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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 (This is being attached you did for me) (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. Both module 2 and 3 are attached which you have done for me.

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.

Evaluation Table

Use this document to complete the
evaluation table
requirement of the Module 4 Assessment, Evidence-Based Project, Part 3A: Critical Appraisal of Research

Full APA formatted citation of selected article.

Article #1

Article #2

Article #3

Article #4


Evidence Level *

(I, II, or III)



Conceptual Framework

Describe the theoretical basis for the study (If there is not one mentioned in the article, say that here).**

Design/Method

Describe the design and how the study was carried out (In detail, including inclusion/exclusion criteria).

Sample/Setting

The number and characteristics of

patients, attrition rate, etc.

Major Variables Studied

List and define dependent and independent variables

Measurement

Identify primary statistics used to answer clinical questions (You need to list the actual tests done).

Data Analysis Statistical or

Qualitative findings

(You need to enter the actual numbers determined by the statistical tests or qualitative data).

Findings and Recommendations

General findings and recommendations of the research


Appraisal and Study Quality

Describe the general worth of this research to practice.

What are the strengths and limitations of study?

What are the risks associated with implementation of the suggested practices or processes detailed in the research?

What is the feasibility of use in your practice?

Key findings



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Matrix Worksheet Template

Use this document to complete Part 1 of the Module 2 Assessment, 
Evidence-Based Project, Part 1: Identifying Research Methodologies

Full
citation
of selected article

Article #1

Article #2

Article #3

Article #4

Shah, M. K., Gandrakota, N., Cimiotti, J. P., Ghose, N., Moore, M., & Ali, M. K. (2021). Prevalence of and factors associated with nurse burnout in the US. JAMA Network Open, 4(2), e2036469-e2036469.

Shuldham, C., Parkin, C., Firouzi, A., Roughton, M., & Lau-Walker, M. (2019). The relationship between nurse staffing and patient outcomes: A case study. International Journal of Nursing Studies, 46(7), 986-992.

Muabbar, H., & Alsharqi, O. (2021). The impact of short-term solutions of nursing shortage on nursing outcome, nurse perceived quality of care, and patient safety. American Journal of Nursing Research, 9(2), 35-44.

Tamata, A. T., Mohammadnezhad, M., & Tamani, L. (2021). Registered nurses’ perceptions on the factors affecting nursing shortage in the Republic of Vanuatu Hospitals: A qualitative study. Plos One, 16(5), e0251890.


Why
you chose this article and/or
how it relates
to the clinical issue of interest (include a brief
explanation of the ethics
of research related to your clinical issue of interest)

I chose this article because it comprehensively discusses one of the primary reasons behind the current nursing shortage: nurse burnout. Nurses constitute the most significant proportion of the healthcare workforce. Therefore, nurse burnout adversely impacts patients’ quality and safety of care. Also, nurse burnout results in many nurses quitting their professions, which leads to the nursing shortage. This article helps address the issue of nurse burnout to minimize nursing shortage.

The ethics of research related to the issue of nursing shortage is tied to a situation where nurses are forced to choose between caring for the needs of their patients and caring for their welfare. When nurses quit their jobs, they cause a nursing shortage, adversely affecting patients’ healthcare services.

I chose this article because it investigates how nurse-to-patient staffing ratios impact the healthcare services given to patients and the subsequent patient outcomes. Nursing shortages result in poor staffing ratios. It has been proben that a direct relationship between staffing levels and patient outcomes for specific nurse-sensitive indicato

Advanced Levels Of Clinical Inquiry And Systematic Reviews

NURS-6C

April 1, 2022

The Identified Issue: “Errors Arising from Administration of Medication”

Medication administration errors are one of the five major causes of mortality in the United States.

Over 251 000 people are killed each year in the United States due to these mistakes (Mohanna, Kusljic & Jarden, 2021).

More than $35 billion is spent each year dealing with medical error-related issues in the United States alone.

As a result of these issues, many people lose faith in the country’s healthcare system (Westbrook et al., 2018).

nurses have a more hands-on role in the delivery of drugs than any other healthcare professional (Gretchen Lefever Watson & Binder, 2019).

PICO(T) Question Development

The PICOT question is as follows:

“For men aged 30-40 and 65-75 years, does effect of failure to record allergy (I) as compared to recording allergy (C) result in severe drug interaction (O) within the first hour of taking a dose(T)?”

Developing the PICOT

The PICOT Question-development process involves the following:

Step 1 is determining the clinical issue that is most relevant to the condition at hand.

Locating alternative solutions or current programs to help those in need is a second step.

Step three is finding an alternate treatment or a control method.

Finding out how the treatment or control measure affects the specified demographic is step four.

Defining the time range for consideration is the last step in this process.

Database and Articles Generated

Using Walden Library and Keywords (drug mistakes and administration), I found four research databases:

“Gleeson Library | Geschke Center”

“Journal of education and health promotion”

“Western journal of nursing research” and

“International journal for quality in health care.”

The levels of evidence in the four peer-reviewed articles

Mohanna, Z., Kusljic, S., & Jarden, R. (2021). Investigation of interventions to reduce nurses’ medication errors in adult intensive care units: A systematic review. Australian Critical Care. https://doi.org/10.1016/j.aucc.2021.05.012

Meta-analyses and systematic reviews were used to guide the writing of this article.

Westbrook, J. I., Woods, A., Rob, M. I., Dunsmuir, W. T., & Day, R. O. (2019). Association of interruptions with an increased risk and severity of medication administration errors. Archives of Internal medicine, 170(8), 683-690.

As a result of the article’s use of evidence-based methods, it qualifies as outcome research.

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