NURS 6052 Assignment: Evidence-based Project Walden

NURS 6052 Assignment: Evidence-based Project Walden

NURS 6052 Evidence-Based Project, Part 1: Identifying Research Methodologies

Mental health disorders such as depression have immense impact on the affected populations and their significant others. Depression lowers the patient’s quality of life, as evidenced by the increased care needs, loss of productivity, and premature mortality. Nurses and other healthcare providers are increasingly involved in the implementation of evidence-based interventions to minimize burden due to depression in their populations. An example is exploring the effectiveness of technology incorporation into the treatments adopted for patients with major depression. Therefore, the purpose of this paper is to explore the effectiveness of telehealth interventions in improving the treatment outcomes in depression.

Full citation of selected article	Article #1	Article #2	Article #3	Article #4
	ReferencesBellanti, D. M., Kelber, M. S., Workman, D. E., Beech, E. H., & Belsher, B. E. (2022). Rapid review on the effectiveness of telehealth interventions for the treatment of behavioral health disorders. Military Medicine, 187(5–6), e577–e588. https://doi.org/10.1093/milmed/usab318	Egede, L. E., Dismuke, C. E., Walker, R. J., Acierno, R., & Frueh, B. C. (2018). Cost-effectiveness of behavioral activation for depression in older adult veterans: In-person care versus telehealth. The Journal of Clinical Psychiatry, 79(5), 3853. https://doi.org/10.4088/JCP.17m11888	Scott, A. M., Clark, J., Greenwood, H., Krzyzaniak, N., Cardona, M., Peiris, R., Sims, R., & Glasziou, P. (2022). Telehealth v. face-to-face provision of care to patients with depression: A systematic review and meta-analysis. Psychological Medicine, 52(14), 2852–2860. https://doi.org/10.1017/S0033291722002331	Zhao, L., Chen, J., Lan, L., Deng, N., Liao, Y., Yue, L., Chen, I., Wen, S. W., & Xie, R. (2021). Effectiveness of telehealth interventions for women with postpartum depression: Systematic review and meta-analysis. JMIR MHealth and UHealth, 9(10), e32544. https://doi.org/10.2196/32544
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 examines the effectiveness of telehealth interventions for treating behavioral health disorders. The research shows that the use of telehealth in behavioral problems such as depression is comparable to face-to-face provision of psychiatry and psychotherapy services. The ethics of research related to my clinical issue of interest includes ensuring informed consent, privacy, and confidentiality when using telehealth interventions.	I chose this study because it supports the use of telehealth in mental health problems that include depression. The research shows that telehealth interventions are cost-effective as compared to face-to-face delivery of treatment interventions. The ethics of research that relate to my clinical issue of interest include safety, quality, efficiency, and patient empowerment.	I chose this article because it demonstrates the effectiveness of telehealth among patients with depression as compared to face-to-face. The article demonstrates the feasibility of telehealth interventions alongside their applicability to addressing the needs of patients suffering from depression. The research ethics that will inform my clinical issue of interest include beneficence, informed consent, and patient autonomy.	I chose this study because it explores the effectiveness of telehealth in improving depressive and anxiety symptoms among patients with post-partum depression. The study informs the relevance of telehealth use in the delivery of virtual care for patients suffering from mental health disorders. The issue of ethics that relates to my clinical issue is informed consent and data privacy and confidentiality.
Brief description of the aims of the research of each peer-reviewed article	The aim of this research was to investigate the effectiveness of behavioral health treatments delivered in person as compared to telehealth through telephone and teleconference.	The aim of this study was to examine whether the delivery of behavioral activation for depression through telehealth was cost-effective as compared to in-person care.	The aim of this study was to compare the real-time to face-to-face therapy for patients suffering from depression.	The aim of this study was to evaluate the effectiveness of telehealth interventions in reducing anxiety and depressive symptoms in women with post-partum depression.
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.	This study was quantitative research. The researchers searched relevant articles on PubMed database where hand-searching of relevant systematic review, dual screening, dual of risk bias assessment, and data abstraction were done.	The research was quantitative. It was a randomized, non-inferior trial that involved assigning participants to 1 of 2 arms of 8-week behavioral activation therapy either through telehealth or in-person.	The study was quantitative. It was a systematic review that utilized evidence from articles that were obtained from databases that included Cochrane Central, Embase, and Medline. The included studies were mainly randomized controlled trials that compared the use of telehealth vs face-to-face for patients with major depression.	The study was quantitative. It was a systematic review and meta-analysis of evidence from articles that were obtained from databases that included CINAHL, Cochrane library, PsycINFO, CNKI, and Wanfang.
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 this study is that it compares the effectiveness of telehealth interventions with the traditional face-to-face interaction in the delivery of behavioral interventions. It also reviewed best-available evidence on the topic to come up with conclusive evidence. The reliability and validity of findings were maintained by having a third researcher independently assessing the relevance, appropriateness, and need for the selected articles and data abstraction.	The strength of this research is that it randomized participants into either control or intervention groups to determine the true effect of the interventions. The randomization also enhanced the validity and reliability of the research. The other strength is the use of a large sample size, which strengthened the generalizability of findings.	One of the strengths of this study is that it reviewed evidence obtained from randomized controlled trials to come up with conclusive evidence on the effectiveness of telehealth as compared to face-to-face interventions in depression. The other strength is the inclusion of studies that used a high number of participants, which enhanced the generalizability of outcomes. The authors achieved reliability by using a large sample size. They ensured validity by selecting studies that related to the topic and using independent researchers in searching and extracting data from the selected articles.	The study is associated with the strength of utilizing randomized controlled trials for the systematic review and meta-analysis. It also used a large sample size to ensure reliability and validity of findings. The selected studies were reviewed for potential bias, to ensure the obtained results had a high reliability rate.
General Notes/Comments	This article informs the need for telehealth in the delivery of behavioral interventions for patients with mental health problems.	This research demonstrates that the use of telehealth is cost-effective as compared to the use of in-person interventions.	This article shows the effectiveness of telehealth interventions in improving treatment outcomes among patients with depression.	This study supports the use of telehealth interventions to improve outcomes among patients suffering from depression.

Conclusion

          In summary, the reviewed data shows that telehealth interventions are effective in improving outcomes among patients suffering from depression. The studies show that telehealth interventions may be used to complement the use of face-to-face interventions. The results also show that telehealth reduce the costs associated with depression treatment. Therefore, its use should be explored in my practice site.

References

Bellanti, D. M., Kelber, M. S., Workman, D. E., Beech, E. H., & Belsher, B. E. (2022). Rapid review on the effectiveness of telehealth interventions for the treatment of behavioral health disorders. Military Medicine, 187(5–6), e577–e588. https://doi.org/10.1093/milmed/usab318

Egede, L. E., Dismuke, C. E., Walker, R. J., Acierno, R., & Frueh, B. C. (2018). Cost-effectiveness of behavioral activation for depression in older adult veterans: In-person care versus telehealth. The Journal of Clinical Psychiatry, 79(5), 3853. https://doi.org/10.4088/JCP.17m11888

Scott, A. M., Clark, J., Greenwood, H., Krzyzaniak, N., Cardona, M., Peiris, R., Sims, R., & Glasziou, P. (2022). Telehealth v. face-to-face provision of care to patients with depression: A systematic review and meta-analysis. Psychological Medicine, 52(14), 2852–2860. https://doi.org/10.1017/S0033291722002331

Zhao, L., Chen, J., Lan, L., Deng, N., Liao, Y., Yue, L., Chen, I., Wen, S. W., & Xie, R. (2021). Effectiveness of telehealth interventions for women with postpartum depression: Systematic review and meta-analysis. JMIR MHealth and UHealth, 9(10), e32544. https://doi.org/10.2196/32544

Module 2: An Introduction to Clinical Inquiry and Research Methodologies (Weeks 2-3)

Laureate Education (Producer). (2018). Research Methodologies [Video file]. Baltimore, MD: Author.

Due By	Assignment
Week 2, Days 1-4	Read the Learning Resources. Begin to check your knowledge with the Quiz. Begin to compose Part 1 of your Assignment.
Week 2, Days 5-6	Continue to check your knowledge with the Quiz. Continue to compose Part 1 of your Assignment.
Week 2, Day 7	Final day to complete Quiz. Continue to compose Part 1 of your Assignment. Begin to compose Part 2 of your Assignment.
Week 3, Days 1-6	Continue to compose Part 1 and Part 2 of your Assignment.
Week 3, Day 7	Deadline to submit Part 1 and Part 2 of your Assignment.

Learning Objectives

Students will:

• Differentiate between quantitative, qualitative, and mixed-method research methodologies
• Analyze the relationship between peer-reviewed articles and clinical issues
• Analyze research ethics related to clinical issues and peer-reviewed research
• Analyze the aims of research studies presented in peer-reviewed articles
• Analyze research methodologies described in peer-reviewed articles
• Analyze strengths, reliability, and validity of research methodologies in peer-reviewed research

Photo Credit: Tetra Images / Getty Images / Getty Images

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Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

• Chapter 2, “Asking Compelling Clinical Questions” (pp. 33–54)
• Chapter 21, “Generating Evidence Through Quantitative and Qualitative Research” (pp. 607–653)

Grant, M. J., & Booth, A. (2009). A typology of reviews: An analysis of 14 review types and associated methodologies. Health Information and Libraries Journal, 26, 91–108. doi:10.1111/j.1471-1842.2009.00848.x

Note: You will access this article from the Walden Library databases.

Hoare, Z., & Hoe, J. (2013). Understanding quantitative research: Part 2. Nursing Standard, 27(18), 48–55. doi:10.7748/ns2013.01.27.18.48.c9488

Note: You will access this article from the Walden Library databases.

Hoe, J., & Hoare, Z. (2012). Understanding quantitative research: Part 1. Nursing Standard, 27(15), 52–57. doi:10.7748/ns2012.12.27.15.52.c9485

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Note: You will access this article from the Walden Library databases.

Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

Walden University Library. (n.d.-b). Evaluating resources: Primary & secondary sources. Retrieved January 22, 2020, from https://academicguides.waldenu.edu/library/evaluating/sources

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Walden University Library. (n.d.-f). Keyword searching: Finding articles on your topic: Boolean terms. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/boolean

Walden University Library. (n.d.-g). Keyword searching: Finding articles on your topic: Introduction to keyword searching. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/searching-basics

Walden University Library. (n.d.-i). Quick Answers: What are filtered and unfiltered resources in nursing? Retrieved September 6, 2019, from https://academicanswers.waldenu.edu/faq/73299

Document: Matrix Worksheet Template (Word document)

Required Media

Centers for Research Quality. (2015a, August 13). Overview of qualitative research methods [Video file]. Retrieved from https://youtu.be/IsAUNs-IoSQ

Centers for Research Quality. (2015b, August 13). Overview of quantitative research methods [Video file]. Retrieved from https://youtu.be/cwU8as9ZNlA

Laureate Education (Producer). (2018). Review of research: Anatomy of a research study [Mutlimedia file]. Baltimore, MD: Author.

Schulich Library McGill. (2017, June 6). Types of reviews [Video file]. Retrieved from https://youtu.be/5Rv9z7Mp4kg

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Quiz: Is It Quantitative, Qualitative, or Mixed Methods?

An effective understanding and application of research requires an understanding of the underlying methodologies employed. This quiz will assess your understanding of the quantitative, qualitative, and mixed-method research methodologies.

Johns Hopkins is a world renowned influential hospital in patient care; located in my hometown, Baltimore, Maryland. The Johns Hopkins Hospital is ranked #5 out of more than 4,500 hospitals in the nation. Johns Hopkins provides patient support through a variety of specialties from primary care to emergency medicine. (Johns Hopkins Medicine, 2022b). On the hospitals main website, it discusses COVID-19 vaccine updates and resources. The website also provides quick links for research, education, and training. Evidence-Based Practice information appears under a Center for Nursing Inquiry link from the main page. The website discusses how Johns Hopkins Health System uses the Johns Hopkins Evidence-Based Practice (JHEBP) model, which is a three-phase approach: practice question, evidence, and translation. Johns Hopkins nurses have free access to an online course to learn more about the JHEBP Model. (Johns Hopkins Medicine, 2022a).

Johns Hopkins Hospital’s work is clearly grounded in EBP as they have created their own Evidence-Based Practice Model as discussed above. This model is a powerful problem-solving approach for clinical decision-making that includes user-friendly tools to guide use. This model was driven by feedback from both academic and clinical users to aid in the development and improvement of the JHEBP Model. The goal is to build capacity among front-line workers to determine best practices and incorporate them into everyday patient care. (Johns Hopkins Medicine, 2017).

My perception of Johns Hopkins Medicine is unchanged as I currently work for the University and have a great understanding of the work that Hopkins does with including EBP. I did learn that Johns Hopkins has an EBP Model and Guidelines book that is one of the most foundational books on EBP in healthcare. The JHEBP Model is discussed in this book. (Sigma Marketplace, 2022). Researching Johns Hopkins and learning more about their EBP has given me an even better understanding and appreciation for their diligence in the incorporation of EBP in patient care.

To Prepare:

• Review the research methodology terms and concepts presented to you this week.

By Day 7 of Week 2

Submit your Quiz.

Note: You may submit your Quiz as many times as you like until Day 7 of Week 2.

Submission and Grading Information

Submit Your Quiz by Day 7 of Week 2

To submit your Quiz:

Week 2 Quiz

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Assignment: Evidence-Based Project

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice? NURS 6052 Assignment: Evidence-based Project Walden

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
• Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
• Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: An Introduction to Clinical Inquiry

Create a 4- to 5-slide PowerPoint presentation in which you do the following:

• Identify and briefly describe your chosen clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question
• Describe how you used keywords to search on your chosen clinical issue of interest.
• Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
• Provide APA citations of the four peer-reviewed articles you selected.

Part 2: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

• The full citation of each peer-reviewed article in APA format.
• A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
• A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
• A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
• A brief (1- to 2-paragraph) 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.

By Day 7 of Week 3

Submit Part 1 and Part 2 of your Evidence-Based Project.

Note: Part 1 is a 4-5 slide PowerPoint and Part 2 is the Matrix. Be sure to attach both of your documents (Part 1 and Part 2) before you click Submit.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

• Please save your Assignment using the naming convention “WK#Assgn+last name+first initial.(extension)” as the name.
• Click the Weeks 2 and 3 Assignment Rubric to review the Grading Criteria for the Assignment.
• Click the Weeks 2 and 3 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
• Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK3Assgn+last name+first initial.(extension)” and click Open.
• If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
• Click on the Submit button to complete your submission.
• Due to the nature of this assignment, your instructor may require more than 5 days to provide you with quality feedback.

Grading Criteria

To access your rubric:

Weeks 2 and 3 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Weeks 2 and 3 Assignment drafts and review the originality report.

Submit Part 1 and Part 2 of Your Assignment by Day 7 of Week 3

To submit your Assignment:

Weeks 2 and 3 Assignment

To go to the next week:

Module 3

Assignment: Evidence-Based Project, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
• Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.
• Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the ele