Week 3 Assignment: Problem/PICOT/Evidence Search (PPE) Worksheet (graded)

• Locate the literature review section. Summarize using your own words from one of the study/literature findings. Be sure to identify which study you are summarizing.

I chose Continuing Competence in the “Review of the Literature” section. To summarize, Leonardi et al, reported a literature review of 50 articles published since 2012. The reported findings were split into four distinct categories.

1. Identification of specific competencies.
2. Validation of competencies
3. International competency assessment
4. Competencies and disciplines outside of nursing

• Discuss how the author’s review of the literature (studies) supported the research purpose/problem. Share something that was interesting to you as you read the literature review section.

The category of validating competencies supported the study. The category demonstrated how validation and revalidation of proficiencies associated with specific certifications could be done in a cost-effective efficient manner. One of the most common methods to achieve continuing confidence was facilitated by formal and informal educational classes. There was some evidence to support the effectiveness of the sessions with outcomes suggestive of an increase in one’s knowledge base and perceived competence. Other findings demonstrated that professionals may attend courses that are easily accessible and are affordable. However, these programs were not the greatest quality or specific to their learning needs.  It was also suggested that participation in these courses did not ensure changes in practice. The authors also mentioned that participants may not “be able to understand, retain, or use the information that was provided.”

Written exams, a log of practice hours in your specialty, scholarship through publication and professional presentation, individual portfolios, and performance evaluation of a 360° assessment were all part of various continuing competence methods. There was little evidence that suggested simulation was an effective tool used to evaluate continuing competence in credentialing and certification, even though this was accepted as a patient and virtual teaching tool. I would have thought simulation would be an effective tool, especially since this works well in patient care.

• Describe one strategy that you learned that would help you create a strong literature review/search for evidence. Share your thoughts on the importance of a thorough review of the literature.

A strategy that would help me create a strong literature review/search would include the identification of inclusion and exclusion criteria. The understanding of which studies should be included and excluded is extremely important. There are some frequent questions that are necessary when identifying appropriate criteria related to the study design. The publication year, the population of interest, intervention, and outcomes of significance are all important questions that need consideration. If the researcher is interested in just the effectiveness of an intervention, then citations can be retained only if the studies include experimental or quasi-experimental designs. The author also suggests that qualitative studies would be more pertinent if the required evidence relates to patient preferences. It is important to remain focused on criteria related to the topic. By including relevant studies, and excluding indirectly related literature, a more focused approach can be achieved.

References:
Boyle, D. K. (2020). CMSRNs’ continuing competence methods and perceived value of certification: A descriptive study. MEDSURG Nursing, 29(4), 229-254. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=145282314&site=eds-live&scope=site (Links to an external site.)

Di Leonardi, B. C., Hagler, D., Marshall, D. R., Stobinski, J. X., & Welsh, S. S. (2020). From Competence to Continuing Competency. Journal of continuing education in nursing, 51(1), 15–24. https://doi.org/10.3928/00220124-20191217-05

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones & Bartlett.   

Purpose

Collaborative identification and interpretation of practice problems is a requirement of professional practice (AACN, 2008).  Locating and summarizing findings using credible online databases is necessary for evidence-based nursing (AACN, 2008; QSEN, 2020).  This assignment provides a learning activity for students to experience a practice-based scenario and apply a process worksheet designed to assist in the identification of an independent nursing problem or concern, develop a PICOT clinical question, and search for evidence using credible online databases/sources.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

CO 1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

CO 2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8)

CO 4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4 & 8)

CO 5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)

Due Date

Submit the completed PPE Worksheet by Sunday, 11:59 p.m. MT at the end of Week 3.

Points

This assignment is worth 175 points.

Directions

1. Read over each of the following directions.
2. You must read the Assignment Practice Scenario below before completing the PPE Worksheet.
3. Download and use the required PPE WorksheetLinks to an external site..
4. Review the information provided in our library of how to search for journal articles hereLinks to an external site..
5. Review the information provided in our library of how to locate and copy a journal permalinkLinks to an external site..
6. You are required to complete the worksheet using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.eduLinks to an external site.. Click on the envelope at the top of the page.
7. Complete each section of the Problem/PICOT/Evidence (PPE) Worksheet. For the Clinical PICOT Question,use the NR439 Guide for writing PICOT Questions and ExamplesLinks to an external site.. Use one of the templates/guides to write your Clinical PICOT Question using all of the PICOT elements. Be sure to include the PICOT letters in your question.
8. Be sure to use the rubric to make certain you are meeting all grading criteria of the PPE Worksheet.
9. Submit the completed PPE Worksheet on the Week 3 Assignment page.
10. Students, A short tutorial with tips for completing the Week 3 Problem/PICOT/Evidence Search (PPE) worksheet assignment may be viewed here. https://chamberlain.instructure.com/courses/79387/external_tools/retrieve?display=borderless&url=https%3A%2F%2F2363221.kaf.kaltura.com%2Fbrowseandembed%2Findex%2Fmedia%2Fentryid%2F0_qlquv6eq%2FshowDescription%2Ffalse%2FshowTitle%2Ffalse%2FshowTags%2Ffalse%2FshowDuration%2Ffalse%2FshowOwner%2Ffalse%2FshowUploadDate%2Ffalse%2FplayerSize%2F741x860%2FplayerSkin%2F43522921%2F 

Assignment Overview Transcript

Assignment Practice Scenario

Your Chief Nurse Executive (CNE) recognizes you are pursuing your BSN and has asked you to be a member of the nursing evidence-based practice (NEBP) committee. She has advised the members that the purpose is to conduct nursing research studies involving clinical practice problems. Increasing nurses’ awareness of quality and safety concerns will help develop an attitude of inquiry and asking questions (Sherwood & Barnsteiner, 2017). Baccalaureate nurses “collaborate in problem identification, participate in the process of search, retrieval, and documentation of evidence, and integrate evidence using credible databases and internet resources” (AACN, 2008, pp. 16-17).

The CNE has advised all members of the following areas of quality and safety clinical practice that each committee member needs to consider and choose only one as a priority area for conducting a research study. Sources of research problems come from nursing clinical practice (Houser, 2018):

Quality	Safety
Patient satisfactionPatient education	Falls
Non-pharmacological pain management	Errors. Examples include:MedicationPatient identificationCommunication
ReadmissionsLength of stayCosts	Healthcare Associated Infections (HAIs).  Examples include:Central Line Associated Blood Stream Infections (CLABSI)Catheter Associated Urinary Tract Infections (CAUTI)Ventilator Associated Pneumonia (VAP)Surgical Site Infections (SSI)Sepsis (Screening or Prevention)
Discharge Teaching/CoachingTransitions of Care/Level of Care	Pressure UlcersSkin Integrity

Your CNE has requested that you select ONLY one topic area and complete the PPE Worksheet using only one topic area. The committee will collaborate and decide as a team which nursing clinical problem area will be the priority focus of their next research study. Thank you for your valuable contributions to this important NEBP committee.

Best Practices

• For questions about this assignment, please contact your instructor.
• Spell check for spelling and grammar errors prior to final submission. 
• Please see the grading criteria and rubrics on this page.
• Please use your browser’s File setting to save or print this page.

Scholarly Sources and Citations 

• Use APA format in citations and references.

**Academic Integrity**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment. 

References

American Association of Colleges of Nurses. (2008). Executive summary: The essentials of baccalaureate education for professional nursing practice. http://www.aacnnursing.org/Education-Resources/AACN-Essentials

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones and Bartlett.

Sherwood, G., & Barnsteiner, J. (2017). Quality and safety in nursing: A competency approach to improving outcomes (2nd ed.). Wiley-Blackwell.

Quality and Safety Education for Nurses. (2018). QSEN knowledge, skills, and attitude competencies. http://qsen.org/competencies/pre-licensure-ksas/

Rubric

NR439 PPE Worksheet Rubric

Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeClinical Nursing Practice ProblemSelect and identify only one quality or safety clinical priority area from the assignment guidelines practice scenario. Summarize why you believe the nursing practice problem/issue is the most important. Summarize your rationale (why) for choosing the problem.	50 ptsSelects and identifies one quality or safety clinical priority practice problem from the assignment guidelines practice scenario. Thoroughly summarizes why you believe the nursing practice problem/issueis the most important. Thoroughly summarizes the rationale (why) the problem was chosen. Provides details.46 ptsCriteria from the first column are mostly summarized or one criteria lacks details or is missing.40 ptsCriteria from the first column are minimally summarized or two criteria lack details or are not present.19 ptsCriteria from the first column are poorly summarized.0 ptsCriteria are not discussed.	50 pts
This criterion is linked to a Learning OutcomeClinical Nursing PICOT QuestionClinical Nursing PICOT QuestionUsing the NR439 Guide for writing PICOT Questions and Examples located in the assignment guidelines, write out your PICOT question. Include each letter of the PICOT in your question.	15 ptsPICOT question has 5 elements correct. Question is nursing related.13 ptsPICOT question has 4 elements correct or question is not nursing related.12 ptsPICOT question has 3 elements correct.6 ptsPICOT has 1-2 elements correct.0 ptsPICOT question with no elements correct or no PICOT question present.	15 pts
This criterion is linked to a Learning OutcomeDefine PICOT ElementsDefine each of the elements from your above clinical PICOT question.	15 pts5 PICOT elements are correctly defined.13 pts4 PICOT elements are correctly defined.12 pts3 PICOT elements are correctly defined.6 pts1-2 PICOT elements are correctly defined.0 ptsPICOT elements are not correctly defined or elements are not present.	15 pts
This criterion is linked to a Learning OutcomeEvidence Retrieval Process and SummaryUsing only the Chamberlain College of Nursing library: (1) Locate evidence that is relevant to your chosen nursing practice problem. Explain how you believe the evidence is relevant to your chosen clinical nursing problem/issue. (2) Explain why you chose the evidence. (3) Provide a complete APA reference to the evidence (must include authors, year, title of the evidence, title of the resource). (4) Evidence must be published within the last 10 years. (5) Provide the permalink.	20 ptsAll of the 5 criteria are present. (1) Locates evidence relevant to chosen nursing practice problem. Explains how the evidence is relevant to your chosen clinical nursing problem/issue. (2) Explains why the evidence was chosen. (3) Provides a complete APA reference to the evidence (includes authors, year, title of the evidence, title of the resource). (4) Evidence must be published within the last 10 years. (5) Provides the permalink.18 ptsMissing 1 criteria or 1 criteria lacks details.16 ptsMissing 2 criteria or 2 of the criteria lacks details.8 ptsMissing 3-4 of the criteria.0 ptsMissing all five criteria from the A column or none of the criteria are present.	20 pts
This criterion is linked to a Learning OutcomeImplications of the EvidenceSummarize what you learned from the evidence. Summarize why you believe the nursing evidence-based practice committee should focus their next research study on this practice problem.	40 ptsThoroughly summarizes what was learned from the evidence. Thoroughly summarizes why you believe the nursing evidence-based practice committee should focus their next research study on this practice problem. Excellent details provided.35 ptsMostly summarizes the criteria in the first column or one criteria lacks details.32 ptsFairly summarizes the criteria in the first column or one criteria is missing. Fair details are provided.15 ptsPoorly summarizes the criteria in the first column. Poor details are provided.0 ptsCriteria are not summarized or is missing.	40 pts
This criterion is linked to a Learning OutcomeEvidence Search TermsIdentifies 4 (or more) relevant searchable terms you used for your search for evidence.	10 ptsIdentifies 4 (or more) relevant searchable terms used for the search for evidence.9 ptsIdentifies 3 relevant searchable terms used for the search for evidence.8 ptsIdentifies 2 relevant searchable terms used for the search for evidence.5 ptsIdentifies 1 relevant searchable term used for the search for literature.0 ptsNo terms identified or terms are not present.	10 pts
This criterion is linked to a Learning OutcomeEvidence Search StrategiesIdentifies 4 (or more) relevant search strategies you used to narrow/limit your search for evidence.	10 ptsIdentifies 4 (or more) relevant strategies used to narrow/limit the search for evidence.9 ptsIdentifies 3 relevant strategies used to narrow/limit the search for evidence.8 ptsIdentifies 2 relevant strategies used to narrow/limit the search for evidence.4 ptsIdentifies 1 relevant searchable term used for the search for evidence.0 ptsNo strategies identified or strategies are not present.	10 pts
This criterion is linked to a Learning OutcomeScholarly Writing, Mechanics, Organization, Spelling, Sentence Structure, Grammar	8 ptsExcellent writing, mechanics, organization, spelling, sentence structure, grammar. 1-2 errors noted.6 ptsGood writing, mechanics, organization, spelling, sentence structure, grammar. A few errors noted.3 ptsFair writing, mechanics, organization, spelling, sentence structure, grammar. Some errors noted.2 ptsPoor writing, mechanics, organization, spelling, sentence structure, grammar. Many errors noted.0 ptsVery poor writing, mechanics, organization, spelling, sentence structure, grammar. Errors throughout are noted. Writing is difficult to understand or follow.	8 pts
This criterion is linked to a Learning OutcomeAPA In-Text Formatting for Cited Sentences	7 ptsExcellent APA formatting. Uses APA in-text citation formatting with no errors.6 ptsGood APA formatting. Uses APA in-text citation formatting with 1-2 errors noted.4 ptsFair APA formatting. Uses APA in-text citation formatting with some errors noted or does not use in-text citation formatting.3 ptsPoor APA formatting with many errors noted.0 ptsVery poor APA with errors noted throughout.	7 pts
This criterion is linked to a Learning OutcomeAssigned PPE Worksheet Used	0 pts0 points deductedAssigned PPE Worksheet used for this assignment.0 pts17.5 points deducted (10%)Assigned PPE Worksheet NOT used for this assignment results in deduction.	0 pts
This criterion is linked to a Learning OutcomeLate deduction	0 pts0 points deductedSubmitted on time0 ptsNot submitted on time – Points deducted1 day late=8.75 deduction; 2 day late =17.5 deduction; 3 day late=26.25 deduction; 4 day=35 deduction; 5 day=43.75 deduction; 6 day =52.5 deduction; 7 day =61.25 deduction; Score of 0 if more than 7 days late	0 pts
Total Points: 175

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