There are many sources of information available on the web and in journals relating to the nursing discipline. Therefore, it is of pivotal importance to understand the basic tenets of critical appraisal of research for its use in interprofessional healthcare practices. The aim of evidence-based practice (EBP) is to employ a three-pronged approach, blending the best available research evidence, patient values and preferences, and clinical expertise. In this task, you will critique two primary research evidence sources. You will select one quantitative and one qualitative peer-reviewed journal article on a healthcare topic of interest.

REQUIREMENTS

Note: Research evidence must not be more than five years old.

Note: Upload a copy of the full text of the articles with your submission.

Note: You may use the same topic and research articles on both Task 1: Analyzing Research Articles and Task 2: Evidence-Based Practice Change.

A.  Evaluate a primary, quantitative research, peer-reviewed journal article (suggested length of 3–5 pages) that has healthcare implications by doing the following:

Note: You may select an article focusing on a healthcare topic of your choice or an article focusing on one of the following topics: falls and fall prevention, pain management in children, opioid abuse, hepatitis C, catheter-associated urinary tract infections, or hand hygiene and infections in hospitals. 

1.  Describe how the researcher addresses the following four areas in the selected journal article:

· background or introduction (e.g., the purpose of the study)

· review of the literature (e.g., research used to support the study)

· data analysis (e.g., how the researcher analyzed the data)

· methodology (e.g., research type and sampling methods)

2.  Evaluate whether the evidence presented in each of the four areas of the journal article from part A1 supports the outcome of the study and implications for future research.

3.  Explain how the protection of human subjects and cultural considerations were addressed by the researcher, using specific information from the journal article from part A.

4.  Describe one strength and one limitation of the study.

5.  Describe how the evidence from the article in part A informs current nursing practices.

B.  Evaluate a primary, qualitative research, peer-reviewed journal article (suggested length of 3–5 pages) that has healthcare implications by doing the following:

Note: You may select an article focusing on a healthcare topic of your choice or an article focusing on one of the following topics: falls and fall prevention, pain management in children, opioid abuse, hepatitis C, catheter associated urinary tract infections, or hand hygiene and infections in hospitals. You may use the same topic that was used in part A.

1.  Describe how the researcher addresses the following four areas in the selected journal article:

·  background or introduction (e.g., the purpose of the study)

·  review of the literature (e.g., research used to support the study)

·  data analysis (e.g., how the researcher analyzed the data)

·  methodology (e.g., research type and sampling methods)

2.  Evaluate whether the evidence presented in each of the four areas of the journal article from part B1 supports the outcome of the study and implications for future research.

3.  Explain how the protection of human subjects and cultural considerations were addressed by the researcher, using specific information from the journal article from part B.

4.  Identify one strength and one limitation of the study.

5.  Describe how the evidence from the article in part B informs current nursing practices.

C.  Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized. 

D.  Demonstrate professional communication in the content and presentation of your submission

 

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You have just received two emails, one from your boss or supervisor and one from a coworker. The two emails address the same situation. A minor problem has occurred that you may be responsible for creating. Your boss/supervisor has asked you for a resolution to the problem. Your coworker, who has been affected by this problem, is angry with you and has written an inflammatory email accusing you of creating this problem on purpose.

1. Using word, write an email as a reply to both of the emails that you have received. You should attempt to resolve the problem as efficiently as possible. Since your email will be received both by a supervisor and a coworker, consider all aspects of your communication including the formality of the language you use, grammar, and all aspects of formal communication. Your goal is to solve the problem and maintain your professionalism at the same time.
2. On the same document, analyze the conflict that has happened. What was the cause of the conflict? How did you attempt to resolve the conflict? What did you need to address in terms of your supervisor’s concerns, and how were these different from your coworker’s concerns? Do you think your supervisor and coworker handled the conflict well in their emails to you? How effective are these emails?

 

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Choose a research article from a nursing/nutritional journal that explores the issue of strategies to improve health related outcomes regarding obesity/malnutrition in our society today. Below are a few suggestions you might consider. 

This can include:

1. What are barriers to a healthy nutritional status?

2. Rates of obesity/malnutrition in Virginia.

3. Why do people have difficulty in maintaining a healthy lifestyle?

4. What impact can nurses have effecting changes in the health care system? 

5. Does preventive care make a difference?

Follow the posted rubric specific to this assignment. 

ARTICLE REVIEW

I.  Organization & Structure: 55 Points

a.  Paragraphs are coherent and transition smoothly. (20 Pts)

b.  Structure of article review includes an introduction, research, reflection and conclusion (35 Pts)

II. Article Assessment: 15 Points

a. Article review is no more than 2 pages excluding the cover, reference page. (5 Pts)

b. Article is researched regarding the issue of health care delivery, outcomes and vulnerable populations.  (10 Pts)

III. Grammar, Punctuation and Spelling: 20 Points

a. Article review has no more than 3 errors in grammar, punctuation and or spelling (10 Pts) 

b. Clear statements, well organized, smooth transitions and sequencing (10 Pts)

IV. APA Formatting & References: 20 Points

a. APA format, citing, title page, references if used other than article, page numbers (5 Pts)

b. Selections not older than 5 years (5 Pts)

c. Must be a research/journal article  (10 Pts)

 

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In this task, you will identify a healthcare problem and develop a PICO question that can be answered using evidence. You will identify a single intervention and then search for five research articles and two non-research articles that support that change practice.

REQUIREMENTS

A.  Write a summary of the significance and background of a healthcare problem by doing the following:

1.  Describe a healthcare problem that can be used to develop a PICO question.

Note: You may use the same topic and the same research articles that were used in Task 1 provided they support the proposed intervention. Or you may choose a different topic and select articles focusing on one of the following topics: falls and fall prevention, pain management in children, opioid abuse, hepatitis C, catheter-associated urinary tract infections, and hand hygiene and infections in hospitals.

2.  Explain the significance of the problem from part A1.

3.  Describe the current healthcare practices related to the problem from part A1.

4.  Discuss how the problem affects the organization and patients’ cultural background (i.e., values, health behavior, and preferences).

B.  Complete a literature review by searching for a total of seven articles consisting of five research articles and two non-research articles related to the healthcare problem from part A1, and describe the search strategy you used to conduct the literature review by doing the following:

1.  Discuss two research evidence sources and two nonresearch evidence sources that you considered.

Note: Please do not use the same primary author for more than two articles. Articles must not be more than five years old.

C.  Use your research articles to develop a PICO (patient/population, intervention/indicator, comparison/control, and outcome) question based on the topic.

D.  Complete the attached “Evidence Matrix,” using the five research evidence sources from scholarly journal sources you located during the literature review in part B. For each article, address the following points:

Note: You may submit your completed matrix as a separate attachment to the task, or you may include the matrix within your paper, aligned to APA formatting standards.

Note: Upload a copy of the full text of the articles with your submission.

•  author, journal name, and year of publication

•  research design (e.g., quantitative, qualitative, mixed design, systematic review)

•  sample size (e.g., numbers of study participants, number of articles, number of control group participants)

•  outcome variables measured (e.g., identify what the research is measuring)

•  quality (using the following scale: A, B, C) 

•  results/author’s conclusions (e.g., briefly summarize the outcome)

E.  Recommend a practice change that addresses the PICO question, using the evidence collected in the attached “Evidence Matrix.” You must use all  five research articles from the “Evidence Matrix” attachment to support this recommendation via in-text citations.

F.  Describe a process for implementing the practice change from part E in which you do the following:

1.  Explain how you would involve three key stakeholders in the decision to implement the recommendation from part E.

2.  Describe two specific barriers you may encounter when implementing the practice change from part E in the nursing practice setting.

3.  Identify two strategies that could be used to overcome the barriers described in part F2.

4.  Identify one indicator to measure the outcome (the O in PICO question) of the recommended change practice from part E.

G.  Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

H.  Demonstrate professional communication in the content and presentation of your submission.

 

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APA with in-text citations & references.

MUST CONTAIN PICTURES AND AUDIO AND ADDRESS EACH ITEM WITHOUT TOO MUCH WORDINESS. 

1.Review the Resources and identify one change that you believe is called for in your organization/workplace.

2.This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment 

It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.

3. Reflect on how you might implement this change and how you might communicate this change to organizational leadership. 

4. The Assignment (6-minute PowerPoint presentation):

Change Implementation and Management Plan

5. Create a narrated PowerPoint presentation of 5 or 6 slides with video that presents a comprehensive plan to implement the change you propose.

Your presentation should be 5–6 minutes in length and should include a video with you as presenter.

Your Change Implementation and Management Plan should include the following:

6. An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.) 

7. Description of the change being proposed

8. Justifications for the change, including why addressing it will have a positive impact on your organization/workplace.

9. Details about the type and scope of the proposed change 

10.Identification of the stakeholders impacted by the change

11.Identification of a change management team (by title/role)

12. A plan for communicating the change you propose

13. A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

• 1.do

 

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