In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. Being able to articulate the information and successfully summarize relevant peer-reviewed articles in a scholarly fashion helps to support the student’s ability and confidence to further develop and synthesize the progressively more complex assignments that constitute the components of the course change proposal capstone project.

For this assignment, the student will provide a synopsis of eight peer-reviewed articles from nursing journals using an evaluation table that determines the level and strength of evidence for each of the eight articles. The articles should be current within the last 5 years and closely relate to the PICOT statement developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project. Use the “Literature Evaluation Table” resource to complete this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Research Critiques and PICOT Statement Final Draft

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.

PICOT Question 

Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.

The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

General Requirements

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

AttachmentsNRS-433V-RS-Research-Critique-Guidelines.docx
RUBRIC

Instructions

• The Centers for Medicare and Medicaid (CMS) has been tracking and measuring health outcomes through several different, national methods. Two of the most well know are the Physician Quality Reporting System (PQRS) and the Health Effectiveness Data Information System (HEDIS). Both of these systems are used in physician offices. PQRS is directed toward outcomes for Medicare beneficiaries. HEDIS is used mostly in primary care physician offices. All Medicaid health plans and most employer health plans collect and use HEDIS data yearly.
• From the PQRS or HEDIS list pick one quality measure to profile in your assignment.
• Create your own infographic about this one measure that provides information about the measure and the important indicators surrounding that measure. Note what is important for the public to know about this one measure. (There is information on creating infographics in the Supplemental Resources folder).

Respond to this 

Statistical Significance as described by Wasserstein & Lazar (2016) is the “P” value of less than .05, which Pstands for probability. The probability of the research that was not due to chance and that something significant has occurred. The value of the “P” in the study denotes that the true difference between the control and experimental compared groups is as big or if not bigger than reported in the study.  The “p” value depends on three factors such as the degree of the effect or the performance difference between the selected group; the number of participants; and the data distribution which commonly measured as variance and standard deviation (Pintea, 2010).

Clinical significance of results or clinical importance is used to assess and evaluate the effects ofinterventions or outcomes that may be relevant to the target subject. To assess clinical significance, it isimportant to perform a systematic and complete evaluation between the advantagesand disadvantages effects of the study (Guyatt et.al, 2013). It is the difference between the two therapyresults that are proven to justify, modify or change the standard of care.

In my opinion, there is a possibility that research study results can support the acceptance of the nullhypothesis and develop clinical significance.  An example that I came across was the study conducted byLockyer, Hodgson, Dumville, and Cullum (2013) on wound care. The study reported that 74% (32/43) of thereviewed articles have no clear and solid primary outcome and included a finding that was not significant forthe study. This can happen if the selected sample of the research was too small and missed in describing orestablishing the relationship and difference between the groups being studied. It can also happen if thestatistical test was weak, and the measure utilized during the research was defective or unreliable. Andlastly, if the method that was applied to develop an intervention missed identifying the significant variables orideas of the study (Polit & Beck, 2014).

I believe that questioning the credibility of the result from a qualitative study may contribute to clinicalsignificance in my practice area. Credibility refers to facts and certainty of data collected and theresearcher’s interpretation and understanding of results (Polit and Beck, 2014). Qualitative research is focused on exploring ones’ experiences, establishing trust and rapport and describing a comprehensive understanding of a phenomenon. The researcher in a qualitative study must demonstrate engagement withthe participants/informants to validate if the data and conclusion were accurately interpreted.

An example is a qualitative inquiry of patients diagnosed with breast cancer (Pederson et.al,2013). Thequalitative study in the discovery of emotions, experiences, and challenges of cancer patients throughout thedisease process helps to recognize the needed support and care from the health care providers (Cope,2014). Measuring outcomes is important in any research. Data collected must be accurately analyzed andinterpreted. Defining if the outcome is effective and significant comprises of accurate and concisejudgments. As future leaders, we must recognize the credibility of the study and the need for furtherresearch before the application of any new intervention or information into practice.

References:

Cope, D. G. (2014). Methods and Meanings: Credibility and Trustworthiness of Qualitative Research. Oncology Nursing Forum, 41(1), 89–91. Retrieved from https://doi-org.chamberlainuniversity.idm.oclc.org/10.1188/14.ONF.89-91

Guyatt, G., Oxman, AD., Sultan, S., Brozek, J., Glasziou, P., Alonso-Coello, P., Atkins. D., Kunz, R., Montori, V., Jaeschke, R., Rind, D., Dahm, P., Akl, EA., Meerpohl, J., Vist, G., Berliner, E., Norris, S., Falck-Ytter, .Y., &Schunemann, HJ.( 2013). Making an overall rating of confidence in effect estimates for a single outcome and for all outcomes. J Clin Epidemiol, 66(2):151–157.

Lockyer, S., Hodgson, R., Dumville, J.C., & Cullum, N. (2013). “Spin” in wound care research: The reporting and interpretation of randomized controlled trials with statistically nonsignificant primary outcomes results or unspecified primary outcomes. Trails, 14(1), 371

Pintea, S. (2010). The Relevance of Results in Clinical Research: Statistical, Practical, and Clinical Significance. Journal of Cognitive & Behavioral Psychotherapies, 10(1), 101–114. Retrieved from https://search-ebscohost-com.chamberlainuniversity.idm.oclc.org/login.aspx?direct=true&db=a9h&AN=60820813&site=eds-live&scope=site

Pederson, A.E., Hack, T.F., McClemont, S.E., & Taylor-Brown, J. (2013). An exploration of the patient navigator role: Perspectives of younger women with breast cancer. Oncology Nursing Forum, 41, 77–88. doi: 10.1188/14.ONF.77-88

Polit, D.F., & Beck, C.T. (2014). Essentials of nursing research: Appraising evidence for nursing practice (8th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins.

Wasserstein, RL., & Lazar, NA. (2016). The ASA’s statement on p-values: context, process, and purpose. Am Stat.,70:129-133. Retrieved from https://doi.org/10.1080/000313 05.2016.1154108