Revise The PICOT Question You Wrote In The Topic 1 Assignment Using The Feedback You Received From Your Instructor.

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.

PICOT Question

Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.

The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

General Requirements

Prepare this assignment according to the APA guidelines found in the APA Style Guide

cid:[email protected]

Research Critiques and PICOT Question Guidelines – Final Draft

Use this document to organize the content from your four studies into your final draft.

Quantitative and Quantitative Studies

Background

1. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.

How do these two articles support the nurse practice issue you chose?

1. Discuss how these articles will be used to answer your PICOT question.

2. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.

Method of Study:

1. State the methods of the articles you are comparing and describe how they are different.

2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.

Results of Study

1. Summarize the key findings of each of the studies into a comprehensive summary.

2. What are the implications of the four studies you chose in nursing practice?

Ethical Considerations

1. Discuss two ethical consideration in conducting research.

2. Describe how the researchers in the four articles you choose took these ethical considerations into account while performing their research.

Outcomes Comparison

1. What are the anticipated outcomes for your PICOT question?

2. How do the outcomes of the four articles you chose compare to your anticipated outcomes?

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Literature Evaluation Table

Student Name: Ujunwa

Summary of Clinical Issue (200-250 words):You are missing your summary of clinical issues. This may impact grading as many of the aspects relate back to this (three of the first four items in the grading rubric).

PICOT Question: what are the effects of nurses working long hours have on the patient outcome and nurses’ productivity? You are missing your PICOT question. This may impact grading as many aspects relate back to this (three of the first four items in the grading rubric).

Criteria

Article 1

Article 2

Article 3

APA-Formatted Article Citation with Permalink

Where are your permalinks that link to your references?

Nantsupawat, A., Nantsupawat, R., Kunaviktikul, W., Turale, S., &Poghosyan, L. (2016). Nurse burnout, nurse‐reported quality of care, and patient outcomes in Thai hospitals. Journal of Nursing Scholarship, 48(1), 83-90.

Stimpfel, A. W., Fatehi, F., &Kovner, C. (2020). Nurses’ sleep, work hours, and patient care quality, and safety. Sleep Health, 6(3), 314-320.

Kunaviktikul, W., Wichaikhum, O., Nantsupawat, A., Nantsupawat, R., Chontawan, R., Klunklin, A. …&Akkadechanunt, T. (2015). Nurses’ extended work hours: patient, nurse, and organizational outcomes. International nursing review, 62(3), 386-393.

How Does the Article Relate to the PICOT Question?

Without the inclusion of an actual PICOT or clinical issue there is no way to verify or validate this information.

RN burnout and patient outcome.

Nurses’ work hours and patient care quality and safety.

Examines the effects of extended working hours on patient, nurse, and organization.

Quantitative, Qualitative(How do you know?)

Quantitative-questionnaires filled/used logistic regression models.

Quantitative-included large no. of subjects.

Quantitative-subjects filled questionnaires.

Purpose Statement

To investigate the effect of nurse burnout on care quality and patient outcomes and adverse events.

Determine the association between RN sleep length and patient care quality and safety.

To assess the relationship between nurses’ extended work hours to nurse, patient, and organization.

Research Question

Do nurse burnouts affect care quality and patient outcomes?

Do RN sleep hours affect the patient’s care safety and quality?

Do working long hours affect patient, nurse, and organization’s outcome?

Outcome

Medical errors, poor patient outcomes, and infections. What about them? You need to be specific.

Correlation between short sleep hours and low care quality.

Positive correlation between nurses’ work hours with patient outcomes. Negative correlation between extended work hours nurse and organization’s productivity.

Setting

(Where did the study take place?)

Thailand.

Healthcare and Community settings across USA.

Thailand

Sample

2084-RN.

1568-RN

1524-RN.

Method

Cross-sectional analysis.

Observational retrospective.

Quantitative

Key Findings of the Study You need to discuss the specific numerical data and statistical analyses discussed in your quantitative studies and the interview themes from your qualitative studies (you did not have any of those here).

Medical errors, infections, poor patient outcomes, emotional exhaustion.

Short sleep hours-low care quality.

Medical errors reduced nurses’ and organization’s productivity.

Recommendations of the Researcher

Every research article has recommendations.

Not given.

Not given.

Not given.

Criteria

Article 4

Article 5

Article 6

APA-Formatted Article Citation with Permalink

Giorgi, F., Mattei, A., Notarnicola, I., Petrucci, C., & Lancia, L. (2018). Can sleep quality and burnout affect the job performance of shift‐work nurses? A hospital cross‐sectional study. Journal of advanced nursing, 74(3), 698-708.

Copanitsanou, P., Fotos, N., &Brokalaki, H. (2017). Effects of work environment on patient and nurse outcomes. British Journal of Nursing, 26(3), 172-176.

This is a systematic review and not a research article (please go back and reference my announcements and week 1 highlights).

Park, E., Lee, H. Y., & Park, C. S. Y. (2018). Association between sleep quality and nurse productivity among Korean clinical nurses. Journal of nursing management, 26(8), 1051-1058.

How Does the Article Relate to the PICOT Question?

Effects of Sleep quality/burnout on RN productivity.

Nurse work environment and patient outcome.

Sleep quality and nurse productivity.

Quantitative, Qualitative(How do you know?)

Quantitative-logistics regression used.

Qualitative-literature search.

Quantitative-examining relationship between several variables.

Purpose Statement

Examine relationship between less sleep, burnout, and RN-productivity.

Find out the effects of RN work environment on patient outcomes.

To determine the relationship between sleep quality and nurse productivity.

Research Question

Do sleep issues relate to RN burnout and productivity?

What are the impacts of RN work environment on patient outcomes?

Do sleep quality related to nurse productivity?

Outcome

Positive correlation of what?

Good RN work environment-positive patient outcome.

Good RN work environment-RN job satisfaction.

High poor nurse productivity-related with high low sleep quality.

Setting

(Where did the study take place?)

Central Italian Hospitals.

Not given.

South Korea.

Sample

315-RN

Ten literature.

188-RN.

Method

Pittsburgh Sleep Quality Index, multivariate logistics regression, Copenhagen Burnout Inventory.

This is not the study methodology but instead the tool that was used and how it was evaluated.

Literature search.

Cross-sectional survey.

Key Findings of the Study

Impaired sleep quality-dysfunction/burnout.

Work environment affects patient outcomes.

Poor sleep quality-low nurse productivity.

Recommendations of the Researcher

Not provided.

Not provided.

Not given.

Where is your reference page? Please do not hesitate to reach out with questions or concerns if you do not understand the assignment or something is unclear. You will need to find two qualitative articles for the qualitative assignment.

5

discuss two separate health issues relevant to the LGBT communities