Occurrence of Fall PICOT Question Synthesis Paper Assignment

Occurrence of Fall PICOT Question Synthesis Paper Assignment

Occurrence of Fall PICOT Question Synthesis Paper Assignment

Question Description
I’m trying to study for my Nursing course and I need some help to understand this question.

Assignment Directions: Synthesis Paper

Below you will find the required elements of this assignment. All submissions must be in APA format. Please note there is a minimum of 1200 words, or 4 full pages for this assignment. Points will be deducted for not adhering to the word count.

Abstract: on one page (less than 200 words), and includes the clinical problem, the objective or purpose of the paper, search engines & key words used, specific results, and conclusion.Hint: Review the abstract in one of the studies you located.The information in your paper should be similar in terms of content and format.
Introduction: Succinctly identify the clinical problem that requires an evidence-based solution. You may use systematic reviews, meta-analyses, or Cochrane reviews to document the significance of the topic in the introduction only. End the introduction with your PICOT question. You may refer to the Literature Table in this section.
Body/Content: (Use the bolded words below as headings)
Literature Search: Identify the databases that were used to search for the relevant literature (CINAHL, PubMed, etc.) and the key terms used.Be sure to include at least 3 sentences in all paragraphs.
Literature Review: Use a minimum of 3 peer reviewed, primary RCTs and one clinical guideline that informs the question. If there is no clinical guideline, find a 4th RCT.
You must use randomized controlled trials ONLY (systematic reviews or meta-analyses are not allowed in the literature review) [were the participants randomly placed into a control or intervention group?If not, then it is NOT an RCT].
If not already completed, create a literature table(see below) to summarize these key points, which will help you write this section. The table should be appended to the end of the paper.
Concisely summarize each RCT, writing a succinct paragraph stating the purpose, method/procedure, sample, measures, and specific results as they relate to the PICOT.
At the end of each paragraph that discusses the respective RCT, after discussing all aspects of the study (see previous bullet point), use the ‘RCT Appraisal Checklist’ to appraise the strengths and weaknesses of the study. All nine components of the ‘RCT Appraisal Checklist’ must be included in the strengths and weaknesses discussion.Do NOT include the authors’ review of literature.
Summarize the recommendations of the clinical guideline as it relates to the proposed practice change/PICOT.
Synthesis: synthesize the research findings from all studies and the guideline, always relating them back to your PICOT question. The first paragraph should be a concise restatement of each study’s results, including statistics and a citation. Summarize the guideline recommendation. The second paragraph should be the “meat” of the synthesis where you describe similarities and differences among the study results, how the results impact the proposed practice change/EBP project, as well as what is known and not known (gaps) in the field for future research. Be concise.
Clinical recommendations: Given the synthesis of the literature, what clinical recommendations emerge for your clinical setting / population? Describe how practice must change to become evidence-based.
Reference list (does not count towards word count).
Table: see template on next page. Label the table and refer to it in the body of the paper using APA formatting for table usage (does not count towards word count). While the paper should appear in portrait/vertical position, the lit table should appear in the landscape/horizontal position.

Table 1

Literature Review

Reference

(in APA without indention)

Aim/Purpose

Design and Measures (relevant to PICOT topic)

Sample

(total size [N], control/intervention size [n], demographics relevant to PICOT topic)

Outcomes / statistics

(include significant findings related to the PICOT topic & include p-values or confidence intervals)

McCain, G.C., Del Moral, T., Duncan, R. C., Fontaine J. L., & Pino, L. D. (2012). Transition from gavage to nipple feeding for preterm infants with bronchopulmonary dysplasia. Nursing Research, 61(6), 360-397.

To test the hypothesis that preterm infants with bronchopulmonary dysplasia (BPD) who transitioned from gavage to nipple feeding in the semi-demand method would achieve nipple feeding sooner and be discharged from the hospital sooner than control infants who received standard care.

Design:Randomized controlled trial (RCT)

Measures:

Days to full nipple feedings
Length of stay (LOS)
Preterm infants (N=86) < 34 weeks’ gestation
Control group (n=42)
Intervention group (n=44)
All participants were <2,000 grams in weight, < 34 weeks gestation, male or female, with BPD, and were Caucasian or Black
Experimental infants achieved full nipple feeds sooner than control infants (p< .0001); LOS was five days shorter in experimental infants, but was not statistically significant.

Delete sample row above before submitting Lit Table

Design:

Measures:

Design:

Measures:

Design:

Measures:

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.