Used the articles of critical appraisal and Pico question of the drop box. And I adjunct 2 articles, but need 5 in total.

I send an example of an evidence table.

MSN5300 Evidence Table

A literature review is the foundation for every research project. The matrix reflects the structure of empirical research articles. Summarize each study across the row. Adding pg #s will help keep track of where specific information is located. Try to summarize in your own words – add quotes where you don’t.

Citation (APA format)

Research question/ Purpose/Hypothesis

Theory/ Framework

Research Design



Research variables/ measures









MSN5300 Rev. 1.2020

MSN5300: Advanced Nursing Inquiry, Research, and Evidence-Based Practice
Section: 1 C
Team:_ Group 5

Group #5 section 1-C:

Katia Lopez De Mendoza, Maricela Mayo San Luis, Marlenis Perez Camargo, Dunieski Pina Angulo,

Yadira Pulido Pena, Urbicio Reinoso Hernandez, Maribel Ruiz Sanchez, Kenia Sanchez, YAnetsys

Veliz Alfonso, Hazel Zaldivar Hernandez.

Prof. Idania Martin

Advanced Nursing Inquiry and Evidence Based Practice



MSN5300 Rev. 1.2020






MSN5300 Rev. 1.2020





Elements of Ap-


Study Design

Was the study a qualitative or quantitative de-
sign? Explain.

The study by Simpson, Goans, Loh, Ryall, Middleton, and Dalton (2021) was a

quantitative design study. This is because the study involved the collection of

MSN5300 Rev. 1.2020

numerical data and statistical analysis to evaluate the performance of the Colum-

bia Suicide Severity Rating Scale Screener in identifying suicide risk among pa-

tients in the emergency department. The study also used a comparison group,

which is a hallmark of a quantitative design. The results of the study were re-

ported in terms of statistical measures, such as sensitivity and specificity, rather

than through

descriptive narratives or interpretations of personal experiences.

Practice Problem

State the practice problem/issue that is the fo-
cus of the study.

How does this practice problem/issue affect your
nursing practice?

The practice problem or issue that is the focus of the study is the sensitivity of

the Columbia Suicide Severity Rating Scale (CSSRS) in identifying suicide

risk among patients after emergency department discharge. This study aims to

examine the performance characteristics of the CSSRS in detecting suicidal

ideation and assessing suicide risk in patients after they are discharged from the

emergency department.

This practice problem affects nursing practice by highlighting the importance

of early suicide risk identification and the need for accurate and reliable assess-

ment tools to identify patients who are at risk of self-harm and suicide. In the

MSN5300 Rev. 1.2020


surgical unit, nurses play a crucial role in identifying patients at risk of suicide

MSN5300 Rev. 1.2020

taking the necessary steps to reduce their risk of self-harm. The results of this

study can inform nursing practice by providin

4/22/23, 10:13 PM JournalArticle 1/1

Suicidal ideation is insensitive to suicide risk after ED discharge: performance characteristics of the
Columbia-Suicide Severity Rating Scale Screener

Simpson S, Goans C, Loh R, Ryall K, Allana Middleton MC, Dalton A. Acad. Emerg. Med. 2020; ePub(ePub):

DOI: 10.1111/acem.14198

PMID: 33346922

(Copyright © 2020, Society for Academic Emergency Medicine, Publisher John Wiley and Sons)

OBJECTIVES: We describe the Columbia-Suicide Severity Rating Scale (C-SSRS)-Clinical Practice Screener’s
ability to predict suicide and emergency department (ED) visits for self-harm in the year following an ED

METHODS: Screening data from adult patients’ first ED encounter during a 27-month study period were
analyzed. Patients were excluded if they died during the encounter or left without being identified. The
outcomes were suicide as reported by the state health department and a recurrent ED visit for suicide attempt or
self-harm reported by the state hospital association. Multivariable regression examined the screener’s
correlation with these outcomes.

RESULTS: Among 92,643 patients analyzed, eleven (0.01%) patients died by suicide within a year after ED
visit. The screener’s sensitivity and specificity for suicide by 30 days was 0.18 (95% CI, 0.00-0.41) and 0.99
(95% CI, 0.99-0.99). Sensitivity and specificity were better for predicting self-harm by 30 days: 0.53 (95% CI,
0.42-0.64) and 0.97 (95% CI, 0.97-0.97) respectively. Multivariable regression demonstrated that screening risk
remained associated with both suicide and self-harm outcomes in the presence of covariates. Suicide risk was
not mitigated by hospitalization or psychiatric intervention in the ED.

CONCLUSIONS: The C-SSRS screener is insensitive to suicide risk after ED discharge. Most patients who
died by suicide screened negative and did not receive psychiatric services in the ED. Moreover, most patients
with suicidal ideation die by causes other than suicide. The screener was more sensitive for predicting non-fatal
self-harm and may inform a comprehensive risk assessment. These results compel us to re-imagine the
provision of emergency psychiatric services.

Language: en

MSN5300 Evidence Table
Team Group B

A literature review is the foundation for every research project. The matrix reflects the structure of empirical research articles. Summarize each study across the row. Adding pg #s will help keep track of where specific information is located. Try to summarize in your own words – add quotes where you don’t.

Citation (APA format)

Research question/ Purpose/Hypothesis

Theory/ Framework

Research Design



Research variables/ measures



Article #1:

Mohamed, F. Z., & Aboelmagd, A. N. (2020). Effect of early skin-to-skin contact between mother and her neonate on initiation of breastfeeding and neonate physiological parameters. 
Int J Res Paediatr Nurs
2(1), 9.


The purpose of this research is to investigate whether skin-to-skin contact duration after cesarean section affects breastfeeding outcomes.

The hypothesis shows that Mothers who have skin-to-skin contact with their newborns are more likely to initiate neonatal breastfeeding early.

The research design is cross-sectional.

The data was collected from 70 people of different ages and educational levels. The study group and control group data were analyzed to check parity, breastfeeding history, and gravida.

The study measures the relationship between the practice of early skin-to-skin contact and two primary outcomes: the initiation of breastfeeding within the first hour after birth, and the neonate’s physiological parameters, such as heart rate, respiratory rate, oxygen saturation, blood glucose levels, and thermal regulation.

Early skin-to-skin contact after birth is an effective, safe, low-cost, and simple intervention for full-term newborns, with benefits such as the increased likelihood of successful early initiation and longer duration of breastfeeding, and improved physiological stability.

. Article #2

Alebachew Bayih, W., Assefa, N., Dheresa, M., Minuye, B., & Demis, S. (2019). Neonatal hypothermia and associated factors within six hours of delivery in eastern part of Ethiopia: a cross-sectional study. BMC pediatrics, 19(1), 1-10.


To iden

Association of Suicide Prevention Interventions
With Subsequent Suicide Attempts, Linkage to Follow-up Care,
and Depression Symptoms for Acute Care Settings
A Systematic Review and Meta-analysis
Stephanie K. Doupnik, MD, MSHP; Brittany Rudd, PhD; Timothy Schmutte, PhD; Diana Worsley, MPH;
Cadence F. Bowden, MSW, MPH; Erin McCarthy, MD; Elliott Eggan, MD; Jeffrey A. Bridge, PhD;
Steven C. Marcus, PhD

IMPORTANCE To prevent suicide deaths, acute care settings need tools to ensure individuals
at risk of suicide access mental health care and remain safe until they do so.

OBJECTIVE To examine the association of brief acute care suicide prevention interventions
with patients’ subsequent suicide attempts, linkage to follow-up care, and depression
symptoms at follow-up.

DATA SOURCES Ovid MEDLINE, Scopus, CINAHL, PsychINFO, Embase, and references of
included studies using concepts of suicide, prevention, and clinical trial to identify relevant
articles published January 2000 to May 2019.

STUDY SELECTION Studies describing clinical trials of single-encounter suicide prevention
interventions were included. Two reviewers independently reviewed all articles to determine
eligibility for study inclusion.

DATA EXTRACTION AND SYNTHESIS Two reviewers independently abstracted data according to
PRISMA guidelines and assessed studies’ risk of bias using the Cochrane Risk of Bias tool. Data
were pooled for each outcome using random-effects models. Small study effects including
publication bias were assessed using Peter and Egger regression tests.

MAIN OUTCOMES AND MEASURES Three primary outcomes were examined: subsequent
suicide attempts, linkage to follow-up care, and depression symptoms at follow-up. Suicide
attempts and linkage to follow-up care were measured using validated patient self-report
measures and medical record review; odds ratios and Hedges g standardized mean
differences were pooled to estimate effect sizes. Depression symptoms were measured 2 to 3
months after the encounter using validated self-report measures, and pooled Hedges g
standardized mean differences were used to estimate effect sizes.

RESULTS A total of 14 studies, representing outcomes for 4270 patients, were included.
Pooled-effect estimates showed that brief suicide prevention interventions were associated
with reduced subsequent suicide attempts (pooled odds ratio, 0.69; 95% CI, 0.53-0.89),
increased linkage to follow-up (pooled odds ratio, 3.04; 95% CI, 1.79-5.17) but were not
associated with reduced depression symptoms (Hedges g = 0.28 [95% CI, −0.02 to 0.59).

CONCLUSIONS AND RELEVANCE In this meta-analysis, breif suicide prevention interventions
were associated with reduced subsequent suicide attempts. Suicide prevention interventions
delivered in a single in-person encounter may be effective at reducing subsequent suicide
attempts and ensuring that patients engage in follow-up m

APRS | CC-BY Trends Psychiatry Psychother. 2020;42(3) – 276-281

in Psychiatry and Psychotherapy Review Article

Instruments to assess suicide risk: a systematic review

Ezequiel T. Andreotti,1 Jaqueline R. Ipuchima,1 Silvio César Cazella,1 Pedro Beria,1 Cristiane Flôres Bortoncello,1
Richard Chuquel Silveira,1 Ygor Arzeno Ferrão1


Introduction: Suicide is an issue of great severity in public health worldwide. This study aimed to
investigate which instruments are most frequently used by healthcare professionals to assess suicide risk
and how accessible such instruments are, as well as to determine the scope of suicide phenomena.
Method: A systematic review was performed using the following Boolean searches: “scale AND suicide,”
“evaluation AND suicide,” “questionnaire AND suicide.” The articles retrieved were read and selected by
two independent researchers – any discrepancies were addressed by a third researcher.
Results: From a total number of 206 articles, 20 instruments were identified as being currently used
to assess suicide risk. The two most common were the Beck Scale for Suicide Ideation (BSI) and The
Columbia – Suicide Severity Rating Scale (C-SSRS).
Conclusion: Even though the two scales (BSI and C-SSRS) are the most frequently mentioned and used
by healthcare professionals to assess suicide risk, both instruments present breaches in their structure
and there is not yet a single instrument considered to be the gold standard. As a future perspective, there
is the urgency of developing a new tool that can widely and completely assess all psychopathological
aspects of suicidality.
Keywords: Scale, suicide, assessment, questionnaire.


Suicide is an issue of great severity in public health
all over the globe. It can be understood as self-inflicted
violence in which the individual tries to end their own
life due to a series of factors related to biological,
psychological and environmental issues.1 Suicidality, in
turn, is assumed to be the group of suicidal thoughts,
but it also encompasses the planning and the suicide
attempt among other related aspects leading to the
suicide act.2 The World Health Organization (WHO)
reported an increase of 60% in suicide episodes in the
last 45 years,3 with about 800 thousand deaths resulting
from it. It was also estimated that by 2020 this number
would reach 1.5 million people, which means there

will be a death every 40 seconds as a result of suicide

Due to the severity of this topic, the WHO has been
publishing guide books for healthcare professionals
in order to allow them to create strategies to help
prevent suicide. These materials have been addressed
to medical practitioners, media professionals, as well as
teachers and other educators.5 In 2006, the Brazilian
Ministry of Health developed a suicide preventive guide
book fo