Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.

PICOT Statement 

Revise the PICOT statement you wrote in the Topic 1 assignment.

The final PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.

Refer to “Research Critique Guidelines.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Research Critique Guidelines

To write a critical appraisal that demonstrates comprehension of the research study conducted, address each component below for qualitative study in the Topic 2 assignment and the quantitative study in the Topic 3 assignment.

Successful completion of this assignment requires that you provide a rationale, include examples, or reference content from the study in your responses.

Qualitative Study


Background of Study:

· Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem.

· How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem.

· Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims.

· List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers.

· Were the purpose and research questions related to the problem?


Method of Study:

· Were qualitative methods appropriate to answer the research questions?

· Did the author identify a specific perspective from which the study was developed? If so, what was it?

· Did the author cite quantitative and qualitative studies relevant to the focus of the study? What other types of literature did the author include?

· Are the references current? For qualitative studies, the author may have included studies older than the 5-year limit typically used for quantitative studies. Findings of older qualitative studies may be relevant to a qualitative study.

· Did the author evaluate or indicate the weaknesses of the available studies?

· Did the literature review include adequate information to build a logical argument?

· When a researcher uses the grounded theory method of qualitative inquiry, the researcher may develop a framework or diagram as part of the findings of the study. Was a framework developed from the study findings?


Results of Study

· What were the study findings?

· What are the implications to nursing?

· Explain how the findings contribute to nursing knowledge/science. Would this impact practice, education, administration, or all areas of nursing?


Ethical Considerations

· Was the study approved by an Institutional Review Board?

· Was patient privacy protected?

· Were there ethical considerat

You will need all of those components for the last paper. This is why you are given two weeks to prepare for it (you have no Week Four assignment if you will notice). Everything comes together for the final paper – all six RESEARCH articles, the review of the qualitative research article (including method and results), the review of the quantitative research article (including method and results). The PICOT question, the PICOT breakdown, and a clear discussion of the evidence-based practice change being proposed.

Here is a good outline of what is expected of (or how to put together) the final paper, this is an announcement I usually post in the middle of week Four, but I can state it here since you asked.

Most of the papers are brought together into this way:

Title Page

part 1 – Title of the paper and Background on the topic

part 2 – PICOT statement/question, with breakdown of each element Population, Intervention, Comparison, Outcome, Time

part 3 – qualitative research critique – problem, method, results, ethical considerations

part 4 – quantitative research critique – problem, method, results, ethical considerations

part 5 – specific discussion of proposed EBP change

Conclusion

References

This is what often works.

Please remember to answer the requirements of the assignment guidelines and the grading rubric.

Bottom of Form 1Top of Form 2

Bottom of Form 2

Top of Form 3

Bottom of Form 3

1
Unsatisfactory
0.00%

2
Less than Satisfactory
75.00%

3
Satisfactory
83.00%

4
Good
94.00%

5
Excellent
100.00%

60.0 %Content

5.0 % Nursing Practice Problem and PICOT Statement

A nursing practice problem is not clearly described and/or a PICOT statement is not included.

PICOT statement describes a nursing practice problem but lacks reliable sources.

PICOT statement describes a nursing practice problem and includes a few reliable sources.

PICOT statement articulates a nursing practice problem using supporting information from reliable sources.

PICOT statement clearly articulates a nursing practice problem using substantial supporting information from numerous reliable sources.

5.0 % Background of Study

Background of study including problem, significance to nursing, purpose, objective, and research questions is incomplete.

Background of study including problem, significance to nursing, purpose, objective, and research questions is included but lacks relevant details and explanation.

Background of study including problem, significance to nursing, purpose, objective, and research questions is partially complete and includes some relevant details and explanation.

Background of study including problem, significance to nursing, purpose, objective, and research questions is complete and includes relevant details and explanation.

Background of study including problem, significance to nursing, purpose, objective, and research questions is thorough with substantial relevant details and extensive explanation.

5.0 % Method of Study

Discussion of method of study including discussion of conceptual/theoretical framework is incomplete.

Discussion of method of study including discussion of conceptual/theoretical framework is included but lacks relevant details and explanation.

Discussion of method of study including discussion of conceptual/theoretical framework is partially complete and includes some relevant details and explanation.

Please format your title page and the rest of the paper following APA guidelines, a template can be found in the online class under RESOURCES tab.

PICOT Statement

Renee Lucci

Grand Canyon University

PICOT Statement

Nursing Practice Problem and PICOT Statement

The practice problem this student wishes to focus on is nursing turn-over in the psychiatric field. This leads to unsafe care to the patients and a lack of continuity of care. In the psychiatric field, this especially takes a toll on the patients due to lack of trust and repore. The patients tend to pull back and not engage with nursing staff because the patients don’t trust that the nurse will be there for the duration of their treatment. Comment by Jesusa Franke: Did you mean to say ‘rapport’?

P-Population- The population is the group of psychiatric nurses. – please specify what setting this would be in, outpatient or inpatient?

Nurses working in psychiatric settings have high rates of turnover because of unfavorable organizational factors. The problem arises due to low psychiatric nurse-to-patient staffing ratios, heavy workloads, and time constraints among others resulting in burnout and low job satisfaction (Hanrahan, Aiken, McClaine, & Hanlon, 2010).

I-Intervention-The intervention is minimizing burnout among the psychiatric nurses. – be specific as to what intervention you will implement – minimizing burnout is complicated and often multi-faceted

It is necessary to minimize burnout by improving organizational factors in psychiatric healthcare settings (Lukose, & Azeez, 2015). The psychiatric nurses become physically and emotionally exhausted since they deal with mentally ill patients.

C-Comparison-The reference (comparison) would involve consist of psychiatric nurses who do not experience minimized burnout. What may have been meant here is that the comparison group would be the group who will not receive the intervention you will implement – make sure to clarify that intervention too.

Therefore, the effectiveness of using the intervention of minimizing burnout among the psychiatric nurses would be measured by comparing with the reference group.

O –Outcome-The outcome is the lowered turnover among psychiatric nurses. Reducing burnout should decrease the emotional and physical fatigue that psychiatric nurses experience (Chakraborty, Chatterjee, & Chaudhury, 2012). Consequently, their attitudes towards work would be positive and they would continue working in the psychiatric field thus reducing the staff turnover. Comment by Jesusa Franke: This statement makes the outcome parameter confusing. Were you just measuring turnover rates or will you also measure work attitudes? If so what tool/instrument w

Assignment

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Title

Attached Documents

Turnitin Report

Similarity Index

Final Submission

PICOT
Jul 09, 2017 20:53:48

picot_statement.docx

Submit

Submitted 
Jul 09, 2017 20:53:52

Result

Instructor’s Comment

Instructor’s Document

Points

You picked an important topic here. Am glad you chose interventions for decreasing burnout among psych nurses, as there is much impact in improving this aspect of health and nursing. You have earned most points for this assignment. There are some notes I have embedded in your paper for feedback. Please review them and let me know if you have questions.

Graded Renee picot_statement.docx

128/150 (85%)    View Rubrics


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PICOT Statement and Literature Search 

 

1
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2
Less than Satisfactory
75.00%

3
Satisfactory
83.00%

4
Good
94.00%

5
Excellent
100.00%

Points 
Earned

80.0 %Content

 

20.0 %Nursing Practice Problem and PICOT Statement



A nursing practice problem is not clearly described and/or a PICOT statement is not included.


PICOT statement describes a nursing practice problem but lacks reliable sources.

PICOT

Running head: QUALITATIVE RESEARCH 1

QUALITATIVE RESEARCH 2

Rough Draft Qualitative Research

Renee Lucci

Grand Canyon University

NRS-433V

Rough Draft Qualitative Research


Introduction

  The practice problem is nursing turn-over in the psychiatric field. Psychiatric nurses have a high turnover because of lack of job satisfaction caused by various factors. They include burnout, low salary and working with patients with mental challenges among others. Therefore, a qualitative study was selected to explore the practice problem. The paper summarizes the qualitative research and offers a critique of the article. The review includes the method, results, and conclusion of the study as well as the ethical considerations.

Background of Study

The research problem in the article is job satisfaction in the field of inpatient psychiatric care. According to the journal, only a few empirical studies have explored this clinical problem in nursing. The authors of the journal claim the study is significant because job satisfaction is an issue that has an effect on public administration as well as the management. Specifically, low job satisfaction among the psychiatric nurses results in emotional disengagement, low motivation, conflicts and negative patient outcomes (Holmberg, & Sobis, 2017). The article also mentions that nurse turnover leads to staffing imbalances that then causes organizational inefficiencies and production losses. Moreover, the purpose of the research is to establish the factors that affect job satisfaction positively among psychiatric nurses working in inpatient psychiatric clinic. The research question is: What are the factors that enhance the job satisfaction of psychiatric nurses working in an inpatient psychiatric clinic?

The purpose and the research question is connected to the research problem in that they help in determining the elements that are vital in improving job satisfaction in the inpatient psychiatric care, especially among the nurses.

Method of Study

The cross-sectional survey is a qualitative method that the study used to explore the answers required for the research question. Questionnaires were administered to 130 nurses and nurse assistants in a general psychiatric clinic. The questionnaires applied the Herzberg’s Motivation-Hygiene Theory to include hygiene and motivation factors that affect job satisfaction and dissatisfaction (Holmberg, & Sobis, 2017). The nurses used the Likert-type scales to answer their questions. The authors developed the study from the perspective that psychiatric nurses have a lower job satisfaction as compare


Instructor’s Comment

Instructor’s Document

Points

You have great thoughts and I appreciate your interest in the important topic of psychiatric nurse satisfaction. You earned most points for the assignment. Please review the feedback I have included in the attached file.

Graded Renee rough_draft_qualitative_research.docx

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Rough Draft Qualitative Research Critique and Ethical Considerations 

 

1
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0.00%

2
Less than Satisfactory
75.00%

3
Satisfactory
83.00%

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94.00%

5
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Points 
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75.0 %Content

 

15.0 %Background of Study

Background of study including problem, significance to nursing, purpose, objective, and research questions is incomplete.

Background of study including problem, significance to nursing, purpose, objective, and research questions is included but lacks relevant details and explanation.

Background of study including problem, significance to nursing, purpose, objective, and research questions is partially complete and includes some relevant details and explanation.

Background of study including problem, significance to nursing, purpose, objective, and research questions is complete and includes relevant details and explanation.



Background of study including problem, significance to nursing, purpose, objective, and research questions is thorough with substantial relevant details and extensive explanation.


30.00/30

15.0 %Method of Study

Discussion of meth

Running head: QUANTITATIVE CRITIQUE 1

QUANTITATIVE CRITIQUE 2

Quantitative Critique

Renee Lucci

Grand Canyon University

NRS-433V

July 23, 2017


Quantitative Critique

Psychiatric nursing is a field that has numerous challenges, and the common one is high turnover. Nurses working with patients living with mental health issues face various problems. Most are related to handling the patients while others are connected to the management. Therefore, high levels of burnout result in a high turnover of psychiatric nurses. The paper evaluates a quantitative study about how work environment factors lead to psychiatric nurse burnout.

Background of Study

The clinical problem being assessed in the article is the issue of burnout among psychiatric nurses. The research problem is that although general hospitals are currently taking care of large numbers of inpatient mental health patients after deinstitutionalization; there are only a few studies about the quality of inpatient psychiatric environments in U.S. general clinics (Hanrahan, Aiken, McClaine, & Hanlon, 2012). According to the article, the research is significant since nurses are the primary health care professionals serving mental health patients in general hospitals. Therefore, if the psychiatric nurses are working under poor conditions, they will experience burnout thus compromising patient outcomes.

The objective of the research was to examine the influence of inpatient psychiatric environmental factors on burnout among psychiatric nurses. The research question was: What is the relationship between inpatient psychiatric environmental factors and burnout among psychiatric nurses in general hospitals? The research question and the purpose of the study were relevant to the problem because they would examine the causes of burnout among the psychiatric nurses.

Methods of Study

The researchers do not mention the benefits and the risks of participating in the research. However, it seems the nurses volunteered to take part in the study because they responded to the mailed survey questions. The researchers also contacted the University Institutional Review Board before doing the study.

The article has identified the independent and dependent variables. The independent variables in the study are the inpatient psychiatric environmental factors (managers’ skills, nurse-physician relationships, and nursing staff level) while the dependent variable is the level of burnout (emotional fatigue, depersonalization, and low personal achievement) among the psychiatric nurses (Hanrahan, Aiken, McClaine, & Hanlon, 20


Result

Instructor’s Comment

Instructor’s Document

Points

You have great ideas in your paper. It was a pleasure to read your work. Please see my feedback on the attached file. Good work here!

Graded Renee rough_draft_quantitative_critique.docx

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Rough Draft Quantitative Research Critique and Ethical Considerations 

 

1
Unsatisfactory
0.00%

2
Less than Satisfactory
75.00%

3
Satisfactory
83.00%

4
Good
94.00%

5
Excellent
100.00%

Points 
Earned

75.0 %Content

 

15.0 %Background of Study

Background of study including problem, significance to nursing, purpose, objective, and research questions is incomplete.

Background of study including problem, significance to nursing, purpose, objective, and research questions is included but lacks relevant details and explanation.

Background of study including problem, significance to nursing, purpose, objective, and research questions is partially complete and includes some relevant details and explanation.

Background of study including problem, significance to nursing, purpose, objective, and research questions is complete and includes relevant details and explanation.



Background of study including problem, significance to nursing, purpose, objective, and research questions is thorough with substantial relevant details and extensive explanation.


30.00/30

15.0 %Method of Study

Discussion of method of study including discussion of conceptual/theoretical framework is