Research paper

Published

Can anyone help me figure out what this paper is asking for? We were told to look for a specific case study-I chose a case study on MRSA in a surgical patient, but for the life of me, I can't figure out how to set this up. Any advice on this would be greatly appreciated. These are the guidelines given to us. I need to do really well on this as it is 10% of our final grade. I know the APA guidelines, but the subject matter is what is confusing.

Paper Guidelines:

Purpose:

1. To introduce the nursing student to the use of medical-related electronic databases as a tool for locating best practice standards

2. To research and evaluate published research evidence

3. To value the correlation between valid research findings and improved patient outcomes

Notes:

1. This paper actually focuses on "research utilization" which is a forerunner to EBP 2. There is a specific series of steps/events in EBP:

Step 1. Define and ask the specific clinical question based on the patient population, the intervention of interest, comparison interventions, and outcome.

Step 2. Collect the best evidence by identifying, appraising, and synthesizing studies to answer the specific clinical question.

Step 3. Critically evaluate the evidence for validity and whether benefits outweigh risks for patient care

Step 4. Integrate the evidence with the provider's clinical expertise, the health-care status and preferences of the patient and the health-care resources available in making a clinical practice decision.

Step 5. Evaluate the practice decision

Learning Outcomes

Achievement/Evaluation

1. Review levels of research evidence.

1. Participate in presentation by electronic references librarian.

2. Include "Levels of Evidence" pyramid in portfolio.

2. Explain the useful features of the electronic database CINAHL.

1. Participate in presentation by electronic references librarian.

3. Utilize CINAHL, or other medical- related databases, for researching published data related to a specific clinical topic within levels of research evidence 6 or 7.

1. Paper

4. Evaluate the data to determine value for implementing a clinical practice change.

1. Paper

2. Clinical presentation

Directions:

1. Select a topic from the attached list. As the topics are "broad" you may "narrow" your topic as necessary. Focus on nursing and the peri-operative patient.

2. Research the selected topic within CINAHL, or other electronic database, for best practice guidelines.

3. Summarize your findings in the form of a recommendation for modifying standards of practice with the goal of improving patient outcomes.

4. Cite references using APA format.

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Hi Shayboo; I don't know if it is too late to respond, but here is my suggestion: The main deal for a research paper is to find reliable sources, CINHAL is great, so it is medline or CDC sites. In your textbook look for cases similar to your topic. You may use some cases from your clincal rotation applicable to the topic. Make the correlation with your (EBP) research and you can write your paper. I have received help from allnurses, and I would like to contribute a little bit. I hope it helps.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

Ok it sounds like a PICO/T type paper

What is a PICOT Question?

The PICOT question format is a consistent "formula" for developing answerable, researchable questions. Writing these questions is deceptively simple! When you write a good one though it makes the rest of the process of finding and evaluating evidence much more straightforward.

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

I: Intervention or Variable of Interest (exposure to a disease, risk behavior, prognostic factor)

C: Comparison: (could be a placebo or "business as usual" as in no disease, absence of risk factor, Prognostic factor B )

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

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).

You need to develop a question that will be answered

For an intervention/therapy:

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

For etiology:

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

Diagnosis or diagnostic test:

Are (is) _________ (I) more accurate in diagnosing ________ (P) compared with ______ © for _______ (O)?

Prevention:

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

Prognosis/Predictions

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

Meaning

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

So you need to narrow your topic.

The AHRQ...Agency for Healthcare Research and Quality (AHRQ) has MANY resources available to you online. Topic: Methicillin-Resistant Staphylococcus aureus (MRSA) | Agency for Healthcare Research & Quality (AHRQ)

For example "Screening for MRSA" http://www.effectivehealthcare.ahrq.gov/ehc/products/228/1550/MRSA-screening-report-130617.pdf

They list conditions in alphabetical order...Evidence-based Practice Center Reports Topic Index: A-Z | Agency for Healthcare Research & Quality (AHRQ)

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

Screening for Methicillin-Resistant Staphylococcus Aureus (MRSA) http://effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-reports/?productid=1551&pageaction=displayproduct

medscape is another valuable resource...

http://www.medscape.com/viewarticle/755905

http://www.medscape.com/viewarticle/537204

http://www.medscape.org/viewarticle/571251

and best of all FREE!

Is this what you are looking for?

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Thanks for the help everyone-I have a few weeks before it is due so no help is too late :cool:-I appreciate all the responses so far!

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