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Evidence Synthesis in Nursing Discussion
Evidence Synthesis in Nursing DiscussionEvidence Synthesis in Nursing DiscussionOn the
discussion board, using a minimum of two articles that are ing your PICOT question
(PICOT question: Among adults diagnosed with high blood pressure seeking care at Primary
Health Care Clinic (P), does a lifestyle program of diet and exercise (I), compared to no
lifestyle program (O) improve blood pressure results (O) over a period of eight months (T)),
submit one paragraph synthesizing the research into clear, concise statements without
separately reviewing each of the studies in the paragraph—but by paraphrasing and
synthesizing the work that was done.As you work on your capstone project proposal, you
will want to share your progress with your peers and instructor and seek or provide
guidance or share insights. By due date assigned , go to the Discussion Area and post
responses to the discussion question. All responses should be posted to the appropriate
topic in this Discussion Area. It is important to what you say with relevant citations in the
APA format from both the course materials and outside resources. Include the South
University online library in your research activities utilizing not only the nursing resource
database, but also those pertaining to education, business, and human resources.CLICK
HERE TO ORDER YOUR Evidence Synthesis in Nursing DiscussionWeek 6 NotesEvidence
SynthesisThe next step is to distill all of the essential information from the tables and
provide clinicians with an actionable set of evidence that makes sense for the specific
clinical question, and that they can confidently use in a specific healthcare intervention.This
part of the process, too, employs the use of tables, each one corresponding to one element in
an evaluation table, such as the level and type of evidence. To maximize speed and
efficiency, it’s advisable to identify whether or not like-minded studies can be clustered
together or even consolidated.Examples of studies that can be clustered include those with
similar designs, similar target interventions, or outcomes measured in a similar
way.Evidence synthesis allows clinicians to spot inconsistencies across multiple studies,
identify which—if any—studies should be removed from the analysis, and come to a
consensus on the outcomes and findings from each study. Most importantly, perhaps,
synthesis generates confidence among clinicians as to how they’ll implement the evidence
they’re reviewing, keeping in mind the feasibility of the treatment and the associated
risks.Level of EvidenceThe strength of evidence found helps to determine whether to accept
or reject recommendations from the EBP. Research evidence with a stronger scientific basis
is weighted more heavily in decision makingLevel IEvidence from a systematic review of all
relevant randomized controlled trials (RCT’s), or evidence based practice guidelines based
on systematic reviews of RCT’sLevel IIEvidence obtained from at least one well designed
Randomized Controlled Trail (RCT)Level IIIEvidence obtained from well-designed
controlled trials without randomization, quasi-experimentalLevel IVEvidence from well-
designed case control and cohort studiesLevel VEvidence from systematic reviews of
descriptive and qualitative studies.Level VIEvidence from a single descriptive or qualitative
study.Level VIIEvidence from the opinion of authorities and/or reports of expert
committeesSynthesis of findingsTo synthesize is to combine two or more elements to form
a new whole. In the literature review, the “elements” are the findings of the literature you
gather and read; the “new whole” is the conclusion you draw from those findings.Rigorous
methods of quantitative assessment are necessary to establish interventions that are both
effective and cost-effective. Usually a single study will not fully address these issues and it is
desirable to synthesize evidence from multiple sources.At this point in the process you
should aim for synthesis of the material. Synthesizing means comparing different material
and highlighting similarities, differences, and connections. When a writer synthesizes
successfully, he or she presents new ideas based on interpretations of other evidence or
arguments. Critical reading and critical thinking are key components of successful
synthesizing.Synthesis DeterminesSynthesis means to combine a number of different pieces
into a whole. Synthesis is about concisely summarizing and linking different sources in
order to review the literature on a topic, make recommendations, and connect your practice
to the research.Synthesis usually goes together with analysis because you break down a
concept/idea into its important parts/points (analysis), so you can draw useful conclusions
or make decisions about the topic or problem (synthesis).Synthesis DeterminesWhich
sources overlap or share the same opinion/findings?Have you found any common traits or
themes in the research literature?What choice have you made about this dilemma?Why did
you make that choice and not another?What meaning or conclusions do you draw from the
data on this topic? How might that new meaning change or reinforce your practice?Why is
the piece of research evidence weak or strong?Using the statistics, facts, or knowledge in
the research, what kind of story have you crafted for the reader? What is your angle or your
personal interpretation of the evidence? How have you shown the reader which parts of the
argument (or which pieces of research) are most useful or most important?

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Evidence Synthesis in Nursing Discussion.docx

  • 1. Evidence Synthesis in Nursing Discussion Evidence Synthesis in Nursing DiscussionEvidence Synthesis in Nursing DiscussionOn the discussion board, using a minimum of two articles that are ing your PICOT question (PICOT question: Among adults diagnosed with high blood pressure seeking care at Primary Health Care Clinic (P), does a lifestyle program of diet and exercise (I), compared to no lifestyle program (O) improve blood pressure results (O) over a period of eight months (T)), submit one paragraph synthesizing the research into clear, concise statements without separately reviewing each of the studies in the paragraph—but by paraphrasing and synthesizing the work that was done.As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. By due date assigned , go to the Discussion Area and post responses to the discussion question. All responses should be posted to the appropriate topic in this Discussion Area. It is important to what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.CLICK HERE TO ORDER YOUR Evidence Synthesis in Nursing DiscussionWeek 6 NotesEvidence SynthesisThe next step is to distill all of the essential information from the tables and provide clinicians with an actionable set of evidence that makes sense for the specific clinical question, and that they can confidently use in a specific healthcare intervention.This part of the process, too, employs the use of tables, each one corresponding to one element in an evaluation table, such as the level and type of evidence. To maximize speed and efficiency, it’s advisable to identify whether or not like-minded studies can be clustered together or even consolidated.Examples of studies that can be clustered include those with similar designs, similar target interventions, or outcomes measured in a similar way.Evidence synthesis allows clinicians to spot inconsistencies across multiple studies, identify which—if any—studies should be removed from the analysis, and come to a consensus on the outcomes and findings from each study. Most importantly, perhaps, synthesis generates confidence among clinicians as to how they’ll implement the evidence they’re reviewing, keeping in mind the feasibility of the treatment and the associated risks.Level of EvidenceThe strength of evidence found helps to determine whether to accept or reject recommendations from the EBP. Research evidence with a stronger scientific basis is weighted more heavily in decision makingLevel IEvidence from a systematic review of all relevant randomized controlled trials (RCT’s), or evidence based practice guidelines based
  • 2. on systematic reviews of RCT’sLevel IIEvidence obtained from at least one well designed Randomized Controlled Trail (RCT)Level IIIEvidence obtained from well-designed controlled trials without randomization, quasi-experimentalLevel IVEvidence from well- designed case control and cohort studiesLevel VEvidence from systematic reviews of descriptive and qualitative studies.Level VIEvidence from a single descriptive or qualitative study.Level VIIEvidence from the opinion of authorities and/or reports of expert committeesSynthesis of findingsTo synthesize is to combine two or more elements to form a new whole. In the literature review, the “elements” are the findings of the literature you gather and read; the “new whole” is the conclusion you draw from those findings.Rigorous methods of quantitative assessment are necessary to establish interventions that are both effective and cost-effective. Usually a single study will not fully address these issues and it is desirable to synthesize evidence from multiple sources.At this point in the process you should aim for synthesis of the material. Synthesizing means comparing different material and highlighting similarities, differences, and connections. When a writer synthesizes successfully, he or she presents new ideas based on interpretations of other evidence or arguments. Critical reading and critical thinking are key components of successful synthesizing.Synthesis DeterminesSynthesis means to combine a number of different pieces into a whole. Synthesis is about concisely summarizing and linking different sources in order to review the literature on a topic, make recommendations, and connect your practice to the research.Synthesis usually goes together with analysis because you break down a concept/idea into its important parts/points (analysis), so you can draw useful conclusions or make decisions about the topic or problem (synthesis).Synthesis DeterminesWhich sources overlap or share the same opinion/findings?Have you found any common traits or themes in the research literature?What choice have you made about this dilemma?Why did you make that choice and not another?What meaning or conclusions do you draw from the data on this topic? How might that new meaning change or reinforce your practice?Why is the piece of research evidence weak or strong?Using the statistics, facts, or knowledge in the research, what kind of story have you crafted for the reader? What is your angle or your personal interpretation of the evidence? How have you shown the reader which parts of the argument (or which pieces of research) are most useful or most important?