NURS 6052 Week 10 Project: Seral Troponins

Course Project on Drawing Seral Troponins

Walden University

Essentials of Evidenced-Based Practice

NURS 6052

Identification of Research Problem

Summary of Area of Interest

According to the American Heart Association (AHA), heart disease kills over 350,000 people in the United States per year, is the number one cause of death, and effects one person 

Identification of Problem

The AHA 2014 guidelines recommend troponin to be drawn when patients first present 

Significance for Nursing Practice

​According to the American Nurses Association (ANA) 2014 Code of Ethics, nurses have 

5 Questions

Question 1: What are the current orders each doctor typically orders on MI patients?

Question 2: What is each physician’s rationale for said orders?

Question 3: What barriers exist for doctors to implement EBP?

Question 4: Why are there no protocols in place in the hospital to follow AHA guidelines?

Question 5: How can protocols that adhere to AHA guidelines be implemented in the hospital?

Feasibility of 5 Questions

PICOT Question

PICOT: Will MI patients admitted to ICU who have serial troponins drawn as per AHA 

Literature Review: Finding and Critiquing Evidence

Search terms selected: Troponin, cardiac, markers, myocardial infarction (MI), critical care, diagnosis, serial, acute coronary syndrome (ACS).

Summary of Evidence. NURS 6052 Week 10 Project: Seral Troponins

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Course Project: Introduction to Course Project

Evidence-based practice involves a great deal more than simply reading nursing periodicals on a regular basis. Nurses can take a more proactive approach to evidence-based practice by identifying authentic problems and concerns, and then using that to guide their inquiries into current research. In this way, nurses can connect the results of relevant research studies to their nursing practice. For the Course Project, you identify and apply relevant research to a specific nursing topic or problem. You begin by formulating an answerable question that is relevant to nursing and evidence-based practice. In later weeks of this course, you continue the Course Project by conducting a literature review and then determining how the evidence from the literature can be applied to nursing practice. Before you begin, review the Course Project Overview document located in this week’s Learning Resources.

Course Project: Part 1—Identifying a Researchable Problem One of the most challenging aspects of EBP is to actually identify the answerable question. Formulating a question that targets the goal of your research is a challenging but essential task. The question plays a crucial role in all other aspects of the research, including the determination of the research design and theoretical perspective to be applied, which data will be collected, and which tools will be used for analysis. It is therefore essential to take the time to ensure that the research question addresses what you actually want to study. Doing so will increase your likelihood of obtaining meaningful results. In this first component of the Course Project, you formulate questions to address a particular nursing issue or problem. You use the PICOT model—patient/population, intervention/issue, comparison, and outcome—outlined in the Learning Resources to design your questions.

To prepare

Review the article, “Formulating the Evidence Based Practice Question: A Review of the Frameworks,” found in the Learning Resources for this week. Focus on the PICOT model for guiding the development of research questions. Review the section beginning on page 71 of the course text, titled, “Developing and Refining Research Problems” in the course text, which focuses on analyzing the feasibility of a research problem. Reflect on an issue or problem that you have noticed in your nursing practice. Consider the significance of this issue or problem. Generate at least five questions that relate to the issue which you have identified. Use the criteria in your course text to select one question that would be most appropriate in terms of significance, feasibility, and interest. Be prepared to explain your rationale. Formulate a preliminary PICO question—one that is answerable—based on your analysis. What are the PICO variables (patient/population, intervention/issue, comparison, and outcome) for this question? Note: Not all of these variables may be appropriate to every question. Be sure to analyze which are and are not relevant to your specific question. Using the PICOT variables that you determined for your question, develop a list of at least 10 keywords that could be used when conducting a literature search to investigate current research pertaining to the question.

NURS 6052 Week 10 Reply (Walden)

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