NRS 433V Research Critiques and PICOT Statement Final Draft GCU

Sample Answer for NRS 433V Research Critiques and PICOT Statement Final Draft GCU Included After Question

Assessment 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 qualitative, quantitative, and mixed methods research critiques on two articles for each type of study (four 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.

Use the “Research Critiques and PICOT Question Guidelines – Final Draft” document to organize your essay. Questions under each heading should be addressed as a narrative in the structure of a formal paper. Please note that there are two new additional sections: Outcomes Comparison and Proposed Evidence-Based Practice Change.

General Requirements

You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

A Sample Answer For the Assignment: NRS 433V Research Critiques and PICOT Statement Final Draft GCU

Title: NRS 433V Research Critiques and PICOT Statement Final Draft GCU

The nursing profession is awash with many problems that hamper patient care. Nurses encounter these problems in routine practice and should be centrally involved in addressing them comprehensively. Typically, nurses use the evidence-based practice (EBP) approach to address practice problems. The EBP approach recommends sourcing evidence from current, peer-reviewed scholarly studies to guide practice change. Quantitative and qualitative studies are both used to inform decision-making. The purpose of this paper is to analyze quantitative and qualitative articles, and determine the link between the PICOT question, the research articles, and the nursing practice problem.

Nursing Practice Problem and PICOT Question

The nursing practice problem identified for exploration through a PICOT approach is nurse burnout. It is among the prevalent problems in nursing practice stemming from numerous factors such as job dissatisfaction, increased workload, frustrations, and personal stressors outside of work (Dos Santos, 2020). The effects of nurse burnout are far-reaching and regrettable. They include apathy, fatigue, distraction, and increased vulnerability to committing medication errors (Kwon et al., 2021). Nurse burnout also increases the turnover rate among nurses. Such effects are detrimental to patient care hence the need for interventions.

PICOT Question: Among intensive care unit (ICU) nurses (P), can practicing stress management techniques like resilience, mindfulness, and yoga (I) compared to not practicing (C) lower burnout rates by 50% (O) within six months (T)?

Background

Different research studies explore nurse burnout from different dimensions. Uchmanowicz et al. (2021) conducted qualitative research on the challenges that nurses experience when providing care in under-resourced settings. The primary premise is that rationing nursing care leads to professional burnout among nurses working in critical areas like cardiovascular settings. The article is significant to nursing since it elaborates on the cause-outcome connection of nurse burnout. Its purpose is to evaluate the link between rationing of nursing care and nurse burnout. The objective is to determine the impacts of nurse rationing guided by the research question of whether rationing of nursing care leads to professional burnout in nursing staff.

In a different qualitative study, Dos Santos (2020) explored the relationship between nurses’ stress, burnout, and reduced self-efficacy levels. They further examined the leading sources of stress and burnout among nursing professions. The primary problems being explored include stress and burnout as leading causes of low self-efficacy. Understanding the causes is instrumental to addressing nurse burnout. As a result, the article is significant to nursing since it provides relevant information that can be used to reduce nurse burnout to improve patient care outcomes. The article’s purpose is to enhance understanding of the causes of nurse burnout to help address the problem by addressing the causes. The research question is, “what are the sources of burnout and stress lowering self-efficacy and lead to an unbalanced patient ratio?”

The quantitative articles primarily evaluate the solutions to nurse burnout in health care settings. Elkady (2019) studied how mindfulness and resilience can help nurses manage burnout and improve overall performance. The main problem that the article addresses is nurse burnout and how it continues to hamper health care delivery. Elkady (2019) assessed the beneficial effects of resilience and mindfulness as strategies to improve nurses’ health and well-being to cope with nurse burnout. The article is significant to nursing since it provides solutions to a prevalent nursing problem. The study’s research question is “what is the impact of mindfulness and resilience on nurse burnout?” Both interventions can be implemented through a training program.

Diehl et al. (2021) examined effective interventions based on social, personal, and organizational resources for protecting nurses from nurse burnout. When solutions to burnout are known, nurses and nurse leaders can liaise and implement them effectively. The article is significant to nursing since it explores the different solutions that can be implemented to mitigate the damaging effect of nurse burnout. Diehl et al. (2021) studied the protective role of resources on the workload-nurse burnout association. They examined how workload interferes with nurses’ ability to provide optimal care and the buffering effects of various resources. The research question is, “is the relationship between workload and burnout among nurses and the role of personal, social and organizational resources in protecting these providers?”

How the Articles Support the Nurse Practice Issue (Nurse Burnout)

The four articles will be used to answer the PICOT question since they provide the background, causes, effects, and effective solutions. They demonstrate how nurse burnout is a prevalent problem affecting care delivery and why it needs to be a priority area when addressing nursing problems. The articles further demonstrate the link between stress, burnout, and low self-efficacy among nurses. Issues such as workplace bullying, the lack of personal development and self-care opportunities, and dissatisfaction have been noted as the primary focus areas when nurse leaders and organizational management want to address nurse burnout (Dos Santos et al., 2020; Uchmanowicz et al., 2021). The different interventions proposed in the article can be used to mitigate nurse burnout and stress. They include mindfulness, resilience, and resources to minimize workload (Diehl et al., 2021; Elkady, 2019). The solutions can be implemented individually or jointly depending on the severity and causes of nurse burnout.

The interventions and comparison groups share many characteristics with the study group in the PICOT question. To compare outcomes, researchers use an intervention group receiving the treatment and compare outcomes with a control group not receiving the treatment. Data collection varies depending on whether the study is qualitative or quantitative. As proposed in the PICOT question, the intervention group will practice stress management through mindfulness, resilience, and yoga and the results compared to a control group not receiving any stress management skills. The objective is to compare findings to rationalize the effectiveness of the nurse burnout intervention method.

Method of Study

Researchers use different approaches to explore different nursing problems. Uchmanowicz (2021) used the cross-sectional design to investigate the link between rationing and professional burnout. Data were collected via surveys. Diehl et al. (2021) used the same approach (a national cross-sectional survey) to investigate the buffering role of resources on the workload-burnout association among nurses. Elkady (2019) used quantitative survey research to evaluate the effects of mindfulness and resilience on job burnout. Dos Santos et al. (2020) invited nursing professionals for a qualitative inquiry based on a snowball sampling strategy.

Each method has different benefits and limitations. Cross-sectional studies are quick, inexpensive, and easy to conduct (Wang & Cheng, 2020). Researchers can also use them to generate hypotheses for future research. However, cross-sectional studies can miss crucial information about changes over time since they observe individuals at one point in time. A quantitative survey is a highly effective method for collecting data about multiple variables, including the study subjects’ opinions, behaviors, and demographics. However, surveys often rely on self-reported data (Fryer & Nakao, 2020). Unlike surveys, a qualitative inquiry allows researchers to investigate a problem in more depth and detail. However, researchers cannot quantify subjects’ responses.

Results of Study

The articles have different results helping to understand nurse burnout and how to address it in more detail. Uchmanowicz et al. (2020) found that the leading components of nurse burnout include emotional exhaustion, job dissatisfaction, and depersonalization. In the other study, Dos Santos (2020) found that factors within the nurses’ environment play a significant role in increasing stress and burnout, reducing nurses’ self-efficacy. Such factors include workplace incivility, lack of personal development, and family stress. Elkady (2019) found resilience and mindfulness to be effective buffers against nurse burnout. According to Diehl et al. (2021), personal, organizational, and social resources can effectively reduce nurse burnout. Such resources include a good working team and workplace recognition programs.

These studies have huge implications in nursing practice. Firstly, nurse burnout is a significant problem in today’s practice and worsens progressively. The articles can be used to understand its causes, manifestations, and possible solutions. Secondly, nurse burnout is associated with adverse outcomes, including increased absenteeism, turnover intention, and job dissatisfaction (Kwon et al., 2021). Since these outcomes hamper patient care, the articles can be used to guide practice change to prevent and buffer the damaging effects of nurse burnout. Mindfulness, resilience, and using resources such as workplace teams have been proposed as effective intervention programs. The articles can guide nurses in selecting and applying appropriate methods to address nurse burnout.

Ethical Considerations

Ethics is crucial in nursing research to ensure that studies are free from ethical and legal accusations. Two main ethical considerations guide nursing research- informed consent and confidentiality. According to Manti and Licari (2018.), informed consent involves apprising participants about the study’s details, including the nature, risks, and benefits, to enable them to participate willingly. Confidentiality involves protecting private information and not sharing it with anyone without the subjects’ approval. The four studies adhered to the ethical principles of informed consent and confidentiality. All the participants were informed about the nature of the study, and those unwilling to participate were excluded. Information obtained from the research was also kept confidential, as promised.

Outcomes Comparison

As hypothesized in the PICOT question, the anticipated outcome is that nurse burnout will decrease in nurses practicing stress management in six months. The outcomes of the four articles compare to the anticipated outcomes of the PICOT question since they focus on eradicating burnout among nurses. Stress management strategies emphasized in the articles include resilience, mindfulness, and organizational resources such as teamwork and recognition programs (Diehl et al., 2021). Stress management will help regulate nurses’ moods, reduce anxiety, and help them focus mentally and physically on their work.

Proposed Evidence-Based Practice Change

The PICOT question links strongly with the research articles and the nursing practice problem (nurse burnout). The articles provide useful information to answer the PICOT question. Using the information provided, nurses can apply resilience, mindfulness, and organizational resources to prevent and cope with burnout. To enable nurses to apply these strategies effectively, resilience and mindfulness training for nurses is important. Through such training, nurses should be taught stress management skills, including mindfulness breathing and resilience tips such as self-care, exercises, and working in teams.

Conclusion

Nurse burnout is among the prevalent problems hampering patient care in nursing practice. Like many other problems, an evidence-based approach is highly effective in addressing the problem. As discussed in this paper, stress management techniques can be used to address burnout among nurses. Addressing the problem will be instrumental in reducing nurse turnover and optimizing health outcomes. A nurse training in stress management is crucial to empower nurses experiencing burnout or at risk of burnout.

References

Diehl, E., Rieger, S., Letzel, S., Schablon, A., Nienhaus, A., Escobar Pinzon, L. C., & Dietz, P. (2021). The relationship between workload and burnout among nurses: The buffering role of personal, social and organizational resources. PloS One, 16(1), e0245798. https://doi.org/10.1371/journal.

Dos Santos, L. M. (2020). Stress, burnout, and low self-efficacy of nursing professionals: A qualitative inquiry. Healthcare, 8(4): 424. https://doi.org/10.3390/healthcare8040424

Elkady, A. A. M. (2019). Mindfulness and resilience as predictors of job burnout among nurses in public hospitals. International Journal of Psycho-Educational Sciences, 8, 14-21. https://perrjournal.com/index.php/per journal/article/view/167

Fryer, L. K., & Nakao, K. (2020). The future of survey self-report: An experiment contrasting Likert, VAS, Slide, and Swipe Touch interfaces. Frontline Learning Research, 8(3), 10-25. https://doi.org/10.14786/flr.v8i3.501

Kwon, C. Y., Lee, B., Kwon, O. J., Kim, M. S., Sim, K. L., & Choi, Y. H. (2021). Emotional labor, burnout, medical error, and turnover intention among South Korean nursing staff in a university hospital setting. International Journal of Environmental Research and Public Health, 18(19), 10111. https://doi.org/10.3390/ijerph181910111

Manti, S., & Licari, A. (2018). How to obtain informed consent for research. Breathe (Sheffield, England), 14(2), 145–152. https://doi.org/10.1183/20734735.001918

Uchmanowicz, I., Kubielas, G., Serzysko, B., Kołcz, A., Gurowiec, P., & Kolarczyk, E. (2021). Rationing of nursing care and professional burnout among nurses working in cardiovascular settings. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.726318

Wang, X., & Cheng, Z. (2020). Cross-sectional studies: strengths, weaknesses, and recommendations. Chest, 158(1), S65-S71. https://doi.org/10.1016/j.chest.2020.03.012

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Attachments

NRS-433V-RS-T5-Research-Critique-PICOT-Guidel

Rubric Criteria

Total 260 points

Criterion	1. Unsatisfactory	2. Insufficienty	3. Approaching	4. Acceptable	5. 5: Excellent
Evidence of Revision Evidence of Revision	0 points Final paper does not demonstrate incorporation of feedback or evidence of revision on research critiques.	19.5 points Incorporation of research critique feedback and evidence of revision is incomplete.	20.54 points Incorporation of research critique feedback and evidence of revision are present.	23.14 points Evidence of incorporation of research critique feedback and revision is clearly provided.	26 points Evidence of incorporation of research critique feedback and revision is comprehensive and thoroughly developed.
Results of Studies Results of Studies	0 points A discussion of the results of each study, including key findings and implications for nursing practice, is not included.	9.75 points A discussion of the results of each study, including key findings and implications for nursing practice, is unclear and incomplete.	10.27 points A general discussion of the results of each study, including key findings and implications for nursing practice, is included.	11.57 points A discussion of the results of each study, including key findings and implications for nursing practice, is complete and includes relevant details and supporting explanation.	13 points A discussion of the results of each study, including key findings and implications for nursing practice, is thorough with substantial relevant details and extensive explanation.
Thesis, Position, or Purpose Communicates reason for writing and demonstrates awareness of audience.	0 points The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident.	13.65 points The thesis, position, or purpose is unfocused or confused. There is very little awareness of the intended audience.	14.38 points The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience.	16.2 points The thesis, position, or purpose is adequately presented. An awareness of the appropriate audience is demonstrated.	18.2 points The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience.
Articles Support of Nursing Practice Problem Articles Support of Nursing Practice Problem	0 points A discussion on how articles support the PICOT question and how the interventions and comparison groups compare to those identified in the PICOT question is not included.	9.75 points A discussion on how articles support the PICOT question and how the interventions and comparison groups compare to those identified in the PICOT question is unclear or lacking information. PICOT question or how the interventions and comparison groups compare to those identified in the PICOT question.	10.27 points A discussion on how articles support the PICOT question is presented. The articles demonstrate general support in answering the proposed PICOT question. The interventions and comparison groups in the articles generally compare to those identified in the PICOT question.	11.57 points A discussion on how articles support the PICOT question is presented. The articles demonstrate support in answering the proposed PICOT question. The interventions and comparison groups in the articles compare to those identified in the PICOT question.	13 points A thorough discussion on how articles support the PICOT question is presented. The articles demonstrate strong support in answering the proposed PICOT question. The interventions and comparison groups in the articles strongly compare to those identified in the PICOT question.
Evidence Selects and integrates evidence to support and advance position/purpose; considers other perspectives.	0 points Evidence to support the thesis, position, or purpose is absent. The writing relies entirely on the perspective of the writer.	11.7 points Evidence is limited or irrelevant. The interpretation of other perspectives is superficial or incorrect.	12.32 points Evidence is used but is insufficient or of limited relevance. Simplistic explanation or integration of other perspectives is present.	13.88 points Relevant evidence that includes other perspectives is used.	15.6 points Specific and appropriate evidence is included. Relevant perspectives of others are clearly considered.
Proposed Evidence-Based Practice Change Proposed Evidence-Based Practice Change	0 points The link between the PICOT question, the research articles, and the identified nursing practice problem is not included. The proposed evidence-based practice change is not included.	29.25 points The link between the PICOT question, the research articles, and the identified nursing practice problem is not clearly identified. The proposed evidence-based practice change is incomplete.	30.81 points The link between the PICOT question, the research articles, and the identified nursing practice problem is explained in a general manner. The proposed evidence-based practice change is basic.	34.71 points The link between the PICOT question, the research articles, and the identified nursing practice problem is clearly explained. The proposed evidence-based practice change is clear with relevant details.	39 points The link between the PICOT question, the research articles, and the identified nursing practice problem is substantially explained. The proposed evidence-based practice change is thorough with substantial and relevant details.
Background of Studies Background of Studies	0 points Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is not included.	9.75 points Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is not clearly written and lacks information.	10.27 points Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is partially complete and includes some relevant details and explanation.	11.57 points Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is complete and includes relevant details.	13 points Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is thorough with substantial relevant details and an extensive explanation.
Outcomes Comparison Outcomes Comparison	0 points Explanation of the anticipated outcomes for the PICOT question is not included. The outcomes of four articles and the comparison to the anticipated outcomes are not included.	29.25 points Explanation of the anticipated outcomes for the PICOT question is unclear. The outcomes of four or less selected articles and the comparison to the anticipated outcomes are incomplete.	30.81 points Explanation of the anticipated outcomes for the PICOT question is included in a general manner. The outcomes of the four selected articles and the comparison to the anticipated outcomes are basic.	34.71 points Explanation of the anticipated outcomes for the PICOT question is clear and includes relevant details. The outcomes of the four selected articles and the comparison to the anticipated outcomes are thorough.	39 points Explanation of the anticipated outcomes for the PICOT question is thorough with substantial relevant details and an extensive explanation. The outcomes of the four selected articles and the comparison to the anticipated outcomes are comprehensive.
Ethical Considerations Ethical Considerations	0 points Ethical considerations when conducting nursing research are not included. Discussion of how the researchers accounted for ethical considerations is not included.	9.75 points Ethical considerations when conducting nursing research are unclear. Discussion of how the researchers accounted for ethical considerations is incomplete.	10.27 points Ethical considerations when conducting nursing research are discussed in basic manner. Discussion of how the researchers accounted for ethical considerations is included.	11.57 points Ethical considerations when conducting nursing research are clearly discussed. Discussion of how the researchers accounted for ethical considerations is through.	13 points Ethical considerations when conducting nursing research are comprehensively discussed. Discussion of how the researchers accounted for ethical considerations is thorough with substantial relevant details and extensive explanation.
Method of Studies Method of Studies	0 points A discussion on the method of study for each article is not included.	9.75 points A partial discussion of the method of study for each article and a comparison of study methods is presented. A benefit and a limitation of each method are omitted or incomplete. There are significant inaccuracies.	10.27 points A general discussion on the method of study for each article and a comparison of study methods are presented. A benefit and a limitation of each method are included but the description is general.	11.57 points A detailed discussion on the method of study for each article and a comparison of study methods are presented. A benefit and a limitation of each method are presented.	13 points A thorough discussion on the method of study for each article and a comparison of the study methods are presented. A benefit and a limitation of each method are presented. The discussion demonstrates a solid understanding of research methods.
Mechanics of Writing Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.	0 points Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.	11.7 points Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.	12.32 points Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.	13.88 points Few mechanical errors are present. Suitable language choice and sentence structure are used.	15.6 points No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.
Format/Documentation Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.	0 points Appropriate format is not used. No documentation of sources is provided.	7.8 points Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.	8.22 points Appropriate format and documentation are used, although there are some obvious errors.	9.26 points Appropriate format and documentation are used with only minor errors.	10.4 points No errors in formatting or documentation are present.
Introduction of Nursing Practice Problem, Purpose, and PICOT Question Introduction of Nursing Practice Problem, Purpose, and PICOT Question	0 points Introduction of the nursing practice problem and purpose of the essay is not included. PICOT question is not included.	9.75 points Introduction does not include a clear description of the nursing practice problem or purpose of the essay. The PICOT question is not adequately or clearly written and is missing the necessary elements.	10.27 points Introduction includes a basic description of the nursing practice problem and purpose of the essay. The PICOT question is present.	11.57 points Introduction includes the nursing practice problem and purpose of the essay in a clear manner. The PICOT question is clear and includes all elements.	13 points Introduction includes the nursing practice problem and purpose of the essay in a comprehensive manner. The PICOT question is concise, accurately written, and includes all elements.
Development, Structure, and Conclusion Advances position or purpose throughout writing; conclusion aligns to and evolves from development.	0 points No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered.	13.65 points Writing lacks logical progression of the thesis, position, or purpose. Some organization is attempted, but ideas are disconnected. Conclusion is unclear and not supported by the overall development of the purpose.	14.38 points Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose.	16.2 points The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose.	18.2 points The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and logical conclusion aligns to the development of the purpose.

Criterion

1. Unsatisfactory

2. Insufficienty

3. Approaching

4. Acceptable

5. 5: Excellent

Evidence of Revision

0 points

Final paper does not demonstrate incorporation of feedback or evidence of revision on research critiques.

19.5 points

Incorporation of research critique feedback and evidence of revision is incomplete.

20.54 points

Incorporation of research critique feedback and evidence of revision are present.

23.14 points

Evidence of incorporation of research critique feedback and revision is clearly provided.

26 points

Evidence of incorporation of research critique feedback and revision is comprehensive and thoroughly developed.

Results of Studies

0 points

A discussion of the results of each study, including key findings and implications for nursing practice, is not included.

9.75 points

A discussion of the results of each study, including key findings and implications for nursing practice, is unclear and incomplete.

10.27 points

A general discussion of the results of each study, including key findings and implications for nursing practice, is included.

11.57 points

A discussion of the results of each study, including key findings and implications for nursing practice, is complete and includes relevant details and supporting explanation.

13 points

A discussion of the results of each study, including key findings and implications for nursing practice, is thorough with substantial relevant details and extensive explanation.

Thesis, Position, or Purpose

Communicates reason for writing and demonstrates awareness of audience.

0 points

The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident.

13.65 points

The thesis, position, or purpose is unfocused or confused. There is very little awareness of the intended audience.

14.38 points

The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience.

16.2 points

The thesis, position, or purpose is adequately presented. An awareness of the appropriate audience is demonstrated.

18.2 points

The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience.

Articles Support of Nursing Practice Problem

0 points

A discussion on how articles support the PICOT question and how the interventions and comparison groups compare to those identified in the PICOT question is not included.

9.75 points

A discussion on how articles support the PICOT question and how the interventions and comparison groups compare to those identified in the PICOT question is unclear or lacking information. PICOT question or how the interventions and comparison groups compare to those identified in the PICOT question.

10.27 points

A discussion on how articles support the PICOT question is presented. The articles demonstrate general support in answering the proposed PICOT question. The interventions and comparison groups in the articles generally compare to those identified in the PICOT question.

11.57 points

A discussion on how articles support the PICOT question is presented. The articles demonstrate support in answering the proposed PICOT question. The interventions and comparison groups in the articles compare to those identified in the PICOT question.

13 points

A thorough discussion on how articles support the PICOT question is presented. The articles demonstrate strong support in answering the proposed PICOT question. The interventions and comparison groups in the articles strongly compare to those identified in the PICOT question.

Evidence

Selects and integrates evidence to support and advance position/purpose; considers other perspectives.

0 points

Evidence to support the thesis, position, or purpose is absent. The writing relies entirely on the perspective of the writer.

11.7 points

Evidence is limited or irrelevant. The interpretation of other perspectives is superficial or incorrect.

12.32 points

Evidence is used but is insufficient or of limited relevance. Simplistic explanation or integration of other perspectives is present.

13.88 points

Relevant evidence that includes other perspectives is used.

15.6 points

Specific and appropriate evidence is included. Relevant perspectives of others are clearly considered.

Proposed Evidence-Based Practice Change

0 points

The link between the PICOT question, the research articles, and the identified nursing practice problem is not included. The proposed evidence-based practice change is not included.

29.25 points

The link between the PICOT question, the research articles, and the identified nursing practice problem is not clearly identified. The proposed evidence-based practice change is incomplete.

30.81 points

The link between the PICOT question, the research articles, and the identified nursing practice problem is explained in a general manner. The proposed evidence-based practice change is basic.

34.71 points

The link between the PICOT question, the research articles, and the identified nursing practice problem is clearly explained. The proposed evidence-based practice change is clear with relevant details.

39 points

The link between the PICOT question, the research articles, and the identified nursing practice problem is substantially explained. The proposed evidence-based practice change is thorough with substantial and relevant details.

Background of Studies

0 points

Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is not included.

9.75 points

Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is not clearly written and lacks information.

10.27 points

Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is partially complete and includes some relevant details and explanation.

11.57 points

Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is complete and includes relevant details.

13 points

Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is thorough with substantial relevant details and an extensive explanation.

Outcomes Comparison

0 points

Explanation of the anticipated outcomes for the PICOT question is not included. The outcomes of four articles and the comparison to the anticipated outcomes are not included.

29.25 points

Explanation of the anticipated outcomes for the PICOT question is unclear. The outcomes of four or less selected articles and the comparison to the anticipated outcomes are incomplete.

30.81 points

Explanation of the anticipated outcomes for the PICOT question is included in a general manner. The outcomes of the four selected articles and the comparison to the anticipated outcomes are basic.

34.71 points

Explanation of the anticipated outcomes for the PICOT question is clear and includes relevant details. The outcomes of the four selected articles and the comparison to the anticipated outcomes are thorough.

39 points

Explanation of the anticipated outcomes for the PICOT question is thorough with substantial relevant details and an extensive explanation. The outcomes of the four selected articles and the comparison to the anticipated outcomes are comprehensive.

Ethical Considerations

0 points

Ethical considerations when conducting nursing research are not included. Discussion of how the researchers accounted for ethical considerations is not included.

9.75 points

Ethical considerations when conducting nursing research are unclear. Discussion of how the researchers accounted for ethical considerations is incomplete.

10.27 points

Ethical considerations when conducting nursing research are discussed in basic manner. Discussion of how the researchers accounted for ethical considerations is included.

11.57 points

Ethical considerations when conducting nursing research are clearly discussed. Discussion of how the researchers accounted for ethical considerations is through.

13 points

Ethical considerations when conducting nursing research are comprehensively discussed. Discussion of how the researchers accounted for ethical considerations is thorough with substantial relevant details and extensive explanation.

Method of Studies

0 points

A discussion on the method of study for each article is not included.

9.75 points

A partial discussion of the method of study for each article and a comparison of study methods is presented. A benefit and a limitation of each method are omitted or incomplete. There are significant inaccuracies.

10.27 points

A general discussion on the method of study for each article and a comparison of study methods are presented. A benefit and a limitation of each method are included but the description is general.

11.57 points

A detailed discussion on the method of study for each article and a comparison of study methods are presented. A benefit and a limitation of each method are presented.

13 points

A thorough discussion on the method of study for each article and a comparison of the study methods are presented. A benefit and a limitation of each method are presented. The discussion demonstrates a solid understanding of research methods.

Mechanics of Writing

Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.

0 points

Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.

11.7 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.

12.32 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.

13.88 points

Few mechanical errors are present. Suitable language choice and sentence structure are used.

15.6 points

No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.

Format/Documentation

Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.

0 points

Appropriate format is not used. No documentation of sources is provided.

7.8 points

Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.

8.22 points

Appropriate format and documentation are used, although there are some obvious errors.

9.26 points

Appropriate format and documentation are used with only minor errors.

10.4 points

No errors in formatting or documentation are present.

Introduction of Nursing Practice Problem, Purpose, and PICOT Question

0 points

Introduction of the nursing practice problem and purpose of the essay is not included. PICOT question is not included.

9.75 points

Introduction does not include a clear description of the nursing practice problem or purpose of the essay. The PICOT question is not adequately or clearly written and is missing the necessary elements.

10.27 points

Introduction includes a basic description of the nursing practice problem and purpose of the essay. The PICOT question is present.

11.57 points

Introduction includes the nursing practice problem and purpose of the essay in a clear manner. The PICOT question is clear and includes all elements.

13 points

Introduction includes the nursing practice problem and purpose of the essay in a comprehensive manner. The PICOT question is concise, accurately written, and includes all elements.

Development, Structure, and Conclusion

Advances position or purpose throughout writing; conclusion aligns to and evolves from development.

0 points

No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered.

13.65 points

Writing lacks logical progression of the thesis, position, or purpose. Some organization is attempted, but ideas are disconnected. Conclusion is unclear and not supported by the overall development of the purpose.

14.38 points

Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose.

16.2 points

The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose.

18.2 points

The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and logical conclusion aligns to the development of the purpose.

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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	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: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information was good, but was superficial in places and included all of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information was minimally demonstrated in all of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information is unsatisfactory in one of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information is unsatisfactory in two of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information is unsatisfactory in three or more of the following elements Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information
	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: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information was good, but was superficial in places and included all of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information was minimally demonstrated in the all of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information is unsatisfactory in one of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from and scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information is unsatisfactory in two of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information is unsatisfactory in three of the following elements Applies principles, knowledge and information and scholarly resources to the required topic. Applies facts, principles or concepts learned scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.
	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: Initial post must be a minimum of 300 words. The peer and instructor responses must be a minimum of 150 words each. Responses are substantive Responses are related to the topic of discussion.	Demonstrated 3 of the following: Initial post must be a minimum of 300 words. The peer and instructor responses must be a minimum of 150 words each. Responses are substantive Responses are related to the topic of discussion.			Demonstrated 2 of the following: Initial post must be a minimum of 300 words. The peer and instructor responses must be a minimum of 150 words each. Responses are substantive Responses are related to the topic of discussion.	Demonstrated 1 or less of the following: Initial post must be a minimum of 300 words. The peer and instructor responses must be a minimum of 150 words each. Responses are substantive Responses are related to the topic of discussion.
	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: 0-3 errors in APA format AND Responses have 0-3 grammatical, spelling or punctuation errors AND Writing style is generally clear, focused on topic,and facilitates communication.	The following was present: 4-6 errors in APA format. AND/OR Responses have 4-5 grammatical, spelling or punctuation errors AND/OR Writing style is somewhat focused on topic.	The following was present: 7-9 errors in APA format. AND/OR Responses have 6-7 grammatical, spelling or punctuation errors AND/OR Writing style is slightly focused on topic making discussion difficult to understand.	The following was present: 10- 12 errors in APA format AND/OR Responses have 8-9 grammatical, spelling and punctuation errors AND/OR Writing style is not focused on topic, making discussion difficult to understand.	The following was present: 13 – 15 errors in APA format AND/OR Responses have 8-10 grammatical, spelling or punctuation errors AND/OR Writing style is not focused on topic, making discussion difficult to understand. AND/OR The student continues to make repeated mistakes in any of the above areas after written correction by the instructor.	The following was present: 16 to greater errors in APA format. AND/OR Responses have more than 10 grammatical, spelling or punctuation errors. AND/OR Writing style does not facilitate communication
	0 Points Deducted					5 Points Lost
Participation Requirements	Demonstrated the following: Initial, peer, and faculty postings were made on 3 separate days					Failed to demonstrate the following: Initial, peer, and faculty postings were made on 3 separate days
	0 Points Lost					5 Points Lost
Due Date Requirements	Demonstrated all of the following: The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT. 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. The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT. A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT.