Exploring Evidence-Based Literature: Search and Organization in Healthcare

Posted: March 20th, 2024

Assessment 2 Instructions: Evidenced-Based Literature: Search and Organization
Content

• Conduct research, create a PRISMA diagram, and write a 1-2 page narrative paper to describe the review process.
Introduction
How do you find the best evidence to answer PICO(T) questions? In EBP, it is essential to use your PICO(T) question and its components as the foundation of your search for the most relevant, best evidence to answer the question and address a healthcare challenge. Peer-reviewed journals contain research studies with evidence to:
1. Support the need to improve the healthcare challenge you have identified in the PICO(T) question.
2. Substantiate potential interventions that will improve the problem you have identified. Make sure the identified strategies and interventions are supported by the evidence-based literature and other credible sources. The strength of the evidence should be from a credible, peer reviewed source and evaluated for merit.
Use the PICO(T) question to conduct a thorough review of the literature. Likewise, it is crucial to master your skills using health care databases to conduct the search. Also, utilize the Capella library resources.
Introduction
This assessment is a continuation of the steps of the EBP process. The purpose of the next step is to identify information available regarding the patient safety issue by obtaining literature to support potential interventions. The acquisition of literature starts with the search.
Scenario
As we have discussed previously, in this course we are focusing on a patient safety issue of your choice and working through the six steps of the EBP process. We explored the step of “Ask the clinical question” with the first assessment and now we will look at the second step “Acquire the best evidence.”
Keeping with the previous scenario and your role as the Director of Clinical Operations and Nursing Excellence, it is your responsibility to ensure that the best practices and protocols are implanted throughout the medical center. Your primary goals are to focus on problems in health care safety and how to solve them with evidence-based interventions as a quality improvement (EBP/QI) project.
Instructions
Conduct research, create a PRISMA diagram, and write a 1-2 page narrative paper to describe the review process, using the following steps:
3. Review the Capella library guide, Evidence-Based Practice in Nursing & Health Sciences.
4. Review the resource on how to use and create a PRISMA diagram.
5. Using keywords derived from your PICO(T) question, use the available search engines to locate four EBP articles.
 Use filters, such as: items with full text online, peer-reviewed publications, and publications within the last five years.
6. Use library tools, PRISMA, the Research Log spreadsheet, and RefWorks to organize and keep track of your search process.
 Be prepared to explain in a brief narrative report the steps in the process that you followed to find your literature sources.
7. Create a PRISMA diagram to illustrate your research process.
 Complete the PRISMA 2020 flow diagram for new systematic reviews, including searches of databases and registers only.
 PRISMA. (2021). PRISMA flow diagram. http://www.prisma-statement.org/PRISMAStatement/FlowDiagram.aspx
 You will use this to complete the diagram required for your assessment.
 University of North Carolina Health Sciences Library. (2021). Creating a PRISMA flow diagram. https://guides.lib.unc.edu/prisma
 This library guide gives step-by-step instructions for how to create a PRISMA flow diagram.
 Or create your own diagram using the PRISMA Flow Diagram Shinny App.
 Include this document as an appendix after your reference page.
8. Create a 1-2 page paper to describe your exhaustive search process and include a PRISMA diagram. Include the following in your paper:
 A brief statement of the patient safety issue and the research question in the PICO(T) format for the EBP/QI project you have been investigating.
 Identify evidence related to a gap or problem in a health care or public health situation.
 Explain how the evidence was gathered.
 Create a narrative paragraph describing the literature search process, as illustrated in your PRISMA diagram.
 Include details of your exhaustive search process.
 List all keywords or search phrases, filters used, each database used, and how many articles were found with each search.
 Explain what the inclusion/exclusion criteria for the articles were.
 Explain how many articles were retained and why.
Additional Requirements
o Submit a 1-2 page paper, not including a reference page.
o Times New Roman, 12-point font.
o Minimum of four resources.
o Reference page in APA format.
o Submit a 1-page PRISMA diagram in the appendix after the reference page.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
o Competency 1: Apply the steps of the evidence-based practice process to a healthcare challenge.
 Describe a brief statement of the patient safety issue and the research question in the PICOT format.
 Create a PRISMA diagram for a new systematic review.
o Competency 2: Differentiate qualitative, quantitative, and mixed research methods found in the literature.
 Identify appropriate databases and keywords as part of a search strategy for evidence.
o Competency 3: Assess the quality of the research methods reported in peer-reviewed healthcare literature.
 Explain the inclusion/exclusion criteria for the articles retained, how many articles were retained, and why.
o Competency 4: Describe the theory and conceptual framework that informs an investigation and/or methodology.
 Create a complete narrative of the literature search process including search strategies.
o Competency 6: Produce original written work, in compliance with the Capella Writing Standards, which is a creative synthesis of information from credible sources.
 Apply APA formatting to in-text citations and references.

Exploring Evidence-Based Literature: Search and Organization in Healthcare

Introduction

In the realm of Evidence-Based Practice (EBP), the quest for the most robust evidence to address healthcare challenges is pivotal. This article delves into the process of conducting a thorough literature review to support evidence-based interventions and solutions for patient safety concerns. Leveraging the PICO(T) framework, this approach seeks to substantiate the need for improvement in healthcare challenges and identify viable interventions through credible, peer-reviewed sources. Let’s embark on a journey to comprehend the steps involved in this process.

Mastering the Art of Literature Review

To harness the power of evidence-based literature effectively, it is imperative to begin with a well-formulated PICO(T) question. The components of this question lay the groundwork for an exhaustive literature review. Moreover, honing the skill of maneuvering healthcare databases and library resources is crucial. The Capella library guide, “Evidence-Based Practice in Nursing & Health Sciences,” provides invaluable insights to navigate this terrain.

Conducting a Comprehensive Literature Review

This assessment underscores the second step of the EBP process: “Acquiring the Best Evidence.” Consider a scenario where you’re the Director of Clinical Operations and Nursing Excellence, vested with enhancing patient safety through evidence-based interventions. Your objective is to identify and implement best practices in healthcare protocols, aligning them with the principles of EBP/QI (Evidence-Based Practice/Quality Improvement) projects.

The Steps Unveiled

Review Resources: Begin by acquainting yourself with the Capella library guide on Evidence-Based Practice. This resource will equip you with the necessary tools to embark on your evidence-seeking journey.

PRISMA Diagram: Familiarize yourself with the concept and creation of a PRISMA diagram. This diagram visually represents your systematic review process. Online resources, such as the PRISMA Flow Diagram Shinny App, or guides like the University of North Carolina Health Sciences Library’s guide on “Creating a PRISMA Flow Diagram,” are valuable allies in this endeavor.

Keyword Exploration: Utilize keywords derived from your PICO(T) question to scour search engines for EBP articles. Employ filters like full-text availability, peer-reviewed status, and publication dates within the last five years.

Library Tools and Organization: Embrace the aid of library tools, PRISMA, the Research Log spreadsheet, and RefWorks to streamline your search process. These tools not only help you stay organized but also facilitate the seamless retrieval of sources.

Create a PRISMA Diagram: Craft a PRISMA diagram to illustrate your research journey. The PRISMA 2020 flow diagram serves as a template for new systematic reviews. This diagram encapsulates your database searches and captures your meticulous approach.

Compose a Narrative Paper: Craft a concise 1-2 page narrative paper encapsulating your search process and findings. This paper is a testament to your exhaustive exploration. Be sure to include:

A succinct statement of the patient safety issue framed in the PICO(T) format.
Identification of evidence pertaining to a gap or issue in healthcare or public health.
An explanation of how the evidence was procured.
A narrative paragraph outlining your literature search process, mirrored in the PRISMA diagram.
Elaboration on your comprehensive search process, encompassing keywords, filters, databases used, and the number of sourced articles.
A rationale for the inclusion/exclusion criteria for the retained articles.
Conclusion

Embarking on the journey of evidence-based literature exploration demands meticulousness and strategic prowess. As you navigate databases and craft PRISMA diagrams, you forge a path towards credible, impactful solutions for patient safety issues. This process encapsulates the essence of the EBP approach, where well-formulated PICO(T) questions guide the quest for excellence in healthcare interventions.

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