Evidence based research paper related Hospital associated infections

A1. Healthcare Problem/ A2. Significance of Problem/ A3. Current Practice / A4. Impact on Background

Write 1-2 paragraphs for each response.  You may want to include in text citations to support these sections.  The A section should only discuss the problem without any mention of the intervention.  The current practice should relate to the C in the PICO.  Discussion on how the problem impacts either the workplace culture OR the patient's culture is required in A4.

B. PICO Table  (Chapter 4) Download the table from Taskstream or just include a 4 row by 2 column table in the paper and use the PICO toolkit as a guide (Module Video 2 and Toolkit, Appendix B).

B1. PICO Question (Chapter 4) Construct the question that relates to the PICO elements in the table using the PICO Question Development toolkit as a guide (Module Video 2.4 and Toolkit, Appendix B).  

Here is a question template:

Among (population), does (intervention) lower (problem) as compared to the current practice?

C1. Keywords. This is just a list of the search terms used.

C2. Number and Types of Articles. Describe the number and research types/subtypes of the articles you find in your search. They may include research articles, quality improvement, practice guidelines, pieces written to educate/inform, expert opinion, and more. This is a bare-bones description of the number and types of articles you find.  For example, you might begin by stating the number of articles that came up (10,000) and the number you reviewed (20) then give a breakdown of the types you reviewed (5 RCT, 5 Reviews, 5 Quality Improvement projects, 5 Qualitative).  (1 paragraph)

C2a. Research and Non-Research Evidence. (Chapters 6 & 7). You can use 2 of your five research articles here to represent the 2 research studies.  Be sure to state if the publication is a research or non-research evidence.  Do not use an article with the words systematic review or integrative review in the title as an example of non-research evidence.  This will be 4 paragraphs describing the 2 research (Level I-III) and 2 non-research (Level IV-V) studies found during the search.  Each paragraph should include the in-text citation for that article, for example:

The first research study found … (Smith & Jones, 2014).  

Then write a few sentences about that research study and do the same for the other 3 articles.  Review the research evidence appraisal toolkit and Chapter 6 for the research evidence articles.

Review the non-research evidence appraisal toolkit and Chapter 7 for the non-research evidence articles.

D. Evidence Matrix. Download the matrix from Taskstream.  Enter the 5 research articles (Level I - III) in the table using the level and quality guide toolkit to determine the correct level.  The research design/type should be quantitative, qualitative, or mixed methods.  Remember, level 1 are randomized controlled trials only, level 2 are quasi-experimental only, and everything else is level 3.  For systematic and integrative reviews, read the level 1-3 definitions in Appendix C.  The sample size for review studies are the number of articles reviewed.  Please read chapter 6 & 7 and be sure not to include non research evidence such as quality improvement projects in the table (Module Video 3 Toolkit, Appendix C:Level and quality guide).

E. Recommended Practice Change.  This section should be a minimum of 6 sentences.  The first sentence names the single intervention that all the articles in the matrix support. Then write one sentence each for the 5 studies in the matrix on how each article used the intervention to decrease the stated problem.  Each of the five sentences must include an in text citation for that  research study.  For example, Intentional rounding was shown to decrease falls by 20%  over 3 months (Smith, Rogers, & Stein, 2014).  (1-2 paragraphs)