Evaluation

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Evidence Based Practice is the integration of clinical expertise, patient values, and the best research evidence into the decision making process for patient care. Clinical expertise refers to the clinician’s cumulated experience, education and clinical skills. The patient brings to the encounter his or her own personal preferences and unique concerns, expectations, and values. The best research evidence is usually found in clinically relevant research that has been conducted using sound methodology.

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ACT500: Research Evaluation Tables Article 1: Measuring Performance Insert reference in APA formatting, 6th ed. 4th printing Research Topic The topic is a broad subject. The topic is not the problem to be solved; that comes later. Example: Balanced Scorecard Problem or Opportunity The problem is established with factual data and is found in the introductory portion of the research article or report. Purpose for the Research The purpose of the study defines what the researcher wants to find out and is found in the introductory section of the research article. Sometimes the purpose contains a research question/s. Research Methods A researcher makes a decision about the broad nature of a research approach: typically quantitative/confirmatory or qualitative/exploratory. Research design strategies are driven by the chosen research approach and the research purpose. Research design strategies include: types of data collected, how the data is collected, and what preparation of data is used, analytical techniques, and presentation of information. Audience The groups, associates, profession, and/or individuals that the researcher suggests might benefit from the findings of this study Research Evaluation Assess the study’s Research Methods and Analytic Techniques. Are the research methods and analytic techniques applicable to solving practical management questions? Why or why not? You must substantiate your position with credible resources and examples. Discuss how your organization might or might not use the findings from these studies. Substantiate your opinion with concrete examples. Article 2: Incremental Analysis Insert reference in APA formatting, 6th ed. 4th printing Research Topic The topic is a broad subject. The topic is not the problem to be solved; that comes later. Example: Cost Behavior Problem or Opportunity The problem is established with factual data and is found in the introductory portion of the research article or report. Purpose for the Research The purpose of the study defines what the researcher wants to find out and is found in the introductory section of the research article. Sometimes the purpose contains a research question/s. Research Methods A researcher makes a decision about the broad nature of a research approach: typically quantitative/confirmatory or qualitative/exploratory. Research design strategies are driven by the chosen research approach and the research purpose. Research design strategies include: types of data collected, how the data is collected, and what preparation of data is used, analytical techniques, and presentation of information. Audience The groups, associates, profession, and/or individuals that the researcher suggests might benefit from the findings of this study Research Evaluation Assess the study’s Research Methods and Analytic Techniques. Are the methods and analytic techniques applicable to solving practical management questions? Why or why not? You must substantiate your position wit.

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Research studies show thatevidence-based practice(EBP) leads to higher quality care, improved patient outcomes, reduced costs, and greater nurse satisfaction than traditional approaches to care.1-5 Despite these favorable findings, many nurses remain inconsistent in their implementation of evidence-based care. Moreover, some nurses, whose education predates the in- clusion of EBP in the nursing cur- riculum, still lack the computer and Internet search skills necessary to implement these practices. As a result, misconceptions about EBP—that it’s too difficult or too time-consuming—continue to flourish. In the first article in this series (“Igniting a Spirit of Inquiry: An Essential Foundation for Evidence- Based Practice,” November 2009), we described EBP as a problem- solving approach to the delivery of health care that integrates the best evidence from well-designed studies and patient care data, and combines it with patient preferences and values and nurse expertise. We also addressed the contribution of EBP to improved care and patient outcomes, described barriers to EBP as well as factors facilitating its implementation, and discussed strategies for igniting a spirit of inquiry in clinical practice, which is the foundation of EBP, referred to as Step Zero. (Editor’s note: although EBP has seven steps, they are numbered zero to six.) In this article, we offer a brief overview of the multistep EBP process. Future articles will elaborate on each of the EBP steps, using the context provided by the Case Scenario for EBP: Rapid Response Teams. Step Zero: Cultivate a spirit of inquiry. If you’ve been following this series, you may have already started asking the kinds of questions that lay the groundwork for EBP, for example: in patients with head injuries, how does supine positioning compared with elevating the head of the bed 30 degrees affect intracranial pressure? Or, in patients with supraventricular tachycardia, how does administering the !-blocker metoprolol (Lopressor, Toprol-XL) compared with administering no medicine affect By Bernadette Mazurek Melnyk, PhD, RN, CPNP/PMHNP, FNAP, FAAN, Ellen Fineout-Overholt, PhD, RN, FNAP, FAAN, Susan B. Stillwell, DNP, RN, CNE, and Kathleen M. Williamson, PhD, RN The Seven Steps of Evidence-Based Practice Following this progressive, sequential approach will lead to improved health care and patient outcomes. This is the second article in a new series from the Arizona State University College of Nursing and Health Innova- tion’s Center for the Advancement of Evidence-Based Practice. Evidence-based practice (EBP) is a problem-solving approach to the delivery of health care that integrates the best evidence from studies and patient care data with clinician expertise and patient preferences and values. When delivered in a context of caring and in a supportive organi- zational culture, the highest quality of care and best patient outcomes can be achieved. The purpose of this s ...

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Standardized Bedside Reporting One of the goals of healthcare is to ensure that the patients get the best service possible while not compromising on the satisfaction and goodwill of the nurses and other healthcare professionals. A key aspect of ensuring quality healthcare is the consistent handling of patient information from nurse to nurse during shifts; information handled wrongly can jeopardize the patients’ health (Baker, 2010). It is important to implement procedures that ensure consistent and smooth handling of patient information from nurse to nurse to increase patient safety and improve nurse satisfaction. This paper will explore the merits of standardized bedside reporting as opposed to board reporting in ensuring a positive outcome and consistent quality healthcare. Change model overview A key aspect in determining whether bedside shift reporting has any merits over board reporting is the John Hopkins Nursing Evidence-Based Practice Process (JHNEBP). The John Hopkins Nursing Evidence-Based Practice Process is a framework for guiding the translation and synthesis of evidence into valid healthcare practice. JHNEBP has three cornerstones that include research, education, and practice; the framework ensures that research evidence is the basis of clinical decision-making. (Dearholt & Dang, 2012) The implementation of the John Hopkins Nursing Evidence-Based Practice Process has three key phases, the first phase is the identification of an important question, the second phase involves the systematic review of research evidence, and the third phase is translating the results into action. Nurses should use the JHNEBP process because it provides a clear way for healthcare professionals to translate research results into healthcare practice. Practice Question The team includes several key stakeholders who will benefit greatly from my research. Among the team members include myself as ER nurse, charge nurse, ERT ( Emergency room tech), nurse case manager, nurse supervisor, physician and hospital manager. The evidence-based practice question that the team members will explore is "Does the use of a standardized bedside report versus board reporting help increase patient safety, nurse satisfaction, and positive outcome?" The evidence-based practice question assesses the ability of bedside shift reporting to improve healthcare provision. The practice area of the question is clinical. The practice issue came about because of assessing risk management concerns in ensuring good health practices. To answer the question, the team members gathered evidence from patient preferences, peer-reviewed journals, and clinical guidelines. The team members searched peer-reviewed journal databases to gather relevant information from previous research that could affect the results. Understanding the merits of bedside shift reporting as opposed to board reporting is important as most healthcare organization use either strategy in collecting and passin.

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Nursing and Health Sciences (2005), 7, 281 – 283 © 2005 Blackwell Publishing Asia Pty Ltd Correspondence address: Joanne R. Duffy, The Catholic University of America, School of Nursing, Washington DC 20064, USA. Email: [email protected] Received 19 April 2005; accepted 2 June 2005. Research Article Critically appraising quantitative research Joanne R. Duffy, dnsc, rn, ccrn, associate professor The Catholic University of America, School of Nursing, Washington DC, USA Abstract Critical appraisal of quantitative research is a skill that is necessary for adequate evidence-based practice. This paper describes critical appraisal and offers a process for its implementation. Four categories of quantitative studies are reviewed and associated links to relevant critical appraisal frameworks are provided. The implications for students, nursing faculty members, and practicing nurses are discussed. Key words appraisal, critique, evidence-based practice, instruments, research. INTRODUCTION The current emphasis on evidence-based practice and the desire to achieve “magnet status” has renewed interest in nursing research in many health-care institutions. The Magnet Recognition Program, devel- oped by the American Nurses Credentialing Center (ANCC), recognizes health-care organizations that provide exceptional nursing care through a rigorous system of standards and written documentation, culmi- nating in a site visit and the resultant award (ANCC, 2005). This benchmark allows consumers of nursing care to judge an institution’s quality and provides evidence of nursing excellence. Evidence-based practice assumes that nurses are able to appraise whether or not a research study is scientifically sound/rigorous. It is but one step in the very challenging process of clinical decision-making. Although most nurses complete a research course during their educational programs, many have little practical experience in this skill and they are now looking for ways to help them efficiently appraise the value of research. Furthermore, graduate students frequently are asked to critique research and faculty members continue to search for methods to help students better learn this skill. Finally, it has been this author’s experience that, as health-care institutions journey towards magnet status, many are partnering with research faculty members for guidance in revising nursing research committees, completing research, and/or learning about research. The quest by clinicians, nursing administrators and students for more knowledge and skill in the research process leads to the need for readily available methods to critically evaluate research studies. Traditional nursing research texts offer guidelines related to critiquing research; for example, Burns and Grove (2003) and Polit and Beck (2004) contain chapters addressing this issue. Most of these guidelines are written in an open- ended question format requiring a verbal or narrative reply. Although this method is .

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Respond to the post bellow, using one or more of the following approaches: Ask a probing question, substantiated with additional background information, and evidence. Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives. Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library. Validate an idea with your own experience and additional sources. Make a suggestion based on additional evidence drawn from the readings or after synthesizing multiple postings. Data Collection Data collection methods vary greatly depending on the research question and the type of participants, regardless of chosen methodology, data collection must be rigorously executed to produce high-quality data. Similarly, instruments to collect data must provide accurate, concise, and provide quantifiable data from which clinical meaning can be extrapolated and subsequently applied to effect improvements in practice. In this case, research aims to assess patient satisfaction, from the patient’s perspective. Polit & Beck (2017), report that structured self-report instruments are widely used by nurse researchers, and are typically formatted as either questionnaires or interviews. Surveys provide several advantages. In comparison to interviews, they are cost-effective, maintain the anonymity of respondents, mitigate interviewer bias, and can be easily administered using computer technology. Disadvantages to surveys include low response rates; typically around 50%, exclusion of certain populations such as the elderly and children, questions may lack depth, or be ambiguous or confusing causing respondents to skip them altogether (Polit & Beck, 2017) Survey Instrument Low response rate remains a primary barrier in survey administration and efficacy. However, when surveys are personally distributed in a particular setting, in this case, the primary care clinic, response rates are significantly higher. Moreover, the personal nature of a survey tool being directly distributed to respondents has a positive effect on participants (Polit & Beck, 2017). Keough and Tanabe (2011) contend that although the data collected through surveys is not as scientific as data obtained through experimentation, it is nonetheless important and informs nursing practice. Because the clinic is interested specifically interested in understanding the patients’ point of view, I assert that a self-report survey tool should be designed using a Likert-type rating scale. The range of responses available to the participants provides greater insight compared to a simple closed-ended question. Moreover, rating scales are easy to complete and are also efficient. However, because people may misunderstand the concept of the Likert Scale, instructions and statements should be clear and c ...

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