N435 UTA Module 4: Evidence Based Practice – Finding the Evidence PICO QUESTION -Does family support influence caregiver’s overload in patients who have ce
N435 UTA Module 4: Evidence Based Practice – Finding the Evidence PICO QUESTION -Does family support influence caregiver’s overload in patients who have cerebrovascular accident sequelae over an year? {IF THIS IS NOT RIGHT YOU CAN CREATE ONE USING THE FORMAT}
For PICO questions that predict:
Does __________ (I) influence ________ (O) in patients who have _______ (P) over ______ (T)?
P: Population/disease ( i.e. age, gender, ethnicity, with a certain disorder)P: ______caregivers of individuals with cerebrovascular accident____________________
I: Intervention or Variable of Interest (exposure to a disease, risk behavior, prognostic factor) Note: Not every question will have an intervention (as in a meaning question – see below).I: _________________________________________________
C: Comparison: (could be a placebo or “business as usual” as in no disease, absence of risk factor).Note: This is not used in a meaning question – see below.C: ____________________________________________________________________
O: Outcome: (risk of disease, accuracy of a diagnosis, rate of occurrence of adverse outcome)O: ___________________
1- APA formatted paper.APA formatting for this paper will follow the guidelines for general formatting, in text-citations, margins, headings (if desired) alignment and line spacing, font type and size, paragraph indentation, page headers, and the reference page as explained in the 2nd edition of APA the Easy Way or the 6th edition of the APA Manual.Helpful Hints:Do not use 1st person in a formal paper.Do not use direct quotes, instead summarize and paraphrase what you are reading. Multiple quotes (more than two) will receive multiple point deductions.
2. Follow the rubric attached
3.Reference page required
4- additional resources (Research)-minimum 4 resource articles-
5. 9 PARAGRAPHS REQUIRED
Paragraph #1: This is your opening paragraph. Start with an introduction statement. What is your PICO question? Describe why was it important (share the dollars, morbidity / mortality, statistics, safety stats you found with citation)?Introduction statement(s) present.PICO question with all elements present.Statement of importance with two facts such as costs, morbidity, mortality, safety. Include related statistics with citation and is 5 years or less
Paragraph #2:What did your nursing quantitative research article add to your knowledge on this topic?Share at least three facts (two must be from the Results or Discussion sections) that you found within the article in this paragraph that is relevant to your PICO question and your practice as a nurse.Three facts clearly identified from quantitative nursing research article and is 5 years or less from current publication date.A least two of the facts include information from the Results and / or Discussion sections.Facts clearly tied to PICO question.Facts connected to your nursing practice.
Paragraph #3: Define reliability as it is used in your textbook. Critique the reliability of the nursing quantitative research article you used.Go back to what you learned in your article critique about measurement methods and data collection in Module 3 to make sure you are being thorough in your assessment. Use Table 10-1 in your textbook to identify the type of reliability for your measurement instrument / tool. Be specific, so that your instructor, if reading the article, can find them too.Definition of reliability offered with citation.Discussion of reliability clearly connected to data collection or measurement methods with examples from the student’s research article.Type of reliability is identified and named.Hint: This information is covered in Chapter 10. Use Table 10-1 in your textbook to identify the type of reliability of the measurement
Paragraph #4: Define validity as it is used in your textbook.Critique the validity of the nursing quantitative research article you used. Go back to what you learned in your article critique about measurement methods, and data collection to make sure you are being thorough in your assessment. Use Table 10-1 in your textbook to identify the type of validity for your measurement instrument / tool. Be specific, so that your instructor, if reading the article, can find them too.Definition of validity offered with citation.Discussion of validity clearly connected to data collection, or measurement methods with examples from the student’s research article.Type of validity is identified and named.Hint: This information is covered in Chapter 10. Use Table 10-1 in your textbook to identify the type of validity of the measurement instrument / tool
Paragraph #5: Using the skills you have learned in your critique of a research article, describe two strengths or two weaknesses (or one strength and one weakness) that you found as you read this article.Go back to what you learned in your article critique about sampling methods, measurement methods (ex. questionnaires), and data collection (how did they collect the data to make sure you are being thorough in your assessment. Be specific, so that your instructor, if reading the article, can find them too.Do not re-state the limitations provided by the authors of your study unless they have to do with the study’s sampling, measurement methods, or data collection.Do not discuss the descriptive or inferential statistics used by the authors as a strength or weakness of the study, as this is not related to with the study’s sampling, measurement methods, or data collection.Two strengths or two weaknesses or one strength and one weakness are specifically identified from your nursing quantitative research article.The student choices for strengths / weaknesses must focus on the methods used by the authors for sampling, measurement methods used (ex. a questionnaire), or how the data was collected (data collection)
Paragraph #6:What is the name and website of the clinical practice guideline that you found?Share at least three facts that you found within the guideline that is relevant to the PICO question and your practice as a BSN nurse and cite the guideline appropriately.Name of the clinical practice guideline and specific website identified.Guideline is the most recent version or published within the past five years.Three facts clearly identified that were found within the guideline and relate to the practice of a BSN.Facts clearly tied to PICO question.Facts connected to your nursing practice.
Paragraph #7: Identify the fourth resource you found (clinical “how-to” article, a nursing professional practice website, a systematic literature review, a meta-analysis, or a manufacturer’s website) that relates to your practice question.Share at least three facts that you found within this source that is relevant to the PICO question and your practice as a nurse, and cite appropriately.Three facts clearly identified from the fourth resource which is 5 years or less from current publication date.Facts clearly tied to PICO question.Facts connected to your nursing practice
Paragraph #8 &9: re-state your PICO question and briefly summarize what you have learned through your search.What would you recommend, if anything, as a change in practice for nurses?Why?Remember, this is your closing paragraph(s).
textbook-Grove, S., Gray, J., & Burns, N. (2015). Understanding nursing research text w/ study guide package (6th ed). St. Louis, MO: Saunders. N4325 Nursing Research
Module 4: Evidence Based Practice Project: Finding the Evidence
Submit by the due date and time listed in your syllabus.
Overview
This assignment will allow you to create an evidence-based practice project that includes the
development of a PICO question and follows the initial steps of the Iowa Model. You will share
your findings using an APA formatted paper.
Submitting your assignment
•
Save this document to your desktop as a Word document.
•
Open the document from your desktop and review the assignment instructions and
grading rubric.
•
Create a separate Word document for your paper.
•
Return to Blackboard and upload your paper and your nursing research article that was
approved by your coach in Module 2 to the assignment submission link in Module Four.
Please note: if you forget to upload your nursing quantitative research article, a 5 point
penalty will be applied to your paper.
Grading Rubric
Use this rubric to guide your work the assignment. Points are awarded for each section based
on content and clarity of expression.
Initial PICO
question
completed /
nursing research
article selected.
Accomplished
Proficient
Needs Improvement
(Maximum points
awarded)
(Points awarded based on
content)
(Minimum points
awarded)
Research article is a
quantitative article, nursing
focused, and is 5 years or
less from current
publication date.
Research article is a
quantitative article that is
nursing focused but is
greater than 5 years old.
Please note: if you forget
to upload your nursing
quantitative research
article, a 5 point penalty
will be applied to your
paper
Opening
Paragraph
(Paragraph #1)
Research article is not
nursing focused or is a
qualitative article,
systematic review, metasynthesis, meta-analysis,
meta-summary,
integrative review, clinical
information article or
“how-to” article.
No article uploaded.
5 – 4 points
Introduction statement(s)
present.
3 – 2 points
No introduction
statement(s).
0 points
No introduction
statement(s).
PICO question with all
elements present.
PICO statement is
incomplete.
PICO statement grossly
incomplete or missing.
©2017 UTA School of Nursing
Page 1 of 7
N4325 Nursing Research
Summary
paragraph for
your nursing
quantitative
research article.
(Paragraph #2)
Statement of importance
with two facts such as
costs, morbidity, mortality,
safety. Include related
statistics with citation and
is 5 years or less from
current publication date.
Statement of importance
incomplete or missing.
Statement of importance
missing.
Citation is incomplete or
missing.
No citation
10 – 9 points
Three facts clearly
identified from quantitative
nursing research article
and is 5 years or less from
current publication date.
8 – 3 points
Less than three facts
clearly identified from
quantitative nursing
research article.
2 – 0 points
No facts clearly identified
from the article.
A least two of the facts
include information from
the Results and / or
Discussion sections.
Only one fact includes
results or discussion
sections.
No facts from the results
or discussion sections
Facts clearly tied to PICO
question.
Facts not clearly tied to
PICO question.
No attempt to connect
facts from the article back
to the PICO question.
Facts not clearly connected
to your nursing practice.
No attempt to connect
facts from the article back
to your nursing practice.
Facts connected to your
nursing practice.
Reliability
paragraph for
your nursing
quantitative
research article.
(Paragraph #3)
10 – 9 points
Definition of reliability
offered with citation.
8 – 3 points
Vague or no definition of
reliability.
Discussion of reliability
clearly connected to data
collection or measurement
methods with examples
from the student’s
research article.
Minimal reference to data
collection or measurement
methods in discussion of
reliability with no reference
to specific information from
the student’s article.
Type of reliability is
identified and named.
Type of reliability is not
clearly identified / named.
2 – 0 points
Vague statements about
reliability made with no
discussion of data
collection or
measurement methods
offered.
Type of reliability is not
identified / named.
Hint: This information is
covered in Chapter 10.
Use Table 10-1 in your
textbook to identify
the type of reliability of
the measurement
instrument / tool.
10 – 9 points
©2017 UTA School of Nursing
8 – 3 points
2 – 0 points
Page 2 of 7
N4325 Nursing Research
Validity
paragraph for
your nursing
quantitative
research article.
(Paragraph #4)
Definition of validity
offered with citation.
Vague or no definition of
validity.
Vague statements about
validity made with no
discussion of data
collection or
measurement methods
offered.
Discussion of validity
clearly connected to data
collection, or
measurement methods
with examples from the
student’s research article.
Minimal reference to data
collection, or measurement
methods in discussion of
validity with no reference to
specific information from
the student’s article.
Type of validity is identified
and named.
Type of validity is not
clearly identified / named.
Type of validity is not
identified / named.
10 – 9 points
Two strengths or two
weaknesses or one
strength and one
weakness are specifically
identified from your
nursing quantitative
research article.
8 – 3 points
Only one strength / or
weakness explained well
with second strength /
weakness only identified.
2 – 0 points
Strength / weaknesses
identified are not based
on these three critique
skills.
The student choices for
strengths / weaknesses
must focus on the
methods used by the
authors for sampling,
measurement methods
used (ex. a questionnaire),
or how the data was
collected (data collection)
with examples from the
student’s research article.
Strengths / weaknesses not
based on sample,
measurement methods, or
data collection.
No strengths /
weaknesses identified.
Hint: This information is
covered in Chapter 10.
Use Table 10-1 in your
textbook to identify
the type of validity of
the measurement
instrument / tool.
Two additional
strengths or
weaknesses from
your nursing
quantitative
research article.
(Paragraph #5)
Clinical practice
guideline
summary.
(Paragraph #6)
10 – 9 points
Name of the clinical
practice guideline and
specific website identified.
Guideline is the most
recent version or
published within the past
five years.
Three facts clearly
identified that were found
within the guideline and
relate to the practice of a
BSN.
©2017 UTA School of Nursing
8 – 3 points
2 – 0 points
Name of the clinical
practice guideline or
website not clearly
identified.
Name of the clinical
practice guideline or
website not stated.
Fewer than three facts
clearly identified that were
found within the guideline
or facts not specifically
related to the practice of the
No clearly identified facts
from the guideline.
Facts not tied to PICO
Page 3 of 7
N4325 Nursing Research
nurse.
Facts clearly tied to PICO
question.
Facts connected to your
nursing practice.
question or nursing
practice.
Facts vaguely tied to PICO
question.
Facts vaguely connected to
your nursing practice.
2 – 0 points
10 – 9 points
“Fourth
resource”
summary.
Three facts clearly
identified from the fourth
resource which is 5 years
or less from current
publication date.
8 – 3 points
Less than three facts
clearly identified from the
fourth resource.
No attempt to connect
facts from the fourth
resource back to the
PICO question.
(Paragraph #7)
Closing
Paragraph(s)
(Paragraph #8
and #9, if
needed)
APA Style and
Formatting
Facts clearly tied to PICO
question.
Facts not clearly tied to
PICO question.
Facts connected to your
nursing practice.
Facts not clearly connected
your nursing practice.
10 – 9 points
PICO question is restated.
8 – 3 points
Missing one or more of the
following elements:
A summary of what was
learned (from all sources)
is present.
Recommendations for
practice are offered.
No facts clearly identified
from the fourth resource.
PICO question.
A summary of what was
learned.
Recommendations for
practice.
No attempt to connect
facts from the fourth
resource back to your
nursing practice.
2 – 0 points
No PICO question.
Poor or no attempt to
summarize information
from the resources.
No / vague
recommendations for
practice are offered.
10 – 9 points
8 – 3 points
2 – 0 points
APA formatting for this paper will follow the guidelines for general formatting, in textcitations, margins, headings (if desired) alignment and line spacing, font type and
size, paragraph indentation, page headers, and the reference page as explained in
the 2nd edition of APA the Easy Way or the 6th edition of the APA Manual.
Helpful Hints:
• Do not use 1st person in a formal paper.
• Do not use direct quotes, instead summarize and paraphrase what you
are reading. Multiple quotes (more than two) will receive multiple point
deductions.
• Please do not forget to use the approved CONHI cover page.
• Check your references format before submitting your paper. A ten-point
deduction will be applied to your paper if the References page is
omitted.
The first time an APA error is discovered, it will be pointed out to you and a point will
be deducted from your paper. Maximum number of points deducted for APA errors:
15 points
©2017 UTA School of Nursing
Page 4 of 7
N4325 Nursing Research
Instructions for Completing Your Assignment
o
Step one: Using the topic you chose for Module 2 Searching for a Quantitative Nursing article,
identify a nursing clinical practice question that you would like to explore.
o
Step two: Complete the readings from Module Four. Use the readings from Module Four to put
your nursing clinical practice question into a PICO format.
o
Step three: Search for a nursing quantitative research article (or two) that relates to your PICO
question using Academic Search Complete, CINHAL, Pubmed, Google Scholar, or any other
database that contains nursing research articles. Please note: you may be able to use the
article that you submitted in Module Two to meet this requirement.
o The article you will find must meet the following mandatory requirements:
▪ It must be based on the topic list attached here.
▪ It must be from a nursing research journal or have a nurse as an author.
▪ It must be no more than 5 years old from the current publication year.
▪ It must include implications and / or interventions that are applicable to nursing
practice.
▪ It may not be a qualitative article, systematic review, meta-synthesis, metaanalysis, meta-summary, integrative review or a retrospective / quality
improvement study. For more information on how to recognize these types of
article see Grove, Gray, and Burns (2015) pp. 22-24.
▪ It may not be a clinical information article or “how-to” article.
o
Step four: If you have questions about your PICO question formatting or the nursing
quantitative research article that you found, post them to the Q & A discussion board for
feedback from your peers.
o
Self-check: if you choose the wrong type of nursing quantitative research article for your paper
(the one that you will be using to write paragraph 2, 3, 4, & 5) the best grade you could make is
a 55. Yikes!!! Please make sure that you have selected a nursing quantitative research article
that meets the criteria for this assignment and ask for help if you are not sure. Please note: you
may be able to use the article that you submitted in Module Two to meet this requirement.
o
Step Five: Collecting More Evidence (Do the research)
▪ Find a resource published within the past 5 years that provides you with at least two
facts (ex. costs, morbidity, mortality, safety, or other related statistics) for why your
clinical problem is important (provide statistics). (The internet is a great place to get this
information…just don’t forget to cite this information and add it to your reference
page).
▪ Find a clinical practice guideline at http://www.guideline.gov/browse/by-topic.aspx that
relates to your question. It must have information that relates to the role of the nurse.
©2017 UTA School of Nursing
Page 5 of 7
N4325 Nursing Research
▪
▪
o
Guideline is the most recent version or published within the past five years. (It is true
that guidelines are not always updated within 5 years so you will need to discuss this.)
Find a clinical “how-to” article, a nursing professional practice website, a systematic
literature review, a meta-analysis, or a manufacturer’s website published within the
past 5 years that relates to your practice question.
Hint: Did you notice that you will be finding a total of four different sources of
information for your PICO question? To re-cap, these four sources are:
• Statistics you are reporting in paragraph one.
• Nursing quantitative research article for paragraphs 2, 3, 4, and 5.
• Clinical Practice Guideline (paragraph 6)
• A source of your choosing (paragraph 7)
Step Six: Write up your findings in APA format and submit them to Blackboard by the due date
and time listed in your syllabus. Here’s how to write up your findings:
▪ Start with a UTA CONHI approved cover page.
▪ Paragraph #1: This is your opening paragraph. Start with an introduction statement.
What is your PICO question? Describe why was it important (share the dollars, morbidity
/ mortality, statistics, safety stats you found with citation)?
▪ Paragraph #2: What did your nursing quantitative research article add to your
knowledge on this topic? Share at least three facts (two must be from the Results or
Discussion sections) that you found within the article in this paragraph that is relevant
to your PICO question and your practice as a nurse.
▪ Paragraph #3: Define reliability as it is used in your textbook. Critique the reliability of
the nursing quantitative research article you used. Go back to what you learned in your
article critique about measurement methods and data collection in Module 3 to make
sure you are being thorough in your assessment. Use Table 10-1 in your textbook to
identify the type of reliability for your measurement instrument / tool. Be specific, so
that your instructor, if reading the article, can find them too.
▪ Paragraph #4: Define validity as it is used in your textbook. Critique the validity of the
nursing quantitative research article you used. Go back to what you learned in your
article critique about measurement methods, and data collection to make sure you are
being thorough in your assessment. Use Table 10-1 in your textbook to identify the type
of validity for your measurement instrument / tool. Be specific, so that your instructor, if
reading the article, can find them too.
▪ Paragraph #5: Using the skills you have learned in your critique of a research article,
describe two strengths or two weaknesses (or one strength and one weakness) that you
found as you read this article. Go back to what you learned in your article critique about
sampling methods, measurement methods (ex. questionnaires), and data collection (how
did they collect the data to make sure you are being thorough in your assessment. Be
specific, so that your instructor, if reading the article, can find them too. Do not re-state
the limitations provided by the authors of your study unless they have to do with the
©2017 UTA School of Nursing
Page 6 of 7
N4325 Nursing Research
▪
▪
▪
▪
study’s sampling, measurement methods, or data collection. Do not discuss the
descriptive or inferential statistics used by the authors as a strength or weakness of the
study, as this is not related to with the study’s sampling, measurement methods, or data
collection.
Paragraph #6: What is the name and website of the clinical practice guideline that you
found? Share at least three facts that you found within the guideline that is relevant to
the PICO question and your practice as a BSN nurse and cite the guideline appropriately.
Paragraph #7: Identify the fourth resource you found (clinical “how-to” article, a nursing
professional practice website, a systematic literature review, a meta-analysis, or a
manufacturer’s website) that relates to your practice question. Share at least three
facts that you found within this source that is relevant to the PICO question and your
practice as a nurse, and cite appropriately.
Paragraph #8 (and #9 if needed): re-state your PICO question and briefly summarize
what you have learned through your search. What would you recommend, if anything,
as a change in practice for nurses? Why? Remember, this is your closing paragraph(s).
Note to students about writing up your findings:
o This is a formal APA paper. Look at the Rubric for more APA information for this
paper.
o Don’t forget to use your APA resources that were reviewed in Module Two!
o Don’t forget to use the Module Four discussion board for additional questions about
your paper.
o Turn your paper (as a word document) and article (in pdf format) that you used for
paragraphs 2, 3, 4, & 5 in to the assignment submission link in Module Four at the
due date and time listed in your syllabus.
o Possible points for this assignment: 100 points
©2017 UTA School of Nursing
Page 7 of 7
PICO(T) Worksheet
First, identify each element of your PICO on the line below, then take a look at the templates below to
help you formulate a PICO(T) question.
P: Population/disease ( i.e. age, gender, ethnicity, with a certain disorder)
P: ____________________________________________________________________
I: Intervention or Variable of Interest (exposure to a disease, risk behavior, prognostic factor)
Note: Not every question will have an intervention (as in a meaning question – see below).
I: ____________________________________________________________________
C: Comparison: (could be a placebo or “business as usual” as in no disease, absence of risk
factor). Note: This is not used in a meaning question – see below.
C: ____________________________________________________________________
O: Outcome: (risk of disease, accuracy of a diagnosis, rate of occurrence of adverse outcome)
O: ____________________________________________________________________
T: Time: The time it takes to demonstrate an outcome (e.g. the time it takes for the intervention
to achieve an outcome or how long participants are observed). This is an optional “add-on”
for a PICO question.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
For PICO questions about a nursing intervention/therapy:
In _______(P), what is the effect of _______(I) on ______(O) compared with _______(C) within
________ (T)?
For PICO etiology questions:
Are ____ (P) who have _______ (I) at ___ (increased/decreased) risk for/of_______ (O) compared
with ______ (P) with/without ______ (C) over _____ (T)?
For PICO questions involving prevention:
For ________ (P) does the use of ______ (I) reduce the future risk of ________ (O) compared with
_________ (C)?
For PICO questions that predict:
Does __________ (I) influence ________ (O) in patients who have _______ (P) over ______ (T)?
For PICO questions that want to know more about the meaning of…..
How do ________ (P) diagnosed with _______ (I) perceive ______ (O) during _____ (T)?
Based on Melnyk B., & Fineout-Overholt E. (2010). Evidence-based practice in nursing & healthcare. New York: Lippincott Williams & Wilkins.
Original article
Influence of family support in burden
of caregivers of individuals with
cerebrovascular accident sequelae
Kátia Lilian Sedrez Celich1
Gabriela Maschio2
Cláudio Claudino da Silva Filho3
Tatiana Gaffuri da Silva4
Silvia Silva de Souza5
Influence of family support in burden of
caregivers of individuals with brain vascular
accident sequelae
Objective. Understand the existence of a relation between
the caregiver’s overload of a stroke sequel patient and
the family support. Methods. Quantitative/Qualitative
resear…
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