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Evidence-BasedProject.pptxEvidence-Based Project
Shola Owoyemi
Dr. Doris Hill
NURS 6052
December 31, 2020
Clinical Issue
The clinical issue selected is about stroke care.
One of the guidelines that is provide is a complete bedside dysphagia screen by the nursing staff.
One of the methods of care is oral care every two hours.
The issue is on whether there are long term outcomes related to good oral care for the patients who suffer from stroke.
PICOT Question
“In acute stroke patients with dysphagia, how does an oral care regimen help reduce aspiration pneumonia rather than no oral care regimen?”
(P) Stroke patients with dysphagia (I) Frequent oral care regimen (C) No oral care regimen (O) Reduce aspiration pneumonia (T) Three weeks post-implementation
I developed the PICOT question based on the experience that I have working in a stroke unit.
The question is developed because there is a strict protocol when it comes to taking care of stroke patients.
I looked at how the oral care regimen that is recommended every two hours can help in the overall health outcomes of the patients.
Research Databases
I began by searching the Walden University Library using the key words “oral care”.
I then used the Boolean operators as per the Library of Congress guidelines.
The next database I used is Cochrane Database of Systematic Reviews.
The final database I used is MEDLINE with full text using “oral care (stroke OR
dysphagia).”
Peer Review Articles
Daniel, K. M., & Smith, C. Y. (2018). Present and future needs for nurses. Journal of Applied Biobehavioral Research, 23(1),e12122.
Haryanto, M. (2019). Nursing shortage: Myth or fact? Orthopaedic Nursing, 38(1), 1-2.
Snavely, T. M. (2016). A brief economic analysis of the looming nursing shortage in the United States. Nursing Economics, 34(2), 98-101.
Plank, L. (2018). Academic-practice partnerships to reduce the shortage of operating room nurses. Nurse educator, 43(6), 326-329.
Levels of Evidence
The first study has a level V of evidence because it is a literature review of several current study.
The second study is also a level V level of evidence as it used review of studies on the issue.
The last two studies are level VI with a single study being used.
There are several strengths the first one being the methods used in selecting studies can help reduce bias and is more likely to have accurate and reliable conclusions.
The systematic review is also better because it is easier for reading by the end user and enhances understanding.
