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DNP 801 Topic 3 DQ 1 Levels of Evidence in Research
DNP 801 Topic 3 DQ 1 Levels of Evidence in Research
Topic 3 DQ 1
Mar 3-5, 2022
Refer to the “Levels of Evidence in Research” document to assist in this discussion question.
Explain why research articles that fail to meet these criteria cannot be used to provide evidence for the DPI Project. Using these criteria, find two primary research articles for your proposed patient practice problem and explain why these are considered primary research articles and why they demonstrate support for your proposed nursing practice problem. Post the links with your references.
REPLY TO DISCUSSION
TW
Posted Date
Mar 6, 2022, 12:18 PM
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References: DNP 801 Topic 3 DQ 1 Levels of Evidence in Research
References DNP 801 Topic 3 DQ 1 Levels of Evidence in Research
Grand Canyon University. Levels of evidence in research. (2022). https://halo.gcu.edu/resource/50bda08b-ad2f-466b-b9af-18b5bf0aa44a?nestedResourceId=1f2faeb8-d0c0-48f8-9bfb-dae23486e673
Grand Canyon University. Doctor of Nursing Practice. What are empirical/research articles? (nd) https://libguides.gcu.edu/DNP/Empirical
Hain, D. J. (2017). Exploring the Evidence. Focusing on the Fundamentals: Comparing and Contrasting Nursing Research and Quality Improvement. Nephrology Nursing Journal, 44(6), 541–544.
Health and Human Services. Agency for Healthcare Research and Quality. (2019) https://www.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
James, C. V., Moonesinghe, R., Wilson-Frederick, S. M., Hall, J. E., Penman-Aguilar, A., & Bouye, K. (2017).
Racial/Ethnic Health Disparities Among Rural Adults — United States, 2012-2015. MMWR Surveillance Summaries, 66(23), 1–9. https://doi-org.lopes.idm.oclc.org/10.15585/mmwr.ss6623a1
Martino, S. C., Mathews, M., Agniel, D., Orr, N., Wilson, F. S., Ng, J. H., Ormson, A. E., Elliott, M. N., & Wilson-Frederick, S. (2019). National racial/ethnic and geographic disparities in experiences with health care among adult Medicaid beneficiaries. Health Services Research, 54, 287–296.https://doi-org.lopes.idm.oclc.org/10.1111/1475-6773.13106
NM
Posted Date
Mar 6, 2022, 1:35 AM
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Replies to Tommie Wood
The collection of facts that are true, through intense research is called evidence. Therefore, there are different levels of evidence in the form of a pyramid to determine the validity of any research from the lowest being the weakest to the highest being the most authentic. However, as much as there is a level of evidence, there is not one standardized way of interpreting evidence. The level of evidence also known as the hierarchy of evidence is used as a guide to the various types of research that could be performed and helps to place them in categories, so that if the research is conducted properly, the answers will be most reliable (Melnyk, & Fineout-Overholt, 2018).
The highest-ranking level of evidence is the quantitative research which is the systematic review of the randomized control trials (RCT). It gives the best answer for what caused a situation and the effect of the situation because it synthesizes several studies compared with the lower levels of evidence which is based on descriptive and case studies, expert opinions. It is the strongest research method that produces the same results from multiple studies to produce the same outcome results (Melnyk, & Fineout-Overholt, 2018).
The DPI project that I have chosen is about finding out what is causing the reoccurrence of stroke and how it can be prevented. In my facility, there are many patients who are readmitted for stroke reoccurrence. So, the first article is a prospective study that is attempting to discover the clinical and the neuro imaging aspects that may be contributing the reoccurrence of stroke in these patients after they had been treated and are on medications (Hervella, et al., 2021). They conducted a retrospective study with a large number of people and it is primary research because there was ongoing observation and participation by the researchers and the participants (GCU, 2022).
The second article is also primary research because it is a summary of the study data that was conducted by others (GCU, 2022). Though the method used was the RCT method that was taken from a multiple center randomized double blind controlled trial. The purpose of the article was to asses the effect of the medication aspirin to prevent the reoccurrence of stroke compared to the other medicine nicametate and to identify the cause of stroke recurrence (Wang, et al., 2021).
These articles demonstrate support for my DPI project to find what is causing stroke reoccurrence and what interventions that needs to be taken to prevent the stroke reoccurrence.
References: DNP 801 Topic 3 DQ 1 Levels of Evidence in Research
Grand Canyon University (GCU), (2022). Levels of evidence in research. https://halo.gcu.edu/resource/50bda08b-ad2f-466b-b9af-18b5bf0aa44a?nestedResourceId=1f2faeb8-d0c0-48f8-9bfb-dae23486e673
Hervella, P., Pérez-Mato, M., Rodríguez-Yáñez, M., López-Dequidt, I., Pumar, J. M., Sobrino, T., Campos, F., Castillo, J., Da Silva-Candal, A., & Iglesias-Rey, R. (2021). STWEAK as predictor of stroke recurrence in ischemic stroke patients treated with Reperfusion therapies. Frontiers in Neurology, 12. https://doi.org/10.3389/fneur.2021.652867
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice. LWW.
Wang, T., Wu, T., Pan, S., Chen, H., & Chiu, S. Y. (2021). Impacts of treatments on recurrence and 28-year survival of ischemic stroke patients. Scientific Reports, 11(1). https://doi.org/10.1038/s41598-021-94757-6
DNP 801 Topic 3 DQ 1 Levels of Evidence in Research Grading Rubric Guidelines
Performance Category | 10 | 9 | 8 | 4 | 0 |
Scholarliness
Demonstrates achievement of scholarly inquiry for professional and academic decisions. |
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Performance Category | 10 | 9 | 8 | 4 | 0 |
Application of Course Knowledge –
Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations |
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Performance Category | 5 | 4 | 3 | 2 | 0 |
Interactive Dialogue
Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days. (5 points possible per graded thread) |
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Summarizes what was learned from the lesson, readings, and other student posts for the week. |
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Minus 1 Point | Minus 2 Point | Minus 3 Point | Minus 4 Point | Minus 5 Point | |
Grammar, Syntax, APA
Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted. Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition |
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0 points lost | -5 points lost | ||||
Total Participation Requirements
per discussion thread |
The student answers the threaded discussion question or topic on one day and posts a second response on another day. | The student does not meet the minimum requirement of two postings on two different days | |||
Early Participation Requirement
per discussion thread |
The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week. | The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT. |