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2025 Unit 5 Assignment Evidence Based Clinical Question Search Assignment Purpose The purpose of this Assignment is to give
by adminMN504 Unit 5 Assignment 2025
Unit 5 Assignment Evidence-Based Clinical Question Search Assignment Purpose: The purpose of this Assignment is to give you a practical application to implement your PICOT idea, supported by the evidence-based research you have obtained in during your systematic review. You will apply evidence-based research findings, discovered from your clinical question, and then integrate those to support your suggested change in nursing practice. Directions: 1. Identify your refined PICOT question. 2. Using PubMed and the Cochrane collaboration database, do a systematic review of your clinical question. 3. Describe your systematic review 4. Determine an evidence-based quantitative article from the search that contains an evidence-based randomized control trial. 5. Summarize the case study selected. 6. Describe the study approach, sample size, and population studied. 7. Apply the evidence from this review to your practice specifically in your overview. 8. Evaluate the outcomes, identifying the validity and reliability. 9. Discuss if the study contained any bias. 10. Determine the level of evidence identified in the review. 11. The length should be no less than 10 Pages in APA format. To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources. Assignment Requirements: Before finalizing your work, you should: be sure to read the Assignment description carefully (as displayed above) Good evening class, the purpose of this email is to provide clarification and guidance on the unit five assignment. This is an APA paper, at least 10 pages with one of those being the title page and on being a reference page. This page is basically has two major components. The first component is about finding relevant literature. The second component is to thoroughly describes a single randomized control trial (RCT) study that you found during your literature review. As with any paper I would like you to begin with an introductory paragraph explaining the purpose of your paper. First Component You have been refining your clinical inquiry/PICOT question over the last few weeks and will once again you will need to discuss the problem area, and the elements of your clinical inquiry. You will complete a literature search utilizing At least two of the following databases: PubMed, MEDLINE, Cochrane collaboration, and CINAHL. Describe/discuss the databases that you choose, describe your search strategies including the search terms that you used, the number of results, how you refine your search in order to focus or broaden the search to identify relevant studies. Include any limiters that you utilized. YOU DO NOT HAVE TO INCLUDE AN ERROR ANALYSIS. Remember that these studies do not have to directly focus on your topic, they need to be related to your topic in order to provide background for the problem area, population, intervention, outcomes etc. Second Component Describe/summarize what the RCT that you selected was all about. Discuss the studies approach, sample size, interventions, the population and any other relevant information from the RCT. Discussed how the evidence from this RCT is relevant to your clinical inquiry. Evaluate the results or conclusions from your RCT to include your thoughts on the validity and reliability of the results. Discuss if the RCT contained any bias. Determine the level of evidence provided by your RTC (page 92 of your text). Finally, as always finish with a summary or conclusion paragraph.
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2025 Research study Evidence of Aspiration Risk is the research study I have chosen to review The goal
by adminFOR SURAYA ONLY 2025
Research study Evidence of Aspiration Risk is the research study I have chosen to review. The goal of conducting any research experiments is to accurately test a hypothesis in an unbiased format and derive valid trustworthy results. The internal validity of a study is the proven relationship between the independent variable and the outcome of the study (Polit & Beck, 2017). If the findings of a study can be explained in a way other then it is being presented, the internal validity of the study is automatically weakened. Quasi-experimental studies have a higher risk of issues with internal validity than other research designs (Polit & Beck, 2017). Researchers must plan to prevent any possible ambiguity or threats to the internal validity of their study by using control mechanisms such as selection biases. Questioning the Internal Validity I read the “Methods” section of the aspiration risk-reduction study as instructed in this week’s discussion post instructions, and I immediately had questions. Before reading the entire study, my thoughts were: What was the age (or age range), gender, and comorbidities of all of the patients involved? Did they all have the same vent settings? How sedated were they? Was there a suctioning schedule followed for both groups? Was the same suction equipment used in all of the patients? What method was used to determine their target feeding goal? Were they all bolus fed through the feeding tube or around the clock fed? Did they all receive free water flushes? Were the feedings held based on residual? How often was residual checked? Did any of them have a diagnosis of upper GI bleed? Were they all on a peptic ulcer prevention drug? In which part of the lung was pneumonia found? Did they only consider the right upper lobe “aspiration pneumonia”? These are just to name a few of the questions that I had surrounding this study. After reading the entire study many of the questions I mentioned above were answered. However, I still found that some of the specific questions I had were not addressed. Had the researcher discussed some of the variables that could have impacted the outcome it would have strengthened the internal validity of the study. Additionally, of the data described in this study does question the internal validity as both groups that were monitored and compared for aspiration were treated differently. The usual care group did not address guidelines regarding head of the bed elevation, nor did the nurses have formal training regarding insertion of small-bowel feeding tubes, and the gastric residual volumes were not regulated. Whereas the Aspiration Risk-Reduction Protocol (ARRP) group had guidelines to follow for all of the above (Metheny, Davis-Jackson, & Stewart, 2010). Because this is an older study and I am very familiar with the CDC “VAP Bundle”, and it is fairly common knowledge that keeping the head of the bed up helps prevent pneumonia and aspiration. With all of the variables in this study, the external validity is questioned, meaning how can this research pinpoint what was most effective. With that said, despite my personal experience and additional questions, I feel that the findings do concur with current practice as it related to keeping the head of the bed up. However, have never seen feeding tubes placed in the small bowel below the pylorus. Failing to consider validity Statistical validity is the relationship between variables which can be simply described as the hypothesized cause and effect. Where construct validity is the inferences made from the specific settings, outcomes, or treatments, and external validity helps determine if the results of the study can be applied to various people, settings, and treatment (Polit & Beck, 2017). If any area of validity in a study is in question, that can potentially compromise the overall validity of the study, leaving the learner to question all aspects of the research. References Metheny, N., Davis-Jackson, J., & Stewart, B. (2010). Effectiveness of an aspiration risk-reduction protocol. Nursing Research, 59(1), 18-25. doi:10.1097/NNR.0b013e3181c3ba05 Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.
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2025 A 52 year old African American male presents to an urgent care center complaining
by adminurinary frequency 2025
A 52-year-old African American male presents to an urgent care center complaining of urinary frequency and nocturia. The symptoms have been present for several months and have increased in frequency over the past week. He has been unable to sleep because of the need to urinate at least hourly all day and night. He does not have a primary care provider and has not seen a doctor in more than 10 years. His father died when he was a child in an automobile accident, and his mother is 79 years old and has hypertension. The patient has no siblings. His social history includes the following: banker by profession, divorced father of two grown children, non-smoker, and occasionally consumes alcohol on weekends only. To prepare: Review Part 13 of the Buttaro et al. text in this week’s Learning Resources. Review the case study and reflect on the information provided about the patient. Think about the personal, medical, and family history you need to obtain from the patient in the case study. Reflect on what questions you might ask during an evaluation. Consider types of physical exams and diagnostics that might be appropriate for evaluation of the patient in the study. Reflect on a possible diagnosis for the patient. Review the Marroquin article in this week’s Learning Resources. If you suspect prostate cancer, consider whether or not you would recommend a biopsy. Think about potential treatment options for the patient. a description of the history that you need to obtain from the patient in the case study. Include a list of questions that you might ask the patient. Then, describe types of physical exams and diagnostics that might be appropriate for evaluation of the patient. Finally, explain a possible diagnosis, as well as potential treatment options for the patient based on this diagnosis.
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2025 Based on the article you are replicating for your proposal Post an APA reference of the article you are
by adminDone as agreed 2025
Based on the article you are replicating for your proposal Post an APA reference of the article you are replicating. Include the database or where you classmates can find the article (have info listed below) Based on this article, begin the draft of the research design section of your proposal. Respond to the following questions Using the draw function of Word, create an illustration of the research design (use chapter 11 in Grove and the example proposals as a guide). Label the design and post the illustration on the discussion board for others to critique Discuss the purposes, structures, strengths, and weaknesses of the study design for your proposal Based on the research design for your study identify threats to validity Reference Grove, S. K., Burns, N., & Gray, J. R. (2013). The Practice of Nursing Research: Appraisal, Synthesis and Generation of Evidence . (7th) St. Louis: Saunders/Elsevier. The APA reference of the article that I will be using for my research proposal. Found from CINAHL Nursing Journal database. Brennan, C. , Daly, B., Jones, K. (2013). State of the science: The relationship between nursing staff and patient outcomes. Western Journal of Nursing Research, (35)5, 760 – 794. doi: 10.1177/0193945913476577.
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