Question Paper w/Example -Mod 5
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Example_writing_Question_Paper.pdf
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Title of Paper
Your Name
Nursing Informatics NURS3600
Albany State University
Instructor Name
Date
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Title of your paper here
As the use of technology in healthcare grows, the nursing profession must become
competent in using it to improve patient safety and outcomes. One area that will play an
important role in improving the quality of care delivered to patients is through research. The
nursing profession must begin introducing research techniques and how to critique
information that is presented so that nurses can discern general information from that which
is true evidence based research. The purpose of this paper is to explore the use of databases,
information use, knowledge, and wisdom to conduct and interpret research.
Research Question
When conducting research for evidence-based practice (EBP) one should identify a
patient related problem, and then look for clinically applicable information through the use of
internet search engines or medically relevant databases (Schmidt & Brown, 2012). The
research question is Will the use of Chlorhexidine swabs reduce the occurrence of blood
stream infections if used in place of Isopropyl alcohol swabs when placing peripheral or
intraosseous vascular access? Evidence-based Practice (EBP) has shown a decrease in
infections when Chlorhexidine is used while placing central access lines.
The literature review for this paper is will Chlorhexidine use reduce blood stream
infections, so there should be an understanding that because it reduces infections in central
line placement, there should be a correlation when use in prior to peripheral or intraosseous
placement. There is also wisdom in knowing how to properly clean sites and costs associated.
Considerations of patients and families also need to be considered when relying on one’s
wisdom. The nurse will have a better ability to call upon their wisdom as they acquire more
years of patient encounters.
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Databases and Search Words
Databases and internet search engines are an important consideration when doing
research. General internet searches can return millions of hits off a single key word. The
researcher would then need to look at each of these to determine if they provided clinically
appropriate information. Research that is being done to guide or change an EBP should at a
minimum be scholarly, and peer-reviewed. In lieu of a general search engine the researcher
should consider using databases that will provide better information. One of the highest forms
of research is that of the Systematic Review, which is research that has been conducted in a
methodical way and is scholarly in nature and peer-reviewed (Polit & Beck, 2012, p. 30).
One leading database is the Cochrane database. This database maintains up to date
information on clinical trials that have been done across the healthcare spectrum using
systematic reviews (Mastrian & McGonigle, 2018). Other similar databases that are held in
high regards by researchers are the Joanna Briggs and National Guideline Clearing House.
Another database commonly used is the CINAHL database. This database returns unfiltered
research. The researcher can set filter guidelines to limit the amount of information returned.
For this paper, the following information was submitted with the hits from each
database also noted:
Cochrane Database of Systematic reviews
Key word – Chlorhexidine Results – 26 hits Inclusion – within the last five years
Results – 10 hits. Related to the research question – 0.
Joanna Briggs
Key Word – Chlorhexidine Results – 254 hits Inclusion – within five years Results 100+
hits. Added Key word – Intravenous Results – 91 hits. Related to research question- 13
Critically-appraised topics.
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National Guideline clearing house
Key Word – Chlorhexidine Results – 37 hits Related to research question- 1 Annual Review.
Key Word – Chlorhexidine Results – 18 hits Related to research question- 0. Best Bets
Key Word – Chlorhexidine Results- 0 hits
Critically-appraised individual Evidence-based nursing
Results – 24 hits. Related to research question- 2 Unfiltered.
CINAHL
Key Word – Chlorhexidine Results – 2,837 hits. Inclusion/Exclusion criteria – Full Text,
Scholarly, Peer reviewed, Within five years. Added additional key word - Intravenous
Results – 23 hits. Related to research question- 2.
Medline
Key Word – Chlorhexidine Results 9,490. Inclusion/Exclusion Criteria – Scholarly, within
five years Results 618 Added additional key word – Intravenous Results – 4 Related to
research question- 2.
Converting Information to Knowledge
Once the databases have been searched and the data has been given meaning,
knowledge will take the information and formalize it. The data points must put into
perspective the information. This is then incorporated into useful data, taking into
consideration the personal attributes of the patients, the ethical aspects of incorporating the
EBP, and how the researcher’s empirical knowledge affects the research information that was
found (Mastrian & McGonigle, 2015, p. 99). For this paper, the use of this information would
be applied to formulate and integrate a process change when establishing vascular access on
patients, with explanations to the patients on proper site cleaning prior to the puncture.
Conclusion
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Conducting research is much more technical than just clicking on a google task bar.
Nurses who are conducting research to improve patient care must understand how to
formulate a question, where to look for answers, and then how to critique the data and apply
it. Having a solid knowledge about the different databases available will help the nurse gather
data that most closely answers the question (Mason, Gardner, Outlaw, & O’Grady, 2016, p.
497). As technology continues to advance the nursing profession must also advance, teach,
and adopt the knowledge and ability to work for our patients, improving safety and overall
outcomes.
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References
Mason, D. J., Gardner, D. B., Outlaw, F. H., & O’Grady, E. T. (2016). Politics and
evidence-based practice and policy. Policy & politics in nursing and health care (7th
ed., p. 494-501). St Louis, MO: Elsevier.
Mastrian, K., & McGonigle, D. (2018). Nursing informatics and the foundation of knowledge
(4th ed.). Burlington, MA: Jones & Bartlett.
Polit, D. F., & Beck, C. T. (2012). Nursing research generating and assessing evidence for
nursing practice (9th ed.). Philadelphia, PA: Lippincott Williams & Wilkens.
Schmidt, N. A., & Brown, J. M. (2012). In Evidence-based practice for nurses appraisal and
application of research (2nd ed.). Sudbury, MA: Jones & Bartlett.
Topaz, M. (2013, September 1,). The hitchhiker’s guide to nursing informatics theory: Using
the data-knowledge-information-wisdom framework to guide informatics research.
Online Journal of Nursing Informatics, 17(3). http://ojni.org/issues/?p=2852
