Walden’s NURS 6052: Essential of Evidence Base Practice
Matrix Template for Evidence-Based Project, Part 1: Identifying Research Methodologies
Introduction: Seeking resources to support best practices is essential for nurses to enhance their skills. Evidence-based practice is crucial for promoting safe nursing practices and improving patient outcomes. This assignment focuses on the prevention of pressure ulcers in hospitalized bedridden patients, with a PICOT question guiding the search for relevant journal articles.
PICOT Question:
Among hospitalized bedridden patients (P), does the application of frequent repositioning, lotion, and the 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)?
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Selected Articles:
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.
2. Hekmatpou, D., Mehrabi, F., Rahzani, K., & Aminiyan, A. (2018). The effect of Aloe Vera gel on the 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.
3. Mitchell, A. (2018). Adult pressure area care: Preventing pressure ulcers. British Journal of Nursing, 27(18), 1050-1052.
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.
Reasons for Selection and Ethical Considerations:
– Article #1: Explores the nurse’s role in pressure ulcer prevention, emphasizing ethical research practices that avoid causing harm to patients.
– Article #2: Presents results of a study on the effectiveness of organic aloe vera in reducing pressure injuries.
– Article #3: Discusses strategies to prevent pressure sores, emphasizing the importance of ethical considerations in research.
– Article #4: Examines methods to relieve pressure to prevent bed sores, with a focus on research ethics and patient well-being.
Aims of the Research:
1. To determine nurses’ understanding of educational strategies for treating pressure ulcers.
2. To investigate how aloe vera affects orthopedic hospital patients’ ability to avoid pressure injuries.
3. To disseminate knowledge regarding pressure injury prophylaxis.
4. To evaluate the clinical and financial merits of two different bed covering options.
Research Methodology:
1. Article #1: Quantitative study with an experimental plan, allowing for the alteration of the independent variable, ensuring validity and dependability.
2. Article #2: Randomized Controlled Trial (RCT), a quantitative approach allowing manipulation of the independent variable, promoting dependability and validity.
3. Article #3: Qualitative professional opinion, relying on the author’s knowledge and experience, with weak supporting evidence affecting reliability and validity.
4. Article #4: Quantitative RCT, controlling the independent variable and utilizing a high sample size, enhancing generalizability and validity of results.
Strengths of Research Methodologies:
1. Ability to alter the independent variable in Article #1, ensuring validity and dependability through random assignment.
2. Manipulation of the independent variable in Article #2, promoting dependability and validity of results.
3. Author’s knowledge and experience in Article #3, despite weak supporting evidence, contribute to the study’s strength.
4. Control of the independent variable and a high sample size in Article #4, increasing generalizability and validity of results.
General Notes/Comments:
All selected research is relevant to the clinical issue of interest, contributing valuable insights to evidence-based practice knowledge.
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.
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)?
Walden’s NURS 6052: Essential of Evidence Base Practice
| 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
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| 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).
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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).
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| 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. |
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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, 4th 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 distinction between “common practice” and “best practice”?
Upon joining your current organization, seasoned colleagues might have imparted information regarding processes and procedures. Perhaps you underwent an orientation session that provided insights into these matters. As a newcomer, your inquiries likely centered on obtaining information crucial to performing your new role effectively.
As time elapsed and your experience grew, you might have observed certain aspects of the established processes and procedures that merited further exploration. This is the domain of clinical inquiry.
Clinical inquiry involves the act of posing questions about clinical practice. To continually enhance patient care, it is imperative for all nurses to engage in clinical inquiry consistently, questioning the rationale behind the way tasks are performed. Do they comprehend the underlying reasons for a particular approach, or is it merely a matter of adhering to tradition? Is it a
common practice or a best practice?
This assignment prompts you to pinpoint areas of clinical interest and inquiry while honing your ability to search for research supporting the maintenance or modification of these practices. Additionally, you will analyze the research findings, evaluating the methodologies employed in various studies.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
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.
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