Power point advanced levels of clinical inquiry and systematic reviews

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Assignment: Evidence-Based Project, Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

· Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

· Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.

· Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.

· Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

(I am attaching the previous assignment related to this topic for you to use)

The Assignment (Evidence-Based Project)

Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

· Identify and briefly describe your chosen clinical issue of interest.

· Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.

· Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

· Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.

· Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.


Matrix Worksheet Template

Use this document to complete Part 1 of the Module 2 Assessment, 
Evidence-Based Project, Part 1: Identifying Research Methodologies

Full
citation
of selected article

Article #1

Article #2

Article #3

Article #4

Shah, M. K., Gandrakota, N., Cimiotti, J. P., Ghose, N., Moore, M., & Ali, M. K. (2021). Prevalence of and factors associated with nurse burnout in the US. JAMA Network Open, 4(2), e2036469-e2036469.

Shuldham, C., Parkin, C., Firouzi, A., Roughton, M., & Lau-Walker, M. (2019). The relationship between nurse staffing and patient outcomes: A case study. International Journal of Nursing Studies, 46(7), 986-992.

Muabbar, H., & Alsharqi, O. (2021). The impact of short-term solutions of nursing shortage on nursing outcome, nurse perceived quality of care, and patient safety. American Journal of Nursing Research, 9(2), 35-44.

Tamata, A. T., Mohammadnezhad, M., & Tamani, L. (2021). Registered nurses’ perceptions on the factors affecting nursing shortage in the Republic of Vanuatu Hospitals: A qualitative study. Plos One, 16(5), e0251890.


Why
you chose this article and/or
how it relates
to the clinical issue of interest (include a brief
explanation of the ethics
of research related to your clinical issue of interest)

I chose this article because it comprehensively discusses one of the primary reasons behind the current nursing shortage: nurse burnout. Nurses constitute the most significant proportion of the healthcare workforce. Therefore, nurse burnout adversely impacts patients’ quality and safety of care. Also, nurse burnout results in many nurses quitting their professions, which leads to the nursing shortage. This article helps address the issue of nurse burnout to minimize nursing shortage.

The ethics of research related to the issue of nursing shortage is tied to a situation where nurses are forced to choose between caring for the needs of their patients and caring for their welfare. When nurses quit their jobs, they cause a nursing shortage, adversely affecting patients’ healthcare services.

I chose this article because it investigates how nurse-to-patient staffing ratios impact the healthcare services given to patients and the subsequent patient outcomes. Nursing shortages result in poor staffing ratios. It has been proben that a direct relationship between staffing levels and patient outcomes for specific nurse-sensitive indicators, with the lower patient to nurse ratios (i.e., fewer patients per nurse) associated with better outcomes” (Shuldham et al., 2019).

The ethics of research related to the nursing shortage issue relates to healthcare institutions hiring few nurses to serve large patient populations even though they know how this may adversely impact patient care.

I chose this article because it investigates several recommendations that the healthcare industry uses to deal with the nursing shortage problem in the short term.

The ethics of the issue at hand relates to how healthcare institutions offer low-quality services due to having low nurse numbers but lacking solutions to alleviate their problems.

I chose this article because it offers nurses’ perspectives regarding the issue of nursing shortage. The nursing shortage is generally attributed to various factors, including high turnover, limited potential educators, and inequitable workforce distribution. Getting the nurse’s perspective gives insight into how best to tackle the problem to get desirable outcomes for all stakeholders.

The ethics of research related to the issue of nursing shortage is tied to a situation where nurses are forced to choose between caring for the needs of their patients and caring for their welfare. When nurses quit their jobs, they cause a nursing shortage, adversely affecting how patients receive healthcare services.

Brief
description of the aims
of the research of each peer-reviewed article

The research aimed “to measure rates of nurse burnout and examine factors associated with leaving or considering leaving employment owing to burnout” (Shah et al., 2021)

The aim of the research was “to explore the relationship between nurse staffing characteristics (the nursing hours worked by permanent and temporary staff and nurse hours per patient day) and patient outcomes: pressure sores, patient falls, upper gastrointestinal bleed, pneumonia, sepsis, shock, and deep vein thrombosis.” (Shuldham et al., 2019).

The research aimed “to determine the relationships between overtime and floating as short-term solutions and nursing effects, nurse-perceived quality of care and patient safety among registered nurses” (Muabbar & Alsharqi, 2021).

The aim of the research was “to explore RNs’ perceptions on the impact of the nursing shortage of nurses and their performance in providing quality care” (Tamata, Mohammadnezhad, & Tamani, 2021).

Brief description of the
research methodology
used Be sure to identify if the methodology used was
qualitative
,
quantitative
, or a
mixed-methods
approach. Be specific.

The authors utilized qualitative research methodology to collect information for their study. A survey collected data from 50 273 registered nurses across the United States. The survey questions aimed to find out the likelihood of nurses either leaving employment o considering leaving employment due to burnout.

The authors used a quantitative research methodology to collect data for their study. Data were retrieved from two hospitals in the UK. Nursing staffing data such as nursing hours per patient day was used to evaluate the relationship between patient outcomes and nursing staffing.

The authors utilized qualitative research methodology to collect information for their study. Questionnaires were used on 337 registered nurses to obtain information on the following variables “demographic characteristics, job satisfaction, intention to leave, nursing perceived quality of care, perceived patient safety, patient safety, patient acuity and dependency, workload and floating” (Muabbar & Alsharqi, 2021).

The authors utilized qualitative research methodology to collect information for their study. A semi-structured open-ended questionnaire was utilized to collect data from 25 registered nurses using face-to-face in-depth interviews

A brief description of the
strengths
of each of the research methodologies used, including
reliability
and
validity
of how the methodology was applied in each of the peer-reviewed articles you selected.

Strengths: The research methodology facilitates greater collaboration. Researchers from different backgrounds can utilize the data collected to provide different perspectives and conclusions and offer more profound insight into the topic.

Reliability: The conclusion obtained from the data is highly reliable since the number of participants in the study was significantly high (50, 273 nurses).

Validity: The participants were all registered nurses. Thus, their input in the study provided valid data.

Strengths: The research methodology provides descriptive data, which offers a comprehensive insight into a specific user population

Reliability: The data was sourced from two top hospitals through the corporate hospital systems.

Validity: Many patient and nurse data offer high validity levels for the research.

Strengths: The research methodology facilitates greater collaboration. Researchers from different backgrounds can utilize the data collected to provide different perspectives and conclusions and offer more profound insight into the topic.

Reliability: The consistency of the results over the study period was high across different nurses.

Validity: The participants were all registered nurses. Thus, their input in the study provided valid data.

Strengths: The research methodology facilitates subjectivity. The participants get the opportunity to explain the rationale behind the study topic and their role in the issue.

Reliability: The results are reliable since they are based on primary data from registered nurses.

Validity: The study results highly correspond to established concepts and theories.  

General Notes/Comments

The findings suggest that “burnout is a significant problem among US nurses who leave their job or consider leaving their job. Health systems should focus on implementing known strategies to alleviate burnout, including adequate nurse staffing and limiting the number of hours worked per shift” (Shah et al., 2021).

The findings demonstrated “the possibility of using existing hospital data to examine the relationship between nurse staffing and patient outcomes. However, the associations found were weak and did not replicate the findings reliably from previous work” (Shuldham et al., 2019).

The findings suggest that “nurses have the potential to provide quality of care to the patient with satisfied patient safety, especially in the days of overtime and increased workload” (Muabbar & Alsharqi, 2021).

The findings “can be helpful to policymakers where decision are made the level to correct the current nursing workforce shortage and its effects in the future by refining and to develop aproprited policies that will address and strengthen the nursing workforce to meet the demand and improve the way care delivery of quality health services to all individual” (Tamata, Mohammadnezhad, & Tamani, 2021).

Matrix Worksheet Template

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