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Research Critique, Part 1 To write a critical appraisal that demonstrates comprehension of the research study conducted, respond to each of the...

This assignment is a research paper for nursing and health science dept. I need help from 'sgarg tutor' for have it done later today. please  I am open for any question.  I just saw and example of this assignment on this page. Text me any question regarding the assignment.  Attached are the article, assignment guide and assignment question.

Research Critique, Part 1 To write a critical appraisal that demonstrates comprehension of the research study conducted, respond to each of the questions listed under the headings below. Do not answer the questions with a yes or no; rather, provide a rationale or include examples or content from the study to address the questions. CRITICAL APPRAISAL GUIDELINES: QUALITATIVE STUDY Problem Statement Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem. How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem. Purpose and Research Questions Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims. List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers. Were the purpose and research questions related to the problem? Were qualitative methods appropriate to answer the research questions? Literature Review Did the author cite quantitative and qualitative studies relevant to the focus of the study? What other types of literature did the author include? Are the references current? For qualitative studies, the author may have included studies older than the 5-year limit typically used for quantitative studies. Findings of older qualitative studies may be relevant to a qualitative study. Did the author evaluate or indicate the weaknesses of the available studies? Did the literature review include adequate information to build a logical argument? © 2011. Grand Canyon University. All Rights Reserved.
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Conceptual / Theoretical Framework Did the author identify a specific perspective from which the study was developed? If so, what was it? When a researcher uses the grounded theory method of qualitative inquiry, the researcher may develop a framework or diagram as part of the findings of the study. Was a framework developed from the study findings? Reference Burns, N., & Grove, S. (2011). Understanding Nursing Research (5 th ed.). Elsevier. ISBN-13: 9781437707502 © 2011. Grand Canyon University. All Rights Reserved.
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Assignment Benchmark - Research Critique Part 1 View Rubric Due Date: Mar 13, 2016 23:59:59 Max Points: 150 Details: Prepare a critical analysis of a qualitative study focusing on the problem statement, study purpose, research question, literature review, and theoretical framework. This can be one of the selected articles from your previous literature review or a new peer-reviewed article. The completed analysis should be 1,000-1,250 words and should connect to your identiFed practice problem of interest. Refer to "Research Critique Part 1." Questions under each heading should be addressed as a narrative, in the structure of a formal paper. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to Turnitin. NRS433V.v10R.ResearchCritiquePart1Guidelines_student.docx Please Note: Assignment will not be submitted to the faculty member until the "Submit" button under "Final Submission" is clicked. New Attempt Title Attached Documents Turnitin Report Similarity Index Final Submission Click 'New Attempt' to start assignment or attach documents 72ddc0ce-dead-4 8612243b-ca4e-4 Current
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infection control and hospital epidemiology august 2014, vol. 35, no. 8 o r i g i n a l arti c l e Strategies to Enhance Adoption of Ventilator- Associated Pneumonia Prevention Interventions: A Systematic Literature Review Jente M. Goutier, BSc; 1 Christine G. Holzmueller, BLA; 1 Kelsey C. Edwards, BA; 1 Michael Klompas, MD, MPH; 2 Kathleen Speck, BS, MPH; 1 Sean M. Berenholtz, MD, MHS 1,3 background. Ventilator-associated pneumonia (VAP) is among the most lethal of all healthcare- associated infections. Guidelines summarize interventions to prevent VAP, but translating recommendations into practice is an art unto itself. objective. Summarize strategies to enhance adoption of VAP prevention interventions. methods. We conducted a systematic literature review of articles in the MEDLINE database published between 2002 and 2012. We selected articles on the basis of speciFc inclusion criteria. We used structured forms to abstract implementation strategies and inserted them into the “engage, educate, execute, and evaluate” framework. results. Twenty-seven articles met our inclusion criteria. Engagement strategies included multidisciplinary teamwork, involvement of local champions, and networking among peers. Educational strategies included training sessions and developing succinct summaries of the evidence. Execution strategies included standardization of care processes and building redundancies into routine care. Evaluation strategies included measuring performance and providing feedback to sta±. conclusion. We summarized and organized practical implementation strategies in a framework to enhance adoption of recommended evidence-based practices. We believe this work Flls an important void in most clinical practice guidelines, and broad use of these strategies may expedite VAP reduction e±orts. Infect Control Hosp Epidemiol 2014;35(8):998-1005 A²liations: 1. Johns Hopkins Armstrong Institute for Patient Safety and Quality, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, Maryland; 2. Department of Medicine, Brigham and Women’s Hospital, and Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts; 3. Department of Surgery, School of Medicine, and Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland. Received September 11, 2013; accepted March 16, 2014; electronically published June 20, 2014. _ 2014 by The Society for Healthcare Epidemiology of America. All rights reserved. 0899-823X/2014/3508- 0010$15.00. DOI: 10.1086/677152 Ventilator-associated pneumonia (VAP) is among the most lethal of all healthcare–associated infections, with crude mortality ranging from 15% to 70%. 1 VAP is also associated with increased length of stay and added costs. 2 Numerous guidelines summarize e±ective interventions and provide recommendations to prevent VAP. 3,4 Studies suggest 55% of VAP cases are preventable with current evidence-based recommendations from guidelines. 5 Nevertheless, there remains a gap in delivering these recommendations to the bedside. 6,7 One important contributing factor is the lack of practical advice within many guidelines to assist readers with implementation of the recommendations. 8-10 When guidelines are published, there is a period of adaptation for clinicians. The emerging science of implementation can guide clinicians on how best to integrate new recommendations
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into routine practice. Implementation science can help prepare and support stakeholders including hospital leaders, project leaders, and clinicians to incorporate and ultimately sustain the new practices. One successful model designed to improve adherence with evidence-based care is the “four Es” model: engage, educate, execute, and evaluate. 11 This model addresses both technical and adaptive (cultural) work and recognizes the importance of change management, contextual factors, and staF engagement in the implementation process. We conducted a systematic literature review to identify strategies to enhance adoption of VAP prevention interventions using the “four Es” implementation framework. methods Literature Search Strategy We searched the biomedical literature using PubMed. Our search strategy included both keyword searches and mapping implementation strategies to prevent vap 999 ±gure 1. Selection of included studies. VAP, ventilator-associated pneumonia. to the National Library of Medicine’s medical subject headings. The search terms were “pneumonia, ventilator associated,” “implementation,” “health plan implementation,” “quality improvement,” “intensive care units,” and “guideline adherence.” Reference lists from eligible studies were reviewed for additional potential relevant articles. Our search was limited to English-language articles published between January 2002 and August 2012 to re²ect current clinical practice. Selection Criteria Eligible studies described eFective strategies to increase the reliable use of interventions to prevent VAP. We included studies drawn from adult and pediatric intensive care units (ICUs) in Western countries. We excluded studies that focused solely on determining the eFectiveness of clinical interventions to prevent VAP (eg, does the use of semirecumbant positioning reduce VAP?) or did not fully describe the strategies used to implement the interventions. Article Selection and Data Extraction One reviewer (J.M.G.) screened and selected studies describing strategies to improve adherence to VAP prevention interventions. A structured form was used to extract the following data: country, research design, setting, ICU type, outcomes, and information on costs and resources. The results were reviewed by a second researcher (S.M.B.). Summarizing Data in Implementation Framework We organized the adherence strategies identi±ed through the literature review into the “four Es” framework as a guide to translate evidence-based interventions into practice. This framework was developed as a practical application of theories related to diFusion of innovation and behavior change. 11 Each “E” strategy of the framework targets the following key stakeholders in the implementation process: senior hospital leaders, improvement team leaders, and frontline staF. This framework was used in over 100 ICUs across Michigan and was associated with signi±cant and sustained reductions in central line–associated bloodstream infections (CLABSIs)
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Running head: VENTILATOR-ASSOCIATED PNEUMONIA 1 Strategies to Enhance Adoption of Ventilator-Associated Pneumonia
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