Assignment: Evidence-Based Project, Part 3: Critical Appraisal of Research

Realtors rely on detailed property appraisals—conducted using appraisal tools—to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers.

Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action.

In this Assignment, you will use an appraisal tool to conduct a critical appraisal of published research. You will then present the results of your efforts.

To Prepare:

  • Reflect on the four peer-reviewed articles you selected in Module 2 and the four systematic reviews (or other filtered high- level evidence) you selected in Module 3.
  • Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.
  • Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.

The Assignment (Evidence-Based Project)

Part 3A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3.

Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module 2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both modules and types of studies are represented.

Part 3B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

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Evaluation Table

Use this document to complete the
evaluation table
requirement of the Module 4 Assessment, Evidence-Based Project, Part 4A: Critical Appraisal of Research

Developing Clinical Inquiry

Student’s Name

Institutional Affiliation

8

Developing Clinical Inquiry

Clinical practices can vary from organization to organization, but they all have a shared mission of enhancing patient care. Nurses, therefore, have to develop clinical inquiry skills to ensure that they are continuously adhering to the organization’s best practices. Often, when nurses shift to the world of the practice, they learn from experienced nurses. As knowledgeable as these professionals are, at times, what they instill may not be a best practice but may very well be a common practice. That being said, nurses can practice their clinical inquiry through quality improvement projects, evidence-based practice, and research (Clinical Inquiry Skills in Nursing, 2020). This paper will evaluate the best ways to avoid medication errors as a clinical issue that can form the basis of clinical inquiry and analyze four scholarly articles related to medication errors.

Part 1; Identifying Research Methodologies

Full APA formatted citation of selected article.

Article #1

Article #2

Article #3

Article #4


Evidence Level *

(I, II, or III)



Conceptual Framework

Describe the theoretical basis for the study (If there is not one mentioned in the article, say that here).**

Design/Method

Describe the design and how the study was carried out (In detail, including inclusion/exclusion criteria).

Sample/Setting

The number and characteristics of

patients, attrition rate, etc.

Major Variables Studied

List and define dependent and independent variables

Measurement

Identify primary statistics used to answer clinical questions (You need to list the actual tests done).

Data Analysis Statistical or

Qualitative findings

(You need to enter the actual numbers determined by the statistical tests or qualitative data).

Findings and Recommendations

General findings and recommendations of the research


Appraisal and Study Quality

Describe the general worth of this research to practice.

What are the strengths and limitations of study?

What are the risks associated with implementation of the suggested practices or processes detailed in the research?

What is the feasibility of use in your practice?

Key findings



Article 1; Gorgich et al. (2016).

Article 2; Whitehair et al. (2014).

Article 3; Simonsen et al. (2014).

Article 4; Izadpanah et al., (2018).

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.

The prime reason for selecting this article is because it analyses various causes of medication errors from nurses’ viewpoints. The study also investigates probable approaches that can be employed to combat this clinical issue (Gorgich et al., 2016). When analyzing a clinical problem, it is imperative to establish the root causes at least or understand the factors facilitating its emergence (Clinical Inquiry Skills in Nursing, 2020). Thus, through their investigations, I can get an in-depth overview of the causes of medication errors.

I chose this scholarly material because one, it investigates prescription errors. Secondly, the article integrates a cross-sectional study of utilizing a prescription medication quiz, which somehow relates to a clinical inquiry strategy (Whitehair et al., 2014). Prescription error is a problem that falls under medication error (Kenawy & Kett, 2019). Thus, by analyzing research evaluating prescription problems, I can further expand my knowledge and highlight possible best practices to improve patient safety.

I selected this article because it

Advanced Levels of Clinical Inquiry and Systematic Reviews

Student’s Name

Instructor’s Name

Institution Affiliation

Date

Medication Errors

Medication errors are the most common life-threatening harms in clinical settings.

Usually, they are broadly defined as errors that occur in;

prescribing

dispensing

and administration of drugs.

They can cause severe injury and possible death to patients.

According to Tariq et al. (2021), 7 000 to 9,000 hospitalized patients die each year due to medication errors in the United States.

They can also cause severe financial, psychological, and emotional stress to healthcare providers and institutions.

Analyzing this clinical issue further may help establish the best practice for avoiding medication mistakes.

Source; Research Gate

Regardless of whether medication errors result in adverse consequences or not, they are the single most preventable causes of patient harm (Gorgich et al., 2016). Some of them occur due to poor prescribing. Insufficient medication knowledge is also often linked to factors that facilitate increased cases of medication errors among hospitalized patients. Unfortunately, nurses are the most blamed individuals for this problem as they are perceived to lack adequate knowledge regarding medication and prescription.

2

PICO(T) Question

The PICO question was developed based on a specific clinical domain; intervention.

Specifically evidence-based technological interventions for reducing medication errors.

The following questions guided the formulation of the PICO(T) question

Who is the patient or the target population in question?

What is the intervention (treatment) in consideration?

What are other evidence-based interventions for medication errors in consideration?

What is the overall objective/outcome/ consequences of the research?

Is there a time period that should be accounted?

Source; Research Guide

The Research Databases

The four selected research databases have proven effective in the past.

They include;

PubMed

Walden Google Scholar

CINAHL (Cumulative Index to Nursing and Allied Health Literature)

Medline

The Selected Peer-Reviewed Articles

The chosen articles were selected based on their research methodology.

They were also picked because of their study focus, ideas, and suggestions.

The articles are;

Izadpanah, F., Nikfar, S., Imcheh, F. B., Amini, M., & Zargaran, M. (2018). Assessment of frequency and causes of medication errors in pediatrics and emergency wards of teaching hospitals affiliated to Tehran University of Medical Sciences (24 Hospita

Surname1

Name: NURS_6052_Module04_Week07_Assignment_Rubric

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Excellent

Good

Fair

Poor

Part 3A: Critical Appraisal of Research Conduct a critical appraisal of the four peer-reviewed articles you selected and analyzed by completing the Critical Appraisal Tool Worksheet Template. Be sure to include: · An Evaluation Table

45 (45%) – 50 (50%)

The critical appraisal accurately and clearly provides a detailed evaluation table. The responses provide a detailed, specific, and accurate evaluation of each of the peer-reviewed articles selected.

40 (40%) – 44 (44%)

The critical appraisal accurately provides an evaluation table. The responses provide an accurate evaluation of each of the peer-reviewed articles selected with some specificity.

35 (35%) – 39 (39%)

The critical appraisal provides an evaluation table that is inaccurate or vague. The responses provide an inaccurate or vague evaluation of each of the peer-reviewed articles selected.

0 (0%) – 34 (34%)

The critical appraisal provides an evaluation table that is inaccurate and vague or is missing.

Part 3B: Evidence-Based Best Practices Based on your appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

32 (32%) – 35 (35%)

The responses accurately and clearly suggest a detailed best practice that is fully aligned to the research reviewed.

The responses accurately and clearly explain in detail the best practice, with sufficient justification of why this represents a best practice in the field. The responses provide a complete, detailed, and specific synthesis of two outside resources reviewed on the best practice explained. The response fully integrates at least two outside resources and two or three course-specific resources that fully support the responses provided.

Accurate, complete, and full APA citations are provided for the research reviewed.

28 (28%) – 31 (31%)

The responses accurately suggest a best practice that is adequately aligned to the research reviewed.

The responses accurately explain the best practice, with adequately justification of why this represents a best pra