and Summerville Case Study
course, you will work through a case study that is designed to help you apply
the principles of evidence-based practice to a problem-focused situation based
in two of the CCN islands in Second Life.
Here are the instructions, organized by week:
committee of community leaders from Ironridge and Summerville, contiguous
cities in Arizona, have met and decided they want to form an ad hoc committee
on health and safety issues in their communities. They ask you to do a
community assessment for them.
Week 1, TD 1–Qualitative Research
of the two short videos in the lesson. You will be conducting a participant
observation study for this TD. The research question is: What are the health and safety issues in Ironridge compared to
the health and safety issues you find in Ironridge and Summerville. Describe
one health issue and one safety issue in each city (Ironridge and Summerville).
Try to avoid repeating an issue identified by another student if possible.
this participant observation an example of qualitative research? What are other
ways, both qualitative and quantitative, that you could research this question?
Finally, how are theory, research, and practice advanced by the combination of
qualitative and quantitative approaches?
Week 1, TD 2 Ask a PICO(T)
search of the literature on one of the
problems you have identified, using the PICO(T) format. How many
“randomized, controlled trials (RCTs)” have you found in comparison to other
types of studies? What are the advantages and disadvantages of RCTs in
comparison to other types of studies? Generally, how would you summarize your
with access to health care, community leaders in Ironridge ask you, as
MSN-prepared nurses, to help them prioritize the health-related problems in
their community and find more information on the top two issues.
Week 2 TD1 –
Purposes of research
In Week 1, we identified the priority issues you noted in
Ironridge with a short reason why. This week the instructor will divide the
class into four (4) collaboration committees so that each committee can discuss
a different top priority issue from Week 1 that the instructor has identified. THIS IS NOT A GROUP PROJECT OR GROUP
ASSIGNMENT. Each student will be graded individually based on
their performance. Since we usually participate in collaborative committees in
the practice setting to discuss priority issue, this format will allow our
class to discuss four priority issues within the same discussion board.
will need to post twice (once by Wednesday deadline at 11:59 p.m. MT and a peer
response to someone in your collaborative committee). In your
collaborative committee, discuss what information you will need to know about
the issue? What types of research would be most useful (descriptive,
explanatory, predictive, prescriptive)? What databases are the most helpful?
Please place all committee discussion in the discussion thread forum so
everyone can benefit from the discussion.
Week 2 TD 2 – Theory
the differences in descriptive, explanatory, predictive, and prescriptive
studies and select one of the predictive
or prescriptive articles you find.
What are the independent variables (IV), dependent variables (DV), and
mediating variables (MVs) you find in the article?How do determining IVs, DVs,
and MVshelp you discern the theory tested in the research? In your particular
article, what risk factors are identified or what recommendations are provided?
to set up a community study on the two issues you identified in Ironridge.
Staying in the same collaborative committeewith your fellow consultants,
discuss the following:
Week 3 TD 1 – Plan
a Quantitative Study
You will continue to work with the priority issue from your Week 2 committee
discussion. First look at your priority issue from Week 2 and describe a
quantitative study to address the issue. What would be your research question?
How will you select your sample to make sure that your study has external
validity? What factors would affect the internal validity of your study?
Remember to pick an article that is different from someone else in your
committee. You should each have a quantitative study article for this
Week 3 TD 2 – Plan
a Qualitative Study
You will continue to work with the priority issue from your Week 2
committee. First look at your priority issue from Week 2 and describe a
qualitative study to address the issue. Which qualitative design would
you use? How will you make sure that the information you obtain is trustworthy?
How is trustworthiness in qualitative research similar and different from
reliability and validity?
Assignment 1: Research
a research summary table on the issue you studied for the community committee.
Follow the guidelines for this assignment located in Course Resources and
submit your finished product to the Week 3 Dropbox
your challenges in setting up a community study is finding participants and
figuring out how to ask them to be a part of your study. Think about whom you
will approach and how you will approach them.
Assignment 2: Complete the NIH training on research with
drop a copy of the certificate you earn in the Week 4 Dropbox.
Week 4 TD 1 –
in discussionwith your fellow consultants, what type of sample would you need
to examine your question and learn more about your issue? What are the various
types of sampling you could use, along with their advantages and disadvantages?
Week 4 TD 2 –
Read these two documents on ethical issues in
syphilis study athttpss://www.cdc.gov/tuskegee/.
overview of questionable studies – Milestones in the history of human subjects
are the ethical principles violated in the studies described in these documents?
What are the implications of this information with respect to recruitment of
human subjects in your Ironridge study?
officials hear about what you are doing in Ironridge. They also want your help but they would like
to focus on the safety of their children, especially on bicycle safety.
Week 5 TD 1 –
a PICO(T) search on bicycle safety. What does the research say about this
issue? Select one of the articles from your search. Identify the descriptive
statistics. Is anything missing? To what extent are minorities included in the
study (or is that demographic information available?)? How does the descriptive
data help you understand the research?
Week 5 TD 2 –
the inferential tests that were used (e.g., t-tests and chi-squares). Given the
p-values related to the tests, how do you interpret the results? Are
statistically significant findings also clinically
significant? What are the recommendations, based on this paper? Share some
alternate explanations (mediating or intervening variables) for the results of
Critique of a Systematic Research Review– Critique a systematic research review related to
bicycle safety or one of the issues identified in Week 1. Follow the guidelines
for this assignment located in Course Resources and submit your finished
product to the Week 5 Dropbox.
Lowell, the nursing executive at St. Louis Medical Center in Summerville, hears
about your consultant work for the cities of Ironridge and Summerville and he
asks you to help him evaluate the hospital’s evidence-based practice program
and recommend an EBP model. He strengthened the staff education department a
few years ago with a new MSN-prepared director who could use a consultant to
get the evidence-based practice program off the ground.
Week 6 TD 1 –
you need to help the staff understand the differences between various
translation documents. Therefore, in this TD, compare and contrast two of these fivetypes of research summaries:
Meta-analysis, meta-synthesis, systematic research reviews, clinical
practice guidelines, and care protocols. What are the differences in their
purposes, audiences, and authors?
Week 6 TD 2 –EBP
and contrast two of the models in the Week 7 lesson. Which would you recommend
in this situation and why?
Lowell is especially concerned about a costly high infection rate in surgical
patients at St. Louis Medical Center, along with a lack of concern about
patient’s psychological needs. He has read about the efforts of the QSEN
Institute (httpss://httpss://qsen.org/) to promote quality and safety and was surprised to
see that patient concerns are inherent in the quality improvement conversation.
He asks you to help the new staff education director and the clinical practice
council study both problems.
Week 7 TD 1 – Quality,
Safety, and Costs
would you explain the relationships between quality, safety, and coststo the
director and staff? How would you demonstrate the importance of nursing care in
addressing this issue? What outcome variables would you recommend?
Week 7 TD 1 –
Patient and Family Concerns
Lowell wants to adopt a caring model at St. Louis Medical Centerand asks you to
find the latest information on patient and family engagement. What does the
literature say about patient and family engagement (Hint: use that phrase in
your search) and what would you recommend? What types of research back up these
Analysis and Application of a Clinical Practice Guideline –Select (1) one of the issues
identified in Week 1, (2) the bicycle safety issue, or (3) the surgical infection
issueand find a very recent (no more than 5 years) clinical practice guideline related to that issue. Follow the
guidelines for this assignment located in Course Resources and
submit your finished product to the Week 7 Dropbox.
with your fellow consultants, you have completed your work in Ironridge and
Summerville. As usual, you reflect on the experience.
8 TD 1 – Applying Evidence-based Practice
specific skills and knowledge that you gained through this experience will be
most important as you take on your future roles in nursing? Describe a concrete
way in which you anticipate using these skills and knowledge.
Institute (2013). Project overview.