We have discussed many topics and ideas about culture and health over the semester. In a 2-3 page paper (or slightly longer) reflect on the following:  How has your thinking about culture and health changed as a result of this class? Give specific examples.  How do you see yourself using the principles taught in this class to help achieve health equity, justice in health, or promoting inclusive health? Consider how you think about what these terms mean and what this looks like for you. This could range from teaching your friends about being culturally competent to pursuing a career to help improve the health of marginalized populations.

In this assessment, you will decide on an intervention to present to stakeholders and collect evidence to substantiate the selected intervention. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: Competency 3: Address assessment purpose in a well-organized text, incorporating appropriate evidence and tone in grammatically sound sentences. Construct an introduction that provides an overview of your gap in practice and ends with a PICOT question in the correct format, and is an appropriate scope for a DNP project. Produce text with minimal grammar, usage, spelling, and mechanical errors. Apply APA formatting to in-text citations and references. Competency 5: Synthesize literature to support a possible intervention or process change. Identify at least five recent research articles that provide information or insight about a specific intervention that addresses the practice gap. Summarize recent research articles by completing an evidence table. Provide a critical review of all chosen articles, including methodology, research questions, theoretical basis, and findings. Synthesize the evidence using the MEAL plan format. Evaluate the quality of the evidence, including strengths and weaknesses. Note: The assessments in this course must be completed in the order presented; subsequent assessments should be built on both your earlier work and your instructor’s feedback on earlier assessments. If you choose to submit assessments prematurely, without considering and integrating your instructor’s feedback, your assessment may be returned ungraded, resulting in your loss of an assessment attempt. Instructions In Assessment 5, you defined and substantiated a practice gap or problem at your practice site that has the appropriate scope for a DNP project. In Assessment 6, it is time to collect evidence to substantiate a possible intervention. Being able to find recent peer-reviewed, relevant literature to support your findings, or to support a need for interventions, is a vital part of gaining stakeholder support. Preparation: Evidence Table For this part of the assessment, use the Evidence Table Template [DOCX] to list articles that will help you substantiate an intervention for your chosen practice gap or problem. Search the Capella library databases for a minimum of five peer-reviewed articles that substantiate an intervention for your chosen practice gap or problem. Complete the evidence table fully for these articles, providing all the required information. Identify five keywords that relate to a specific practice gap in the PICOT question. Conduct a literature search using the keywords and select at least five relevant, recent research articles (published within the past five years) that provide information or insight about the intervention. Create an evidence table and complete each column for each research article. Add the evidence table as an appendix to this assessment. Part 1: Introduction and Revised PICOT Question Begin your synthesis with a brief introduction (1–2 paragraphs) that addresses the following: An overview of your gap in practice. An explanation of the intervention you have chosen to research. End the paragraph by stating your PICOT question, which you have revised using the feedback you received in Assessment 4. Make sure your PICOT question is in the correct format, all components are well aligned, and it has an appropriate scope for a DNP project. Part 2: Critical Review of Literature For the second part of the assessment, provide a critical review of each of the articles you included in the evidence table. For each article, write a one-paragraph critique that addresses the following: Provide a one-sentence overview of the main point of the article. Be sure each article is correctly formatted in APA format. The author's last name and date should be used to identify each article, rather than the article title. Provide the research questions and discuss the research methodology used. If the research question is not specified, provide the aim of the study instead. Analyze the theoretical basis and/or conceptual framework used in the study, if described in the study. Critically appraise the study using one of the following: SORT. (PDF) Johns Hopkins. (PDF) What is GRADE? Report on the study findings and propose a possible application this article could have to your own project topic. Length: 3–4 pages. Part 3: Synthesis of Literature You have done a great job of collecting a lot of information to substantiate your chosen intervention. Now it is time to summarize the information, reach conclusions, and link the resources that you found. In other words, a synthesis is akin to combining the parts to make a whole. This is accomplished by asking yourself, what is the main point(s) that the selected research articles have in common? Thus, following the MEAL plan, you will write a topic sentence for this section that makes a main point, which is supported and explained by all of the articles you selected. If you devote one paragraph to an entire article, you are creating an annotated bibliography, which is helpful for your personal use to keep track of your articles, but it is not a synthesis of the literature. This skill will be important for you to master before you create your project charter, which must be written professionally, yet succinctly. For the third part of the assessment, provide a brief synthesis (1–2 paragraphs) of the information you have collected from the five articles you chose. In your synthesis of the literature: Following the MEAL Plan, synthesize the intervention using all five articles to clearly identify the intervention. The paragraph should be in your own words and should not include quotes. Part 4: Evaluate Quality of Literature An important aspect of conducting research is the ability to evaluate the strengths and weaknesses of the sources you intend to use to support your ideas. In this section, address the following: Consider the strengths and weaknesses of the evidence you have collected thus far. Discuss the collective quality of the evidence. Identify other areas you need to investigate to be able to apply this intervention. Are there alternative interventions that could also work? Do you have any unanswered questions? Are there any areas where further research is needed to find an appropriate solution for this gap in practice? Length: 1 page, maximum. Additional Requirements Length: 4–6 pages, not including title page or evidence table. Organization: Use level headings, except for the introduction. Appendix: Include evidence table as an appendix. Grading Criteria Your assessment will be graded using the following scoring guide criteria: Construct an introduction that provides an overview of your gap in practice, and ends with a PICOT question in the correct format, and is an appropriate scope for a DNP project. Identify at least five recent research articles that provide information or insight about a specific intervention that addresses the practice gap. Summarize recent research articles by completing an evidence table. Provide a critical review of all chosen articles, including methodology, research questions, theoretical basis, and findings. Synthesize the evidence using the MEAL plan format. Evaluate the quality of the evidence, including strengths and weaknesses. Produce text with minimal grammar, usage, spelling, and mechanical errors. Apply APA formatting to in-text citations and references. ---------- Resources: Evaluating Research Studies While the quantity of evidence you find to substantiate a gap in practice, problem, or intervention is important, the quality of that evidence is just as important. For your Synthesis of Evidence Substantiating an Intervention assessment, you will be asked to evaluate the overall quality of your evidence. You will also be asked to consider if there are any unanswered questions or needs for further research that came up while you were searching for evidence.The following resources will guide you in your efforts to evaluate your resources thoroughly: American Academy of Family Physicians. (2022). SORT: Evidence table of key clinical recommendations [PDF]. https://www.aafp.org/dam/AAFP/documents/journals/a... Kaplan, L. (n.d.). Framework for how to read and critique a research study [PDF]. American Nurses Association. http://www.nursingworld.org/research-toolkit/Frame... Melnyk, B. M. (2016). Level of evidence plus critical appraisal of its quality yields confidence to implement evidence-based practice changes. Worldviews on Evidence-Based Nursing, 13(5), 337–339. Siemieniuk, R., & Guyatt, G. (2022). What is GRADE? BMJ Best Practice. https://bestpractice.bmj.com/info/us/toolkit/learn... The Johns Hopkins Hospital. (n.d.). Johns Hopkins nursing evidence-based practice appendix F: Non-research evidence appraisal tool [PDF]. https://www.hopkinsmedicine.org/evidence-based-pra...