Evidence-Based Clinical Question Search Assignment, writing homework help

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Evidence-Based Clinical Question Search Assignment

Purpose:

The purpose of this Assignment is to give you a practical application to implement your PICOT idea, supported by the evidence-based research you have obtained in during your systematic review. You will apply evidence-based research findings, discovered from your clinical question, and then integrate those to support your suggested change in nursing practice.

Directions:

  1. Identify your refined PICOT question.
  2. Using PubMed and the Cochrane collaboration database, do a systematic review of your clinical question.
  3. Describe your systematic review and include an errors analysis.
  4. Determine an evidence-based quantitative article from the search that contains an evidence-based randomized control trial.
  5. Summarize the case study selected.
  6. Describe the study approach, sample size, and population studied.
  7. Apply the evidence from this review to your practice specifically in your overview.
  8. Evaluate the outcomes, identifying the validity and reliability.
  9. Discuss if the study contained any bias.
  10. Determine the level of evidence identified in the review.
  11. The length should be no less than 10 Pages in APA format.

( A sample paper has been attached to this assigment to help you understand this paper.)

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Unit 6 Discussion 1 MN504 Research Unit 6 discussion post Qualitative research is less about the science and physical numbers, it is more of a story from the perception of the storyteller or the researcher about why things are the way they are, what are the issues or needs of a community, what are the disparities to change for a specific group /population. Information is received through field work, firsthand information such as face to face personal interviews, windshield surveys, and observation to gain an understanding form another’s view and how it influences their habits, behaviors, etc. Through the information received the researcher can answer “why” something is occurring or being done a specific way. “It can provide guidance in deciding whether we can apply findings from quantitative studies to our patients and help us to understand clinical phenomena (Melnyk, B. & Fineout-Overholt, E., 2015, p. 141)”. My PICOT question is: (P)Married couples age 25 to 43 diagnose Hemochromatosis (I) How does genetic counselling affect their decision to have children after diagnosis of Hemochromatosis (C) Lowering the number of effected children born with Hemochromatosis (O) Decrease new case by 30 %. (T) 1 year trial This is a very under researched issue therefor finding exact research that pertains has been very difficult to attain, however upon review of qualitative research articles two somewhat acceptable studies are: Living with constipation- older people’s experiences and strategies with constipation before and during hospitalization. This was a qualitative exploratory research design that conducted personal face to face interviews with inpatient adults about their bowel habits, if constipation was an issue and how it was managed during and prior to hospital admissions. Patients managed the issue of bowel management privately and did not alert their healthcare staff to bowel issues. “This study illuminates the need for health-care professionals to be attentive to this issue and initiate the conversation with patients in order to advise on the management of constipation (Munch, Tvistholm, Trosborg, & Konradsen, 2016)”. Constipation and defecation pattern the first 30 days after hip fracture. This was a prospective descriptive design that was utilized to monitor the defecation patterns of One hundred six patients with hip fractures. According to the article bowel care and management is often over looked my healthcare professionals as their primary concerns are with post-surgical complications such as infection, bleeding, circulation. The fact of the matter is that by not managing and preventing “constipation can increase financial costs due to increase hospital stay, and increased nursing care time (Trads & Pedersen, 2015)”. This study also suggested that there is further need for research in this area of healthcare. A potential qualitative research study that I feel is important to nursing is the need for healthcare providers to manage and prevent bowel complications of the hospitalized patient. The lack of bowel management increases patient pain, decreases mobility, alters nutrition, increases hospital stay, and overall is poorly managed in the acute and long term care facilities. If interventions are put into place at admission constipation can both me managed and prevented with a decreased risk of complications. I am currently exploring this issue in my current facility for our Magnet project with the utilization of case study. The metric includes information from the patient’s chart that is recorded on admission related to last bowel movement, prior to admission medications as well as defecation pattern during admission and medication ordered and requested and readmission. The information is picked randomly by EPIC every 30 days and placed into the metric, interventions are then applied to all patients on the unit with continued monitoring and nurse/patient education, with evaluation completed every 30 days. This information will be presented to the medical approval board with a suggestion for a change in physician order sets with a suggested bowel protocol to be added. By making nurses and patients more aware of the importance of bowel management for the promotion of health and being open with “poop” questions decreases the feeling of embarrassment this improving communication among patients and nurses with true information about bowel issues thus preventing complications and delayed discharges. Reference Schmidt, N.A . & Brown, J.M,. (2009). Evidenced-Based Practice for Nurses : Apprasial and pplication of Research. Sundbury, MA: World Harold Jones and Bartlett Publishers, LLC. Hamric, A.B, Hanson, C. M., Tracy, M.F. & O'Grady, E.T. (2014). Advanced practice nursing an integerative approach (5th ed.). St. Louis, Missouri: Elsevier Saunders. Melnyk, B. & Fineout-Overholt, E. (2015). Evidenced-based practice in nursing & healthcare: A guide to best practice (3rd ed.). Philadelphia, PA.: WoltersKluwer. Retrieved 2016 Polit, D.& Tatano Beck, C. (2012). Nursing Research: Generating and assessing evidence for nursing practice (9th ed.). Philadelphia, PA: Wolters Kluwer/ Lippincott Williams & Wilkins. Retrieved 2016
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I was having a hard time with this subject, and this was a great help.

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