Assignment: Essentials of Evidence Based Practice

Assignment: Essentials of Evidence Based Practice

Assignment: Essentials of Evidence Based Practice

Critical Appraisal Tool Worksheet Template

ORDER A CUSTOMIZED, PLAGIARISM-FREE Assignment: Essentials of Evidence Based Practice HERE

Good News For Our New customers . We can help you in Completing this assignment and pay after Delivery. Our Top -rated medical writers will comprehensively review instructions , synthesis external evidence sources(Scholarly) and customize a quality assignment for you. We will also attach a copy of plagiarism report alongside, AI report alongside the assignment. Feel free to chat Us

Evaluation Table

 Use this document to complete the evaluation table requirement of the Module 4 Assessment, Evidence-Based Project, Part 4A: Critical Appraisal of Research

Full APA formatted citation of selected article.	Article #1	Article #2	Article #3	Article #4
	Malfait, S., Eeckloo, K., Lust, E., Van Biesen, W., & Van Hecke, A. (2017). Feasibility, appropriateness, meaningfulness and effectiveness of patient participation at bedside shift reporting: mixed-method research protocol. Journal of Advanced Nursing (John Wiley & Sons, Inc.), 73(2), 482–494.	Tobiano, G., Bucknall, T., Sladdin, I., Whitty, J. A., & Chaboyer, W. (2019). Patient participation in nursing bedside handover: A systematic mixed-methods review. International Journal of Nursing Studies, 97, 63–7	Bruton, J., Norton, C., Smyth, N., Ward, H., & Day, S. (2016). Nurse handover: patient and staff experiences. British Journal of Nursing, 25(7), 386-393.	Baldwin, K. M., & Spears, M. J. (2019). Improving the patient experience and decreasing patient anxiety with nursing bedside report. Clinical Nurse Specialist: The Journal for Advanced Nursing Practice, 33(2), 82–89.
Evidence Level * (I, II, or III)	Level I	Level I	Level I	Level I
Conceptual Framework   Describe the theoretical basis for the study (If there is not one mentioned in the article, say that here).**	Hospitals improve their clinical performance and quality of care continually where various methods are used to stimulate patient participation. Nonetheless, rigorous reporting lack on the effectiveness and appropriateness of bedside shift reporting on promoting patient participation.	Lack of reviews of on the patient’s role in nursing bedside handover.	Limited research on patient and staff experiences of handover.	None
Design/Method   Describe the design and how the study was carried out (In detail, including inclusion/exclusion criteria).	The researcher utilized a matched, controlled, mixed-method, longitudinal study design. Nurses and hospitalized patients will be involved in individual and focus group interviews. Additionally, data will be collected through observations and analysis of the administrative databases and medical records.	Systematic mixed- methods review was used during the study. Three search strategies, including database searching, backwards citation searching, and forward citation searching were conducted in July-August 2016. Only papers on research or quality improvement (QI) projects concentrating on the patient role were included in the study. Fifty-four articles were retrieved.	A qualitative and observational study. Data was collected by interviewing patients and staff and observation of handovers, patient-staff interactions, and ward rounds. Nurses and patients in two acute wards in a large urban hospital in the UK were included in the study.	Descriptive, observational study where quantitative and qualitative data was collected using three data collection tools, including a demographic data tool, the Beck Anxiety Inventory, and daily journal entries.
Sample/Setting   The number and characteristics of patients, attrition rate, etc.	The sample population includes nurses and patients hospitalized in a minimum of five interventions and five control wards.	The sample included papers on research or quality improvement (QI) projects concentrating on the patient role.	The study was conducted in two acute wards in a large urban hospital in the UK were nurses and patients were interviewed.	Quantitative and qualitative studies were reviewed.
Major Variables Studied   List and define dependent and independent variables	Feasibility, appropriateness, meaningfulness and effectiveness are independent variables while patient participation at bedside shift reporting is the dependent variable for this study.	Patient participation is the independent variable while nursing bedside handover is the dependent variable.	Nurse handover is the dependent variable while patient and staff experiences are the independent variables.	Improving the patient experience and decreasing Patient anxiety are the independent variables while nursing bedside report is the dependent variable.
Measurement   Identify primary statistics used to answer clinical questions (You need to list the actual tests done).	The primary statistics is the correlation between bedside shift reporting and nurse-nurse communication, patient participation, and nurse-patient communication.	The primary statistics used to answer the clinical question is the correlation between standardizing handovers and making them predictable for patient participation,	The primary statistics used to answer the clinical question is the relationship between nurse handover and patient and staff experiences.	The primary statistics used to answer the clinical question is the connection between patient experience and patient anxiety with nursing bedside report.
Data Analysis Statistical or Qualitative findings   (You need to enter the actual numbers determined by the statistical tests or qualitative data).	Bedside shift reporting improved nurse-nurse communication, patient participation, and nurse-patient communication in the selected units by 50%.	Patient participation in nursing bedside handover is improved by standardizing handovers and making them predictable for patient participation.	Nurse handover was enhanced by improving patient and staff experiences.	Different baseline anxiety levels were portrayed by the patients.
Findings and Recommendations   General findings and recommendations of the research	Bedside shift reporting improves nurse-nurse communication patient participation, and nurse-patient communication. Therefore, nurses should implement bedside reporting in their clinical practices.	Patient participation in handover can be improved through various strategies, including training the nurses, increasing the interpersonal approach during handover, and making handovers predictable for patients.	Improving patient and staff experiences enhances nurse handover. Therefore, healthcare facilities should focus on improving patient and staff experiences.	Communication enhances patients’ perceptions of their patient experience. Therefore, healthcare facilities should focus on improving communication within their premises.
Appraisal and Study Quality     Describe the general worth of this research to practice.   What are the strengths and limitations of study?   What are the risks associated with implementation of the suggested practices or processes detailed in the research?   What is the feasibility of use in your practice?	This research is important to the practice since it will inform nurses on the significance of bedside reporting in their clinical practices. The key strength of the study is collecting data from various settings, thus allowing for the generalization of the study findings. On the contrary, other patient populations were not involved during the study. The implementation of the suggested practice is associated with the risk of extra training of the nurses. The study findings will be used in my practice to improve nurse-nurse communication, patient participation, and nurse-patient communication.	This research is important to the practice since it indicates strategies of improving nursing participation during handover. The key strength is that evidence was gathered from various credible sources. On the limitations, no actual experiment was conducted during the study. The implementation of the suggested practice is associated with the risk of high cost of training the nurses to facilitate patient participation.   The study findings will be used in my practice to improve patient participation in handover.	This research is important to the practice since it indicates that nurse handovers can be enhanced by improving patient and staff experiences. The key strength is that the study was conducted in two acute wards. On the limitations, clinical team experienced communication barrier. The implementation of the suggested practice is associated with the risk of extra training to improve patient and staff experiences.	This research is important to the practice since it indicates the significance of communication in improving patient experience. The key strength is that evidence was gathered from various credible sources making the results credible. On the limitations, no actual experiment was conducted during the study to confirm the results of the reviewed sources.
Key findings	Bedside shift reporting improves nurse-nurse communication, patient participation, and nurse-patient communication.	Patient participation in handover can be improved through various strategies, including training the nurses, increasing the interpersonal approach during handover, and making handovers predictable for patients.	Improving patient and staff experiences enhances nurse handover.	Communication enhances patients’ perceptions of their patient experience.
Outcomes	Improvement in nurse-nurse communication, patient participation, and nurse-patient communication.	Improvement in patient participation in handover.	Enhanced nurse handovers due to improved patient and staff experiences.	Improvement in patients’ perceptions of their patient experience.
General Notes/Comments	Nurses should implement bedside reporting in their clinical practices.	Nurse practitioners should focus on improving patient participation in handover	Healthcare facilities should strive to improve patient and staff experiences.	Nurses should promote good communication to improve patients’ perceptions of their patient experience.

Part 3B: Critical Appraisal of Research

Patients participation at bedside shift reporting and nurse handovers emerges as the best practice upon reviewing the four studies in part A. A decline in medical errors and improvement in patient safety are supported by the incorporation of nurse handovers and nurse shift reports into care delivery. Thus, the elimination of medical errors and improvement in patient safety are enhanced by the involvement of patients during nurse handovers and nurse shift reports.

Additionally, the practice of Patients participation at bedside shift reporting and nurse handovers is supported by various scholars in their studies. According to Malfait et al. (2018). bedside shift report (BSR) is an evidence-based practice, which focuses on improving patient safety and patient experience. Thus, involving patients during bedside reporting enhances this practice’s overall outcomes since patients communicate how they are feeling to the practitioners, resulting in documentation of the correct information. Also, bedside shift reporting is perceived as an opportunity to facilitate communication between nurses, thus reducing errors that are likely to arise during care delivery (Gregory et al., 2014). Models of bedside reporting indicated that involving the patient during the process is associated with a wide range of benefits, including facilitating caregiver support and education and increasing patient engagement. Similarly, patient involvement during nurse handovers is accrued with a wide range of benefits. Tobiano et al. (2019) propose various strategies for improving patient participation in the handover, including training the nurses, increasing the interpersonal approach during handover, and making handovers predictable for patients. Additionally, improving patient and staff experiences enhances nurse handover (Bruton et al., 2016). Therefore, nurse practitioners should engage patients in bedside shift reporting and nurse handovers to enhance the overall outcomes of the two processes.

References

Bruton, J., Norton, C., Smyth, N., Ward, H., & Day, S. (2016). Nurse handover: patient and staff experiences. British Journal of Nursing, 25(7), 386-393.

Gregory, S., Tan, D., Tilrico, M., Edwardson, N., & Gamm, L. (2014). Bedside Shift Reports: What Does the Evidence Say? The Journal of Nursing Administration, 44(10): 541-545.

Malfait, S., Eeckloo, K., Lust, E., Van Biesen, W., & Van Hecke, A. (2017). Feasibility, appropriateness, meaningfulness and effectiveness of patient participation at bedside shift reporting: mixed-method research protocol. Journal of Advanced Nursing (John Wiley & Sons, Inc.), 73(2), 482–494.

Tobiano, G., Bucknall, T., Sladdin, I., Whitty, J. A., & Chaboyer, W. (2019). Patient participation in nursing bedside handover: A systematic mixed-methods review. International Journal of Nursing Studies, 97, 63–7

ORDER A CUSTOMIZED, PLAGIARISM-FREE Assignment: Essentials of Evidence Based Practice HERE

*These levels are from the Johns Hopkins Nursing Evidence-Based Practice: Evidence Level and Quality Guide

• Level I

Experimental, randomized controlled trial (RCT), systematic review RTCs with or without meta-analysis

 

• Level II

Quasi-experimental studies, systematic review of a combination of RCTs and quasi-experimental studies, or quasi-experimental studies only, with or without meta-analysis

• Level III

Nonexperimental, systematic review of RCTs, quasi-experimental with/without meta-analysis, qualitative, qualitative systematic review with/without meta-synthesis

• Level IV

Respected authorities’ opinions, nationally recognized expert committee/consensus panel reports based on scientific evidence

• Level V

Literature reviews, quality improvement, program evaluation, financial evaluation, case reports, nationally recognized expert(s) opinion based on experiential evidence

**Note on Conceptual Framework

• The following information is from Walden academic guides which helps explain conceptual frameworks and the reasons they are used in research. Here is the link https://academicguides.waldenu.edu/library/conceptualframework
• Researchers create theoretical and conceptual frameworks that include a philosophical and methodological model to help design their work. A formal theory provides context for the outcome of the events conducted in the research. The data collection and analysis are also based on the theoretical and conceptual framework.

 

• As stated by Grant and Osanloo (2014), “Without a theoretical framework, the structure and vision for a study is unclear, much like a house that cannot be constructed without a blueprint. By contrast, a research plan that contains a theoretical framework allows the dissertation study to be strong and structured with an organized flow from one chapter to the next.”

 

• Theoretical and conceptual frameworks provide evidence of academic standards and procedure. They also offer an explanation of why the study is pertinent and how the researcher expects to fill the gap in the literature.

 

• Literature does not always clearly delineate between a theoretical or conceptual framework. With that being said, there are slight differences between the two.

References

The Johns Hopkins Hospital/Johns Hopkins University (n.d.). Johns Hopkins nursing dvidence-based practice: appendix C: evidence level and quality guide. Retrieved October 23, 2019 from https://www.hopkinsmedicine.org/evidence-based-practice/_docs/appendix_c_evidence_level_quality_guide.pdf

Grant, C., & Osanloo, A. (2014). Understanding, Selecting, and Integrating a Theoretical Framework in Dissertation Research: Creating the Blueprint for Your” House”. Administrative Issues Journal: Education, Practice, and Research, 4(2), 12-26.

Walden University Academic Guides (n.d.). Conceptual & theoretical frameworks overview. Retrieved October 23, 2019 from https://academicguides.waldenu.edu/library/conceptualframework

ORDER A CUSTOMIZED, PLAGIARISM-FREE Assignment: Essentials of Evidence Based Practice HERE

To Prepare:

Reflect on the four peer-reviewed articles you selected in Module 2 and the four systematic reviews (or other filtered high- level evidence) you selected in Module 3.
Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.
Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.
The Assignment (Evidence-Based Project)

Part 3A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3.

Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module 2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both modules and types of studies are represented.

Part 3B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.