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NR 505 Analysis and Application of Clinical
Practice
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NR 505 Analysis and Application of Clinical Practice
Analysis and Application of Clinical
Practice Guidelines & Scoring Rubric
Purpose
The purpose of this assignment is to provide an opportunity for
students to apply and disseminate information based on practice
summaries. The most common type of practice summary in healthcare
is the clinical practice guideline (CPG).
Course Outcomes
Through this assignment, the student will demonstrate the ability to
(CO 3) Synthesize for dissemination the research findings from
nursing and related disciplines (POs 1, 3, 4, 5, 9); and
(CO 6) Utilize the principles of evidence-based practice to propose
strategies that can address nursing issues (POs 1, 3, 4, 5, 7, 9).
Due Date:Sunday 11:59 p.m. MT at the end of Week 7
Total Points Possible:200 Points
Requirements:
Through this assignment, the student will
Develop summary of a clinical practice guideline. (COs 3, 6)
Preparing the paper
You will develop a summary that you could use within an evidence-
basedpractice (EBP) committee or related venue to share with your
colleagues. This paper will be 2-4 pages in length.

Select a clinical practice guidelines that addresses an issue pertinent
to your practice setting.
Search the literature and evidence-based practice websites and
databases to find a recent clinical practice guideline (no more than 5
years) related to the issue you select. The course Webliography
provides websites where you can find clinical practice guidelines, but
there are many others available in specialty-organization websites.
Analyze and critique the clinical practice guideline. Use the Clinical
Practice Guideline Summary Template in Course Resources to
develop your paper. Components include:
o scope and purpose of the clinical practice guidelines;
o stakeholder involvement;
o rigor of development;
o clarity and presentation
o applicability
o editorial independence
Attach URL address of the Clinical Practice Guidelines on the
reference page of your paper.
Note: Thetemplateisan outline to assist you in setting up your paper so
you will be sure to address those topics in your paper in addition to
other information to meet the criteria for this assignment. Your paper
should be in APA 6th ed format. Do not copy and paste the template
into your paper.
The summary sheetis amended from the AGREE instrument on page
200 of Melnyk&Fineout-Overholt (2015). Your summaryshould be
approximately 5–6 pages long (Paper lengths do not include cover
page or reference page(s).
Category Points % Description
Scope and Purpose 25 12.5 Describes the scope and purpose of the
document. Includes the health question(s) covered by the guideline
Stakeholder Involvement 25 12.5 Describes the stakeholder
involvement in the development of the document. Identifies the target
population.
Rigor of Development 25 12.5 Critiques the rigor of the development
of the document. Describes the systematic methods used to develop
the guideline. Include level of evidence of the studies used to develop
the guideline.

Clarity & presentation (Recommendations) 25 12.5 Provides thekey
recommendations of the document. Discusses different options for
managing the condition or issue in the guideline.
Application 25 12.5 Identifies facilitators, barriers, costs, and
outcome measurement for application of the document.. Identifies key
monitoring and/or auditing criteria (outcomes)
Editorial Independence 25 12.5 Discusses conflict of interest and how
competing interests of the CPG group members recorded and
addressed.
Summary 25 12.5 Summarizes how the CPG answers the key clinical
questions presented in the CPG. Discusses how the student, as the
advanced practice nurse, would apply the CPG in practice.
Uses appropriate grammar, syntax, and spelling 10 5 No more than 2
errors in grammar, syntax, or spelling.
APA 6th Edition 10 5 No more than 2 APA 6thedition errors.
Attach pdf file of the Clinical Practice Guidelines 5 2.5 A pdf copy of
the Clinical Practice Guidelines submitted.
Total 200 100% A quality assignment will meet or exceed all of the
above requirements.
Grading Rubric
Assignment Criteria Exceptional
(100%)
Outstanding or highest level of performance
Exceeds
(88%)
Very good or high level of performance
Meets
(80%)
Competent or satisfactory level of performance
Needs Improvement
(38%)
Poor or failing level of performance
Developing
(0)
Unsatisfactory level of performance
ContentPossible Points = 175 Points
Scope and Purpose 25 Points 22 Points 20Points 10 Points 0 Points

Describes the scope and purpose of the document. Includes the health
question(s) covered by the guideline Describes the scope and purpose
of the document but has occasional missing information. Describes
the scope and purpose of the document with a minimal amount of
information presented. Weakly describes the scope and purpose of the
document. Does not include the scope or purpose of the health
question covered by the guideline.
Stakeholder Involvement 25 Points 22 Points 20Points 10 Points 0
Points
Describes all of the stakeholders involvement in the development of
the document. Identifies the target population Describes the
stakeholder involvement in the development of the document with
occasional information missing. Describes the stakeholder
involvement in the development of the document with a minimal
amount of information presented. Does not describe the stakeholder
involvement in the development of the document OR does not
identify the target population. Does not describe the stakeholder
involvement in the development of the document AND does not
identify the target population.
Rigor of Development 25 Points 22 Points 20Points 10 Points 0
Points
Critiques the rigor of the development of the document. Describes the
systematic methods used to develop the guideline. Includes level of
evidence of the studies used to develop the guidelines. Elaborates on
rigor of development. Critiques the rigor of the development of the
document. Describes the systematic methods used to develop the
guideline. Includes the levels of evidence of the studies used to
develop the guidelines. Some occasional important information is
missing. Critiques the rigor of the development of the document.
Describes the systematic methods used to develop the guideline.
Includes the levels of evidence of the studies used to develop the
guidelines. Provides a minimal amount of information. Does not
critique the rigor of the development of the document. Does not
describe the systematic methods used to develop the guideline.
ORDoes not include the levels of evidence of the studies used to
develop the guidelines. Does not critique the rigor of the development
of the document. Does not describe the systematic methods used to

develop the guideline. ANDDoes not include the levels of evidence of
the studies used to develop the guidelines.
Clarity & Presentation
(Recommendations)
25 Points 22 Points 20Points 10 Points 0 Points
Provides theall key recommendations of the document. Discusses
different options for managing the condition or issue addressed in the
guideline. Elaborates on the clarity and presentation of the
recommendations. Provides thekey recommendations of the
document.
Discusses different options for managing the condition or issue
addressed in the guideline. Missing some occasional important
information.
Provides thekey recommendations of the document.
Discusses different options for managing the condition or issue
addressed in the guideline. Briefly elaborates on the clarity and
presentation of the recommendations.
Does not provide or provide thekey recommendations of the
document. ORDoes not discuss different options for managing the
condition or issue addressed in the guideline. Does not provide or
provide thekey recommendations of the document. ANDDoes not
discuss different options for managing the condition or issue
addressed in the guideline.
Application 25 Points 22 Points 20Points 10 Points 0 Points
Identifies facilitators, barriers (real or potential), costs, and outcome
measurement for application of the document. Identifies key
monitoring or auditing criteria (outcomes). Identifies facilitators,
barriers (real or potential), costs, and outcome measurement for
application of the document. Identifies key monitoring or auditing
criteria (outcomes). Some occasional important information is
missing. Briefly Identifies facilitators, barriers (real or potential),
costs, and outcome measurement for application of the document.
Identifies key monitoring or auditing criteria (outcomes). Does not
Identify facilitators, barriers (real or potential), costs, and outcome
measurement for application of the document. ORDoes not identify
key monitoring or auditing criteria (outcomes). Does not Identifies
facilitators, barriers (real or potential), costs, and outcome

measurement for application of the document. ANDDoes not identify
key monitoring or auditing criteria (outcomes).
Editorial Independence 25 Points 22 Points 20Points 10 Points 0
Points
Discusses conflict of interest of group members. Discusses how
competing interests of the CPG group members are recorded and
addressed. Addresses how the views of the funding body are kept
from influencing the content of the guideline. Discusses conflict of
interest of group members. Discusses how competing interests of the
CPG group members are recorded and addressed. Addresses how the
views of the funding body are kept from influencing the content of the
guideline. Some occasional important information is missing. Briefly
discusses conflict of interest of group members. Briefly discusses how
addressed. Briefly addresses how the views of the funding body are
kept from influencing the content of the guideline. Does not discuss
conflict of interest of group members. Does not discuss how
addressed. ORDoes not address how the views of the funding body
are kept from influencing the content of the guideline. Does not
discuss conflict of interest of group members. Does not discuss how
addressed. AND
Does not address how the views of the funding body are kept from
influencing the content of the guideline.
Summary 25 Points 22 Points 20Points 10 Points 0 Points
Summarizes the paper. Discusses whether or not the CPG answers the
key clinical question(s) presented in the CPG and elaborates.
Discusses how the student, as the advance practice nurse, will apply
the CPG in practice with specific examples. Summarizes the paper.
Discusses whether or not the CPG answers the key clinical
question(s) presented in the CPG. Discusses how the student, as the
advance practice nurse, will apply the CPG in practice. Some
occasional important information is missing. Briefly summarizes the
paper. Briefly discusses whether or not the CPG answers the key
clinical question(s) presented in the CPG. Briefly discusses how the
student, as the advance practice nurse, will apply the CPG in practice.

Does not summarize the paper. Does not discuss whether or not the
CPG answers the key clinical question(s) presented in the CPG.
ORDoes not discuss how the student, as the advance practice nurse,
will apply the CPG in practice. Does not summarize the paper. Does
not discuss whether or not the CPG answers the key clinical
question(s) presented in the CPG.ANDDoes not discuss how the
student, as the advance practice nurse, will apply the CPG in practice.
Content Subtotal____/175 points
FormatPossible Points = 25 Points
Uses appropriate grammar, syntax, and spelling 10Points 9 Points 8
Points 4 Points 0 Points
No errors in grammar, syntax, or spelling 1-2 errors in grammar,
syntax, or spelling 3-4 errors in grammar, syntax, or spelling 5 or
more errors in grammar, syntax, or spelling 6 or more errors in
grammar, syntax, or spelling
APA 6th edition 10Points 9 Points 8 Points 4 Points 0 Points
No APA 6thedition errors 1-2 APA 6thedition errors 3-4 APA
6thedition errors 5 APA 6thedition errors 6 or more APA 6thedition
errorsORTurnitin similarity percentage on student written work is
higher than 24%.
Attach pdf copy of the Clinical Practice Guideline 5 Points 0 Points
Pdf file of the Clinical Practice Guideline attached No pdf file of the
Clinical Practice Guideline attached
Format Subtotal____/25 points
Total Points_____/200 points
******************************************************
NR 505 Week 1 Discussion

Write a quantitative research question using the PICO(T) model about
a health or safety issue observed in the Ironridge or Summerville
community or your practice setting.Conducta search of the literature
for the quantitative research question. (Remember you can use this
topic and quantitative research article as part of your Research
Summary Table assignment).Provide a brief summary of your
quantitative research article.
You will not be able to see other’s posts for this forum until you have
posted your response to the threaded discussion thread.
******************************************************
Review the differences in predictive and prescriptive studies and
select a predictive or prescriptive article that you found in your
literature search. What are the independent variables (IV), dependent
variables (DV), and mediating variables (MVs) that you find in the
article? How do determining IVs, DVs, and MVs help you discern the
theory tested in the research? In your particular article, what risk
factors are identified, or what recommendations are provided?
******************************************************

NR 505 Week 3 Discussion Plan A Qualitative
Study
NR 505 Week 3 Discussion Plan A Qualitative Study
Plan a Qualitative Study
Write a qualitative research question using the PICO(T) model using
the P (population), I (abstract concept), O (outcome), and T (time)
from the PICO(T) model about an issue from your practice setting.
Conduct a search of the literature for a qualitative research article that
would answer your qualitative research question. What qualitative
research design (Phenomenology, Grounded Theory, Ethnography)
did you select and why? Provide a summary of the study. How will
you make sure that the information you obtain is trustworthy? How is
trustworthiness in qualitative research similar and different from
reliability and validity?
******************************************************
NR 505 Week 3 Research Summary Table

NR 505 Week 3 Research Summary Table
Research Summary Table
Guidelines with Scoring Rubric
Purpose
The purpose of this assignment is for the student to learn to
assimilate, analyze, critique, and summarize original research articles.
In other words, select a report of a single, original study.
Course Outcomes
Through this assignment, the student will demonstrate the ability to:
(CO 2) Formulate and analyze nursing/clinical problems related to
nursing and other disciplines. (PO 1, 2, 4, 6, 7, 8, 9, 10)
nursing and related disciplines. (PO 1, 3, 4, 5, 6, 7, 9, 11)
Total Points Possible: 165 Points
Requirements
Through this assignment, the student will
1. Conduct a systematic search of relevant databases to find research-
based evidence related to a nursing problem (CO 2);
2. Construct a summary table of four peer-reviewedquantitativesingle
original studies, indicating the purpose, sample, design/level of
evidence, findings, and limitations of each (CO 3); and
3. Summarize the findings of the four studies as a whole (CO 3).
Preparing the Table
Conduct a PICO(T) search on the nursing problem related to your
practice setting.Select the four most recent peer-reviewed studiesthat
describe original research in a single study (do not select a meta-
analysis, systematic review of research, or integrative literature
review). Refer to the Types of Articles Found in the Nursing and
Healthcaredocument in the Course Resource section to make sure that
you are using the correct document.

Construct a table summarizing the four most credible and recent
studies, using the Research Summary template on the next page (also
found in Course Resource Section). Analyze each article and provide
the following information in brief format: purpose of the study; type
of sample and number of participants; design of the study, along with
the level of evidence; findings of the study; and limitations of the
study.
Preparing the Summary
Briefly (2-4 pages; not including cover page and reference page(s))
summarize the results of the four studies as a whole. Follow this
outline:
I. In a short paragraph, restate your research question and describe
your search strategy. (10 points)
II. Analysis of the designs used in the studies presented in your
research summary table. (10 points)
III. Where do these studies fall on the LevelsofEvidence table? What
is the significance of this information?(10 points)
IV. Based on these studies, what are the findings? What is the answer
to the research question?How well do the studies answer or fail to
answer the question? Provide rationale to support your answer.(10
points)
V. Howwaseachsample selected and how many participants in the
studies. Is this number adequate? Why or why not? (10 points)
VI. Overall, what are the limitations of the study, and how can these
limitations be overcome in subsequent studies? (10 points)
VII. Based on these findings, is the evidence that you found on your
topic strong enough to suggest a change in practice or an idea for
practice? Why or why not?Please provide a rationale for your
answer.(10 points)
Provide your references, formatted in APA style, after the summary.
Include the doi number for each article. Submit a permalink of each
article you have chosen for this assignment (directions on how to
obtain a permalink are located in the Course Resource section).
Instructions for setting up your paper in APA 6th edition format.

Look at the example document for this assignment. Start your paper
as you would other APA 6thedition format professional papers. Copy
and paste the table into your APA paper. This should allow your
paper to remain in a vertical format. Your paper should be one
document.
Research Summary Table (template provided in separate document)
What are the various types of sampling, along with their advantages
and disadvantages? As we think about sampling and ethical practices,
review these two documents on ethical issues in research:
Tuskegee syphilis study
at.cdc.gov/tuskegee/”>http://www.cdc.gov/tuskegee/
An overview of questionable studies: Resnik, D. (2012). Research
ethics timeline (1932-present). Retrieved
from.niehs.nih.gov/research/resources/bioethics/timeline/index.cfm”>
http://www.niehs.nih.gov/research/resources/bioethics/timeline/index.
cfm
What are the implications of this information with respect to the
recruitment of human subjects in a study related to your chosen issue?
******************************************************

NR 505 Week 5 Critique Of Systematic
Research Review
NR 505 Week 5 Critique Of Systematic Research Review
Critique of Systematic Research Review (SRR)
Guidelineswith Scoring Rubric
Purpose
The purpose of this assignment is to provide students with practice in
identifying, reading, and critiquing systematic research reviews
related to nursing. A systematic review is defined as “A summary of
evidence, typically conducted by an expert or expert panel on a
particular topic, that uses a rigorous process (to minimize bias) for
identifying, appraising, and synthesizing studies to answer a specific
clinical question and draw conclusions about the data gathered
(Melnyk&Fineout-Overholt,2011, p.582).
Course Outcomes
Through this assignment, the student will demonstrate the ability to
nursing and related disciplines. (PO 1, 3, 4, 5, 6, 7, 9, 11)
(CO 4) Compare and critique quantitative and qualitative designs and
methodologies for research studies. (PO 4, 7, 9, 11)
Total Points Possible:175 Points
Requirements:
1. Choose an SRR that pertains to your practice setting.Describe the
relevance of the nursingresearch problem addressed in a SRR to
practice. (CO 3, 6)

2. Critique the levels of evidence of the studies used in the SRR,
specifically the designs of the studies included. (CO 6)
3. Critique the clarity with which the studies are presented and
critiqued. (CO 6)
4. Describe the overall findings of the studies, as summarized in the
SRR. (CO 3, 6)
5. Critique the conclusions of the SRR, with implications for your
current practice andfuture research. (CO 3, 6)
6. Utilize the Cochrane Database of Systematic Reviews to locate a
true SRR for this assignment.
7. Paper length should be between 4-6 pages (not including cover
page and reference page(s).
Preparing the paper
Consult your faculty member if you are uncertain about whether your
article is a true SRR. If it is not, your grade will be affected because
you will not be able to address all of the above objectives.
Important: Submit a copy of the systematic research review that you
are critiquing as a separate document before submitting your
paper.This will help Turnitin from returning a high similarity
percentage on your written work. Remember to keep Turnitin
similarity to 24% or less or you will be deducted points on APA.
References
Melnyk, B.M., &Fineout-Overholt, E. (2011).Evidence-based practice
in nursing &healthcare(2nded.). Philadelphia, PA: Wolters
Kluwer/Lippincott, Williams,& Wilkins.
Turnitin®
This assignment will be submitted to Turnitin.You learned about
Turnitin in your NR500 course, so you should be familiar with how to
access it. Additionally, you will find an instructional announcement
about Turnitin® in the course and in the Student Handbook.
Category Points % Description
Describes the relevance of the research problem addressed in the SRR
to practice. 25 14.28 Fully describes the relevance of the research
problem

Critiques the research rigor of the studies used in the SRR (see
lesson’s levels of evidence). 25 14.28 Fully critiques the rigor of the
studies used in the SRR
Critiques the levels of evidence, specifically the designs of the studies
included in the SRR. 25 14.28 Fully critiques the levels of evidence of
the studies included in the SRR
Critiques the clarity with which the studies are presented and
critiqued. 25 14.28 Fully describes the clarity with which the studies
are presented and critiqued
Describes the overall findings of the studies, as summarized in the
SRR. 25 14.28 Fully describes the overall findings of the studies
summarized in the SRR
Critiques the conclusions of the SRR, with implications for your
current practice and future research 25 14.28 Critiques the
conclusions of the SRR, with implications for current practice
andfuture research
Grammar, punctuation, and spelling reflect format written work. 10
5.71 Grammar, spelling, word usage, and punctuation are consistent
with rules for formal written work.
APA formatting 10 5.71 APA formatting is correct
Submit a copy of the systematic research article you are critiquing. 5
2.85 Submits a copy of the permalink of the systematic research
article that you are critiquing
175 100% A quality assignment will meet or exceed all of the above
requirements.
******************************************************
NR 505 Week 5 Discussion Inferential
Statistics

Inferential Statistics
Complete a PICO(T) search on a topic that pertains to your practice
setting. Select one of the articles from your search. Identify the
descriptive statistics. Then describe the inferential tests that were used
in the article (in other words, t-tests and chi-squares). Given the p-
values related to the tests, how do you interpret the results? Are they
statistically significant, also clinically significant? What are the
recommendations based on this paper? Share some alternate
explanations (mediating or intervening variables) for the results of the
study. If your chosen study does not contain inferential tests, then
choose a different article that does contain inferential tests so you can
participate in the discussion.
******************************************************
NR 505 Week 6 Discussion Evidence Based
Models
NR 505 Week 6 Discussion Evidence Based Models
Evidence-Based Models
Read the box above about Mr. Lowell and his facility. As an
advanced practice nurse, you will looking at various evidence based

practice models and choosing two of them to compare and contrast
here. After you compare and contrast them, discuss which one you
would recommend to this facility and why? Remember to support
your posts with scholarly research in APA 6th ed format.
******************************************************
NR 505 Week 7 Discussion Quality, Safety, and
Costs
NR 505 Week 7 Discussion Quality, Safety, and Costs
Quality, Safety, and Costs
Class, this week I would like for you to think about a patient scenario
related to our Summerville scenario. Mr. Lowell is especially
concerned about a costly high infection rate in surgical patients at St.
Louis Medical Center, along with a lack of concern about patient’s
psychological needs. He has read about the efforts of the QSEN
Institute (.org/”>http://qsen.org) to promote quality and safety. He
was surprised to see that patient concerns are inherent in the quality
improvement conversation. Place yourself in the role of nurse
educator to help the new staff education director and the clinical
practice council study both problems. How would you explain the
relationships among quality, safety, and costs to the director and
staff? How would you demonstrate the importance of nursing care in
addressing this issue? What outcome variables would you
recommend?

*******************************************************
What specific skills and knowledge that you gained through this
course will be most important as you plan and implement your
practicum project? Describe a concrete way in which you anticipate
using these skills and knowledge.
**********************************************************************************

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