In part III , examine the finding-identify common theme-synthesize the finding- & answer your PICO. ( ONLY EXAMINE FINDING NOT BACKGROUND)
1) present strengths and weaknesses to the literature, and threats to reliability and validity.
2)present a summary (recaps your paper) and a conclusion( PRESENT YOUR SOLUTION, IMPLICATIONS FOR NURSING AND PURPOSE FUTURE RESEARCH-) Set up your proposed pilot study to evaluate your proposal solution.
3) PROPOSAL-PILOT STUDY: you will outline a pilot study- implementing your proposed solution. KEEP IT SIMPLE. No RCTs or mixed studies method. Clearly and succinctly present details to your pilot study as outlined in the instructions and clinical problem part 3 exemplar.
4) fill out the SYNTHESIS MATRIX TEMPLATE. ( SEE EXEMPLARY).
N.B PART III SHOULD BE 3- 4PAGES PLUS THE SYNTHESIS MATRIX TEMPLATE. THAT IS WHY I PUT 5 PAGES. IF ADDITIONAL PAGES WILL BE NEEDED FOR THE SYNTHESIS MATRIX TEMPLATE PLEASE LET ME KNOW THE ADDITIONAL PAYMENT IF NEEDED. THANKS.
Clinical Problem Project PART III: Synthesis of Findings -Synthesis Matrix, Proposed Pilot Study
- Instructions, Grading Template, and Rubric
Instructions
Part III – Synthesis/Matrix/Implications-Proposed Pilot Study (3½ to 4½ pages – PLUS: Synthesis Matrix Table, Parts I & II, APA title page and references)
Written in 3rd person-
HOW to USE a SYNTHESIS MATRIX -See Exemplar in Canvas
- Refer to your Literature Table’s Findings and Limitations.
- Complete Synthesis Matrix identifying at minimum three common themes/threads among the findings.
- Present themes in Part III of your paper, followed by the overall strengths and weaknesses - threats to reliability and validity (refer to limitations)
- Determine implication for nursing practice (what did the findings mean for nursing practice – how your information/solutions presented can be used in nursing practice).
- Propose future research (simple lower to moderate level – consider a pilot study) as a follow up to your findings (i.e. implement an intervention- evaluate effectiveness, show relationship of two variables, explore a process or phenomenon). This will set up your proposed pilot research.
- Proposed Pilot Study – OUTLINE – Please follow the outline in the Exemplar
- This assignment prepares you to present to administration (clear-succinct-organized – with substance): A problem, evidence-based solution, and a proposed pilot study to evaluate implementing the solution.
I. CONTENT
- PART I & II Revisions (Use heading as appropriate) –
– Part I & II feedback addressed (headings and format as per PART I & II)
- PICO (Use heading: PICO) –
- PICO Appropriately formatted – feedback addressed
- PART II Articles must answer your PICO- ONLY submit NEW articles or articles not previously submitted in PART II for Annotated Bibliography: Must Attach PDF (NOT Link) Submissions without New PDFs will be considered INCOMPLETE and RETURNED with a ZERO
– Opportunity to resubmit project with New PDFs by assigned due date and graded at 75%.
- Synthesis Matrix (Use heading: Synthesis Matrix) - see Synthesis Matrix Template/Exemplar
- include key themes – populates appropriate data/findings to support themes
- Synthesis of Findings (Use heading: Synthesis of Findings) - 1 - 1 ½ pages
- clearly communicates synthesis – relationships among findings (caution not to restate your annotated bibliography – look for common themes and relationships among all the findings)
- Strengths and Weaknesses (Use heading: Strengths and Weaknesses) - ½ page to ¾ page
- Overall strengths and weaknesses – threats to reliability and validity (refer to limitations)
-
- Summary (Use heading: Summary – about 1 paragraph - 6 to 8 sentences.
-Summarize your paper (introduction, search, synthesis) in a brief paragraph
- Conclusion and Future Research (Use heading: Conclusion and Future Research) – ¾ - 1 page
(In conclusion… ANSWER YOUR PICO). (no new literature necessary)
-What are your own conclusions regarding the evidence?
What are the implications for nursing practice? (How useful)
*Proposes future research -briefly suggest what should be studied and why – (b/c of your findings & to improve outcomes)-this will set up your proposal - pilot study
- Proposed Pilot Study – Outline – (use heading – Proposal – Pilot Study) Please follow the Outline in the Clinical Problem Project Exemplar for Proposal-Pilot Study – Note the purpose of the pilot study is to EVALUATE your proposed solution/intervention – Be PRACTICAL – keep it simple (No RCTs or Mixed method studies). Use headings as bolded below:
-Purpose: State your intent- The purpose of this pilot study is to evaluate…. clear and succinct-to the point -Research Type and Design: What research type and design/method? Demonstrate understanding of the proposed research and design – Why did you chose this design for your pilot study? Is it feasible? Should match your purpose.
-Research Question: (See Polit & Beck, 2018, pp. 97-99) Should match your purpose.
-Setting: (facility size, units? Department? urban, rural, non-metropolitan?)
-Population: Clearly describe the population you wish to target
-Participants: Clearly describe the participants you plan to use, proposed estimated number, inclusion criteria, exclusion criteria
-Data Collection: (method- survey, interview, observation, surveillance) Clear and succinct (practical for a pilot study)
-Analysis: what analysis method(s) will you uses and WHY – quantitative statistics – descriptive, correlation, t-test, or qualitative - constant comparative, content analysis
-Ethical Considerations: IRB, human subjects -how maintained privacy & confidentiality
-Dissemination of Findings: How will you share your findings/knowledge? …with whom?
II. REFERENCE LIST
- Relevance of references
III. FORMAT
- APA Style
- Mechanics (grammar, punctuation, sentence structure, etc.)
- Organization of ideas (transition of paragraphs; use of (headings)
NOTE:
- Paper Format: APA including title page, Running head, citations and references.
- Title must reflect your topic (not the name of the assignment)
- Please proofread for spelling and punctuation errors. Read aloud to someone or have someone read the paper back to you to review for grammatical errors and/or sentence structure.
- Paper should not exceed suggested page length. (excluding Title and Reference pages).
- Students should retain a copy of their paper.
- Papers will not be reviewed for corrections prior to grading by faculty. Please contact the Student Support writing lab for technical and scholarly writing assistance.
Please see the Grading Template & Scholarly Paper Rubric BELOW
Clinical Problem Project III: Synthesis of Findings -Synthesis Matrix- Pilot Study- Grading Template |
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Criteria |
Potential Points |
Earned Points |
Comments |
Content |
|
|
|
Revision PART I Introduction |
|
|
|
Topic/ Stats Statement - prevalence, percentages, and/or rates |
2.5 |
|
|
Significance -supported with stats |
2.5 |
|
|
Purpose – moves forward explores solutions to problem- nursing focused |
2.5 |
|
|
PICO – Finalized – Present in beginning of Part II |
|
|
|
Feedback addressed, mirrors purpose appropriate format, clearly identified (P)(I)(C)(O) |
2.5 |
|
|
Revision PART II Annotated Bibliography |
|
|
|
Method includes search engines, key word, inclusion/exclusion criteria & number of article reviewed (follows template) |
2.5 |
|
|
Annotated Bibliography/ Literature Table |
10 |
|
|
Articles clearly answer PICO |
5 |
|
|
Must Attach PDF (NOT Link) of each article in annotated bibliography – Submissions without PDFs will be considered INCOMPLETE and RETURNED with a ZERO – Opportunity to resubmit project with PDFs by assigned due date and graded at 75%. |
5 |
|
|
PART III Synthesis of Findings |
|
|
|
Synthesis Matrix Table – Identifies themes – populates with appropriately related data/findings |
15 |
|
|
Synthesis of Findings – Identifies themes – clearly communicates synthesis – relationships among findings |
40 |
|
|
Strengths and Weaknesses |
|
|
|
threats to reliability & validity (limitations) |
15 |
|
|
Summary |
|
|
|
In summary, this paper explored… Summarize your paper introduction, search, synthesis) in a brief paragraph. |
5 |
|
|
Conclusion |
|
|
|
In conclusion… Answer your PICO |
5 |
|
|
Implications for Practice – Recommendations (How useful in practice) |
5 |
|
|
Proposed Research (Pilot) |
5 |
|
|
Proposal - Pilot Study |
|
|
|
Purpose |
5 |
|
|
Research Type and Design |
5 |
|
|
Research Question |
5 |
|
|
Setting |
5 |
|
|
Population |
5 |
|
|
Participants |
5 |
|
|
Data Collection |
5 |
|
|
Analysis |
5 |
|
|
Ethical Considerations (confidentiality, privacy) |
5 |
|
|
Dissemination of findings |
5 |
|
|
Citation / References |
|
|
|
Resources |
2.5 |
|
|
Format |
|
|
|
APA style |
5 |
|
|
Mechanics (written in 3rd person, grammar, sentence structure, punctuation) |
10 |
|
|
Organization of ideas and paper flow (Transitions thought process in logical manner, page limit) |
10 |
|
|
Total Score
|
200 pts |
|
|
Comments: |
Please see Scholarly Paper Rubric Below
Grading Rubric for Scholarly Paper
Components
|
Level of Achievement |
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Poor < 70% of points |
Fair 70-80% of points |
Good 80-90% of points |
Excellent 90-100% of points |
|
Conceptualization |
Does not show learning; Demonstrates weak understanding of concepts |
Fair presentation of concepts; minimal use of terminology and/or models from program courses |
Integrated concepts or practices; use of terminology and/or models from program courses |
Integrating concepts in original and innovative way; clear use of terminology and/or models from program courses |
Content &Vocabulary |
Inaccurate information; main content missing
|
Insufficient content or explanation |
Good explanation of concepts |
Fluency, sequencing & appropriateness of terms & concepts; higher level, scholarly vocabulary |
Organization |
Unclear overview, few organizational cues, disorganized |
Fair overview with few cues (subheadings); unclear transitions and sequencing |
Clear statements, well organized, subheadings, good transitions and sequencing |
Clear statements, examples, sequencing, assignment subheadings, logical; transition of paragraphs by thought and topic |
Writing Mechanics |
Several errors in spelling, punctuation, capitalization, and/or sentence structure shows carelessness |
Fair spelling and grammar; some typographical errors |
Sentence structure, grammar, and punctuation are good; some minor spelling errors; few or no grammatical errors |
Excellent sentence structure, grammar, and punctuation; no spelling errors; errors and excellent sentence structure and fluency |
Resources |
No resources cited/referenced |
Personal communication predominant; citations not reliable sources; cited research from secondary source |
Use of peer reviewed and credible sources, easily accessible references, 4 or less sources |
Predominance of sound authorities, peer reviewed, recent journals, in-text citations match references, good citations and 4+ sources |
APA Style |
Not in APA style |
APA style, but several errors in cover page content, page enumeration, format (margins & indentation), headers, citation & reference format |
APA style with few errors |
APA without error |
Adapted from Swenson, DX, The College of St. Scholastica in Duluth MN at http://faculty.css.edu/dswenson/web/Gradingrubrics/rubrictermpaper.html
(Revised RAR 5-18-19)
Name:
Instructor:
Institution:
Date:
Part III
Synthesis of Findings
Three themes were found when examining the literature; (fall prevention, the effectiveness of set bed alarms as a stand-alone intervention, and the cost of bed alarms). All four articles found a decrease in falls among elderly patients when set bed alarms are implemented. Nevertheless, only two of the articles were statistically significant (Mileski et al., 2019; Subermaniam et al., 2017). Shorr et al., (2012) results were statistically insignificant because the study found out that fall rates in control units and during the intervention were statistically alike (P = 0.45).
The second theme was the effectiveness of set bed alarm systems as stand-alone interventions. In Mileski et al., (2019), 37.70% of the facilitators indicated that alarms are worthless if used as a stand-alone intervention of falls among elderly patients. Ward-Smith et al. (2014) found out that in an acute healthcare facility, bed-alarms are more effective if they are used with other intervention methods. Subermaniam et al., (2017), which accessed the efficiency of bed alarms and M-BAS alarm system, found out that all bed alarms are dependent on nurses’ checks and responses. The third theme was the cost of bed alarms. This theme was analyzed by only two studies (Mileski et al., 2019; Subermaniam et al., 2017). In Mileski et al., (2019) 8.2% of the facilitators indicated that bed alarm systems are expensive to implement. Subermaniam et al., (2017) found out that the M-BAS alarm system cost 10 times more than random checks from nurses.
Strengths and weaknesses
Although all the projects found out that set bed alarms reduce falls, three of them (Subermaniam et al., 2017; Shorr et al., 2012; Ward-Smith et al., 2014) were conducted in single institutions. Mileski et al., (2019) did not have any setting because it drew conclusions from other peer-reviewed articles. However, Shorr et al., (2012) and Subermaniam et al., (2017) were both experimental. All four studies presented a moderate level of evidence and three of them (Mileski et al., 2019; Subermaniam et al., 2017) were within five years. Older studies (Shorr et al., 2012; Ward-Smith et al., 2014) were selected because of their similarities with the research topic and current studies.
Summary
In summary, this study examined how set bed alarms prevent falls among elderly patients. In elderly patients, falls are prevalent and they lead to increased stay, increased risk of death, and increased cost that is borne by the hospital and the patients. Although there are other fall prevention methods such as random checks, the study focused on set-bed alarms. This generated the PICO, “In the care of elderly patients (P), does the application of set bed alarms (I) compared to random checks(C) prevent falls (O)?” A literature investigation was undertaken and four projects relat...
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