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Topic of interest: Nurses Shortage

PICOT QUESTIONS

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 P (population or problem: nurses shortage

 I (intervention): promoting career development

 C (comparison): offering incentives

 O (outcome): solve nurses shortage

 T (time frame): before 203

Assignment: Evidence-Based Project, Part 4: Recommending an Evidence-Based Practice Change

The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.

In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.

Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.

Consider the best method of disseminating the results of your presentation to an audience.

The Assignment: (Evidence-Based Project)

Part 4: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:

Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)

Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.

Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.

Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.

Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.

Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.

Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.

Add a lessons learned section that includes the following:

A summary of the critical appraisal of the peer-reviewed articles you previously submitted

An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

Evaluation Table

Use this document to complete the evaluation table requirement of the Module 4 Assessment, Evidence-Based Project, Part 4A: Critical Appraisal of Research

Full APA formatted citation of selected article.

Article #1 Article #2 Article #3 Article #4 Hallgren, K. A., Jordan, J. T., Gazzaley, A., Atkins, D. C., Heagerty, P. J., & Anguera, J. A. (2016). The use and effectiveness of mobile apps for depression: results from a fully remote clinical trial. Journal of medical Internet research, 18(12), e330.

Marshall, J. M., Dunstan, D. A., & Bartik, W. (2020). Effectiveness of Using Mental Health Mobile Apps as Digital Antidepressants for Reducing Anxiety and Depression: Protocol for a Multiple Baseline Across-Individuals Design. JMIR research protocols, 9(7), e17159.

Jarrar, M. T., Rahman, H. A., Minai, M. S., AbuMadini, M. S., & Larbi, M. (2018). The function of patient‐ centered care in mitigating the effect of nursing shortage on the outcomes of care. The International journal of health planning and management, 33(2), e464-e473.

Marć, M., Bartosiewicz, A., Burzyńska, J., Chmiel, Z., & Januszewicz, P. (2019). A nursing shortage–a prospect of global and local policies. International nursing review, 66(1), 9-16.

© 2018 Laureate Education Inc. 1

Critical Appraisal Tool Worksheet TemplateLinda Johansonitalics for journals

0

Evidence Level * (I, II, or III)

It has an effective level of II with diverse consequences.

It has a viable degree of III with different results.

It has a feasible level of III with various outcomes.

It has a possible degree of I with different results.

Conceptual Framework

Describe the theoretical basis for the study (If there is no one mentioned in the article, say that here).**

The basic framework of the study depicts the necessity of mobile applications that reduces depression. There is an authentic proposition to reduce mental stress and induce stress therapy.

The essential system of study portrays the need for versatile applications that decreases the downturn. There is a valid relational word to lessen mental pressure and incite pressure treatment.

The fundamental arrangement of nurse shortage depicts the need for adaptable procedures that diminishes the time. There is a substantial social connection to restrain patient strain and instigate pressure treatment.

The key course of action of attendant lack portrays the need for a versatile methodology that decreases the time. There is a significant social association with control patient strain and affect pressure treatment.

Design/Method

Describe the design and how the study was carried out (In detail, including inclusion/exclusion criteria).

Collecting the data and induce the designed methods with control inspection. Technology with captivating accessories has gathered the mobile application process.

Innovation with enrapturing frill has assembled the portable application measure. Gathering the information and prompt the planned techniques with control investigation.

Nurses over the globe have the data of brief arranged strategies with control examination. Development with delighting lace has collected the convenient nurse shortage measure.

Medical attendants over the globe have the information of brief masterminded procedures with control assessment. Improvement with charming ribbon has gathered the advantageous attendant lack measure.

© 2018 Laureate Education Inc. 2Linda Johansonidentify the research designLinda Johansonthe aim is a little different than framework

Sample/Setting

The number and characteristics of patients, attrition rate, etc.

The characteristics have designed the pattern with cumulative attrition rate. Young patients are qualified with excessive use of the mobile application.

The clinical mediations are joined with fewer factors with particular reliant and free factors. Every one of them is used to survey non-clinical utilization of use and clinical utilization of use.

The characteristics have arranged the model with the absolute debilitating rate in nurse shortage. Energetic patients are qualified with unreasonable use of the adaptable application.

The attributes have orchestrated the model with an outright weakening rate in nurture deficiency. Fiery patients are qualified with nonsensical utilization of the versatile application.

Major Variables Studied

List and define dependent and independent variables

The clinical interventions are incorporated with fewer variables with distinctive dependent and independent factors. Each of them is utilized to assess the non- medical use of the application and medical use of the application.

The qualities have planned the example with total weakening rate. Youthful patients are qualified with inordinate utilization of the versatile application. The clinical interventions are operated with other variables.

The clinical intercessions are gotten together with low factors viability with specific dependent and free factors. All of it is utilized to review non- clinical usage of utilization and clinical use of utilization. The use of utilization gives fundamental information of nurse shortage.

The utilization of use gives key data of medical caretaker deficiency.

Clinical assessment of patient organized points of view to confine the components that can be considered.

Measurement

Identify primary statistics used to answer clinical questions (You

The use of applications provides basic information on depression.

The utilization of statistical data gives an essential approach to anxiety.

Clinical examination of patient arranged perspectives to restrict the elements that can be

The clinical mediations are gotten along with low factors practicality with

© 2018 Laureate Education Inc. 3Linda Johansonwhich is DV/ IV?

need to list the actual tests done).

Clinical assessment of patient-oriented aspects to restrain the variables that can be studied. Statistical stratifications of the mobile and online application system. Server-operated artificial intelligence.

Measurable delineations of a versatile and online application framework.

Clinical appraisal of patient situated viewpoints to limit the factors that can be considered. Server worked man-made brainpower.

thought of. Quantifiable outlines of adaptable and nurse shortage program.

Server worked man- made intellectual ability to focus over nurse shortage.

explicit reliant and free factors. Every last bit of it is used to audit non-clinical use of use and clinical utilization of usage.

Data Analysis Statistical or Qualitative findings

(You need to enter the actual numbers determined by the statistical tests or qualitative data).

Data analysis is the statistical approach for scientific findings and procedures. 4 tests were conducted to find the probability ratio between two populations of 3 variables.

3tests were led to discover the likelihood proportion between two populaces of 2 factors.

The data assessment is the authentic approach for coherent disclosures and procedures.

4 tests were directed to find the probability extent between two masses of 3 components.

4 tests were coordinated to discover the likelihood degree between two masses of 3 parts.

The examination over adaptable application approach requires the clinical mediations with proposed development and assent. It gives the passionate thoughts in the center around nursing of

© 2018 Laureate Education Inc. 4Linda Johansonidentify the tests

accommodation clinics.

Findings and Recommendations

General findings and recommendations of the research

The research over mobile application procedures requires clinical interventions with recommended forms and consent. It gives qualitative recommendations in study tools of the mobile application.

The information examination is the factual methodology for logical discoveries and techniques. All the findings recruited better digital plans in application development.

The investigation over flexible application approach requires the clinical interventions with proposed construction and consent. It gives the emotional ideas in focus on nursing of convenience hospitals.

The utilization of use gives key data of medical caretaker deficiency.

Clinical assessment of patient organized points of view to confine the components that can be considered.

Quantifiable frameworks of versatile and attendant lack program.

Appraisal and Study Quality

Describe the general worth of this research to practice.

What are the strengths and limitations of the study?

What are the risks associated with

This practice induces more applications for depression and anxiety- related factors. Strengths of this study allocate the basic framework of patient coping with depression. The long run of these interventions requires

The exploration over versatile application methodology requires clinical intercessions with suggested structure and assent. It gives subjective suggestions in the concentrate on devices of the portable application. Patient with melancholy

This preparation incites more applications for misery and apprehension-related components.

Characteristics of this survey disperse the fundamental arrangement of patient

Server worked man- made scholarly capacity to concentrate over nurture deficiency.

The information evaluation is the credible methodology

© 2018 Laureate Education Inc. 5Linda Johansonsupply actual statistical findings

the implementation of the suggested practices or processes detailed in the research?

What is the feasibility of use in your practice?

personal assessment for social and cultural programs with a less ethical approach.

and uneasiness associates with the usage of versatile application has decreased the downturn with mental pressure.

The handcraft and example of study give clinical examinations to misery.

adjusting to less effective.

Since quite some time in the past run of these interventions requires individual examination for social and social tasks with a less upright approach.

for cognizant revelations and techniques.

The hand strength and representation of the study give clinical appraisals to misery.

Key findings

Assessment of depression with gradual application trials.

This training accurate more applications for anxiety and mental related elements.

Patient with despairing and disquiet partners with the utilization of adaptable application has decline the slump with mental tension.

This arrangement actuates more applications for wretchedness and anxiety-related parts.

Outcomes

Patient with depression and anxiety correlates with the utilization of mobile application has reduced the depression with mental stress.

For a long time, ago run of these mediations requires an individual appraisal for social and social projects with less moral methodology.

The hand specialty and illustration of study gives clinical assessments to hopelessness.

Attributes of this overview scatter the key game plan of patient acclimating to less compelling.

General Notes/Comments The custom design and pattern of study provide clinical studies for depression.

Qualities of this review distribute the essential system of patients adapting to wretchedness.

The contribution of the nurse level has engraved the scientific approach to gain more nursing

For a long while in the past run of these intercessions requires an individual

© 2018 Laureate Education Inc. 6

access. assessment for social and social undertakings with less upstanding methodology.

Patients with misery and uneasiness accomplices with the usage of versatile applications have decreased the droop with mental strain.

* These levels are from the Johns Hopkins Nursing Evidence-Based Practice: Evidence Level and Quality Guide

 Level I Experimental, randomized controlled trial (RCT), systematic review RTCs with or without meta-analysis

 Level II Quasi-experimental studies, a systematic review of a combination of RCTs and quasi-experimental studies, or quasi-experimental studies only, with or without meta-analysis

 Level III Nonexperimental, a systematic review of RCTs, quasi-experimental with/without meta-analysis, a qualitative, qualitative systematic review with/without meta-synthesis

 Level IV Respected authorities’ opinions, nationally recognized expert committee/consensus panel reports based on scientific evidence

 Level V Literature reviews, quality improvement, program evaluation, financial evaluation, case reports, nationally recognized expert(s) opinion based on experiential evidence

**Note on Conceptual Framework

© 2018 Laureate Education Inc. 7https://www.hopkinsmedicine.org/evidence-based-practice/_docs/appendix_c_evidence_level_quality_guide.pdf

 The following information is from Walden academic guides which helps explain conceptual frameworks and the reasons they are used in research. Here is the link https://academicguides.waldenu.edu/library/conceptualframework

 Researchers create theoretical and conceptual frameworks that include a philosophical and methodological model to help design their work. A formal theory provides context for the outcome of the events conducted in the research. The data collection and analysis are also based on the theoretical and conceptual framework.

 As stated by Grant and Osanloo (2014), “Without a theoretical framework, the structure and vision for a study is unclear, much like a house that cannot be constructed without a blueprint. By contrast, a research plan that contains a theoretical framework allows the dissertation study to be strong and structured with an organized flow from one chapter to the next.”

 Theoretical and conceptual frameworks provide evidence of academic standards and procedure. They also offer an explanation of why the study is pertinent and how the researcher expects to fill the gap in the literature.

 Literature does not always clearly delineate between a theoretical or conceptual framework. With that being said, there are slight differences between the two.

© 2018 Laureate Education Inc. 8https://academicguides.waldenu.edu/library/conceptualframework

References

The Johns Hopkins Hospital/Johns Hopkins University (n.d.). Johns Hopkins nursing dvidence-based practice: appendix C: evidence level and quality guide. Retrieved October 23, 2019 from https://www.hopkinsmedicine.org/evidence-based-practice/_docs/appendix_c_evidence_level_quality_guide.pdf

Grant, C., & Osanloo, A. (2014). Understanding, Selecting, and Integrating a Theoretical Framework in Dissertation Research: Creating the Blueprint

for Your” House”. Administrative Issues Journal: Education, Practice, and Research, 4(2), 12-26.

Walden University Academic Guides (n.d.). Conceptual & theoretical frameworks overview. Retrieved October 23, 2019 from https://academicguides.waldenu.edu/library/conceptualframework

© 2018 Laureate Education Inc. 9https://academicguides.waldenu.edu/library/conceptualframeworkhttps://www.hopkinsmedicine.org/evidence-based-practice/_docs/appendix_c_evidence_level_quality_guide.pdf

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