The purpose of this project is to allow students to synthesize evidence on a clinical NURSING problem. This assignment involves finding, evaluating, and disseminating evidence-based practice recommendations on a selected clinical problem to their classmates as professional peers. This project is to be completed individually.
Review the approved topics list below. Note that all of these topics have a nursing intervention. Additionally, all topics contain the necessary components to write a PICO question. I want you to imagine you are working in one of these settings and you are asked to evaluate an intervention that will improve care for patients in this setting. You know that the intervention should be evidence-based and you want to make the case for using, or not using, this particular intervention. You will review the existing literature.
Guidelines
1. Select a clinical nursing intervention from the provided list. If you would like to use a different intervention, please email the instructor for prior approval to ensure your idea is feasible and appropriate for the assignment. Because the assignment uses the PICO model, your topic MUST have an intervention and focus on outcomes.
2. Create a PICO question to refine your research question and determine terms for your literature search. Review Module 2, if needed.
3. Conduct a literature search focusing on research that addresses the effects of nursing interventions on the nursing problem. Remember that you can reach out to the course Librarian if needed.
4. Choose three peer-reviewed, evidence-based studies that have your intervention topic. You may use quantitative, qualitative, systematic reviews, or specialty articles (QI or process improvement) that we have learned about in the course. You may not use opinion articles or case studies. Critically read these studies to determine their scientific merit using the guidelines published in your textbook. It might be helpful to review the evidence hierarchies pyramid in our textbook on p. 23. This should be helpful to you in both selecting articles and discussing their strength.
PLEASE MAKE SURE TO INCLUDE
A brief statement of the critical nursing problem is phrased as a PICO statement.
1. Summary of each article (1 PARAGRAPH maximum for each study)
2. Summary of the overall recommendations- from all articles combined. This should be a synthesis where you discuss recommendations from all articles together. You might want to begin with, In the literature
A synthesis is not a listing of results (Article 1, Article 2
..)
3. Strengths and weaknesses of the evidence base- of all articles combined. This should be a synthesis where you discuss recommendations from all articles together. You might want to begin with, In the literature
A synthesis is not a listing of results (Article 1, Article 2
..)
4. Discussion of how these limitations affect the readiness of the recommendations for use in clinical practice. Is there anything that would prevent you from implementing this intervention (cost, staffing
)?
5. The conclusion that addresses the state of the art on your topic. Would you recommend this intervention or not? Is further research needed? Are higher levels of evidence needed?
Article Selection Guidelines
The problem must address a clinical problem in nursing.
Remember that sometimes the comparison (C) in a PICO statement can be implied as compared with no intervention.
At least one of the articles must be from a peer-reviewed nursing journal with a nurse as its primary author.
MAKE SURE THE ARTICLE IS NO MORE THAN 5 YEARS OLD.
