Assignment: NUR 550 Topic 5 Evidence-Based Practice Project: Evaluation of Literature Table

Assignment: NUR 550 Topic 5 Evidence-Based Practice Project: Evaluation of Literature Table

Assignment: NUR 550 Topic 5 Evidence-Based Practice Project: Evaluation of Literature Table

Assessment Description

The purpose of this assignment is to provide research evidence in support of the PICOT you developed for your selected topic.

Conduct a search for 6 peer-reviewed, translational research articles published within the last 5 years that demonstrate support for your PICOT. You may include research articles from assignments completed previously in this course. Use the “Literature Evaluation Table” provided to evaluate the articles and explain how the research supports your PICOT.

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Once your instructor returns this assignment, review the feedback and make any revisions necessary. If you are directed by your instructor to select different articles in order to meet the assignment criteria or to better support your PICOT, make these changes accordingly. You will use the literature evaluated in this assignment for all subsequent assignments you develop as part of your evidence-based practice project proposal in this course and in NUR-590, during which you will synthesize all of the sections into a final written paper detailing your evidence-based practice project proposal.

Refer to “Evidence-Based Practice Project Proposal – Assignment Overview,” located in Class Resources, for an overview of the evidence-based practice project proposal assignments.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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 not required to submit this assignment to LopesWrite.

Attachments

NUR-550-RS5-LiteratureEvaluationTable.docx

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Evidence-Based Practice Project: Evaluation of Literature Table – Rubric

LISTGRID

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Rubric Criteria

Total150 points

Criterion

1. Unsatisfactory

2. Insufficient

3. Approaching

4. Acceptable

5. Target

PICOT

PICOT
0 points

The PICOT is omitted.
6 points

NA

6.6 points

NA

6.9 points

NA

7.5 points

The PICOT is clearly and accurately presented.

Articles

Articles

0 points

Required number of sources are not included. Article citations and permalinks are omitted.

12 points

Number of required sources is only partially met. Article citations and permalinks are presented. One or more links do not lead to the intended article.

13.2 points

Number of required sources is met, but some sources are outdated or inappropriate. Article citations and permalinks are presented. Article citations are presented, but there are errors.

13.8 points

Sources are current and generally appropriate for the assignment criteria and nursing content. Article citations and permalinks are presented. Article citations are presented, but there are minor errors.

15 points

Sources are current and highly appropriate for the assignment criteria and nursing content. Article citations and permalinks are presented. Article citations are accurate.

Research Question, Hypothesis, Purpose or Aim of Study

Research Question, Hypothesis, Purpose or Aim of Study

0 points

Research question, hypothesis, purpose or aim of study for one or more articles is omitted.

12 points

Research question, hypothesis, purpose or aim of study for each article is presented, but key information is consistently omitted. There are inaccuracies throughout.
13.2 points

Research question, hypothesis, purpose or aim of study for each article is presented. Key aspects are missing for one or two articles. There are minor inaccuracies.

13.8 points

Research question, hypothesis, purpose or aim of study for each article is adequately presented. Minor detail is needed for accuracy or clarity.

15 points

A discussion on the research question, hypothesis, purpose or aim of study is thoroughly and accurately presented for each article.

Study Design

Study Design

0 points

The study design for one or more article is omitted.
12 points

The study design for each article is presented, but key information is consistently omitted. There are inaccuracies throughout.

13.2 points

The study design is indicated for each article. Key aspects are missing for one or two articles. There are minor inaccuracies.

13.8 points

The study design is adequately presented for each article. Minor detail is needed for accuracy or clarity.

15 points

A thorough and accurate discussion on the study design for each article is presented.

Setting and Sample

Setting and Sample

0 points

The setting and sample are omitted for one or more of the articles.

12 points

The setting and sample are indicated for each article, but key information is consistently omitted. There are inaccuracies throughout.
13.2 points

The setting and sample are indicated for each article. Key aspects are missing for one or two articles. There are minor inaccuracies.

13.8 points

The setting and sample are adequately presented for each article. Minor detail is needed for accuracy or clarity.

15 points

The setting and sample in which the researcher conducted the study are detailed and accurate for each article.

Methods

Methods

0 points

Method of study for one or more articles is omitted. Overall, the methods of study are incomplete.
12 points

The method of study is presented for each article, but key information is consistently omitted. There are inaccuracies throughout.

13.2 points

The method of study for each article is presented. Key aspects are missing for one or two articles. There are minor inaccuracies

13.8 points

An adequate discussion on the method of study for each article is presented. Minor detail is needed for accuracy or clarity.

15 points

A thorough and accurate discussion on the method of study for each article is presented.

Analysis and Data Collection

Analysis and Data Collection

0 points

Analysis and data collection for one or more articles is omitted. Overall, the analysis and data collection are incomplete.

12 points

Analysis and data collection are presented for each article, but key information is consistently omitted. There are inaccuracies throughout.

13.2 points

Analysis and data collection for each article are presented. Key aspects are missing for one or two articles. There are minor inaccuracies.

13.8 points

An adequate discussion on the method of study for each article is presented. Minor detail is needed for accuracy or clarity.

15 points

A thorough and accurate discussion on the analysis and data collection for each article is presented.

Outcomes and Key Findings

Outcomes and Key Findings

0 points

Outcomes and key findings for one or more articles are omitted. Overall, the outcomes and key findings are incomplete.

12 points

Outcomes and key findings are presented for each article, but key information is consistently omitted. There are inaccuracies throughout.

13.2 points

Outcomes and key findings for each article are presented. Key aspects are missing for one or two articles. There are minor inaccuracies.
13.8 points

An adequate discussion on outcomes and key findings for each article are presented. Minor detail is needed for accuracy or clarity.
15 points

A thorough and accurate discussion on the outcomes and key findings collection for each article are presented.

Recommendations

Recommendations
0 points

Researcher recommendations are omitted for one or more of the articles. The recommendations described for three or more articles are inaccurate or incomplete.
12 points

Researcher recommendations are indicated for each article. The researcher recommendations described for two of the articles are inaccurate or incomplete.
13.2 points

Researcher recommendations for each article are presented. Researcher recommendations described for one article are inaccurate or incomplete.

13.8 points

Researcher recommendations for each article are accurately presented. Minor detail is needed for accuracy or clarity.
15 points

Researcher recommendations are accurately and thoroughly described for each article.

Explanation of How Articles Support Proposed Evidence-Based Practice Project Proposal

Explanation of How Articles Support Proposed Evidence-Based Practice Project Proposal

0 points

An explanation of how the article supports the proposed evidence-based practice project proposal is omitted for one or more of the articles. The explanation for three or more articles is inaccurate or incomplete.
12 points

An explanation for how each article supports the proposed evidence-based practice project proposal is presented. The explanation for two of the articles is inaccurate or incomplete.

13.2 points

A general explanation for how each article supports the proposed evidence-based practice project proposal is presented. The explanation for one article is inaccurate or incomplete. Support for the evidence-based project proposal is generally evident.

13.8 points

An explanation for how each article supports the proposed evidence-based practice project proposal is presented. Minor detail is needed for accuracy or clarity. Adequate support for the evidence-based project proposal is demonstrated.

15 points

A detailed explanation for how each article supports the proposed evidence-based practice project proposal is presented. Support for the evidence-based project proposal is clearly evident.

Mechanics of Writing

Mechanics of Writing (includes spelling, punctuation, grammar, and language use)

0 points

Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.

6 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.
6.6 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.
6.9 points

Few mechanical errors are present. Suitable language choice and sentence structure are used.
7.5 points

No mechanical errors are present. Skilled control of language choice and sentence structure are used throughout.

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Amongst inpatient geriatric population within age 65 and above (P), does hand hygiene education program for healthcare providers (I) compared to no education (C) reduce the rate of spreading HAIs (O) within 3 months (T)?

Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article	Article Title and Year Published	Research Questions/ Hypothesis, and Purpose/Aim of Study	Design (Quantitative, Qualitative, or other)	Setting/Sample	Methods: Intervention/ Instruments	Analysis/Data Collection	Outcomes/Key Findings	Recommendations	Explanation of How the Article Supports Your Proposed EBP Practice Project Proposal
Kim, J., Yu, S. N., Jeong, Y. S., Kim, J. H., Jeon, M. H., Kim, T., … & Park, S. Y. Antimicrobial resistance & infection control, 12(1), 93. DOI: https://doi.org/10.1186/s13756-023-01296-y	Hand hygiene knowledge, attitude, barriers and improvement measures among healthcare workers in the Republic of Korea: a cross-sectional survey exploring inter-professional differences 2023	The purpose of the study was to identify knowledge, attitudes and barriers to hand hygiene based on occupational groups and strategies to enhance the hand hygiene (HH) compliance among healthcare workers (HCWs)	Quantitative design	Four university-affiliated hospitals in Republic of Korea. The sample comprised 6048 healthcare workers (HCWs)	Survey instrument consisting of seven parts with 49 items, including self-reported hand hygiene compliance	The authors used R software statistically analyze the results. They compared HH compliance among occupations using a t-test and ANOVA. Cross-sectional survey	Self-reported HH compliance rate was highest among nurses. Scores on knowledge, attitudes and behaviors had the highest rates in compliance among nurses.	Targeted interventions customized to certain need of various occupational groups are effective in enhancing HH compliance in healthcare settings.	The article supports the proposed EBP practice project by showing that the intervention is better and effective than normal practice. The article also adds to the review of literature findings that HH compliance among nurses is critical in reducing infections in healthcare settings.
Harun, M. G. D., Anwar, M. M. U., Sumon, S. A., Mohona, T. M., Hassan, M. Z., Rahman, A., … & Styczynski, A. R. Journal of hospital infection, 139, 220-227. https://doi.org/10.1016/j.jhin.2023.07.012	Hand hygiene compliance and associated factors among healthcare workers in selected tertiary-care hospitals in Bangladesh 2023	The purpose of the study was to evaluate hand hygiene (HH) compliance and related factors among healthcare workers in selected healthcare settings in Bangladesh.	Qualitative/ Quantitative (Mixed Method)	Ten tertiary-care hospitals in Bangladesh	WHO’s 5-moments for hand hygiene tool or intervention Semi-structured interviews to determine key barriers to HH compliance	The authors coded and analyzed data using Stata 13. Software. They calculated frequency and percentage of HH compliance using chi-squared tests.	Only one-quarter (25%) of healthcare workers (HCWs) carried out accurate HH compliance. Key barriers to HH compliance included insufficient supplies, workload, skin reactions and lack of facilities.	Facilities should prioritize HH supplies to increase compliance. They should invest in and promote infection control and prevention measures.	The article supports the EBP project as it shows the importance of HH compliance to reduce infections among healthcare workers and improve patient safety.
Al-Anazi, S., Al-Dhefeery, N., Al-Hjaili, R., Al-Duwaihees, A., Al-Mutairi, A., Al-Saeedi, R., … & Sharaf-Alddin, R. BMC health services research, 22(1), 1325. DOI: https://doi.org/10.1186/s12913-022-08706-8	Compliance with hand hygiene practices among nursing staff in secondary healthcare hospitals in Kuwait. 2022	The purpose of the study was to evaluate or assess knowledge about, attitudes toward, and compliance with HH among nurses in secondary care hospitals in Kuwait.	Mixed method approach	Six secondary care hospitals in Kuwait. Sample involved 765 nurses who responded and participated in the study	WHO’s questionnaire on self-reported compliance to HH.	Authors collected data using two approaches: direct observation by researchers and self-administered questionnaire filled by the participants.	Compliance with HH was about 25% through direct observation and self-reported compliance was 69.5%. The authors note that female and foreign nurses were more likely to report compliance with HH in various analytical ways.	Observation demonstrated very low-levels of compliance to HH, about 25%. This highlights the need for efforts to improve HH practices. Effective interventions employed elsewhere can be effective if used in Kuwait. While nurses have sufficient knowledge on HH compliance and its benefits, they still have misconceptions that should be addressed.	The article is essential as it shows need for increased HH compliance among nurses and other healthcare workers to reduce infections. The article supports literature review to get the best intervention as required by the EBP process.
Sandbekken, I. H., Utne, I., Hermansen, Å., Grov, E. K., & Løyland, B. American Journal of Infection Control, 52(1), 29-34. DOI: https://doi.org/10.1016/j.ajic.2023.07.005	Impact of multimodal interventions targeting behavior change on hand hygiene adherence in nursing homes: An 18-month quasi-experimental study 2023	The purpose of the study was to investigate if interventions focused on behavior change can enhance hand hygiene compliance and adherence in nursing homes.	The study used a qualitative approach.	The study was set in 73 wards 17 nursing homes in a municipality in Norway	The intervention was using direct observations and the World Health Organization (WHO) observation tool, “Five moments for hand hygiene.” The intervention was observed for 18 months	The authors collected data on weekly using the observation and filling in the WHO’s question tool.	The findings show that multimodal interventions increased hand hygiene adherence in the wards. The authors also found that hand hygiene compliance was at the lowest level before patient contact and prior to using gloves. The article also found that activating workers’ motivation on hand hygiene measures increased the success for the suggested interventions.	The article recommends having continuous reinforcements for long-term effects to enhance adherence and compliance to hand hygiene protocols and measures.	The article supports the EBP proposed project as it demonstrates the efficacy of hand hygiene measures among nurses to reduce patient infections. The article proposes that long-term adherence can improve patient safety as it lowers infections before patient contact and after using gloves. The article is important in providing literature evidence on the effects of the proposed intervention to reduce hospital acquired infections among older patients in nursing homes.
Haenen, A., de Greeff, S., Voss, A., Liefers, J., Hulscher, M., & Huis, A. Antimicrobial Resistance & Infection Control, 11(1), 50. DOI: https://doi.org/10.1186/s13756-022-01088-w	Hand hygiene compliance and its drivers in long-term care facilities; observations and a survey 2022	The aim of the study was to evaluate compliance with hand hygiene recommendations by various nursing professionals in long-term care facilities. The authors also wanted to investigate determinants that can influence hand hygiene and if these were different between the various staff cadres or categories.	Mixed methods	The study occurred in 14 long-term care facilities consisting 23 wards. The sample comprised 496 professionals.	The intervention in the study was direct observation using WHO’s five moments of hand hygiene tool. The authors also performed a survey to examine determinants influencing hand hygiene and ascertain differences between various staff cadres.	The authors collected data using observations where 12-15 nursing professionals were observed for about 20 minutes. They also collected data using survey on factors influencing hand hygiene performance. The authors used a two-sample t-test to statistically test the significant differences among the various staff cadres for hand hygiene compliance	The findings show very low levels of hand hygiene compliance at 17% across all the professional cadres. The findings also show that compliance varied widely with nurses identifying various factors as determining compliance. These include social context and leadership, resources, personal factor among professionals, and risk perception. The findings also show certain barriers limiting compliance.	The authors recommend exploration of hand hygiene determinants at ward levels and among various cadres of staff to improve compliance and positive effects.	The article is essential to the proposed EBP project as it shows that having better compliance rates will reduce rate of HAIs among nurse professionals and patients. The article adds to the growing level of literature evidence on the significance of hand hygiene measures to reduce infections and improve patient safety in different healthcare settings. The article demonstrates that low hand hygiene compliance negates the requirements by the World Health Organization (WHO) focused on reducing infection transmission to patients from providers. The article helps improve the EBP intervention’s significance to clinical settings.
Ojanperä, H., Ohtonen, P., Kanste, O., & Syrjälä, H. Journal of Hospital Infection, 127, 83-90. https://doi.org/10.1016/j.jhin.2022.06.007	Impact of direct hand hygiene observations and feedback on hand hygiene compliance among nurses and doctors in medical and surgical wards: an eight-year observational study 2022	The purpose of the study was to determine if observation and feedback influence hand hygiene compliance among nurses and physicians in surgical and medical ward and if the actions affect the occurrence of hospital acquired infections (HAIs).	The authors used a quantitative study design	The study occurred in a tertiary care center in Finland where 784 nursing staff and 179 physicians work. The study focused on six critical care wards.	The intervention or instrument was observation of five hand hygiene moments. The authors collected these moments using hospital hand hygiene and hospital associated infections monitoring registries.	The authors collected data using observation methods based on the five moments of HH model by the WHO. The article analyzed the collected data using a multivariable logistic regression and poison regression models.	The findings show that close to 95.5% of adhered to the HH compliance protocols with about 24,614 observations among nurses and 6396 observations among physicians. The findings show a rise in compliance after the intervention among nurses by more than 11%. In surgical wards, HH increased by 32.7% from 67.6 to 89.7%. The findings show that direct observations and feedback of HH enhance HHC among nurses and physicians over eight years.	The article recommends the integration of hand hygiene measures to enhance hand hygiene compliance among nurses and physicians in different healthcare settings.	The article is essential to the selected EBP project proposal since it illustrates the importance of hand hygiene measures and protocols. The article adds to the increased evidence from literature illustrating the significance of HHC among healthcare workers in different settings, especially critical care areas like surgical wards.

Conclusion

The evaluation of existing literature demonstrates that increased compliance to hand hygiene measures improves patient safety as it reduces the rates and prevalence of hospital acquired infections. The review of literature based on the six articles shows that compliance to hand hygiene at all levels and among all cadres of healthcare staff and professionals is important and reduce hospital acquired infections, especially among the vulnerable and at risk populations like the older patients in critical care areas and nursing homes. As such, these articles are essential and support the EBP project proposal as they demonstrate the efficacy of the proposed interventions to improve hand hygiene measures and protocols.