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DNP 801 Topic 2 Discussion Question One

DNP 801 Topic 2 Discussion Question One


You will submit your written assignments to Turnitin in your courses as you complete the program. The purpose is to help you determine how effectively you are integrating other sources into your own writing. Turnitin reports assist you in determining if you are integrating other’s writing into your own correctly and in accord with acceptable practices for scholarly writing. Review the Turnitin report provided. Indicate paragraphs that you believe need review and provide rationale. Also, discuss the impact of correct APA format and integration of sources on your credibility as a scholar in the discipline.

Prepare this discussion question according to the guidelines found in the APA style guide, located in the Student Success Center. An abstract is not required.

Recognising your clinical question’s domain is an important part of the Evidence-Based Practice (EBP) process. Establishing the question type allows you to:

  • Identify the research methodology that provides the best evidence to answer the question.  Note that the hierarchy of evidence (covered in 1.3 Hierarchy of Evidence) will differ according to question type.
    DNP 801 Topic 2 Discussion Question One

    DNP 801 Topic 2 Discussion Question One

  • Select the best EBP Tools to search for the evidence. The Cochrane Database of Systematic Reviews, for example, only addresses treatment and prevention questions.  Other databases address questions of treatment and prevention, diagnosis, prognosis, etiology, quality improvement, and health economics, among others.
  • Select evidence filters in PubMed / CINAHL and other databases that will help narrow your search to papers using appropriate research methods.

DNP 801 Topic 2 Discussion Question One

Identifying your question type will also assist you in critically appraising the evidence based on the appropriateness and rigor of the research methods described in a paper.

Clinical questions can be categorised as either background or foreground.  Determining the type of question will help you to select the best resource to consult for your answer.

Background questions ask for general knowledge about a condition, test or treatment.  These types of questions typically ask who, what, where, when, how & why about things like a disorder, test, or treatment, or other aspect of healthcare.  For example:

What are the clinical manifestations of menopause?

What causes migraines?

Foreground questions ask for specific knowledge to inform clinical decisions. These questions typically concern a specific patient or particular population. They tend to be more specific and complex than background questions.  Quite often, foreground questions investigate comparisons, such as two drugs, or two treatments.   For example:

Is Crixivan effective in slowing the rate of functional impairment in a 45 year old male patient with Lou Gehrig’s Disease?

In patients with osteoarthritis of the hip, is water therapy more effective than land-based exercise in restoring range-of-motion?

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