This Assignment, due in Week 10, asks you to evaluate two middle range or interdisciplinary theories and apply those theories to a clinical practice problem. You will also create a hypothesis based upon each theory for an evidence-based practice project to resolve a clinical problem.
Note: This Assigment will serve as your Major Assessment for this course.
- Review strategies for evaluating theory presented by Fawcett and Garity in this week’s Learning Resources.
- Select a clinical practice problem that can be addressed through an evidence-based practice project. Note: You may continue to use the same practice problem you have been addressing in earlier Discussions and in Week 7 Assignment 1.
- Consider the middle range theories presented this week, and determine if one of those theories could provide a framework for exploring your clinical practice problem. If one or two middle range theories seem appropriate, begin evaluating the theory from the context of your practice problem.
- Formulate a preliminary clinical/practice research question that addresses your practice problem. If appropriate, you may use the same research question you formulated for Assignment #4.
In a 8- to 10-page paper (including references):
- Briefly describe your selected clinical practice problem.
- Summarize the two selected theories. Both may be middle range theories or interdisciplinary theories, or you may select one from each category.
- Evaluate both theories using the evaluation criteria provided in the Learning Resources.
- Determine which theory is most appropriate for addressing your clinical practice problem. Summarize why you selected the theory. Using the propositions of that theory, refine your clinical / practice research question.
See attach problem attached in the matrix form for quick reference
Part I: PICO Analysis of Research Topic
P: Patient or Population
I: Anticipated Intervention
C: Comparison group or Current standard
O: Outcome desired
Source: Adapted from Elkins (2010)
Step 1: Frame your clinical question using the PICO method.
P: Patients with chronic respiratory diseases
I: Extensive comprehension
C: Extensive Comprehension and failure to acknowledge pitiable nursing examination.
O: Minimized rate of recidivism
PICO Question: Do Patients with chronic respiratory diseases who undergo extensive comprehension experience a lower rate of recidivism than their counterparts who do not acknowledge pitiable nursing examination?
Part II: Search Strategy
Using the Walden Library and other appropriate databases, locate ten scholarly articles that pertain to a practice issue of interest to you and that is appropriate for an evidence-based practice project.
Step 1: Identify the resources you will utilize, or utilized, to find articles that pertain to your topic
|Electronic Databases||Research or Professional Organizations||Experts in the field to consult||Books, encyclopedias, handbooks|
|CINAHL||MEDSURG Nursing||Fasolino and Verdin||Fasolino, T., & Verdin, T. (2015). Nursing Surveillance and Physiological Signs of Deterioration. MEDSURG Nursing, 24(6), 397-402.|
|CINAHL||Advanced Nurses||Kelly and Vincent||Kelly, L., & Vincent, D. (2011). The dimensions of nursing surveillance: A concept analysis. Journal Of Advanced Nursing, 67(3), 652-661. doi:10.1111/j.1365- 2648.2010.05525.x|
|HAPI: Health and Psychosocial Instruments||Quality Management In Health Care||Sousa||Sousa, K. H. (2016). Testing the Quality Health Outcomes Model Applied to Infection Prevention in Hospitals. Quality Management In Health Care, 25(3), 149-161.|
|Walden Library||St. Louis, MO: Mosby Elsevier||Swan||Swan, B. A. (2018). Evidence-based nursing care guidelines: Medical-surgical interventions. (p. 7). St. Louis, MO: Mosby Elsevier|
|Walden Library||Nursing Administration||Tucker||Tucker, S. (2017). The Role of Nursing Surveillance in Keeping Patients Safe. Journal Of Nursing Administration, 42(7/8), 361-368. doi:10.1097/NNA.0b013e3182619377|
|Walden Library||Nursing Administration,||Watkins, Whisman, and Booker||Watkins, T., Whisman, L., & Booker, P. (2016). Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. Journal Of Clinical Nursing, 25(1-2), 278-281. doi:10.1111/jocn.13102|
|EBSCOhost||Clinical Nursing Organization||Gaffney||A. Gaffney, T. (2020). Keeping patients safe: The critical role of medical error recovery. Nursing – New Perspectives. https://doi.org/10.5772/intechopen.91412|
|EBSCOhost||Clinical Nursing Organization||Rose and Sharafkhaneh||Rose, M., & Sharafkhaneh, A. (2017). Overview of psychological considerations in the management of patients with chronic respiratory conditions. Depression and Anxiety in Patients with Chronic Respiratory Diseases, 1-9. https://doi.org/10.1007/978-1-4939-7009-4_1|
|Cochrane Library||Nursing Administration||Yohannes||Yohannes, A. M. (2017). The impact of comorbidities in patients with chronic respiratory diseases. Depression and Anxiety in Patients with Chronic Respiratory Diseases, 129-148. https://doi.org/10.1007/978-1-4939-7009-4_9|
|Cochrane Library||Nursing Administration||Yohannes and Leroi||Yohannes, A. M., & Leroi, I. (2017). Pharmacological therapy and anxiolytics in patients with respiratory diseases. Depression and Anxiety in Patients with Chronic Respiratory Diseases, 167-182. https://doi.org/10.1007/978-1-4939-7009-4_11|
Step 2: Identify search terms and criteria
|Key words & phrases||Major authors||Inclusion criteria||Exclusion criteria|
|Nursing Surveillance||Fasolino and Verdin||Participants and peer review||Date, exposure of interest, and language|
|Nursing Surveillance||Kelly and Vincent,||Participants and peer review||N/A|
|Infection Prevention||Sousa||Participants and peer review||N/A|
|Surgical interventions||Swan||Study Design||Date|
|Nursing Surveillance||Tucker||Peer review||Geographic location|
|Patients’ Safety||Watkins, Whisman, and Booker||Type of publication|
|Depression and Anxiety in Patients with Chronic Respiratory Diseases||Gaffney||Exposure of interest||Geographic Location|
|Depression and Anxiety in Patients with Chronic Respiratory Diseases||Rose and Sharafkhaneh||Participants||Language|
|Pharmacological therapy and anxiolytics||Yohannes||Participants||Language|
|Pharmacological therapy and anxiolytics||Yohannes and Leroi||Participants||Language|
Step 3: Identify Boolean search strings
The possible Boolean search for the resources that will be used for this EBP include the following:
NURS. CARE QUIDE
IMPROVE CARE/PATIENT SAFE
MEDI- / NURS. NEW PERSPECTIVE
PSYCHO- /MANAGE CHRONIC RESP.
CHRONIC RES. COND.
Part III: Analysis of Literature
Step 1: Summarize the ten (10) articles you select from your search efforts completing the table below.
|Summary Table of Analyzed Articles (you may determine your own headings)|
|Citation||Conceptual Framework/ Theory||Main finding||Research method||Strengths of study||Weaknesses||Level of Evidence|
Step 2: Briefly summarize the history and purpose of your research question.
Step 3: Analysis of strengths and weaknesses of existing literature.
Step 4: What gap exists in the current literature? Explain.
Part IV: Identify the influence of empiricism on quantitative research methodology. Discuss its applicability to evidenced-based practice projects.
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