Assignment: Evidence-Based Project, Part 3: Critical Appraisal of Research

Realtors rely on detailed property appraisals—conducted using appraisal tools—to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers.

Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action.

In this Assignment, you will use an appraisal tool to conduct a critical appraisal of published research. You will then present the results of your efforts.

To Prepare:

Reflect on the four peer-reviewed articles you selected in Module 2 and the four systematic reviews (or other filtered high- level evidence) you selected in Module 3.

Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.

Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.

The Assignment (Evidence-Based Project)

Part 3A: 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 3B: 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.

By Day 7 of Week 7

Learning Resources

Note: To access this module’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 5, “Critically Appraising Quantitative Evidence for Clinical Decision Making” (pp. 124–188)

Chapter 6, “Critically Appraising Qualitative Evidence for Clinical Decision Making” (pp. 189–218)

Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010a). Evidence-based practice step by step: Critical appraisal of the evidence: Part I. American Journal of Nursing, 110(7), 47–52. doi:10.1097/01.NAJ.0000383935.22721.9c

Note: You will access this article from the Walden Library databases.

Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010b). Evidence-based practice, step by step: Critical appraisal of the evidence: Part II: Digging deeper—examining the “keeper” studies. American Journal of Nursing, 110(9), 41–48. doi:10.1097/01.NAJ.0000388264.49427.f9

Note: You will access this article from the Walden Library databases.

Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010c). Evidence-based practice, step by step: Critical appraisal of the evidence: Part III: The process of synthesis: Seeing similarities and differences across the body of evidence. American Journal of Nursing, 110(11), 43–51. doi: 10.1097/01.NAJ.0000390523.99066.b5

Note: You will access this article from the Walden Library databases.

Williamson, K. M. (2009). Evidence-based practice: Critical appraisal of qualitative evidence. Journal of the American Psychiatric Nurses Association, 15(3), 202–207. doi:10.1177/1078390309338733

Note: You will access this article from the Walden Library databases.

Document: Critical Appraisal Tool Worksheet Template (Word document)

Required Media

Laureate Education (Producer). (2018). Appraising the Research [Video file]. Baltimore, MD: Author.

Accessible player 

Laureate Education (Producer). (2018). Interpreting Statistics [Video file]. Baltimore, MD: Author.

Accessible player 

Laureate Education (Producer). (2018). Review of research: Hierarchy of evidence pyramid [Mutlimedia file]. Baltimore, MD: Author.

Schulich Library McGill. (2017, June 6). Types of reviews [Video file]. Retrieved from https://youtu.be/5Rv9z7Mp4kg

Rubric Detail

Select Grid View or List View to change the rubric’s layout.

Name: NURS_6052_Module04_Week07_Assignment_Rubric

Grid View

List View

Excellent Good Fair Poor

Part 3A: Critical Appraisal of Research Conduct a critical appraisal of the four peer-reviewed articles you selected and analyzed by completing the Critical Appraisal Tool Worksheet Template. Be sure to include: · An Evaluation Table 

45 (45%) – 50 (50%)

The critical appraisal accurately and clearly provides a detailed evaluation table. The responses provide a detailed, specific, and accurate evaluation of each of the peer-reviewed articles selected.

40 (40%) – 44 (44%)

The critical appraisal accurately provides an evaluation table. The responses provide an accurate evaluation of each of the peer-reviewed articles selected with some specificity.

35 (35%) – 39 (39%)

The critical appraisal provides an evaluation table that is inaccurate or vague. The responses provide an inaccurate or vague evaluation of each of the peer-reviewed articles selected.

0 (0%) – 34 (34%)

The critical appraisal provides an evaluation table that is inaccurate and vague or is missing.

Part 3B: Evidence-Based Best Practices Based on your 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. 

32 (32%) – 35 (35%)

The responses accurately and clearly suggest a detailed best practice that is fully aligned to the research reviewed.

The responses accurately and clearly explain in detail the best practice, with sufficient justification of why this represents a best practice in the field. The responses provide a complete, detailed, and specific synthesis of two outside resources reviewed on the best practice explained. The response fully integrates at least two outside resources and two or three course-specific resources that fully support the responses provided.

Accurate, complete, and full APA citations are provided for the research reviewed.

28 (28%) – 31 (31%)

The responses accurately suggest a best practice that is adequately aligned to the research reviewed.

The responses accurately explain the best practice, with adequately justification of why this represents a best practice in the field. The responses provide an accurate synthesis of at least one outside resource reviewed on the best practice explained. The response integrates at least one outside resource and two or three course-specific resources that may support the responses provided.

Accurate and complete APA citations are provided for the research reviewed.

25 (25%) – 27 (27%)

The responses inaccurately or vaguely suggest a best practice that may be aligned to the research reviewed.

The responses inaccurately or vaguely explain the best practice, with inaccurate or vague justification for why this represents a best practice in the field. The responses provide a vague or inaccurate synthesis of outside resources reviewed on the best practice explained. The response minimally integrates resources that may support the responses provided.

Inaccurate and incomplete APA citations are provided for the research reviewed.

0 (0%) – 24 (24%)

The responses inaccurately and vaguely suggest a best practice that may be aligned to the research reviewed or are missing.

The responses inaccurately and vaguely explain the best practice, with inaccurate and vague justification for why this represents a best practice in the field, or are missing. A vague and inaccurate synthesis of no outside resources reviewed on the best practice explained is provided or is missing. The response fails to integrate any resources to support the responses provided.

Inaccurate and incomplete APA citations are provided for the research reviewed or is missing.

Written Expression and Formatting—Paragraph Development and Organization:

Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria. 

5 (5%) – 5 (5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

4 (4%) – 4 (4%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

Purpose, introduction, and conclusion of the assignment is stated yet is brief and not descriptive.

3.5 (3.5%) – 3.5 (3.5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60–79% of the time.

APA format, 350 words, scholar authors and see references below

Our “world” starts with our own community, county, and state, then moves out in concentric rings from that point to include our country and eventually the world. Disease is transmitted from person to person through direct contact, or from a source such as a vector or contaminated water through a variety of means, such as flood waters or even terrorist actions. Individuals with limited

 or no knowledge of safe sex methods may have unprotected sexual relations and knowingly or unknowingly transmit disease to their partners, then to their partners’ partners, and on and on. Often it is the role of the public health nurse to investigate a disease outbreak, contain it, and then educate others so that the same situation doesn’t happen again.

Create a brief description of your setting, providing some context; for example, how many patients are seen, size or capacity of the facility as applicable, and/or the location of the office or organization.

A pediatrician’s office 

• What is your policy on accepting patients who refuse vaccinations?
• What are the most common reasons parents decline vaccinations for their children in this particular office?
• What is the policy at this office for giving antibiotics to treat viral syndromes?

The eyes of the public health nurse (PHN). Imagine you are the PHN and have been asked to investigate an outbreak at this facility.

• What questions would you ask?
• What suggestions could you make to avoid a disease outbreak at the facility?
• What would your role as a change agent be for any deficiencies you find in your on-site inspection?

 A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old).

References

Holtz, C. (2017). Global health care: Issues and policies (3rd ed.). Burlington, MA: Jones & Bartlett.
Chapter 9, “Infectious Diseases from a Global Perspective” (pp. 229-254)
Chapter 13, “Global Perspectives on Violence, Injury, and Occupational Health” (pp. 347-378)
Chapter 7, “Global Perspectives on Mental Health” (pp. 173-196)
 

Stanhope, M., & Lancaster, J. (2016). Public health nursing: Population-centered health care in the community (9th ed.). St. Louis, MO: Elsevier.
Chapter 13, “Infectious Disease Prevention and Control” (pp. 286–318)

Public Health Nursing: Population-Centered Health Care in the Community, 9th Ed. by Stanhope, M., & Lancaster, J. Copyright 2015 by Elsevier Health Science Books. Reprinted by permission of Elsevier Health Science Books via the Copyright Clearance Center.
 

Stanhope, M., & Lancaster, J. (2016). Public health nursing: Population-centered health care in the community (9th ed.). St. Louis, MO: Elsevier.
Chapter 12, “Epidemiology” (pp. 256–285)

CMS is trying to shift away from a simple fee-for-service delivery system to one that not only better controls costs but also improves care quality. In particular, it is categorizing payments to providers as shown in this table (click it to download a PDF): ( If the picture does not open than please download the picture in the bottom where the attachment download)

Look through the CMS Value-Based Programs (Links to an external site.)Links to an external site. (https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/Value-Based-Programs.html) 

 website to learn about this (it includes the image above, as well as descriptions).

Then, in a Word document, write 3 – 5 paragraphs to describe how categories 2, 3, and 4 will change the reimbursement process. You may want to do research on the categories to learn more about them. Think about these questions:

What new kinds of information will medical providers have to provide?

How might the payment model change the way that patient care is managed?

What problems might occur for providers trying to adapt to the new models?

 

Purpose

The purpose of this paper is to provide the student with the opportunity to explore and explain verbal, non-verbal, and written communication at the highest professional level. This assignment allows for the assimilation of professional leadership competencies as a doctorally prepared practice scholar. Assignment content supports professional formation, communication, and dissemination of skills relevant to the DNP practice scholar.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

CO3: Differentiate attributes of effective leaders and followers in influencing healthcare. (PO 6)

CO4: Assimilate attributes for intra-/inter-professional collaboration across healthcare settings (PO 8)

CO5: Formulate selected strategies for leadership and influence across healthcare systems. (PO 8)

Due Date(s)

The Late Assignment Policy applies to this assignment.

The assignment title is due by Sunday 11:59 p.m. MT at the end of Week 5.

Total points possible: 350 points.

Preparing the Assignment

Follow these guidelines when completing each component of this assignment. Contact your course faculty if you have questions. It is each student’s responsibility to save and maintain all artifacts required in the e-Portfolio

1. The assignment will include the following components within 5-7 pages (not including title page or reference page):
   1. Title Page (Title matches the first-page title)
   2. Use the following required Level 1 headings:
      1. Verbal Communication Competencies and the Practice Scholar
      2. Non-verbal Communication Competencies and the Practice Scholar
      3. Written Communication Competencies and the Practice Scholar
      4. Conclusion
   3. Introduction (Note: Do not use “Introduction” as a heading). Place the paper’s title on the first line.
      1. In a brief paragraph, introduce your paper’s topic and establish its importance.
      2. Present a clear purpose statement and a mini-outline, in sentence format, of the paper. The best introductions outline the paper according to the major sections in the assignment guidelines (which are the required level 1 headings for the body of the paper).
   4. Verbal Communication Competencies and the Practice Scholar
      1. This section describes the leadership competency of verbal communication for the DNP practice scholar.
      2. Present your understanding of the components, comportment, and collaborative nature of effective and ineffective verbal communication as a leader.
   5. Non-Verbal Communication Competencies and the Practice Scholar
      1. This section describes the leadership competency of non-verbal communication for the DNP practice scholar.
      2. Present your understanding of the positive and negative behaviors of non-verbal communication as a leader and examples of each.
   6. Written Communication Competencies and the Practice Scholar
      1. This section describes the leadership competency of written communication for the DNP practice scholar.
      2. Include your understanding of (a) professional tone & style, (b) use of standard English, and (c) strategies for effective writing as a DNP leader in documents such as emails, memos, curricula vitarum, grant proposals, white papers, poster presentations, project dissemination manuscripts, and other formal written forms of professional leadership communication.
   7. Conclusion
      1. Recap the paper’s purpose statement and mini-outline criteria.
      2. Draw major conclusions from the body of your paper.
      3. Summarize the importance of effective communication competencies for the DNP leader.
   8. Clarity of writing
      1. Use consistent standard English grammar and sentence structure is evident throughout the paper. The sentences and wording should be clear and concise, without slang, colloquialisms, street language, or conversational style.
      2. Paper should be generally free of grammar, punctuation, spelling, and typographical errors.
      3. The paper should be organized and use the required Level I Headings headers and others as needed to organize the content.