WK 10 RESP BLOG THEOR

 Blog: PEER FEEDBACK: GRADING THE EVIDENCE

For this Blog, you will share your experiences grading the evidence to address the practice question you selected for the Literature Review Assignment you are currently working on. This Blog is due by  Day 7 of this week (Week 10).

This Blog is a unique opportunity to receive valuable feedback from your colleagues, which you can then incorporate to improve your Assignment. By the

end of the week, please reflect upon the feedback you received, and then apply whatever you find valuable as you work toward completing your Literature Review Assignment.

Resources

Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

Note: These resources were previously presented in Week 8 and 9.

· Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021).  Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines (4th ed.). Sigma Theta Tau International. 

· Chapter 5, “Searching for Evidence” (pp. 99–128)

· Chapter 6, “Evidence Appraisal: Research” (pp. 129–162)

· Chapter 7, “Evidence Appraisal: Nonresearch” (pp. 163–188)

· Appendix B, “Question Development Tool” (pp. 283–288) Download Appendix B, “Question Development Tool” (pp. 283–288)

· Appendix E, “Research Evidence Appraisal Tool” (pp. 297–306) Download Appendix E, “Research Evidence Appraisal Tool” (pp. 297–306)

· Appendix F, “Nonresearch Evidence Appraisal Tool” (pp. 307–314) Download Appendix F, “Nonresearch Evidence Appraisal Tool” (pp. 307–314)

· Appendix G, “Individual Evidence Summary Tool” (pp. 315–316) Download Appendix G, “Individual Evidence Summary Tool” (pp. 315–316)

· Appendix H, “Synthesis and Recommendations Tool (pp. 319–323) Download Appendix H, “Synthesis and Recommendations Tool (pp. 319–323)

Note: Be prepared to complete and submit Appendices B, G, and H for your Assignment this week.

Also Note: You previously purchased this text for NURS 8002.

· Bermudez, N. (2021).  Formulating well-written clinical practice questions and research questionsLinks to an external site..  Nursing and Health Sciences Research Journal, 4(1), 70–82. https://doi.org/10.55481/2578-3750.1113

· Echevarria, I. M., & Walker, S. (2014).  To make your case, start with a PICOT questionLinks to an external site..  Nursing, 44(2), 18–19. https://doi.org/10.1097/01.NURSE.0000442594.00242.f9

· Ford, L. G., & Melnyk, B. M. (2019).  The underappreciated and misunderstood PICOT question: A critical step in the EBP processLinks to an external site..  Worldviews on Evidence-Based Nursing, 16(6), 422–423. https://doi.org/10.1111/wvn.12408 Note: The following resources also appear in NURS 8002.

· OASIS. (n.d.).  Analyze and evaluate research articlesLinks to an external site.  [Interactive media]. Walden University. https://academics.waldenu.edu/library/analyze-evaluate-research-articles

· OASIS. (n.d.).  Break a topic into keywordsLinks to an external site.  [Interactive media]. Walden University. https://academics.waldenu.edu/library/topic-into-keywords

· OASIS. (n.d.).  Evaluate resourcesLinks to an external site.  [Interactive media]. Walden University. https://academics.waldenu.edu/library/evaluate-resources

· OASIS.  Grading evidenceLinks to an external site.  [Interactive media]. Walden University. https://rise.articulate.com/share/--e-gVRMA_y8V2KffxxJAQNb_lswZ2zX

· OASIS. (n.d.).  Locate, cite, and reference journal articlesLinks to an external site.  [Interactive media]. Walden University. https://academics.waldenu.edu/library/locate-cite-reference-articles

· OASIS. (n.d.).  Paraphrase and summarize informationLinks to an external site.  [Interactive media]. Walden University. https://academics.waldenu.edu/writing/paraphrase-summarize

· OASIS. (n.d.).  SynthesisLinks to an external site.  [Multimedia]. Walden University. https://academicguides.waldenu.edu/writingcenter/evidence/synthesis

· OASIS. (n.d.).  Synthesize literatureLinks to an external site.  [Interactive media]. Walden University. https://academics.waldenu.edu/writing/synthesize-literature

· Walden University. (2021).  DNP glossaryLinks to an external site.  [Interactive media]. Walden University Canvas. https://waldenu.instructure.com

· Walden University Library. (n.d.).  Ask a librarianLinks to an external site. . https://academicguides.waldenu.edu/library/ask Note: Use this website to find answers to common questions or to contact a librarian directly.

· Walden University Library. (n.d.).  Databases A–Z: NursingLinks to an external site. . https://academicguides.waldenu.edu/az.php?s=19981

· Walden University Library. (n.d.).  Evaluating resources: Primary and secondary sourcesLinks to an external site. . https://academicguides.waldenu.edu/library/evaluating/sources

· Walden University Library. (n.d.).  Subject research: NursingLinks to an external site. . https://academicguides.waldenu.edu/library/subject/nursing Note: This database is a good starting point for nursing related searches.

· Walden University Quick Answers. (n.d.).  How do I verify that my article is peer reviewed?Links to an external site.  [Multimedia]. https://academicanswers.waldenu.edu/faq/72613

To Prepare

· Continue working on your Literature Review Assignment, which is due  Day 7 of Week 10.

· Reflect on your experiences identifying Level 1 evidence to address your practice question.

· Consider if and how your PICOT assisted you in identifying search terms to identify Level 1 evidence.

· Reflect on whether or not you had difficulty finding Level 1 evidence and why.  Note: Not all practice questions lend themselves to systematic reviews or experimental research, thus they may vary in terms of the applicability of Level 1 evidence.

Post the following related to your Literature Review Assignment:

· Share your experiences identifying Level 1 evidence to address your practice question. Be specific and provide concrete examples.

· Explain how your PICOT did or did not assist you in identifying search terms to identify Level 1 evidence.

· If you had difficulty finding Level 1 evidence, explain why. Describe what evidence you did find.

Note: Not all practice questions lend themselves to systematic reviews or experimental research, thus they may vary in terms of the applicability of Level 1 evidence.

Read a selection of your colleagues’ posts.

By Day 6 of Week 10

Respond to at least  two of your colleagues, on different days, by offering suggestions to help improve their experiences identifying Level 1 evidence and/or utilizing the PICOT format in the future.

Note: Your responses should enrich the initial post by supporting and/or adding a fresh viewpoint and be constructive, enhancing the learning experience for all students.   Return to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights that you have gained because of your colleagues’ comments.

RESPOND TO THIS DISCUSSION POST

Lapo

When doing research on a specific topic, grading the evidence that is found is both necessary and insightful. Grading evidence is useful in it provides accurate information, maintains the integrity of the research, promotes evidence-based decision making, and it ensures that others can relay on the findings (OASIS, n.d.). My proposed PICOT question is: In patients experiencing behavioral emergencies in a hospital, how does the implementation of a Behavioral Emergency Response Team (BERT)  compared to no formal process for de-escalation strategies improve patient and staff safety during behavioral

emergencies within 6 months?

Experience identifying Level 1 evidence and any difficulties

Identifying Level 1 evidence was much more difficult than I predicted it would be. For my search, I used the Walden Library, PubMed, Google Scholar and CINAHL. The topic in which I was seeking evidence for yielded many results that were Level 3 evidence which were mostly randomized controlled trials, mostly surveys, presented to staff members in specific healthcare settings such as acute care settings or emergency rooms. These surveys were typically provided to participants pre intervention and post intervention and assessed those participant’s level of comfort in managing the behavioral patient,

satisfaction with their working environment and how many workplace violence events occurred. While this evidence was not level 1, it was still considered high level evidence.

After much digging and searching, I was able to find one very strong level 1 evidence. This evidence was  a review that followed PRISMA-ScR (Preferred Reporting Items for Systematic Review and Meta-Analyses for Scoping Reviews) guidelines and was used to present the best practices from different forms of BERT implementation as well as gap identification in literature (Rajwani, 2023). This systemic review started with forty-five articles and ended with ten being reviewed. This piece of evidence is the strongest of them all as it presents the most relevant recommendations and includes multiple authors.

This reviews research from various settings to improve the decision-making process.

PICOT question assistance in identifying search terms for Level 1 evidence

PICOT questions are helpful in focusing on the identified search and helps to develop search skills. PICOT question assists with creating a structural framework based on the specifics of the question and use of key words that help to target the search. For the population key words such as “inpatient settings”, “acute care setting”, “behavioral events”, “behavioral crisis” and “behavioral episodes” were used. For intervention, I used words such as

ettings”, “acute care setting”, “behavioral events”, “behavioral crisis” and “behavioral episodes” were used. For intervention, I used words such as “Behavioral Emergency Response Team”, “BERT”, “de-escalation”, and “Behavioral Response Team” were used. Keywords used for comparison were “standard work”, “lack of de-escalation policy”, and “no de-escalation process”. When looking at the outcomes I used words such as “confidence managing behavioral crisis”, “safety at work”, “results of de-escalation training”, and “workplace violence assaults”. For time, I chose a realistic timeframe to help guide and determine what would be an appropriate amount of time to implement a process and yield results.

References

OASIS.  Grading evidence.  [Interactive media]. Walden University.  https://rise.articulate.com/share/--e-gVRMA_y8V2KffxxJAQNb_lswZ2zXLinks to an external site.

Rajwani, A., Clark, N., & Montalvo, C. (2023). Understanding Best Practices in Implementation of Behavioral Emergency Response Teams Through a Scoping Review.  Journal of the American Psychiatric Nurses Association,  29(5), 375–388. https://doi.org/10.1177/10783903221114335