Devry NR451 week 2 Capstone Project Milestone 1

Capstone Project Milestone #1:

PICO and Evidence Appraisal Guidelines

Purpose

Clear identification of the problem or opportunity is the first step in evidence-based nursing. This first milestone offers two tools to assist in the identification and gathering of evidence to link the problem, proposed intervention, and desired outcomes. Completion of the milestone will include identification of the problem or concern using the PICO format and an evidence appraisal to find evidence to support an intervention that will change the outcomes.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

CO4:Develops and outlines a scientific, systematic decision-making process to integrate critical thinking with clinical judgment to assure safe and effective outcomes. (PO #4)

CO8: Selects evidence for best practice when planning professional nursing care for individuals, families, aggregates, and communities. (PO #8)

Due Date

Milestone #1 consists of the completion of one worksheet that contains two parts (i.e., the PICO worksheet and the evidence appraisalworksheet). Submit the file with the two worksheetscompleted to the Dropbox by Sunday, 11:59 p.m. MT at the end ofWeek 2.

Points

Milestone #1 is worth 175 points (75 points for the PICO worksheet and 100 points for the evidence appraisal worksheet).

Directions

1. Read this document including the grading rubrics below.

2. Download the PICO/Evidence Appraisal worksheets formfrom Doc Sharing.Consider what is the nursing problem or issue that you have uncovered. Make sure it is related to nursing, i.e., one that a nurse can solve independently. Do not select a medical problem that is dependent upon a medical professional to resolve. Completion of PICOworksheet will offer a tool for your literature search.

3. For theevidence appraisalworksheet, find AT LEAST FOURsources to support the need for change and the potential intervention you have selected to solve the problem. Three of these sources must be peer-reviewed articles while one can be a reliable professional source.

4. Submit the completed PICO/Evidence Appraisal worksheet to the Week 2 Dropbox.

5. CapstoneProject Milestone #1:

6. PICOandEvidence Appraisal Worksheets

7. PICO Worksheet

8. Your Name:

9. Date:

10. Your Instructor’s Name:

11. Purpose: To identify a problem or concern that nursing can change and develop a PICO question to guide the change project.

12. Directions:Use the form below to complete the PICO assignment in Milestone #1. This includes filling in the table with information about your research question and your PICO elements.

13. Step 1: Select the key PICO terms for searching the evidence. Clearly define your PICO question. List each element P (problem, population, or problem), I (intervention), C (Comparison with other treatment/current practice), and O (Desired outcome). Is the potential solution something for which you (as nurse or student) can find a solution through evidence research? Look in your book for guidelines to developing your PICO question.

14. Step 2: Identify the problem.What have you noticed in your work or school environment that isn’t achieving the desired patient or learning outcomes? What needs to change in nursing, what can you change with the support of evidence in the literature? Describe the problem or practice issue that you want to research. What is your practice area; clinical, education, or administration? (This is NOT where you will list your PICO question)

15. Step 3: How was the practice issues identified?How did you come to know this was a problem in your clinical practice? Review the listed concerns and check all that apply.

16. Step 4: What evidence must be gathered? Everyone should have a literature search. However, what other sources of reliable information will be helpful for your particular question?

17. Step 5: What terms will you use in order to make sure that your search is wide enough to obtain required information but narrow enough to keep it focused? What databases will you search? How will you narrow your search if needed?

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22. Evidence Appraisal Worksheet

23. Your Name:

24. Date:

25. Your Instructor’s Name:

26. Purpose: To find evidence to support an intervention that will change the outcomes.

27. Directions: Type your search question below. Find AT LEAST FOUR sources to support the need for change and the potential intervention you have selected to solve the problem. At least three of your sources must be peer-reviewed articles. The fourth source could be another peer-reviewed article or a reliable, credible source. Look in your text for ideas of other sources that can be used. Using the table below, insert and describe your four chosen resources.

28. Step 1: APA Reference for the article. You will need to list the reference for the source in APA format. Be careful when using built-in APA formats and library citations. They may not be in APA format. Refer to Chapter 7 of your APA manual.

29. Step 2: Type of Source. If your source is a research article, you will need to ensure that it is a peer review article. You need at least three peer-reviewed articles for your project. If your article is a non–research source, then you will need to list what type of source it is; systematic review, clinical practice guidelines, organizational experience, or individual expert opinion/case study/literature review. You may only use ONE non-research source.

30. Step 3: Strength of Research. Refer to page 238-240 for research evidence and page 242-244 for non-research evidence. While you do not need to assign a level for each study, you will assign a quality of evidence (high, good, or low/major flaw) and should discuss the study using some of the elements that are discussed in the appraisal forms. For example, Research evidence: was the sample size adequate? Was there a controlled group? Was it a randomized study? Were results clearly stated? Was the conclusion based on the results? Were study limitations discussed? Not all of these elements need to be discussed, but you should discuss this information to determine if the strength of the evidence is HIGH, GOOD, or LOW/MAJOR FLAW.

31. Step 4: Brief Description of the Research. In this section, you will summarize the source in your own words. How does this information apply to your project? What are the results of the source? What are their recommendations?

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