NURS 6052: Essential of Evidence Base Practice Matrix Worksheet Template

Part 1 of the Module 2 Assessment, Evidence-Based Project, Part 1: Identifying Research Methodologies

Introduction

Finding resources to support best practices is vital for skill for nurses. Evidence-based practice helps to promote the safe nursing practice and improve patient outcomes. The clinical area of interest chosen for this assignment is the prevention of pressure ulcers. A PICOT question was formed to locate journal articles related to the subject.

Research Question: Among patients who are bedridden in hospitals, does frequently changing their position, applying lotion, and using pressure-relieving support surfaces result in better prevention of pressure sores compared to current common practices within six months?

Article #1: Baron, M. V., Reuter, C. P., Burgos, M. S., Cavalli, V., Brandenburg, C., & Krug, S. B. F. (2016). Experimental study with nursing staff related to the knowledge about pressure ulcers. Revista Latino-Americana de Enfermagem, 24.  https://doi.org/10.1590/1518-8345.1134.2831

Why Selected: This article was chosen because it investigates nurses’ understanding of strategies to prevent pressure ulcers. Ethically, no patient should develop pressure sores during research, ensuring the study’s ethical standards.

Article #2: Hekmatpou, D., Mehrabi, F., Rahzani, K., & Aminiyan, A. (2018). The effect of Aloe Vera gel on prevention of pressure ulcers in patients hospitalized in the orthopedic wards: A randomized triple-blind clinical trial. BMC Complementary and Alternative Medicine, 18(1), 1-11. https://doi.org/10.1186/s12906-018-2326-2

Why Selected: This article examines the impact of organic aloe vera on reducing pressure ulcers in orthopedic patients, contributing relevant findings to the clinical issue.

Article #3: Mitchell, A. (2018). Adult pressure area care: Preventing pressure ulcers. British Journal of Nursing, 27(18), 1050-1052.  https://doi.org/10.12968/bjon.2018.27.18.1050

Why Selected: Chosen for its focus on pressure injury prophylaxis, this article provides valuable insights into avoiding pressure sores, aligning with the clinical issue.

Article #4: Nixon, J., Smith, I. L., Brown, S., McGinnis, E., Vargas-Palacios, A., Nelson, E. A., … & Henderson, V. (2019). Pressure relieving support surfaces for pressure ulcer prevention (PRESSURE 2): Clinical and health economic results of a randomized controlled trial. EClinicalMedicine, 14, 42-52.  http://dx.doi.org/10.1016/j.eclinm.2019.07.018

Why Selected: This article evaluates the clinical and financial merits of different bed covering options, providing valuable data to the clinical issue.

Research Methodologies:
– Article #1: Quantitative study with an experimental design.
– Article #2: Randomized controlled trial (RCT), a quantitative approach.
– Article #3: Qualitative professional opinion.
– Article #4: Quantitative RCT.

Strengths of Research Methodologies:
– Article #1 & #2: Ability to control the independent variable and random assignment, ensuring reliability and validity.
– Article #3: Author’s expertise, but reliability and validity are lower due to subjectivity.
– Article #4: Control over the independent variable and a large sample size contribute to increased generalizability and validity of results.

General Notes/Comments: All selected articles are relevant to the clinical issue, providing valuable insights into preventing pressure sores and contributing to evidence-based practice in this field.

References:
– Hoe, J., & Hoare, T. (2013). Understanding research methods. Oxford University Press.

NURS 6512N Week 3 – Rachel Adler Conversation Concept Lab Shadow Health

PICOT: Among hospitalized bedridden patients (P), does the application of frequent repositioning, lotion, and use of pressure-relieving support surfaces (I) in comparison with current common practice (C) result in better prevention of pressure sores (O) within a period of six months (T)?

Full citation of selected article	Article #1	Article #2	Article #3	Article #4
	Baron, M. V., Reuter, C. P., Burgos, M. S., Cavalli, V., Brandenburg, C., & Krug, S. B. F. (2016). Experimental study with nursing staff related to the knowledge about pressure ulcers. Revista Latino-Americana de Enfermagem, 24. https://doi.org/10.1590/1518-8345.1134.2831	Hekmatpou, D., Mehrabi, F., Rahzani, K., & Aminiyan, A. (2018). The effect of Aloe Vera gel on prevention of pressure ulcers in patients hospitalized in the orthopedic wards: A randomized triple-blind clinical trial. BMC Complementary and Alternative Medicine, 18(1), 1-11. https://doi.org/10.1186/s12906-018-2326-2	Mitchell, A. (2018). Adult pressure area care: Preventing pressure ulcers. British Journal of Nursing, 27(18), 1050-1052. https://doi.org/10.12968/bjon.2018.27.18.1050	Nixon, J., Smith, I. L., Brown, S., McGinnis, E., Vargas-Palacios, A., Nelson, E. A., … & Henderson, V. (2019). Pressure relieving support surfaces for pressure ulcer prevention (PRESSURE 2): Clinical and health economic results of a randomized controlled trial. EClinicalMedicine, 14, 42-52. http://dx.doi.org/10.1016/j.eclinm.2019.07.018
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 piece because it explores the nurse’s involvement in pressure ulcer avoidance. No patient is allowed to get pressure injuries for the sake of research, which is how studies on this subject are ethical.	The study results on the effectiveness of organic aloe vera in reducing pressure injuries are presented in the paper I chose.  According to study ethics, patients in the control group will not be purposefully subjected to pressure ulcer risk.	I picked this article because it discusses how to avoid pressure sores. Similar to other trials, it is against ethical considerations for patients to purposefully get bed sores while being studied.	I selected this piece because it examines ways to relieve pressure in order to avoid bed sores. In this field, research ethics involves looking into strategies that will not do subjects any damage.
Brief description of the aims of the research of each peer-reviewed article	To determine nurses’ understanding of educational strategies for treating pressure ulcers.	To find out how aloe vera affects orthopedic hospital patients’ ability to avoid pressure injuries.	To spread knowledge regarding pressure injury prophylaxis.	To evaluate the clinical and financial merits of two different bed covering options.
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.	It is a quantitative study with an experimental plan (Hoe & Hoare, 2012).	This is a RCT (randomized controlled trial), that is usually quantitative in nature (Hoe & Hoare, 2012).	This is a qualitative professional opinion.	A quantitative RCT this is (Hoe & Hoare, 2012).
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.	The ability to alter the independent variable is this methodology’s strongest point. The random assignment of individuals to research and experimental and control groups ensures validity and dependability (Hoe & Hoare, 2013).	The ability to manipulate the independent variable to examine results in the dependent variable is strength. This promotes dependability and validity (Hoe & Hoare, 2013).	This methodology’s strength comes from the author’s knowledge and experience. Its lack of strong supporting evidence is a problem. Due to the information’s subjective character, reliability and validity are quite poor.	The ability to control the independent variable and the high sample size are the strengths. Both contribute to the results’ increased generalizability and validity.
General Notes/Comments	This research is relevant to the selected clinical subject matter of interest.	This research is relevant to the selected clinical topic of interest.	This research is relevant to the selected clinical area of interest and adds to evidence-based practice knowledge available.	The clinical issue of interest selected is relevant to this investigation.

References

Baron, M. V., Reuter, C. P., Burgos, M. S., Cavalli, V., Brandenburg, C., & Krug, S. B. F. (2016). Experimental study with nursing staff related to the knowledge about pressure ulcers. Revista Latino-Americana de Enfermagem, 24. https://doi.org/10.1590/1518-8345.1134.2831

Hekmatpou, D., Mehrabi, F., Rahzani, K., & Aminiyan, A. (2018). The effect of Aloe Vera gel on prevention of pressure ulcers in patients hospitalized in the orthopedic wards: A randomized triple-blind clinical trial. BMC Complementary and Alternative Medicine, 18(1), 1-11. https://doi.org/10.1186/s12906-018-2326-2

Hoare, Z., & Hoe, J. (2013). Understanding quantitative research: Part 2. Nursing Standard, 27(18), 48-55. https://doi.org/10.7748/ns2013.01.27.18.48.c9488

Hoe, J., & Hoare, Z. (2012). Understanding quantitative research: Part 1. Nursing Standard, 27(15-17), 52-57. https://doi.org/10.7748/ns2012.12.27.15.52.c9485

Melnyk, B.M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare: A guide to best practice, 4^th ed. Wolters Kluwer.

Mitchell, A. (2018). Adult pressure area care: Preventing pressure ulcers. British Journal of Nursing, 27(18), 1050-1052. https://doi.org/10.12968/bjon.2018.27.18.1050

Nixon, J., Smith, I. L., Brown, S., McGinnis, E., Vargas-Palacios, A., Nelson, E. A., … & Henderson, V. (2019). Pressure relieving support surfaces for pressure ulcer prevention (PRESSURE 2): Clinical and health economic results of a randomized controlled trial. EClinicalMedicine, 14, 42-52. http://dx.doi.org/10.1016/j.eclinm.2019.07.018

EVIDENCE-BASED PROJECT, PART 1: IDENTIFYING RESEARCH METHODOLOGIES

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course.
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
• Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
• Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

• The full citation of each peer-reviewed article in APA format.
• A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
• A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
• A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
• A brief (1- to 2-paragraph) 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.

BY DAY 7 OF WEEK 3

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