In this assignment, you practice synthesizing information from the eight published works that you have critically appraised in your EET (your database).

Assignment Guidelines
This assignment consists of two parts:

A written paper (Word document) to synthesize the databases you reviewed
An Evidence Table (Excel spreadsheet) to organize your critical appraisal of the evidence you found related to your clinical question.
Part I: Written Paper
Format for Paper:
<Your Title Page for NUR526 Assignment 9.1: >

<page break>



Introduction ((No Heading) left margin, paragraph first line indented, no extra space below Title). A general introduction to the topic you will be discussing. Guide the reader to what they are going to see presented in this paper. It may be centered around the situation.

Use paragraph formatting to discuss these the material in these bullet points:

What is the clinical practice issue/problem?
<Level Two Heading>

Background—Why did you identify this as an issue/problem?
Significance—What is the significance of this problem to nursing practice? Note that a citation is required to support your stance on the significance.
<Level 1 Heading>

Include the following in the body of your paper. Use paragraph formatting and create a formal paper to discuss these bullet points:

In PICO(T) format, what is the clinical practice question? Identify the independent and dependent variables.
Evidence (Level 1 Heading)

Search Process (Level 2 Heading)

Discuss the search process that you used to find current evidence. Include: databases, keywords, limits (language, years, research et al.), total # of studies found, total # of studies reviewed
Appraisal of Evidence (Level 3 heading) (Left margin, Italics, Bold, Capitalized, no period)

Summarize the yield of your search process, including the levels of evidence, and quality of evidence.
Synthesis of the Evidence (Level 2 Heading)

(In the following sections you are to synthesize the critical appraisal of the evidence presented in your quality studies.)

How many of the studies are supportive, how many do not support this proposed change in practice?
Compare (Level 3 heading) (Left margin, Italics, Bold, Capitalized, no period)

What do the studies say that is similar?
<Theme Name> (Level 3 Heading) (Left margin, Italics, Bold, Capitalized, no period)

One heading for each theme. Repeat this heading PRN.

Discuss how the evidence support theme(s).
Contrast (Level 3 heading) (Left margin, Italics, Bold, Capitalized, no period)

Do any of the studies disagree or have dissimilar outcomes?
What does one study add to the evidence that is unique?
Strengths and Limitations (Level 2 Heading)

What are the strengths and limitations of your evidence?
Conclusion (Level 1 Heading)

How do these studies together answer the research question?
How could this evidence impact a change in practice?
Proposed change.
Recommendations: include leadership strategies to implement change and impact on practice
<page break>

References (Centered, bold)

Use hanging paragraph format, double-spaced, with no extra lines
Additional Requirements

Convert citations and references to static text prior to submission.
Expected to be 7–8 pages (excluding title and reference pages).
Each of the works from your EET should be represented in the synthesis.

Part II: Evidence Evaluation Table (EET)
The purpose of completing this table is to organize and critique the evidence that you find related to your clinical question. This week you are to edit this table based on your learning and instructor feedback. You should currently have eight (8) quality articles in your EET. You will continue to gather at least 12 quality published works for your final synthesis paper in Week 13. The final completed Evidence Table will be submitted along with the final synthesis paper in Week 13.




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