Construction of Clinical/Practice Question and Literature Requires 8 full pages and 10-12 references within the last 5 years only. SEE FULL DETAILS ATTACHED Prompt: The purpose of th
Assignment — Construction of Clinical/Practice Question and Literature
Requires 8 full pages and 10-12 references within the last 5 years only.
SEE FULL DETAILS ATTACHED
Prompt:
The purpose of this assignment is to state your clinical/practice question and explore the literature pertaining to your clinical/practice problem as you described in your Module 3 Discussion Board . According to Moran et al. (2020) when conducting a literature review, the goal is to obtain a representative sample of the literature which describes the concepts related to the phenomenon of interest and the research results applicable to the clinical/practice question and identify what gaps need to be further researched.
Instructions:
1. Please follow the rubric ATTACHED.
2. Your work may be used to build upon your scholarly project and publishable manuscript—thus it is important that you align your literature review with the topic you have selected (or are considering) for your PICOT question and DNP project.
3. Length is no more than 8 pages excluding references and title page.
Exemplars—-I am providing 2 exemplars for you to view. Neither of these are perfect, nor did either earn 100%. However, each one is excellent. These exemplars are shared just for you to 'see' what your work might 'look' like. Please note that you must write according to APA…this is a format as well as a method for citing and referencing. In the grading rubric, please also see that 30 points are allotted to the writing at graduate level.
Construction of Clinical/Practice Question and Literature Review
Component |
Points |
Comments |
Points Achieved |
Section I Introduction and Question |
|||
A. Describe the clinical or practice problem you would like to address for your DNP project. State why this problem is an issue. Support your reasoning/rationale as to why this is an issue with current data or literature. (3 of the 6 points) B. State the practice question you wish to address in PICOT format (this should be the response to the problem defined above). (3 of the 6 points) |
6 |
||
State the population and setting being addressed |
2 |
||
Introduction to the Literature Review on the topic |
2 |
||
Section II Review of Literature |
|||
Includes most of the major studies conducted on the topic, including recent literature (last 5-7 years)—-a minimum of 10 articles is required. |
10 |
||
Includes primarily research studies, systematic reviews and guidelines addressing the practice question you wish to address |
10 |
||
Similar/discrepant research findings discussed |
5 |
||
Section III Appraisal and Synthesis |
|||
Critically appraises the contributions of key studies and provides the strengths of the evidence |
5 |
||
Describes the weaknesses in existing studies and identifies important gaps in the literature |
5 |
||
Conceptually organized based on type of articles or findings |
5 |
||
Succinctly summarizes and synthesizes findings |
15 |
||
Section IV Further Research |
|||
Identifies what ideas need to be further researched |
5 |
||
Preparation—The DNP Program Evaluation Rubric for Papers will be followed to assess Preparation of this Review of Literature. See the Rubric for Papers below. This is a total of 30 points. |
30 |
||
Total Assignment Grade |
100 |
||
Professor Comments: |
CRITERIA |
30 – 25 POINTS |
<25 – 15 POINTS |
<15 – 10 POINTS |
<10 – 5 POINTS |
<5 – 0 POINTS |
|
6-5 POINTS |
4-3 POINTS |
2 POINTS |
1 POINTS |
0 POINTS |
Points |
|
Thesis / Topic |
Exceptionally clear; easily identifiable, insightful; introduces the topic for the paper; summary in one or two well-written sentences. |
Generally clear; is promising; could be a little more inclusive of the content of the paper. |
Central idea is adequate but not fully developed; may be somewhat unclear (contains vague terms); only gives a vague idea of the content of the paper. |
Difficult to identify with inadequate illustration of key ideas; does not let the reader know what the paper is going to include. |
No thesis statement or introduction is identifiable. |
|
6-5 POINTS |
4-3 POINTS |
2 POINTS |
1 POINTS |
0 POINTS |
||
Content / Development |
Thesis coherently developed and maintained throughout; thorough explanation of key idea(s) at an appropriate level for the target audience; critical thinking with excellent understanding of the topic; original in scope (this paper made sense, was easy to understand, and did not leave reader with questions due to incomplete development). |
Explanation or illustration of key ideas consistent throughout essay; original but may be somewhat lacking in insight; minor topics of the paper could be developed more thoroughly. |
Explanation or illustration of some of the key ideas; reader is left with some questions due to inadequate development; content may be a little confusing or unclear as to what the author means. |
Little or no relevant detail; many areas that could be expanded. |
Paper does not make sense; unclear what the author is trying to say; very little real information presented. |
|
6-5 POINTS |
4-3 POINTS |
2 POINTS |
1 POINTS |
0 POINTS |
||
Organization |
Good organization with clear focus and excellent transition between paragraphs; logical order to presentation of information; paragraphs are well-organized; easy to understand and makes sense. |
Adequate organizational style with logical transition between paragraphs; overall or paragraph organization could be slightly improved. |
Adequate organizational style, although flow is somewhat choppy and may wander occasionally; somewhat confusing due to organization of paper or paragraphs. |
Incoherent structure; logic is unclear; paragraph transition is weak; difficult to understand; must re-read parts to figure out what is being said. |
No order to content; very confusing and difficult to read; makes no sense. |
|
6-5 POINTS |
4-3 POINTS |
2 POINTS |
1 POINTS |
0 POINTS |
||
Mechanics |
Skillful use of language; varied, accurate vocabulary; well-developed sentence structure with minimal errors in punctuation, spelling or grammar; appropriate margins, font; correct application of research style format; use of professional active voice; very well-written paper. |
Appropriate use of language with a few errors in grammar, sentence structure, punctuation; fairly accurate interpretation of assignment guidelines, with a few minor errors; readability of paper only slightly affected by mistakes. |
Some problems with sentence structure, grammar, punctuation, and/or spelling; may have several run-on sentences or comma splices; some errors in citation style; format does not fully comply with assignment guidelines; somewhat difficult to read due to mistakes. |
Many difficulties in sentence structure, grammar, citation style, punctuation, spelling and/or misused words; proper format not used consistently ; many errors in citation style very difficult to understand. |
Not written at a graduate level; many mistakes; proper format not used consistently ; many errors in citation style; difficult to read and understand. |
|
6-5 POINTS |
4-3 POINTS |
2 POINTS |
1 POINTS |
0 POINTS |
||
References |
Uses sources effectively and documents sources accurately with minimal errors; limited use of direct quotes (No more than 2 or 3); meets reference requirements for assignment; reference list is in correct format. |
Appropriate sources and documentation; may have minimal errors with too few or too many in-text citations; missing no more than one reference as required for the assignment. |
Some quotes not integrated smoothly into text; several errors with in-text citations or reference list; omitted in-text citations infrequently; missing 2 required references; overuse of direct quotes |
Quotes are not well integrated into narrative or are significantly overused; paraphrasing is too close to original work. (Minimal errors only; more significant errors will be considered plagiarism – See Plagiarism statement to right.) |
Plagiarism – source material not adequately paraphrased; direct quotes not identified; source material not referenced. *Plagiarized – Papers will be given a grade of zero and could result in failure of the course |
|
Total Points: |
,
Running head: LITERATURE REVIEW 1
Construction of Practice Question and Literature Review
Student Name
Northern Kentucky University
LITERATURE REVIEW 2
Construction of Practice Question and Literature Review
This paper is the first step of the author’s scholarly project for the Doctor of Nursing
degree. The paper will state the practice question for scholarly project to be developed. This
paper will present a literature review of the available evidence within the last four years that
addresses the practice problem. Appraisal of some of the evidence will be presented. Exploration
of needed further research on the topic will also be discussed.
Introduction & Practice Question
The author’s scholarly project will be focused on the new graduated nurses and
confidence to advocate patient changes to the interprofessional team. All new graduates who take
the Registered Nurse National Council Licensure Examination are exposed to information about
patient advocacy and collaboration with the interdisciplinary team (NCSBN, 2016). Learning
about these concepts in a classroom is much different than application in a clinical setting. New
graduates must have confidence and be assertive when communicating a change in patient’s
condition to a health care provider. The author’s wants to implement a project that will assist new
nursing graduates to feel confident speaking up for patents.
The practice question asks, (P) In nurses working in an acute care setting and who have
graduated within the past 6 months (I) what is the effect of interprofessional patient simulation
(C) compared with no simulation on (O) increased confidence in communicating with health care
team members about patient changes (T) within the time frame of end of orientation, 6 months,
and one year?
The author searched for the knowledge regarding new graduate nurses’ confidence in the
ability to communicate with physicians. Literature was searched using Cumulative Index to
Nursing and Allied Health Literature (CINAHL), PubMed, and Google Scholar. Databases were
LITERATURE REVIEW 3
searched with using the terms new graduate nurses, patient simulation, physicians, confidence,
and also included several synonyms of the terms. These terms were searched using “AND” and
resulted in an initial finding of one article. A broad criteria was then adopted using terms in any
order or combinations to find articles that discussed new nurses and confidence with a focus on
situations with a physicians. Inclusion criteria was restricted to peer-reviewed, related to
experiences in nursing practice or transition to practice, and English language research between
2014 and 2018. Excluded any research that was focused on strategies only implemented in
nursing programs with students. A total of 25 abstracts were reviewed for relevance, 20 articles
were read for consideration and 7 was the total number of articles used in the literature review.
Review of Literature
New nurses reported that they lacked professional confidence at the beginning of their
career (Ortiz, 2016). New graduate nurses expressed the learning to challenge, speak up, is a
complex process that is dependent on experiences. When new graduate nurses did raise concerns
about a potential patient safety issues, there was a lack of responsiveness from other nurses and
superiors (Yee-Shuri Law, & Chan, 2015).
The historical role of nurses being subservient to physicians could lead to a lack of
assertive communication (Foronda, MacWilliams, & McAuthur, 2016). New nurses reported low
confidence about communicating with physicians. Berman et al., used a modified Casey-Fink
Graduate Nurse Experience Survey and found that the average score for confidence about
communicating with physicians as 2.73, with highest rating possible for an item as a 4 (2014).
Little to no interaction with physicians occurs as nursing students and can cause fear of
working with physicians. Difficult experiences were reported when communicating with
members of the interdisciplinary team with physicians who were not receptive to patient
LITERATURE REVIEW 4
advocacy (Ortiz, 2016). Fear can be increased with the witnessed abusive behavior of some
physicians toward other experienced nurses (Shatto & Lutz, 2017).
Simulation can be a highly successful method in building interprofessional
communication skills (Foronda, MacWilliams, & McAuthur, 2016; Salam, Saylor, &
Cowperthwait, 2014). Nurses and physicians reported strong positive attitudes supportive for
education to improve collaboration before interprofessional simulation with 26.3 % agreed and
73.7% strongly agreed; after the simulation experience, there was a statically significant shift
p=0.078 with 16.1% agreed and 83.9% strongly agreed (Salam, Saylor, & Cowperthwait, 2014).
New graduate nurses with simulation experiences during orientation reported an increase
in confidence that continued through 12 months post experience (Rhodes et al., 2016). According
to Rhodes et al., (2016), statistically significant increase in confidence scores occurred after a
simulation experience. Simulation is a tool that can be used for difficult situations that may occur
as a new nurse, especially a situation that requires working as a team and having crucial
conversations (Ortiz, 2016).
Appraisal and Synthesis
Appraisal
This author divided the evidence into subcategories by type in order to complete the
appraisal of the research. The evidence hierarchy from Polit & Beck (2017) was used for the
appraisal. The Critical Appraisal Skills Programme (CASP) checklist were used to appraise the
cohort study (2018). Guidelines from Polit & Beck (2017) were used to critique literature
reviews. Appraisal of surveys was completed with tool from Center for Evidence-Based
Management (2018). The qualitative studies were not appraised related to the page count
restriction for this assignment.
LITERATURE REVIEW 5
Cohort Study
Rhodes et al. (2016) is level 4 (Polit & Beck, 2017) prospective cohort study. The study
had a clear focus. A power analysis of n=72 was determined as an appropriate sample size. All
newly licensed registered nurses at the institution in the residency were required
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