NSG 6999 Graduate Project in Nursing Weekly Discussions Essays

NSG 6999 graduate project in nursing weekly discussions essays

WEEK 1

DB:  Introduction

DB:  Choose Topic

This week you will identify a topic for your capstone evidence-based project specific to your area of specialization. This topic should be one that interests you from your course work, clinical setting or one that was revealed to you as weak in your pre-predictor exam.

DISCUSSION

To complete this week, after reading chapter one in Melnyk and reviewing the lectures you need to consider the topic of interest to you. List a ONE to two-word topic that you want to explore further and why you are interested in this topic. NSG 6999 graduate project in nursing weekly discussions essays. This topic encompasses the question that you have been generating throughout your program.

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As an example, I may choose the topic of depression, as I am interested in all of the depression, I am seeing in the primary care office. Next week I will explore the background of this topic and this will lead to my PICOT question.

As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. By the due date assigned, go to the Discussion Area and post responses to the discussion question. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. NSG 6999 graduate project in nursing weekly discussions essays.

Supporting one—Challenging one.

By the end of the week, comment on the responses of at least two other students by supporting a minimum of one post and challenging a minimum of one post. You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area. Please only start a new thread with your original post. Hit reply to respond to a peer.

WEEK 2

This week we will focus on the one to two-word topic you identified in week one.  Using this topic of interest, you will ‘tell me what you know’—creating your background question.  You will post your background question discussing how you researched it and respond to two of your peers with quality feedback—supporting one and challenging one. NSG 6999 graduate project in nursing weekly discussions essays.

 

DISCUSSION

Post your background question and your strategy for getting a comprehensive understanding of the clinical issue. As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights.

 

 WEEK3

This week you will craft a PICOT question from your background research. You will offer and obtain feedback from classmates and faculty to helped to focus the question to aid your search.

DISCUSSION

  • State your PICOT question.
  • Indicate in parentheses after each segment, what part of PICOT the preceding words represent.
  • 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).
  • Provide feedback to your classmates that focuses on:
  • The use of correct PICOT format for the question to guide the literature search.
  • NSG 6999 graduate project in nursing weekly discussions essays
  • Does the question reflect a clinical issue and one appropriate for an evidence-based practice project?
  • 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 issue and one appropriate for an evidence-based practice project?
  • Support a minimum of one and challenge a minimum of one.

 

 PROJECT

PICOT question Submit to Project

To complete this week, after reading chapter two in Melnyk and reviewing the lectures you submit a 2-3 page paper that explores the background of your issue. For this paper #1 you will be defining this issue or disease using the literature.  It will end with the PICOT question.  The parts of your paper should include:

  • Introduction
  • Definition
  • Epidemiology
  • Clinical Presentation
  • Complications
  • Diagnosis
  • Conclusion with PICOT Question

 

WEEK4

This week you will begin your literature search to find best evidence using the words from your PICOT question to guide you. You will begin to appraise the studies you find using the appropriate rapid critical appraisal tool. You will decide on an approach to build your Evidence Synthesis Table and be on your way. Sharing your search strategy with classmates and faculty will provide helpful ideas. NSG 6999 graduate project in nursing weekly discussions essays.

DISCUSSION

Using the following table—search the 5 databases based on your PICOT Question—under findings note the number of relevant articles found—you may not find something in every database. Under features discuss what you liked about that database. ON the discussion board summarize your search—attach your chart for those that would like to see your search. NSG 6999 graduate project in nursing weekly discussions essays. You may not find what you are looking for in every search—and that is OK—but you must search every database to see what may be out there.

Exploring the Literature

Picot Question: 

 Research Tool  Search Tips  Search Terms &  Limits  Findings  Features
CINAHL

CINAHL is an SU subscription-only resource that offers full text access to 336 scholarly journals and indexes over 3,000 journals from the fields of nursing and allied health. Indexed journals do not provide access to full-text. Just because it is indexed in does not mean the library has full-text access to the journal. SU can always request articles for students via Interlibrary Loan, but the service is not instantaneous

§  Look at the Major Subject Heading in the Full Record

§  Use the Limits Feature:

o   Example: Publication Type=Systematic Review

§  Try the CINAHL Heading search:

 

Keyword search:

Limits:

CINAHL Heading search:

Limits:

NSG 6999 graduate project in nursing weekly discussions essays
PubMed

PubMed is a free health science citation & abstracts index from the National Center for Biotechnology Information at the U.S. National Library of Medicine.

 

§  Look at MeSH Terms in Full Record

§  Use the Limits Feature:

o   Examples: Article Type=Meta-Analysis; Age=All Adult

§  Look for the open access Free articles!

 

Keyword search:

Limits:

 

MESH search:

Limits:

 

NSG 6999 graduate project in nursing weekly discussions essays
Cochrane Library

Cochrane Library provides access to the Cochrane Library of Systematic Reviews. Full text of reviews are subscription only. Index summaries are a public resource. Indexed journals do not provide access to full-text. Just because it is indexed in does not mean the library has full-text access to the journal. SU can always request articles for students via Interlibrary Loan, but the service is not instantaneous

§  Use the Simple Search and the Advance Search Features

§  Allows you to search with MeSH Terms

§  Check out the New Reviews

 Browse reviews by topic

Keyword search:

 

Limits:

MESH search:

Limits:

 

Dynamed

 

·      Use the Simple Search and the Advance Search Features

·      Allows you to search with MeSH Terms

·      Check out the New Reviews

Browse reviews by topic

Keyword search:

 

Also browse by:

 

TRIP Database

TRIP is a clinical search engine to locate publicly available clinical evidence.

 

§  Limit to:

§  Systematic Reviews

§  Guidelines-US

 

Keyword search:

Limits:

NSG 6999 graduate project in nursing weekly discussions essays
SU Library Search ·      Library Search is setup just like an EBSCO

·      The Library even has a specialized PICOT search setup in Library Search—must go to Advance search to get to PICOT option

  NSG 6999 graduate project in nursing weekly discussions essays
Other Databases:

 

 

WEEK 5

This week you will complete the rapid critical appraisal process, adding the “keeper studies” to your finalized Evaluation Table. You will have time to reflect on what works and what can be done more efficiently to search and appraise research studies. NSG 6999 graduate project in nursing weekly discussions essays.

DISCUSSION

We will be reviewing a “keeper study” this week—evaluate an article by working through the following 7 question

Again, keeper studies can be identified using handy Rapid Critical Appraisal checklists consisting of a set of simple but important questions. NSG 6999 graduate project in nursing weekly discussions essays. Below are sample questions developed for use with quantitative studies that are applicable to most appraisal situations (it’s important to note that qualitative evidence, if it’s relevant to the clinical question, should not be dismissed):

  1. Why was the study done? Make sure the study is directly relevant to the clinical question.
  2. What is the sample size? Size can and should vary according to the nature of the study. Since determining a valid minimum sample size in a single study can be difficult, taking into account multiple studies is beneficial.

The answer to this question alone should not remove a study from the appraisal process.

  1. Are instruments of the variables in the study clearly defined and reliable? Make sure the variables were consistently applied throughout the study and that they measured what the researchers said they were going to measure.
  2. How was the data analyzed?

Make sure that any statistics are relevant to the clinical question.

  1. Were there any unusual events during the study? If the sample size changed, for example, determine whether that has ramifications if you wish to replicate the study. NSG 6999 graduate project in nursing weekly discussions essays.
  2. How do the results fit in with previous research in this area? Make sure the study builds on other studies of a similar nature.
  3. What are the implications of the research for clinical practice? Ask whether the study addresses a relevant and important clinical issue.

 

WEEK6

This week you will focus on the development of the Evaluation Table and describe the studies of interest in narrative terms.

Once keeper studies have been identified and answers to Rapid Critical Appraisal questions have been accumulated, it’s time to holistically evaluate the acquired evidence. To do so, it is recommended to create evidence synthesis tables to more easily review, at a glance, information from multiple studies.

Only essential information should be input into the evidence synthesis tables. What is considered “essential” may vary according to the both the nature of the RCA as well the clinical situation. NSG 6999 graduate project in nursing weekly discussions essays.

DISCUSSION

On the discussion board, using a minimum of two articles that are supporting your PICOT question, submit one paragraph synthesizing the research into clear, concise statements without separately reviewing each of the studies in the paragraph—but by paraphrasing and synthesizing the work that was done.  

 

PROJECT

Complete Evidence Table as described in the Evidence Table Worksheet. Include Week 4 worksheet with completed Evidence Table.

Evidence Table Worksheet

  1. PICOT Question:

plus

  1. Will you have a comparison group or will subjects be their own controls?
  2. Is a ‘time’ appropriate with your question—why or why not?

 

II.   Evidence Synthesis

 

(database) ex: Cochran Study #1 Study #2 Study #3 Study #4 Study #5 Synthesis
(p)population
(i) Intervention
(c) Comparison
(o) Outcome
(t) time

 

 

  • Evaluation Table

 

Citation Design Sample size: Adequate? Major Variables:

 

Independent Dependent

Study findings: Strengths and weaknesses Level of evidence Evidence Synthesis
·
·
 Research Tool  Search Tips  Search Terms &  Limits  Findings  Features
· ·
· ·
· ·
· ·
·
·
Other Databases:

 

 

 

WEEK7

DISCUSSION

This week you will be creating an Implementation Plan that will be attached to your final EBP.  For the discussion board this week—outline your implementation steps 1-2-3. NSG 6999 graduate project in nursing weekly discussions essays.

Step 1: Identification of the problem

Step 2: Search strategy

Step 3: Critical appraisal of evidence

 

WEEK8

Evaluation of EBP has many facets—evaluating science, evaluating internally generated data, evaluating outcomes, evaluating implementation of evidence—but all the aspects are aimed toward accomplishment of the central goal of EBP—quality patient outcomes. In health care, we must know whether or not we are being successful in meeting this objective.

DISCUSSION

This week you will be working on an evaluation plan that will be attached to your EBP in

Week 9.  Submit your Evaluation Plan to the DB –listed as 1-2-3…

Step 1: Evidence Integrated with Clinical Expertise and Patient Preferences to Inform a Decision and Practice Change Implemented.

Step 2: Outcome Evaluated

Step 3: Project Dissemination

 

Week 9.

Post your Presentation of your EBP on Discussion Board for feedback before final submission in Week 10.

Provide Feedback to 2 Peers–

PROJECT

Submit EBP project with Implementation Plan and Evaluation Plan.  Note EBP plan should resemble plan on page 248 of the Melnyx text. NSG 6999 graduate project in nursing weekly discussions essays.

 

WEEK10

Dissemination

New evidence will not achieve its maximum value to clinical practice and better patient outcomes unless it is communicated effectively.  The primary goal of disseminating evidence, whether it is presentations or publications, is to facilitate the transfer and adoption of research findings into clinical practice.

DISCUSSION

Post Final EBP presentation to DB. As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights.

PROJECT

Post EBP Presentation to Discussion Board and Project. NSG 6999 graduate project in nursing weekly discussions essays.

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