NRS 433 Week 1 PICOT Question and Literature Search

NRS 433 Week 1 PICOT Question and Literature Search

Literature Evaluation Table Sample

Student Name:

Nursing Practice Problem (200-250 words): Chronic conditions such as hypertension are on the rise globally due to changes in lifestyle behaviors and an increasingly aging population. Hypertension, a chronic condition defined by systolic blood pressure > 140 mmHg and diastolic blood pressure >90 mmHg, is a silent condition that often goes unnoticed and the leading cause of preventable cardiovascular disease and premature deaths globally (Mills et al., 2020).

It is also associated with morbidity and economic burden. According to Mills et al. (2020), in 2010, hypertension affected 31.1% (1.39 billion) of the global population, with the figures expected to rise to 41.1% in 2030, especially in low- and middle-income countries. The condition’s prevalence in these countries could be attributed to the rising trends of lifestyle risk factors such as smoking, unhealthy diets, high salt intake, obesity, and lack of physical activity.

Sadly, despite the rise in the cases of hypertension, most cases are undiagnosed, while some hypertensive individuals are not on any treatment. Untreated cases can result in disabling complications such as stroke, vision loss, heart failure, and kidney damage. Regarding mortality, a report by the Centers for Disease Control and Prevention (2022) estimated more than 670,000 deaths in the United States and more than 7.6 million deaths globally per year. The same report further cites the economic burden caused by hypertension.

About $131 billion is used in the management and treatment of blood pressure and its related complications in the US. The statistics prove that the negative impacts caused by hypertension in terms of cost, mortality, and morbidity are immense. Therefore, nurses are required to use evidence-based interventional methods to control blood pressure. Integrating various care modalities, including telemedicine, is a priority to influence care for patients with hypertension.

PICOT Question: Among adult patients with hypertension (P), does care using telemedicine (I) compared to standard regular visits (C) reduce blood pressure in 6 months (T)?

Criteria Article 1 Article 2 Article 3
APA-formatted article citation with permalink Hammersley, V., Parker, R., Paterson, M., Hanley, J., Pinnock, H., Padfield, P., Stoddart, A., Park, H. G., Sheikh, A., & McKinstry, B. (2020). Telemonitoring at scale for hypertension in primary care: An implementation study. PLoS Medicine, 17(6), e1003124. https://doi.org/10.1371/journal.pmed.1003124

 

Margolis, K. L., Asche, S. E., Dehmer, S. P., Bergdall, A. R., Green, B. B., Sperl-Hillen, J. M., Nyboer, R. A., Pawloski, P. A., Maciosek, M. V., Trower, N. K., & O’Connor, P. J. (2018). Long-term outcomes of the effects of home blood pressure telemonitoring and pharmacist management on blood pressure among adults with uncontrolled hypertension: Follow-up of a cluster randomized clinical trial. JAMA Network Open, 1(5), e181617. https://doi.org/10.1001/jamanetworkopen.2018.1617

 

Beran, M., Asche, S. E., Bergdall, A. R., Crabtree, B., Green, B. B., Groen, S. E., Klotzle, K. J., Michels, R. D., Nyboer, R. A., O’Connor, P. J., Pawloski, P. A., Rehrauer, D. J., Sperl-Hillen, J. M., Trower, N. K., & Margolis, K. L. (2018). Key components of success in a randomized trial of blood pressure telemonitoring with medication therapy management pharmacists. Journal of the American Pharmacists Association: JAPhA, 58(6), 614–621. https://doi.org/10.1016/j.japh.2018.07.001

 

How does the article relate to the PICOT question? This article addresses the impact of integrating telemonitoring into primary care for hypertension management. The PICOT sought to answer the impact of telemedicine on blood pressure control This article compares the effectiveness of intensive intervention using home telemonitoring and pharmacist management compared to usual care for blood pressure control. This information is relevant to PICOT and helps in comparing the effectiveness of the two interventions, which are the subject of this paper. This study investigates the factors that contributed to the success of telemonitoring intervention in the control of blood pressure. Understanding contributory factors will help in the implementation of the intervention presented in the PICOT.
Is the article qualitative, quantitative, or mixed methods?

Justify your selection.

This is a mixed study. Quantitative data were collected from health records. The qualitative data was collected using interviews with patients and healthcare providers and practice observation. Quantitative study; a clustered randomized control trial among 16 primary care clinics. Mixed study with both qualitative and quantitative. Quantitative data were collected from routine BP readings. Qualitative data was collected through focus groups and pharmacist interviews.
Purpose statement The study sought to investigate the acceptability and impact of introducing long-term telemonitoring for people previously diagnosed with hypertension. To examine the durability of the intervention effect on BP through 54 months of follow-up and to compare BP measurements performed in the research clinic and routine clinical care. To investigate the factors contributing to the success of telemonitoring services.
Research question(s) What is the impact of telemonitoring on workload and blood pressure control?

What is the uptake of telemonitoring in primary care?

How long does blood pressure remain lower compared with usual care after a 12-month intensive intervention (home telemonitoring and pharmacist management)?

 

What factors contribute to the success of BP control using telemonitoring?
Outcome(s) The main outcomes were intervention uptake, blood pressure control, participants’ view on intervention, and change in clinician appointment use. The main outcome was the changes in the SBP and DBP Home BP readings less than 135/85 mmHg and themes from patient focus groups and pharmacist interviews.
Setting

(Where did the study take place?)

The study was conducted in Lothian, Scotland The study was done in 16 primary care settings at HealthPartners Medical Group in the Minneapolis-St. Paul Metropolitan area of Minnesota. The study was done in 16 primary care clinics in Minnesota.
Sample A total of 905 patients were included in the study. 450 participants were sampled using the purposive sampling method. 228 patients participated in the study. A purposive sampling method was used.
Method This was a quasi-experimental implementation study with qualitative process evaluation. Heath records provided the quantitative findings before and after the study, while interviews and observations provided the qualitative findings. The participants were provided with an electronic oscillometric sphygmomanometer and shown how to submit BP readings using their mobile phones. This was a clustered randomized trial with 450 patients randomized into either telemonitoring intervention group or usual care. Patients with uncontrolled BP were followed from March 2009 and November 2015 with constant BP measurements. The study utilized mixed methodology. Five patient focus groups and four pharmacist interviews were used to collect qualitative data. The interviews generated themes in the final results. Routine BP readings provided the quantitative data.
Key findings of the study and implications for nursing practice The patients who used telemonitoring had fewer appointments in the year compared to the previous year. The intervention group also had better BP control, in line with findings of randomized control trials in the UK. These findings suggest the feasibility of introducing telemonitoring in primary care and support its use to complement physical visits in managing hypertension and other chronic conditions. The intervention group reported better BP control compared to the control group for up to 24 months. These findings emphasize the usefulness of telemonitoring in the long-term monitoring of BP. Reduction in BP reduces the risk of cardiovascular events. Frequent adjustments to the antihypertensive treatment regimen on home BP telemonitoring resulted in a rapid lowering of BP. The interviews suggested that the critical components for the success of telemonitoring included strong patient-pharmacist relationships, frequent phone contacts, and individualized treatment plans. Maintaining good provider-patient relationships and frequent reminders can enhance adherence to treatment leading to steady BP control among hypertensive patients.
Recommendations of the researcher The researcher recommended future research to evaluate the economic effectiveness of telemonitoring. Future research should focus on determining the content, intensity, and duration of reinforcement needed for maintaining intervention over a longer period. Future research should focus on determining the frequency of medication adjustments that can help in BP control.

 

Criteria Article 4 Article 5 Article 6
APA-formatted article citation with permalink Hoppe, K. K., Thomas, N., Zernick, M., Zella, J. B., Havighurst, T., Kim, K., Williams, M., Niu, B., Lohr, A., & Johnson, H. M. (2020). Telehealth with remote blood pressure monitoring compared with standard care for postpartum hypertension. American Journal of Obstetrics and Gynecology, 223(4), 585–588. https://doi.org/10.1016/j.ajog.2020.05.027

 

 

Jafar, T. H., Tan, N. C., Shirore, R. M., Allen, J. C., Finkelstein, E. A., Hwang, S. W., Koong, A. Y. L., Moey, P. K. S., Kang, G. C.-Y., Goh, C. W. T., Subramanian, R. C., Thiagarajah, A. G., Ramakrishnan, C., Lim, C. W., Liu, J., & for SingHypertension Study Group. (2022). Integration of a multicomponent intervention for hypertension into primary healthcare services in Singapore-A cluster randomized controlled trial. PLoS Medicine, 19(6), e1004026. https://doi.org/10.1371/journal.pmed.1004026

 

 

 

Morawski, K., Ghazinouri, R., Krumme, A., Lauffenburger, J. C., Lu, Z., Durfee, E., Oley, L., Lee, J., Mohta, N., Haff, N., Juusola, J. L., & Choudhry, N. K. (2018). Association of a smartphone application with medication adherence and blood pressure control: The MedISAFE-BP randomized clinical trial. JAMA Internal Medicine, 178(6), 802. https://doi.org/10.1001/jamainternmed.2018.0447

 

How does the article relate to the PICOT question? This article compares the effectiveness of telemedicine and outpatient care visits in the control of blood pressure in postpartum hypertension. Women who develop postpartum hypertension are at risk of developing complications; hence they require close monitoring. Telehealth offers the opportunity for close monitoring. This article discusses the effectiveness of multicomponent interventions compared to usual care in BP control. Telemedicine is among the multicomponent interventions used in BP control. Multicomponent interventions offer an opportunity to integrate various ways to control blood pressure. This article presents the effectiveness of using a smartphone application in improving adherence to treatment and control of blood pressure. Mobile applications are a component of telemedicine and relate to the PICOT.
Is the article qualitative, quantitative, or mixed methods?

Justify your selection.

Quantitative study; a non-randomized control trial involving postpartum hypertension mothers. The transmitted BP measurements and those taken in the clinic provided quantitative data. Quantitative study; a clustered randomized control study. The blood pressure measurements provided the data for comparison. A quantitative study is a randomized clinical trial of 2-arm intervention groups and the control group. The participants provided their BP follow-up measurements. Questionnaires and online tools were also used to collect data.
Purpose statement The objective of this study was to evaluate whether postpartum home telehealth with remote BP monitoring could reduce the readmission rates during the first 6 weeks postpartum in women with hypertensive disorder of pregnancy (HDP) when compared with standard outpatient care. The study purposed to assess the effectiveness of a potentially multicomponent intervention compared to usual care on BP control. To determine if the Medisafe smartphone app improves self-reported medication adherence and blood pressure control.
Research question(s) Does the use of telehealth compare to standard outpatient care reduce readmission rates in women with postpartum hypertension? How effective is a multicomponent intervention in the control of blood pressure in comparison to usual care? Does the Medisafe smartphone application improve self-reported medication adherence and blood pressure control?
Outcome(s) The primary outcome was the number of hypertension-related hospital readmissions over the six weeks. The secondary outcome included hypertension-related post-partum emergency room visits, use of hypertensive, and the number of BPs acquired within ten days of delivery. The primary outcome was the mean SBP at 24 months. Secondary outcomes included the percentage of patients with BP control, the number of antihypertensive medications, albuminuria, and 10-year survival risk. The primary outcomes were changes in self-reported medication adherence and changes in systolic blood pressure.
Setting

(Where did the study take place?)

The study was conducted at Boston University Hospital The study was done in Singapore in 8 clinics. The study was done in the United States. It was an online study.
Sample A total of 428 women were recruited for the study. Convenience sampling method was used. A total of 766 patients were included in the study. Both were aged > 40 years with uncontrolled hypertension. A total of 412 participants met the inclusion criteria, consented, and were included in the study.
Method This was a nonrandomized control trial where participants were divided into control and intervention groups. The intervention group received a tablet and Bluetooth BP monitoring for daily transmission of vitals, while the control group followed the standard care. Both groups were initiated on standard antihypertensive care. A clustered randomized control study involving 8 clinics. Patients were divided into either intervention or control groups. The intervention group benefited from a multicomponent intervention consisting of physician training in risk-based treatment, motivation conversations, and telephone follow-ups. The usual care consisted of routine care in clinics without motivational conversations or telephone follow-ups. BP recordings were recorded and compared over the 2-years of follow-up. This was a randomized clinical trial that began in April and was completed in September 2016. Participants were recruited through online platforms, including email, social media, and pertinent mobile apps. A Bluetooth-enabled blood pressure monitor was sent to each patient to help in monitoring and submitting 2 readings 5 minutes apart. The Medisafe app tracked adherence, helped in dosage calculation, and reminded participants to take medications.
Key findings of the study and implications for nursing practice Compared to the control group, telehealth with remote BP monitoring in combination with standardized management was associated with a reduction in the number of readmissions. From these results, telehealth offers a promising strategy of remote BP monitoring, early identification, and treatment of uncontrolled hypertension, ultimately reducing the number of hospital readmissions. The intervention group reported lower BP, lower risk of cardiovascular disease risk, and lower albuminuria compared to usual care. The effectiveness of multicomponent intervention could have been influenced by constant reminders, education, and increased adherence to treatment in the intervention group. As a result, nurses should combine various interventions when necessary to control blood pressure. The intervention group who used the smartphone app had improvement in self-reported medication adherence with little changes in BP control as compared to the controls.
Recommendations of the researcher The researchers recommended future studies with larger sample sizes with randomized control trials to ascertain the effectiveness of telehealth in the long-term control of BP. The researcher recommended for inclusion of multicomponent interventions to control uncontrolled hypertension and improve health outcomes. The researchers recommended more randomized control trial studies that utilize the mHealth app to monitor BP. Smartphone applications have the potential of improving health outcomes when applied appropriately.

References

Beran, M., Asche, S. E., Bergdall, A. R., Crabtree, B., Green, B. B., Groen, S. E., Klotzle, K. J., Michels, R. D., Nyboer, R. A., O’Connor, P. J., Pawloski, P. A., Rehrauer, D. J., Sperl-Hillen, J. M., Trower, N. K., & Margolis, K. L. (2018). Key components of success in a randomized trial of blood pressure telemonitoring with medication therapy management pharmacists. Journal of the American Pharmacists Association: JAPhA, 58(6), 614–621. https://doi.org/10.1016/j.japh.2018.07.001

CDC. (2022, October 14). Facts about hypertension. Centers for Disease Control and Prevention. https://www.cdc.gov/bloodpressure/facts.htm

Hammersley, V., Parker, R., Paterson, M., Hanley, J., Pinnock, H., Padfield, P., Stoddart, A., Park, H. G., Sheikh, A., & McKinstry, B. (2020). Telemonitoring at scale for hypertension in primary care: An implementation study. PLoS Medicine, 17(6), e1003124. https://doi.org/10.1371/journal.pmed.1003124

Hoppe, K. K., Thomas, N., Zernick, M., Zella, J. B., Havighurst, T., Kim, K., Williams, M., Niu, B., Lohr, A., & Johnson, H. M. (2020). Telehealth with remote blood pressure monitoring compared with standard care for postpartum hypertension. American Journal of Obstetrics and Gynecology, 223(4), 585–588. https://doi.org/10.1016/j.ajog.2020.05.027

Jafar, T. H., Tan, N. C., Shirore, R. M., Allen, J. C., Finkelstein, E. A., Hwang, S. W., Koong, A. Y. L., Moey, P. K. S., Kang, G. C.-Y., Goh, C. W. T., Subramanian, R. C., Thiagarajah, A. G., Ramakrishnan, C., Lim, C. W., Liu, J., & for SingHypertension Study Group. (2022). Integration of a multicomponent intervention for hypertension into primary healthcare services in Singapore-A cluster randomized controlled trial. PLoS Medicine, 19(6), e1004026. https://doi.org/10.1371/journal.pmed.1004026

Margolis, K. L., Asche, S. E., Dehmer, S. P., Bergdall, A. R., Green, B. B., Sperl-Hillen, J. M., Nyboer, R. A., Pawloski, P. A., Maciosek, M. V., Trower, N. K., & O’Connor, P. J. (2018). Long-term outcomes of the effects of home blood pressure telemonitoring and pharmacist management on blood pressure among adults with uncontrolled hypertension: Follow-up of a cluster randomized clinical trial. JAMA Network Open, 1(5), e181617. https://doi.org/10.1001/jamanetworkopen.2018.1617

Márquez Contreras, E., Márquez Rivero, S., Rodríguez García, E., López-García-Ramos, L., Carlos Pastoriza Vilas, J., Baldonedo Suárez, A., Gracia Diez, C., Gil Guillén, V., Martell Claros, N., & Compliance Group of Spanish Society of Hypertension (SEH-LELHA). (2019). Specific hypertension smartphone application to improve medication adherence in hypertension: a cluster-randomized trial. Current Medical Research and Opinion, 35(1), 167–173. https://doi.org/10.1080/03007995.2018.1549026

Mills, K. T., Stefanescu, A., & He, J. (2020). The global epidemiology of hypertension. Nature Reviews. Nephrology, 16(4), 223–237. https://doi.org/10.1038/s41581-019-0244-2

Morawski, K., Ghazinouri, R., Krumme, A., Lauffenburger, J. C., Lu, Z., Durfee, E., Oley, L., Lee, J., Mohta, N., Haff, N., Juusola, J. L., & Choudhry, N. K. (2018). Association of a smartphone application with medication adherence and blood pressure control: The MedISAFE-BP randomized clinical trial. JAMA Internal Medicine, 178(6), 802. https://doi.org/10.1001/jamainternmed.2018.0447

Yang, J.-Y., Wu, Y.-W., Chuang, W., Lin, T.-C., Chang, S.-W., Cheng, S.-H., & Kuo, R. N. (2022). An integrated community-based blood pressure telemonitoring program – A population-based observational study. Acta Cardiologica Sinica, 38(5), 612–622. https://doi.org/10.6515/ACS.202209_38(5).20220330A

NRS 433 Week 1 PICOT Question and Literature Search Instructions

Assessment Description

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem.

Use the “Literature Evaluation Table” to complete this assignment. Prior to starting the “Literature Evaluation Table,” complete the following:

  1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population.
  2. Following the PICOT format, write a PICOT question in your selected area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
  3. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. Note: This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem. A mixed methods article can qualify towards meeting a qualitative or quantitative methodology.

Articles must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments. The PICOT question will also provide a framework for your capstone project.

Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article.

The author will provide a description of data collection using qualitative or quantitative methods. Systematic reviews, literature reviews, and metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles. Therefore, they should not be included in this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

Attachments

NRS-433V-RS-T1-LiteratureEvaluationTable.docx

NRS 433 Week 1 PICOT Question and Literature Search Resources

NRS 433 Week 1 PICOT Question and Literature Search

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Nursing Research: Understanding Methods for Best Practice

Read Chapter 1 in Nursing Research: Understanding Methods for Best Practice.

https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/nursing-research_understanding-methods-for-best-practice_1e.php

 

Focusing on the Fundamentals: A Simplistic Differentiation Between Qualitative and Quantitative Research

Read “Focusing on the Fundamentals: A Simplistic Differentiation Between Qualitative and Quantitative Research,” by Rutberg and B

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https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129106232&site=eds-live&scope=site

 

EBP: Evidence Based Practice

Read “EBP: Evidence Based Practice,” located in the Student Success Center.

https://lc.gcumedia.com/hlt540/ebp/v2.1/#/

 

To Make Your Case, Start With a PICOT Question

Read “To Make Your Case, Start With a PICOT Question,” by Echevarria and Walker, from Nursing 2014 (2014).

https://oce-ovid-com.lopes.idm.oclc.org/article/01244666-201505000-00004/PDF

 

Appraising Quantitative Research in Health Education: Guidelines for Public Health Educators

Read “Appraising Quantitative Research in Health Education: Guidelines for Public Health Educators,” by Jack, Hayes, Scharalda, S

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3012621/

 

Problem Identification: The First Step in Evidence-Based Practice

Read “Problem Identification: The First Step in Evidence-Based Practice,” by Stannard, from AORN Journal (2021

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https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00000703-202104000-00008&LSLINK=80&D=ovft

 

What Are Quantitative and Qualitative Research Methods? A Brief Introduction

Read “What Are Quantitative and Qualitative Research Methods? A Brief Introduction,” by Chalmers and Cowdell, from Derma

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https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151243679&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost

 

Be the Change: Understanding Quantitative, Qualitative, and Mixed Methods in Holistic Nursing Research

Read “Be the Change: Understanding Quantitative, Qualitative, and Mixed Methods in Holistic Nursing Research,” by Vinson, from

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Life After PICOT: Taking the Next Step in a Clinical Inquiry Project

Read “Life After PICOT: Taking the Next Step in a Clinical Inquiry Project,” by Granger, from AACN Advanced Cr

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The Underappreciated and Misunderstood PICOT Question: A Critical Step in the EBP Process

Read “The Underappreciated and Misunderstood PICOT Question: A Critical Step in the EBP Process,” by Gallagher Ford and Meln

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Nursing Resources: Qualitative vs Quantitative

Read “Nursing Resources : Qualitative vs Quantitative,” located on the University of Wisconsin- Madison Libraries website

https://researchguides.library.wisc.edu/c.php?g=861013&p=6170079

 

Template for Asking PICOT Questions

Utilize the “Template for Asking PICOT Questions,” in this week’s topic.

https://www.aaacn.org/sites/default/files/documents/misc-docs/1e_PICOT_Questions_template.pdf

Rubric Criteria

Summary of Nursing Practice Problem 

Criteria Description

Summary of Nursing Practice Problem

  1. Target

A nursing practice problem is thoroughly described.

  1. Acceptable

PICOT Question

Criteria Description

PICOT Question

A PICOT question is provided, and the PICOT question format is applied accurately. An answerable and researchable question is presented.

APA-Formatted Article Citations With Permalinks

Criteria Description

APA-Formatted Article Citations With Permalinks

  1. Target

Article citations are accurately presented in APA format and permalinks are correct.

Relationship of Articles to the PICOT Question

Criteria Description

Relationship of Articles to the PICOT Question

  1. Target

12 points

Each article clearly relates to the PICOT question. The articles provide strong support for the PICOT question.

Quantitative, Qualitative, and Mixed Method Articles

Criteria Description

Quantitative, Qualitative, and Mixed Method Articles

  1. Target

Identification of quantitative, qualitative, or mixed methods is correctly identified and includes a thorough justification for the identified methodology for all articles.

Purpose Statements

Criteria Description

Purpose Statements

  1. Target

Purpose statements are accurate and thoroughly summarized.

Research Questions

Criteria Description

Research Questions

  1. Target

Research questions are accurate and capture the fundamental question posed by the researchers in each study.

  1. Acceptable

Outcomes

Criteria Description

Outcomes

  1. Target

Research outcomes are accurate and described in detail for each article.

  1. Acceptable

Setting

Criteria Description

Setting

  1. Target

The setting in which the researcher conducted the study is detailed and accurate for each article.

  1. Acceptable

Sample

Criteria Description

Sample

  1. Target

The sample is indicated and accurate for each article.

  1. Acceptable

Methods

Criteria Description

Methods

  1. Target

A thorough discussion on the methods utilized in the study for each article is presented.

  1. Acceptable

Key Findings and Implications for Nursing Practice 

Criteria Description

Key Findings and Implications for Nursing Practice

  1. Target

Discussion of study results, including key findings of the study and implications for nursing practice, is thorough with relevant details and extensive explanation.

Recommendations of the Researcher

Criteria Description

Recommendations of the Researcher

  1. Target

Criteria Description

Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.

  1. Target

Format/Documentation

Criteria Description

Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.

Template for Asking PICOT Questions

INTERVENTION

 

In ____________________(P), how does ____________________ (I) compared to ____________________(C) affect _____________________(O) within ___________(T)?

 

 

THERAPY

 

In __________________(P), what is the effect of __________________(I) compared to _____________ (C) on ________________(O within _____________(T)?

 

 

PROGNOSIS/PREDICTION

In ______________ (P), how does ___________________ (I) compared to _____________(C) influence __________________ (O) over _______________ (T)?

 

DIAGNOSIS OR DIAGNOSTIC TEST

 

In ___________________(P) are/is ____________________(I) compared with _______________________(C) more accurate in diagnosing _________________(O)?

 

 

ETIOLOGY

 

Are____________________ (P), who have ____________________ (I) compared with those without ____________________(C) at ____________ risk for/of ____________________(O) over ________________(T)?

 

 

MEANING

 

How do _______________________ (P) with _______________________ (I) perceive _______________________ (O) during ________________(T)?

 

 

Adapted from the PICOT Questions Template; Ellen Fineout-Overholt, 2006. This form may be used for educational & research purposes without permission.

Short Definitions of Different Types of Questions

Intervention/Therapy: Questions addressing the treatment of an illness or disability. Etiology: Questions addressing the causes or origins of disease (i.e., factors that produce or

predispose toward a certain disease or disorder).

Diagnosis: Questions addressing the act or process of identifying or determining the nature and cause of a disease or injury through evaluation.

Prognosis/Prediction: Questions addressing the prediction of the course of a disease. Meaning: Questions addressing how one experiences a phenomenon.

Sample Questions:

Intervention: In African-American female adolescents with hepatitis B (P), how does acetaminophen (I) compared to ibuprofen (C) affect liver function (O)?

Therapy: In children with spastic cerebral palsy (P), what is the effect of splinting and casting(I) compared to constraint- induced therapy (C) on two-handed skill development (O)?

Prognosis/Prediction:

1) For patients 65 years and older (P), how does the use of an influenza vaccine (I) compared to not received the vaccine (C) influence the risk of developing pneumonia (O) during flu season (T)?

2) In patients who have experienced an acute myocardial infarction (P), how does being a smoker (I) compared to a non-smoker (C) influence death and infarction rates (O) during the first 5 years after the myocardial infarction (T)?

Diagnosis: In middle-aged males with suspected myocardial infarction (P), are serial 12-lead ECGs (I) compared to one initial 12-lead ECG (C) more accurate in diagnosing an acute myocardial infarction (O)?

Etiology: Are 30- to 50-year-old women (P) who have high blood pressure (I) compared with those without high blood pressure (C) at increased risk for an acute myocardial infarction (O) during the first year after hysterectomy (T)?

Meaning: How do young males (P) with a diagnosis of below the waist paralysis (I) perceive their interactions with their romantic significant others (O) during the first year after their diagnosis (T)?

Adapted from the PICOT Questions Template; Ellen Fineout-Overholt, 2006. This form may be used for educational & research purposes without permission.

Literature Evaluation Table Template

Student Name:

Nursing Practice Problem (200-250 words):

 

PICOT Question:

 

Criteria Article 1 Article 2 Article 3
APA-formatted article citation with permalink
How does the article relate to the PICOT question?
Is the article qualitative, quantitative, or mixed methods?

Justify your selection.

Purpose statement
Research question(s)
Outcome(s)
Setting

(Where did the study take place?)

Sample
Method
Key findings of the study and implications for nursing practice
Recommendations of the researcher

 

Criteria Article 4 Article 5 Article 6
APA-formatted article citation with permalink
How does the article relate to the PICOT question?
Is the article qualitative, quantitative, or mixed methods?

Justify your selection.

Purpose statement
Research question(s)
Outcome(s)
Setting

(Where did the study take place?)

Sample
Method
Key findings of the study and implications for nursing practice
Recommendations of the researcher

Research Critique Guidelines – Part I

Qualitative Studies

Background of Study

  1. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.

How do these two articles support the nurse practice issue you chose?

  1. Discuss how these two articles will be used to answer your PICOT question.
  2. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.

Method of Study:

  1. State the methods of the two articles you are comparing and describe how they are different.
  2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.

Results of Study

  1. Summarize the key findings of each study in one or two comprehensive paragraphs.
  2. What are the implications of the two studies in nursing practice?

Ethical Considerations

  1. Discuss two ethical consideration in conducting research.
  2. Describe how the researchers in the two articles you choose took these ethical considerations into account while performing their research.

Rubric

Course Code Class Code Assignment Title Total Points
NRS-433V NRS-433V-O505 PICOT Question and Literature Search 120.0
Criteria Percentage 1: Unsatisfactory (0.00%) 2: Less Than Satisfactory (75.00%) 3: Satisfactory (83.00%) 4: Good (94.00%) 5: Excellent (100.00%) Comments Points Earned
Content 80.0%
Summary of Clinical Issue 5.0% A clinical issue is omitted or is not relevant to nursing practice. A clinical issue is partially presented. It is unclear how the clinical issue relates to nursing practice. Significant aspects are missing, or there are inaccuracies. A clinical issue is summarized. The issue generally relates to nursing practice. A clinical issue is presented. The issue relates to nursing practice. Minor detail is needed for clarity. A clinical issue is thoroughly described. The issue relates to nursing practice.
PICOT Question 10.0% A PICOT question is not included. A PICOT question is provided but is incomplete. The PICOT question format is used incorrectly. A PICOT question is provided. The PICOT question format is generally applied. Some information or revision is needed. A PICOT question is provided. The PICOT question format is applied accurately. Some detail is need for support or clarity. A PICOT question is clearly presented. The PICOT question format is applied accurately and presents an answerable and researchable question.
APA-Formatted Article Citations With Permalinks 5.0% Article citations and permalinks are omitted. Article citations and permalinks are presented. There are significant errors in the APA format. One or more links do not lead to the intended article. Article citations and permalinks are presented. Article citations are presented in APA format, but there are errors. Article citations and permalinks are presented. Article citations are presented in APA format. There are minor errors. Article citations and permalinks are presented. Article citations are accurately presented in APA format.
Relationship of Articles to the PICOT Question 10.0% Three or more articles do not relate to the PICOT question. At least two articles do not relate to the PICOT question. The remaining articles provide a small degree of support for the PICOT question. Different articles are needed to provide better support for the PICOT question. At least one articles does not relate to the PICOT question. The remaining articles provide general support for the PICOT question. One or two different articles are needed to provide better support for the PICOT question. Each article relates to the PICOT question. The articles provide support for the PICOT question. Each article clearly relates to the PICOT question. The articles provide strong support for the PICOT question.
Quantitative and Qualitative Articles 10.0% Fewer than six research articles are presented. Four or more articles do not meet the assignment criteria for a quantitative, qualitative, Six research articles are presented. Three articles do not meet the assignment criteria for a quantitative, qualitative Six research articles are presented. Two articles do not meet the assignment criteria for a quantitative, qualitative, or mixed study. Some ability to identify the type of research design used in a study is demonstrated. Six research articles are presented. One article does not meet the assignment criteria for a quantitative, qualitative, or mixed study. A general ability to identify the type of research design used in a study is demonstrated. Six research articles are presented. Each article meets the assignment criteria for a quantitative, qualitative, or mixed study. An ability to identify the different types of research design used in a study is consistently demonstrated.
Purpose Statements 5.0% Purpose statements are omitted or are incomplete overall. Purpose statements are referenced but are incomplete in some areas. Purpose statements are presented. There are minor omissions in some areas, or major inaccuracies. Purpose statements summarized. There are some minor inaccuracies in some. Purpose statements are accurate and clearly summarized.
Research Questions 5.0% Research questions are omitted or are incomplete overall. Research question is presented for each article. The research question has been misidentified or misinterpreted for at least two of the articles. Additional information is needed to fully illustrate the research question for several of the articles. Research questions are presented. The research question has been misidentified or misinterpreted for one of the articles. Some detail is needed to fully illustrate the research question for one or two articles. Research questions are presented. Minor detail is needed for clarity in some areas. Research questions are accurate and capture the fundamental question posed by the researchers in each study.
Outcome 5.0% Research outcomes are omitted or are incomplete overall. Research outcome is presented for each article. The research outcome has been misidentified or misinterpreted for at least two of the articles. Additional information is needed to fully illustrate the research outcomes for several of the articles. Research outcomes are presented. The research outcome has been misidentified or misinterpreted for one of the articles. Some detail is needed to fully illustrate the research outcomes for one or two articles. Research outcomes are presented. Minor detail is needed for clarity in some areas. Research outcomes are accurate and described in detail for each article.
Setting 5.0% The setting is omitted for one or more of the articles. The setting described for three or more articles is inaccurate or incomplete. The setting is indicated for each article. The setting described for two of the articles is inaccurate or incomplete. The setting is indicated for each article. The setting described for one article is inaccurate or incomplete. The setting is indicated for each article. Some detail is needed to fully illustrate the physical, social, or cultural site in which the researcher conducted the study. The setting in which the researcher conducted the study is detailed and accurate for each article.
Sample 5.0% The sample is omitted for one or more of the articles. The sample described for three or more articles is inaccurate or incomplete. The sample is indicated for each article. The sample described for at least two of the articles is inaccurate or incomplete. The sample is indicated for each article. The sample described for one article is inaccurate or incomplete. The sample is indicated for each article. Minor detail is needed for accuracy. The sample is indicated and accurate for each article.
Method 5.0% Method of study for one or more articles is omitted. Overall, the methods of study are incomplete. The method of study is partially presented for each article. Key information is consistently omitted. Overall, the methods reported contain inaccuracies. The method of study for each article is presented. Some key aspects are missing for one or two articles, or there are some inaccuracies for the methods reported. A discussion on the method of study for each article is presented. A thorough discussion on the method of study for each article is presented.
Key Findings of the Study 5.0% Discussion of study results, including findings and implications for nursing practice, is incomplete. A summary of the study results includes findings and implications for nursing practice but lacks relevant details and explanation. There are some omissions or inaccuracies. Discussion of study results, including findings and implications for nursing practice, is generally presented for each article. Overall, the discussion includes some relevant details and explanation. Discussion of study results, including findings and implications for nursing practice, is complete and includes relevant details and explanation. Discussion of study results, including findings and implications for nursing practice, is thorough with relevant details and extensive explanation.
Recommendations of the Researcher 5.0% Researcher recommendations are omitted for one or more of the articles. The recommendations described for three or more articles are inaccurate or incomplete. Researcher recommendations are indicated for each article. The researcher recommendations described for two of the articles are inaccurate or incomplete. Researcher recommendations for each article are presented. Researcher recommendations described for one article are inaccurate or incomplete. Researcher recommendations for each article are accurately presented. Minor detail is needed for accuracy. Researcher recommendations accurate are thoroughly described for each article.
Organization and Effectiveness 10.0%
Mechanics of Writing  (includes spelling, punctuation, grammar, language use) 10.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.
Format 10.0%
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 10.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Total Weightage 100%

NRS 433 Week 2 Rough Draft Qualitative Research Critique and Ethical Considerations

Assessment Description

In this assignment, you will write a critical appraisal that demonstrates comprehension of two qualitative research studies.

For this assignment, use the nursing practice problem and two qualitative peer-reviewed research articles you identified in Topic 1 (or two new articles based on instructor feedback in Topic 1). In a 1,000-1,250-word essay, summarize two qualitative studies.

Use the “Research Critique Guidelines – Part I” document to organize your essay.

You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Attachments

NRS-433V-RS-T2-ResearchCritiqueGuidelinesPart I.docx

NRS 433 Week 3 Rough Draft Quantitative Research Critique and Ethical Considerations Instructions

Assessment Description

In this assignment, you will write a critical appraisal that demonstrates comprehension of two quantitative research studies.

Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment (or two new articles based on instructor feedback in Topic 1) to complete this assignment.

In a 1,000–1,250-word essay, summarize two quantitative studies.

Use the “Research Critique Guidelines – Part II” document to organize your essay.

You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Attachments

NRS-433V-RS-T3-ResearchCritiqueGuid

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NRS 433 Week 5 Research Critiques and PICOT Statement Final Draft

Assessment Description

Prepare this assignment as a 1,500-1,750-word paper using the instructor feedback from the previous course assignments and the guidelines below.

PICOT Question  

Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.

The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments, you completed qualitative, quantitative, and mixed methods research critiques on two articles for each type of study (four articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Use the “Research Critiques and PICOT Question Guidelines – Final Draft” document to organize your essay. Questions under each heading should be addressed as a narrative in the structure of a formal paper. Please note that there are two new additional sections: Outcomes Comparison and Proposed Evidence-Based Practice Change.

General Requirements

You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Attachments

NRS-433V-RS-T5-Research-Critique-PICOT-Guidelines.docx