Nursing Evidence-Based Practice: Research Evidence Appraisal Tool

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Nursing Evidence-Based Practice: Research Evidence Appraisal Tool

Evidence Level and Quality:_______________________

Article Title:

 

 

 Number: 
Author(s): 

 

 PublicationDate:
Journal: 

 
Setting: 

 

 Sample(Composition&size):
 Does this evidence address my EBP question?

 

 

 £Yes  £NoDo not proceed with appraisal of this evidence
Level of Evidence (Study Design)
 

 

 £Yes

 

£Yes

£Yes

 

£Yes

 

 £No

 

£No

£No

 

£No

 
B.  Is this a summary of multiple research studies? If No, go to Non-Research Evidence Appraisal Form.

 

1.     Does it employ a comprehensive search strategy and rigorous appraisal method (Systematic Review)?  If No, use Non-Research Evidence Appraisal Tool; if Yes:

 

a.     Does it combine and analyze results from the studies to generate a new statistic (effect size)? (Systematic review with meta-analysis)

b.    Does it analyze and synthesize concepts from qualitative studies? (Systematic review with meta-synthesis)

 

If Yes to either a or b, go to #2B below.

 

2.     For Systematic Reviews and Systematic Reviews with meta-analysis or meta-synthesis:

a.     Are all studies included RCTs?

 

b.    Are the studies a combination of RCTs and quasi-experimental or
quasi-experimental only?

 

c.     Are the studies a combination of RCTs, quasi-experimental and
non-experimental or non-experimental only?

 

d.    Are any or all of the included studies qualitative?

 

 

complete THENEXT SECTION,“STUDY FINDINGS THAT HELP YOU ANSWER THE EBP QUESTION”

   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

£ LEVEL  I

 

 

£ LEVEL II

 

 

£ LEVEL IIl

 

£ LEVEL IIl

 

  

£Yes

 

 

 

£Yes

 

 

£Yes

 

£Yes

 

 

 

 

  

£No

 

 

 

£No

 

 

£No

 

£No

 

 

 

 

NOW COMPLETE THE FOLLOWING PAGE, “QUALITY APPRAISAL OF RESEARCH STUDIES”, AND ASSIGN A QUALITY SCORE TO YOUR ARTICLE

Quality Appraisal of Research Studies
·         Does the researcher identify what is known and not known about the problem and how the study will address any gaps in knowledge?·         Was the purpose of the study clearly presented?

·         Was the literature review current (most sources within last 5 years or classic)?

·         Was sample size sufficient based on study design and rationale?

·         If there is a control group:

o    Were the characteristics and/or demographics similar in both the control and intervention groups?

o    If multiple settings were used, were the settings similar?

o    Were all groups equally treated except for the interventiongroup(s)?

·         Are data collection methods described clearly?

·         Were the instruments reliable (Cronbach’s α [alpha]> 0.70)?

·         Was instrument validity discussed?

·         If surveys/questionnaires were used, was the response rate >25%?

·         Were the results presented clearly?

·         If tables were presented, was the narrative consistent with the table content?

·         Were study limitations identified and addressed?

·         Were conclusions based on results?

 £Yes

£Yes

£Yes

£Yes

 

 

£Yes

£Yes

£Yes

£Yes

 

£Yes

£Yes

 

£Yes

 

£Yes

 

£Yes

 

£Yes

 

£Yes

 

 £No

£No

£No

£No

 

 

£No

£No

£No

£No

 

£No

£No

 

£No

 

£No

 

£No

 

£No

 

£No

 

  

 

 

 

 

 

£NA

£NA

£NA

 

 

£NA

£NA

 

£NA

 

 

 

£NA

 
Quality Appraisal of Systematic Review with or without Meta-Analysis or Meta-Synthesis
·         Was the purpose of the systematic review clearly stated?·         Were reports comprehensive, with reproducible search strategy?

o  Key search terms stated

o  Multiple databases searchedand identified

o  Inclusion and exclusion criteria stated

·         Was there a flow diagram showing the number of studies eliminated at each level of review?

·         Were details of included studies presented (design, sample, methods, results, outcomes, strengths and limitations)?

·         Were methods for appraising the strength of evidence (level and quality) described?

·         Were conclusions based on results?

o    Results were interpreted

o   Conclusions flowed logically from the interpretation and systematic review question

·         Did the systematic review include both a section addressing limitations and how they were addressed?

 £Yes£Yes

£Yes

£Yes

£Yes

 

£Yes

 

£Yes

 

£Yes

 

£Yes

£Yes

£Yes

 

£Yes

 £No£No

£No

£No

£No

 

£No

 

£No

 

£No

 

£No

£No

£No

 

£No

Quality Rating Based on quality appraisal

AHigh quality:  consistent, generalizable results; sufficient sample size for the study design; adequate control; definitive conclusions; consistent recommendations based on comprehensiveliterature review that includes thorough reference to scientific evidence

BGood quality: reasonably consistent results; sufficient sample size for the study design; some control, and fairly definitive conclusions; reasonably consistent recommendations based on fairly comprehensive literature review that includes some reference to scientific evidence

C  Low quality or major flaws: little evidence with inconsistent results; insufficient sample size for the study design; conclusions cannot be drawn
 
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Explain why you chose the particular educational strategy. Why is it an effective strategy for the population?

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Create an educational program, event, or piece of literature (for example, a pamphlet) that incorporates best practices in health promotion and disease prevention for a diverse population. Then, explain how you developed your educational program, event, or piece of literature and address any barriers to disease prevention and health promotion for the population.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
· Competency 3: Nursing Research and Informatics – Incorporate evidence-based practice interventions (for example, information systems and patient care technologies) as appropriate for managing the acute and chronic care of patients, promoting health across the lifespan.
. Use valid, scholarly research resources relevant to the field of nursing to support information presented.
· Competency 5: Communication – Communicate effectively with all members of the health care team, including interdepartmental and interdisciplinary collaboration for quality outcomes.
. Write coherently to support a central idea in appropriate APA format, with correct grammar, usage, and mechanics as expected of a nursing professional.
· Competency 7: Health Promotion and Disease Prevention – Apply and incorporate a basic understanding of the concepts of health promotion and disease prevention as a means of improving health at the individual, population, and community level.
. Develop an educational program, event, or piece of literature to address health concerns of a diverse population.
. Explain how a specific educational approach to a health concern can overcome barriers to health promotion and disease prevention for a diverse population.
· Competency 8: Diversity – Incorporate a holistic, caring, culturally appropriate nursing approach that contributes to the wellness and the health of individuals, groups, and vulnerable populations.
. Describe barriers to health promotion and disease prevention for a diverse population.
Assessment Instructions
Part I
To prepare for the first part of the assessment, complete the following:
1. Review the literature or use health assessments to determine health care needs of a diverse population in your community.
2. Explore things that could influence success, such as cultural attitudes toward alternative forms of healing, religious beliefs, or other individuals.
3. Examine the impact of current health promotion and wellness initiatives on health outcomes and health disparities.
4. Review the literature to identify best practices.
Once you have identified a diverse population, develop an educational program, event, or piece of literature that promotes wellness and disease prevention. If you choose an educational program or event, be sure you outline the basic content of the program or event, as well as how you would structure it. If you choose a piece of literature, be deliberate in the points you highlight. Be sure that your choice is appropriate for the population.
· For an educational program or event, prepare and submit an outline of the content and structure.
· For a brochure or pamphlet, prepare and submit the brochure or pamphlet using a simple Word document or a Microsoft Publisher document, if you have that software available.
Part II
Explain how you developed your educational program, event, or piece of literature and address any barriers to disease prevention and health promotion for the population.
Complete the following:
1. Explain why you chose the particular educational strategy. Why is it an effective strategy for the population?
2. Describe cultural barriers to disease prevention and health promotion in the population. This might include things such as CAM, language, religious beliefs, and so on.
3. Explain how your educational strategy can help overcome some of the barriers you described.
4. Support your work with valid scholarly resources.
Additional Requirements (Part II only)
· Format: Include a title page and reference page. Use APA format.
· References: Cite at least three current scholarly or professional resources.
· Font: Use double-spaced, 12-point, Times New Roman font.

 
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Family Affair

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Please choose one of the videos below, critique it, bring in at least one scholarly study about the topic, share at least one new statistic (cite & ref), and share one local community resource.
The first 4 links are to short TED talks. You also have the option to find a video on your own or critique one of the documentaries. Please note the potential for triggers and choose carefully. If you are concerned about the topic this week, please email Dr. B.
https://www.youtube.com/watch?v=vSTUSxdGaMo
https://www.youtube.com/watch?v=WLMJHdySgE8
https://www.ted.com/talks/nadine_burke_harris_how_childhood_trauma_affects_health_across_a_lifetime/discussion?nolanguage=eohttps%3A%2F%2Fwww.ted.com%2Ftalks%2Fadora_svitak%3Flanguage%3Deo
https://www.youtube.com/watch?v=dogEZP1Ezy8
 If you don’t want to critique a TED talk, there are several full feature films & documentaries about child abuse on Amazon & Netflix. You may watch one of the following or choose another:
Please be aware that watching one of the films may trigger.
–Family Affair (Chico Colvard) Netflix
–Just Melvin, Just Evil
–Josef Fritzl
–Let’s Talk About It

 
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Which characteristics of an effective helper did the social worker display?

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Question description
Read the “Real Life Human Services Work” section in Ch. 5 of Human Services in Contemporary America.
Discuss the reading material with your Learning Team.
Write a 700- to 1,050-word summary of the section and of the Learning Team’s discussion. Include the following:

  • Which characteristics of an effective helper did the social worker display?
  • What factors influence the use of her skills?
  • What role is she playing in her community as a human service professional?
  • How would you address the difficulties of social work, such as residents’ death?
  • Proper in-text citations as appropriate.

Include a minimum of 2 scholarly resources (1 source should be your textbook and the other should be an outside scholarly source).
Format your assignment consistent with APA guidelines.
Click the Assignment Files tab to submit your assignment.

 
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Discuss the impact that various factors such as fatigue, diet, stress and exercise had on your dreams and sleep patterns.

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Specifically, for this assignment you will:
Keep a sleep/dream journal for at least 10 days throughout Weeks 3 and 4. In your journal make note of:
any dreams you had
any initial thoughts about the dream – events of the day that may relate, etc.
your general sleep schedule (if you have a tracker such as fitbit, include data on your sleep patterns as well – wakefulness, restlessness, times asleep/awake per night, total sleep, etc.)
your general eating habits by day
your general exercise habits by day
anything else of note in your psychological or physical health (stress, excitement, changes, etc.)
You may use any format you wish to record the data (notepad, computer, hardcopy spreadsheet, etc.).
Complete a 3-4 page reflection (not counting title or reference pages) in which you analyze the results of your sleep/dream journal. Consider how your psychological and physical health interacted. What patterns did you see? Discuss the impact that various factors such as fatigue, diet, stress and exercise had on your dreams and sleep patterns. Explain how this insight may impact your behaviors in the future to lead to better psychological and physical health.
NO COPY and Past Reflection minimum 3 pages, double spaced

 
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Explain how your selected population’s characteristic impacts their learning styles.

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Question description
For this assignment you will prepare a 10-12-slide PowerPoint presentation on teaching techniques for diverse learners.
Presentation Criteria:
Prepare a plan for designing and delivering instruction that addresses both the needs of the selected population as well as other diverse students.

  1. Select a population that represents a type of diversity, which may include ethnic, learning styles, age, or cognitive ability. The selected population may be nursing students, staff members, or patients.
  2. Explain how your selected population’s characteristic impacts their learning styles.
  3. Provide three teaching strategies an educator could use with that particular group of learners.
  4. Include a rationale for each strategy as to why it would be effective.
  5. Use at least three scholarly, peer-reviewed resources less than 5 years old in addition to course materials.

Presentation Requirements:
Online students are required to provide comprehensive speaker notes.
Students in traditional classes are not required to include speakers’ notes, but will present their work in class and be evaluated on professional teaching style.
While APA format 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.

 
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Describe your approach to care

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Case Study 1

Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”

Laboratory values are as follows:

Hemoglobin = 8 g/dl

Hematocrit = 32%

Erythrocyte count = 3.1 x 10/mm

RBC smear showed microcytic and hypochromic cells

Reticulocyte count = 1.5%

Other laboratory values were within normal limits.

Question

Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale.

Case Study 2

Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.

Question

Considering Mr. P’s condition and circumstance, write an essay of 500-750 words that includes the following:

Describe your approach to care.

Recommend a treatment plan.

Describe a method for providing both the patient and family with education and explain your rationale.

Provide a teaching plan (avoid using terminology that the patient and family may not understand).

 
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Describe the sample’s characteristics and demographics

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Describe the sample’s characteristics and demographics

NSG3036 W4A2
Research Template
Use complete sentences as well as citations and references.
Please use APA Style Writing 6th Edition.

Week 4 Template Quantitative Article Qualitative Article
Describe the sample

Describe the sample’s characteristics and demographics

Discuss the data collection process

Identify the sampling design

Described the instrument, tool, or survey

Summarize the discussion about the validity and reliability of the instrument

Identify the consent form and IRB

Assignment 2: Dropbox Assignment
Identifying Research Components
Week 4 Tasks
Use the Week 4 research template to complete the following assignment tasks. ( PLEASE SEE UPLOADED FILE FOR THE TEMPLATE )
• Choose the assigned research articles SEE UPLOADED FILE. Describe the sample, demographics, data collection process, setting, and the instrument, tool, or survey used in the articles.
• Discuss the authors’ summary about the validity and reliability of the instrument.
Cite all sources in APA format.
PLEASE SEE THE GRADING RUBRIC BELOW FOR THIS ASSIGNMENT
Assignment 2 Grading Criteria Maximum Points
Described the sample in the studies chosen ( ARTICLES) 24
Described the sample characteristics (demographics) in the study. 16
Discussed the data collection process used in the studies. 16
Identified the sampling design. 16
Described the instrument or tool or survey used in the articles. 12
Summarized the discussion regarding the validity and reliability of the instrument in each article. 20
Discussed the legal and ethical concerns as well as the IRB approval. 16
Written components. 20
Total: 140

 

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Analyze what you discovered about yourself while observing a counseling or support group.

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Unit 8 Discussion 1? $15.00 Due (Monday) 8/24/2018.
Unit 8 Discussion 1
[u08d1] Unit 8 Discussion 1
Group Experience
Analyze what you discovered about yourself while observing a counseling or support group. Please focus on the following when developing your response:
· Evaluation of group processes: Identify the type of group. To what extent were you able to assess group organization, and goals.
· Application of ethics: Was confidentiality amply discussed or reiterated at the onset of the group meeting, and to what extent did the facilitator gauge the members’ understanding? Was the setting appropriate to facilitate confidentiality?
· Effective group leadership: Assess the facilitator’s style and application of group management techniques. How does this compare to your increased knowledge of clinical processes associated with group therapy? If there was a co-leader, describe your observation of roles and cohesiveness.
· Personal reflection: Using anonymous examples, describe how insight of this process might influence your theoretical perspective, facilitation style, and appreciation of group work. How does this compare to points raised in the 2016 article by Weiss and Rutan.
Resources
· Discussion Participation Scoring Guide.
· The Benefits of Group Therapy Observation for Therapists-in-Training.

Readings

Use the Capella Library to read the following:
· Weiss, A. C., & Rutan, J. S. (2016). The benefits of group therapy observation for therapists-in-training [PDF]. International Journal of Group Psychotherapy, 66(2), 246–260. 10.1080/00207284.2015.1111083

 
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Present a remedial action plan for the weakness(es) identified in the component / function area of: Strategic Planning, Operations, and HRM.

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Present a remedial action plan for the weakness(es) identified in the component / function area of: Strategic Planning, Operations, and HRM.

 

TOPIC: HEALTHCARE STRATEGIC PLANS

The Assignment:

Congratulations – you have been appointed (by me) as the new CEO of your organization.
Based on: (a) Your choice of a healthcare organization, (b) Your outline of a strategic assessment of said organization as

completed in the Culminating Project Integrative Matrix, (c) The feedback you received from your instructor and (d) your case

assignment paper:
Present a remedial action plan for the weakness(es) identified in the component / function area of: Strategic Planning,

Operations, and HRM.
What will you need in terms of resources to make this plan work?
How will the effectiveness (success) of your plan be measured?

NOTE: Aggregate all modular Case and SLP papers as you proceed (like chapters in a book), e.g., case #3 will include cases

1+2+3.

Expectations:

Writing Style: At least 3 pages typed in Times New Roman font #12, double-spaced, page margins – one inch all around, and

appropriate references.

 

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