Instructions for Completing Your Assignment

Step one: Using the topic you chose for Module 2 Searching for a Quantitative Nursing article, identify a nursing clinical practice question that you would like to explore.

Step two: Complete the readings from Module Four. Use the readings from Module Four to put your nursing clinical practice question into a PICO format.

Step three: Search for a nursing quantitative research article (or two) that relates to your PICO question using Academic Search Complete, CINHAL, Pubmed, Google Scholar, or any other database that contains nursing research articles. Please note: you may be able to use the article that you submitted in Module Two to meet this requirement.

- The article you will find must meet the following mandatory requirements:
  - It must be based on the topic list attached here.
  - It must be from a nursing research journal or have a nurse as an author.
  - It must be no more than 5 years old from the current publication year.
  - It must include implications and / or interventions that are applicable to nursing practice.
  - It may not be a qualitative article, systematic review, meta-synthesis, meta-analysis, meta-summary, integrative review or a retrospective / quality improvement study. For more information on how to recognize these types of article see Grove, Gray, and Burns (2015) pp. 22-24.
  - It may not be a clinical information article or “how-to” article.

More to Read:

Developing PICO(T) Questions

Step four: If you have questions about your PICO question formatting or the nursing quantitative research article that you found, post them to the Q & A discussion board for feedback from your peers.

Self-check: if you choose the wrong type of nursing quantitative research article for your paper (the one that you will be using to write paragraph 2, 3, 4, & 5) the best grade you could make is a 55. Yikes!!! Please make sure that you have selected a nursing quantitative research article that meets the criteria for this assignment and ask for help if you are not sure. Please note: you may be able to use the article that you submitted in Module Two to meet this requirement.

Step Five: Collecting More Evidence (Do the research)
- Find a resource published within the past 5 years that provides you with at least two facts (ex. costs, morbidity, mortality, safety, or other related statistics) for why your clinical problem is important (provide statistics). (The internet is a great place to get this information…just don’t forget to cite this information and add it to your reference page).
- Find a clinical practice guideline at http://www.guideline.gov/browse/by-topic.aspx that relates to your question. It must have information that relates to the role of the nurse. Guideline is the most recent version or published within the past five years. (It is true that guidelines are not always updated within 5 years so you will need to discuss this.)
- Find a clinical “how-to” article, a nursing professional practice website, a systematic literature review, a meta-analysis, or a manufacturer’s website published within the past 5 years that relates to your practice question.
- Hint: Did you notice that you will be finding a total of four different sources of information for your PICO question? To re-cap, these four sources are:

- - - Statistics you are reporting in paragraph one.
    - Nursing quantitative research article for paragraphs 2, 3, 4, and 5.
    - Clinical Practice Guideline (paragraph 6)
    - A source of your choosing (paragraph 7)

Step Six: Write up your findings in APA format and submit them to Blackboard by the due date and time listed in your syllabus. Here’s how to write up your findings:
- Start with a UTA CONHI approved cover page.
- Paragraph #1: This is your opening paragraph. Start with an introduction statement. What is your PICO question? Describe why was it important (share the dollars, morbidity / mortality, statistics, safety stats you found with citation)?
- Paragraph #2: What did your nursing quantitative research article add to your knowledge on this topic? Share at least three facts (two must be from the Results or Discussion sections) that you found within the article in this paragraph that is relevant to your PICO question and your practice as a nurse.
- Paragraph #3: Define reliability as it is used in your textbook. Critique the reliability of the nursing quantitative research article you used. Go back to what you learned in your article critique about measurement methods and data collection in Module 3 to make sure you are being thorough in your assessment. Use Table 10-1 in your textbook to identify the type of reliability for your measurement instrument / tool. Be specific, so that your instructor, if reading the article, can find them too.
- Paragraph #4: Define validity as it is used in your textbook. Critique the validity of the nursing quantitative research article you used. Go back to what you learned in your article critique about measurement methods, and data collection to make sure you are being thorough in your assessment. Use Table 10-1 in your textbook to identify the type of validity for your measurement instrument / tool. Be specific, so that your instructor, if reading the article, can find them too.
- Paragraph #5: Using the skills you have learned in your critique of a research article, describe two strengths or two weaknesses (or one strength and one weakness) that you found as you read this article. Go back to what you learned in your article critique about sampling methods, measurement methods (ex. questionnaires), and data collection (how did they collect the data to make sure you are being thorough in your assessment. Be specific, so that your instructor, if reading the article, can find them too. Do not re-state the limitations provided by the authors of your study unless they have to do with the study’s sampling, measurement methods, or data collection. Do not discuss the descriptive or inferential statistics used by the authors as a strength or weakness of the study, as this is not related to with the study’s sampling, measurement methods, or data collection.
- Paragraph #6: What is the name and website of the clinical practice guideline that you found? Share at least three facts that you found within the guideline that is relevant to the PICO question and your practice as a BSN nurse and cite the guideline appropriately.
- Paragraph #7: Identify the fourth resource you found (clinical “how-to” article, a nursing professional practice website, a systematic literature review, a meta-analysis, or a manufacturer’s website) that relates to your practice question. Share at least three facts that you found within this source that is relevant to the PICO question and your practice as a nurse, and cite appropriately.
- Paragraph #8 (and #9 if needed): re-state your PICO question and briefly summarize what you have learned through your search. What would you recommend, if anything, as a change in practice for nurses? Why? Remember, this is your closing paragraph(s).
- Note to students about writing up your findings:
This is a formal APA paper. Look at the Rubric for more APA information for this paper.
Don’t forget to use your APA resources that were reviewed in Module Two!
Don’t forget to use the Module Four discussion board for additional questions about your paper.
Turn your paper (as a word document) and article (in pdf format) that you used for paragraphs 2, 3, 4, & 5 in to the assignment submission link in Module Four at the due date and time listed in your syllabus.
Possible points for this assignment: 100 points

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First, identify each element of your PICO on the line below, then take a look at the templates below to help you formulate a PICO(T) question.

P: Population/disease ( i.e. age, gender, ethnicity, with a certain disorder)

P: ____________________________________________________________________

I: Intervention or Variable of Interest (exposure to a disease, risk behavior, prognostic factor) Note: Not every question will have an intervention (as in a meaning question – see below).

I: ____________________________________________________________________

C: Comparison: (could be a placebo or “business as usual” as in no disease, absence of risk factor). Note: This is not used in a meaning question – see below.

C: ____________________________________________________________________

O: Outcome: (risk of disease, accuracy of a diagnosis, rate of occurrence of adverse outcome)

O: ____________________________________________________________________

T: Time: The time it takes to demonstrate an outcome (e.g. the time it takes for the intervention to achieve an outcome or how long participants are observed). This is an optional “add-on” for a PICO question.

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For PICO questions about a nursing intervention/therapy:

In _______(P), what is the effect of _______(I) on ______(O) compared with _______(C) within ________ (T)?

For PICO etiology questions:

Are ____ (P) who have _______ (I) at ___ (increased/decreased) risk for/of_______ (O) compared with ______ (P) with/without ______ (C) over _____ (T)?

For PICO questions involving prevention:

For ________ (P) does the use of ______ (I) reduce the future risk of ________ (O) compared with _________ (C)?

For PICO questions that predict:

Does __________ (I) influence ________ (O) in patients who have _______ (P) over ______ (T)?

For PICO questions that want to know more about the meaning of…..

How do ________ (P) diagnosed with _______ (I) perceive ______ (O) during _____ (T)?