NUR 550 Project One

Directions

In this project you will write a systematic literature review, including a literature review matrix, which is based on a PICOT question you develop. Note that in previous modules you already began to develop a PICOT question and a literature review matrix. You should incorporate your work from both of these areas into your project after careful consideration of the instructor feedback you received for each. At least 10 scholarly sources, which are current (within the last five years), must be incorporated in your review. Specifically, you must address the following rubric criteria:

1. PICOT Question: Create a specific and searchable PICOT question. The question you develop should be something that you can address using evidence. It needs to be written in the PICOT format. Also be sure to include any relevant background information on the nursing practice problem that the PICOT question would address.
2. Significance: Defend the significance of your PICOT question. Begin by explaining why this change needs to happen and then discuss why EBP is the right approach to address the PICOT question. Use the following questions to guide your response.
3. Search Strategy: Develop an appropriate search strategy to address your PICOT question. You must explain your strategy and justify how it allows you to find relevant evidence. Address the following as you write.
4. Critical Appraisal: Appraise each source critically to determine its value. As you work, describe the evidence you chose when making the case for how to address your PICOT question. Then evaluate the individual articles. How does each source address the PICOT question? To organize this work, first complete the literature review matrix before writing out your full critical appraisal in paragraph form. Remember, you have already begun to review five scholarly sources but will need a total of 10. Your literature review matrix should be included as an Appendix. The Literature Review Matrix Template is available in the Supporting Materials section. Be sure to include the following in your appraisal for each source:
5. Integration of Evidence: Analyze how the evidence addresses your PICOT question. Is there enough evidence to support continuing with the problem? Has the evidence prompted you to look at the problem from a different perspective? Where might there be gaps in the literature? Your goal here is to synthesize the evidence to form a systematic review of the literature.

SCENARIO: Nurse Leader: You are a unit manager on a medical-surgical floor at a medium-sized hospital. A year ago, an evidence-based practice project was implemented on bedside reporting. Patient satisfaction surveys and a walkthrough of the unit has revealed that reporting is occurring in the breakroom or at the front desk. An EBP project is being proposed that will provide strategies and the evidence that supports a practice change to provide bedside reporting as a best practice.

PICOT Question: For patients on a medical-surgical hospital unit, how does bedside nurse to nurse reporting in comparison to traditional patient hand-off practices impact the patient/family experience of the inpatient setting over six weeks?