Evidence Based Project 3

Article 1

Article 2

Article 3

Article 4

Full APA citation

Delgado, S. A. (2020). CE: Managing Pain in Critically Ill Adults: A Holistic Approach. AJN, American Journal of Nursing, 120(5), 34–42. https://doi.org/10.1097/01.naj.0000662808.81949.d6

Lin, S.-H., Liao, W.-C., Chen, M.-Y., & Fan, J.-Y. (2012). The impact of shift work on nurses' job stress, sleep quality, and self-perceived health status. Journal of Nursing Management, 22(5), 604–612. https://doi.org/10.1111/jonm.12020

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Evidence-Based Practice, Step by Step: Asking the Clinical Question. AJN, American Journal of Nursing, 110(3), 58–61. https://doi.org/10.1097/01.naj.0000368959.11129.79

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Evidence-Based Practice, Step by Step: Searching for the Evidence. AJN, American Journal of Nursing, 110(5), 41–47. https://doi.org/10.1097/01.naj.0000372071.24134.7e

Evidence level

Level V

Level I

Level II

Level I

Conceptual framework

The article discusses the difference between PADIS and PAD guidelines

Long term shifts affect nurses concentration and quality of service delivered to patients

No conceptual framework

The article has no conceptual framework

Design/Method

The article is a quality improvement analysis

It was a prospective cross-sectional study from August to September

Analysis of various methods to assess evidence-based practice

The study involved a continuation of a scientific case study form a previous article

Sample/setting

The study involves the analysis of PADIS and PAD guidelines discussing their differences

The study involved 266 nurses from Chiayi County District Hospitals in Taiwan

Assessing the application of evidence-based practice in nursing care

A step by step method of searching for evidence for PICOT question

Major variables studied

The article discusses the use of opioids, analgosedation, and adjunctive analgesia according to the PADIS framework.

Demographic variables, sleep quality measure and health status measure were determined

Establishing PICOT questions for evidence-based research

Applying different methodologies in searching for the right databases for evidence

Measurement (primary statistics used)

Patient population to benefit from analgosedation

Optimal analgesics to incorporate in the protocols

Independent T-test and ANOVA were all utilized in the study

No measurements were applied in the study

No measurements were given in the article

Data analysis statistics (Actual numbers of determined by statistical tests)

No data statistics were used.

Hierarchical regression was applied for the analysis of the data

Analysis of various case scenario in clinical cases

Obtaining evidence from different databases using multiple techniques

Findings and recommendations

Response to pain by patient involves several phenomena related to other aspects of the illness.

Hospitals should put in place more healthy shift work schedules to promote nurses’ clinical performance

No findings were stated in the research study

No study findings were identified.

Appraisal (general worth of the study, risks associated with implementation and feasibility of the use of in practice)

Through modification of the PADIS and PAD guidelines, nurses will be able to improve their care for critically ill patients.

The study is reliable and can be applied by hospital management to improve nursing care and patient outcomes

The study is not credible to be applied in nursing practice.

The article provides insights into the methods of obtaining evidence for PICOT questions

Key findings

Agitation and delirium affect patients’ ability to report pain sensation.

Amount of shift work affects nurses' resulting in moderate sleep and job stress

No findings were reported in the article

No study findings were reported

Outcomes

With PADIS, there is a need for multiple strategies to address patients’ paint in different contexts

Job stress was determined to be inversely proportional to sleep quality

The article does not state outcomes from the study

The study did not provide research outcomes.

General comments

The article is feasible and can be utilized by nurses in improving care for critically ill patients.

The article is important for healthcare systems as there has been negligence on shift and schedules.

The article helps formulate PICOT questions for various clinical cases.

The research study highlights the techniques that can be used by nurses in searching for evidence during their clinical practice.