NUR_550 Translational Research Graphic Organizer Paper
NUR_550 Translational Research Graphic Organizer Paper
State the nursing practice problem for your evidence-based practice project. If your nursing problem has not yet been approved, make any required changes or revisions to your nursing practice problem prior to starting the assignment. Using your proposed topic, conduct a literature search and complete the tables below.
Nursing Practice Problem: comparison of opioids and non-opioid analgesics in pain control for the post-surgical patient in the PACU
Comparison 1: Translational Research vs. Qualitative Research
Criteria | Peer-Reviewed Translational Article and Permalink/Working Link:
Schug, S., Pogatzki-Zahn, E., Phillips, L. D., Essex, M. N., Xia, F., Reader, A. J., & Pawinski, R. (2020). Multi-criteria decision analysis to develop an efficacy-safety profile of parenteral analgesics used in the treatment of postoperative pain. Journal of Pain Research, 13, 1969. https://dx.doi.org/10.2147%2FJPR.S255921 Translational Research Type: T3 research |
Peer-Reviewed Traditional Article and Permalink/Working Link:
Shing, E. Z., Leas, D., Michalek, C., Wally, M. K., & Hamid, N. (2021). Study protocol: randomized controlled trial of opioid-free vs. traditional perioperative analgesia in elective orthopedic surgery. BMC Musculoskeletal Disorders, 22(1), 1-14.https://doi.org/10.1186/s12891-021-03972-9 Traditional Qualitative Research Type: Randomized controlled trial |
Observations (Similarities/Differences) |
Methodology | This study evaluated the safety-efficacy profiles of eight postoperative analgesics, both opioid and non-opioid medications. A multi-criteria decision analysis containing fourteen safety and three efficacy criteria was used in evaluating the medications (Schug et al., 2020). Every medication was scored on every criterion on a scale of 0 to 100.
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This research focused on developing and testing opioid-free perioperative analgesic pathway among individuals who undergo orthopedic procedures. Patients were randomized either in the opioid free perioperative medication or traditional opioid including medication (Shing et al., 2021). The main targeted outcome is pain score at twenty four hours after operation. Besides, pain scores were measured at additional time alongside functional status, quality of life and patient satisfaction | One of the similarities is that both studies focused on studying the effect of non-opioid and opioid in postoperative pain management. |
Goals | The goal of this study was to compare and quantify the safety and efficacy of various drugs in pain management in postoperative settings.
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The goal of the study was to examine the efficacy and safety of opioid-free management of pain after surgery and also evaluate if the opioid-based medication is required for pain management (Shing et al., 2021). | The goals of the studies share a similarity in that as part of the research, they focused on studying the safety and efficacy of various medications used in the study to management postoperative pain. |
Data Collection | The data used for analysis was obtained from published meta-analyses, systematic reviews, and randomized, double-blinded studies. In addition, relevant data was also obtained from regulatory documents (Schug et al., 2020).
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Data collection was carried out by assessing patients and screening them and recording the data. Standardized questionnaires were also used in collecting data (Shing et al., 2021). | While the translational sources used secondary data collection methods such as published literature, the qualitative study used standardized questionnaires and patient screening. |
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Comparison 2: Translational Research vs. Quantitative Research
Criteria | Peer-Reviewed Translational Article and Permalink/Working Link:
Greenberg, D. R., Kee, J. R., Stevenson, K., Van Zyl, E., Dugala, A., Prado, K., … & Shah, J. B. (2020). Implementation of a reduced opioid utilization protocol for radical cystectomy. Bladder Cancer, 6(1), 33-42. DOI 10.3233/BLC-190243. Permalink: https://content.iospress.com/articles/bladder-cancer/blc190243 Translational Research Type: T3 research
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Peer-Reviewed Traditional Article and Permalink/Working Link:
Karaca, O., Pınar, H. U., Turk, E., Dogan, R., Ahiskalioglu, A., & Solak, S. K. (2019). Effects of single-dose preemptive pregabalin and intravenous ibuprofen on postoperative opioid consumption and acute pain after laparoscopic cholecystectomy. Journal of Investigative Surgery, 32(3), 189-195.https://doi.org/10.1080/08941939.2017.1386738
Traditional Quantitative Research Type: Randomized, double-blinded study.
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Observations (Similarities/Differences) |
Methodology | The Reduced Opioid utilization applied was composed of education on non-opioid medication, a multimodal opioid-sparing pain regimen, and standardized recovery pathways. Morphine equivalent dose was used in calculating opioid exposure. In addition, mortality rates, readmission, a three-month complication, length of stay, pain scores, and adverse drug events related to opioids were compared between the groups (Greenberg et al., 2020).
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A randomized, double-blinded study with a total of 58 patients with 29 recruited into the pregabalin group who received got 150 mg of pregabalin. The remaining 29 were recruited in the ibuprofen group and got 400 mg IV ibuprofen and 150 mg pregabalin (Karaca et al., 2019). The researchers then recorded additional analgesia requirements, postoperative fentanyl use, and PACU stays. | Both sources explored the impact of using reduced opioids in postoperative pain management. In addition, the sources both measure the length of hospital stay.
The methodology is different in that while the translational source explored both non-pharmacological and pharmacological strategies in pain management, the quantitative study explored pharmacological strategies only. While the translational source focused on reduced use of opioids, the quantitative study focused on using non-opioids in postoperative pain management. |
Goals | The goal of the research was to evaluate the effect of a Reduced Opioid Utilization protocol on rates of complication, inpatient recovery, pain control, and opioid exposure among patients who went through radical cystectomy (Greenberg et al., 2020).
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The goal of this study was to determine and compare the effects of pregabalin versus IV ibuprofen plus pregabalin on pain management after surgery and opioid use (Karaca et al., 2019). | Both sources focused on the effect of the intervention on opioid use as part of their goals. |
Data Collection | The relevant data, such as average pain at twenty-four, forty-eight, and seventy-two hours after surgery, was collected by the nursing inquiry using the Visual Analogue Scale scores.
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The data was collected through observation of the impact of the medications and recorded accordingly. Interviews were also used to collect data from the patients, and the nurses used Visual Analogue Scale Scores. | Both sources used the Visual Analogue Scale scores. While interviewing was used in the quantitative sources as a major data collection tool, the translational source did not use it. |
References
Greenberg, D. R., Kee, J. R., Stevenson, K., Van Zyl, E., Dugala, A., Prado, K., … & Shah, J. B. (2020). Implementation of a reduced opioid utilization protocol for radical cystectomy. Bladder Cancer, 6(1), 33-42. DOI 10.3233/BLC-190243.
Karaca, O., Pınar, H. U., Turk, E., Dogan, R., Ahiskalioglu, A., & Solak, S. K. (2019). Effects of single-dose preemptive pregabalin and intravenous ibuprofen on postoperative opioid consumption and acute pain after laparoscopic cholecystectomy. Journal of Investigative Surgery, 32(3), 189-195.https://doi.org/10.1080/08941939.2017.1386738
Sceats, L. A., Ayakta, N., Merrell, S. B., & Kin, C. (2020). Drivers, beliefs, and barriers surrounding surgical opioid prescribing: a qualitative study of surgeons’ opioid prescribing habits. Journal of Surgical Research, 247, 86-94. https://doi.org/10.1016/j.jss.2019.10.03
Shing, E. Z., Leas, D., Michalek, C., Wally, M. K., & Hamid, N. (2021). Study protocol: randomized controlled trial of opioid-free vs. traditional perioperative analgesia in elective orthopedic surgery. BMC Musculoskeletal Disorders, 22(1), 1-14.https://doi.org/10.1186/s12891-021-03972-9
Translational Research Graphic Organizer
State the nursing practice problem for your evidence-based practice project. If your nursing problem has not yet been approved, make any required changes or revisions to your nursing practice problem prior to starting the assignment. Using your proposed topic, conduct a literature search and complete the tables below.
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Evidence-Based Practice Project Proposal: Research Design Comparison – Rubric
Collapse All Evidence-Based Practice Project Proposal: Research Design Comparison – RubricCollapse All
Nursing Practice Problem (Revision)
10 points
Criteria Description
Nursing Practice Problem (Revision)
- Excellent
10 points
The nursing practice problem is clearly presented and approved. No revision was required, or all necessary revisions are were made.
- Good
9.2 points
NA
- Satisfactory
8.8 points
Revisions were made accordingly to improve the proposed nursing practice problem, but some aspects are inaccurate or unclear. Additional revisions are still required for approval.
- Less Than Satisfactory
8 points
The changes failed to meet the criteria for a relevant nursing practice problem for an evidence-based practice project proposal. Additional revisions are still required for approval.
- Unsatisfactory
0 points
The nursing practice problem was not included, or the required revisions were not made.
Translational and Traditional Articles
15 points
Criteria Description
Translational and Traditional Articles
- Excellent
15 points
A quantitative article and a qualitative article were each compared to a translational research article. The articles are peer-reviewed, published within the last five years, and pertain to the nursing practice problem. The assignment criteria are fully met.
- Good
13.8 points
The articles meet the assignment criteria and provide adequate support for the proposed nursing practice problem.
- Satisfactory
13.2 points
One article does not meet the assignment criteria. Overall, the articles generally support the proposed nursing practice problem. The proposed problem would be better supported with the selection of one or two different articles.
- Less Than Satisfactory
12 points
Two articles do not meet the assignment criteria. It is unclear how one or two of the articles support the proposed nursing practice problem.
- Unsatisfactory
0 points
More than two articles selected do not meet the assignment criteria. At least one article is omitted.
Comparison of Methodology Between Translational and Traditional Research
15 points
Criteria Description
Comparison of Methodology Between Translational and Traditional Research
- Excellent
15 points
The comparison between translational and quantitative and translational and qualitative methodologies is thorough and accurate. A clear understanding of translational and traditional methodologies is demonstrated.
- Good
13.8 points
The comparison between translational and quantitative and translational and qualitative methodologies is adequately presented. Some aspects require more detail for accuracy or clarity.
- Satisfactory
13.2 points
A summary comparison between translational and quantitative and translational and qualitative methodologies is presented. Some aspects are incorrect or unclear.
- Less Than Satisfactory
12 points
The comparison between translational and quantitative and translational and qualitative methodologies is incomplete. There are significant inaccuracies.
- Unsatisfactory
0 points
The comparison between translational and quantitative and translational and qualitative methodologies is omitted.
Comparison of Goals Between Translational and Traditional Research
15 points
Criteria Description
Comparison of Goals Between Translational and Traditional Research
- Excellent
15 points
The comparison of goals between translational and quantitative and translational and qualitative research is thorough and accurate. An understanding of goals between traditional and translational research is evident.
- Good
13.8 points
A comparison of goals between translational and quantitative and translational and qualitative research is adequately presented. Some aspects require more detail for accuracy or clarity.
- Satisfactory
13.2 points
A summary comparison of goals between translational and quantitative and translational and qualitative research is presented. Some aspects are incorrect or unclear.
- Less Than Satisfactory
12 points
The comparison of goals between translational and quantitative and translational and qualitative research is incomplete. There are significant inaccuracies.
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- Unsatisfactory
0 points
The comparison of goals between translational and quantitative and translational and qualitative research is omitted.
Comparison of Data Collection Between Translational and Traditional Research
15 points
Criteria Description
Comparison of Data Collection Between Translational and Traditional Research
- Excellent
15 points
The comparison of data collection between translational and quantitative and translational and qualitative research is thorough and accurate. An understanding of goals between traditional and translational research is evident.
- Good
13.8 points
The comparison of data collection between translational and quantitative and translational and qualitative research is adequately presented. Some aspects require more detail for accuracy or clarity.
- Satisfactory
13.2 points
A summary comparison of data collection between translational and quantitative and translational and qualitative research is presented. Some aspects are incorrect or unclear.
- Less Than Satisfactory
12 points
The comparison of data collection between translational and quantitative and translational and qualitative research is incomplete. There are significant inaccuracies.
- Unsatisfactory
0 points
The comparison of data collection between translational and quantitative and translational and qualitative research is omitted.
Observations (Similarities and Differences)
20 points
Criteria Description
Observations (Similarities and Differences)
- Excellent
20 points
The similarities and differences between translational and quantitative and translational and qualitative research are detailed and informative.
- Good
18.4 points
The similarities and differences between translational and quantitative and translational and qualitative research are presented. Some detail is needed for clarity or accuracy
- Satisfactory
17.6 points
The similarities and differences between translational and quantitative and translational and qualitative research are summarized. More information is needed. There are minor inaccuracies.
- Less Than Satisfactory
16 points
The similarities and differences between translational and quantitative and translational and qualitative research are only partially discussed. The narrative is vague and contains inaccuracies.
- Unsatisfactory
0 points
The similarities and differences between translational and quantitative and translational and qualitative research are not discussed.
Mechanics of Writing
5 points
Criteria Description
Mechanics of Writing (includes spelling, punctuation, grammar, and language use)
- Excellent
5 points
The writer is clearly in command of standard, written, academic English.
- Good
4.6 points
Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.
- Satisfactory
4.4 points
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.
- Less Than Satisfactory
4 points
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.
- Unsatisfactory
0 points
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed
Documentation of Source
5 points
Criteria Description
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
- Excellent
5 points
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
- Good
4.6 points
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
- Satisfactory
4.4 points
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
- Less Than Satisfactory
4 points
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
- Unsatisfactory
0 points
Sources are not documented.