Research Critiques and Evidence-Based Practice Proposal

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Foundations of Professional Nursing NUR3846



The purpose of this assignment is to synthesize a literature review that will be used to draw conclusions in order to propose an evidence-based practice change to address your identified nurse practice problem.

Using the "Literature Evaluation Table" assignment in Topic 1, and accompanying faculty feedback, you will synthesize the information created for your PICOT question into a literature review and evidence-based proposal.

In a provide an overview that illustrates the research related to your particular PICOT question.

Use the following components from the "Literature Evaluation Table" to complete the assignment:

Identified practice problem

Two qualitative peer-reviewed research articles

Two quantitative peer-reviewed research articles

Use the "Research Critiques and Evidence-Based Practice Proposal Guidelines" document to organize your paper.

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Research Critiques and Evidence-Based Practice Change Proposal Guidelines Use this document to synthesize the information from your "Literature Evaluation Table" from Topic 1 into a literature review. Successful completion of this assignment requires that you use your conclusions from your literature review to propose an evidence-based practice change. Introduction • • Introduce your nursing practice problem and discuss the purpose of your paper. State your updated PICOT question incorporating any feedback that you received from your instructor. Method of Studies • State the methods of the four articles you are comparing and describe how each method helps answer the associated research question. Results of Studies/Key Findings • Summarize the key findings of the four studies. Outcomes Comparison • • What are the anticipated outcomes for your PICOT question? How do the outcomes of the four articles you chose compare to your anticipated outcomes? Proposed Evidence-Based Practice Change • • • What is the link between the PICOT question, the research articles, and the nursing practice problem you identified? Based on this information, propose an evidence-based practice change to improve outcomes of patient care for your identified setting. Suggest one way to assess outcomes for the proposed practice change to determine whether or not it is effective. Conclusion • Your conclusion should summarize the main points in the essay, including a varied restatement of the thesis.
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Explanation & Answer




Post-surgical Pain Management

Institution Name
Instructor Name
Reg No


Pain management or relief at post-surgical continues to be a significant issue and
challenge in the medical field. Successful pain management is crucial and essential in the
healthcare context, especially in the surgical wards, while providing post-surgical nursing care
for adult patients. Unmanaged post-surgical pain negatively affects patient satisfaction and
comfort and contributes to prolonged hospital stays and recovery, increasing hospital costs (Yang
et al., 2019). This research paper aims to optimize effective post-operative or surgical pain
management by delving into evidence-based nursing practices and incorporating a
comprehensive approach to pain relief. This paper's key purpose is to examine and evaluate the
literature review critically, suggest evidence-based nursing practices, and synthesize evidence to
solve this identified problem.
This paper focuses on nursing practice problems based on the efficacy of integrating and
implementing a comprehensive pain relief approach for adult surgical patients towards
facilitating discomfort management and fostering patient satisfaction. This research incorporates
and focuses on PITCO intervention and problem statement. The intervention includes
implementing a multifaceted, comprehensive pain relief approach comprising both nonpharmacological and pharmacological intervention based on individual patient needs, aimed at
effectively optimizing pain management post-surgical procedure in surgical adult patients
(Macintyre & Schug, 2021). The problem statement addressed by this paper is based on the fact

that despite advancements in pain management strategies, there still needs to be a gap in
understanding the effect of implementing the comprehensive approach to pain relief on patient
satisfaction and discomfort management among surgical adult patients.
PICOT Question:


In the context of adult surgical patients, how does incorporating and implementing the
comprehensive approach to pain relief in comparison to conventional pain treatment affect
patient satisfaction and discomfort management within 48 hours post-surgery?
Methods of Study
This paper comprises four selected articles, of which two are quantitative and the other
two qualitative, both peer-reviewed studies. The qualitative articles utilized grounded, qualitative
descriptive, and phenomenological methods or approaches to evaluate and explore patients'
experiences with pain relief interventions post-surgery. The quantitative articles implemented
randomized cross-section study approaches and quasi-experimental and control trial research
approaches to explore and investigate the success or effectiveness of a comprehensive pain
management approach compared to conventional treatment techniques. The first article utilized
in the paper is a quantitative study conducted by Noel et al. (2020), focusing on the effectiveness
of using the Sufentanil Sublingual tablet system in comparison to oral oxycodone in pain
management post-surgery for total knee arthroplasty. It is a quantitative study incorporating
statistics and a comparison of numerical data. The article utilized a random selection of
participants, placing them i...

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