Research Article Intervention Effectiveness

PICO

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Unit 4 Assessment – Research Article Intervention Effectiveness

Instructions

· The next step in the process is to identify evidence that your intervention, your “I” in your PICO question, is supported in the literature.

· Based on the PICO question you picked in the Unit 2 Assignment, find a quantitative research study about the intervention (not the problem) related to the problem identified. 

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· Do not use a website to find research articles.

· Use the Library tab’s databases.

· You will need to use the search techniques you learned in Unit 2, the library tutorial assignment for Unit 1, and the article that was linked to in the Unit 2 assignment.

· Use the keywords that you identified for “intervention” in your Unit 2 PICO assignment. These are your search terms. 

·

Directions

for Search:

· In CINAHL, using the library tab directions from a previous assignment, put those keywords in the search box. 

· Further narrow your search by using the search options for full text and evidence-based practice.

· Use the search box “Publication Type” and choose “Randomized Controlled Trial.”

These are just suggestions. Experimenting with these search boxes will give you different results. This is to help you refine your search technique. The techniques are similar in Ovid and Proquest.

· The article you pick needs to be a research study with an experimental or quasi-experimental design. It should be five (5) years old or less. See Topics 1 – 4 in the Unit 4 readings about these designs.

Directions

· Please complete the attached file below. Try to submit early in the week. Your instructor will let you know if this is an appropriate article. If it is not, you will need to resubmit as many times as it takes for you to find one. By Sunday night you should have submitted and received confirmation that your techniques produced an article appropriate to use for the Unit 6 assignment.

· Submit both the table and the article to the submission link

· The instructor will put feedback in the grade center indicating if the article is correct or if more searching is needed.

· You will need this article for the Unit 6 assignment.

Please review the rubric to ensure that your assignment meets criteria

Estimated time to complete: 4 hours

Attached File

·

Search Table document

 Download Search Table document

Rubric

NSG324 Research Article Rubric

Level 5
Table is fully completed with relevant information about the problem.

56 pts

Level 4
Table has 1-2 missing elements.

42 pts

Level 3
Table is missing 3-4 required elements.

28 pts

Level 2
Table is very incomplete and/or incorrect.

0 pts

Level 0
Table was not submitted

70 pts

Level 5
A highly accurate and relevant article was presented as supporting documentation for the selected question.

24 pts

Level 4
An accurate and relevant article was presented as supporting documentation for the selected question.

18 pts

Level 3
A somewhat relevant article was presented as supporting documentation for the selected question.

12 pts

Level 2
A somewhat irrelevant article was presented as supporting documentation for the selected question.

0 pts

Level 0
An appropriate article was not presented.

30 pts

NSG324 Research Article Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeCompleted Table

70 pts

This criterion is linked to a Learning OutcomeSupporting Article

30 pts

Total Points: 100

Unit 4 Assignment

Search Table

Write your PICO question
P
I
C
O

Identify the intervention from your selected PICO question that you seek to find support for in the literature.

Depending on your selection of PICO question, you will be searching for an experimental or quasi-experimental research study that shows the effectiveness of your intervention in reaching the indicated outcomes.
What type of study are you searching for? 
Identify the research design of a study that would meet the assignment criteria.

List 3-4 keywords for the intervention of your PICO question that you searched with. Why did you select these words?

Which search engine(s) did you use? (Ovid, CINAHL, Proquest)

Which limiters to the search did you check? (randomized controlled trial, publication type->research, peer reviewed, dates, full text, etc)
Why did you select these limiters?

How many results did you get?
How did you determine if the studies in the results meet the assignment criteria?

Did you find a study that tested the effectiveness of the intervention?  Identify this study. (Write it in APA reference format)
If yes, attach the study in the assignment link as a PDF file.

If a study was not found, did you change your search techniques based on results?

If a new search was needed, identify the changes made.

Did you change your search techniques based on results?

For your attached study, how did it support the intervention in your PICO question? Identify the elements it answered:
P
I
C
O

Does the attached study answer the PICO question? 
What was the answer?
How was this determined?
Identify the actual findings of the attached study. 
How did you determine the study you selected met the assignment criteria? 

Running Head: EVIDENCE-BASED PRACTICE 1

EVIDENCE-BASED PRACTICE 2

Evidence-Based Practice.

Student’s Name:

Professor’s Name:

Date.

The topic selected: In the acute care setting, does the implementation of a

nurse-led rounding program

compared to

no rounding program

decrease patient falls

?

PICO Elements

Keywords

P=

patient in the acute care setting,

I=

nurse-led rounding program

C=

no rounding program

O=

decrease patient falls

Scope of the problem

Patient falls in acute care setting has been identified as one of the major challenges in the healthcare system. As provided in the EB articles researched, in the acute care setting the rate of patient falls ranges from 2% to 5%. From this stat, it has been established that 3 to 7 patients fall in every 1000 patients -days are reported on a daily basis. Perhaps over 30% of inpatients’ falls in acute care setting often results in injuries. Out of this 30%, 4% to 6% falls result in severe injuries (Melnyk et al., 2017). Among the primary causes of patient falls in acute care settings include the use of certain medications such as hypnotic, slippery high-gloss floors that have been made of excess glare, gait insatiability, acutely ill patients, urgency, declined or altered mental state as well as inconsistency. Also, lack of adequate patient assessment along with communication failures among healthcare professionals can be attributed to causes increased cases of patient falls in the acute care setting.

Significance of the problem.

Proper understanding of what is patient falls, their causes, risk factors, and impacts on patient experience will provide more insights on how better to formulate and implement evidence-based approaches to significantly reduce falls and perhaps improve the quality of patient care. The cost of treating patients falls is estimated to be around $4000 per %. Implementation of patient fall prevention strategus will help improve the quality of care provided to inpatients (Melnyk et al., 2017).

Significance of the nursing problem: How is the problem significant to nursing? How does the problem negatively affect nursing practice?

The significance of understanding why patient falls should be a major concern to nurses and the healthcare sector at large is that it is the role of nurses to ensure that they provide patient-centered care services that meet the health needs of the patients. preventing patient falls is significant to nurses as this serves as the first approach to maintaining guaranteeing patient safety while in hospitals. The problem affects nursing practice in the sense that if an increased number of patient falls are recorded, then this often serves as an indication of declined quality care hence impacting patient experience with regard to care services provided to them (Melnyk et al., 2017).

References

Melnyk, B. M., Gallagher-Ford, L., Zellefrow, C., Tucker, S., Thomas, B., Sinnott, L. T., & Tan, A. (2017). The first U.S. study on nurses’ evidence-based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes. Worldviews on Evidence-Based Nursing, 15(1), 16-25. doi:10.1111/wvn.12269

Rolfe, G. (2018). Evidence-based practice and practice-based evidence. Exploring Evidence-based Practice, 99-112. doi:10.4324/9781315764559-8

Stevens, K. R. (2017). undefined. Research for Advanced Practice Nurses. doi:10.1891/9780826118394.0003

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