NRS 433 Assignment: Research Critiques and PICOT Statement
Sample Answer for NRS 433 Assignment: Research Critiques and PICOT Statement Included After Question
NRS 433 Assignment: Research Critiques and PICOT Statement
Description:
Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.
PICOT Question
Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.
The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).
Research Critiques
In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.
The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.
Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.
Proposed Evidence-Based Practice Change
Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.
General Requirements
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to theLopesWrite Technical Support articlesfor assistance.
Description
Objectives
1. Create strategies for integrating evidence-based research into professional practice using the PICOT technique.
- Discuss how evidence from research is applied in nursing
- Discuss the advantages and disadvantages of qualitative and quantitative studies when applied to nursing
Nursing Research: Understanding Methods for Best Practice
Description:
Read Chapter 5 in Nursing Research: Understanding Methods for Best Practice.
Plagiarism
Description:
Review “Plagiarism,” located in the Student Success Center, for information on how to avoid plagiarism.
How to Implement a Change in Practice
Description:
Read “How to Implement a Change in Practice,” by Gesme and Wiseman, from Journal of Oncology Practice(2010).
Planning for Implementation of Evidence-Based Practice
Description:
Read “Planning for Implementation of Evidence-Based Practice,” by Cullen and Adams, from Journal of Nursing Administration(2012).
Changing Practice, Changing Lives: 10 Landmark Nursing Research Studies
Description:
Read “Changing Practice, Changing Lives: 10 Landmark Nursing Research Studies,” by the National Institute of Nursing Research(2012), located on the institute’s website.
Why Do Nurses Need Research?
Description:
Read “Why Do Nurses Need Research?” (2017), located on the Northeastern State University website.
The 2017 National Nursing Research Roundtable
Description:
Read “The 2017 National Nursing Research Roundtable” by National Institute of Nursing Research (2017).
Facilitating the Implementation of Evidence-Based Practice Through Contextual Support and Nursing Leadership.
Facilitating the Implementation of Evidence-Based Practice Through Contextual Support and Nursing Leadership,” by Kueny, Shever, Mackin, and Titler, from Journal of Healthcare Leadership (2015).
Translating Research Findings to Clinical Nursing Practice
Description:
Read “Translating Research Findings to Clinical Nursing Practice,” by Curtis, Fry, Shaban, and Considine, from Journal of Clinical Nursing (2016).
A Nurses’ Guide to the Hierarchy of Research Designs and Evidence
Description:
Read “A Nurses’ Guide to the Hierarchy of Research Designs and Evidence,” by Ingham-Broomfield, from Australian Journal of Advanced Nursing (2016).
Choosing the Best Evidence to Guide Clinical Practice: Application of AACN Levels of Evidence
Description:
Read “Choosing the Best Evidence to Guide Clinical Practice: Application of AACN Levels of Evidence,” by Peterson et al., from Critical Care Nurse (2014).
Enhancing Utility and Understanding of Evidence Based Practice Through Undergraduate Nurse Education
Description:
Read “Enhancing Utility and Understanding of Evidence Based Practice Through Undergraduate Nurse Education,” by Reid, Briggs, Carlisle, Scott, and Lewis, from BMC Nursing (2017).
Turning Knowledge Into Action at the Point-of-Care: The Collective Experience of Nurses Facilitating the Implementation of Evidence-Based Practice
Description:
Read “Turning Knowledge Into Action at the Point-of-Care: The Collective Experience of Nurses Facilitating the Implementation of Evidence-Based Practice,” by Dogherty, Harrison, Graham, Vandyk, and Keeping-Burke, from Windows on Evidence-Based Nursing (2013).
Searching Nursing Databases
Description:
Read the strategies and tips located on “Searching Nursing Databases” on the GCU Library website to assist you in searching the main nursing and health sciences databases. View the associated tutorials as needed.
APA Basics
Description:
Reference the “APA Basics” information, located on the GCU Library website, to assist with the APA format and documentation of sources required for the assignment.
GCU Library Research Guides: Citing Sources
Description:
NRS 433 Assignment: Research Critiques and PICOT Statement Final Draft
A Sample Answer For the Assignment: NRS 433 Assignment: Research Critiques and PICOT Statement
Title: NRS 433 Assignment: Research Critiques and PICOT Statement
When conducting research, it is important to use a variety of methods in order to get a well-rounded understanding of the topic at hand. Quantitative research uses numerical data to come to conclusions, whereas qualitative research relies on observations and interviews to produce findings. Both types of research have their own strengths and weaknesses, and it is important to understand the difference between them when drawing conclusions. Quantitative research is often better at measuring cause and effect relationships, as well as making generalizations about groups of people. However, it can be difficult to interpret the results of quantitative studies without knowing the mathematical theories behind them. Qualitative research is better at exploring feelings and individual experiences, but can be less reliable when trying to make generalizations. When beginning a research project, it important to first determine the type of information you need. This can be done by doing a literature review to get an idea of what has already been studied in a specific field and to find specific articles that can help in answering the research question. The purpose of this assignment is to analyze two quantitative and qualitative articles identified in topic 1 and 2.
Nursing Practice Problem and PICOT Question
The identified nursing practice problem under consideration is hypertension among African Americans. Although the incidence of hypertension (high blood pressure) is higher among African Americans than Caucasians, the good news is that it can be effectively managed. There are a number of lifestyle changes that can help to lower blood pressure, including eating a healthy diet, maintaining a healthy weight, getting regular exercise, and managing stress. In addition, there are several medications available that can effectively manage hypertension. If one has been diagnosed with hypertension, it is important to work with appropriate healthcare team to develop a plan for treatment and management. With proper treatment and care, one can live a healthy life despite having this condition.
PICOT Question: In African American Adults diagnosed with hypertension, does daily home blood pressure monitoring compared to blood pressure monitoring only during healthcare visits, improve medication compliance in six months?
Background
Qualitative articles considered in this analysis include article I, “Patient barriers and facilitators to ambulatory and home blood pressure monitoring” by Carter et al. (2018) and article II, “Implementation of home blood pressure monitoring among French GPs: A long and winding road” by Dugelay et al. (2019). Qualitative article I emphasizes nurses’ understanding of ambulatory and home blood pressure monitoring services. The main problem identified in the article is blood pressure and the home-based approaches that can be applied in the management process (Carter et al., 2018). The article is significant to nursing because it provides different strategies that can be applied in the management of patients suffering from high blood pressure. The purpose of the study was to investigate Patient barriers and facilitators to ambulatory and home blood pressure monitoring. The objective of the study was to determine some of the best home blood pressure monitoring approaches. The main research question is: what are the possible patient barriers and facilitators to ambulatory and home blood pressure monitoring services?
Qualitative article II highlighted a significant reluctance of GPs concerning a regular application of HBPM and the appropriate approaches in the management of hypertension under home-based care. The purpose of the article was to explore the perception of home blood pressure monitoring (HBPM) by general practitioners (GPs) in everyday practice in order to identify facilitators and barriers to its implementation in daily practice. The main objective of the article is to determine the effectiveness of home-based care in the management of patients. The article is significant to nursing because it provides appropriate strategies in the management of high blood pressure among different patients. The main research question in the article is: What are the effects of perception of home blood pressure monitoring (HBPM) by general practitioners (GPs) in everyday practice?
The two quantitative articles considered in the study include article III “Economic evaluation of the home blood pressure telemonitoring and pharmacist case management to control hypertension (Hyperlink) trial” by Dehmer et al. (2018) and article IV “Factors influencing home blood pressure monitor ownership in a large clinical trial” by Anbarasan et al. (2022). Article III examines the economic evaluation of home blood pressure telemonitoring and pharmacist case management in adults with uncontrolled hypertension. The article is significant to nursing because determines cost-effectiveness involved in home-based blood pressure monitoring system. The purpose of the study is to analyze the economic outcomes of the Home Blood Pressure Telemonitoring and Case Management to Control Hypertension (Dehmer et al., 2018). The main objective is to determine cost-effectiveness in the management of blood pressure among patients suffering from hypertension. The main research question in the study is: Can home blood pressure monitoring and pharmacist case management improve hypertension care? According to article IV, there is the provision of useful information about factors that influence whether or not people purchase home blood pressure monitors. The article is significant to nursing because it provides effective approaches in the management of high blood pressure among patients. The purpose of the study was to investigate factors influencing home blood pressure monitor ownership in a large clinical trial. The main objective of the article is to determine effective home-based approaches in the management of high blood pressure. The main research question is: What are some of the factors influencing home blood pressure monitor ownership in a large clinical trial?
How The Four Articles Support the Nurse Practice Issue Chosen
The four articles provide useful information about factors that influence whether or not people purchase home blood pressure monitors. This information can be applied to support and answer different aspects of PICOT question. Also, the findings from the articles can be applied in answering different aspects of the PICOT question. The information on the implementation of home blood pressure monitoring is significant to nursing practices and solution to the PICOT question.
The interventions and comparison groups in the articles compare to those identified in the PICOT question. Each article provides information on how the intervention or comparison group differed from those identified in the PICOT question. The comparison groups in the research variables typically compare different interventions to each other or to a control group (receiving no treatment). Overall, the interventions and comparison groups in the articles compare to those identified in your PICOT question.
Methods of Study
Article I and II involved interviews through the use of questionnaires to collect information. For article III, generalized estimating equation models were mainly applied in the study to determine the differences between the groups involved in the study over time. Also, questionnaires were used to record responses from the study participants. Finally, the prospective analysis was used to compare differences in medical costs and encounters in the Hyperlink telemonitoring approaches. Article IV involved the application of randomized approach methodology in the collection and analysis of information.
There are both advantages and disadvantages to using interviews and questionnaires in research. Interviews provide a more personal way to gather information, while questionnaires can be used to gather data from a large number of people quickly and efficiently. Interviews have the advantage of allowing researchers to get detailed, first-hand information from respondents. This type of data can be very helpful in understanding complex phenomena. However, interviews are also time-consuming and expensive to conduct, and they require skilled interviewers. Furthermore, because interviews are s face-to-face interactions, respondents may feel pressured to respond in certain ways or may withhold information. Questionnaires have the advantage of being able to reach a large number of people quickly and cheaply, however, they are expensive to design and use.
A randomized approach methodology is a research design in which study participants are randomly assigned to one of two or more groups. This type of study is used to reduce bias and confounding factors and to increase the validity of the results. There are several advantages to using a randomized approach methodology. First, it helps to eliminate bias by ensuring that all study participants are treated in the same way. Second, it helps to control for confounding factors, which can distort the results of a study. Third, it increases the validity of the results because it reduces the chances that differences between groups are due to chance alone. There are also a few disadvantages to using a randomized approach methodology. It can be difficult to implement in some studies.
Results of Study
Article I found that patients were generally adherent to BP monitoring when it was done in the clinic, but that adherence was lower for ambulatory and home BP monitoring (Carter, et al., 2018). The study found that patient barriers and facilitators vary depending on whether the BP monitoring is done in the clinic or at home. On the other hand, Article II showed that
in order to improve HBPM implementation in everyday practice in France, it is necessary to focus on GP training and patient education. There is also the need to end “medical power” in hypertension management and turn to multidisciplinary (Dugelay et al., 2019). Article III showed that home blood pressure telemonitoring and pharmacist case management were both cost-effective interventions for adults with uncontrolled hypertension (Dehmer et al., 2018). Total medical costs in the intervention group were lower compared with the usual care group by an average of $281 per person, but this difference was not statistically significant. The mean intervention cost was $7337 per person attaining hypertension control and $126 or $139 per mm Hg reduction in systolic or diastolic blood pressure, respectively. Finally, article IV found that the most common reasons for not owning a home blood pressure monitor were that respondents didn’t think they needed one (46 percent) or didn’t know how to use one (40 percent). Cost was also a factor, as 39 percent said they didn’t own one because of the expense. The mean age of all participants at enrolment was 67.7 ± 9.3 years, 12,134 (57.5%) were male, 8892 (42.1%) (Anbarasan et al., 2022).
The four studies have different implications in nursing practice have different implications for nursing practice. The four studies I chose in nursing practice have implications for nurses who are providing home-based blood pressure management. The first study showed that nurses can effectively manage hypertension in the home setting. The second study showed that self-monitoring of blood pressure by patients was effective in reducing blood pressure. The third study demonstrated that a collaborative effort between the nurse and patient was beneficial in achieving hypertension control, and the fourth study showed that nurse visits led to improved blood pressure control among high-risk patients. Based on these findings, nurses can be confident in providing hypertension management in the home setting and can encourage patients to self-monitor their blood pressure as needed.
Ethical Considerations
When conducting research, two primary ethical considerations must be taken into account: protecting the welfare of research participants and protecting the integrity of the research process. Protection of welfare includes ensuring that research participants are fully informed of all risks and benefits associated with participation in a study, that they understand those risks and benefits, and that they have freely given consent to participate in the study. Furthermore, researchers must take measures to ensure the safety and well-being of participants during the course of the study. Protection of integrity includes ensuring that data collected during a study are accurately and fairly attributed to the correct participants, that no data are falsified or manipulated, and that findings from a study are reported honestly and accurately.
The four articles adhered to the informed consent and confidentiality of information. The authors confirmed participant’s willingness to the take part in the study process. Also, the information given in the research remained confidential during and after the research process. Confidentiality is an ethical issue in qualitative research because researchers are often required to share data with other researchers.
Outcomes Comparison
The anticipated outcome for the PICOT question is that daily home blood pressure monitoring compared to blood pressure monitoring only during healthcare visits, improve medication compliance in six months among African American Adults diagnosed with hypertension. The outcomes of the four articles are comparable to the anticipated outcomes of the PICOT question. The outcomes from the four articles show that home blood pressure monitoring improves medication compliance and quality healthcare delivery processes.
Proposed Evidence-Based Practice Change
There is a strong link between the PICOT question, the research articles, and the nursing practice problem identified (hypertension). All the four articles discuss and provide information that can be applied in answering the PICOT question. The four article also addresses the nursing practice problem, hypertension among African American adults. Based on the information provided, the evidence-based practice change is incorporation of home visit plans to enhance treatment of patients suffering from hypertension. Also, for healthcare professionals managing hypertension among adults, we suggest considering dietary changes to reduce insulin levels as a means of treatment. We also suggest further research into the role of insulin and other growth factors in the development and progression of hypertension.
References
Anbarasan, T., Rogers, A., Rorie, D. A., Grieve, J. W., Flynn, R. W., MacDonald, T. M., & Mackenzie, I. S. (2022). Factors influencing home blood pressure monitor ownership in a large clinical trial. Journal of Human Hypertension, 36(3), 325-332.https://www.nature.com/articles/s41371-021-00511-w
Carter, E. J., Moise, N., Alcántara, C., Sullivan, A. M., &Kronish, I. M. (2018). Patient barriers and facilitators to ambulatory and home blood pressure monitoring: a qualitative study. American journal of hypertension, 31(8), 919-927.https://academic.oup.com/ajh/article/31/8/919/4999720?login=true
Dehmer, S. P., Maciosek, M. V., Trower, N. K., Asche, S. E., Bergdall, A. R., Nyboer, R. A., … & Margolis, K. L. (2018). Economic evaluation of the home blood pressure telemonitoring and pharmacist case management to control hypertension (Hyperlink) trial. Journal of the American College of Clinical Pharmacy, 1(1), 21-30. https://doi.org/10.1002/jac5.1001
Dugelay, G., Kivits, J., Desse, L., & Boivin, J. M. (2019). Implementation of home blood pressure monitoring among French GPs: A long and winding road. PloS one, 14(9), e0220460. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0220460
NRS 433 Assignment: Research Critiques and PICOT Statement Grading Rubric
| Performance Category | 100% or highest level of performance
100% 16 points |
Very good or high level of performance
88% 14 points |
Acceptable level of performance
81% 13 points |
Inadequate demonstration of expectations
68% 11 points |
Deficient level of performance
56% 9 points
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Failing level
of performance 55% or less 0 points |
| Total Points Possible= 50 | 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points |
| Scholarliness
Demonstrates achievement of scholarly inquiry for professional and academic topics. |
Presentation of information was exceptional and included all of the following elements:
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Presentation of information was good, but was superficial in places and included all of the following elements:
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Presentation of information was minimally demonstrated in all of the following elements:
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Presentation of information is unsatisfactory in one of the following elements:
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Presentation of information is unsatisfactory in two of the following elements:
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Presentation of information is unsatisfactory in three or more of the following elements
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| 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points | |
| Application of Course Knowledge
Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations |
Presentation of information was exceptional and included all of the following elements:
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Presentation of information was good, but was superficial in places and included all of the following elements:
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Presentation of information was minimally demonstrated in the all of the following elements:
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Presentation of information is unsatisfactory in one of the following elements:
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Presentation of information is unsatisfactory in two of the following elements:
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Presentation of information is unsatisfactory in three of the following elements
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| 10 Points | 9 Points | 6 Points | 0 Points | |||
| Interactive Dialogue
Initial post should be a minimum of 300 words (references do not count toward word count) The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count) Responses are substantive and relate to the topic. |
Demonstrated all of the following:
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Demonstrated 3 of the following:
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Demonstrated 2 of the following:
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Demonstrated 1 or less of the following:
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| 8 Points | 7 Points | 6 Points | 5 Points | 4 Points | 0 Points | |
| Grammar, Syntax, APA
Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition Error is defined to be a unique APA error. Same type of error is only counted as one error. |
The following was present:
AND
AND
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The following was present:
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AND/OR
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The following was present:
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The following was present:
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The following was present:
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The following was present:
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| 0 Points Deducted | 5 Points Lost | |||||
| Participation
Requirements |
Demonstrated the following:
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Failed to demonstrate the following:
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| 0 Points Lost | 5 Points Lost | |||||
| Due Date Requirements | Demonstrated all of the following:
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |
Demonstrates one or less of the following.
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |