Tag: Nursing

  • [Solved] Case study

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    – 2 years ago **files (1)** – ## Discussionweek4.pdf **## Discussionweek4.pdf** Week 4 GI Discussion Prompts 1. A 25-year-old male graduate student is seen in the office with the chief complaint of upper abdominal pain. He states that he noticed the pain intermittently over the past several weeks. …

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## Discussionweek4.pdf

    **## Discussionweek4.pdf**

    Week 4 GI Discussion Prompts

    1. A 25-year-old male graduate student is seen in the office with the chief complaint of upper
    abdominal pain. He states that he noticed the pain intermittently over the past several weeks.
    He notices that he gets a gnawing pain about 2 hours after he eats. He also notes that he has
    some bloating and occasional nausea with the pain. He states that the pain is relieved by
    antacids most of the time.

    2. A 34-year-old female presents with the complaint of sudden excruciating pain in her back
    and points to her flank area on the right side. She rates the pain as 10 on a scale of 1 to 10,
    with 10 being the worst. She also complains of nausea with the pain. She states that she has
    never had anything like this before, and the pain is subsiding a little now.

    3. A 30-year-old male comes in complaining of 2 days of loose to watery diarrhea, 4 to 5 times
    a day with significant nausea and one episode of vomiting today. He has a temperature of
    100.5 on presentation and an HR of 102. His skin is slightly pale, and he is complaining of
    abdominal cramping. He states that he was in his usual state of health prior to the diarrhea
    and denies any unusual travel or food. His abdomen is generally tender with no rebound or
    guarding.

    Case Study Chosen: (List what case you have chosen)

    Demographics: Age/Gender

    SUBJECTIVE

    • CC:
    • HPI: (As listed from Case Study Information)
    • Subjective: (What questions will you ask? Must be listed by System, ONLY as it

    pertains to Chief Complaint/HPI. Should NOT be all systems or full head to toe unless
    pertinent).

    OBJECTIVE

    General:

    • VS BP, HR, RR, Weight, Height, BMI
    • Physical Exam Elements: (Must be listed by System, ONLY as it pertains to Chief

    Complaint/HPI. Should NOT be all systems or full head to toe unless pertinent.)

    • POC Testing (any Point of Care (POC) testing specifically performed in the office):
    What tests (if any) did you perform during the visit (urine dip, rapid strep, urine pregnancy
    test, Glucose finger-stick, etc.)? Leave blank if none.

    ASSESSMENT

    • Working Diagnosis: (Must include ICD 10)
    • Differential Diagnosis:

    PLAN

    • Diagnostic studies: If any, will be ordered (Labs, X-ray, CT, etc.). Only include if you will
    be ordering for your patient. Remember the importance of appropriate resource utilization.
    Remember you are managing this patient in the CLINIC setting, NOT THE HOSPITAL.

    • Treatment: Must include full Sig/Order for all prescriptions and OTC meds (Name of
    medication, dosage, frequency, duration, number of tabs, number of refills). CANNOT only
    list drug class. Should follow evidence-based guidelines.

    • Referrals: If Applicable
    • Education:
    • Health maintenance:
    • RTC:

    Table 1. Common GI Diagnoses. In addition to your SOAP note, you must also complete
    the following table. Upload your SOAP note and table to the discussion board.

    Diagnosis Signs/Symptoms Gold Standard
    Diagnostics

    Gold Standard
    Treatment

    Acute Appendicitis

    Acute Cholecystitis

    Acute Diverticulitis

    Clostridium difficile
    Colitis (C-diff)

    GERD

    Irritable Bowel
    Syndrome (IBS)

    Duodenal Ulcer

    Acute Pancreatitis

    Crohn's Disease

    Ulcerative Colitis

    **## Discussionweek4.pdf**

    Week 4 GI Discussion Prompts

    1. A 25-year-old male graduate student is seen in the office with the chief complaint of upper
    abdominal pain. He states that he noticed the pain intermittently over the past several weeks.
    He notices that he gets a gnawing pain about 2 hours after he eats. He also notes that he has
    some bloating and occasional nausea with the pain. He states that the pain is relieved by
    antacids most of the time.

    2. A 34-year-old female presents with the complaint of sudden excruciating pain in her back
    and points to her flank area on the right side. She rates the pain as 10 on a scale of 1 to 10,
    with 10 being the worst. She also complains of nausea with the pain. She states that she has
    never had anything like this before, and the pain is subsiding a little now.

    3. A 30-year-old male comes in complaining of 2 days of loose to watery diarrhea, 4 to 5 times
    a day with significant nausea and one episode of vomiting today. He has a temperature of
    100.5 on presentation and an HR of 102. His skin is slightly pale, and he is complaining of
    abdominal cramping. He states that he was in his usual state of health prior to the diarrhea
    and denies any unusual travel or food. His abdomen is generally tender with no rebound or
    guarding.

    Case Study Chosen: (List what case you have chosen)

    Demographics: Age/Gender

    SUBJECTIVE

    • CC:
    • HPI: (As listed from Case Study Information)
    • Subjective: (What questions will you ask? Must be listed by System, ONLY as it

    pertains to Chief Complaint/HPI. Should NOT be all systems or full head to toe unless
    pertinent).

    OBJECTIVE

    General:

    • VS BP, HR, RR, Weight, Height, BMI
    • Physical Exam Elements: (Must be listed by System, ONLY as it pertains to Chief

    Complaint/HPI. Should NOT be all systems or full head to toe unless pertinent.)

    • POC Testing (any Point of Care (POC) testing specifically performed in the office):
    What tests (if any) did you perform during the visit (urine dip, rapid strep, urine pregnancy
    test, Glucose finger-stick, etc.)? Leave blank if none.

    ASSESSMENT

    • Working Diagnosis: (Must include ICD 10)
    • Differential Diagnosis:

    PLAN

    • Diagnostic studies: If any, will be ordered (Labs, X-ray, CT, etc.). Only include if you will
    be ordering for your patient. Remember the importance of appropriate resource utilization.
    Remember you are managing this patient in the CLINIC setting, NOT THE HOSPITAL.

    • Treatment: Must include full Sig/Order for all prescriptions and OTC meds (Name of
    medication, dosage, frequency, duration, number of tabs, number of refills). CANNOT only
    list drug class. Should follow evidence-based guidelines.

    • Referrals: If Applicable
    • Education:
    • Health maintenance:
    • RTC:

    Table 1. Common GI Diagnoses. In addition to your SOAP note, you must also complete
    the following table. Upload your SOAP note and table to the discussion board.

    Diagnosis Signs/Symptoms Gold Standard
    Diagnostics

    Gold Standard
    Treatment

    Acute Appendicitis

    Acute Cholecystitis

    Acute Diverticulitis

    Clostridium difficile
    Colitis (C-diff)

    GERD

    Irritable Bowel
    Syndrome (IBS)

    Duodenal Ulcer

    Acute Pancreatitis

    Crohn's Disease

    Ulcerative Colitis

  • [Solved] LITERATURE REVIEW

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – 2 years ago **files (7)** – ## WK10Assignment8114.docx – ## WK10Assignment8114RequiredAppendixBEFGH.docx – ## _AppendixG_IndividualEvidenceSummaryGeraldine.docx – _AppendixH_SynthesisAndRecommendationsGeraldine.docx – _AppendixB_QuestionDevelopmentGeraldine.docx – AppendixF_NonresearchEvide…

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (7)**

    – ## WK10Assignment8114.docx

    – ## WK10Assignment8114RequiredAppendixBEFGH.docx

    – ## _AppendixG_IndividualEvidenceSummaryGeraldine.docx

    – _AppendixH_SynthesisAndRecommendationsGeraldine.docx
    – _AppendixB_QuestionDevelopmentGeraldine.docx
    – AppendixF_NonresearchEvidenceAppraisalGeraldine.docx
    – _AppendixE_ResearchEvidenceAppraisalGeraldine.docx

    **## WK10Assignment8114.docx**

    LITERATURE REVIEW

    ![A group of medical professionals smiling Description automatically generated](https://www.sweetstudy.com/questions/literature-review-20879407)

    In Week 10, you will continue to develop your Literature Review Assignment which is due by Day 7.

    **Note:** This Assignment is hypothetical in nature and is unrelated to your Practicum and DNP Project. However, the work you put in on this Assignment will help prepare you for the Practicum and DNP Project which will come later in your program.

    **Note:** This is a
    **three-part** Assignment. By
    **Day 7 of Week 10**, you must complete and submit Appendices B, G, and H found in the Dang et.al. text.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/146995/modules/items/5647185)

    To Prepare

    · Review the Literature Review Assignment resources located in this week’s Learning Resources. Pay special attention to Chapters 19, 20, and 21 of the White et al. text; Chapters 4, 5, 6, and 11 of the Dang et al. text; and the articles addressing the PICOT format.

    **Note:** Be sure to review Appendices B, E, F, G, and H in the Dang et al. text. You will be required to complete and submit Appendices B, G, and H for this Assignment.

    · Select an organization with which you are familiar and a practice or organization issue which needs addressing.

    **Note:** You may reuse organizations and/or issues that you selected earlier in this course or select new ones.

    · Consider possible practice questions to address the issue you selected. Ask yourself:

    · Why is it a problem?

    · What has been done about it?

    · What is the gap in practice?

    · Select
    **one** practice question to develop using Appendix B.

    **Note:** The PICOT components will assist you in identifying search terms. Make sure your practice question is evidence-based, nursing focused, and has measurable outcomes.

    · Using the Walden Library, search the evidence to identify
    **15 or more** recent peer-reviewed articles (within the past 5 years) related to your practice question.

    **Note:** Use Appendices E and F to help you search, but you do not need to submit these for grading.

    · Using Appendix H, grade the evidence and select the
    **10** articles with the strongest evidence ratings.

    **Note:** if you have more than 10 articles that you deem worthy, you can enter up to 15 into Appendix H.

    · Using Appendix H, synthesize the
    **10** articles you selected.

    · Using Appendix G, enter all relevant information about the
    **10** articles you selected and synthesized.

    **Note:** This is a
    **three-part** Assignment. By
    **Day 7 of Week 10**, you must complete and submit Appendices B, G, and H found in the Dang et.al. text.

    **The Assignment**

    For this
    **three-part** Assignment, you will submit
    **three** items as follows:

    **Part 1:** Submit your completed
    **Appendix B**, which demonstrates your fully developed practice question.

    **Part 2:** Submit your completed
    **Appendix H**, which demonstrates your grading and synthesizing of the evidence you identified.
    **Note:** You will complete Appendix H
    _before_ Appendix G, despite being out of order alphabetically.

    **Part 3:** Submit your completed
    **Appendix G**, which lists the relevant information about the evidence you selected.

    By Day 7 of Week 10

    **Submit** your completed Part 1: Appendix B; Part 2: Appendix H; and Part 3: Appendix G of your Assignment.

    ## image1.jpeg

    **## WK10Assignment8114RequiredAppendixBEFGH.docx**

    **Required Readings: Literature Review Assignment Resources**

    ****Note:** These resources were previously presented in Week 8 and 9.**

    **· Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021).**
    **_Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines_ (4th ed.). Sigma Theta Tau International.**

    **· Chapter 5, “Searching for Evidence” (pp. 99–128)**

    **· Chapter 6, “Evidence Appraisal: Research” (pp. 129–162)**

    **· Chapter 7, “Evidence Appraisal: Nonresearch” (pp. 163–188)**

    **·**
    **[Appendix B, “Question Development Tool” (pp. 283–288)](https://waldenu.instructure.com/courses/146995/files/11137385?wrap=1) [Download Appendix B, “Question Development Tool” (pp. 283–288)](https://waldenu.instructure.com/courses/146995/files/11137385/download?download_frd=1)**

    **·**
    **[Appendix E, “Research Evidence Appraisal Tool” (pp. 297–306)](https://waldenu.instructure.com/courses/146995/files/11137384?wrap=1) [Download Appendix E, “Research Evidence Appraisal Tool” (pp. 297–306)](https://waldenu.instructure.com/courses/146995/files/11137384/download?download_frd=1)**

    **·**
    **[Appendix F, “Nonresearch Evidence Appraisal Tool” (pp. 307–314)](https://waldenu.instructure.com/courses/146995/files/11137390?wrap=1) [Download Appendix F, “Nonresearch Evidence Appraisal Tool” (pp. 307–314)](https://waldenu.instructure.com/courses/146995/files/11137390/download?download_frd=1)**

    **·**
    **[Appendix G, “Individual Evidence Summary Tool” (pp. 315–316)](https://waldenu.instructure.com/courses/146995/files/11137391?wrap=1) [Download Appendix G, “Individual Evidence Summary Tool” (pp. 315–316)](https://waldenu.instructure.com/courses/146995/files/11137391/download?download_frd=1)**

    **·**
    **[Appendix H, “Synthesis and Recommendations Tool (pp. 319–323)](https://waldenu.instructure.com/courses/146995/files/11137392?wrap=1) [Download Appendix H, “Synthesis and Recommendations Tool (pp. 319–323)](https://waldenu.instructure.com/courses/146995/files/11137392/download?download_frd=1)**

    ****Note:** Be prepared to complete and submit Appendices B, G, and H for your Assignment this week.**

    ****Also Note:** You previously purchased this text for NURS 8002.**

    **· Bermudez, N. (2021).**
    **[Formulating well-written clinical practice questions and research questionsLinks to an external site.](https://scholarlycommons.baptisthealth.net/nhsrj/vol4/iss1/10/).**
    **_Nursing and Health Sciences Research Journal, 4_(1), 70–82. https://doi.org/10.55481/2578-3750.1113**

    **· Echevarria, I. M., & Walker, S. (2014).**
    **[To make your case, start with a PICOT questionLinks to an external site.](https://access.ovid.com/custom/redirector/index.html?dest=https://go.openathens.net/redirector/waldenu.edu?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00152193-201402000-00007&D=ovft).**
    **_Nursing, 44_(2), 18–19. https://doi.org/10.1097/01.NURSE.0000442594.00242.f9**

    **· Ford, L. G., & Melnyk, B. M. (2019).**
    **[The underappreciated and misunderstood PICOT question: A critical step in the EBP processLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=rzh&AN=140231445&site=eds-live&scope=site&custid=s6527200).**
    **_Worldviews on Evidence-Based Nursing, 16_(6), 422–423. https://doi.org/10.1111/wvn.12408**

    ****Note:** The following resources also appear in NURS 8002.**

    **· OASIS. (n.d.).**
    **[_Analyze and evaluate research articles_ Links to an external site.](https://academics.waldenu.edu/library/analyze-evaluate-research-articles) [Interactive media]. Walden University. https://academics.waldenu.edu/library/analyze-evaluate-research-articles**

    **· OASIS. (n.d.).**
    **[_Break a topic into keywordsLinks to an external site._](https://academics.waldenu.edu/library/topic-into-keywords) [Interactive media]. Walden University. https://academics.waldenu.edu/library/topic-into-keywords**

    **· OASIS. (n.d.).**
    **[_Evaluate resourcesLinks to an external site._](https://academics.waldenu.edu/library/evaluate-resources)[Interactive media]. Walden University. https://academics.waldenu.edu/library/evaluate-resources**

    **· OASIS.**
    **[_Grading evidence_ Links to an external site.](https://rise.articulate.com/share/–e-gVRMA_y8V2KffxxJAQNb_lswZ2zX) [Interactive media]. Walden University. https://rise.articulate.com/share/–e-gVRMA_y8V2KffxxJAQNb_lswZ2zX**

    **· OASIS. (n.d.).**
    **[_Locate, cite, and reference journal articlesLinks to an external site._](https://academics.waldenu.edu/library/locate-cite-reference-articles) [Interactive media]. Walden University. https://academics.waldenu.edu/library/locate-cite-reference-articles**

    **· OASIS. (n.d.).**
    **[_Paraphrase and summarize informationLinks to an external site._](https://academics.waldenu.edu/writing/paraphrase-summarize) [Interactive media]. Walden University. https://academics.waldenu.edu/writing/paraphrase-summarize**

    **· OASIS. (n.d.).**
    **[_Synthesis_ Links to an external site.](https://academicguides.waldenu.edu/writingcenter/evidence/synthesis) [Multimedia]. Walden University. https://academicguides.waldenu.edu/writingcenter/evidence/synthesis**

    **· OASIS. (n.d.).**
    **[_Synthesize literature_ Links to an external site.](https://academics.waldenu.edu/writing/synthesize-literature) [Interactive media]. Walden University. https://academics.waldenu.edu/writing/synthesize-literature**

    **· Walden University. (2021).**
    **[_DNP glossary_ Links to an external site.](https://cdn-media.waldenu.edu/2dett4d/Walden/NURS/8114/DNPG/index.html) [Interactive media]. Walden University Canvas. https://waldenu.instructure.com**

    **· Walden University Library. (n.d.).**
    **[_Ask a librarian_ Links to an external site.](https://academicguides.waldenu.edu/library/ask%20). https://academicguides.waldenu.edu/library/ask**
    **Note: Use this website to find answers to common questions or to contact a librarian directly.**

    **· Walden University Library. (n.d.).**
    **[_Databases A–Z: Nursing_ Links to an external site.](https://academicguides.waldenu.edu/az.php?s=19981). https://academicguides.waldenu.edu/az.php?s=19981**

    **· Walden University Library. (n.d.).**
    **[_Evaluating resources: Primary and secondary sources_ Links to an external site.](https://academicguides.waldenu.edu/library/evaluating/sources). https://academicguides.waldenu.edu/library/evaluating/sources**

    **· Walden University Library. (n.d.).**
    **[_Subject research: Nursing_ Links to an external site.](https://academicguides.waldenu.edu/library/subject/nursing). https://academicguides.waldenu.edu/library/subject/nursing**

    ****Note:** This database is a good starting point for nursing related searches.**

    **· Walden University Quick Answers. (n.d.).**
    **[_How do I verify that my article is peer reviewed?_ Links to an external site.](https://academicanswers.waldenu.edu/faq/72613) [Multimedia]. https://academicanswers.waldenu.edu/faq/72613**

    **## _AppendixG_IndividualEvidenceSummaryGeraldine.docx**

    Johns Hopkins Evidence-Based Practice Model for Nursing and Healthcare Professionals

    Individual Evidence Summary Tool

    Appendix G

    ![](https://www.sweetstudy.com/questions/literature-review-20879407)

    Johns Hopkins Nursing Evidence-Based Practice

    Individual Evidence Summary Tool (Appendix G)

    | | | | | | | | | | | |
    | — | — | — | — | — | — | — | — | — | — | — |
    | ## **EBP Question:** |
    | ## **Reviewer name(s)** | ## **Article number** | ## **Author, date, and title** | ## **Type of evidence** | ## **Population, size, and setting** | ## **Intervention** | ## **Findings that help answer the EBP question** | ## **Measures used** | ## **Limitations** | ## **Evidence level and quality** | ## **Notes to team** |
    | | | | | | | | | | | |
    | | | | | | | | | | | |
    | | | | | | | | | | | |
    | | | | | | | | | | | |
    | | | | | | | | | | | |
    | | | | | | | | | | | |
    | | | | | | | | | | | |

    **Directions for use of the Individual Evidence Summary Tool**

    **Purpose:** Use this form to document and collate the results of the review and appraisal of each piece of evidence in preparation for evidence synthesis. The table headers indicate important elements of each article that will contribute to the synthesis process. The data in each cell should be complete enough that the other team members can gather all relevant information related to the evidence without having to go to each source article.

    **See Chapter 11, Lessons from Practice, for examples of completed tools.**

    **Reviewer name(s):**

    Record the member(s) of the team who are providing the information for each article. This will provide tracking if there are follow-up items or additional questions on an individual piece of evidence.

    **Article number:**

    Assign a number to each piece of evidence included in the table. This organizes the individual evidence summary and provides an easy way to reference articles.

    **Author, date, and title:**

    Record the last name of the first author of the article, the publication/communication date, and the title. This will help track articles throughout the literature search, screening, and review process. It is also helpful when someone has authored more than one publication included in the review.

    **Type of evidence:**

    Indicate the type of evidence for each source. This should be descriptive of the study or project design (e.g., randomized control trial, meta-analysis, mixed methods, qualitative, systematic review, case study, literature review) and not simply the level on the evidence hierarchy.

    **Population, size, and setting:**

    For research evidence, provide a quick view of the population, number of participants, and study location. For non-research evidence, population refers to the target audience, patient population, or profession. Non-research evidence may or may not have a sample size and/or location as found with research evidence.

    **Intervention:**

    Record the intervention(s) implemented or discussed in the article. This should relate to the intervention or comparison elements of your PICO question.

    **Findings that help answer the EBP question:**

    List findings from the article that directly answer the EBP question. These should be succinct statements that provide enough information that the reader does not need to return to the original article. Avoid directly copying and pasting from the article.

    **Measures used**:

    These are the measures and/or instruments (e.g., counts, rates, satisfaction surveys, validated tools, subscales) the authors used to determine the answer to the research question or the effectiveness of their intervention. Consider these measures as identified in the evidence for collection during the implementation of the EBP team’s project.

    **Limitations:**

    Provide the limitations of the evidence—both as listed by the authors as well as your assessment of any flaws or drawbacks. Consider the methodology, quality of reporting, and generalizability to the population of interest. Limitations should be apparent from the team’s appraisals using the Research and Non-Research Evidence Appraisal Tools (Appendices E and F). It can be helpful to consider the reasons an article did not receive a “high” quality rating because these reasons are limitations identified by the team.

    **Evidence level and quality:**

    Using the Research and Non-Research Evidence Appraisal tools (Appendices E and F), record the level (I-V) and quality (A, B or C) of the evidence. When possible, at least two reviewers should determine the level and quality.

    **Notes to team:**

    The team uses this section to keep track of items important to the EBP process not captured elsewhere on this tool. Consider items that will be helpful to have easy reference to when conducting the evidence synthesis.

    © 2021 Johns Hopkins Health System/Johns Hopkins School of Nursing Page |
    **1**

    © 2022 Johns Hopkins Health System/Johns Hopkins School of Nursing Page |
    **3**

    ## image1.jpeg

    **_AppendixH_SynthesisAndRecommendationsGeraldine.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/-appendixh-synthesisandrecommendationsgeraldine-docx)

    **_AppendixB_QuestionDevelopmentGeraldine.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/-appendixb-questiondevelopmentgeraldine-docx)

    **AppendixF_NonresearchEvidenceAppraisalGeraldine.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/appendixf-nonresearchevidenceappraisalgeraldine-docx)

    **_AppendixE_ResearchEvidenceAppraisalGeraldine.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/-appendixe-researchevidenceappraisalgeraldine-docx)

    **_AppendixE_ResearchEvidenceAppraisalGeraldine.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/-appendixe-researchevidenceappraisalgeraldine-docx)

    **## WK10Assignment8114.docx**

    LITERATURE REVIEW

    ![A group of medical professionals smiling Description automatically generated](https://www.sweetstudy.com/questions/literature-review-20879407)

    In Week 10, you will continue to develop your Literature Review Assignment which is due by Day 7.

    **Note:** This Assignment is hypothetical in nature and is unrelated to your Practicum and DNP Project. However, the work you put in on this Assignment will help prepare you for the Practicum and DNP Project which will come later in your program.

    **Note:** This is a
    **three-part** Assignment. By
    **Day 7 of Week 10**, you must complete and submit Appendices B, G, and H found in the Dang et.al. text.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/146995/modules/items/5647185)

    To Prepare

    · Review the Literature Review Assignment resources located in this week’s Learning Resources. Pay special attention to Chapters 19, 20, and 21 of the White et al. text; Chapters 4, 5, 6, and 11 of the Dang et al. text; and the articles addressing the PICOT format.

    **Note:** Be sure to review Appendices B, E, F, G, and H in the Dang et al. text. You will be required to complete and submit Appendices B, G, and H for this Assignment.

    · Select an organization with which you are familiar and a practice or organization issue which needs addressing.

    **Note:** You may reuse organizations and/or issues that you selected earlier in this course or select new ones.

    · Consider possible practice questions to address the issue you selected. Ask yourself:

    · Why is it a problem?

    · What has been done about it?

    · What is the gap in practice?

    · Select
    **one** practice question to develop using Appendix B.

    **Note:** The PICOT components will assist you in identifying search terms. Make sure your practice question is evidence-based, nursing focused, and has measurable outcomes.

    · Using the Walden Library, search the evidence to identify
    **15 or more** recent peer-reviewed articles (within the past 5 years) related to your practice question.

    **Note:** Use Appendices E and F to help you search, but you do not need to submit these for grading.

    · Using Appendix H, grade the evidence and select the
    **10** articles with the strongest evidence ratings.

    **Note:** if you have more than 10 articles that you deem worthy, you can enter up to 15 into Appendix H.

    · Using Appendix H, synthesize the
    **10** articles you selected.

    · Using Appendix G, enter all relevant information about the
    **10** articles you selected and synthesized.

    **Note:** This is a
    **three-part** Assignment. By
    **Day 7 of Week 10**, you must complete and submit Appendices B, G, and H found in the Dang et.al. text.

    **The Assignment**

    For this
    **three-part** Assignment, you will submit
    **three** items as follows:

    **Part 1:** Submit your completed
    **Appendix B**, which demonstrates your fully developed practice question.

    **Part 2:** Submit your completed
    **Appendix H**, which demonstrates your grading and synthesizing of the evidence you identified.
    **Note:** You will complete Appendix H
    _before_ Appendix G, despite being out of order alphabetically.

    **Part 3:** Submit your completed
    **Appendix G**, which lists the relevant information about the evidence you selected.

    By Day 7 of Week 10

    **Submit** your completed Part 1: Appendix B; Part 2: Appendix H; and Part 3: Appendix G of your Assignment.

    ## image1.jpeg

    **## WK10Assignment8114RequiredAppendixBEFGH.docx**

    **Required Readings: Literature Review Assignment Resources**

    ****Note:** These resources were previously presented in Week 8 and 9.**

    **· Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021).**
    **_Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines_ (4th ed.). Sigma Theta Tau International.**

    **· Chapter 5, “Searching for Evidence” (pp. 99–128)**

    **· Chapter 6, “Evidence Appraisal: Research” (pp. 129–162)**

    **· Chapter 7, “Evidence Appraisal: Nonresearch” (pp. 163–188)**

    **·**
    **[Appendix B, “Question Development Tool” (pp. 283–288)](https://waldenu.instructure.com/courses/146995/files/11137385?wrap=1) [Download Appendix B, “Question Development Tool” (pp. 283–288)](https://waldenu.instructure.com/courses/146995/files/11137385/download?download_frd=1)**

    **·**
    **[Appendix E, “Research Evidence Appraisal Tool” (pp. 297–306)](https://waldenu.instructure.com/courses/146995/files/11137384?wrap=1) [Download Appendix E, “Research Evidence Appraisal Tool” (pp. 297–306)](https://waldenu.instructure.com/courses/146995/files/11137384/download?download_frd=1)**

    **·**
    **[Appendix F, “Nonresearch Evidence Appraisal Tool” (pp. 307–314)](https://waldenu.instructure.com/courses/146995/files/11137390?wrap=1) [Download Appendix F, “Nonresearch Evidence Appraisal Tool” (pp. 307–314)](https://waldenu.instructure.com/courses/146995/files/11137390/download?download_frd=1)**

    **·**
    **[Appendix G, “Individual Evidence Summary Tool” (pp. 315–316)](https://waldenu.instructure.com/courses/146995/files/11137391?wrap=1) [Download Appendix G, “Individual Evidence Summary Tool” (pp. 315–316)](https://waldenu.instructure.com/courses/146995/files/11137391/download?download_frd=1)**

    **·**
    **[Appendix H, “Synthesis and Recommendations Tool (pp. 319–323)](https://waldenu.instructure.com/courses/146995/files/11137392?wrap=1) [Download Appendix H, “Synthesis and Recommendations Tool (pp. 319–323)](https://waldenu.instructure.com/courses/146995/files/11137392/download?download_frd=1)**

    ****Note:** Be prepared to complete and submit Appendices B, G, and H for your Assignment this week.**

    ****Also Note:** You previously purchased this text for NURS 8002.**

    **· Bermudez, N. (2021).**
    **[Formulating well-written clinical practice questions and research questionsLinks to an external site.](https://scholarlycommons.baptisthealth.net/nhsrj/vol4/iss1/10/).**
    **_Nursing and Health Sciences Research Journal, 4_(1), 70–82. https://doi.org/10.55481/2578-3750.1113**

    **· Echevarria, I. M., & Walker, S. (2014).**
    **[To make your case, start with a PICOT questionLinks to an external site.](https://access.ovid.com/custom/redirector/index.html?dest=https://go.openathens.net/redirector/waldenu.edu?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00152193-201402000-00007&D=ovft).**
    **_Nursing, 44_(2), 18–19. https://doi.org/10.1097/01.NURSE.0000442594.00242.f9**

    **· Ford, L. G., & Melnyk, B. M. (2019).**
    **[The underappreciated and misunderstood PICOT question: A critical step in the EBP processLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=rzh&AN=140231445&site=eds-live&scope=site&custid=s6527200).**
    **_Worldviews on Evidence-Based Nursing, 16_(6), 422–423. https://doi.org/10.1111/wvn.12408**

    ****Note:** The following resources also appear in NURS 8002.**

    **· OASIS. (n.d.).**
    **[_Analyze and evaluate research articles_ Links to an external site.](https://academics.waldenu.edu/library/analyze-evaluate-research-articles) [Interactive media]. Walden University. https://academics.waldenu.edu/library/analyze-evaluate-research-articles**

    **· OASIS. (n.d.).**
    **[_Break a topic into keywordsLinks to an external site._](https://academics.waldenu.edu/library/topic-into-keywords) [Interactive media]. Walden University. https://academics.waldenu.edu/library/topic-into-keywords**

    **· OASIS. (n.d.).**
    **[_Evaluate resourcesLinks to an external site._](https://academics.waldenu.edu/library/evaluate-resources)[Interactive media]. Walden University. https://academics.waldenu.edu/library/evaluate-resources**

    **· OASIS.**
    **[_Grading evidence_ Links to an external site.](https://rise.articulate.com/share/–e-gVRMA_y8V2KffxxJAQNb_lswZ2zX) [Interactive media]. Walden University. https://rise.articulate.com/share/–e-gVRMA_y8V2KffxxJAQNb_lswZ2zX**

    **· OASIS. (n.d.).**
    **[_Locate, cite, and reference journal articlesLinks to an external site._](https://academics.waldenu.edu/library/locate-cite-reference-articles) [Interactive media]. Walden University. https://academics.waldenu.edu/library/locate-cite-reference-articles**

    **· OASIS. (n.d.).**
    **[_Paraphrase and summarize informationLinks to an external site._](https://academics.waldenu.edu/writing/paraphrase-summarize) [Interactive media]. Walden University. https://academics.waldenu.edu/writing/paraphrase-summarize**

    **· OASIS. (n.d.).**
    **[_Synthesis_ Links to an external site.](https://academicguides.waldenu.edu/writingcenter/evidence/synthesis) [Multimedia]. Walden University. https://academicguides.waldenu.edu/writingcenter/evidence/synthesis**

    **· OASIS. (n.d.).**
    **[_Synthesize literature_ Links to an external site.](https://academics.waldenu.edu/writing/synthesize-literature) [Interactive media]. Walden University. https://academics.waldenu.edu/writing/synthesize-literature**

    **· Walden University. (2021).**
    **[_DNP glossary_ Links to an external site.](https://cdn-media.waldenu.edu/2dett4d/Walden/NURS/8114/DNPG/index.html) [Interactive media]. Walden University Canvas. https://waldenu.instructure.com**

    **· Walden University Library. (n.d.).**
    **[_Ask a librarian_ Links to an external site.](https://academicguides.waldenu.edu/library/ask%20). https://academicguides.waldenu.edu/library/ask**
    **Note: Use this website to find answers to common questions or to contact a librarian directly.**

    **· Walden University Library. (n.d.).**
    **[_Databases A–Z: Nursing_ Links to an external site.](https://academicguides.waldenu.edu/az.php?s=19981). https://academicguides.waldenu.edu/az.php?s=19981**

    **· Walden University Library. (n.d.).**
    **[_Evaluating resources: Primary and secondary sources_ Links to an external site.](https://academicguides.waldenu.edu/library/evaluating/sources). https://academicguides.waldenu.edu/library/evaluating/sources**

    **· Walden University Library. (n.d.).**
    **[_Subject research: Nursing_ Links to an external site.](https://academicguides.waldenu.edu/library/subject/nursing). https://academicguides.waldenu.edu/library/subject/nursing**

    ****Note:** This database is a good starting point for nursing related searches.**

    **· Walden University Quick Answers. (n.d.).**
    **[_How do I verify that my article is peer reviewed?_ Links to an external site.](https://academicanswers.waldenu.edu/faq/72613) [Multimedia]. https://academicanswers.waldenu.edu/faq/72613**

    **## _AppendixG_IndividualEvidenceSummaryGeraldine.docx**

    Johns Hopkins Evidence-Based Practice Model for Nursing and Healthcare Professionals

    Individual Evidence Summary Tool

    Appendix G

    ![](https://www.sweetstudy.com/questions/literature-review-20879407)

    Johns Hopkins Nursing Evidence-Based Practice

    Individual Evidence Summary Tool (Appendix G)

    | | | | | | | | | | | |
    | — | — | — | — | — | — | — | — | — | — | — |
    | ## **EBP Question:** |
    | ## **Reviewer name(s)** | ## **Article number** | ## **Author, date, and title** | ## **Type of evidence** | ## **Population, size, and setting** | ## **Intervention** | ## **Findings that help answer the EBP question** | ## **Measures used** | ## **Limitations** | ## **Evidence level and quality** | ## **Notes to team** |
    | | | | | | | | | | | |
    | | | | | | | | | | | |
    | | | | | | | | | | | |
    | | | | | | | | | | | |
    | | | | | | | | | | | |
    | | | | | | | | | | | |
    | | | | | | | | | | | |

    **Directions for use of the Individual Evidence Summary Tool**

    **Purpose:** Use this form to document and collate the results of the review and appraisal of each piece of evidence in preparation for evidence synthesis. The table headers indicate important elements of each article that will contribute to the synthesis process. The data in each cell should be complete enough that the other team members can gather all relevant information related to the evidence without having to go to each source article.

    **See Chapter 11, Lessons from Practice, for examples of completed tools.**

    **Reviewer name(s):**

    Record the member(s) of the team who are providing the information for each article. This will provide tracking if there are follow-up items or additional questions on an individual piece of evidence.

    **Article number:**

    Assign a number to each piece of evidence included in the table. This organizes the individual evidence summary and provides an easy way to reference articles.

    **Author, date, and title:**

    Record the last name of the first author of the article, the publication/communication date, and the title. This will help track articles throughout the literature search, screening, and review process. It is also helpful when someone has authored more than one publication included in the review.

    **Type of evidence:**

    Indicate the type of evidence for each source. This should be descriptive of the study or project design (e.g., randomized control trial, meta-analysis, mixed methods, qualitative, systematic review, case study, literature review) and not simply the level on the evidence hierarchy.

    **Population, size, and setting:**

    For research evidence, provide a quick view of the population, number of participants, and study location. For non-research evidence, population refers to the target audience, patient population, or profession. Non-research evidence may or may not have a sample size and/or location as found with research evidence.

    **Intervention:**

    Record the intervention(s) implemented or discussed in the article. This should relate to the intervention or comparison elements of your PICO question.

    **Findings that help answer the EBP question:**

    List findings from the article that directly answer the EBP question. These should be succinct statements that provide enough information that the reader does not need to return to the original article. Avoid directly copying and pasting from the article.

    **Measures used**:

    These are the measures and/or instruments (e.g., counts, rates, satisfaction surveys, validated tools, subscales) the authors used to determine the answer to the research question or the effectiveness of their intervention. Consider these measures as identified in the evidence for collection during the implementation of the EBP team’s project.

    **Limitations:**

    Provide the limitations of the evidence—both as listed by the authors as well as your assessment of any flaws or drawbacks. Consider the methodology, quality of reporting, and generalizability to the population of interest. Limitations should be apparent from the team’s appraisals using the Research and Non-Research Evidence Appraisal Tools (Appendices E and F). It can be helpful to consider the reasons an article did not receive a “high” quality rating because these reasons are limitations identified by the team.

    **Evidence level and quality:**

    Using the Research and Non-Research Evidence Appraisal tools (Appendices E and F), record the level (I-V) and quality (A, B or C) of the evidence. When possible, at least two reviewers should determine the level and quality.

    **Notes to team:**

    The team uses this section to keep track of items important to the EBP process not captured elsewhere on this tool. Consider items that will be helpful to have easy reference to when conducting the evidence synthesis.

    © 2021 Johns Hopkins Health System/Johns Hopkins School of Nursing Page |
    **1**

    © 2022 Johns Hopkins Health System/Johns Hopkins School of Nursing Page |
    **3**

    ## image1.jpeg

    **_AppendixH_SynthesisAndRecommendationsGeraldine.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/-appendixh-synthesisandrecommendationsgeraldine-docx)

    **_AppendixB_QuestionDevelopmentGeraldine.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/-appendixb-questiondevelopmentgeraldine-docx)

    **AppendixF_NonresearchEvidenceAppraisalGeraldine.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/appendixf-nonresearchevidenceappraisalgeraldine-docx)

    **_AppendixE_ResearchEvidenceAppraisalGeraldine.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/-appendixe-researchevidenceappraisalgeraldine-docx)

    **## WK10Assignment8114.docx**

    LITERATURE REVIEW

    ![A group of medical professionals smiling Description automatically generated](https://www.sweetstudy.com/questions/literature-review-20879407)

    In Week 10, you will continue to develop your Literature Review Assignment which is due by Day 7.

    **Note:** This Assignment is hypothetical in nature and is unrelated to your Practicum and DNP Project. However, the work you put in on this Assignment will help prepare you for the Practicum and DNP Project which will come later in your program.

    **Note:** This is a
    **three-part** Assignment. By
    **Day 7 of Week 10**, you must complete and submit Appendices B, G, and H found in the Dang et.al. text.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/146995/modules/items/5647185)

    To Prepare

    · Review the Literature Review Assignment resources located in this week’s Learning Resources. Pay special attention to Chapters 19, 20, and 21 of the White et al. text; Chapters 4, 5, 6, and 11 of the Dang et al. text; and the articles addressing the PICOT format.

    **Note:** Be sure to review Appendices B, E, F, G, and H in the Dang et al. text. You will be required to complete and submit Appendices B, G, and H for this Assignment.

    · Select an organization with which you are familiar and a practice or organization issue which needs addressing.

    **Note:** You may reuse organizations and/or issues that you selected earlier in this course or select new ones.

    · Consider possible practice questions to address the issue you selected. Ask yourself:

    · Why is it a problem?

    · What has been done about it?

    · What is the gap in practice?

    · Select
    **one** practice question to develop using Appendix B.

    **Note:** The PICOT components will assist you in identifying search terms. Make sure your practice question is evidence-based, nursing focused, and has measurable outcomes.

    · Using the Walden Library, search the evidence to identify
    **15 or more** recent peer-reviewed articles (within the past 5 years) related to your practice question.

    **Note:** Use Appendices E and F to help you search, but you do not need to submit these for grading.

    · Using Appendix H, grade the evidence and select the
    **10** articles with the strongest evidence ratings.

    **Note:** if you have more than 10 articles that you deem worthy, you can enter up to 15 into Appendix H.

    · Using Appendix H, synthesize the
    **10** articles you selected.

    · Using Appendix G, enter all relevant information about the
    **10** articles you selected and synthesized.

    **Note:** This is a
    **three-part** Assignment. By
    **Day 7 of Week 10**, you must complete and submit Appendices B, G, and H found in the Dang et.al. text.

    **The Assignment**

    For this
    **three-part** Assignment, you will submit
    **three** items as follows:

    **Part 1:** Submit your completed
    **Appendix B**, which demonstrates your fully developed practice question.

    **Part 2:** Submit your completed
    **Appendix H**, which demonstrates your grading and synthesizing of the evidence you identified.
    **Note:** You will complete Appendix H
    _before_ Appendix G, despite being out of order alphabetically.

    **Part 3:** Submit your completed
    **Appendix G**, which lists the relevant information about the evidence you selected.

    By Day 7 of Week 10

    **Submit** your completed Part 1: Appendix B; Part 2: Appendix H; and Part 3: Appendix G of your Assignment.

    ## image1.jpeg

    **## WK10Assignment8114RequiredAppendixBEFGH.docx**

    **Required Readings: Literature Review Assignment Resources**

    ****Note:** These resources were previously presented in Week 8 and 9.**

    **· Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021).**
    **_Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines_ (4th ed.). Sigma Theta Tau International.**

    **· Chapter 5, “Searching for Evidence” (pp. 99–128)**

    **· Chapter 6, “Evidence Appraisal: Research” (pp. 129–162)**

    **· Chapter 7, “Evidence Appraisal: Nonresearch” (pp. 163–188)**

    **·**
    **[Appendix B, “Question Development Tool” (pp. 283–288)](https://waldenu.instructure.com/courses/146995/files/11137385?wrap=1) [Download Appendix B, “Question Development Tool” (pp. 283–288)](https://waldenu.instructure.com/courses/146995/files/11137385/download?download_frd=1)**

    **·**
    **[Appendix E, “Research Evidence Appraisal Tool” (pp. 297–306)](https://waldenu.instructure.com/courses/146995/files/11137384?wrap=1) [Download Appendix E, “Research Evidence Appraisal Tool” (pp. 297–306)](https://waldenu.instructure.com/courses/146995/files/11137384/download?download_frd=1)**

    **·**
    **[Appendix F, “Nonresearch Evidence Appraisal Tool” (pp. 307–314)](https://waldenu.instructure.com/courses/146995/files/11137390?wrap=1) [Download Appendix F, “Nonresearch Evidence Appraisal Tool” (pp. 307–314)](https://waldenu.instructure.com/courses/146995/files/11137390/download?download_frd=1)**

    **·**
    **[Appendix G, “Individual Evidence Summary Tool” (pp. 315–316)](https://waldenu.instructure.com/courses/146995/files/11137391?wrap=1) [Download Appendix G, “Individual Evidence Summary Tool” (pp. 315–316)](https://waldenu.instructure.com/courses/146995/files/11137391/download?download_frd=1)**

    **·**
    **[Appendix H, “Synthesis and Recommendations Tool (pp. 319–323)](https://waldenu.instructure.com/courses/146995/files/11137392?wrap=1) [Download Appendix H, “Synthesis and Recommendations Tool (pp. 319–323)](https://waldenu.instructure.com/courses/146995/files/11137392/download?download_frd=1)**

    ****Note:** Be prepared to complete and submit Appendices B, G, and H for your Assignment this week.**

    ****Also Note:** You previously purchased this text for NURS 8002.**

    **· Bermudez, N. (2021).**
    **[Formulating well-written clinical practice questions and research questionsLinks to an external site.](https://scholarlycommons.baptisthealth.net/nhsrj/vol4/iss1/10/).**
    **_Nursing and Health Sciences Research Journal, 4_(1), 70–82. https://doi.org/10.55481/2578-3750.1113**

    **· Echevarria, I. M., & Walker, S. (2014).**
    **[To make your case, start with a PICOT questionLinks to an external site.](https://access.ovid.com/custom/redirector/index.html?dest=https://go.openathens.net/redirector/waldenu.edu?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00152193-201402000-00007&D=ovft).**
    **_Nursing, 44_(2), 18–19. https://doi.org/10.1097/01.NURSE.0000442594.00242.f9**

    **· Ford, L. G., & Melnyk, B. M. (2019).**
    **[The underappreciated and misunderstood PICOT question: A critical step in the EBP processLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=rzh&AN=140231445&site=eds-live&scope=site&custid=s6527200).**
    **_Worldviews on Evidence-Based Nursing, 16_(6), 422–423. https://doi.org/10.1111/wvn.12408**

    ****Note:** The following resources also appear in NURS 8002.**

    **· OASIS. (n.d.).**
    **[_Analyze and evaluate research articles_ Links to an external site.](https://academics.waldenu.edu/library/analyze-evaluate-research-articles) [Interactive media]. Walden University. https://academics.waldenu.edu/library/analyze-evaluate-research-articles**

    **· OASIS. (n.d.).**
    **[_Break a topic into keywordsLinks to an external site._](https://academics.waldenu.edu/library/topic-into-keywords) [Interactive media]. Walden University. https://academics.waldenu.edu/library/topic-into-keywords**

    **· OASIS. (n.d.).**
    **[_Evaluate resourcesLinks to an external site._](https://academics.waldenu.edu/library/evaluate-resources)[Interactive media]. Walden University. https://academics.waldenu.edu/library/evaluate-resources**

    **· OASIS.**
    **[_Grading evidence_ Links to an external site.](https://rise.articulate.com/share/–e-gVRMA_y8V2KffxxJAQNb_lswZ2zX) [Interactive media]. Walden University. https://rise.articulate.com/share/–e-gVRMA_y8V2KffxxJAQNb_lswZ2zX**

    **· OASIS. (n.d.).**
    **[_Locate, cite, and reference journal articlesLinks to an external site._](https://academics.waldenu.edu/library/locate-cite-reference-articles) [Interactive media]. Walden University. https://academics.waldenu.edu/library/locate-cite-reference-articles**

    **· OASIS. (n.d.).**
    **[_Paraphrase and summarize informationLinks to an external site._](https://academics.waldenu.edu/writing/paraphrase-summarize) [Interactive media]. Walden University. https://academics.waldenu.edu/writing/paraphrase-summarize**

    **· OASIS. (n.d.).**
    **[_Synthesis_ Links to an external site.](https://academicguides.waldenu.edu/writingcenter/evidence/synthesis) [Multimedia]. Walden University. https://academicguides.waldenu.edu/writingcenter/evidence/synthesis**

    **· OASIS. (n.d.).**
    **[_Synthesize literature_ Links to an external site.](https://academics.waldenu.edu/writing/synthesize-literature) [Interactive media]. Walden University. https://academics.waldenu.edu/writing/synthesize-literature**

    **· Walden University. (2021).**
    **[_DNP glossary_ Links to an external site.](https://cdn-media.waldenu.edu/2dett4d/Walden/NURS/8114/DNPG/index.html) [Interactive media]. Walden University Canvas. https://waldenu.instructure.com**

    **· Walden University Library. (n.d.).**
    **[_Ask a librarian_ Links to an external site.](https://academicguides.waldenu.edu/library/ask%20). https://academicguides.waldenu.edu/library/ask**
    **Note: Use this website to find answers to common questions or to contact a librarian directly.**

    **· Walden University Library. (n.d.).**
    **[_Databases A–Z: Nursing_ Links to an external site.](https://academicguides.waldenu.edu/az.php?s=19981). https://academicguides.waldenu.edu/az.php?s=19981**

    **· Walden University Library. (n.d.).**
    **[_Evaluating resources: Primary and secondary sources_ Links to an external site.](https://academicguides.waldenu.edu/library/evaluating/sources). https://academicguides.waldenu.edu/library/evaluating/sources**

    **· Walden University Library. (n.d.).**
    **[_Subject research: Nursing_ Links to an external site.](https://academicguides.waldenu.edu/library/subject/nursing). https://academicguides.waldenu.edu/library/subject/nursing**

    ****Note:** This database is a good starting point for nursing related searches.**

    **· Walden University Quick Answers. (n.d.).**
    **[_How do I verify that my article is peer reviewed?_ Links to an external site.](https://academicanswers.waldenu.edu/faq/72613) [Multimedia]. https://academicanswers.waldenu.edu/faq/72613**

    **## _AppendixG_IndividualEvidenceSummaryGeraldine.docx**

    Johns Hopkins Evidence-Based Practice Model for Nursing and Healthcare Professionals

    Individual Evidence Summary Tool

    Appendix G

    ![](https://www.sweetstudy.com/questions/literature-review-20879407)

    Johns Hopkins Nursing Evidence-Based Practice

    Individual Evidence Summary Tool (Appendix G)

    | | | | | | | | | | | |
    | — | — | — | — | — | — | — | — | — | — | — |
    | ## **EBP Question:** |
    | ## **Reviewer name(s)** | ## **Article number** | ## **Author, date, and title** | ## **Type of evidence** | ## **Population, size, and setting** | ## **Intervention** | ## **Findings that help answer the EBP question** | ## **Measures used** | ## **Limitations** | ## **Evidence level and quality** | ## **Notes to team** |
    | | | | | | | | | | | |
    | | | | | | | | | | | |
    | | | | | | | | | | | |
    | | | | | | | | | | | |
    | | | | | | | | | | | |
    | | | | | | | | | | | |
    | | | | | | | | | | | |

    **Directions for use of the Individual Evidence Summary Tool**

    **Purpose:** Use this form to document and collate the results of the review and appraisal of each piece of evidence in preparation for evidence synthesis. The table headers indicate important elements of each article that will contribute to the synthesis process. The data in each cell should be complete enough that the other team members can gather all relevant information related to the evidence without having to go to each source article.

    **See Chapter 11, Lessons from Practice, for examples of completed tools.**

    **Reviewer name(s):**

    Record the member(s) of the team who are providing the information for each article. This will provide tracking if there are follow-up items or additional questions on an individual piece of evidence.

    **Article number:**

    Assign a number to each piece of evidence included in the table. This organizes the individual evidence summary and provides an easy way to reference articles.

    **Author, date, and title:**

    Record the last name of the first author of the article, the publication/communication date, and the title. This will help track articles throughout the literature search, screening, and review process. It is also helpful when someone has authored more than one publication included in the review.

    **Type of evidence:**

    Indicate the type of evidence for each source. This should be descriptive of the study or project design (e.g., randomized control trial, meta-analysis, mixed methods, qualitative, systematic review, case study, literature review) and not simply the level on the evidence hierarchy.

    **Population, size, and setting:**

    For research evidence, provide a quick view of the population, number of participants, and study location. For non-research evidence, population refers to the target audience, patient population, or profession. Non-research evidence may or may not have a sample size and/or location as found with research evidence.

    **Intervention:**

    Record the intervention(s) implemented or discussed in the article. This should relate to the intervention or comparison elements of your PICO question.

    **Findings that help answer the EBP question:**

    List findings from the article that directly answer the EBP question. These should be succinct statements that provide enough information that the reader does not need to return to the original article. Avoid directly copying and pasting from the article.

    **Measures used**:

    These are the measures and/or instruments (e.g., counts, rates, satisfaction surveys, validated tools, subscales) the authors used to determine the answer to the research question or the effectiveness of their intervention. Consider these measures as identified in the evidence for collection during the implementation of the EBP team’s project.

    **Limitations:**

    Provide the limitations of the evidence—both as listed by the authors as well as your assessment of any flaws or drawbacks. Consider the methodology, quality of reporting, and generalizability to the population of interest. Limitations should be apparent from the team’s appraisals using the Research and Non-Research Evidence Appraisal Tools (Appendices E and F). It can be helpful to consider the reasons an article did not receive a “high” quality rating because these reasons are limitations identified by the team.

    **Evidence level and quality:**

    Using the Research and Non-Research Evidence Appraisal tools (Appendices E and F), record the level (I-V) and quality (A, B or C) of the evidence. When possible, at least two reviewers should determine the level and quality.

    **Notes to team:**

    The team uses this section to keep track of items important to the EBP process not captured elsewhere on this tool. Consider items that will be helpful to have easy reference to when conducting the evidence synthesis.

    © 2021 Johns Hopkins Health System/Johns Hopkins School of Nursing Page |
    **1**

    © 2022 Johns Hopkins Health System/Johns Hopkins School of Nursing Page |
    **3**

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    **AppendixF_NonresearchEvidenceAppraisalGeraldine.docx**

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