Realtors rely on detailed property appraisals?conducted using appraisal tools?to assign market values to houses and other properties. These values are then p
Realtors rely on detailed property appraisals—conducted using appraisal tools—to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers.
Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action.
In this Assignment, you will use an appraisal tool to conduct a critical appraisal of published research. You will then present the results of your efforts.
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.
Weekly Resources
Schmidt, N. A. & Brown, J. M. (2025). Evidence-based practice for nurses: Appraisal and application of research (6th ed.). Jones & Bartlett Learning
- Chapter 13, “Quantitative Data Considerations” (pp. 397-445)
- Chapter 13 will help students understand descriptive and inferential statistics as well as population and sample statistics.
- Chapter 14, “What do the Qualitative Data Mean?” (pp. 446-471)
- Chapter 14 will help students understand how qualitative data is determined, evaluated and used in research and EBP.
- Chapter 15, “Appraising Evidence to Determine Best Practice” (pp 472-495)
- Chapter 15 will help students understand the importance of critically appraising evidence and using the ranking system based on the hierarchy of evidence.
- Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice step by step: Critical appraisal of the evidence: Part I. American Journal of NursingLinks to an external site., 110(7), 47–52. doi:10.1097/01.NAJ.0000383935.22721.9c
- Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part II. American Journal of NursingLinks to an external site., 110(7), 47-52
- Fineout-Overholt, E., Melnyk, B., Stillwell, S., & Williamson, K. (2010). Critical appraisal of the evidence: Part III the process of synthesis: Seeing similarities and differences across the body of evidence.American Journal of NursingLinks to an external site., 110(11), 43-51. doi:10.1097/01.NAJ.0000390523.99066.b5
- Williamson, K. M. (2009). Evidence-based practice: Critical appraisal of qualitative evidence. Journal of the American Psychiatric Nurses AssociationLinks to an external site., 15(3), 202–207. doi:10.1177/1078390309338733
Matrix Worksheet Template
Use this document to complete Part 1 of the Module 2 Assessment, Evidence-Based Project, Part 1: Identifying Research Methodologies
Full citation of selected article |
Article #1 |
Article #2 |
Article #3 |
Article #4 |
|
Bukoh, M. X., & Siah, C. J. R. (2020). A systematic review on the structured handover interventions between nurses in improving patient safety outcomes. Journal of nursing management, 28(3), 744-755. |
Nasiri, E., Lotfi, M., Mahdavinoor, S. M. M., & Rafiei, M. H. (2021). The impact of a structured handover checklist for intraoperative staff shift changes on effective communication, OR team satisfaction, and patient safety: a pilot study. Patient safety in surgery, 15, 1-9. |
Toren, O., Lipschuetz, M., Lehmann, A., Regev, G., & Arad, D. (2022). Improving patient safety in general hospitals using structured handoffs: outcomes from a national project. Frontiers in Public Health, 10, 777678. |
Burgener, A. M. (2020). Enhancing communication to improve patient safety and to increase patient satisfaction. The health care manager, 39(3), 128-132. |
Why you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of the ethics of research related to your clinical issue of interest) |
I selected this article because it provides a systematic review, which synthesizes existing evidence on structured handover interventions (Bukoh & Siah, 2020). Although systemic reviews are not commended for use, this article serves as a foundational overview of the topic of bedside handoff communication and its impact on patient safety. It helps to understand the breadth of research in this area and the various interventions studied. The ethics of research related to bedside handoff communication primarily revolve around ensuring patient privacy during the handover process, maintaining confidentiality of patient information, and obtaining informed consent if direct patient observation or interaction is part of the research design. Researchers must also ensure that any intervention studied does not negatively impact patient care or safety. |
This article was chosen because it focuses on the implementation and impact of a structured handover checklist specifically for intraoperative staff shift changes, directly relating to the clinical issue of improving patient safety through effective communication (Nasiri et al., 2021). The pilot study design allows for an initial assessment of the intervention's feasibility and effectiveness. Ethically, research in this area must prioritize patient safety by ensuring that the handover process remains robust and accurate, and that any new protocol does not introduce errors or delays in care. Data collection should protect the anonymity of healthcare providers and patients. |
This article is highly relevant as it details the outcomes of a national project aimed at improving patient safety through structured handoffs in general hospitals (Toren et al., 2022). Its large-scale implementation provides valuable insights into the real-world applicability and effectiveness of such interventions. The ethical aspects of this study are that the national project was conducted under appropriate supervision and the data of patients obtained during the assessment was de-identified to assure privacy. It is also accompanied by an ethical obligation to make sure that results are reported adequately to guide future practice and policy. |
This article was selected since it highlights the importance of making the overall communication better in order to promote the safety of the patient and his/her satisfaction that are the primary effects of successful bedside handoff (Burgener, 2020). It provides an insight on healthcare management communication strategies. Moral aspects of the issue in this case are patient autonomy and the right to have all the information that is correct and complete in the process of their treatment, which is directly dependent upon communication quality. Communication improvements research should also consider not to overwork the staff and should bring about changes in a conducive atmosphere. |
Brief description of the aims of the research of each peer-reviewed article |
This systematic review had the purpose of identifying, evaluating, and summarizing the evidence of studies, which assessed structured handover interventions between nurses and their effects on patient safety outcomes (Bukoh & Siah, 2020). The aim of the authors was to establish the degree of efficiency of different structured handover tools and processes in minimizing adverse events and enhancing continuity of care. |
The main purpose of the pilot study under consideration was to examine how a structured handover checklist during intraoperative staff shift change affects effective communication, operating room (OR) team satisfaction, and patient safety (Nasiri et al., 2021). The study authors aimed to discover whether the checklist would enhance information flow and minimize communication failures during intraoperative critical transition. |
The purpose of this national project was to determine the effectiveness of structured handoffs implementation in general hospitals of a nation to enhance patient safety (Toren et al., 2022). Its particular aims were to determine the effect of these standardized handoff protocols on different patient safety indicators as well as to find out factors associating with successful implementation on a large scale. |
This article seeks to address the communication improvement strategies in healthcare facilities to promote patient safety and enhance patient satisfaction (Burgener, 2020). Although it is not an empirical research study, it brings together the prevailing wisdom and best practice to provide an insight into the invaluable role of effective communication in the attainment of positive patient outcomes. |
Brief description of the research methodology used Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific. |
This article utilized a systematic review methodology (Bukoh & Siah, 2020). A systematic review is a comprehensive literature review that aims to answer a specific research question by identifying, appraising, and synthesizing all relevant studies on the topic. It involves a rigorous and transparent process to minimize bias, often including a predefined search strategy, selection criteria for studies, quality appraisal of included studies, and synthesis of findings. This methodology primarily synthesizes quantitative and/or qualitative evidence from various studies, making its core approach a form of evidence synthesis rather than a direct data collection method. |
The methodology used in this study was quantitative, employing a pilot study design (Nasiri et al., 2021). The researchers collected quantitative data related to communication effectiveness, OR team satisfaction, and patient safety indicators (e.g., incidence of errors, near misses) before and after the implementation of the structured handover checklist. Data was likely collected through surveys, checklists, and incident reports, and then analyzed statistically to assess the impact of the intervention. |
This study utilized a quantitative, quasi-experimental design, specifically a national project evaluation (Toren et al., 2022). It involved the large-scale implementation of structured handoffs across multiple hospitals and then collected quantitative data on patient safety outcomes before and after the intervention, or in comparison to control groups/baseline data. Statistical analyses were then performed to determine the effectiveness of the structured handoffs on key patient safety indicators. |
This article is a conceptual or review article rather than an empirical research study (Burgener, 2020). It synthesizes existing literature and expert opinion on communication in healthcare to propose strategies for improvement. As such, it does not employ a primary data collection research methodology (qualitative, quantitative, or mixed-methods). Instead, it relies on secondary analysis and interpretation of previously published works to build a case for enhancing communication. |
A brief description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected. |
A strength of the systematic review methodology is its ability to provide a comprehensive and unbiased summary of existing evidence on a topic, reducing the impact of individual study limitations (Bukoh & Siah, 2020). By synthesizing multiple studies, it can offer a stronger basis for evidence-based practice than a single study. The reliability of this systematic review would depend on the rigor of its search strategy and selection process to ensure all relevant studies were included. Validity is supported by transparent methods for quality appraisal of the included studies, ensuring that only methodologically sound research contributes to the findings. |
The strength of the quantitative pilot study methodology lies in its ability to provide preliminary data on the effectiveness of an intervention, informing larger-scale studies (Nasiri et al., 2021). It allows for the measurement of specific variables (communication, satisfaction, safety outcomes) and the statistical comparison of these measures. The reliability in this study would be enhanced by using standardized data collection tools (e.g., a consistent checklist, validated surveys). Validity would be supported by clearly defined outcome measures and appropriate statistical analysis to minimize bias in assessing the checklist's impact. |
The strength of a large-scale quantitative national project lies in its ability to assess the real-world impact of an intervention across diverse settings, increasing the generalizability of findings (Toren et al., 2022). The large sample size can also increase the statistical power to detect meaningful changes in patient safety outcomes. The reliability of the methodology would depend on the consistency of the structured handoff implementation across different hospitals and standardized data collection. Validity is enhanced by using objective patient safety indicators and robust statistical methods to control for confounding variables and accurately attribute changes to the intervention. |
As a conceptual/review article, its strength lies in its ability to synthesize a broad range of information and provide a comprehensive overview of the importance of communication in healthcare, integrating various perspectives and best practices (Burgener, 2020). It serves as a valuable resource for understanding the complexities of communication and its impact on patient safety and satisfaction. While not a research study in itself, its "reliability" comes from drawing upon well-established principles and previously published research, and its "validity" rests on the logical coherence of its arguments and the evidence it cites to support its claims about effective communication strategies. |
General Notes/Comments |
This article, while a systematic review, highlights the critical need for effective handoff communication in nursing and sets the stage for understanding various intervention types (Bukoh & Siah, 2020). |
This pilot study offers practical insights into the use of checklists, which are a common tool in improving communication during handoffs (Nasiri et al., 2021). The focus on intraoperative handoffs is particularly valuable given the high-stakes environment. |
The national scope of this project provides strong evidence for the widespread applicability and effectiveness of structured handoffs (Toren et al., 2022). Its findings can inform policy and practice at a broader level. |
This article provides a foundational understanding of the importance of communication in healthcare, reinforcing the rationale behind improving bedside handoffs (Burgener, 2020). It underscores that effective communication goes beyond just safety and extends to patient satisfaction. |
Matrix Worksheet Template
© 2021 Walden University, LLC 2
,
Clinical Inquiry and Systematic Reviews: Mindfulness-Based Stress Reduction for Nurse Burnout
Laura Quintans
Walden University
NURS-6052C-51
Dr. White
Jun 29th, 2025
1
Nurse Burnout
Growing Problem.
High Priority.
Compromised quality of Care.
Intervention Strategies.
Burnout among nurses is a growing problem within the healthcare industry, characterized by its detrimental effects on patient care and caregiver health. As chronic stress and emotional exhaustion persist as a high priority for much of the nursing workforce, the consequences, ranging from diminished job satisfaction to compromised quality of care, continue to become ever harder to ignore. Reducing burnout among nurses through evidence-based practices, namely mindfulness-based stress reduction, is imperative. This article covers the clinical significance of burnout in nurses, describes how to develop a focused PICO(T) question, conducts a literature review for evidence, and judges the strength of evidence to support intervention strategies.
2
Clinical Issue of Interest: Nurse Burnout
Nurse burnout represents a critical workplace syndrome affecting healthcare quality nationwide.
Burnout contributes to increased staff turnover rates and decreased job satisfaction levels.
Patient care outcomes suffer when nurses experience chronic stress and burnout.
Healthcare organizations face significant financial costs due to nurse burnout consequences.
Mental health support interventions are increasingly essential for nursing workforce sustainability.
Mindfulness-based approaches show promising potential for addressing nurse burnout effectively.
Nurse burnout has emerged as a pressing clinical issue affecting healthcare systems globally. Research demonstrates that burnout significantly impacts both nurse wellbeing and patient care quality. This syndrome contributes to increased turnover rates, decreased job satisfaction, and compromised patient safety outcomes (Richemond et al.,2022). Healthcare organizations must address this issue through evidence-based interventions to maintain quality care delivery.
3
Development of PICO(T) Question
Population identified as registered nurses currently experiencing workplace burnout symptoms.
Intervention focused on mindfulness-based stress reduction programs and techniques.
Comparison group consists of nurses receiving no structured intervention support.
Outcome measures include reduction in validated burnout assessment scores.
Timeframe established as eight to twelve weeks for intervention implementation.
Question development followed systematic approach ensuring clinical relevance and feasibility.
The PICO(T) question was systematically developed by identifying each component clearly. The population focuses on registered nurses experiencing burnout, the intervention examines mindfulness-based stress reduction, comparison involves no structured intervention, outcomes measure burnout reduction, and timeframe spans 8-12 weeks. This structured approach ensures the research question addresses a clinically relevant and answerable inquiry.
4
Research Databases used in Search of Literature
CINAHL Plus with Full Text provided comprehensive nursing and allied health literature.
MEDLINE with Full Text offered extensive biomedical and clinical research databases.
PsycINFO database contributed psychological and behavioral health research evidence.
Cochrane Library delivered systematic reviews and evidence-based healthcare research.
Boolean operators and MeSH terms enhanced search precision and relevance.
Database selection ensured comprehensive coverage of nursing and healthcare research.
Four major databases were strategically selected to ensure comprehensive literature coverage. CINAHL provided nursing-specific research, MEDLINE offered biomedical evidence, PsycINFO contributed psychological perspectives, and Cochrane delivered systematic reviews. Advanced search strategies including Boolean operators and controlled vocabulary terms were employed to maximize search effectiveness and identify relevant high-quality evidence.
5
Research Levels and Systematic Reviews Strengths
CINAHL Plus with Full Text provided comprehensive nursing and allied health literature.
MEDLINE with Full Text offered extensive biomedical and clinical research databases.
PsycINFO database contributed psychological and behavioral health research evidence.
Cochrane Library delivered systematic reviews and evidence-based healthcare research.
Boolean operators and MeSH terms enhanced search precision and relevance.
Database selection ensured comprehensive coverage of nursing and healthcare research.
Systematic reviews represent the pinnacle of evidence-based practice, providing comprehensive synthesis of available research. These studies employ rigorous methodology to minimize bias and maximize validity (Schmidt & Brown, 2025). Meta-analyses within systematic reviews offer statistical power through combining multiple studies. This high-level evidence directly informs clinical practice guidelines and supports evidence-based decision-making in healthcare settings.
6
Conclusion
Nurse burnout is a chronic clinical and organizational problem.
Mindfulness-based stress reduction is a valuable intervention for decreasing symptoms of burnout in nurses.
Evidence-based strategies for preventing nurse burnout are required to improve nurse wellbeing, enhance patient outcomes, and support the long-term sustainability of the nursing workforce.
Burnout among nurses is a growing problem within the healthcare industry.
Consequences continue to become ever harder to ignore.
Nurse burnout is a chronic clinical and organizational problem with extensive implications for healthcare quality, staff retention, and patient safety. From developing a PICO(T) question and informed reading of high-level literature, mindfulness-based stress reduction is a valuable intervention for decreasing symptoms of burnout in nurses. Relying on evidence from comprehensive databases and systematic reviews for such incorporation into practice is useful. Evidence-based strategies for preventing nurse burnout are required to improve nurse wellbeing, enhance patient outcomes, and support the long-term sustainability of the nursing workforce. Burnout among nurses is a growing problem within the healthcare industry, characterized by its detrimental effects on patient care and caregiver health. As chronic stress and emotional exhaustion persist as a high priority for much of the nursing workforce, the consequences, ranging from diminished job satisfaction to compromised quality of care, continue to become ever harder to ignore. Reducing burnout among nurses through evidence-based practices, namely mindfulness-based stress reduction, is imperative.
7
References
Hirt, J., Nordhausen, T., Appenzeller-Herzog, C., & Ewald, H. (2021). Using citation tracking for systematic literature searching – study protocol for a scoping review of methodological studies and a Delphi study. F1000Research, 9(9), 1386.
Richemond, D., Needham, M., & Jean, K. (2022). The effects of nurse burnout on patient experiences. Open Journal of Business and Management, 10(5), 2805–2828.
Schmidt, N. A. & Brown, J. M. (2025). Evidence-based practice for nurses: Appraisal and application of research (6th ed.). Jones & Bartlett Learning.
image2.jpeg
Collepals.com Plagiarism Free Papers
Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS
Why Hire Collepals.com writers to do your paper?
Quality- We are experienced and have access to ample research materials.
We write plagiarism Free Content
Confidential- We never share or sell your personal information to third parties.
Support-Chat with us today! We are always waiting to answer all your questions.
