Assignment 2: Evidence Based Project Proposal

This week you will submit the completed Evaluation Table that includes only your “keeper” studies. This will be added to your final paper as an Appendix. You will also turn in the Search Tracker so faculty can see the steps you took to locate the evidence. This will not become a part of your paper, but it is for feedback only should faculty deem that necessary.

Assignment 2 Grading Criteria Maximum Points
Search Tracker shows path for searches 10
Columns of the Evaluation Table contain appropriate information from which decisions can be made 15
Acronyms are explained below table 15
Table is neatly done and readable 10
Total: 50

A Research Proposal Evaluation Table
R S
South University

PICOT
P Population Nurses caring for the terminally-ill patients
I Intervention or issue of interest Educational program to nurses caring for the terminally-ill
C Comparison Nurses who do not participate in the educational program
O Outcome Increase effective plan of care for terminally patient and their family How will you measure “effective care”? This is a question change.
T Time frame 3 months
The research proposal aims to address the lack of planning that exists within end-of-life care and develop an educational program implementable in enabling healthcare providers, especially nurses to acquire essential skills in advanced palliative care planning. Thus, the PICOT question is: Do nurses who care for terminally-ill patients in a hospital (P), after participating in an educational program on end-of-life care (I) versus nurses who do not participate in an educational program (C) improve the satisfaction of in terminally ill patients including their family (O) over a three month period.
Search # Initial Search Items Database And/Or? Added Search items Title (Ti) Anywhere, etc This means did you tell the database where to search for the terms – not a title of an article. # of articles found
1 Palliative Care CINAHL Nurses Education Communication among patients and family in reference to palliative and end-of-life care transition. Impact of palliative care referral by knowledgeable staff to cancer patient. 2524
2 Palliative care Ovid Nursing Education Nurses Impact of a palliative care initiative on end-of-life care in the general wards. 28
3 Palliative Care

Ovid Nursing Education hospice End of life care education, past and present: a review of the literature. 60
4 Hospice CINAHL Education End-of-life Palliative care at a community hospital and nurses satisfaction caring for the terminally-ill 2762
5 End-of-life Pub Med Hospice Education Palliative care importance and increase access 1799

Evaluation Table
First Author (Year) Conceptual Framework Design/
Method Sample & Setting Major Variables Studied ( and their definitions) Measurement Data Analysis Findings Appraisal: Worth to practice

Moir,C. (2015) The study evaluates the effectiveness of educated nurses discussing or approaching patient on the topic of palliative care.*
Non-experimental research design/ whereas a survey is used as a method.??
60 inpatient nurses from a hospital in Idaho. The telemetry, oncology and critical care unit nurses were involved. Nurses and patient /family-centered communication, cultural and ethical values, and effective palliative care delivery.
The EPCS, a survey based on the age of the
nurse, years of nursing experience, and the unit
on which they worked was used. *
Data were analyzed using SAS 10.0 software/descriptive statistics/ Chi-Square
and MANOVA.
The study demonstrated that nurses with less years of experiences expressed some discomfort in effective communication and care
with patients at the end of life and
their families.*
Support the need
of education among
staff nurses regarding palliative and end-of-life care is
required. Hence, the well trained or educated staff can smooth the transition to palliative and/or end-of-life care.

EPCS= End-of-Life Professional Caregiver Survey; MANOVA= Multivariate analysis of variance; SAS= Statistical Analysis System

Wheeler, C. (2014) A distance learning educative module entitle Foundations in End of Life/Palliative Care used in a clinical setting. Not a conceptual framework
Qualitative and quantitative study using a pre- and post-module
self-assessment questionnaires among community nurse. 100 community based nurses/participants studied the module and completed the questionnaires electronically. (distance learning approach) Physical and psychosocial * assessment, communication skills,
ethical and advance care planning including professional issues and knowledge related to end-of -life and strategies were key variables explored among the community nurses.. The EMCQ* was used to evaluate the community nurses answer following the instructive modules. Likert scoring pre- and post-module was supported by free-text qualitative responses. *
The community nurses learn a collaborative
approach to improving end-of- life care.
Palliative or end-of-life care education leads the
acting as a patient/family advocate and
supporting the patient in making informed end-of-life choices; in addition; it improves knowledge and confidence in the assessment and management of
the holistic palliative and end-of-life needs of patients and their
families.

EMCQ= Electronic multiple-choice questionnaire*What is that?? What did it ask? Is it reliable & valid??
Fabro, K. (2014) A residency program is developed to embrace quality end-of-life and palliative care among nurses and the elderly patients. The framework consists of five major components: teacher factors, student factors, design factors, educational practices and outcomes.see previous comments for this column The five major framework are used as a guide for
planning, implementing, and evaluating end-of-life care among the nurses.This is the design?? 33 nurses participants at John Hopkins hospital located in Baltimore. Palliative residency program, new graduate, nurses with more than 5 years experiences and elderly patient requiring end-of-life care. LSSCLQ and on a
five-point Likert-type scale of agreement.?? Thematic
content analysis So this was a qualitative design??? Participants means for items on educational practices and satisfaction and confidence in learning were all between agree
and strongly agree on a 5-point scale of agreement (n = 21). But these would result in #s and not qualitative data.
.
This study is of importance, because it demonstrated how the nurse participants of the palliative residency program demonstrated a level of mastery in caring for terminal patients. It is also suggested to be implemented in the QSEN curriculum for nursing students.
LSSCLQ= Learner satisfaction and self-confidence in learning questionnaire; N= Palliative nursing residents; QSEN= Quality and Safety Education for Nurses.

References
Moir, C., Roberts, R., Martz, K., Perry, J., & Tivis, L. J. (2015). Communicating with patients and their families about palliative and end-of-life care: cComfort and educational needs of nurses. International Journal Of Palliative Nursing, 21(3), 109-112 4p. doi:10.12968/ijpn.2015.21.3.109
Wheeler, C., Anstey, S., Lewis, M., Jeynes, K., & Way, H. (2014). The effect of education on community nursing practice in improving the patient–care experience at the end of life. British Journal Of Community Nursing, 19(6), 284-290 7p.
Fabro, K., Schaffer, M., & Scharton, J. (2014). The Development, Implementation, and Evaluation of an End-of-Life Simulation Experience for Baccalaureate Nursing Students. Nursing Education Perspectives, 35(1), 19-25 7p. doi:10.5480/11-593.1
Submit the completed Evaluation Table that includes only your “keeper” studies. This will be added to your final paper as an Appendix. You will also turn in the Search Tracker. It is for feedback only should faculty deem that necessary.
Assignment 2 Grading Criteria Maximum Points
Search Tracker shows path for searches 10
Columns of the Evaluation Table contain appropriate information from which decisions can be made 8/15
Acronyms are explained below table 15
Table is neatly done and readable 10
Total: 43/50
Reginald, Good work! I am surprised that there are only 3 keeper studies to support your project. Please see comments throughout for corrections in the table. You will need to correct for the final product. If necessary, please review what the headings are. Please refer to your texts and my comments in DQ 3.

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