Criteria for Acceptable Research to Support the Doctor of Nursing Practice Essay

Criteria for Acceptable Research to Support the Doctor of Nursing Practice Essay

As a reminder, the DNP project is a DPI grounded in quality improvement.

• The practice problem must originate from the project site and be supported with current data (from the project site) that confirms the need for an evidence-based solution to improve the specific, measurable patient outcome.
• Your intervention is coming from the scientific evidence rather than someone else’s opinion of the evidence.
• You must translate empirical research or implement a clinical practice guideline

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The manuscript will require synthesizing 15 quantitative research studies (a maximum of 7 years from your anticipated graduation year). All articles must include a statistically significant p-value (p ≤ 0.05) for the outcome you identify in your PICOT. For your literature review table, you must include five primary research articles and ten secondary research articles. Criteria for Acceptable Research to Support the Doctor of Nursing Practice Essay

• The 5 primary articles must be obtained by the time you are in 815A, and they must meet the criteria identified in the Guidelines for the Translation of Research (see the guidelines below).
• The 10 secondary research articles may include:
  1. Systematic reviews without meta-analysis and that are not of randomized controlled trials.
  2. Clinical practice guidelines that support the translation of the research into practice.
  3. Retrospective studies can be included, but they must account for less than half of the total number of secondary research studies.
  4. You will need two to three pilot studies (max of three) using the pilot project criteria discussed in the Guidelines for the Translation of Research and Guidelines for Implementing Clinical Practice Guidelines.

Guidelines for the Translation of Research:

If you are translating research, PICOT approval requires three (3) original quantitative primary research articles.

• You MUST have 1 original research article from the USA and/or Canada (depending on residency) to support the intervention.
• The other research articles may be added from the US, Canada, UK, Denmark, India, New Zealand, Germany, and Australia (preferred) or the International Compilation of Human Research Standards 2020 Edition, by DNP-815A:

https://www.hhs.gov/ohrp/international/compilation-human-research-standards/index.html

• All articles must be published within 7 years of your graduation year.
• All articles must contain a statistically significant p-value (p ≤ 0.05) for the outcome you identify in the PICOT.
• Your supporting research must align with the intervention and outcome you indicate in the PICOT.
• Refer to Appendix A for guidance on articles that include interventions with multiple components. Sometimes the authors will include results with a p-value for individual intervention components.
• The following information should be highlighted in each research article:
  • The date of the publication Criteria for Acceptable Research to Support the Doctor of Nursing Practice Essay
  • The location where the research was conducted
  • The methodology and design of the research
  • The population description and sample size that were included in the research
  • A description of the intervention you identified in the PICOT and how it was implemented
  • The statistically significant p-value (p ≤ 0.05) for the outcome you identified in the PICOT
• Research Methodologies:
  • Randomized Controlled Trials (RCTs)
  • Cohort Studies
  • Case-control studies
  • Systematic reviews with a meta-analysis (see the requirements below)
  • Systematic Reviews of Randomized Controlled Trials (see the requirements below)
  • Mixed methods (see the requirements below)
  • Pilot/Quality Improvement projects (see the requirements below)
  • Other methodologies will be considered upon review of the article
• If a systematic review is used, the following criteria must be met:
  • A systematic review with a meta-analysis of quantitative research within 7 years of your anticipated graduation date.
  • A systematic review of randomized controlled trials within 7 years of your anticipated graduation year.
  • It cannot be a systematic review alone.
• One pilot/quality improvement project may be accepted to support your PICOT if it meets the following criteria:
  • This cannot be the article that will be translated
  • The project has original research in support of the pilot
  • Methodology and design are present
  • The p-value is present (must be statistically significant p ≤ 0.05)
  • Must include a sample size of at least 30!
• One clinical practice guideline (CPG) may be included as one of the 3 articles sent to support the PICOT.
  • Example: You plan to translate the work of Wilford and Fetter (2022), who conducted research that indicates the use of ultrasound on patients who are determined to be difficult IV starts will impact the rate of IV insertion attempts. The Emergency Nurses Association (ENA) has a CPG with the same information as Wilford and Fetter (2022). You can include the Wilford and Fetter (2022) article you will translate, the ENA’s CPG, and one additional original research article or a pilot study. Criteria for Acceptable Research to Support the Doctor of Nursing Practice Essay
• One mixed-methods study may be accepted as a primary research article, AND one mixed-methods study may be accepted as a secondary article.
• The following CANNOT be used to support your PICOT:
  • No Master’s Thesis and Doctoral Dissertations
  • No summaries, reports, expert opinions, editorials, animal, or lab studies permitted.
  • No retrospective studies can be included in the top 5 primary articles.

Guidelines for Implementing Clinical Practice Guidelines (CPGs):

If you are implementing a clinical practice guideline, PICOT approval requires one clinical practice guideline and two (2) original quantitative primary research articles. The two original quantitative primary research articles must meet the criteria identified in the Guidelines for the Translation of Research (see the section above).

• You must obtain the empirical research the guideline was built from. The guideline you select will support the implementation of EBP intervention.
• Locate the CPG and pull it from the organization which developed it. If you are not a member, you may need to write to the organization to obtain a copy of the guidelines.
  • The guideline must be from the US. International guidelines from the World Health Organization (WHO) and the National Institute for Health and Care Excellence (NICE) guidelines are accepted.
  • You will need to find all the current research within 7 years that built the CPG and list them.
  • Suppose the clinical practice guideline is older than 7 years from your graduation year. In that case, you must contact the organization and obtain a statement that the CPG is the most current standard of practice.
• The following information should be highlighted in the CPG you plan to implement:
  • The name of the organization that developed the guideline
  • The date of the publication or latest update
  • The origin of the guideline (It should be from the US, but some international guidelines will be considered for approval.) Criteria for Acceptable Research to Support the Doctor of Nursing Practice Essay
  • A description of the intervention you identified in the PICOT (including the identifying number, tool, strategy, etc. if it is indicated in the guideline) and how it should be implemented
  • The population the guideline is intended for use on
  • The outcome you identified in the PICOT that the guideline indicates you should achieve
• You may also use one pilot study to support the use of the CPG.
  • The project has original research in support of the pilot
  • Methodology and design are present
  • The p-value is present (must be statistically significant (p ≤ 0.05)
  • Must include a sample size of at least 30!
  • The following CANNOT be used to support your CPG: A “pilot” project that was conducted at a healthcare organization, meaning you cannot take someone else’s “project” and use it as a CPG. The CPG must have the original research in the references from which the CPG was developed.

Appendix A

An example article with an intervention that provides a p-value for individual components of the intervention is linked below.

Suppose an intervention includes more than one component, and the article you are translating provides a separate statistically significant p-value for each component of the intervention. In that case, you may use the p-value for the intervention component you will implement. Criteria for Acceptable Research to Support the Doctor of Nursing Practice Essay

• Example: Senner et al. (2019) researched to determine if there was a statistically significant change in the mucositis index value with chlorhexidine, Vitamin E, and honey. In the results section of the article, the authors provided a p-value for each intervention component. So, if you wanted to translate Senner et al.’s research and only wanted to use Vitamin E and not include honey or chlorhexidine, you could because a separate p-value was provided for the use of Vitamin E. If the p-value that is provided in the article is not individualized for each component of the intervention, you would have to implement all three parts of the intervention (honey, Vitamin E, and chlorohexidine). The p-value for the intervention included in the article should indicate statistical significance for all three intervention components.

Example Article Link:

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cmedm&AN=30745073&site=edslive&scope=site&custid=s8333196&groupid=main&profile=eds1 Criteria for Acceptable Research to Support the Doctor of Nursing Practice Essay