirements

Through this assignment, the student will

1.     1. Conduct a systematic search of relevant databases to find research-based evidence related to a nursing problem (CO 2);

2.     2. Construct a summary table of four peer-reviewedquantitative single original studies, indicating the purpose, sample, design/level of evidence, findings, and limitations of each (CO 3); and

3.     3. Summarize the findings of the four studies as a whole (CO 3).

Preparing the Table

Conduct a PICO(T) search on the nursing problem related to your practice setting.Select the four most recent peer-reviewed studiesthat describe original research in a single study (do not select a meta-analysis, systematic review of research, or integrative literature review). Refer to the Types of Articles Found in the Nursing and Healthcaredocument in the Course Resource section to make sure that you are using the correct document.

Construct a table summarizing the four most credible and recent studies, using the Research Summary template on the next page (also found in Course Resource Section). Analyze each article and provide the following information in brief format: purpose of the study; type of sample and number of participants; design of the study, along with the level of evidence; findings of the study; and limitations of the study.

Preparing the Summary

Briefly (2-4 pages; not including cover page and reference page(s)) summarize the results of the four studies as a whole. Follow this outline:

1.     I. In a short paragraph, restate your research question and describe your search strategy. (10 points)

2.     II. Analysis of the designs used in the studies presented in your research summary table. (10 points)

III. Where do these studies fall on the LevelsofEvidence table? What is the significance of this information?(10 points)

1.     IV. Based on these studies, what are the findings? What is the answer to the research question?How well do the studies answer or fail to answer the question? Provide rationale to support your answer.(10 points)

2.     V. Howwas eachsample selected and how many participants in the studies. Is this number adequate? Why or why not? (10 points)

3.     VI. Overall, what are the limitations of the study, and how can these limitations be overcome in subsequent studies? (10 points)

VII. Based on these findings, is the evidence that you found on your topic strong enough to suggest a change in practice or an idea for practice? Why or why not?Please provide a rationale for your answer.(10 points)

Provide your references, formatted in APA style, after the summary. Include the doi number for each article. Submit a permalink of each article you have chosen for this assignment (directions on how to obtain a permalink are located in the Course Resource section).

Instructions for setting up your paper in APA 6^th edition format.

Look at the example document for this assignment. Start your paper as you would other APA 6^thedition format professional papers. Copy and paste the table into your APA paper. This should allow your paper to remain in a vertical format. Your paper should be one document.

Research Summary Table (template provided in separate document)

NR505 week 5 Critique of Systematic Research Review

Critique of Systematic Research Review (SRR)

Guidelineswith Scoring Rubric

Purpose

The purpose of this assignment is to provide students with practice in identifying, reading, and critiquing systematic research reviews related to nursing. A systematic review is defined as “A summary of evidence, typically conducted by an expert or expert panel on a particular topic, that uses a rigorous process (to minimize bias) for identifying, appraising, and synthesizing studies to answer a specific clinical question and draw conclusions about the data gathered (Melnyk&Fineout-Overholt,2011, p.582).

Course Outcomes

Through this assignment, the student will demonstrate the ability to

(CO 3) Synthesize for dissemination the research findings from nursing and related disciplines. (PO 1, 3, 4, 5, 6, 7, 9, 11)

(CO 4) Compare and critique quantitative and qualitative designs and methodologies for research studies. (PO 4, 7, 9, 11)

Due Date:Sunday 11:59 p.m. MT at the end of Week 5

Total Points Possible:175 Points

Requirements:

1.     1. Choose an SRR that pertains to your practice setting.Describe the relevance of the nursingresearch problem addressed in a SRR to practice. (CO 3, 6)

2.     2. Critique the levels of evidence of the studies used in the SRR, specifically the designs of the studies included. (CO 6)

3.     3. Critique the clarity with which the studies are presented and critiqued. (CO 6)

4.     4. Describe the overall findings of the studies, as summarized in the SRR. (CO 3, 6)

5.     5. Critique the conclusions of the SRR, with implications for your current practice andfuture research. (CO 3, 6)

6.     6. Utilize the Cochrane Database of Systematic Reviews to locate a true SRR for this assignment.

7.     7. Paper length should be between 4-6 pages (not including cover page and reference page(s).

Preparing the paper

Consult your faculty member if you are uncertain about whether your article is a true SRR. If it is not, your grade will be affected because you will not be able to address all of the above objectives.

Important: Submit a copy of the systematic research review that you are critiquing as a separate document before submitting your paper.This will help Turnitin from returning a high similarity percentage on your written work. Remember to keep Turnitin similarity to 24% or less or you will be deducted points on APA.

References

Melnyk, B.M., &Fineout-Overholt, E. (2011).Evidence-based practice in nursing &healthcare(2^nded.). Philadelphia, PA: Wolters Kluwer/Lippincott, Williams,& Wilkins.

Turnitin®

This assignment will be submitted to Turnitin.You learned about Turnitin in your NR500 course, so you should be familiar with how to access it. Additionally, you will find an instructional announcement about Turnitin® in the course and in the Student Handbook.

Category	Points	%	Description
Describes the relevance of the research problem addressed in the SRR to practice.	25	14.28	Fully describes the relevance of the research problem
Critiques the research rigor of the studies used in the SRR (see lesson’s levels of evidence).	25	14.28	Fully critiques the rigor of the studies used in the SRR
Critiques the levels of evidence, specifically the designs of the studies included in the SRR.	25	14.28	Fully critiques the levels of evidence of the studies included in the SRR
Critiques the clarity with which the studies are presented and critiqued.	25	14.28	Fully describes the clarity with which the studies are presented and critiqued
Describes the overall findings of the studies, as summarized in the SRR.	25	14.28	Fully describes the overall findings of the studies summarized in the SRR
Critiques the conclusions of the SRR, with implications for your current practice and future research	25	14.28	Critiques the conclusions of the SRR, with implications for current practice andfuture research
Grammar, punctuation, and spelling reflect format written work.	10	5.71	Grammar, spelling, word usage, and punctuation are consistent with rules for formal written work.
APA formatting	10	5.71	APA formatting is correct
Submit a copy of the systematic research article you are critiquing.	5	2.85	Submits a copy of the permalink of the systematic research article that you are critiquing
	175	100%	A quality assignment will meet or exceed all of the above requirements.

NR505 Analysis and Application of Clinical Practice

Analysis and Application of Clinical

Practice Guidelines & Scoring Rubric

Purpose

The purpose of this assignment is to provide an opportunity for students to apply and disseminate information based on practice summaries. The most common type of practice summary in healthcare is the clinical practice guideline (CPG).

Course Outcomes

Through this assignment, the student will demonstrate the ability to

(CO 3) Synthesize for dissemination the research findings from nursing and related disciplines (POs 1, 3, 4, 5, 9); and

(CO 6) Utilize the principles of evidence-based practice to propose strategies that can address nursing issues (POs 1, 3, 4, 5, 7, 9).

Due Date:Sunday 11:59 p.m. MT at the end of Week 7

Total Points Possible:200 Points

Requirements:

Through this assignment, the student will

Develop summary of a clinical practice guideline. (COs 3, 6)

Preparing the paper

You will develop a summary that you could use within an evidence-basedpractice (EBP) committee or related venue to share with your colleagues. This paper will be 2-4 pages in length.

·         Select a clinical practice guidelines that addresses an issue pertinent to your practice setting.

·         Search the literature and evidence-based practice websites and databases to find a recent clinical practice guideline (no more than 5 years) related to the issue you select. The course Webliography provides websites where you can find clinical practice guidelines, but there are many others available in specialty-organization websites.

·         Analyze and critique the clinical practice guideline. Use the Clinical Practice Guideline Summary Template in Course Resources to develop your paper. Components include:

o scope and purpose of the clinical practice guidelines;

o stakeholder involvement;

o rigor of development;

o clarity and presentation

o applicability

o editorial independence

·         Attach URL address of the Clinical Practice Guidelines on the reference page of your paper.

·          

·         Note: Thetemplate isan outline to assist you in setting up your paper so you will be sure to address those topics in your paper in addition to other information to meet the criteria for this assignment. Your paper should be in APA 6th ed format. Do not copy and paste the template into your paper.

The summary sheetis amended from the AGREE instrument on page 200 of Melnyk & Fineout-Overholt (2015). Your summaryshould be approximately 5–6 pages long (Paper lengths do not include cover page or reference page(s).

Category	Points	%	Description
Scope and Purpose	25	12.5	Describes the scope and purpose of the document. Includes the health question(s) covered by the guideline
Stakeholder Involvement	25	12.5	Describes the stakeholder involvement in the development of the document. Identifies the target population.
Rigor of Development	25	12.5	Critiques the rigor of the development of the document. Describes the systematic methods used to develop the guideline. Include level of evidence of the studies used to develop the guideline.
Clarity & presentation (Recommendations)	25	12.5	Provides thekey recommendations of the document. Discusses different options for managing the condition or issue in the guideline.
Application	25	12.5	Identifies facilitators, barriers, costs, and outcome measurement for application of the document.. Identifies key monitoring and/or auditing criteria (outcomes)
Editorial Independence	25	12.5	Discusses conflict of interest and how competing interests of the CPG group members recorded and addressed.
Summary	25	12.5	Summarizes how the CPG answers the key clinical questions presented in the CPG. Discusses how the student, as the advanced practice nurse, would apply the CPG in practice.
Uses appropriate grammar, syntax, and spelling	10	5	No more than 2 errors in grammar, syntax, or spelling.
APA 6th Edition	10	5	No more than 2 APA 6thedition errors.
Attach pdf file of the Clinical Practice Guidelines	5	2.5	A pdf copy of the Clinical Practice Guidelines submitted.
Total	200	100%	A quality assignment will meet or exceed all of the above requirements.

Grading Rubric

Assignment Criteria	Exceptional (100%) Outstanding or highest level of performance	Exceeds (88%) Very good or high level of performance	Meets (80%) Competent or satisfactory level of performance	Needs Improvement (38%) Poor or failing level of performance	Developing (0) Unsatisfactory level of performance
ContentPossible Points = 175 Points
Scope and Purpose	25 Points	22 Points	20Points	10 Points	0 Points
Describes the scope and purpose of the document. Includes the health question(s) covered by the guideline	Describes the scope and purpose of the document but has occasional missing information.	Describes the scope and purpose of the document with a minimal amount of information presented.	Weakly describes the scope and purpose of the document.	Does not include the scope or purpose of the health question covered by the guideline.
Stakeholder Involvement	25 Points	22 Points	20Points	10 Points	0 Points
Describes all of the stakeholders involvement in the development of the document. Identifies the target population	Describes the stakeholder involvement in the development of the document with occasional information missing.	Describes the stakeholder involvement in the development of the document with a minimal amount of information presented.	Does not describe the stakeholder involvement in the development of the document OR does not identify the target population.	Does not describe the stakeholder involvement in the development of the document AND does not identify the target population.
Rigor of Development	25 Points	22 Points	20Points	10 Points	0 Points
Critiques the rigor of the development of the document. Describes the systematic methods used to develop the guideline. Includes level of evidence of the studies used to develop the guidelines. Elaborates on rigor of development.	Critiques the rigor of the development of the document. Describes the systematic methods used to develop the guideline. Includes the levels of evidence of the studies used to develop the guidelines. Some occasional important information is missing.	Critiques the rigor of the development of the document. Describes the systematic methods used to develop the guideline. Includes the levels of evidence of the studies used to develop the guidelines. Provides a minimal amount of information.	Does not critique the rigor of the development of the document. Does not describe the systematic methods used to develop the guideline. ORDoes not include the levels of evidence of the studies used to develop the guidelines.	Does not critique the rigor of the development of the document. Does not describe the systematic methods used to develop the guideline. ANDDoes not include the levels of evidence of the studies used to develop the guidelines.
Clarity & Presentation (Recommendations)	25 Points	22 Points	20Points	10 Points	0 Points
Provides theall key recommendations of the document. Discusses different options for managing the condition or issue addressed in the guideline. Elaborates on the clarity and presentation of the recommendations.	Provides thekey recommendations of the document. Discusses different options for managing the condition or issue addressed in the guideline. Missing some occasional important information.	Provides thekey recommendations of the document. Discusses different options for managing the condition or issue addressed in the guideline. Briefly elaborates on the clarity and presentation of the recommendations.	Does not provide or provide thekey recommendations of the document. ORDoes not discuss different options for managing the condition or issue addressed in the guideline.	Does not provide or provide thekey recommendations of the document. ANDDoes not discuss different options for managing the condition or issue addressed in the guideline.
Application	25 Points	22 Points	20Points	10 Points	0 Points
Identifies facilitators, barriers (real or potential), costs, and outcome measurement for application of the document. Identifies key monitoring or auditing criteria (outcomes).	Identifies facilitators, barriers (real or potential), costs, and outcome measurement for application of the document. Identifies key monitoring or auditing criteria (outcomes). Some occasional important information is missing.	Briefly Identifies facilitators, barriers (real or potential), costs, and outcome measurement for application of the document. Identifies key monitoring or auditing criteria (outcomes).	Does not Identify facilitators, barriers (real or potential), costs, and outcome measurement for application of the document. ORDoes not identify key monitoring or auditing criteria (outcomes).	Does not Identifies facilitators, barriers (real or potential), costs, and outcome measurement for application of the document. ANDDoes not identify key monitoring or auditing criteria (outcomes).
Editorial Independence	25 Points	22 Points	20Points	10 Points	0 Points
	Discusses conflict of interest of group members. Discusses how competing interests of the CPG group members are recorded and addressed. Addresses how the views of the funding body are kept from influencing the content of the guideline.	Discusses conflict of interest of group members. Discusses how competing interests of the CPG group members are recorded and addressed. Addresses how the views of the funding body are kept from influencing the content of the guideline. Some occasional important information is missing.	Briefly discusses conflict of interest of group members. Briefly discusses how competing interests of the CPG group members are recorded and addressed. Briefly addresses how the views of the funding body are kept from influencing the content of the guideline.	Does not discuss conflict of interest of group members. Does not discuss how competing interests of the CPG group members are recorded and addressed. ORDoes not address how the views of the funding body are kept from influencing the content of the guideline.	Does not discuss conflict of interest of group members. Does not discuss how competing interests of the CPG group members are recorded and addressed. AND Does not address how the views of the funding body are kept from influencing the content of the guideline.
Summary	25 Points	22 Points	20Points	10 Points	0 Points
	Summarizes the paper. Discusses whether or not the CPG answers the key clinical question(s) presented in the CPG and elaborates. Discusses how the student, as the advance practice nurse, will apply the CPG in practice with specific examples.	Summarizes the paper. Discusses whether or not the CPG answers the key clinical question(s) presented in the CPG. Discusses how the student, as the advance practice nurse, will apply the CPG in practice. Some occasional important information is missing.	Briefly summarizes the paper. Briefly discusses whether or not the CPG answers the key clinical question(s) presented in the CPG. Briefly discusses how the student, as the advance practice nurse, will apply the CPG in practice.	Does not summarize the paper. Does not discuss whether or not the CPG answers the key clinical question(s) presented in the CPG. ORDoes not discuss how the student, as the advance practice nurse, will apply the CPG in practice.	Does not summarize the paper. Does not discuss whether or not the CPG answers the key clinical question(s) presented in the CPG.ANDDoes not discuss how the student, as the advance practice nurse, will apply the CPG in practice.
Content Subtotal____/175 points
FormatPossible Points = 25 Points
Uses appropriate grammar, syntax, and spelling	10Points	9 Points	8 Points	4 Points	0 Points
No errors in grammar, syntax, or spelling	1-2 errors in grammar, syntax, or spelling	3-4 errors in grammar, syntax, or spelling	5 or more errors in grammar, syntax, or spelling	6 or more errors in grammar, syntax, or spelling
APA 6th edition	10Points	9 Points	8 Points	4 Points	0 Points
No APA 6thedition errors	1-2 APA 6thedition errors	3-4 APA 6thedition errors	5 APA 6thedition errors	6 or more APA 6thedition errorsORTurnitin similarity percentage on student written work is higher than 24%.
Attach pdf copy of the Clinical Practice Guideline	5 Points	0 Points
Pdf file of the Clinical Practice Guideline attached	No pdf file of the Clinical Practice Guideline attached
Format Subtotal____/25 points
Total Points_____/200 points