Does limited use of sedation drugs with limited length of stay in critical care reduce delirium in critically ill patients compared to patient who are not on sedation drugs in the ICU?

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Question Description

Open up the rubric and refer to it for guidance. Use the Literature Matrix template to complete the assignment. As your reading continues, you will add to and revise this matrix. That is why this initial one is called "preliminary." Keep adding to it as you go along to organize and critique your sources. You will need the matrix to write your paper. You must use at least eight (8) primary research articles and should not use more than two (2) secondary sources. Articles should not be more than 6 years old. You may use medical research, but warning: they are comprised mostly of data and numbers because they are clinical trials. At least half of your sources need to be nursing research.

You are to use only primary research articles for the scholarly synthesis. A primary research article reports on an empirical research study conducted by the authors. It is almost always published in a peer-reviewed journal.

This type of article:

Asks a research question or states a hypothesis or hypotheses

Identifies a research population Describes a specific research method Tests or measures something

Includes a section called "method" or "methodology." This may only appear in the article, not the abstract.Includes a section called "results."

Words to look for as clues include: analysis, study, investigation, examination, experiment,

numbers of people or objects analyzed, content analysis, or surveys.

To contrast, the following are not

primary research articles:

Literature reviews

Meta-Analyses (These are studies that arrive at conclusions based on research from

many other studies.)

Editorials

Letters

Chapters in books

Encyclopedia articles

Speeches and interviews


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GRADING RUBRIC FOR LITERATURE MATRIX GRADED CONTENT POINTS AVAILABLE Appropriate literature • A minimum of 8 primary source articles are 15 used. (5 points) • 2 or less secondary sources are used. (5 points) • Sources are suitable for exploring the topic of interest and helping to answer the research question. (5 points) Relevance • Sources are current unless considered a 10 major/sentinel piece of work (5 points) • Levels of evidence are strong (5 points) Thoroughness (for example, completing columns of the matrix) Correct APA formatting, grammar, spelling, and punctuation (up to 10 points will be deducted for violations) Late policy: All students are expected to turn in work on time. Late assignments will be penalized 10% per day (or any portion of the day) unless 10 POINTS EARNED GRADING RUBRIC FOR LITERATURE MATRIX prior arrangements have been made with the instructor. TOTAL 35 NURS 6990 Literature Review Matrix Instructions: Complete the following table to include a minimum of eight (8) primary studies involving either actual interventions or observations (change headings to suit your needs) Student Name: Author / Article title Citation PICO Question Year of Publication Qualitative: Concepts or phenomena Quantitative: Key Variables Hypothesis Research Question Theoretical Framework Purpose Design Sample (N) Instruments Findings/Results Controversies, disagreements with other authors Limitations Implications NURS 6990 Literature Review Matrix Instructions: Complete the following table to include a minimum of eight (8) primary studies involving either actual interventions or observations (change headings to suit your needs) NURS 6990 Literature Review Matrix Instructions: Complete the following table to include a minimum of eight (8) primary studies involving either actual interventions or observations (change headings to suit your needs) Student Name: Author / Article title Citation PICO Question Year of Publication Qualitative: Concepts or phenomena Quantitative: Key Variables Hypothesis Research Question Theoretical Framework Purpose Design Sample (N) Instruments Findings/Results Controversies, disagreements with other authors Limitations Implications NURS 6990 Literature Review Matrix Instructions: Complete the following table to include a minimum of eight (8) primary studies involving either actual interventions or observations (change headings to suit your needs) ...
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Tutor Answer

Tutorann50
School: Boston College

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Student
Name:

PICO Question

NURS 6990 Literature Review Matrix
Instructions: 8 Primary Sources On The Research Topic

Author /
Article title
Citation

Year
of
Publi
catio
n

Skrobik, Y.,
Ahern, S.,
Leblanc, M.,
Marquis, F.,
Awissi, D.
K., &
Kavanagh, B.
P.
Protocolized
intensive care
unit
management
of analgesia,
sedation, and
delirium
improves
analgesia and
subsyndroma
l delirium
rates.

2010

Barr, J.,

2013.

Qualitative:
Concepts or
phenomena
Quantitative:
Key Variables
Hypothesis
Research
Question
Teaching ICU
staff to use a
protocol in which
the clinical
features of pain,
agitation, and
delirium are
distinguished and
drive
pharmacologic
and
nonpharmacologic
intervention
would reduce
medication use.

Theoretic
al
Framewo
rk

Orem,
Dorothy
—Self
Care
Deficit
Theory

Design

Sam
ple
(N)

Instrum
ents

Findings/Result
s

Controversi
es,
disagreeme
nts with
other
authors

Limitations

Evaluate the

Experime

413

tests

The number of
patients
manifesting
subsyndromal
delirium was
significantly less
in the POST
group.
The rate of
delirium was
similar.
More patients
remained
cognitively
intact, i.e., had
an ICDSC score
of 0

No

short-term
outcomes
like delirium
and longterm
outcomes
such as
PTSD and
1-year
mortality
were not
sufficiently
investigated
as endpoints in
most of the
studies

Recommends use of
dexmedetomidine
rather than
benzodiazepines

The use of
sedation scales,
sedation
protocols
designed to
minimize
sedative use, and
the use of
nonbenzodiazepi

This

moderatequality study
(439)
required a
1:1 nurse-topatient ratio
and the
availability
of patient

Further research on
effect of High doses
of sedative agents
and mechanical
ventilation in
disrupting sleep
patterns in critically
ill patients

management of
specific, distinct,

ntal
Designs

and measurable
clinical entities:
pain, agitation,
and delirium.

There are no

Roper,

Fraser, G. L.,

outcomes are

Logan and

Puntillo, K.,

associated with

Tierney

Ely, E. W.,

delirium in adult

model

Gélinas, C.,

ICU patients

Dasta, J. F.,

Purpose

To revise the
“Clinical Practice
Guidelines for the
Sustained Use of
Sedatives and
Analgesics in the
Critically Ill
Adult” published

QuasiExperime
ntal
Design

220

Survey
and
interview
s

controversie
s with other
authors

research had
not
controversy
or conflic...

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Review

Anonymous
Good stuff. Would use again.

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