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Literature Review 1B: Critique of Article 1

Will includes lit review 1A you wrote and template again. Only do part Lit review 1B, Thank you so much!
Continue writing your paper using the file you submitted as Lit Review 1A. Revise the previously-submitted sections based on your instructor’s feedback. Then add the following:

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Select the nursing research article with the highest level of evidence and critique it by answering questions in the appropriate “Rapid Critical Appraisal Checklists” in Appendix B of Melnyk & Fineout-Overholt (2019, pp. 708-722). If needed, consult with instructor about the correct LOE and checklist before you write your critique.
In the paper, write a concise summary of the most pertinent details about the article, organizing it with subheadings of Validity, Results, Applicability, Strengths, and Weaknesses. Include the type of study, purpose, methods and instruments, sample size and characteristics, results with statistical significance (if provided), key findings relevant to your PICOT, and your critique of its applicability, strengths, and weaknesses.
Make sure article is in reference list. Cite sources in the paper using APA style with authors’ last names and year (in the first sentence and when needed). Do not type the complete title of article or journal in your paragraph because it is in the reference list.

Student Journal for Practicum

NUR 4169C Applications of Evidenced-Based Practice for BSNs

 

Name:   ___________________________  Capstone topic:  _____________________________

Journaling:  Keep a log that chronicles how many hours you spent on the project and reflections on what you learned or plan to do next.

 

Date Time start & end Hours Cumulative

Running Hourly Total

Narrative of activities Meaningful Reflections on what learned, what went well,or would do differently
      Add up total hours in this column    
 

 

 

         
 

 

 

         
 

 

 

         
 

 

 

         
 

 

 

         
 

 

 

         
 

 

 

         
 

 

 

         

 

Right click on the last row in the table to insert more rows below.

 

Running head:   YOUR SHORT TITLE

 

 

 

 

 

 

 

 

 

Capstone Part I:    Title (5-10 words approximately)

 

 

 

NUR 4169C Applications in Evidence Based Practice for BSNs

 

Professor Dr. Peggy McCartt, PhD, APRN

 

 

 

 

by

 

 

Student Name

 

Date-Update the date with each submission

 

 

This template is for the entire paper, which is broken into sections, as described in each Module.  The instructor will grade each section and give detailed feedback before the next section is due.  Leave the extra headings for the future sections in the paper.   At the end of the semester, the entire paper will be submitted for a final grade.  Refer to Modules for detailed instructions for each section.

 

It is very important that you utilize the headings and subheadings provided in this template.   Since it is being graded in sections, the instructor needs consistent headings in order to easily discern the new section to be graded.

 

 

Capstone Part I:  Literature Review

NOTE:  the only headings that should be centered are for Capstone Part I, II, and III, References, and Appendices

Delete all messages like this

 

Introduction to Problem (Note: this is a major heading ‘left flush’ bold on separate line)

            Start each paragraph indented 5 spaces.   Double space consistently. Do NOT use personal pronouns like “Me My I” in this type of professional paper.

Second paragraph …….  Every paragraph should have one theme or idea, with at least 5 sentences.  Do NOT leave extra spaces between paragraphs and headings.

PICOT, Search Strategy, and Articles    (major left flush heading) 

            See the module instructions for what to include here.

Level of Evidence Scale (major left flush heading.  Copy/paste or keep this section as is)

The level of evidence (LOE) scale that will be used to critique research studies in this paper is the Rating System for the Hierarchy of Evidence by Melnyk & Fineout-Overholt (2019) with the strongest or best research evidence at the top (Level I) and the weakest research evidence at the bottom (Level VII).

  • Level 1: Evidence from a systematic review or meta-analysis of all relevant randomized clinical trials (RCT).
  • Level II:   Evidence obtained from a well-designed RCT
  • Level III: Evidence obtained from a well-designed controlled trial without randomization
  • Level IV: Evidence from a well-designed case-control or cohort study
  • Level V:   Evidence from systematic reviews of descriptive and qualitative studies
  • Level VI: Evidence from a single descriptive study (quantitative or qualitative)
  • Level VII: Evidence from the opinion of authorities and/or reports of expert

committees (Melnyk & Fineout-Overholt, 2019, p. 18)

 

 

***************NOTE:  Lit Review 1A ENDS here ***********

 

 

Article #1 (this can be any words you want to use for a heading, but please use a left flush heading, bold, that fits on 1 line by itself, double spaced,

Validity.   Start text here.  Be sure that this subheading is indented 5 spaces, bold font, followed by period and 2 spaces.  Continue the text on the same line. Remove extra spaces between paragraphs and headings, so it is double-spaced consistently throughout.

Results.     Start text here with this subheading as described above

 

Applicability, Strengths, and Weaknesses.     Start text here with this subheading

 

 

***************NOTE:  Lit Review 1B ENDS here ***********

 

For Lit Review 1C you will critique EITHER the 2nd article you found, OR the guidelines, so select the appropriate headings and subheadings.

Article #2        Major heading left flush bold on line by itself.

            Validityindented subheading

 

Results.  indented subheading

 

Applicability, Strengths, and Weaknesses.     Indented subheading

         

Guidelines Critique and Recommendations Major heading left flush bold on line by itself.

 

Credibility.       indented subheading

 

Applicability.        indented subheading

 

Recommendations.   Indented subheading

 

***************NOTE:  Lit Review 1C ENDS here ***********

 

Conclusions from Literature Review Major heading left flush bold on line by itself.

Capstone Part 2:  Education and Evaluation Plan

Objectives, Outline and Teaching Strategies

            Write Paragraphs per module instructions in EEP 2A, and refer reader to appendices which you will be creating.   All appendices go after the References.

 

 

 

Capstone Presentation and Evaluation of Effectiveness

           

 

 

 

 

References (start on new page)

Melnyk, B., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare:

     A guide to best practice. (4th ed.). Philadelphia, P.A.: Wolters Kluwer.

Sample website:  National Guideline Clearinghouse. (2009). Clinical practice guideline for schizophrenia and incipient psychotic disorder: Agency for Healthcare Research and Quality (AHRQ). Retrieved from: http://guidelines.gov/content.aspx?id=34115

Sample journal: Atun-Einy, O., & Scher, A. (2008). Measuring developmentally appropriate practice in neonatal intensive care units. Journal of Perinatology, 28(3), 218-225.

Appendix A:  Teaching Plan Table

Start a new appendix for each page

 

Appendix B:  Educational Materials

 

Appendix C:  Evaluation Method

 

Appendix D: Graphs, Results, Conclusions

 

 

 

 

 

 

Capstone Part I:  Smoking is the Silent Killer for Cardiac Patients

 

 

 

NUR 4169C Applications in Evidence Based Practice for BSNs

 

Professor

 

 

 

 

by

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Literature Review 1A

Introduction to Problem

Smoking is a risk factor for adverse events in patients with cardiovascular diseases (CVD). It increases the probability of mortality in patients receiving cardiac care. The hazard ratio of cardiovascular mortality is 2.07 and 1.37 for current and past smokers compared to non-smokers (Mons et al., 2015). According to the study by Bouabdallaoui et al.(2020), both current and former smokers are at higher risks of CVD death (hazard ratio=1.92 and 1.38) and all-cause mortality (hazard ratio=1.96 and 1.37) compared to non-smokers (p<0.05). The more cigarettes that a patient with a CVD smokes, the higher the risk of mortality as demonstrated by an hazard ratio of 2.63 among patients who smoke more than 20 cigarettes per day in the meta-analysis by Mons et al. (2015).

Smoking cessation reduces the risk of CVD mortality. The smoking-related mortality risk reduces by a hazard ratio of 0.85 per 10 years once a patient stops smoking. The risk advancement periods is estimated to be 5.5 years for current smokers, which is more than double that of former smokers (2.16) (Mons et al., 2015). Therefore, interventions to help patients in the cardiac care unit to stop smoking can significantly reduce their risk of mortality.

PICOT, Search Strategy, and Articles  

In (P) Smokers in the cardiac care unit, (I) does behavioral treatment (C) compared to nicotine replacement therapy (O) help patients to quit smoking (T) within one year?

Nicotine replacement therapy (NRT), a pharmacotherapy, is commonly used to help in smoking cessation. However, the associated adverse effects and ineffectiveness in some smokers call for the search for other alternatives that can serve as evidence-based approaches to smoking cessation. Behavioral treatment, administered as either individual or group counselling, can serve as an intervention for smoking cessation in the cardiac care patients (Lancaster & Stead, 2017).

The purpose of this paper is to gather evidence regarding the effectiveness of behavioral therapy compared to NRT in enhancing smoking cessation. It is important to nursing because if behavioral therapy is determined to be an evidence-based intervention for smoking cessation, it can be applied in the care for the CVD patients, thus improving their outcomes and reducing their mortality risk.

The selection of the two articles entailed searching the keywords “behavioral therapy” and “smoking cessation” on PubMed and Google Scholar databases, which yielded 1455 and 27300 results respectively. The search was restricted to articles published in the past 5 years and available in full text. The titles and abstracts of the articles were reviewed to identify the ones that responded to the PICOT question most appropriately. The two chosen articles were authored by Vidrine et al. (2019) and McCarthy et al. (2016).

Level of Evidence Scale

The level of evidence (LOE) scale that will be used to critique research studies in this paper is the Rating System for the Hierarchy of Evidence by Melnyk & Fineout-Overholt (2019) with the strongest or best research evidence at the top (Level I) and the weakest research evidence at the bottom (Level VII).

  • Level 1: Evidence from a systematic review or meta-analysis of all relevant randomized clinical trials (RCT).
  • Level II: Evidence obtained from a well-designed RCT
  • Level III: Evidence obtained from a well-designed controlled trial without randomization
  • Level IV: Evidence from a well-designed case-control or cohort study
  • Level V: Evidence from systematic reviews of descriptive and qualitative studies
  • Level VI: Evidence from a single descriptive study (quantitative or qualitative)
  • Level VII: Evidence from the opinion of authorities and/or reports of expert committees (Melnyk & Fineout-Overholt, 2019, p. 18)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

Bouabdallaoui, N., Messas, N., Greenlaw, N., Ferrari, R., Ford, I., Fox, K. M., … & Tardif, J. C. (2020). Impact of smoking on cardiovascular outcomes in patients with stable coronary artery disease. European Journal of Preventive Cardiology, 2047487320918728.

Lancaster, T., & Stead, L. F. (2017). Individual behavioural counselling for smoking cessation. Cochrane database of systematic reviews, (3).

McCarthy, D. E., Bold, K. W., Minami, H., & Yeh, V. M. (2016). A randomized clinical trial of a tailored behavioral smoking cessation preparation program. Behaviour research and therapy78, 19-29.

Melnyk, B., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare:A guide to best practice. (4th ed.). Philadelphia, P.A.: Wolters Kluwer.

Mons, U., Müezzinler, A., Gellert, C., Schöttker, B., Abnet, C. C., Bobak, M., … &Kromhout, D. (2015). Impact of smoking and smoking cessation on cardiovascular events and mortality among older adults: meta-analysis of individual participant data from prospective cohort studies of the CHANCES consortium. bmj350, h1551.

Vidrine, D. J., Frank-Pearce, S. G., Vidrine, J. I., Tahay, P. D., Marani, S. K., Chen, S., … & Prokhorov, A. V. (2019). Efficacy of Mobile Phone–Delivered Smoking Cessation Interventions for Socioeconomically Disadvantaged Individuals: A Randomized Clinical Trial. JAMA internal medicine179(2), 167-174.

 

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