Please, refer to instructions in word doc 

Instructions:  Using the discussion and decisions your group has made during the Module 4 discussion board, write and submit a draft of the following portions of your final paper.  I suggest that you spread out the work among your team members or rotate the responsibility for each week. 

A weekly drafts example is attached.  Module 4 DB/Module 5 Draft sample paragraphs are highlighted in yellow; Module 5 DB/Module 6 Draft sample paragraphs are highlighted in green; and Module 6 DB sample paragraphs are highlighted in blue (you will not submit a draft for the Module 6 DB work). 

Of course, the synopsis portion will be specific to your article, and the appraisal portion should include application of all concepts relevant to your article.

  Write a study synopsis that includes these main points.

· what known and not known about the topic and what gap in knowledge this study intends to fill

· research design and setting

· sample

· sampling method

· number of subjects

· inclusion/exclusion criteria

· attrition, loss to follow up, or response rate (if any)

· important characteristics of the sample

 Appraise the article in narrative format by answering the following questions.

· What are the strengths and weaknesses of the sampling method, as applied to this study?  Give a rationale for your claims.

· Be sure to consider the inclusion/exclusion criteria, if any, and extraneous variables that the criteria control for.

Note: References cited not older than 2018



Psychological Intervention of Nurses

Institution Affiliation


1. It is clear that percutaneous coronary interference is connected to the rising risk of post-sequential distress and depression. On the other hand, it is not clear whether the intervention of nurses psychologically lowers uneasiness and depression and enhances the value of life after percutaneous coronary intervention. The gap that the study intends to fill is that related to care which should be provided to those in the rural areas.

The design used in this research is a randomized control trial; its setting is rural and remote areas in China. The purpose of the study is to determine whether the nurse-led psychological intervention has an impact on anxiety, depression, and quality of life through coronary intervention via the skin.

The sample size was eighty patients who are then divided into two halves where one would be the control group and the other one the intervention group. The method used on the control group was pre-procedure data from a nurse who educated them on the process of being hospitalized, percutaneous coronary interference, and post-sequential care. On the other hand, the intervention group received structured counseling for thirty minutes from nurse consultants qualified in psychological therapy and counseling a day before and twenty-four hours after coronary intervention. Follow-ups are done after three months.

The sample included participants who had been selected from a single medical Centre in rural and remote areas in China from January to December 2014. It is to say that the recruitment process was done for 12months. Inclusion criteria included those patients between the age of eighteen years and above. Exclusion criteria included those who are not able to provide an informed opinion in written form, those who are not able to involve themselves in continuous follow-ups at the hospital clinics (Patino & Ferreira, 2018). Patients with a history of psychological disorders or mental illness were also excluded. Those with a history of chronic diseases such as heart failure were also excluded. Participants were arranged randomly to ensure no difference statistically in age, sex, clinical data recorded on the baseline, and disease status between the two scores in terms of health.

2. The sampling method was simple random where participants are recruited from a single medical center by chance and this is a better way to reduce bias and prejudice in research and other studies (Plourde & Congalton, 2003). The inclusion criteria also reduced bias by ensuring anyone above the age of eighteen years is included in the sample and not patients of a

124 | Aust. J. Rural Health. 2020;28:124–131.© 2020 National Rural Health Alliance Ltd.

Received: 18 December 2018 | Revised: 16 April 2019 | Accepted: 30 September 2019
DOI: 10.1111/ajr.12587


Nurse-led psychological intervention reduces anxiety symptoms
and improves quality of life following percutaneous coronary
intervention for stable coronary artery disease

Zongxia Chang RN1 | Ai-qing Guo RN1 | Ai-xia Zhou RN1 | Tong-Wen Sun PhD2 |
Long-le Ma MD2 | Fergus W. Gardiner PhD3,4 | Le-xin Wang PhD1,5

1Department of Cardiology and Nursing,
Liaocheng People’s Hospital, Liaocheng
City, China
2Henan Key Laboratory of Critical Care
Medicine, Department of General ICU,
The First Affiliated Hospital of Zhengzhou
University, Zhengzhou, China
3The Royal Flying Doctor Service,
Canberra, ACT, Australia
4The Australian National University,
Canberra, ACT, Australia
5School of Biomedical Sciences, Charles
Sturt University, Wagga Wagga, NSW,

Professor Le-xin Wang, Department of
Cardiology, Liaocheng People’s Hospital,
Liaocheng City, Shandong 252000, China.
Email: [email protected]

Objective: To study the effect of nurse-led counselling on the anxiety symptoms and
the quality of life following percutaneous coronary intervention for stable coronary
artery disease.
Design: Randomised control trial.
Setting: Rural and remote China.
Participants: Rural and remote patients were consecutively recruited from a medical
centre located in China between January and December 2014.
Interventions: The control group received standard pre-procedure information from a
ward nurse on the processes of the hospitalisation and percutaneous coronary intervention,
and post-procedural care. The intervention group received a structured 30-minute coun-
selling session the day before and 24 hours after the percutaneous coronary intervention,
by nurse consultants with qualifications in psychological therapies and counselling. The
health outcomes were assessed by a SF-12 scale and the Seattle Angina Questionnaire at
6 and 12 months after percutaneous coronary intervention. The anxiety and depression
symptoms were evaluated by a Zung anxiety and depression questionnaire.
Main outcome measures: Cardiac outcomes, quality of life and mental health status.
Results: Eighty patients were randomly divided into control (n = 40) and interven-
tion groups (n  =  40). There was a significant increase in the scores of the three
domains of Seattle Angina Questionnaire 12 months after percutaneous coronary in-
tervention in the intervention group (P < .01). The mental health and physical health
scores also increased (P < .01). In the control gro


Quantitative Synopsis and Appraisal

Studentfirstname Studentlastname, Studentfirstname Studentlastname, Studentfirstname

Studentlastname, Studentfirstname Studentlastname

College of Nursing, Resurrection University

NUR4440: Research in Nursing

Professor Carina Piccinini

February 14, 2020


Quantitative Appraisal and Synopsis

The purpose of this paper is to summarize and appraise a research study testing the use of

disinfectant caps on intravenous (IV lines) to reduce the rate of hospital associated bloodstream

infections (BSI). The Centers for Disease Control and Prevention (CDC, 2019) reports that

central line associated bloodstream infections (CLABSI) remain a major concern in hospital

settings causing fatalities, increased length of stay, and increased costs. The CDC (2019)

recommends proper maintenance of intravenous lines to reduce the risk of infection. Current

research is still looking to define what proper maintenance should be, including whether

disinfectant caps influence rates of infection for intravenous (IV) lines.

Summary of the Study

The CDC recommends that healthcare workers disinfect all needleless connectors for

peripheral and central IVs prior to connection to reduce the risk of CLABSIs without further

recommendation on the type or length of disinfections. The authors of this study note other

studies have tested disinfecting caps and sought to confirm those results.

Merrill et al. (2014) conducted a quasi-experimental study to identify if disinfectant caps

reduce CLABSI incidence and the relationship between nursing compliance with the caps and

CLABSI rates. This study was held in a single Trauma 1 hospital with 430 beds in the United


The researchers obtained their sample through nonrandom convenience sampling by

including all patients meeting inclusion criteria at the hospital starting January 2012. Participants

were included if they had a central or peripheral intravenous line, of any age, and were admitted

to 13 specific hospital floors. Subjects were excluded if they were on the following floors:

emergency department; labor, delivery or post-partum; ambulatory care, surgical services; and


well-baby nursery. The study did not report any demographic information about participants, the

number of participants, or attrition or loss to follow up.

The intervention involved applying a Curos brand disinfectant cap to all ports on