Critical Appraisal of Evidence

Introduction
The purpose of this assignment is to evaluate and critically appraise the available evidence pertaining to the patient safety issue. This is an important step in the evidence-based practice process. The evidence should be appraised for merit, implicit bias, and relevance to the topic. Moreover, evidence should be from current, peer reviewed sources. Clinical practice guidelines and consensus statements are usually updated every 10 years. Consider this guideline when evaluating the current literature.
Scenario
Keeping with the previous scenario, remember that as Director of Clinical Operations and Nursing Excellence, it is your responsibility to ensure that the best practices and protocols are implemented throughout the medical center. This includes ensuring the use of quality literature.
Instructions
Write a 5–7 page paper that includes an introduction and thesis statement. Develop an annotated bibliography that highlights important articles that support the thesis statement. Based on the evidence presented, propose one or more evidence-based interventions for the patient safety issue.

1. Review the Capella Library Guide on how to Create an Annotated Bibliography.
2. Review the Capella Library Guide on how to Critically Appraise the Evidence.
3. Review the Capella Writing Center Guide, In-text Citation: Paraphrasing, Summarizing, Quoting, focusing on how to paraphrase.
4. Create an introductory paragraph that includes a summary of the health care safety problem, your PICO(T) research question, and a thesis statement.
   o Revise a summary of the health care safety problem that you have created from one of your previous assignments.
   o Improve it with details from the evidence and scholarly writing traits.
   o Revise your PICO(T) question based on what you have learned in your research.
   o Apply PICO(T) components within the question appropriately.
   o Refine PICO(T) components with detail and specificity
   o Compose a professional level PICO(T) question that the researcher might have used as a foundation for the study.
   o Write a strong thesis statement. Review the Capella Writing Center Guide, Writing a Strong Thesis Statement.
5. Explain in a paragraph the critical appraisal tool that you are using to evaluate your articles.
   o Include a statement about why you selected this critical appraisal tool.
6. Choose five articles from literature published within the last five years and write an annotative bibliography for each article. Each annotation should include the following:
   o Type the APA citation for each article, and underneath it, include the following in the annotation:
   o Write a brief summary of the study in the article in your own words, including the purpose, method, design, and results.
   o Include examples from the study to illustrate the quality of the study.
   o Provide scholarly support for the assertions made in your appraisal of the study.
   o Evaluate the quality of the study by applying a critical appraisal tool.
   o Explain why the article is relevant to the patient safety issue.
   o Provide context about how the study contributes to the body of literature.
7. Propose 1–3 interventions that may improve or solve the patient safety problem.
   o Interventions selected must come from evidence-based literature analysis.
   o Interventions should also be crafted based on consideration of what is already recognized as best practice in your state or nationally, knowledge gained through experience and other experts, and local patient or organizational preferences.
8. Write a closing summary paragraph.
9. Submit a complete reference list of all sources used in the development of the protocol in APA format.
   Additional Requirements
   • 5–7 pages, not including references.
   • Double spaced, Times New Roman, 12 point font.
   • Minimum of eight resources, including textbook and course resources.
   • Include the following headings to organize your paper:
   o Introduction.
   o Critical Appraisal Tool.
   o Annotative Bibliography.
   o Proposed Intervention.
   o Conclusion.
   o References.
   • Reference page in APA format with appropriate citations.

Critical Appraisal of Evidence

Robbie has critiqued and appraised the literature. This allowed them to exclude many articles and focus on the articles of quality that can be translated into practice. Their next step is to review the literature and identify possible interventions that may be applicable for the patient safety project at the large metropolitan health center.
This week, you will evaluate interventions from the evidence-based literature for merit and appropriateness. Some examples might include a particular type of evidenced-based therapy, a new policy, a quality improvement initiative, et cetera. Consider these questions:
• Would the intervention be an appropriate solution for the clinical or practice problem?
• Is the intervention feasible for the organization?
• What type of resistance might we encounter?
• What impact could the outcome have on the organization?
Critical Appraisal of Evidence
• Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing and healthcare: A guide to best practice (4th ed.). Wolters Kluwer Health.
o Chapter 4, “Critically Appraising Knowledge for Clinical Decision Making,” pages 99–123.
o This chapter discusses tools and techniques for conducting a critical appraisal of a research study and the knowledge and evidence it presents.
• Interactive Learning Module: The Value of a Research Critique to Translate Evidence Into Practice
o This 28-minute video explains the benefits of critical appraisal in EBP.
• Evidence-Based Practice in Nursing & Health Sciences: Review Levels of Evidence
o This section of the library guide includes a graphic of the levels of evidence.
• Critically Appraise the Evidence
o This section of the library guide includes information about the critical appraisal tools.
• Create an Annotated Bibliography
o These instructions will help you as you create the annotated bibliography section of your assignment.