NUR 440 Evidence Table
Study Citation
Design
Method
Sample
Data Collection
Data Analysis
Validity
Reliability
Magill, S. S., O’Leary, E., Janelle, S. J., Thompson, D. L., Dumyati, G., Nadle, J., & Ray, S. M. (2018). Changes in prevalence of health care–associated infections in US Hospitals. New England Journal of Medicine, 379(18), 1732-1744.
Longitudinal and multivariable log-binomial regression modeling
At Emerging Infections Program sites in 10 states, we recruited up to 25 hospitals in each site area, prioritizing hospitals that had participated in the 2011 survey.
Random samples of patients in acute care locations were selected from hospitals’ morning censuses on the survey date with the use of the method that had been used in the 2011 survey
Trained staff of the Emerging Infections Program sites reviewed medical records on the survey date or retrospectively to collect basic demographic and clinical data.
In 2015, a total of 12,299 patients in 199 hospitals were surveyed, as compared with 11,282 patients in 183 hospitals in 2011. Pneumonia, gastrointestinal infections and surgical-site infections were the most common health care–associated infections.
The CDC determined the survey to be a non-research activity.
Point-prevalence surveys of health care–associated infections in health care settings complement location- or infection-specific National Healthcare Safety Network data.
Zuarez-Easton, S., Zafran, N., Garmi, G., & Salim, R. (2017). Postcesarean wound infection: prevalence, impact, prevention, and management challenges. International journal of women's health, 9, 81.
Randomized trials, cohort, case–control, review, and meta-analysis were eligible.
Several electronic databases were searched from inception through June 2016: MEDLINE, PubMed, Ovid, and the Cochrane Library.
100,000 maternities compared to the period between 2003 and 2005
Data was collected through maternal comorbidities, appropriate antibiotic prophylaxis, and evidence-based surgical techniques practices.
Cesarean delivery is one of the most frequent surgical interventions performed worldwide and accounts for up to 60% of deliveries in a number of countries
Two authors (SZE and RS) selected articles first through focused review of abstracts. Eligible studies underwent full-text review.
The research Reviewed maternal death in the UK over a period of 3 years (2006–2008).
Chu, K., Maine, R., & Trelles, M. (2015). Cesarean section surgical site infections in sub-Saharan Africa: a multi-country study from Medecins Sans Frontieres. World journal of surgery, 39(2), 350-355.
Logistic regression was used to model determinants of SSI.
This study included data from four emergency obstetric programs supported by Medecins sans Frontieres, from Burundi, the Democratic Republic of Congo (DRC), and Sierra Leone.
1,276 women underwent CS.
Data were prospectively collected using a standardized paper form and then entered into an electronic database.
Baseline characteristics w ...
A Critique of the Proposed National Education Policy Reform
NUR 440 Evidence TableStudy CitationDesignMethodSample.docx
1. NUR 440 Evidence Table
Study Citation
Design
Method
Sample
Data Collection
Data Analysis
Validity
Reliability
Magill, S. S., O’Leary, E., Janelle, S. J., Thompson, D. L.,
Dumyati, G., Nadle, J., & Ray, S. M. (2018). Changes in
prevalence of health care–associated infections in US
Hospitals. New England Journal of Medicine, 379(18), 1732-
1744.
Longitudinal and multivariable log-binomial regression
modeling
At Emerging Infections Program sites in 10 states, we recruited
up to 25 hospitals in each site area, prioritizing hospitals that
had participated in the 2011 survey.
Random samples of patients in acute care locations were
selected from hospitals’ morning censuses on the survey date
with the use of the method that had been used in the 2011
survey
Trained staff of the Emerging Infections Program sites reviewed
medical records on the survey date or retrospectively to collect
basic demographic and clinical data.
In 2015, a total of 12,299 patients in 199 hospitals were
surveyed, as compared with 11,282 patients in 183 hospitals in
2011. Pneumonia, gastrointestinal infections and surgical-site
infections were the most common health care–associated
infections.
2. The CDC determined the survey to be a non-research activity.
Point-prevalence surveys of health care–associated infections in
health care settings complement location- or infection-specific
National Healthcare Safety Network data.
Zuarez-Easton, S., Zafran, N., Garmi, G., & Salim, R. (2017).
Postcesarean wound infection: prevalence, impact, prevention,
and management challenges. International journal of women's
health, 9, 81.
Randomized trials, cohort, case–control, review, and meta-
analysis were eligible.
Several electronic databases were searched from inception
through June 2016: MEDLINE, PubMed, Ovid, and the
Cochrane Library.
100,000 maternities compared to the period between 2003 and
2005
Data was collected through maternal comorbidities, appropriate
antibiotic prophylaxis, and evidence-based surgical techniques
practices.
Cesarean delivery is one of the most frequent surgical
interventions performed worldwide and accounts for up to 60%
of deliveries in a number of countries
Two authors (SZE and RS) selected articles first through
focused review of abstracts. Eligible studies underwent full-text
review.
The research Reviewed maternal death in the UK over a period
of 3 years (2006–2008).
Chu, K., Maine, R., & Trelles, M. (2015). Cesarean section
surgical site infections in sub-Saharan Africa: a multi-country
study from Medecins Sans Frontieres. World journal of
surgery, 39(2), 350-355.
Logistic regression was used to model determinants of SSI.
This study included data from four emergency obstetric
3. programs supported by Medecins sans Frontieres, from Burundi,
the Democratic Republic of Congo (DRC), and Sierra Leone.
1,276 women underwent CS.
Data were prospectively collected using a standardized paper
form and then entered into an electronic database.
Baseline characteristics were described using medians and
interquartile ranges (IQRs) for continuous variables and counts
and percentages for categorical data.
SSI leads to increased treatment time and possible reoperation.
Study demonstrates that surgery can be performed with a low
incidence of SSI in SSA, a proxy for surgical safety.
Kapadia, B. H., Berg, R. A., Daley, J. A., Fritz, J., Bhave, A., &
Mont, M. A. (2016). Periprosthetic joint infection. The
Lancet, 387(10016), 386-394.
3 phased multi-facility
Quasi-experimental prospective design. Baseline intervention
Several
database
were
searched,
Embase,
Medline
Ovid, Webof-
science,
CINAHL
EBSCO,
Cochrane
Library,
PubMed
Publisher
and Google
Scholar
A total of 679 010 primary knee arthroplasty
4. cases were sampled
Data were collected using survey observation, longitudinal
design.
no significant difference in the incidence of
periprosthetic joint infection depending on the method
of fixation could be shown
High volume
hospitals have a higher risk for prosthetic
joint infection than low-volume hospitals,
The study
was
conducted
in a single
facility
Weinshel, K., Dramowski, A., Hajdu, Á., Jacob, S., Khanal, B.,
Zoltán, M., ... & Singh, N. (2015). Gap analysis of infection
control practices in low-and middle-income countries. infection
control & hospital epidemiology, 36(10), 1208-1214.
The Infection Control Assessment Tool (ICAT) was field tested
Six international sites located in Argentina, Greece, Hungary,
India, Nepal, and South Africa
Hospitals with number of beds ranging from 645 to 2,245.
Through standardized questionnaire with multiple sections and
point values
Data from the sites were totaled, scored, and analyzed on the
basis of World Bank economy classification.
The sterilization and disinfection of equipment included
availability of policies and procedures.
The surveys were completed by the healthcare epidemiologists
(SHEA international ambassadors) who were familiar with IC
practices and policies of their hospitals
Bischoff, P., Kubilay, N. Z., Allegranzi, B., Egger, M., &
Gastmeier, P. (2017). Effect of laminar airflow ventilation on
5. surgical site infections: a systematic review and meta-
analysis. The Lancet Infectious Diseases, 17(5), 553-561.
meta–analyses
MEDLINE, Embase, Cochrane Central Register of Controlled
Trials, and WHO regional medical databases were searched.
1947 records were sampled
Two independent investigators extracted the data, with
disagreements which resolved through further discussion
Eight cohort studies was analyzed using RevMan (version 5.3),
and appeared that there is no difference in risk for deep SSIs
following total hip arthroplasty.
They used grading of recommendations assessment,
development, and evaluation to assess the quality of the
identified evidence.
Researchers included the studies discussing the use of laminar
airflow in the operating room regarding the reduction of overall
or deep SSI
Running head: Surgical site infections 1
Surgical site infections 2
6. Annotated Bibliography
Magill, S. S., O’Leary, E., Janelle, S. J., Thompson, D. L.,
Dumyati, G., Nadle, J., ... & Ray, S.
M. (2018). Changes in prevalence of health care–associated
infections in US Hospitals. New England Journal of Medicine,
379(18), 1732-1744.
A survey that was carried out in the United States in 2011
indicated that 4% of patients who are hospitalized have health-
care infections. The survey was conducted again in 2015 to
evaluate the prevalence of the infections during a period when
there was great national attention to prevent them. Twenty-five
hospitals in the Emerging Infections Program sites in 10 states
were utilized and those that engaged in the 2011 survey were
prioritized. Every health care facility chose a day when a
random sample of patients was selected for assessment.
Individuals who are trained evaluated their medical records
based on the definitions of health care associated infections
developed in 2011. IN 2015, 12,299 patients were assessed
compared to 11,228 that were assessed in 2011. This study
concluded that the number of health care-associated infections
in 2015 was lower than those identified in 2011. To continue
with this progress, it is important to prioritize on safely
utilizing equipment and product.
Zuarez-Easton, S., Zafran, N., Garmi, G., & Salim, R. (2017).
Postcesarean wound infection:
prevalence, impact, prevention, and management challenges.
International journal of women's health, 9, 81.
Surgical site infection is a very common complication that
develops after cesarean section. It has both physical and
emotional consequences to the mother and is a huge financial
burden to the healthcare system. There is an increase in the
global cesarean section rate therefore surgical site infections are
expected to increase. Wound dressing is one of the preventative
strategies that can be utilized in preventing infections. Another
strategy is skin closure. A meta-analysis that was conducted
7. recently indicated that suture is more effective compared to
staples in decreasing the incidence of wound separations.
Chu, K., Maine, R., & Trelles, M. (2015). Cesarean section
surgical site infections in sub-
Saharan Africa: a multi-country study from Medecins Sans
Frontieres. World journal of surgery, 39(2), 350-355.
Surgical site infections (SSI) result to post-surgical mortality
and morbidity and can be a key indicator of the quality of the
surgical process. This study aimed at assessing post-operative
SSI after a caesarian section (CS) has been conducted. The
study utilized data from emergency obstetric programs from
three countries which were Sierra Leone, Burundi and
Democratic Republic of Congo. The SSI prevalence for the
1,276 women who underwent CS was 7.3%. The median stay for
the women who developed SSI was 21 days compared to 7 days
of the women who didn’t have SSI. Some of the risk factors
associated with SSI include premature membrane rupture,
neonatal death and young age. The study concluded that it
incidents of SSI can be reduced through utilizing perioperative
antibiotics, sterilizing equipment and using clean water. Simple
data collection tools should be very helpful for policy makers to
assess the quality of control assurance surgical programs in
various nations.
Kapadia, B. H., Berg, R. A., Daley, J. A., Fritz, J., Bhave, A., &
Mont, M. A. (2016).
Periprosthetic joint infection. The Lancet, 387(10016), 386-394.
Periprosthetic joint infections are a complication that develops
after arthroplasty. The rise in the prevalence of diseases such as
diabetes and obesity has led to an increase of the rate of
periprosthetic joint infections. In an attempt to address this
problem, various preventive measures have been implemented.
The preventive measures include skin decontamination and
glycaemic control. Surgical management practices with a great
emphasis on equipment and products have also been refined.
This article concludes that prosthetic joint infection can be
efficiently managed with various great preventive measures and
8. treatment options.
Weinshel, K., Dramowski, A., Hajdu, Á., Jacob, S., Khanal, B.,
Zoltán, M., ... & Singh, N.
(2015). Gap analysis of infection control practices in low-and
middle-income countries. infection control & hospital
epidemiology, 36(10), 1208-1214.
Healthcare-associated infections are greater in low and middle
income nations compared to higher income nations. This leads
to greater patient mortality and morbidity and is a financial
burden to the healthcare system. Six international sites located
in various countries were utilized to acquire data for this study.
The countries include Nepal, South Africa, Greece, Hungary,
India, Nepal and Argentina. The study concluded that adhering
to the set infection control practices is a great way of reducing
the rate of health-associated infections. Other improvement
opportunities exist and they include antibiotic stewardship and
utilizing surgical instrument process. In addition, hand hygiene
must be observed while handling patients.
Bischoff, P., Kubilay, N. Z., Allegranzi, B., Egger, M., &
Gastmeier, P. (2017). Effect of laminar
airflow ventilation on surgical site infections: a systematic
review and meta-analysis. The Lancet Infectious Diseases,
17(5), 553-561.
The following study compares laminar airflow ventilation and
conventional ventilation and evaluates their efficiency in
decreasing the risk of surgical site infections. Information was
acquired from Medline, Embase and the medical databases of
WHO. 1947 records were utilized in this study. Data that was
acquired from two investigators was not conclusive therefore
more discussion was conducted. According to the results
obtained from this study, there is no evidence that supports that
laminar airflow is more efficient compared to conventional
turbulent ventilation in reducing the risk of SSIs in abdominal
surgery and total hip. Decision makers and the hospital
management should therefore not consider laminar airflow as an
efficient strategy of decreasing the risk of SSIs. This means that
9. the equipment should not be put in the operating rooms since
this is just a financial burden to the organization that does not
reduce SSIs’s risk.
1
Running head: EQUIPMENT AND PRODUCT SAFETY
2
EQUIPMENT AND PRODUCT SAFETY
Equipment and Product Safety
Equipment and Product Safety in Perioperative Nursing
People who work in the departments of product and equipment
evaluation and purchasing process plays a crucial role in the
healthcare facility as well as ensuring the safety of patients is
protected. Healthcare facility equipment and products are
sourced from different suppliers. Thus, it is a sensitive sector
that requires a well-structured procuring and evaluation process
to reduce the expenses of reimbursements and risks patients are
exposed to when faulty tools are used. Johanna Newman argues
that perioperative nurses should be trained and understands the
process involved when evaluating the safeness of a product,
efficiency, effectiveness, cost, and environmental concern since
they act as patent’s advocate (2015). Therefore, my
perioperative PICO(T) question will be based on surgical site
infections. This is a sensitive unit that requires a physician to
use sterilized products and equipment to maintain proper
handling and patient safety in the operating room. My PICO(T)
question would look as follows:
P- Perioperative patients in the cardiovascular operating room
I- Perioperative temperature management using a warming
10. blanket
C- Patients receive no treatment to prevent hypothermia
O- Patients with warming blankets will have a decrease in
surgical site infections
T- The study will take place for one year
A recent report released by Johanna Newman (2015) shows that
more than 500,000 surgical site infections are recorded every
year in a general hospital in the U.S., U.S hospital spends an
average of $10 billion on managing hospital-acquired diseases.
14-16% out of the reported cases of hospital-acquired infections
is as a result of surgical site infections. Despite surgical site
infections affecting patient safety and overall health, it also
leads to instances of high mortality rate, ballooning medical
bills, a more extended stay in the facility, as well as frequent
readmissions. The surgical mortality rate of about 3% is seen in
patients who acquire surgical site infections from the surgical
room. Therefore, it can be understood that surgical site
infections is a real problem in our healthcare facilities.
References
Johanna Newman CRNA, D. N. A. P. (2015). Surgical Site
Infection and Prevention Guidelines: A Primer for Certifi ed
Registered Nurse Anesthetists. AANA journal, 83(1), 63.
Retrieved from: https://www.aana.com/docs/default-
source/aana-journal-web-documents-1/jcourse6-0215-pp63-
68.pdf?sfvrsn=1ad448b1_6
Running head: EQUIPMENT AND PRODUCT SAFETY 1
Equipment and Product Safety 3
Equipment and Product Safety
11. The topic I have chosen is Equipment and product safety, which
is majorly related to perioperative nursing. Perioperative
nursing entails working with patients who are undergoing
operative procedures. Perioperative nurses collaboratively work
with surgeons and anesthesiologists to ensure improved patient
outcomes. The safety of medical products and equipment lays
the foundation for successfully undergoing operative procedures
for patients. Lack of safe equipment and products may lead to
the death of a patient.
My Interest and Purpose
I choose the topic because it greatly affects most people
globally. Medical errors, which occur in health care facilities,
account for more than 100,000 individuals who die annually.
The medical errors entail surgical devices, equipment’s and
systems failure. The purpose of this topic is to analyze the
impact of equipment and product safety on patient safety and
identify the role of nurses in ensuring equipment’s and products
are safe for patients.
Background and significance
By extensively researching the topic at hand, I will be able to
analyze the safety of medical products and equipment, which
include beddings. In addition, I will be able to understand the
three pillars, which are used as the basis for the safety of
medical products. The pillars include identifying mistakes,
updating standards and training (Ojuka, 2019).
Relationship between Research & Evidence-based practice
I will conduct my research through both qualitative and
quantitative methodologies in order to come up with new
knowledge. Evidence based practice utilizes the best clinical
evidence which comes from research. The research may be
utilized by nurses to understand the risks and effectiveness of
medical equipment and products. This topic has not been greatly
researched therefore it will greatly contribute to evidence based
practice.
12. References
Ojuka, D. K., Okutoyi, L., & Otieno, F. C. (2019).
Communication in Surgery for Patient Safety. In Vignettes in
Patient Safety-Volume 4. IntechOpen.
NUR 440 Final Project Guidelines and Rubric
Overview
The world of professional nursing practice and health policy is
ever-evolving to meet the new dynamics of care needs in every
setting. As a registered nurse, you
are accountable and responsible for making decisions that are
consistent with safe, competent, and ethical practice on a daily
basis. You also face a variety of
complex issues that impact the delivery of your nursing care.
13. A professional practice issue is any issue or situation that either
compromises client care/service by placing a client at risk, or
affects a nurse’s ability to provide
care/service consistent with standards and guidelines, and
agency or organization policies or procedures.
For this final project, you will develop an integrative review of
literature about a clinical problem or issue of your choosing
encountered in nursing practice. The
purpose of an integrative review of literature assignment is to
assist in preparing a scholarly paper that systematically
collects, classifies, and analyzes a body of
research evidence about a clinical topic in order to make
evidence-based practice recommendations for a practice change.
The project is divided into four milestones, which will be
submitted at various points throughout the course to scaffold
learning and ensure quality final
submissions. These milestones will be submitted in Modules
One, Two, Four, and Five. The final product will be submitted
in Module Seven.
In this assignment, you will demonstrate your mastery of the
following course outcomes:
x Assess diverse ways of knowing in nursing for their
appropriateness in conducting nursing research and evidence-
based nursing practice
x Critique relevant primary research sources for their potential
to provide evidence-based solutions to clinical nursing problems
x Employ principles of ethical conduct of research in seeking
evidence-based resources that support professional nursing
practice changes
x Propose evidence-based recommendations for practice
14. changes that address clinical nursing problems for improving
quality of care
Prompt
Choose a clinical problem or issue, with your instructor’s
approval, that might be encountered in nursing practice. For this
assessment, prepare a scholarly
integrative review of the literature that will support a
recommendation for a practice change to solve or improve the
identified clinical problem or issue. To cover
the appropriate range of the research, you should search for and
retrieve six current and relevant nursing research studies from
primary sources that are relevant
to your clinical topic of interest (these should be the articles
from your annotated bibliography). Follow the assignment
guidelines below to prepare a scholarly
integrative review of the research literature you retrieved.
Specifically, your integrative review of the literature should
include the following critical elements:
I. Introduction
A. What is the purpose of the integrative review?
B. Clearly articulate the topic of interest, problem statement,
and the research question being studied.
C. What variables of interest (such as concepts, target
population, setting, interventions, etc.) will be used to guide the
review of literature?
D. Discuss the background and significance of the problem to
nursing. Be sure to substantiate your claims with specific
15. examples from your research.
II. Literature Search Methods
A. Identify keywords, subject headings, and combinations used
in the initial search.
B. Which databases were searched?
C. State the inclusion/exclusion criteria for the sample of
research reports. In other words, how did you make decisions to
narrow the search and focus
the literature review? How was the final sample of research
reports determined?
III. Data Analysis and Critical Appraisal
A. Analyze the quality of each study. In other words, is the
problem well formulated and the purpose of the study clear? Is
the study approach well
designed and executed? Does the study demonstrate
understanding of related studies? Do the findings advance
knowledge?
B. Note each study’s strengths and limitations.
C. Identify gaps in the literature and reflect on why these may
exist.
D. Identify similarities and inconsistencies across the studies.
IV. Synthesis, Interpretation and Presentation of Results
A. Develop an evidence table of your results that addresses the
following criteria for each study: report citation, design,
method, sample, data collection,
data analysis, validity, and reliability of the findings. This table
16. should appear in the Appendix of your paper.
B. Identify major trends or patterns in the research reviewed.
C. Can you make generalizations across the studies? Why or
why not?
D. What conclusions can you draw? Be sure to use a logical
chain of evidence to support them.
E. Provide a scholarly summary of the research reviewed that
describes the “state of the science” presented by the research
reports.
F. Make practice recommendations based on the research
reviewed.
V. Conclusions
A. Identify the limitations of the literature review.
B. Discuss the relevance of the results of your literature review
to clinical practice.
C. Discuss implications of the recommended practice change on
future nursing practice and research.
VI. Abstract: Include an abstract at the beginning of your paper
that summarizes each of the following elements:
A. Aims and objectives
B. Background
C. Methods
D. Results
E. Conclusions
F. Relevance to clinical practice
17. VII. Appendix: Provide an appendix at the end of your paper
that includes the following elements:
G. Search method flow chart
H. The table of evidence that you developed in Step IV.A
Milestones
Milestone One: Topic Proposal
In Module One, you will submit your topic proposal for
instructor approval. You will briefly explain your interest and
what you hope to gain through a review of
the literature. This milestone will be graded with the Milestone
One Rubric.
Milestone Two: PICO(T) Question
In Module Two, you will submit your PICO(T) question, which
will guide your research and review of the literature. This
milestone will be graded with the
Milestone Two Rubric.
Milestone Three: Annotated Bibliography
In Module Four, you will submit an annotated bibliography to
help gather resources for your final project. This milestone will
be graded with the Milestone
Three Rubric.
Milestone Four: Evidence Table
In Module Five, you will submit an evidence table to organize
your resources and as part of your final project. This milestone
will be graded with the Milestone
Four Rubric.
Final Submission: Integrative Review of the Literature
18. In Module Seven, you will submit your final project. It should
be a complete, polished artifact containing all of the critical
elements of the final product. It should
reflect the incorporation of feedback gained throughout the
course. This submission will be graded with the Final Project
Rubric.
Deliverables
Milestone Deliverable Module Due Grading
One Topic Proposal One Graded separately; Milestone One
Rubric
Two PICO(T) Question Two Graded separately; Milestone Two
Rubric
Three Annotated Bibliography Four Graded separately;
Milestone Three Rubric
Four Evidence Table Five Graded separately; Milestone Four
Rubric
Final Submission: Integrative Review of the
Literature
Seven Graded separately; Final Project Rubric
19. Final Project Rubric
Guidelines for Submission: Your paper should be a maximum of
12 pages, exclusive of the title page, abstract, references, and
appendices. Your paper should be
formatted with one-inch margins and 12-point Times New
Roman font, and all citations must appear in proper APA
format.
Critical Elements Exemplary (100%) Proficient (85%) Needs
Improvement (55%) Not Evident (0%) Value
Introduction: Purpose
Meets “Proficient” criteria and
description is in depth and
includes scholarly detail
Accurately describes the purpose
of the integrative review
Describes the purpose of the
integrative review, but with gaps
in accuracy
Does not describe the purpose of
the integrative review
4.8
Introduction: Articulate
Meets “Proficient” criteria and
20. uses scholarly, industry language
to demonstrate expertise
Clearly articulates topic of
interest, problem statement, and
research question
Articulates topic of interest,
problem statement, or research
question, but with gaps in clarity
or detail
Does not articulate topic of
interest, problem statement, and
research question
4.8
Introduction: Variables
Meets “Proficient” criteria and
variables identified demonstrate
keen insight into the literature
review process
Comprehensively identifies
variables of interest used to
guide the review of literature
Identifies variables of interest
used to guide the review of
literature, but identification is
not comprehensive
Does not identify variables of
21. interest used to guide the review
of literature
4.8
Introduction:
Background and
Significance
Meets “Proficient” criteria and
makes nuanced connections
between concepts
Discusses the background and
significance of the problem to
nursing, and substantiates claims
with specific examples from
research
Discusses the background and
significance of the problem to
nursing, but does not
substantiate claims with specific
examples from research
Does not discuss the background
and significance of the problem
to nursing
4.8
Literature Search
Methods: Keywords
22. Meets “Proficient” criteria and
demonstrates keen insight into
scholarly search methods
Accurately identifies keywords,
subject headings, and
combinations used in the initial
search
Identifies keywords, subject
headings, or combinations used
in the initial search, but with gaps
in accuracy or detail
Does not identify keywords,
subject headings, and
combinations used in the initial
search
4.3
Literature Search
Methods: Databases
Meets “Proficient” criteria and
databases identified
demonstrate keen insight into
the literature review process
Identifies databases appropriate
to the issue that were used in the
initial search
Identifies databases that were
23. used in the initial search, but
databases are not appropriate to
the issue
Does not identify databases that
were used in the initial search
4.3
Literature Search
Methods:
Inclusion/Exclusion
Criteria
Meets “Proficient” criteria and
description is in depth and
includes scholarly detail
Describes inclusion and exclusion
criteria appropriate to the issue
for the sample of research
reports
Describes inclusion and exclusion
criteria for the sample of
research reports, but criteria are
not appropriate to the issue
Does not describe inclusion and
exclusion criteria for the sample
of research reports
4.8
24. Analysis and Appraisal:
Quality
Meets “Proficient” criteria and
analysis is exceptionally well
informed and well supported
Accurately analyzes the quality of
each study
Analyzes study quality, but with
gaps in accuracy or detail
Does not analyze the quality of
each study
4.3
Analysis and Appraisal:
Strengths and
Limitations
Meets “Proficient” criteria and
demonstrates novel, scholarly
insight into research study
characteristics
Accurately identifies each study’s
strengths and limitations
25. Identifies study strengths and
limitations, but with gaps in
accuracy or detail
Does not identify each study’s
strengths and limitations
4.3
Analysis and Appraisal:
Gaps
Meets “Proficient” criteria and
draws nuanced connections
between concepts
Accurately identifies gaps in
literature and reflects on why
they may exist
Inaccurately identifies gaps in
literature, or does not reflect on
why they may exist
Does not identify gaps in
literature
4.3
Analysis and Appraisal:
Similarities and
Inconsistencies
Meets “Proficient” criteria and
26. demonstrates novel, scholarly
insight into research study
characteristics
Accurately identifies similarities
and differences across the
studies
Identifies similarities or
differences across the studies,
but with gaps in accuracy or
detail
Does not identify similarities and
differences across the studies
4.3
Results: Evidence Table
Meets “Proficient” criteria and
presentation of data is
exceptionally clear and logical
Develops a comprehensive
evidence table
Develops an evidence table, but
with gaps in detail
Does not develop an evidence
table
4.8
27. Results: Major Trends
Meets “Proficient” criteria and
draws nuanced connections
between concepts
Accurately identifies major
trends or patterns in the research
Identifies trends or patterns in
the research, but with gaps in
accuracy
Does not identify trends or
patterns in the research
4.3
Results:
Generalizations
Meets “Proficient” criteria and
draws nuanced connections
between concepts
Accurately determines if
generalizations can be made
across studies, and justifies
position
Inaccurately determines if
generalizations can be made
across studies, or does not justify
position
28. Does not determine if
generalizations can be made
across studies
3.5
Results: Conclusions
Meets “Proficient” criteria and
draws nuanced connections
between concepts
Explains appropriate conclusions
that can be drawn, and uses a
logical chain of evidence to
support them
Explains conclusions that can be
drawn, but they are not
appropriate, or does not use a
logical chain of evidence to
support them
Does not explain conclusions that
can be drawn
4.8
Results: Summary
Meets “Proficient” criteria and
articulation is exceptionally clear
and logical
29. Provides a scholarly summary of
the research that describes the
“state of the science” presented
by the research reports
Provides a summary of the
research that is not scholarly, or
does not describe the “state of
the science” presented by the
research reports
Does not provide a summary of
the research
4.8
Results:
Recommendations
Meets “Proficient” criteria and
provides detailed examples of
how the recommendation(s) will
fill the gaps in practice
Makes appropriate practice
change recommendation(s)
based on the research reviewed
Makes practice change
recommendation(s) that are not
appropriate, or are not based on
the research reviewed
Does not make practice change
30. recommendation(s)
4.8
Conclusions:
Limitations
Meets “Proficient” criteria and
demonstrates novel, scholarly
insight into the literature review
process
Accurately identifies limitations
of the literature review
Identifies limitations of the
literature review, but with gaps
in accuracy or clarity
Does not identify limitations of
the literature review
4.8
Conclusions: Relevance
Meets “Proficient” criteria and
draws nuanced connections
between concepts
Discusses the relevance of the
31. results of literature review to
clinical practice
Discusses the relevance of the
results of literature review to
clinical practice, but with gaps in
detail or clarity
Does not discuss the relevance of
the results of literature review to
clinical practice
4.8
Conclusions:
Implications
Meets “Proficient” criteria and
draws nuanced connections
between concepts
Discusses implications of the
recommended practice change
on future nursing practice and
research
Discusses implications of the
recommended practice change
on future nursing practice or
research, but with gaps in detail
Does not discuss implications of
the recommended practice
change on future nursing practice
and research
32. 4.8
Abstract
Meets “Proficient” criteria and
uses scholarly, industry language
to demonstrate expertise
Includes a comprehensive
abstract
Includes an abstract, but with
gaps in detail
Does not include an abstract 4.8
Appendix Meets “Proficient” criteria and
presentation of data is
exceptionally clear and logical
Provides a comprehensive
appendix
Provides an appendix, but with
gaps in detail
Does not provide an appendix 2
Articulation of
Response
Submission is free of errors
related to citations, grammar,
spelling, syntax, and organization
33. and is presented in a professional
and easy-to-read format
Submission has no major errors
related to citations, grammar,
spelling, syntax, or organization
Submission has major errors
related to citations, grammar,
spelling, syntax, or organization
that negatively impact readability
and articulation of main ideas
Submission has critical errors
related to citations, grammar,
spelling, syntax, or organization
that prevent understanding of
ideas
2
Earned Total 100%