Advanced Levels Of Clinical Inquiry
Advanced Levels Of Clinical Inquiry And Systematic Reviews
Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?
In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.
- Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
- Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.
- Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.
- Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.
The Assignment (Evidence-Based Project)
Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews
Create a 6- to 7-slide PowerPoint presentation in which you do the following:
- Identify and briefly describe your chosen clinical issue of interest.
- Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
- Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
- Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
- Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.
Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews Create a 6- to 7-slide PowerPoint presentation in which you do the following: · Identify and briefly describe your chosen clinical issue of interest. · Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest. · Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected. · Provide APA citations of the four peer-reviewed articles you selected. · Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.–
Excellent 81 (81%) – 90 (90%)Good 72 (72%) – 80 (80%)Fair 63 (63%) – 71 (71%)Poor 0 (0%) – 62 (62%)
Written Expression and Formatting—Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided, which delineates all required criteria.–
Excellent 5 (5%) – 5 (5%)Good 4 (4%) – 4 (4%)Fair 3.5 (3.5%) – 3.5 (3.5%)Poor 0 (0%) – 3 (3%)
Written Expression and Formatting—English Writing Standards:
Correct grammar, mechanics, and proper punctuation.–
Excellent 5 (5%) – 5 (5%)Good 4 (4%) – 4 (4%)Fair 3.5 (3.5%) – 3.5 (3.5%)Poor 0 (0%) – 3 (3%)Total Points: 100
|Full citation of selected article||Article #1||Article #2||Article #3||Article #4|
|Rickert, J. (2019). On Patient Safety: The Importance of Vaccinations-Avoiding the Mistakes of the Past. Clinical Orthopaedics and Related Research, 477(1), 28–30. https://doi.org/10.1097/CORR.0000000000000585
||Lee, P. (2016). Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture. BMC Health Services Research, 16(1), 254–254. https://doi.org/10.1186/s12913-016-1502-7
||Baines, L. (2015). How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over time. BMJ Quality & Safety, 24(9), 561–. https://doi.org/10.1136/bmjqs-2014-003702
||Lawton, R., O’Hara, J. K., Sheard, L., Armitage, G., Cocks, K., Buckley, H., … & Watt, I. (2017). Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention. BMJ quality & safety. 2017; 26 (8): 622-31.
|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)||The peer-reviewed article is relevant to the clinical issue in question. The peer-reviewed article researches the role of immunization in promoting patient safety. It follows healthcare ethics guidelines.
||The peer-reviewed article is related to patient safety indicating why I chose it. It indicates how a safety culture and practices and clinical handoffs affect patient safety. Since the peer-reviewed article is relevant to the clinical practice and it gets data from a healthcare institution, it follows the ethics of healthcare research.||I choose the peer-reviewed articles as it investigates whether the patient initiatives implemented by healthcare facilities are effective. The research follows the ethics of healthcare research.
||The peer-reviewed article is related to patient safety as it evaluated how patient safety may be promoted. I chose it as it actively investigates patient safety. Ethics of research were followed as the patients used in the research gave consent
|Brief description of the aims of the research of each peer-reviewed article||The study aims to identify how patient safety among children may be promoted by encouraging immunization of small children
||The peer-reviewed article investigates how a safety culture and practices and clinical handoffs affect patient safety in healthcare facilities
||The peer-reviewed article aims at finding out whether patient safety initiatives are effective in promoting patient safety in hospitals. It also seeks to identify whether patient safety in a healthcare facility increases over time.
||The peer-reviewed article aimed to investigate the effectiveness of patient reporting and action in the promotion of patient safety in healthcare facilities
|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.||The research uses mixed-methods. That is because it uses both qualitative and quantitative research methodologies. Qualitative research methods are used to identify the benefits of immunization whereas quantitative research methods are used to identify the trends in immunization of children in the US.
||The study uses qualitative analysis. The data used in the study is collected from the Agency for Healthcare Research and Quality.
||The study uses quantitative research methods. That is because 15,997 patient admissions were included in the study. The admissions were used to identify whether the patient safety initiatives implemented in the hospitals in the study were effective.
||The peer-reviewed article used qualitative research methods. That is because the patients were given questionnaires to answer. They were also given proforma to report both safety concerns and positive experiences.
|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 study relies on statistical data that had been collected from the year 2001. That indicates that the study has a clear trend that is identified by the data. Since the data is continuous for a long period, it is reliable and valid.||The study used is from an official website. That indicates that the data used is reliable and valid as it is official data Thus, it can be used to come up with an appropriate conclusion and recommendation.
||The data that is used in the research is reliable and valid. That is because it is collected from the recorded information about patient admission in several healthcare facilities. Therefore, it can be used to come up with the right conclusions and thus, recommendations.||The research methods used have contributed to a strong statistical power of the study due to the correction of primary data. That promoted the reliability and validity of the study.|
|General Notes/Comments||Immunization helps in promoting patient safety among children. Through immunization, children are protected from various diseases.||To attain patient safety, healthcare practitioners have to hand over the information, accountability, and responsibilities effectively. That ensures the continuity of the provision of patient care in a healthcare facility.|