NR 439 Week 2: Search for Literature and Levels of Evidence
NR 439 Week 2: Search for Literature and Levels of Evidence
- Reflect on your practice, and identify a significant nursing clinical issue or change project that you would like to search for evidence in online sources. Formulate searchable, clinical questions in the PICO(T) format for your nursing clinical issue.
- Next, review the guidelines for the PICOT Assignment due Week 3. Use your PICOT elements to search for one report of a single, original study that has been published within the last 5 years from the CCN Library that is relevant to your nursing clinical issue.
- Briefly describe how it is relevant to your nursing clinical issue. Remember to give a complete reference to the study.
Class,
Nursing research is a dynamic process that includes multiple phases: defining the research problem; literature review; selecting a theoretical framework; choosing an appropriate design; defining a sampling strategy; collecting and analyzing data; sharing the findings, and using the evidence in practice.
The Course Outcomes (COs) we will apply in Week 2 include:
Examine the sources of evidence that contribute to professional nursing practice.
Apply research principles to the interpretation of the content of published research studies.
Reflect on your practice, and identify a significant nursing clinical issue or change project that you would like to search for evidence in online sources. Formulate searchable, clinical questions in the PICO(T) format for your nursing clinical issue.
Next, review the guidelines for the PICOT Assignment due Week 3. Use your PICOT elements to search for one report of a single, original study that has been published within the last 5 years from the CCN Library that is relevant to your nursing clinical issue. Briefly, describe how it is relevant to your nursing clinical issue. Remember to give a complete reference to the study. Post your PICOT and research article in this discussion.
Remember to integrate references.
Class, please remember, you must answer this question by end of Wednesday to gain participation points.
I have been an Emergency Department (ED) nurse for seven years. Many people ask why I would want to work in the ED. The answer is simple. I like being the first line of care for the patient. I like that I don’t have time to build a relationship with the patient and the family. Some may think that sounds cold, but I am one who would take the relationship home with me. By that, I mean that if I developed a relationship with the patient and family members, it would hurt too much when illness or death overcame the patient. 
I would not be able to leave that at work. I need for my interactions with the patient to be completely medical. Do I ever get emotionally attached to repeat patients? Of course but, it is less common in the ED than it would be on an inpatient unit. The nature of ED nurses is often based on the need to provide emergency care. Many of the nurses I have discussed this with feel the same way. They are too compassionate to allow themselves to become close to the patient.
Also, many of us feel that we have lost some of our faith in the human race because of our roles in the ED. Because we often only have contact with the patient for a short period of time and we see many patients over and over, many of us suffer from compassion fatigue. The significant clinical issue that effects my department is compassion fatigue. Evidence-Based Practice or “EBP, considers internal and external influences on practice and encourages critical thinking in the judicious application of evidence to the care of the individual patient, patient population, or a system” (Hain, & Kear, 2015, p 12).
My PICOT would be:
P – The population of interest for this project is registered nurses who worked in the Emergency Department full time
I – The intervention is educational training about compassion fatigue. The intervention takes place off the unit and during a scheduled work tour.
C- The comparison is a survey taken by RNs prior to the education.
O- The outcome is reduction of compassion fatigue after the education.
T- The time frame is 6 months.
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At 6 months, ED RNs take the same survey and values are compared. “Clinicians must critically evaluate research before attempting to implement the findings into practice” (Peterson, et.al, 2014, p 67).
My PICOT question is “Are RNs who work in the ED, who are educated about compassion fatigue, less likely to suffer from CF?”
According to the article I found, “compassion fatigue (CF) is a relatively recent concept that refers to the emotional and physical exhaustion affecting healthcare providers, usually as a consequence of caring” (Hamilton, Tran, & Jamieson, 2016, p 1). The article goes on to state that nurses have been more vocal than doctors about the effects of compassion fatigue over the years. It also states that the ED is a breeding ground for CF.
This article is extremely relevant to my clinical question. As with any other issue, education is usually key to prevention and treatment.
References:
Hain, D. J., & Kear, T. M. (2015). Using evidence-based practice to move beyond doing things the way we have always done them. Nephrology Nursing Journal, 42(1), 11–21.
Hamilton, S., Tran, V. & Jamieson, J. (2016). Compassion fatigue in emergency medicine: The cost of caring. Emergency Medicine Australasia, 28(1), 100-103. doi:1111/1742-6723.12533
Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Sudbury, MA: Jones & Bartlett.
Peterson, M. H., Barnason, S., Donnelly, B., Hill, K., Miley, H., Riggs, L., & Whiteman, K. (2014). Choosing the best evidence to guide clinical practice: Application of AACN levels of evidence. Critical Care Nurse, 34(2), 58–68. doi:10.4037/ccn2014411
Great post, I also understand the aspect of not forming a relationship with the patient and family. Working as a circulator in surgery we do not form those relationships as our patients don’t even remember us. It isn’t that I’m not compassionate its just that I would take it home as well and sometimes still do when we lose a patient. Prior to Nursing I worked with MR adults who lived in group homes. I was so involved in their lives that when I graduated Nursing I knew I no longer wanted that one on one involvement. I know your role is difficult due to so many repeat patients for mental instability and drug seeking and I am so very thankful to have you and others in your role. I think this is a great research topic.