Part 4A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles  you selected by completing the Evaluation Table within the Critical  Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed  articles that you selected related to your clinical topic of interest  in Module 2 and Module 3.

Note: You can choose any combination of  articles from Modules 2 and 3 for your Critical Appraisal.  For example,  you may choose two unfiltered research articles from Module 2 and two  filtered research articles (systematic reviews) from Module 3 or one  article from Module 2 and three articles from Module 3.  You can choose  any combination of articles from the prior Module Assignments as long as  both modules and types of studies are represented.

Part 4B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal,  suggest a best practice that emerges from the research you reviewed.  Briefly explain the best practice, justifying your proposal with APA  citations of the research.

• Describe a client you are counseling whom you do not think is adequately progressing according to expected clinical outcomes.

Note: Do not use the client’s actual name.

• Explain your therapeutic approach with the client, including the perceived effectiveness of your approach.
• Identify any additional information about this client that may potentially impact expected outcomes.

Respond + summary 

“The Iron Triangle is a representation of the most basic criteria by which project success is measured, namely, whether the project is delivered by the due date, within budget, and to some agreed level of quality, performance, or scope” (Pollack, Helm, & Adler, 2018, p. 528).  For my project, I am choosing cost and time with sacrifice to quality.  I say this because, I was required to cut my project budget by $250,000.00.  In doing so, my only option was to sacrifice quality. 

As I see it, this is not a surprise at all, just the price of doing business (no pun intended).  For most projects, cost and time are deal-breakers and without meeting them, the project will be awarded to someone who can cut quality and meet cost and time.  I do not see this as so much a negative; I feel this is a routine event associated with business and project management.  The solution in my case was to balance out or evenly disperse the loss, making the cut in quality less visible.

My opinion about the iron triangle is that it never remains static.  In a prefect word, all sides can be fully met, but in most cases, it becomes a give and take of all sides.  When any one side of the triangle is significantly impacted, I would agree that the significant imbalance is related to unmanageable demands of the customer that real sacrifice the integrity of the project all together.  The Iron Triangle is a way of reminding clients that when it comes to implementing a project, you cannot have it all. Big, fast, or cheap—pick two (Blaich, & Wise, 2018, p. 73).     

 Post a brief explanation of the psychological disorder presented and the decision steps you applied in completing the interactive media piece for the psychological disorder you selected. Then, explain how the administration of the associated pharmacotherapeutics you recommended may impact the patient’s pathophysiology. How might these potential impacts inform how you would suggest treatment plans for this patient? Be specific and provide examples. 

New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

· Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.

· Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”

· Identify and select 5 peer-reviewed articles from your research.

• McGonigle, D., & Mastrian,      K. G. (2017). Nursing informatics and the foundation of knowledge (4th      ed.). Burlington, MA: Jones & Bartlett Learning.
• Chapter 14, “The Electronic      Health Record and Clinical Informatics” (pp. 267–287)
• Chapter 15, “Informatics Tools      to Promote Patient Safety and Quality Outcomes” (pp. 293–317)
• Chapter 16, “Patient Engagement      and Connected Health” (pp. 323–338)
• Chapter 17, “Using Informatics      to Promote Community/Population Health” (pp. 341–355)
• Chapter 18, “Telenursing and      Remote Access Telehealth” (pp. 359–388)

The Assignment: (4-5 pages)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following:

· Identify the 5 peer-reviewed articles you reviewed, citing each in APA format.

· Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.