NUR 550 Topic 3 Assignment: Evidence-Based Practice Project Proposal; PICOT

NUR 550 Topic 3 Assignment: Evidence-Based Practice Project Proposal; PICOT

NUR 550 Topic 3 Assignment: Evidence-Based Practice Project Proposal; PICOT

Assessment Description

The purpose of this assignment is to conduct a comparison on different research designs to better understand their design and application. Understanding the different types of research design is important so that nurses can effectively apply evidence-based research into practice to address issues and offer better patient care.

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You will utilize your approved nursing practice problem to complete the evidence-based practice project proposal assignments for this course and NUR-590, during which you will synthesize all of the sections into a final written paper detailing your evidence-based practice project proposal.

Review feedback from your instructor on the Evidence-Based Practice Project Proposal: Identification of Nursing Practice Problem assignment submitted in Topic 1. If your original proposed nursing problem was outside the scope of nursing practice or not conducive to an evidence-based practice project proposal, work with your instructor to identify a new topic prior to beginning this assignment. If your proposed topic requires revision, complete this prior to beginning this assignment.

Conduct a literature search on your approved nursing practice problem. Select one qualitative translational research article and one quantitative translational research article for this assignment. Using the “Translational Research Graphic Organizer,” present your proposed topic and complete the tables.

Refer to “Evidence-Based Practice Project Proposal – Assignment Overview,” located in Class Resources, for an overview of the evidence-based practice project proposal assignments.

You are required to cite two peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

Attachments

NUR-550-RS2-TranslationalResearchGraphicOrga

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Evidence-Based Practice Project Proposal: Research Design Comparison – Rubric

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Rubric Criteria

Total100 points

Criterion

1. Unsatisfactory

2. Insufficient

3. Approaching

4. Acceptable

5. Target

Nursing Practice Problem (Revision)

Nursing Practice Problem (Revision)

0 points

The nursing practice problem was not included, or the required revisions were not made.
8 points

The changes failed to meet the criteria for a relevant nursing practice problem for an evidence-based practice project proposal. Additional revisions are still required for approval.

8.8 points

Revisions were made accordingly to improve the proposed nursing practice problem, but some aspects are inaccurate or unclear. Additional revisions are still required for approval.

9.2 points

NA
10 points

The nursing practice problem is clearly presented and approved. No revision was required, or all necessary revisions are were made.

Qualitative Article

0 points

The qualitative translational research article is omitted.

8 points

N/A

8.8 points

Overall, the qualitative translational research article generally supports the proposed nursing practice problem. The proposed problem would be better supported with a different article.

9.2 points

N/A

10 points

A qualitative translational research article is listed. The article is peer-reviewed, published within the last five years, and pertains to the nursing practice problem. The assignment criteria are fully met.

Methodology of Qualitative Article

0 points

The summary of the methodology in the qualitative translational research article is omitted.

8 points

The summary of the methodology in the qualitative translational research article is incomplete. There are significant inaccuracies.

8.8 points

The summary of the methodology in the qualitative translational research article is presented. Some aspects are incorrect or unclear.

9.2 points

The summary of the methodology in the qualitative translational research article is adequately presented. Some aspects require more detail for accuracy or clarity.
10 points

The summary of methodology in the qualitative translational research article is thorough and accurate. A clear understanding of methodologies is evident.

Qualitative Article Research Goals

0 points

The summary of research goals in the qualitative translational research article is omitted.

8 points

The summary of research goals in the qualitative translational research article is incomplete. There are significant inaccuracies.
8.8 points

The summary of research goals in the qualitative translational research article is presented. Some aspects are incorrect or unclear.
9.2 points

The summary of research goals in the qualitative translational research article is adequately presented. Some aspects require more detail for accuracy or clarity.

10 points

The summary of research goals in the qualitative translational research article is thorough and accurate. A clear understanding of research goals is evident.

Qualitative Article Data Collection

0 points

The summary of data collection in the qualitative translational research article is omitted.

8 points

The summary of data collection in the qualitative translational research article is incomplete. There are significant inaccuracies.

8.8 points

The summary of data collection in the qualitative translational research article is presented. Some aspects are incorrect or unclear.

9.2 points

The summary of data collection in the qualitative translational research article is adequately presented. Some aspects require more detail for accuracy or clarity.

10 points

The summary of data collection in the qualitative translational research article is thorough and accurate. A clear understanding of data collection is evident.

Quantitative Article

0 points

The quantitative translational research article is omitted.

8 points

N/A
8.8 points

Overall, the quantitative translational research article generally supports the proposed nursing practice problem. The proposed problem would be better supported with a different article.
9.2 points

N/A
10 points

A quantitative translational research article is listed. The article is peer-reviewed, published within the last five years, and pertains to the nursing practice problem. The assignment criteria are fully met.

Methodology of Quantitative Article

0 points

The summary of the methodology in the quantitative translational research article is omitted.
8 points

The summary of the methodology in the quantitative translational research article is incomplete. There are significant inaccuracies.

8.8 points

The summary of the methodology in the quantitative translational research article is presented. Some aspects are incorrect or unclear.

9.2 points

The summary of the methodology in the quantitative translational research article is adequately presented. Some aspects require more detail for accuracy or clarity.
10 points

The summary of methodology in the quantitative translational research article is thorough and accurate. A clear understanding of methodologies is evident.

Quantitative Article Research Goals

0 points

The summary of research goals in the quantitative translational research article is omitted.

8 points

The summary of research goals in the quantitative translational research article is incomplete. There are significant inaccuracies.

8.8 points

The summary of research goals in the quantitative translational research article is presented. Some aspects are incorrect or unclear.
9.2 points

The summary of research goals in the quantitative translational research article is adequately presented. Some aspects require more detail for accuracy or clarity.

10 points

The summary of research goals in the quantitative translational research article is thorough and accurate. A clear understanding of research goals is evident.

Quantitative Article Data Collection

0 points

The summary of data collection in the quantitative translational research article is omitted.
8 points

The summary of data collection in the quantitative translational research article is incomplete. There are significant inaccuracies.
8.8 points

The summary of data collection in the quantitative translational research article is presented. Some aspects are incorrect or unclear.

9.2 points

The summary of data collection in the quantitative translational research article is adequately presented. Some aspects require more detail for accuracy or clarity.

10 points

The summary of data collection in the quantitative translational research article is thorough and accurate. A clear understanding of data collection is evident.

Mechanics of Writing

(Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.)

0 points

Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.
4 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.
4.4 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.
4.6 points

Few mechanical errors are present. Suitable language choice and sentence structure are used.

5 points

No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.

Format/Documentation

Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.

0 points

Appropriate format is not used. No documentation of sources is provided.

4 points

Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.
4.4 points

Appropriate format and documentation are used, although there are some obvious errors.
4.6 points

Appropriate format and documentation are used with only minor errors.
5 points

No errors in formatting or documentation are present.

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Translational Research Graphic Organizer

Nursing Practice Problem:

Infections like hospital-acquired infections (nosocomial infections) among older patients lead to poor patient outcomes and reduce quality of care. Patients suffering from hospital-acquired infections (HAIs) have longer stays in hospitals and may get disease comorbidities. In worst cases, HAIs can cause death. These infections include catheter-associated urinary tract infections (CAUTIs), central line-associated bloodstream infections (CLABIs) and surgical site infections. According to the Centers for Disease Control and Prevention (CDC), over 1.4 million patients get infected each year with about 98,000 patients or one in every 17 dying (Stewart et al., 2021). Old age, length of stay (LOS) in hospitals, immunosuppression, and multiple underlying comorbidities, and frequent visits to healthcare facilities are critical risk factors for HAIs. Hospitalization among older patients is important in managing acute conditions but also increases susceptibility to multiple nosocomial infections, including anti-microbial pathogens.

Hand hygiene measures and education can lower and prevent pathogens, including hospital-acquired infections among older patients in inpatient settings. Healthcare providers should advocate measures aimed at prevention and management of the HAIs to improve patient’s confidence and experience during their stay. Hand washing with soap and water and use of alcohol-based sanitizers are critical measures that nurses and other healthcare providers can implement to reduce and prevent infections. Hand hygiene measures reduce the prevalence of pathogens among all stakeholders in healthcare, including nurses and patients.

Providers implement effective evidence-based practice (EBP) interventions to address hospital-acquired infections (HAIs) by comparing different studies on hand hygiene measures. These measures focus on not only reducing but also preventing hospital acquired infections. Providers leverage evidence using different translational research studies, both qualitative and quantitative, to implement EBP interventions to reduce HAIs, especially among hospitalized older patients (Powell-Jackson et al., 2020). Through research methodologies and designs, providers can determine the effectiveness of the selected interventions to reduce and prevent infections and guarantee positive patient outcomes (Zarbin, 2020). The purpose of this translational research organizer is to compare qualitative translational article and quantitative translational article in hospital acquired infections based on various parameters that include methodologies, goals, and data collection approaches.

Qualitative Article

Criteria	Peer-Reviewed Translational Article and Permalink/Working Link Knudsen, A. R., Hansen, M. B., & Møller, J. K. (2023). Individual hand hygiene improvements and effects on healthcare-associated infections: a long-term follow-up study using an electronic hand hygiene monitoring system. Journal of Hospital Infection, 135, 179-185. DOI: https://doi.org/10.1016/j.jhin.2023.02.017
Methodology	The authors employed an observational approach consisting 2 cohorts for about 2 years. The cohorts included those exposed and unexposed groups to infections and were monitored using an electronic hand hygiene monitoring system (EHHMS) to enhance compliance with hand hygiene
Goals	The aim of this study was to investigate the effects of two week feedback interventions provided through the electronic hand hygiene monitoring system (EHHMS) to sustain hand hygiene protocols and enhance them, improve individual responsiveness, and prevent hospital-acquired bloodstream infections.
Data Collection	The authors collected data using an electronic system by observing hand hygiene measures among providers or participants. The feedback came from the area with low hand hygiene compliance and followed a three-step process.

 Quantitative Article

Criteria	Peer-Reviewed Translational Article and Permalink/Working Link Leistner, R., Kohlmorgen, B., Brodzinski, A., Schwab, F., Lemke, E., Zakonsky, G., & Gastmeier, P. (2023). Environmental cleaning to prevent hospital-acquired infections on non-intensive care units: a pragmatic, single-center, cluster randomized controlled, crossover trial comparing soap-based, disinfection and probiotic cleaning. EClinicalMedicine, 59. DOI:https://doi.org/10.1016/j.eclinm.2023.101958
Methodology	In this study, the authors used a randomized controlled trial approach in one center or setting to determine the effectiveness of environmental cleaning; including hand hygiene, to lower and prevent hospital acquired infections (HAIs). The authors conducted a pragmatic, cluster-randomized controlled crossover trial involving 18 non-critical care units to determine the effects of their interventions on hospital-acquired infections.
Goals	The goal of the study was to determine the impacts of three diverse surface cleaning strategies, including hand hygiene to lower and reduce incidences of healthcare-associated infections.
Data Collection	The authors gathered data using information from patients in the different ward at a university hospital in Berlin, Germany. The study leveraged patient information at the facility to build data for in-depth analysis.

Comparisons: Similarities and Differences

The two studies focus on interventions to reduce and prevent hospital-acquired infections (HAIs) among older patients in different settings. Both studies implement measures by translating existing evidence into practice to determine the efficacy and effectiveness of various approaches to reduce infections in inpatient settings. Similarly, both studies employ methodologies to enable them implement the various interventions at hand. The implication is that these two studies use different methods; one being observational qualitative approach and the other being randomized controlled trial based on quantitative approach.

Conversely, the studies are different as one is qualitative and the other quantitative. Knudsen et al. (2023) explore the intervention feedback for two weeks while Leistner et al., (2023) show the effects of three strategies implemented to reduce and prevent hospital-acquired infections (HAIs) in all the two studies, the researchers deploy different methods to determine the efficacy of their interventions. As such, while they implement interventions based on their setting, the different approaches demonstrate that various types of translational research that providers can use to address a clinical practice problem like infections.

Conclusion

Translational research studies deploy different methods or approaches that providers can implement to attain targeted results or patient outcomes. In this case, the two article are categorical that hospital acquire infections (HAIs) prevention strategies in any setting focus on reducing the disease burden and improving outcomes. The evidence from the articles shows that providers can implement interventions that align with their practice settings and the level of acuity of the problem.

References

Powell-Jackson, T., King, J. J., Makungu, C., Spieker, N., Woodd, S., Risha, P., & Goodman, C. (2020). Infection prevention and

control compliance in Tanzanian outpatient facilities: a cross-sectional study with implications for the control of COVID-19. The Lancet Global Health, 8(6), e780-e789. DOI: 10.1016/S2214-109X(20)30222-9.

Stewart, S., Robertson, C., Pan, J., Kennedy, S., Haahr, L., Manoukian, S., & Reilly, J. (2021). Impact of healthcare-associated

infection on length of stay. Journal of hospital infection, 114, 23-31. https://doi.org/10.1016/j.jhin.2021.02.026

Zarbin, M. (2020). What constitutes translational research? Implications for the scope of translational vision science and technology.

Translational vision science & technology, 9(8), 22-22. DOI: 10.1167/tvst.9.8.22