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NUR 550 Benchmark- Evidence-Based Practice Project: Literature Review

NUR 550 Benchmark- Evidence-Based Practice Project: Literature Review

Learner Name:

PICOT

 


Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article

 

Article Title and Year Published

 

Research Questions/Hypothesis, and Purpose/Aim of Study

 

Design (Quantitative, Qualitative, or other)

 

Setting/Sample

 

Methods: Intervention/Instruments

 

Analysis/Data Collection

 

Outcomes/Key Findings

 

Recommendations

 

Explanation of How the Article Supports Your Proposed EBP Practice Project Proposal
Levin, T. R., Corley, D. A., Jensen, C. D., Schottinger, J. E., Quinn, V. P., Zauber, A. G., … & Doubeni, C. A. (2018). Effects of organized colorectal cancer screening on cancer incidence and mortality in a large community-based population. Gastroenterology, 155(5), 1383-1391. https://doi.org/10.1053/j.gastro.2018.07.017  

Effects of Organized Colorectal Cancer Screening on Cancer Incidence and Mortality in a Large Community-Based Population.

(2018)

 

Aim: To evaluate whether an organized CRC screening program can achieve and sustain the ≥80% screening target proposed by national organizations.

To evaluate whether changes in screening are associated with changes in CRC incidence and mortality.

Quantitative observation study. Setting- Large, community-based population

Kaiser Permanente Northern California members 51–75 years of age

Intervention- Organized screening outreach by y fecal test, sigmoidoscopy, or colonoscopy. Contrasted screening rates, age-adjusted annual CRC incidence, and incidence-based mortality rates before and after the intervention.

Analysis- χ2 tests

Initiation of organized CRC screening significantly increased the status of screening.

Higher rates of screening led to a reduction in annual CRC incidence.

Decreased early-stage and advanced-stage CRC incidence rates.

Recommends organized CRC screening in integrated health care system. The article supports the PICOT since it reveals that increasing CRC screening in the community can help in detecting and reducing CRC incidence among adults.
Dominitz, J. A., Robertson, D. J., Ahnen, D. J., Allison, J. E., Antonelli, M., Boardman, K. D., … & CONFIRM Study Group. (2017). Colonoscopy vs. fecal immunochemical test in reducing mortality from colorectal cancer (CONFIRM): rationale for study design. American Journal of Gastroenterology, 112(11), 1736-1746. https://doi.org/10.1038/ajg.2017.286 Colonoscopy Versus Fecal Immunochemical Test for Reducing Colorectal Cancer Risk: A Population-Based Case–Control Study.

(2017)

To compare the association of CRC risk with colonoscopy and FIT using a nationwide database. Population-based case–control study Setting- Korean National Health Insurance System.

61,221 patients with newly diagnosed CRC (case group) and 306,099 individuals without CRC (control group).

CRC screening with FIT or colonoscopy. Data was collected from the National Health Information Database of the National Health Insurance System.

Analysis- Multivariable logistic regression

Colonoscopy was linked with a reduced subsequent CRC risk.

FIT demonstrated lower CRC risk reduction than colonoscopy.

Increased frequency of cumulative FIT assessments was associated with reduced CRC risk and stronger prevention.

The article recommends systematic quality management of colonoscopy in addition to continued participation in fecal occult blood tests for CRC prevention at the population level. The article supports my PICOT since it establishes that regular FIT assessments can increase the detection rate of CRC.
Chiu, H. M., Jen, G. H. H., Wang, Y. W., Fann, J. C. Y., Hsu, C. Y., Jeng, Y. C., … & Chen, T. H. H. (2021). Long-term effectiveness of faecal immunochemical test screening for proximal and distal colorectal cancers. Gut. http://dx.doi.org/10.1136/gutjnl-2020-322545 Long-term effectiveness of faecal immunochemical test screening for proximal and distal colorectal cancers.

(2021)

To measure the effects of FIT for CRC screening on overall and site-specific long-term effectiveness of population-based organized service screening. Quantitative Prospective cohort study. Setting- Taiwan

Sample- 5 417 699 subjects.

Individuals who underwent at least one FIT screening during the study  period formed the exposed group, while the rest of the population constituted the unexposed group.

Intervention- Biennial FIT screening. Data on incident of advanced-stage CRC and deaths was obtained from national cancer registry and national death registry.

Analysis- Bayesian Poisson regression models

FIT screening  reduced the incidence of advanced-stage CRC  and mortality.

FIT screening was more effective in reducing distal advanced-stage CRCs than proximal advanced CRCs.

The article recommends having a strong and consistent evidence-based policy to support a sustainable population-based FIT organized service screening globally. The article supports the PICOT since it proves that FIT screening is effective in reducing the risk of advanced-stage CRC and mortality through early detection and treatment.
Zhong, G. C., Sun, W. P., Wan, L., Hu, J. J., & Hao, F. B. (2020). Efficacy and cost-effectiveness of fecal immunochemical test versus colonoscopy in colorectal cancer screening: a systematic review and meta-analysis. Gastrointestinal endoscopy, 91(3), 684-697. https://doi.org/10.1016/j.gie.2019.11.035 Efficacy and cost-effectiveness of fecal immunochemical test versus colonoscopy in

colorectal cancer screening: a systematic review and meta-analysis

(2019)

To compare the efficacy and cost-effectiveness of FIT and colonoscopy in CRC screening in average-risk population Quantitative Systematic Reviews and Meta-analyses. The study included 6 randomized controlled trials and 17 cost-effectiveness studies.

 

Comparison of annual or biennial fecal FIT with one-time colonoscopy Researchers conducted an electronic search from PubMed, Embase, and National Health Services Economic Evaluation Database.

 

Participation rate in FIT was higher than in colonoscopy.

FIT had a detection rate of CRC comparable with  and lower detection rates of any adenoma and advanced adenoma than one-time colonoscopy.

Annual or biennial FIT was cost-saving than colonoscopy every 10 years.

The study recommends implementation of FIT-based screening programs globally to increase CRC detection rates. The article shows that annual FIT can be effective and cost-saving in detecting CRC and can increase screening rates for average-risk population.

Therefore, annual FIT screening can be implemented in my PICOT.

Buskermolen, M., Cenin, D. R., Helsingen, L. M., Guyatt, G., Vandvik, P. O., Haug, U., Bretthauer, M., & Lansdorp-Vogelaar, I. (2019). Colorectal cancer screening with faecal immunochemical testing, sigmoidoscopy or colonoscopy: a microsimulation modelling study. BMJ (Clinical research ed.)367, l5383. https://doi.org/10.1136/bmj.l5383 Colorectal cancer screening with faecal immunochemical testing, sigmoidoscopy or colonoscopy: a microsimulation modelling study.

(2019)

To estimate benefits and harms of different CRC screening strategies, stratified by 15-year CRC risk. Quantitative Microsimulation modelling study. Norwegian males and females aged 50-79 years with varying 15-year colorectal cancer risk of 1-7%. Each cohort was assessed with four colorectal cancer screening strategies over a 15-year period: biennial FIT, annual FIT, a single sigmoidoscopy, and colonoscopy. All strategies were compared with no screening.

The population cohorts were followed-up for 15 years.

The study obtained data on age-, sex-, stage-, and localization-specific CRC incidence and survival from the Norwegian Cancer Registry.

 

 

Screening individuals 50-79 years at risk of CRC with annual FIT or single colonoscopy CRC mortality by 6 per 1000 persons.

Annual FIT reduced colorectal cancer incidence by 4 per 1000 individuals.

Biennial FIT had an estimated serious harm of 3 per 1000.

The study recommends basing CRC screening on an individual’s cancer risk, determined by age and sex due to the risks and benefits of the three screening strategies. The study supports the PICOT since it shows that the use of FIT to screen for  CRC reduces CRC incidence.
Knapp, G. C., Alatise, O., Olopade, B., Samson, M., Olasehinde, O., Wuraola, F., … & Kingham, T. P. (2021). Feasibility and performance of the fecal immunochemical test (FIT) for average-risk colorectal cancer screening in Nigeria. Plos one, 16(1), e0243587. Feasibility and performance of the fecal immunochemical test (FIT) for average-risk colorectal cancer screening in Nigeria.

(2021)

To evaluate the feasibility and performance of FIT in Nigeria. Quantitative prospective, single-arm study. Setting- Obafemi Awolowo University Teaching Hospital.

Sample- 379 individuals aged 46–58 years.

Intervention- qualitative FIT testing. Participants were administered an enrollment questionnaire to obtain data on socio-demographic variables and recent medical history.

Participants obtained fresh stool specimen for parasite testing as and completed FIT kit for analysis.

89.7% of participants with a positive FIT had a follow-up colonoscopy.

Of the 89.7% 9.8%  had an adenoma and 4.9%  had advanced adenomas.

82% of participants found the FIT easy to use.

The study recommends CRC screening with FIT since it is feasible and well tolerated.

 

The article supports the PICOT since it reveals that FIT is a feasible and tolerable screening method that can be used in early detection
Jahn, B., Sroczynski, G., Bundo, M., Mühlberger, N., Puntscher, S., Todorovic, J., … & Siebert, U. (2019). Effectiveness, benefit harm and cost effectiveness of colorectal cancer screening in Austria. BMC gastroenterology19(1), 1-13. https://doi.org/10.1186/s12876-019-1121-y Effectiveness, benefit harm and cost effectiveness of colorectal cancer screening in Austria.

(2019)

To evaluate the long-term effectiveness, harms and cost effectiveness of different organized CRC screening strategies in Austria. Qualitative decision-analytic cohort simulation design. Setting- Austria

Sample- General population with average CRC risk.

Intervention- Four screening strategies: No Screening; Annual FIT at 40–75 years; Annual Gfobt at 40–75 years; 10-yearly colonoscopy at age 50–70 years Epidemiological data including cancer incidence and cancer stage distribution, and CRC-specific were obtained from Statistics Austria.

Data on direct medical costs were obtained from the Austrian public-health care system.

The most effective strategies in CRC screening were FIT and Colonoscopy.

gFOBT was less effective and more costly than FIT.

The article recommends using organized CRC-screening with annual FIT or 10-yearly colonoscopy in CRC screening since they are the most effective.

The choice between the two options should depend on the individual preferences and benefit-harm tradeoffs of screening individuals.

The study supports the PICOT by establishing that FIT is an effective CRC screening option that can be used in early detection and treatment of CRC.
Larsen, M. B., Njor, S., Ingeholm, P., & Andersen, B. (2018). Effectiveness of colorectal cancer screening in detecting earlier-stage disease—a nationwide cohort study in Denmark. Gastroenterology, 155(1), 99-106. https://doi.org/10.1053/j.gastro.2018.03.062 Effectiveness of Colorectal Cancer Screening in Detecting Earlier-Stage Disease—A Nationwide Cohort Study in Denmark.

(2018)

To evaluate the effectiveness of FIT-based screening for CRC on the number of incident CRC diagnoses and stage at diagnosis for persons in Denmark who were invited for screening versus not yet invited. Quantitative retrospective cohort study. Setting- Denmark

Sample- 402,826 residents of Denmark aged 50–72 years old were randomly invited to undergo CRC screening within the study period, and 956,514 were invited thereafter.

Intervention- CRC screening with FIT. Data on CRC diagnosis, date, and stage was obtained from the Danish Colorectal Cancer Group database. Inviting individuals to undergo FIT-based CRC screening led to detection of almost 2-fold more cases of CRC than not inviting participants. The study recommends the need for awareness of treatment capacity in countries introducing FIT-based CRC screening. The study supports the PICOT since it proves that CRC screening programs improve early detection and provision of appropriate follow-up for positive tests and treatment for polyps.
Sekiguchi, M., Igarashi, A., Sakamoto, T., Saito, Y., Esaki, M., & Matsuda, T. (2020). Cost‐effectiveness analysis of colorectal cancer screening using colonoscopy, fecal immunochemical test, and risk score. Journal of gastroenterology and hepatology, 35(9), 1555-1561. https://doi.org/10.1111/jgh.15033 Cost-effectiveness analysis of colorectal cancer screening using colonoscopy, fecal immunochemical test, and risk score.

(2020)

To evaluate the effectiveness and cost-effectiveness of population-based CRC screening strategies using CS, FIT, and the Japanese CRC screening score. The study applies a quantitative simulation model analysis. Setting- Markov state, Japan.

Sample- average-risk individuals aged 40–74 years

Intervention- Screening strategies with primary screening: Colonoscopy, FIT, and the Japanese CRC screening score. Data on age and sex distribution of the study sample was obtained from the Japanese Society of Gastrointestinal Cancer Screening. Colonoscopy gained the gained the highest Quality-adjusted life years but required the highest cost.

FIT  was found to be more effective and cost-effective than no screening.

The study recommends that if non-invasive tests are preferred by individuals, other screening strategies, such as FIT can be more effective and cost-effective. The study supports the use of FIT screening in average-risk persons since it is more effective than failing to screen.

The intervention can thus be applied in my PICOT.

Shapiro, J. A., Bobo, J. K., Church, T. R., Rex, D. K., Chovnick, G., Thompson, T. D., … & Nadel, M. R. (2017). A comparison of fecal immunochemical and high-sensitivity guaiac tests for colorectal cancer screening. The American journal of gastroenterology, 112(11), 1728. https://doi.org/10.1038/ajg.2017.285 A Comparison of Fecal Immunochemical and High-Sensitivity Guaiac Tests for Colorectal Cancer Screening.

(2017)

To compare the performance characteristics of the HS-gFOBT Hemoccult II SENSA and two FITs, nSure FIT and OC FIT-CHEK, for detecting advanced colorectal neoplasia. Quantitative Experimental design. Setting- Minneapolis and Indianapolis metropolitan areas.

Sample- 1,006 asymptomatic patients, aged 50–75 years.

Intervention- CSR screening with HS-gFOBT Hemoccult II SENSA, InSure FIT, and OC FIT-CHEK. The participants were asked to complete sample collection for three types of FOBTs (one HS-gFOBT and two FITs) before their colonoscopy. Sensitivity for detecting advanced colorectal neoplasia was highest for InSure FIT, followed by OC FIT-CHEK, and Hemoccult II SENSA The study recommends the use of FITs than the HS-gFOBT since FITs are more sensitive. The study supports the use of FIT for CRC screening similar to the PICOT to help in detecting CRC in average-risk persons.

Description:

The purpose of this assignment is to write a review of the research articles you evaluated in your Topic 5
“Evidence-Based Practice Project: Evaluation of Literature” assignment. If you have been directed by your instructor to select different articles in order to meet the requirements for a literature review or to better support your evidence-based practice project proposal, complete this step prior to writing your review.

A literature review provides a concise comparison of the literature for the reader and explains how the research demonstrates support for your PICOT. You will use the literature review in this assignment in NUR-590, during which you will write a final paper detailing your evidence-based practice project proposal.

In a paper of 1,250-1,500, select eight of the ten articles you evaluated that demonstrate clear support for your evidence-based practice and complete the following for each article:

1. Introduction – Describe the clinical issue or problem you are addressing. Present your PICOT statement.
2. Search methods – Describe your search strategy and the criteria that you used in choosing and searching for your articles.
3. Synthesis of the literature – For each article, write a paragraph discussing the main components (subjects, methods, key findings) and provide rationale for how the article supports your PICOT.
4. Comparison of articles – Compare the articles (similarities and differences, themes, methods, conclusions, limitations, controversies).

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NUR 550 Benchmark- Evidence-Based Practice Project: Literature Review

5. Suggestions for future research: Based on your analysis of the literature, discuss identified gaps and which areas require further research.
6. Conclusion – Provide a summary statement of what you found in the literature.
7. Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

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

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

 MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing

 3.2: Analyze appropriate research from databases and other information sources to improve health care practices and processes.

Click here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS: NUR 550 Benchmark- Evidence-Based Practice Project: Literature Review

Description

 

Objectives:

  1. Identify major policy issues affecting the state of health care delivery and population health
  2. Analyze the components of effective population-based health
  3. Discuss the impact of population health policies and initiatives on advanced nursing

Advanced Practice Nursing: Essential Knowledge for the Profession

Description:

Read Chapter 9 in Advanced Practice Nursing: Essential Knowledge for the Profession.

Population Health: Creating a Culture of Wellness

Description:

Read Chapter 7 and review Chapter 10 in Population Health: Creating a Culture of Wellness.

Evidence-Based Practice in Nursing and Healthcare

Description:

Review Chapter 19 in Evidence-Based Practice in Nursing and Healthcare.

Health Policy and Health Services Delivery

Description:

Read “Health Policy and Health Services Delivery,” by Tullai-McGuinness and Reimer, from Encyclopedia of Nursing Research(2017).

The Untapped Potential of the Nurse Practitioner Workforce in Reducing Health Disparities

Description:

Read “The Untapped Potential of the Nurse Practitioner Workforce in Reducing Health Disparities,” by Poghsyan and Carthon, from Policy, Politics, and Nursing Practice (2017).

How to Write a Literature Review in 30 Minutes or Less

Description:

View “How to Write a Literature Review in 30 Minutes or Less,” by Taylor, located on YouTube (2017).

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