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Topic 1:

History And Process Of Nursing Research, Evidence-Based Nursing Practice, And Quantitative And Qualitative 

Objectives:

1. Evaluate the importance of nursing research in improving patient outcomes.

2. Identify critical elements of evidence-based practice.

3. Evaluate a nursing practice problem using the PICOT question.

Assignment 1:

PICOT is utilized by the health care community to identify and study a nursing practice problem. Consequently, PICOT examples that may provide insight into the use of the PICOT process may not be relevant to nursing practice as they are based on a medical practice problem.

Define evidence-based practice. Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. Discuss why is it important to ensure your PICOT is based on a nursing practice problem.

Assignment 2:

Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Provide an overview of the problem and discuss how addressing the problem through nursing research can improve patient outcomes. Provide rationale and support for your answer.

Assignment 3:

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. Here is an example: For patients with urinary catheters (P), how does the use of a urinary catheter algorithm (I) as compared to daily foley catheter care (C), decrease UTI’s (O) over the length of stay (T).

Use the “Literature Evaluation Table” to complete this assignment. Prior to starting the “Literature Evaluation Table,” complete the following:

1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population.

2.
Following the PICOT format, write a PICOT question in your selected area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).

3. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. Note: This literature search should include three quantitative


Literature Evaluation Table

Student Name:

Nursing Practice Problem (200-250 words):

PICOT Question:

Criteria

Article 1

Article 2

Article 3

APA-formatted article citation with permalink

How does the article relate to the PICOT question?

Is the article qualitative, quantitative, or mixed methods?

Justify your selection.

Purpose statement

Research question(s)

Outcome(s)

Setting

(Where did the study take place?)

Sample

Method

Key findings of the study and implications for nursing practice

Recommendations of the researcher

History and Process of Nursing Research, Evidence-Based Nursing Practice, and Quantitative and Qualitative Research ProcessBy June Helbig

“If we knew what we were doing, it would not be called research, would it?” —Albert Einstein (WorkingMinds.com, n.d., para. 53).

Essential Questions

· What is the history of human subject testing, and what has been its impact on current practices and informed consent?

· Why is it important for nurses to use evidence-based practices?

· Why is it important for nurses to perform research and contribute to generalizable knowledge?

Introduction

Nurses strive to provide the best possible care to diverse clients under consistently changing conditions. From the medications administered to the type of dressing used to heal a wound, nurses apply procedures that have been tested through research and deemed appropriate according to evidence-based standards of practice. Through foundational knowledge related to research methods, translation of research data is used to improve nursing practice and, ultimately, patient outcomes. Therefore, nurses must become familiar with the specific language of scientific research and the research process.

Many historical events have shaped research practices, and guidelines have been developed to protect human subjects from inadvertent harm. Many nurses and physicians conduct research studies, but to do so, they must adhere to research practices that address ethical considerations for 


participants

, ensure the integrity of the research process, and safeguard the public. This chapter outlines the historical events that have shaped modern research, providing a framework to introduce novice researchers to the foundations of research design and implementation.

History of Research

As health care professionals, nurses seek to provide their patients with the best possible health care. To determine which approaches to care result in the best possible care, the effectiveness of each approach specific to a chosen population must be investigated. The pursuit of knowledge is the basis for research. Researchers seek to find answers to various scientific questions, but there are the boundaries associated with the pursuit of knowledge.

Nazi Medical Experiments (1933-1945)

During World War II, German physicians conducted unethical experiments on thousands of human prisoners at the Nazi concentration camps. These experiments were performed without consent and many times without anesthesia. The most notorious of these experiments occurred at the hands of Dr. Josef Mengele. Mengele worked at the Auschwitz concentration camp, called 
the killing center. Auschwitz, the

PICOT Question and Literature Search – Rubric

Rubric Criteria

Collapse All Rubric

Summary of Nursing Practice Problem

6 points

Criteria Description

Summary of Nursing Practice Problem

5. Target

6 points

A nursing practice problem is thoroughly described.

PICOT Question

12 points

Criteria Description

PICOT Question

5. Target

12 points

A PICOT question is provided, and the PICOT question format is applied accurately. An answerable and researchable question is presented.

APA-Formatted Article Citations With Permalinks

6 points

Criteria Description

APA-Formatted Article Citations With Permalinks

5. Target

6 points

Article citations are accurately presented in APA format and permalinks are correct.

Relationship of Articles to the PICOT Question

12 points

Criteria Description

Relationship of Articles to the PICOT Question

5. Target

12 points

Each article clearly relates to the PICOT question. The articles provide strong support for the PICOT question.

Quantitative, Qualitative, and Mixed Method Articles

12 points

Criteria Description

Quantitative, Qualitative, and Mixed Method Articles

5. Target

12 points

Identification of quantitative, qualitative, or mixed methods is correctly identified and includes a thorough justification for the identified methodology for all articles.

Purpose Statements

6 points

Criteria Description

Purpose Statements

5. Target

6 points

Purpose statements are accurate and thoroughly summarized.

Research Questions

6 points

Criteria Description

Research Questions

5. Target

6 points

Research questions are accurate and capture the fundamental question posed by the researchers in each study.

Outcomes

6 points

Criteria Description

Outcomes

5. Target

6 points

Research outcomes are accurate and described in detail for each article.

Setting

6 points

Criteria Description

Setting

5. Target

6 points

The setting in which the researcher conducted the study is detailed and accurate for each article.

Sample

6 points

Criteria Description

Sample

5. Target

6 points

The sample is indicated and accurate for each article.

Methods

6 points</p

Criteria

Article 4

Article 5

Article 6

APA-formatted article citation with permalink

How does the article relate to the PICOT question?

Is the article qualitative, quantitative, or mixed methods?

Justify your selection.

Purpose statement

Research question(s)

Outcome(s)

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