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Health, Medicine, Nursing
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Topic:

Literature Evaluation Table: Diabetes

Essay Instructions:

PICOT Question and Literature Search

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.
For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-reviewed research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.
Use the "Literature Evaluation Table" to complete this assignment.
Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.
Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
The PICOT question will provide a framework for your capstone project.
Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.
CLINICAL ISSUE ( MENTAL HEALTH)
References should be three to five
Please follow the Rubric { Course Code Class Code Assignment Title Total Points
NRS-433V NRS-433V-OL192 PICOT Question and Literature Search 120.0

Criteria Percentage 1: Unsatisfactory (0.00%) 2: Less Than Satisfactory (75.00%) 3: Satisfactory (83.00%) 4: Good (94.00%) 5: Excellent (100.00%) Comments Points Earned
Content 80.0%
Summary of Clinical Issue 5.0% A clinical issue is omitted or is not relevant to nursing practice. A clinical issue is partially presented. It is unclear how the clinical issue relates to nursing practice. Significant aspects are missing, or there are inaccuracies. A clinical issue is summarized. The issue generally relates to nursing practice. A clinical issue is presented. The issue relates to nursing practice. Minor detail is needed for clarity. A clinical issue is thoroughly described. The issue relates to nursing practice.

PICOT Question 10.0% A PICOT question is not included. A PICOT question is provided but is incomplete. The PICOT question format is used incorrectly. A PICOT question is provided. The PICOT question format is generally applied. Some information or revision is needed. A PICOT question is provided. The PICOT question format is applied accurately. Some detail is need for support or clarity. A PICOT question is clearly presented. The PICOT question format is applied accurately and presents an answerable and researchable question.

APA-Formatted Article Citations With Permalinks 5.0% Article citations and permalinks are omitted. Article citations and permalinks are presented. There are significant errors in the APA format. One or more links do not lead to the intended article. Article citations and permalinks are presented. Article citations are presented in APA format, but there are errors. Article citations and permalinks are presented. Article citations are presented in APA format. There are minor errors. Article citations and permalinks are presented. Article citations are accurately presented in APA format.

Relationship of Articles to the PICOT Question 10.0% Three or more articles do not relate to the PICOT question. At least two articles do not relate to the PICOT question. The remaining articles provide a small degree of support for the PICOT question. Different articles are needed to provide better support for the PICOT question. At least one articles does not relate to the PICOT question. The remaining articles provide general support for the PICOT question. One or two different articles are needed to provide better support for the PICOT question. Each article relates to the PICOT question. The articles provide support for the PICOT question. Each article clearly relates to the PICOT question. The articles provide strong support for the PICOT question.

Quantitative and Qualitative Articles 10.0% Fewer than six research articles are presented. Four or more articles do not meet the assignment criteria for a quantitative, qualitative, Six research articles are presented. Three articles do not meet the assignment criteria for a quantitative, qualitative Six research articles are presented. Two articles do not meet the assignment criteria for a quantitative, qualitative, or mixed study. Some ability to identify the type of research design used in a study is demonstrated. Six research articles are presented. One article does not meet the assignment criteria for a quantitative, qualitative, or mixed study. A general ability to identify the type of research design used in a study is demonstrated. Six research articles are presented. Each article meets the assignment criteria for a quantitative, qualitative, or mixed study. An ability to identify the different types of research design used in a study is consistently demonstrated.

Purpose Statements 5.0% Purpose statements are omitted or are incomplete overall. Purpose statements are referenced but are incomplete in some areas. Purpose statements are presented. There are minor omissions in some areas, or major inaccuracies. Purpose statements summarized. There are some minor inaccuracies in some. Purpose statements are accurate and clearly summarized.

Research Questions 5.0% Research questions are omitted or are incomplete overall. Research question is presented for each article. The research question has been misidentified or misinterpreted for at least two of the articles. Additional information is needed to fully illustrate the research question for several of the articles. Research questions are presented. The research question has been misidentified or misinterpreted for one of the articles. Some detail is needed to fully illustrate the research question for one or two articles. Research questions are presented. Minor detail is needed for clarity in some areas. Research questions are accurate and capture the fundamental question posed by the researchers in each study.

Outcome 5.0% Research outcomes are omitted or are incomplete overall. Research outcome is presented for each article. The research outcome has been misidentified or misinterpreted for at least two of the articles. Additional information is needed to fully illustrate the research outcomes for several of the articles. Research outcomes are presented. The research outcome has been misidentified or misinterpreted for one of the articles. Some detail is needed to fully illustrate the research outcomes for one or two articles. Research outcomes are presented. Minor detail is needed for clarity in some areas. Research outcomes are accurate and described in detail for each article.

Setting 5.0% The setting is omitted for one or more of the articles. The setting described for three or more articles is inaccurate or incomplete. The setting is indicated for each article. The setting described for two of the articles is inaccurate or incomplete. The setting is indicated for each article. The setting described for one article is inaccurate or incomplete. The setting is indicated for each article. Some detail is needed to fully illustrate the physical, social, or cultural site in which the researcher conducted the study. The setting in which the researcher conducted the study is detailed and accurate for each article.

Sample 5.0% The sample is omitted for one or more of the articles. The sample described for three or more articles is inaccurate or incomplete. The sample is indicated for each article. The sample described for at least two of the articles is inaccurate or incomplete. The sample is indicated for each article. The sample described for one article is inaccurate or incomplete. The sample is indicated for each article. Minor detail is needed for accuracy. The sample is indicated and accurate for each article.

Method 5.0% Method of study for one or more articles is omitted. Overall, the methods of study are incomplete. The method of study is partially presented for each article. Key information is consistently omitted. Overall, the methods reported contain inaccuracies. The method of study for each article is presented. Some key aspects are missing for one or two articles, or there are some inaccuracies for the methods reported. A discussion on the method of study for each article is presented. A thorough discussion on the method of study for each article is presented.

Key Findings of the Study 5.0% Discussion of study results, including findings and implications for nursing practice, is incomplete. A summary of the study results includes findings and implications for nursing practice but lacks relevant details and explanation. There are some omissions or inaccuracies. Discussion of study results, including findings and implications for nursing practice, is generally presented for each article. Overall, the discussion includes some relevant details and explanation. Discussion of study results, including findings and implications for nursing practice, is complete and includes relevant details and explanation. Discussion of study results, including findings and implications for nursing practice, is thorough with relevant details and extensive explanation.

Recommendations of the Researcher 5.0% Researcher recommendations are omitted for one or more of the articles. The recommendations described for three or more articles are inaccurate or incomplete. Researcher recommendations are indicated for each article. The researcher recommendations described for two of the articles are inaccurate or incomplete. Researcher recommendations for each article are presented. Researcher recommendations described for one article are inaccurate or incomplete. Researcher recommendations for each article are accurately presented. Minor detail is needed for accuracy. Researcher recommendations accurate are thoroughly described for each article.


Organization and Effectiveness 10.0%
Mechanics of Writing (includes spelling, punctuation, grammar, language use) 10.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.


Format 10.0%
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 10.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Total Weightage 100%

Essay Sample Content Preview:
Literature Evaluation Table
Student Name:
Summary of Clinical Issue: Diabetes mellitus is a serious clinical problem that is characterized by the production of lower levels of insulin when the body fails to utilize the insulin produced from the pancreas. The condition is usually known as hyperglycemia. Therefore, there is a buildup of glucose in the blood vessels. Notably, the condition also leads to disturbances in protein, carbohydrate, and fat metabolism. When the buildup of glucose is sustained for a prolonged period, most body tissues are affected and complicates the functioning of certain organs in the body. The organs at higher risk of being affected include nerves, kidneys, eyes, and blood vessels. Nurses play a critical role in the development of effective and evidence-based care plans to attain patient goals. The main objective of the nursing care plans is normalizing blood glucose levels as well as decrease the complications associated with insulin replacement, exercise, and a balanced diet. In this regard, the nurse is expected to communicate the essence of following the treatment plans through effective patient education. There is also a need to tailor the plans based on the specific needs of the patients and ensuring that their issues are addressed effectively. The patient must be able to understand the benefits of the proposed care plan in the long term. There are different treatment approaches used for managing hyperglycemia. The PICOT issue will evaluate the effectiveness of insulin in reducing organ damage for hyperglycemia patients compared to using oral hypoglycemic medications.
PICOT Question: In hyperglycemia (P), what is the effectiveness of insulin treatment (I) on reducing organ damage (O) compared with oral hypoglycemic medications (C) within three months (T)?
Criteria

Article 1

Article 2

Article 3

APA-Formatted Article Citation with Permalink

Duggan, E., & Chen, Y. (2019). Glycemic management in the operating room: screening, monitoring, oral hypoglycemics, and insulin therapy. Current diabetes reports, 19(11), 1-13.

Wysham, C., Bhargava, A., Chaykin, L., de la Rosa, R., Handelsman, Y., Troelsen, L. N., ... & Norwood, P. (2017). Effect of insulin degludec vs. insulin glargine U100 on hypoglycemia in patients with type 2 diabetes: the SWITCH 2 randomized clinical trial. Jama, 318(1), 45-56.

Bradley, M. C., Chillarige, Y., Lee, H., Wu, X., Parulekar, S., Muthuri, S., ... & Graham, D. J. (2021). Severe hypoglycemia risk with long-acting insulin analogs vs. neutral protamine Hagedorn insulin. JAMA Internal Medicine.

How Does the Article Relate to the PICOT Question?


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