NSG 6999

NSG 6999

State your PICOT question
.
 
Indicate in parentheses after each segment, what part of PICOT 
the preceding words represen
t
.
 
For example: In patients recently discharged from the 
hospital following care for heart failure (P), do hand-off calls by the nurse to the primary 
care provider using the SBAR format (situation, background, assessment, recommendation)
(I) compared to no calls (C) decrease readmission rates (O) over a one year period (T
)
.
 
Discuss which process model resonates with you and will help keep you focused during the
projec
t
.
 
Process models included in your text (Melnyk & Fineout-Overholt, 2011) are:
Clinical scholar model 
Stetler model of evidence-based practice 
Iowa model of evidence-based practice to promote quality care 
Model for evidence-based practice change by Rosswurm and Larrabee 
Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model
Provide feedback to your classmates that focuses on:
The use of correct PICOT format for the question to guide the literature search
.
 
Does the question reflect a clinical research question or one appropriate for an evidence-
based practice project?

Week 3 – NSG 6999 Assignment 1 Discussion

 
In this discussion, you will share your search strategies that you have employed to find
evidence for your study
.
For this discussion:
State your PICOT question
.
 
Did using the terms used in this question lead you to useful
research studies?
What MESH terms have you tried? Did they help you find additional studies? Are you finding
MESH terms useful to expand or delimit your search?
Are you finding relevant articles? If not, how did you modify your search to increase
productivity?
Indicate which databases you used

—

those you found useful and those that were no
t
.
 
What levels of evidence do the studies you are finding represent?
Post any questions or concerns you may have and provide feedback and recommendations
to your classmate
s
.
Working together and sharing search strategies is very helpfu
l
.
 
Use the Search Tracker to keep track of search term
s
.
 
Using the appropriate Rapid Clinical Appraisal (RCA) Tools, appraise one or two articles and
add the information to your Evaluation Table to receive feedback from faculty
.
 
At this
 juncture, your ta
ble is a work in progress
.
 
You will complete it in Week 4
.
 
The RCA Tools
and Evaluation Table in Word for you to complete can be found in the Week 3 Overview
section
.
 

Week 4 – NSG 6999 Assignment 1 Discussion

 
Discuss your experience completing the rapid critical appraisal proces
s
.
 

Was it really “rapid” or was it more of a laborious process?

iii

Did reading the abstract help you make quick decisions about including or excluding the
study?
What worked best for you in terms of the approach you decided to use to complete the

appraisal and Evaluation Table? What didn’t work?

 
Post any questions or concerns you may have and provide feedback and recommendations
to your classmate
s
.
Working together and sharing search strategies is very helpfu
l
.
 

Week 5 – Assignment 1 Discussion

 
This week the discussion focuses on creating a Synthesis Table(s) as a means to summarize
and organize the body of evidence from the Evaluation Table
.
 
The Synthesis tables will be
included in your formal proposal in the Appendix
.
 
In the body of the paper, you will describe 
the “keeper” studies in narrative forma
t

.
 
For this NSG 6999 discussion, include the following:
Share your approach to synthesizing the evidence
.
 
What were the variables of interest you
identified?
Learning to write in a scholarly fashion requires that you are able to succinctly summarize
an article in a sentence or two and cite it appropriately using APA forma
t
.
 
In this discussion,
practice summarizing 2 articles you have identified from the Synthesis Table as pertinent to
your proposa
l
.
 
Include the level of evidence, study design, and evidence of rigor
.
 
Use
appropriate APA citation in text and references
.
 
Incorporate feedback from peers and faculty
in your Dropbox assignment for this week
.
 
In addition to research studies, patient preference and clinical expertise should also be
considered
.
 
Discuss how you will incorporate these important perspectives into your project
proposa
l
.
 

Week 6 – NSG 6999 Assignment 1 Discussion

For this week’s NSG 6999 discussion, please address the following:

 
Briefly describe the clinical issue or problem for your project, the setting, and population of
interest to orient classmates and faculty
Write your clinical question
Describe the intervention you plan to test
What type of study will you conduct? Will it be experimental? Quasi-experimental? Provide a
rationale for your answe
r
.
 
Provide feedback on the clinical questions of your colleagues

Week 7 – NSG 6999 Assignment 1 Discussion

 
This discussion will focus on the measurement tools you will use to evaluate change from 
the intervention
.
 
The purpose of this discussion is to fine-tune your thinking about 
evaluation by receiving feedback from colleagues and faculty
.
 
Include in your discussion:
Write a brief description of your project that starts by stating your clinical question and 
succinctly explaining your planned intervention in order to orient everyone
.
 
Will you need to develop your own evaluation tools or are valid and reliable tools available? NSG 6999.