NURS 6052 Evidence-Based Project, Part 1 Identifying Research Methodologies
Walden University NURS 6052 Evidence-Based Project, Part 1 Identifying Research Methodologies– Step-By-Step Guide
This guide will demonstrate how to complete the Walden University NURS 6052 Evidence-Based Project, Part 1 Identifying Research Methodologies assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NURS 6052 Evidence-Based Project, Part 1 Identifying Research Methodologies
Whether one passes or fails an academic assignment such as the Walden University NURS 6052 Evidence-Based Project, Part 1 Identifying Research Methodologies depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NURS 6052 Evidence-Based Project, Part 1 Identifying Research Methodologies
The introduction for the Walden University NURS 6052 Evidence-Based Project, Part 1 Identifying Research Methodologies is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NURS 6052 Evidence-Based Project, Part 1 Identifying Research Methodologies
After the introduction, move into the main part of the NURS 6052 Evidence-Based Project, Part 1 Identifying Research Methodologies assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NURS 6052 Evidence-Based Project, Part 1 Identifying Research Methodologies
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NURS 6052 Evidence-Based Project, Part 1 Identifying Research Methodologies
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NURS 6052 Evidence-Based Project, Part 1 Identifying Research Methodologies
A central line bloodstream infection (CLABSI) is a laboratory-confirmed bloodstream infection not connected to an infection at another site that occurs within 48 hours of a central line placement. It is associated with poor health outcomes, high morbidity and mortality rates, and high healthcare costs for patients and the healthcare system. Most CLABSI cases are preventable with appropriate aseptic techniques, surveillance, and management strategies. The purpose of this assignment is to analyze peer-reviewed articles related to CLABSI.
Full citation of selected article | Article #1 | Article #2 | Article #3 | Article #4 |
Elliott, J., Hatch, D., Yang, Q., & Granger, B. B. (2021). Results of the CHlorhexidine Gluconate Bathing implementation intervention to improve evidence-based nursing practices for prevention of central line associated bloodstream infections Study (CHanGing BathS): a stepped wedge cluster randomized trial. Implementation science : IS, 16(1), 45. https://doi.org/10.1186/s13012-021-01112-4
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Acharya, R., Bedanta Mishra, S., Ipsita, S., & Azim, A. (2019). Impact of Nursing Education on CLABSI Rates: An Experience from a Tertiary Care Hospital in Eastern India. Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 23(7), 316–319. https://doi.org/10.5005/jp-journals-10071-23205 | Mohapatra, S., Kapil, A., Suri, A., Pandia, M. P., Bhatia, R., Borkar, S., Dube, S. K., Jagdevan, A., George, S., Varghese, B., & Dabral, J. (2020). Impact of Continuous Education and Training in Reduction of Central Line-associated Bloodstream Infection in Neurointensive Care Unit. Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 24(6), 414–417. https://doi.org/10.5005/jp-journals-10071-23455 | Goldman, J., Rotteau, L., Shojania, K. G., Baker, G. R., Rowland, P., Christianson, M. K., Vogus, T. J., Cameron, C., & Coffey, M. (2021). Implementation of a central-line bundle: a qualitative study of three clinical units. Implementation science communications, 2(1), 105. https://doi.org/10.1186/s43058-021-00204-y | |
Why you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of the ethics of research related to your clinical issue of interest) | · The article was selected because it is concerned with identifying approaches that can prevent CLABSI and the adoption of these interventions among nurses.
· It relates to the clinical issue because it provides evidence-based data on interventions that can be employed to lower CLABSI rates in hospitals. · The study was reviewed by the Duke University and WakeMed’s Institutional Review Boards and established to be exempt.
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· The article was selected because it assesses the effectiveness of educational program for nurses and how educating nurses can reduce CLABSI rates.
· It relates to the clinical issue because it adds to literature on interventions that can be employed to lower CLABSI rates in hospitals. · All participants gave their informed consent. |
· The article was selected because it identifies education as an important aspect of the hospital infection control that improves infection-control practices.
· The study supports that continuous education interventions on hand hygiene with and training on the catheter hub care are the two most crucial preventive measures in reducing CLABSI incidence. · Ethical permission for the study was not needed since it was part of routine continuing surveillance activity. |
· I selected this article because it gives insight on the impact of socio-cultural factors in CLABSI bundle implementation.
· This relates to the clinical issue since socio-cultural factors could be causing high CLABSI rates or hindering the implementation of preventive strategies. · The research was approved by the Research Ethics Boards at the hospital where the research was conducted.
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Brief description of the aims of the research of each peer-reviewed article | · The aim of the study was to examine the effect of a tailored, multifaceted implementation program on nursing staff’s compliance with the chlorhexidine gluconate (CHG) bathing process and EHR documentation in critically ill patients.
· It also sought to assess the intervention’s impact on nursing staff’s knowledge and perceptions of CHG bathing, and the effect of the intervention on CLABSI rates.
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· The study carried out an education based program on hand hygiene with a pre- and post evaluation to evaluate the effect of the educational intervention in promoting performance improvement among the nurses. | · The aim of the study was to assess the impact of continuous teaching and training on strict adherence of the bundle care, particularly the compliance of hand hygiene and the care of central-line catheter hub for the prevention of CLABSI among patients in neurocritical ICUs. | · The aim of the study was to assess how socio-cultural factors influencing bundle implementation and practices in three clinical units in a pediatric hospital were identified and addressed by leaders of the safety program. |
Brief description of the research methodology used Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific. | · The researchers utilized a stepped wedged cluster-randomized design. Quantitative methods were used to evaluate assess the effect of utilizing a tailored implementation strategies program on nursing staff compliance with daily CHG bathing processes.
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· The study employed a quantitative quasi-experimental study with respect to education of nursing staff to decrease the incidence of CLABSI.
· A pretest and post test design was employed to measure nurses’ knowledge on the infection prevention and control practices of central catheter care. |
· The study applied a quantitative prospective observational study in the NICU over two years from January 2017 to December 2018. | · The researchers conducted a qualitative study of the implementation of a hospital-wide safety program |
A brief description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected. | · The strength of a randomized control trial lies in its excellent internal validity.
· The study’s methodology is reliable since it produced results consistent with other studies that have established daily CHG bathing as effective in reducing patients’ risk of infections. · The methodology is valid since it adequately evaluated the impact of the implementation program on nursing staff compliance and CLABSI rates.
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· The methodology is reliable since it produced consistent results with previous studies that show that educating nurses on hand hygiene lower the rates of CLABSI.
· The methodology passed the validity criterion since it measures what it was supposed to, that is, the impact of a nurses’ educational intervention in reducing CLABSI. |
· The research methodology is reliable since it the results are consistent with other studies that have established that hand hygiene and catheter hub care reduce CLASI rate.
· The methodology’s validity is apparent since it actually evaluates if a quality improvement initiative on hand hygiene reduces CLABSI rate. |
· The methodology is reliable since it produced results consistent with previous studies that socio-cultural factors play a major role in CLABSI bundle implementation.
· Its validity is evident since it sufficiently identified socio-cultural factors related to bundle compliance in CLABSI prevention. |
General Notes/Comments | · Adoption of evidence-based CHG bathing practices can be used to lower the cases of CLABSI in healthcare facilities.
· Education programs for nurses and providing feedback on implementation is an effective way of promoting adoption and compliance of this practices.
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· CLABSI rates can be alleviated by enhancing compliance with the basic steps of hand hygiene. Although educating and implementing hand hygiene is easy, sustaining it over time is a challenge and requires regular training and motivation for healthcare providers. | · Adherence of healthcare providers to hand hygiene practices and catheter hub care alongside continuous teaching, training, and supervision is highly effective in reducing the CLABSI rate. | · Difficult to change socio-cultural factors can hinder the sustainability of interventions to reduce CLABSI and are a barrier to further improvements. |
Conclusion
The above articles examined the impact of interventions aimed at preventing CLABSI like hand hygiene and catheter hub care. The impact of nurses’ education programs on implementing the hand hygiene and catheter hub care was also examined. The study findings show that these interventions are highly effective in lowering CLABSI rates. However, one of the articles demonstrates that socio-cultural factors can hinder their implementation. The articles highlight evidence-based interventions that can be applied in a quality improvement initiative on reducing CLABSI rates in a healthcare facility.
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References
Acharya, R., Bedanta Mishra, S., Ipsita, S., & Azim, A. (2019). Impact of Nursing Education on CLABSI Rates: An Experience from a Tertiary Care Hospital in Eastern India. Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 23(7), 316–319. https://doi.org/10.5005/jp-journals-10071-23205
Elliott, J., Hatch, D., Yang, Q., & Granger, B. B. (2021). Results of the CHlorhexidine Gluconate Bathing implementation intervention to improve evidence-based nursing practices for prevention of central line associated bloodstream infections Study (CHanGing BathS): a stepped wedge cluster randomized trial. Implementation science : IS, 16(1), 45. https://doi.org/10.1186/s13012-021-01112-4
Goldman, J., Rotteau, L., Shojania, K. G., Baker, G. R., Rowland, P., Christianson, M. K., Vogus, T. J., Cameron, C., & Coffey, M. (2021). Implementation of a central-line bundle: a qualitative study of three clinical units. Implementation science communications, 2(1), 105. https://doi.org/10.1186/s43058-021-00204-y
Mohapatra, S., Kapil, A., Suri, A., Pandia, M. P., Bhatia, R., Borkar, S., Dube, S. K., Jagdevan, A., George, S., Varghese, B., & Dabral, J. (2020). Impact of Continuous Education and Training in Reduction of Central Line-associated Bloodstream Infection in Neurointensive Care Unit. Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 24(6), 414–417. https://doi.org/10.5005/jp-journals-10071-23455
Sample Answer 2 for NURS 6052 Evidence-Based Project, Part 1 Identifying Research Methodologies
Clinical issues have profound impacts on health care providers and patients, given that they pose a significant risk to the quality of care, patient safety, and nursing staff’s wellbeing. Workplace incivility, characterized by discourteous and disrespectful actions, is typical in the nursing practice. It is among the issues that adversely affect nurses’ confidence and interprofessional collaboration. Anxiety is also high in workplaces where nursing incivility is not effectively controlled, fueling burnout and turnover (Shi et al., 2018). Effective control of nursing incivility is vital to optimizing care quality and patient safety. Since interventions should be evidence-based, it is crucial to search for evidence from credible research as summarized in the matrix worksheet.
Also Read:
NURS 6052 Assignment Evidence-Based Project, Part 1 Identifying Research Methodologies
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NURS 6052 Assignment: Evidence-Based Project, Part 3: Critical Appraisal of Research
NURS 6052 Discussion: Developing a Culture of Evidence-Based Practice
NURS 6052 EBP Part 4 Recommending An Evidence-Based Practice Change
NURS 6052 Post a Description of the Healthcare Organization Website you Reviewed
NURS 6052 Post a Brief Description of your Clinical Issue of Interest
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NURS 6052 Critical Appraisal Tool Worksheet Template
NURS 6052 Change Implementation and Management Plan
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Assignment: Evidence-Based Project, Part 3: Critical Appraisal of Research NURS 6052
NURS 6052 Change is necessary in the healthcare systems
Full citation of selected article | Article #1 | Article #2 | Article #3 | Article #4 |
Kile, D., Eaton, M., deValpine, M., & Gilbert, R. (2019). The effectiveness of education and cognitive rehearsal in managing nurse‐to‐nurse incivility: A pilot study. Journal of Nursing Management, 27(3), 543-552. https://doi.org/10.1111/jonm.12709
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Abdollahzadeh, F., Asghari, E., Ebrahimi, H., Rahmani, A., & Vahidi, M. (2017). How to prevent workplace incivility?: Nurses’ perspective. Iranian Journal of Nursing and Midwifery Research, 22(2), 157-163. https://doi.org/10.4103/1735-9066.205966 | Armstrong, N. (2018). Management of nursing workplace incivility in the health care settings: A systematic review. Workplace Health & Safety, 66(8), 403-410. https://doi.org/10.1177%2F2165079918771106 | Shi, Y., Guo, H., Zhang, S., Xie, F., Wang, J., Sun, Z., … & Fan, L. (2018). Impact of workplace incivility against new nurses on job burn-out: A cross-sectional study in China. BMJ Open, 8(4), e020461. doi:10.1136/ bmjopen-2017-020461 | |
Why you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of the ethics of research related to your clinical issue of interest) | It is a comprehensive article exploring the importance of enhanced awareness through educational programs in reducing nurse-to-nurse incivility. The article explains how cognitive rehearsal techniques can help nurses to cope with incivility. Al-Ghabeesh and Qattom (2018) also supported the role of cognitive rehearsal in helping nurses to cope with workplace problems since it prepares them mentally to cope with stressing situations. Regarding ethics, participation was voluntary and participants’ information treated anonymously.
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The article depicts workplace incivility as a disturbing phenomenon, detrimental to clinicians’ health and care delivered. Due to incivility’s psychological and somatic effects, the article investigates how it can be managed from a nurse’s perspective. Concerning research ethics, informed consent was observed to ensure that nurses participated willingly. Nurses were also allowed to withdraw willingly without getting penalized in any way. | The article was chosen since it shows the severity of workplace incivility among nurses and proposes evidence-based interventions. According to Armstrong (2018), incivility has a destructive effect as a cause of emotional upset among nurses, to the extent of risking patient care. This observation coincides with Alshehry et al. (2021) finding that workplace incivility increases the occurrence of unsafe medication administration practices. On ethics, Armstrong (2018) avoided search biases by summarizing data from different databases. | The article is an in-depth exploration of the implications of workplace incivility in health practice. It describes how workplace incivility is correlated with anxiety and job burn-out among nurses, necessitating evidence-based interventions. Regarding ethics of research, consent and anonymity are critical. Participants consented to participate in the survey and information provided was treated anonymously. |
Brief description of the aims of the research of each peer-reviewed article | The aim of the research was to help nurses to recognize incivility and reduce its impacts by confronting it through cognitive rehearsal techniques. The ability to confront incivility would improve job satisfaction. | Abdollahzadeh et al. (2017) suggested that many articles have investigated the effects of workplace incivility without proposing practical interventions. In response, the article’s primary aim is to determine how workplace incivility can be prevented in health care settings from a nurses’ perspective. | Guided by the premise that workplace incivility should be effectively controlled, the study critiques and summarized evidence that can help nursing staff to manage workplace incivility. It focused on the practical interventions that can be applied universally as nurses overcome this chronic problem. | The article’s primary aim was to investigate the impacts of workplace incivility on new nursing staff. It further examined the role that resilience plays in moderating incivility-job burn-out connection. |
Brief description of the research methodology used Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific. | Kile et al. (2019) conducted a mixed method, pilot study. Data before and after nurses received cognitive rehearsal training were obtained via surveys for comparative analysis.
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Data was collected via interviews. Researchers used the qualitative descriptive study design. Thus, the article is qualitative research. | The study is a systematic review of current and relevant evidence on workplace incivility. Ten studies were reviewed, implying that it is a quantitative study. | The study was a cross-sectional online survey. Participants (903 registered nurses) completed online questionnaires in May of 2016 in China. Hence, it was a quantitative research. |
A brief description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected. | The key strength of a mixed method approach to research is enhancing the understanding of quantitative and qualitative results’ contradictions. Regarding validity and reliability, researchers use various methods to gather information in mixed methods studies (Schoonenboom & Johnson, 2017). These methods supplement each other making the data more valid and reliable. | Generally, qualitative research allows issues to be examined in-depth. Interviews also allow researchers to ask specific questions that can be redirected as situations oblige (Thorsteinson, 2018). Regarding reliability and validity, interviews allowed one-on-one correspondence and the interview questions were designed in a way that all the participants answered the same questions despite difference locations. | A key strength of systematic reviews is getting a quick answer about a particular clinical issue from previous studies. In this case, information is readily available. Systematic reviews are highly reliable and valid too. Their conclusion about a clinical issue is derived from multiple studies that the researcher(s) assess for relevance and quality. | As a common data collection method, questionnaires have various strengths. It is possible to test many people quickly. Data (quantitative) can be generated and analyzed easily. On reliability, questionnaires facilitate the collection of large volume of data (Oden, 2019). It was the same case in the article. The results were also consistent by showing a positive correlation between workplace incivility, anxiety, and burnout. |
General Notes/Comments | The article expands the PICOT by explaining how an educational intervention (cognitive rehearsal) can advance workplace civility. It illustrates how a positive workplace can be promoted to ensure that patients receive safe and efficient care.
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The article is a reliable resource that expands knowledge on workplace incivility prevention from a nurses’ perspective. It explains how improving nurses’ skills and communication ability and supporting nurses can be integral in reducing workplace incivility in health care organizations. | The article is highly informative on the implications of workplace incivility in health care settings. It further proposes interventions necessary to manage incivility including educational training on incivility to enhance awareness and communication skills. Overall, it is a useful resource to develop the PICOT. | As nurses continue solving clinical issues, application of evidence-based research is vital. The article expands research on the effects of workplace incivility, which shows the need for policy interventions and other practical solutions. |
Conclusion
The research articles in the worksheet evaluate workplace incivility among nurses from multiple dimensions. Causes of nursing incivility have been studied besides impacts of the clinical problem and possible prevention measures. Interventions such as resilience training and cognitive rehearsal techniques have been proposed. The articles will be further critiqued to get the best evidence to be used as the basis for change implementation in nursing practice to reduce incivility.
References
Abdollahzadeh, F., Asghari, E., Ebrahimi, H., Rahmani, A., & Vahidi, M. (2017). How to prevent workplace incivility?: Nurses’ perspective. Iranian Journal of Nursing and Midwifery Research, 22(2), 157-163. https://doi.org/10.4103/1735-9066.205966
Al-Ghabeesh, S. H., & Qattom, H. (2019). Workplace bullying and its preventive measures and productivity among emergency department nurses. Israel Journal of Health Policy research, 8(1), 1-9. https://doi.org/10.1186/s12913-019-4268-x
Alshehry, A. S., Alquwez, N., Almazan, J., Namis, I. M., & Cruz, J. P. (2019). Influence of workplace incivility on the quality of nursing care. Journal of Clinical Nursing, 28(23-24), 4582-4594. DOI: 10.1111/jocn.15051
Armstrong, N. (2018). Management of nursing workplace incivility in the health care settings: A systematic review. Workplace Health & Safety, 66(8), 403-410. https://doi.org/10.1177%2F2165079918771106
Kile, D., Eaton, M., deValpine, M., & Gilbert, R. (2019). The effectiveness of education and cognitive rehearsal in managing nurse‐to‐nurse incivility: A pilot study. Journal of Nursing Management, 27(3), 543-552. https://doi.org/10.1111/jonm.12709
Oden, C. (2019). Validity and reliability of questionnaires: how to check. ProjectTopics. https://www.projecttopics.org/validity-and-reliability-of-questionnaires-how-to-check.html
Shi, Y., Guo, H., Zhang, S., Xie, F., Wang, J., Sun, Z., … & Fan, L. (2018). Impact of workplace incivility against new nurses on job burn-out: A cross-sectional study in China. BMJ Open, 8(4), e020461. doi:10.1136/ bmjopen-2017-020461
Schoonenboom, J., & Johnson, R. B. (2017). How to construct a mixed methods research design. KZfSS Kölner Zeitschrift für Soziologie und Sozialpsychologie, 69(2), 107-131. doi: 10.1007/s11577-017-0454-1
Thorsteinson, T. J. (2018). A meta‐analysis of interview length on reliability and validity. Journal of Occupational and Organizational Psychology, 91(1), 1-32. https://doi.org/10.1111/joop.12186
Sample Answer 3 for NURS 6052 Evidence-Based Project, Part 1 Identifying Research Methodologies
Matrix Worksheet Template
Chronic health problems have considerable effects on patients and significant others. Chronic health problems such as diabetes, heart disease and cancer are associated with adverse effects such as loss of productivity, independence, disability, and early mortality. Patients and their significant others also experience increased costs of care due to the need for frequent hospital visits and hospitalizations. The advent of new technologies such as telehealth promises to reduce the burden of chronic illnesses. The technology has been shown to improve treatment outcomes of chronic illnesses and the costs of care that patients incur. The health organization that I serve as a nurse uses telehealth for chronic disease management. However, most of the staffs do not understand the reasons for its use and benefits. Therefore, the purpose of this review is to examine the benefits of telehealth technology for chronic disease management in healthcare.
Full citation of selected article | Article #1 | Article #2 | Article #3 | Article #4 |
Bohingamu Mudiyanselage, S., Stevens, J., Watts, J. J., Toscano, J., Kotowicz, M. A., Steinfort, C. L., Bell, J., Byrnes, J., Bruce, S., Carter, S., Hunter, C., Barrand, C., & Hayles, R. (2019). Personalised telehealth intervention for chronic disease management: A pilot randomised controlled trial. Journal of Telemedicine and Telecare, 25(6), 343–352. https://doi.org/10.1177/1357633X18775850
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Lim, K., Chan, S.-Y., Lim, S. L., Tai, B. C., Tsai, C., Wong, S. R., Ang, S. M., Yew, T. W., Tai, E. S., & Yong, E. L. (2021). A Smartphone App to Restore Optimal Weight (SPAROW) in Women With Recent Gestational Diabetes Mellitus: Randomized Controlled Trial. JMIR MHealth and UHealth, 9(3), e22147. https://doi.org/10.2196/22147
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Sun, C., Sun, L., Xi, S., Zhang, H., Wang, H., Feng, Y., Deng, Y., Wang, H., Xiao, X., Wang, G., Gao, Y., & Wang, G. (2019). Mobile Phone–Based Telemedicine Practice in Older Chinese Patients with Type 2 Diabetes Mellitus: Randomized Controlled Trial. JMIR MHealth and UHealth, 7(1), e10664. https://doi.org/10.2196/10664
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Warren, R., Carlisle, K., Mihala, G., & Scuffham, P. A. (2018). Effects of telemonitoring on glycaemic control and healthcare costs in type 2 diabetes: A randomised controlled trial. Journal of Telemedicine and Telecare, 24(9), 586–595. https://doi.org/10.1177/1357633X17723943
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Why you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of the ethics of research related to your clinical issue of interest) | I chose this article because it explored the use of telehealth technologies for managing chronic illnesses. The article relates to the issue of interest by showing the benefits of telehealth in chronic disease management. The ethics of research that relate to my clinical issue of interest include safety, informed consent, privacy and confidentiality of data.
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I chose this article because it provides insights into the efficacy of telehealth technology for chronic disease management. It also provides information about the feasibility of the use of the technology in chronic disease management. The article relates to the clinical issue of interest because it shows the effectiveness of telehealth in improving outcomes of patients with chronic illnesses. It also shows that telehealth can be used to facilitate the desired lifestyle and behavioral modifications in patients with chronic illnesses. The ethics of research that relate to the clinical issue of interest include benevolence and non-maleficence, informed consent, and participant autonomy. | The article was chosen because it shows the effectiveness of mobile-based telehealth technologies when used in chronic disease management. The study relates to the clinical issue of interest as it shows that besides computer-based telehealth interventions, mobile-based interventions are also effective. The research also shows that the technology can be used to improve the health outcomes of patients with chronic illnesses. The ethics of research that relate to the issue of interest include informed consent, benevolence, non-maleficence, privacy and confidentiality. | The article was selected because it investigated the effectiveness and efficiency of telehealth in chronic disease management. The article relates to the issue of interest in that it shows the cost benefits and improvement in treatment outcomes in type 2 diabetes mellitus. The ethics f research related to the clinical issue of interest that are evident in this article include autonomy, informed consent, safety, privacy and confidentiality of data. |
Brief description of the aims of the research of each peer-reviewed article | The aim of the study was to examine the impact of home-based telehealth monitoring on the quality of life, health outcomes and costs over 12 months for patients with diabetes and or chronic obstructive pulmonary disease and were at risk of readmission to hospital. | The aims of the study were to investigate the efficacy of smartphone app in restoring optimal weight following delivery in women with gestational diabetes. | The aim of this research was to investigate the use of mobile phone-based telemedicine apps for the management of type 2 diabetes mellitus in older Chinese patients. | The aim of the study was to examine the effect of a telehealth intervention on the control of type 2 diabetes and subsequent cost-savings to the health system. |
Brief description of the research methodology used Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific. | The research methodology that was used was quantitative. The investigation was a randomized controlled trial that was combined with economic analysis to determine the outcomes of control versus intervention in the study.
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The research methodology utilized in this investigation was quantitative. The study was unblended randomized controlled where participants were allocated to either receive intervention or act as control group in the research. | The research methodology that was used was quantitative. The specific type of study used was randomized controlled trial. Participants were randomly assigned to either control or intervention groups. | The researchers utilized quantitative methodology. The specific type of research design was randomized controlled trial. The participants were randomly assigned to either control or the intervention groups and monitored for outcomes. |
A brief description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected. | One of the strengths of the randomized controlled trial used in the study was minimal biases. Randomization eliminated biases such as selection bias in the study. The study also provided highly reliable and valid results due to randomization of participants and manipulation of variables. | The benefit of the randomized controlled approach is that it produces highly reliable and valid data. The data can be applied into clinical practice due to the methods utilized to limit extraneous factors. The study is also associated with the benefit of using a large sample size, which increases the applicability of the research to the wider population. | The study design provided highly accurate and reliable data due to randomization of the participants. Randomization minimized threats to the internal validity and reliability of the study. | The study design is associated with the strength of minimal bias such as selection bias. It also provides valid and reliable data due to randomization. It also establishes the causation-effect relationship between variables. |
General Notes/Comments | The study informs the need for telehealth for chronic disease management.
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The study provides reliable information about the efficacy of telehealth in chronic disease management. | The study proves that mobile phone-based telehealth technologies are safe and effective for chronic disease management. | The study shows that telehealth monitoring is an effective intervention for use in chronic disease management. |
Conclusion
Overall, the reviewed studies show that telehealth is an effective approach for chronic disease management. The use of telehealth is safe, efficient, and effective in health organizations. Telehealth is also cost-effective and easy for use for patients from different sociodemographic profiles. Therefore, it is important that its use in healthcare for chronic disease management be supported.
References
Bohingamu Mudiyanselage, S., Stevens, J., Watts, J. J., Toscano, J., Kotowicz, M. A., Steinfort, C. L., Bell, J., Byrnes, J., Bruce, S., Carter, S., Hunter, C., Barrand, C., & Hayles, R. (2019). Personalised telehealth intervention for chronic disease management: A pilot randomised controlled trial. Journal of Telemedicine and Telecare, 25(6), 343–352. https://doi.org/10.1177/1357633X18775850
Lim, K., Chan, S.-Y., Lim, S. L., Tai, B. C., Tsai, C., Wong, S. R., Ang, S. M., Yew, T. W., Tai, E. S., & Yong, E. L. (2021). A Smartphone App to Restore Optimal Weight (SPAROW) in Women With Recent Gestational Diabetes Mellitus: Randomized Controlled Trial. JMIR MHealth and UHealth, 9(3), e22147. https://doi.org/10.2196/22147
Sun, C., Sun, L., Xi, S., Zhang, H., Wang, H., Feng, Y., Deng, Y., Wang, H., Xiao, X., Wang, G., Gao, Y., & Wang, G. (2019). Mobile Phone–Based Telemedicine Practice in Older Chinese Patients with Type 2 Diabetes Mellitus: Randomized Controlled Trial. JMIR MHealth and UHealth, 7(1), e10664. https://doi.org/10.2196/10664
Warren, R., Carlisle, K., Mihala, G., & Scuffham, P. A. (2018). Effects of telemonitoring on glycaemic control and healthcare costs in type 2 diabetes: A randomised controlled trial. Journal of Telemedicine and Telecare, 24(9), 586–595. https://doi.org/10.1177/1357633X17723943
Sample Answer 4 for NURS 6052 Evidence-Based Project, Part 1 Identifying Research Methodologies
Use this document to complete Part 2 of the Module 2 Assessment, Evidence-Based Project, Part 1: An Introduction to Clinical Inquiry, and Part 2: Research Methodologies
Full citation of the selected article | Article #1 | Article #2 | Article #3 | Article #4 |
Liddle, J., Lovarini, M., Clemson, L., Mackenzie, L., Tan, A., Pit, S. W., … & Willis, K. (2018). Making fall prevention routine in primary care practice: perspectives of allied health professionals. BMC health services research, 18(1), 1-9. | Howland, J., Hackman, H., Taylor, A., O’Hara, K., Liu, J., & Brusch, J. (2018). Older adult fall prevention practices among primary care providers at accountable care organizations: A pilot study. PLoS One, 13(10), e0205279. | Aidemark, J., & Askenäs, L. (2018). The motivation for adopting fall prevention measures: a literature review searching for technology acceptance factors. Procedia computer science, 138, 3-11. | Ye, P., Liu, Y., Zhang, J., Peng, K., Pan, X., Shen, Y., … & Tian, M. (2020). Falls prevention interventions for community-dwelling older people living in mainland China: a narrative systematic review. BMC health services research, 20(1), 1-14. | |
Why you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of the ethics of research related to your clinical issue of interest) | The article was selected because it proposes measures to help reduce fall incidences among the elderly population. There is an increased burden of falls among the elderly populations; therefore, the study uses EBP to solve the health issue. The study promotes the ethical principle of beneficence and nonmaleficence. | The study is relevant in this case because it explores the measures to prevent falls among the elderly population. Furthermore, the study observed the ethical principle of respect, justice, and non-maleficence. None of the harmful interventions were adopted in the study and this makes it ethically appropriate. | The study is relevant because it explores the factors influencing the adoption of fall prevention measures and so provides relevant data that help improve community health outcomes. The study thus supports the ethical principle of beneficence. | The study explored the fall prevention measures for the elderly populations in the community. The article is relevant because elderly people are at high risk of falls and so it provides a framework for improving their health outcomes. The article supports the ethical principle of justice because it promotes health equality among the population by addressing fall risks among the elderly. |
Brief description of the aims of the research of each peer-reviewed article | The study aimed to explore the role of the implementation of fall prevention programs in primary care settings that affected fall incidences. | The study aimed to assess the beliefs, attitudes, knowledge, and practices developed to prevent falls among the older patients | The study aimed to analyze the factors influencing the implementation of fall prevention programs among the elders. | The study aimed at analyzing the fall prevention measures for the community-dwelling elders. |
Brief description of the research methodology used Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific. | The study involved a qualitative approach. Interviews were designed to explore the experiences of the Allied Health Professionals (AHP) on fall prevention. | The study involved a quantitative cross-sectional design. Surveys were distributed among the primary healthcare providers to determine their beliefs, knowledge, and practices in regard to fall risk prevention. A convenience sample of 17 ACOs. | The study was qualitatively based. Literature reviews of sources published between 2016 and 2018 were used. A total of 50 sources were reviewed. | The study involved a qualitative systematic literature review method with sources published between 1990 and 2019 being reviewed. |
A brief description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected. | The study employed a total of 42 participants and intensive interviews were conducted to help gather enough data on the research question. The method employed was appropriate and so strengthened the validity and reliability of the study findings. | The study sample population was small; however, the selected sample populations were appropriate and would help gather information on their experiences with fall prevention. The ACOs worked in the urban regions and offered inpatient services. The data collection method was appropriate and so enhanced the reliability and validity of the study findings. | The study sample population was adequate to provide more information about fall prevention strategies and the motivating factors. The large sample population increases the validity and reliability of the results. | The study’s sample population is sufficient and considering that 101 studies were reviewed. The sample population is comprehensive and adequate thus improving the validity and reliability of the findings. |
General Notes/Comments | The study findings indicated that the AHPs improved the efficiency of the fall prevention programs in society. They were able to identify the fall risks among their clients and adjust their environments accordingly to eliminate the risks. | The study reported a lack of proper integration of fall prevention programs in the communities. Furthermore, there was a need to increase awareness of fall prevention measures. | Personal goals and adaptive measures can be implemented to prevent falls among the elderly population. | Targeting disadvantaged elderly populations and incorporation of customized fall prevention measures reduces the burden of falls among the elderly populations. |
References
Aidemark, J., & Askenäs, L. (2018). The motivation for adopting fall prevention measures: a literature review searching for technology acceptance factors. Procedia computer science, 138, 3-11. https://doi.org/10.1016/j.procs.2018.10.002
Howland, J., Hackman, H., Taylor, A., O’Hara, K., Liu, J., & Brusch, J. (2018). Older adult fall prevention practices among primary care providers at accountable care organizations: A pilot study. PLoS One, 13(10), e0205279. doi: 10.1371/journal.pone.0205279
Liddle, J., Lovarini, M., Clemson, L., Mackenzie, L., Tan, A., Pit, S. W., … & Willis, K. (2018). Making fall prevention routine in primary care practice: perspectives of allied health professionals. BMC health services research, 18(1), 1-9. doi: 10.1186/s12913-018-3414-1.
Ye, P., Liu, Y., Zhang, J., Peng, K., Pan, X., Shen, Y., … & Tian, M. (2020). Falls prevention interventions for community-dwelling older people living in mainland China: a narrative systematic review. BMC health services research, 20(1), 1-14. https://doi.org/10.1186/s12913-020-05645-0