See and use attachments as per project instructions that correspond with parts: Part 2A, Part3A, Part 5B and part 6B. ALL PROJECT MUST BE IN APA style, include in text citation with references as per instructions). Required Book information and citation attached. Price not negotiable.

Book Information:

Title: Nursing Research: Reading, Using and Creating Evidence

Edition: 4

Authors: Janet Houser

Publisher: Jones & Bartlett Learning

APA Citation

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones & Bartlett.

Part 1: Introduction to Evidence-based Practice

We begin our journey into discovering the new world of research and evidence-based practice (EBP) by exploring our past. After completing the required readings and lesson, answer the following:

Explain how research has evolved since the Florence Nightingale era.

Discuss how research and EBP are different; include how you believe research supports EBP for nursing.

Describe one past/historical unethical breach of research conduct; then, share how you would ensure care of a study participant using one ethical or legal research consideration (guideline/principle).

Required: APA format, 1 in text-citation and reference from the book and 1 in-text citation and reference from a scholarly source (it can only be be from 2018-2022).

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part 2A: Research, Practice Problems, and Questions

Professional nurses rely on research findings to inform practice decisions; they use critical thinking to apply research directly to specific patient care situations. Think about an independent nursing practice problem you care passionately about and would be interested in searching for evidence.

The below problems should not be used:

*medical/doctor/physician problems such as medications, or medications administration or effects, diagnostics such as EKGs, labs, cardiac catherizations.

*staffing, nurse-to-patient ratios, workforce issues are organizational/system /political/administrative/multi-stakeholder problems which nursing cannot solve independently.

You must:

Describe a significant nursing clinical issue, topic of interest, or practice problem that is important to you. Describe why you chose the problem/topic.

Write your clinical question in the PICO(T) format for your nursing practice problem.

*To write your clinical question in the PICO(T) format, use the NR439_Guide for writing PICOT Questions and Examples that is attached.

List each of your PICOT elements.

Share why you care about this nursing practice problem and why you believe the problem would benefit from finding the best evidence.

Required: APA format, 1 in text-citation and reference from the book and 1 intext citation and reference from a scholarly source (it can only be be from 2018-2022).

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part 3A
: Problem/PICOT/Evidence Search (PPE) Worksheet

Read over each of the following directions.

You must read the Assignment Practice Scenario below before completing the PPE Worksheet.

Download and use the required PPE Worksheet (see attached.)

You are required to complete the worksheet using at least Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word PadComplete each section of the Problem/PICOT/Evidence (PPE) Worksheet. For the Clinical PICOT Question,use the NR439 Guide for writing PICOT Questions and Examples (Links to an external site.). Use one of the templates/guides to write your Clinical PICOT Question using all of the PICOT elements. Be sure to include the PICOT letters in your question.

Be sure to use the rubric to make certain you are meeting all grading criteria of the PPE Worksheet.

Example:

Assignment Practice Scenario

Your Chief Nurse Executive (CNE) recognizes you are pursuing your BSN and has asked you to be a member of the nursing evidence-based practice (NEBP) committee. She has advised the members that the purpose is to conduct nursing research studies involving clinical practice problems. Increasing nurses’ awareness of quality and safety concerns will help develop an attitude of inquiry and asking questions (Sherwood & Barnsteiner, 2017). Baccalaureate nurses “collaborate in problem identification, participate in the process of search, retrieval, and documentation of evidence, and integrate evidence using credible databases and internet resources” (AACN, 2008, pp. 16-17).

The CNE has advised all members of the following areas of quality and safety clinical practice that each committee member needs to consider and choose

only one
as a priority area for conducting a research study. Sources of research problems come from nursing clinical practice (Houser, 2018):

Quality

Safety

Patient satisfaction

Patient education

Falls

Non-pharmacological pain management

Errors. Examples include:

Medication

Patient identification

Communication

Readmissions

Length of stay

Costs

Healthcare Associated Infections (HAIs).
Examples include:

Central Line Associated Blood Stream Infections (CLABSI)

Catheter Associated Urinary Tract Infections (CAUTI)

Ventilator Associated Pneumonia (VAP)

Surgical Site Infections (SSI)

Sepsis (Screening or Prevention)

Discharge Teaching/Coaching

Transitions of Care/Level of Care

Pressure Ulcers

Skin Integrity

Your CNE has requested that you select ONLY

one topic area

and complete the PPE Worksheet using only

one
topic area.

Required: APA format, 1 in text-citation and reference from the book and 1 intext citation and reference from a scholarly source (it can only be be from 2018-2022).

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Part
3B: The Literature Review and Searching for Evidence

You must access the following article to answer the questions:

Boyle, D. K., & Thompson, S.A. (2020). CMSRNs’ continuing competence methods and perceived value of certification: A descriptive study. MEDSURG Nursing, 29(4), 229-254

Locate the literature review section. Summarize using your own words from one of the study/literature findings. Be sure to identify which study you are summarizing.

Discuss how the author’s review of literature (studies) supported the research purpose/problem. Share something that was interesting to you as you read through the literature review section.

Describe one strategy that you learned that would help you create a strong literature review/search for evidence. Share your thoughts on the importance of a thorough review of the literature.

Required: APA format, 1 in text-citation and reference from the book and 1 intext citation and reference from a scholarly source (it can only be be from 2018-2022).

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Part
4A: Designs – A Plan to Study for the Truth

Reflect on your learning about Quantitative and Qualitative research; share two ways that helped you understand how they are different.

Choose one category of study design that you found interesting and describe; include what you learned about the design and how you believe it can help study nursing problems.

Refer back to your clinical nursing priority problem and evidence you located for your part 3 part nursing-evidenced practice (NEBP) committee has requested for you to make a recommendation to the team: Describe the type of research and the design that you believe would be the best way to study your problem. Discuss your rationale.

Required: APA format, 1 in text-citation and reference from the book and 1 intext citation and reference from a scholarly source (it can only be be from 2018-2022).

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Part
5A
: Samples and Data Collection

Access the following information. You may read the PDF online or download it.

U. S. Department of Health and Human Services. (2019). Brief summary of results from the 2018 national sample survey of registered nurses. https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/data-research/nssrn-summary-report.pdf (Links to an external site.)

Review the data and describe some of the key attributes/characteristics of this sample of the nursing workforce.

Discuss some of the data that you found interesting and include what you believe the purpose (intent) of sharing these results.

The instruments and tools that we use to collect data need to be reliable and valid. Define these terms:

Primary Data: Physiologic measures
,

Psychometric instruments
,
interviews and questionnaires
&
Observation
.

Secondary data
:
patient charts; census reports and public health records.

Explain the importance of each. Share one way that can be used to collect data that you were not aware of or familiar with.

Required: APA format, 1 in text-citation and reference from the book and 1 intext citation and reference from a scholarly source (it can only be be from 2018-2022).

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Part
5B :
Clarifying Research

Directions for Preparing the Scholarly Worksheet

Read each of the instructions. Download and complete the required Clarifying Research Worksheet under Templates below.

Two or more supporting scholarly sources are required. Textbooks are not allowed and should not be used as a scholarly source. Use the Library or online to locate relevant, scholarly sources that must be from 2018-2022 not older.

No more than two direct quotes are allowed. You should be using mostly your own words to demonstrate your understanding of the topics/criteria for this assignment. Citations and references must be included.

Requirement and Grading criteria :

Significance of Research

Use your own words to summarize in detail:

1. the need for nursing research.

2. the significance for all professional nurses (BSN) to understand the basic principles of research.

3. why this course is important to complete.

Use your own words to summarize in detail:

1. quantitative research and what you learned about this type of research.

2. one quantitative design that you learned; explain one important feature that helped you understand this design.

3. the significance of this type of research and how it can be used to improve nursing practice problems.

Use your own words to summarize in detail:

1. qualitative research and what you learned about this type of research.

2. one qualitative design that you learned; explain one important feature that helped you understand this design.

3. the significance of this type of research and how it can be used to improve nursing practice problems.

Research Sampling

Use your own words to summarize in detail:

1. what is sampling and why is sampling important. 2. one sampling strategy you learned that can be used in quantitative research. Include what you learned.

3. one other sampling strategy that you learned.

Credible Nursing Practice

Use your own words to summarize in detail:

1. how does research help make nursing practice safe.

2. share a way you believe research has impacted nursing practice.

3. why is research critical for creating an evidence-based nursing profession.

This criterion is linked to a Learning Outcome Utilization

Use your own words to summarize in detail:

1. how you plan to utilize your learning to make a difference in your practice. Use your current area of nursing or where you hope to work as a nurse.

2. how you believe this course is meant to help you practice as a BSN.

3. what you learned from completing the worksheet activity.

MUST USE:

Two or more supporting scholarly sources are required.

No more than two direct quotes are allowed.

Use APA format in citations and references.

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part
6 A:
Data Analysis and Results

Data analysis is key for discovering credible findings from implementing nursing studies. Discussion and conclusions can be made about the meaning of the findings from the data analysis.

Share what you learned about descriptive analysis (statistics), inferential analysis (statistics), and qualitative analysis of data; include something that you learned that was interesting to you and your thoughts on why data analysis is necessary for discovering credible findings for nursing.

Compare clinical significance and statistical significance; include which one is more meaningful to you when considering application of findings to nursing practice.

Required: APA format, 1 in text-citation and reference from the book and 1 intext citation and reference from a scholarly source (it can only be be from 2018-2022).

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Part
6 B
Reading Research Literature (RRL) Worksheet

Reading Research Literature (RRL) Worksheet is a learning activity that requires you to read an assigned article for the session you are taking the course, then answer questions on the required Reading Research Literature (RRL) Worksheet. Both the required article and worksheet may change from session to session.

The NR439 Reading Research Literature Worksheet Rubric must be used to answer each of the criteria that will be graded for this assignment. The grading rubric is located at the bottom of this page below the References area.

Read the required research article assigned, then answer each question in your own words on the required Reading Research Literature (RRL) worksheet about the study.

Download and complete the required Reading Research Literature (RRL) worksheet (Links to an external site.). This must be used.

The assignment contains the following and the below can be used to help answer each criteria area of the worksheet. Do not copy and paste the information below into your RRL worksheet. After reading the required research article, think about the research study and include what you learned from reading the study using your own words.

Purpose of the Study: Using information from the required article and your own words, thoroughly summarize the purpose of the study. Describe what the study is about. Thoroughly summarize and include excellent details for the criteria.

Type of Research & the Design: Using information from the required article and your own words, thoroughly summarize the description of the type of research and the design of the study. Include how it supports the purpose (aim or intent) of the study. Thoroughly summarize and include excellent details for the criteria.

Sample: Using information from the required article and your own words, summarize the population (sample) for the study; include key characteristics, sample size, sampling technique. Thoroughly summarize and include excellent details for the criteria.

Data Collection: Using information from the required article and your own words, summarize one data that was collected and how the data was collected from the study. Thoroughly summarize and include excellent details for the criteria.

Data Analysis: Using information from the required article and your own words, summarize one of the data analysis/tests performed or one method of data analysis from the study; include what you know/learned about the descriptive or statistical test or data analysis method. Thoroughly summarize and include excellent details for the criteria.

Limitations: Using information from the required article and your own words, summarize one limitation reported in the study. Thoroughly summarize and include excellent details for the criteria.

Findings/Discussion: Using information from the required article and your own words, summarize one of the authors’ findings/discussion reported in the study. Include one interesting detail you learned from reading the study. Thoroughly summarize and include excellent details for the criteria.

Reading Research Literature: Summarize why it is important for you to read and understand research literature. Summarize what you learned from completing the reading research literature activity worksheet. Thoroughly summarize and include excellent details for the criteria.

Use APA in-text citations. No more than two direct quotes can be used.

You are required to complete the worksheet using Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad.

GRADING CRITERIA:

Using information from the required article and mostly your words, thoroughly summarize the purpose of the study. Describe what the study is about. Provide details. Using information from the required article and your own words, summarize the description of the type of research and the design of the study. Include how it supports the purpose (aim or intent) of the study. Provide details. Using information from the required article and your own words, summarize the population (sample) for the study; include key characteristics, sample size, sampling technique. Provide details. using information from the required article and your own words, summarize one data that was collected and how the data was collected from the study. Provide details. Using information from the required article and your own words, summarize one of the data analysis/ tests performed or one method of data analysis from the study; include what you know/learned about the descriptive or statistical test or data analysis method. Provide details. Using information from the required article and your own words, summarize one limitation reported in the study. Provide details. Using information from the required article and your own words, summarize one of the authors’ findings/discussion reported in the study. Include one interesting detail you learned from reading the study. Provide details. Summarize why it is important for you to read and understand research literature. Summarize what you learned from completing the reading research literature activity worksheet. Provide details. PLEASE REVIEW: Writing, Mechanics, Organization, Spelling, Sentence Structure&Grammar TO BE WITHOUT DEFECT. APA In-Text Formatting for Cited Sentences MUST BE USED. Required RRL Worksheet and Required Article ARE MANDATORY TO BE USED.

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Part 7A: Applying and Sharing Evidence

Application and implications for practice come from the interpretation of meaning from research findings. Communicating and using research evidence is an expectation of a BSN graduate.

Select and describe one of the Discussions or Conclusions from the required article from the Part 6A that you found interesting and applicable to practice. Describe how you would apply the evidence to improve nursing practice. Explain your answer.

Discuss ways you would disseminate research-based evidence; how would you share with your peers? Include your thoughts on why it is important for you to be involved in communicating and applying nursing research evidence.

Required: APA format, 1 in text-citation and reference from the book and 1 intext citation and reference from a scholarly source (it can only be be from 2018-2022).

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Part
8
A
:
Reflection on The Evidence-Nursing Practice Connection

Improving patient care and outcomes is paramount to the practice of nursing. As we conclude the learning journey through our world of research and evidence-based practice, please reflect on the following:

Think about nursing practice and describe one barrier that you think prohibits nurses from engaging in EBP; share one strategy you could use to facilitate the use of evidence to help improve nursing care for patients.

Describe how your thinking has changed about nursing research and evidence-based practice; describe one new learned item during this course that you believe was the most helpful.

Required: APA format, 1 in text-citation and reference from the book and 1 intext citation and reference from a scholarly source (it can only be be from 2018-2022).

NR439 PPE Worksheet

Name:

Date:

Problem/PICOT/Evidence Search (PPE) Worksheet

Criteria

Clinical Nursing Practice Problem

Select and identify ONLY
one
quality or safety clinical priority area from the assignment guidelines practice scenario. Summarize why you believe the nursing practice problem/issue is the most important. Summarize your rationale (why) for choosing the problem.

Clinical Nursing

PICOT Question

Using the NR439 Guide for Writing PICOT Questions and Examples located in the assignment guidelines,
write out
your PICOT question.
Include the PICOT letters in your question.

Define PICOT Elements

Define each of the PICOT elements from your question above.

P– (patient population/patients of interest):

I– (Intervention):

C– (Comparison):

O– (Measurable outcome):

T– (Time frame in months):

Evidence Retrieval Process and Summary

Using only the Chamberlain College of Nursing library:

(1) Locate evidence that is relevant to your chosen nursing practice problem. Explain how you believe the evidence is relevant to your chosen nursing practice problem.

(2) Explain why you chose the evidence

(3) Provides a complete APA reference to the evidence (must include authors, year, title of the evidence, title of the resource)

(4) Evidence must be published within the last 10 years

(5) Provides the permalink

Implications of the Evidence

Summarize what you learned from the evidence. Summarize why you believe the nursing evidence-based practice committee should focus their next research project on the nursing practice problem.

Evidence Search Terms

Identify 4 (or more) relevant searchable terms you used for your search for evidence.

Evidence Search

Strategies

Select 4 (or more) relevant search strategies you used to narrow/limit your search for

evidence.

____ Full text

____ Boolean Operators/Phrase

____ Selected publication dates within last 10 years

____ Subject, title, or author search box

____ Truncation (used an asterisk * at the beginning or end of a word)

____ Academic or scholarly (Peer Reviewed) journals

____ Quotation marks for key words

____ Selected key terms from PICOT question

____ Others: (list below): ____________________________________________

NR439 PICOT Worksheet 5/2019 ST

Chamberlain College of Nursing NR439 Clarifying Research Worksheet

Name:

Date:

Clarifying Research Worksheet
Criteria
Significance of Research Use your own words to summarize: a) the need for nursing research. b) the significance for all professional nurses (BSN) to understand the basic principles of research. c) why this course is important to complete.
Quantitative Research Use your own words to summarize: a) quantitative research and what you learned about this type of research. b) one quantitative design that you learned; explain one important feature that helped you understand this design. c) the significance of this type of research and how it can be used to improve nursing practice problems.
Qualitative Research Use your own words to summarize: a) qualitative research and what you learned about this type of research. b) one qualitative design that you learned; explain one important feature that helped you understand this design. c) the significance of this type of research and how it can be used to improve nursing practice problems.
Research Sampling Use your own words to summarize: a) what is sampling and why is sampling important. b) one sampling strategy you learned that can be used in quantitative research. Include what you learned. c) one other sampling strategy that you learned.
Credible Nursing Profession Use your own words summarize: a) How does research help make nursing practice safe. b) Share a way you believe research has impacted nursing practice. c) Why is research critical for creating an evidence-based nursing profession.
Utilization Use your own words summarize: a) how you plan to utilize your learning to make a difference in your practice. Use your current area of nursing or where you hope to work as a nurse. b) how you believe this course is meant to help you practice as a BSN. c) what you learned from completing the clarifying research worksheet activity.

NR439 Clarifying Research Worksheet 7/2020 ST

PICOT Question Guide

The following contains PICOT question guides/templates to use to help write questions using all of the PICOT elements. Each template contains a guide that you can use to write a complete PICOT question, examples of PICOT elements, and illustrations[endnoteRef:2]. Review some tips and hints below to think about for each of the PICOT elements that can help create a sound clinical nursing PICOT question: [2: Adapted from Houser (2018) and the American Academy of Ambulatory Care Nursing (AAACN). (2018). AAACN research toolkit: Template for asking PICOT questions.
]

P=Population of patients: Think about a group of patients you are interested in studying—identify the group by age ranges, diagnosis/disease of interest, history or length of time with the diagnosis/disease of interest, location, unit, or setting, gender type (if applicable), race (if applicable), or other identifiable characteristics such as Medicare, Medicaid, immobile, ventilated, inpatient, outpatient, etc.

I=Intervention: Consider the nursing action or intervention you are thinking that would make a difference? From your search for evidence, what is the evidence indicating that nurses can do to help improve the problem or issue you have chosen?

C=Comparison: Think about comparing to the intervention of interest or the alternative such as routine/standard care. If no comparison, state not implementing the intervention or no comparison group.

O=Outcome: Reflect upon what would be the measurable, relatable indicator that would demonstrate the intervention is making a difference or not? What would be the needed outcome that you could observe/check/measure? For example, “the pain is okay” would not be a measurable outcome. Rates pain level less than 3 on pain scale would be measurable.

T=Timeframe: For this element, reflect on how long it would take to implement your study by collecting data or the time needed to observe to see if any changes occurred or will occur. Think about 1 month, 3 months, 6 months etc… Use a timeframe that is realistic.

Template A

Among/In _________________________ (P), does______________________ (I) (**decrease/increase/impact/influence/affect/reduce/improve**) _____________________ (O) compared to ______________________________ (C) over ______________________________(T)?

(**choose one term**)

Example:

Among 65+ and older diabetic immobile adults in long-term care (P), does a bedside oral care kit and checklist protocol (I) compared to routine oral care without a bedside oral care kit (C) affect the number of times oral care is completed (O) over 3 months (T)?

P=Population of patients: 65+ and older diabetic immobile adults in long-term care

I=Intervention: bedside oral care kit and a checklist protocol

C=Comparison: routine oral care without a bedside oral care kit

O=Outcome: number of times (frequency) oral care is completed

T=Timeframe: 3 months

Template B

Among/In _________________________ (P), would______________________(I) (**decrease/increase/impact/influence /affect/reduce/improve **)_____________________ (O) compared to ______________________________ (C) over ______________________________(T)?

(**choose one term**)

Example:

In male ICU patients who are 65+ and older diagnosed with COPD (P), would the confusion assessment screening tool (CAST) (I) impact the number of early identification of delirium (O) compared to no screening tool (C) over 6 months (T)?

P=Population of patients: Inpatient male ICU patients 65+ and older diagnosed with COPD

I=Intervention: confusion assessment screening tool (CAST)

C=Comparison: routine care/no screening tool

O=Outcome: number of early identification of delirium

T=Timeframe: 6 months

Template C

Among/In _____________ (P), will (I) (decrease/increase/impact/influence/affect/reduce/improve )_ (O) compared to __ (C) over (T)?

(choose one term)

Example:

Among Hispanic pregnant women between 36-40 weeks (P), will completing a lactation course (I) increase the number of breastfeeding initiations by or within 6 hours of delivery (O) compared to no lactation course (C) over 6 months?

P=Population of patients: Hispanic pregnant women between 36-40 weeks

I=Intervention: lactation course completed

C=Comparison: no lactation course

O=Outcome: number of breastfeeding initiations within 6 hours of delivery

T=Timeframe: 6 months

Template D

Among/In _ (P), what is the effect of (I) on (O) compared to ___ (C) over (T)?

Example:

In pediatric non-Hispanic Black males ages 8-18 years old with a 5 year history of type 1 diabetes (P), what is the effect of the Glucose Buddy Diabetes Tracker app (I) on maintaining HbA1C levels <7% (O) compared to the mySugar Diabetes Tracker Log app (C) over 6 months (T)?

P=Population of patients: pediatric non-Hispanic Black males ages 8-18 years old with 5 year history of type 1 diabetes

I=Intervention: Glucose Buddy Diabetes Tracker app

C=Comparison: mySugar Diabetes Tracker Log app

O=Outcome: HbA1C levels <7%

T=Timeframe: 6 months

NR439: RN Evidence-Based Practice

Week 6: Reading Research Literature Worksheet

Name: Date: Complete the required worksheet after reading the assigned article for the session. The NR439 Reading Research Literature Worksheet Rubric must be used to answer each of the graded criterion for the following:
Purpose of the Study
Type of Research & the Design
Sample
Data Collection
Data Analysis
Limitations
Findings/Discussion
Reading Research Literature

NR439_RRL_Worksheet_5.21_ST 2

Evidenced based project

PICOT Question Guide

Template A

Template B

Template C

Template D

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PICOT Question Guide

Template A

Template B

Template C

Template D

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