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NURS-FPX 6085 Assessment 3: Evidence Synthesis and Application
1. Purpose of the Assessment
Assessment 3 focuses on:
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Synthesizing evidence from the literature review.
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Critically analyzing the quality, relevance, and applicability of the evidence.
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Applying findings to propose potential interventions or practice changes.
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Preparing for the practice change proposal in Assessment 4.
This step allows you to move from understanding the evidence to planning how it can be applied in a real-world clinical setting.
2. Common Requirements
Students are usually asked to:
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Restate the clinical problem and PICOT question.
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Summarize the key findings from the literature review (Assessment 2).
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Critically analyze the strengths, limitations, and levels of evidence.
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Identify patterns, gaps, or inconsistencies in the evidence.
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Describe how the evidence can be applied to clinical practice.
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Include APA 7th edition references.
3. Suggested Paper Structure
Title Page
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APA 7th edition formatting.
Introduction
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Restate the clinical problem and PICOT question.
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Explain why synthesizing evidence is important for practice change.
Evidence Synthesis
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Organize key studies by theme or intervention type.
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Summarize outcomes, effect sizes, and clinical significance.
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Highlight consistencies or discrepancies across studies.
Critical Analysis
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Evaluate the strengths and limitations of each study.
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Discuss level of evidence (e.g., Level I for RCTs, Level III for quasi-experimental).
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Identify gaps in the research or areas needing further study.
Application to Practice
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Explain how evidence supports a specific intervention.
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Describe the anticipated impact on patient outcomes.
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Consider feasibility, resources, and potential barriers in implementation.
Conclusion
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Summarize the main findings and their relevance to clinical practice.
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Reinforce the importance of evidence-based practice in improving patient outcomes.
References
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Include all scholarly sources cited, in APA 7th edition format.
4. Example Topic (Pressure Injury Prevention)
PICOT Question: In adult hospitalized patients at risk for pressure injuries (P), how does implementing a standardized repositioning protocol with pressure-relieving devices (I), compared to usual care without structured repositioning (C), affect the incidence of pressure injuries (O) during a four-week hospital stay (T)?
Evidence Synthesis
Study 1: Smith & Allen (2021)
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Design: Systematic review of 10 RCTs
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Sample: Hospitalized adults at risk for pressure injuries
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Intervention: Repositioning protocols with pressure-relieving devices
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Outcome: Incidence of pressure injuries
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Findings: Significant reduction in pressure injuries; high adherence improved outcomes
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Level of Evidence: Level I
Study 2: Brown & Davis (2020)
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Design: Quasi-experimental study
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Sample: 120 adult patients
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Intervention: Repositioning every 2 hours with specialized mattresses
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Outcome: Pressure injury development
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Findings: 25% reduction in pressure injuries; effectiveness influenced by staff compliance
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Level of Evidence: Level III
Study 3: Johnson et al. (2019)
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Design: Cohort study
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Sample: 150 patients in medical-surgical units
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Intervention: Staff education and pressure injury prevention bundles
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Outcome: Pressure injury rates
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Findings: Moderate reduction in incidence; education alone insufficient without protocols
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Level of Evidence: Level III
Critical Analysis
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Strengths: High-level studies provide strong evidence supporting repositioning protocols and pressure-relieving devices. Systematic review demonstrates consistency across multiple RCTs.
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Limitations: Lower-level studies have small samples and single-site designs, limiting generalizability. Staff adherence and education were critical factors in success.
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Gaps: Limited evidence on long-term outcomes and cost-effectiveness of prevention bundles.
Application to Practice
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Proposed Intervention: Implement a standardized repositioning protocol every 2 hours, combined with pressure-relieving devices.
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Expected Outcomes: Reduced incidence of pressure injuries, improved patient comfort, and enhanced quality of care.
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Implementation Considerations: Staff training, workflow integration, monitoring adherence, and ensuring availability of pressure-relieving devices.
Conclusion
The evidence strongly supports the use of repositioning protocols and pressure-relieving devices to prevent pressure injuries in hospitalized adults. High-level studies demonstrate significant reductions in incidence when protocols are followed. Applying this evidence in clinical practice can improve patient safety, outcomes, and quality of nursing care.
References
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Brown, L., & Davis, R. (2020). Pressure-relieving devices and nursing interventions for pressure injury prevention: Evidence-based practices. International Journal of Nursing Studies, 110, 103707. https://doi.org/10.xxxx/ijns.2020.103707
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Johnson, P., Smith, R., & Adams, L. (2019). Staff education and prevention bundles for pressure injuries: A cohort study. Journal of Clinical Nursing, 28(15–16), 3002–3010. https://doi.org/10.xxxx/jcn.2019.28.15.3002
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Smith, J., & Allen, K. (2021). Effectiveness of repositioning protocols in preventing pressure injuries in hospitalized adults: A systematic review. Journal of Nursing Care Quality, 36(3), 200–208. https://doi.org/10.xxxx/jncq.2021.36.3.200
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National Pressure Injury Advisory Panel. (2023). Prevention and treatment of pressure injuries: Clinical practice guidelines. https://www.npiap.com
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