Designing Of Pico Question And Searching Five Database Article. essay

Assignment #1: PICO Question with Reference ListsIn this assignment, you will develop a PICO question based on a topic of your own interest. Through searching the literature, you will identify four primary research articles plus one secondary research article that address your specific topic. You will not include Quality Improvement articles. You will create a reference list of these five articles using APA (6th ed.) citation style. *Articles must be published within past 7 years.This assignment should be typed. Submit this assignment plus your five research articles together in the assignment one tab in blackboard. *It is necessary to submit a PDF copy of these articles so that I can verify the content. In addition, you will refer to these articles during class activities throughout the course.Refer to the following grading rubric:CriteriaProficientCompetentNoviceClinical Question4 to 5 pointsRelated to nursing clinical question and description detailed2 to 3 pointsSomewhat related to nursing clinical question and/or description would have benefited from more detail/explanation0 to 1 pointsNot related to nursing clinical question and/or inadequate descriptionPICO question/ type (1 pt each PICO and Type)4 to 5 pointsAll parts or missing/incorrect 1 part)2 to 3 points2 or 3 parts missing incorrect0 to 1 points4 or more missing or incorrectResources used to search evidence3 to 3 pointsDetailed description2 to 2 pointsDescription missing pieces0 to 1 pointsDescription lacking detailRelevant search terms3 to 3 pointsRelevant terms used2 to 2 pointsMissing some terms0 to 1 pointsInappropriate or missing major termsFilters/ limits for search3 to 3 pointsAppropriate filters and limits used2 to 2 pointsSome filters and terms used0 to 1 pointsMinimal filters and limits used,Results table4 to 5 pointsAll 4 columns completed and demonstrates narrowing of findings3 to 4 pointsMissing 1 or 2 parts and some narrowing of findings0 to 1 pointsNo narrowing of findingsPrimary research articles addressing clinical question (1 pt for primary & 1 describe how it answers clinical question for each article)8 to 8 pointsAll primary research identified correctly and detailed description of how it answers clinical question5 to 7 pointsIncorrectly identified articles or minimal description of how it answers clinical question0 to 4 pointsIncorrectly identified articles and description in adequate of how it answers clinical questionSecondary research addressing clinical question (1 pt for secondary & 1 describe how it answers clinical question)2 to 2 pointsSecondary research and detailed description of how it answers clinical question1 to 1 pointsIncorrectly identified articles or minimal description of how it answers clinical question0 to 0 pointsIncorrectly identified article and description in adequate of how it answers clinical questionExplanation of how determined articles are primary research1 to 1 pointsComplete & correct explanation0 to 0 pointsInaccurate explanation0 to 0 pointsInaccurate explanationReferences listed in APA citation style (1pt each)7 to 10 pointsLess than 3 of the same error made4 to 6 points4-6 of the same error made0 to 3 pointsmore than 6 of the same error made1. What is your clinical question? This should be relevant to nursing practice. Do not develop a question related to medical therapy.Patients are continually being readmitted with heart failure symptom exacerbation and struggling to take their medications daily. As a nurse I want to support my patients in strategies to help take medications.2. Write out your PICO based on your clinical question and identify separate components. Use the PICO format template to guide the development of your question.PICO question: _______________ For people with heart failure_________ does the use of ___behavioral interventions_______ reduce the future risk of __medication nonadherence________compare with ______educational interventions____ ?_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________a. Patient/Problem: People with heart failureb. Intervention: Behavioral interventions such as remindersc. Comparison: Education aloned. -Outcome: Medication adherenceWhat type of EBP question is this (etiology, diagnosis, therapy, prognosis)?Prevention (Could have also used therapy: In people with heart failure what is the effect of behavioral interventions on medication adherence compared to education alone?)3. What databases and electronic resources did you search? For example CINAHL, EBSCO, etc.CINAHL & PubMED4. When narrowing your clinical question, what terms did you use to search the evidence?Heart failure, cardiac failure, heart decompensation, adherence, compliance, persistence, concordance, nonadherence, non-adherence, noncompliance, non-compliance, medicat*, medicine, medicines, drug, drugs5. Were there any filters or limits you used to include or exclude sets of results?Publication year, English language6. Results: Expand table as necessaryResourceTerms used (keywords with boolean operators)Filters or limitsNumber of Results (hits)CINAHLHeart failure or cardiac failure or heart decompensationPub year and English10,750CINAHLWords above AND adherence, compliance, persistence, concordance, nonadherence, non-adherence, noncompliance, non-compliance ( separated by OR)Pub year and English1,255CINAHLWords above and medicat*, medicine, medicines, drug, drugs (Separated by ORPub Year and English150PubMEDHeart failure or cardiac failure or heart decompensation, AND adherence or compliance or persistence or concordance or nonadherence, non-adherence, noncompliance or non-compliance AND medicat*, or medicine, or medicines or drug or drugsPub Year and English220· zZZ+++++7. How did you determine if the references you located were primary research articles?See notes from class8. Briefly describe how your articles address your PICO question.All five articles include a behavioral or educational intervention to compare in my PICO question9. List references for your five research articles on the next page in APA format.ReferencesAndrews, A. M., Russell, C. L., & Cheng, A.-L. (2017). Medication adherence interventions for older adults with heart failure: A systematic review. Journal of Gerontological Nursing, 1–10. https://doi.org/10.3928/00989134-20170523-01Ekman, I., Wolf, A., Vaughan Dickson, V., Bosworth, H. B., & Granger, B. B. (2017). Unmet expectations of medications and care providers among patients with heart failure assessed to be poorly adherent: results from the Chronic Heart Failure Intervention to Improve MEdication Adherence (CHIME) study. European Journal Of Cardiovascular Nursing: Journal Of The Working Group On Cardiovascular Nursing Of The European Society Of Cardiology, 16(7), 646–654. https://doi.org/10.1177/1474515117707669Goldstein, C. M., Gathright, E. C., Dolansky, M. A., Gunstad, J., Sterns, A., Redle, J. D., … Hughes, J. W. (2014). Randomized controlled feasibility trial of two telemedicine medication reminder systems for older adults with heart failure. Journal of Telemedicine and Telecare, 20(6), 293–299. https://doi.org/10.1177/1357633X14541039Granger, B. B., McBroom, K., Bosworth, H. B., Hernandez, A., & Ekman, I. (2013). The meanings associated with medicines in heart failure patients. European Journal of Cardiovascular Nursing, 12(3), 276–283. https://doi.org/10.1177/1474515112447734Holt, E. W., Rung, A. L., Leon, K. A., Firestein, C., & Krousel-Wood, M. A. (2014). Medication adherence in older adults: A qualitative study. Educational Gerontology, 40(3), 198–211. https://doi.org/10.1080/03601277.2013.802186
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