Advanced Levels of Clinical Inquiry and Systematic Reviews EBP Part 2
Matrix Worksheet Template
Clinical issues impact on the quality of care, health providers’ well-being, patients’ safety, and delivery of services. Workplace incivility is a behavior characterized by disrespect and discourteous actions among employee. The behavior is typical in nursing practice and often affects the employees’ confidence, interprofessional collaboration, team work, and productivity if it is not effectively controlled. It also affects an employees’ psychological wellbeing because it leads to high levels of anxiety which fuels burnout and high job turnover. Effective control of nursing incivility is necessary in enhancing and promoting quality care and patient safety Advanced Levels of Clinical Inquiry and Systematic Reviews EBP Part 2. The following matrix worksheet template presents four research articles that addresses the issue of nursing incivility at work.
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| Full citation of the selected article | Article #1 | Article #2 | Article #3 | Article #4 |
| Kile, D., Eaton, M., deValpine, M., & Gilbert, R. (2019). The effectiveness of education and cognitive rehearsal in managing nurse‐to‐nurse incivility: A pilot study. Journal of Nursing Management, 27(3), 543-552. https://doi.org/10.1111/jonm.12709 | Abdollahzadeh, F., Asghari, E., Ebrahimi, H., Rahmani, A., & Vahidi, M. (2017). How to prevent workplace incivility?: Nurses’ perspective. Iranian Journal of Nursing and Midwifery Research, 22(2), 157-163. https://doi.org/10.4103/1735-9066.205966 Advanced Levels of Clinical Inquiry and Systematic Reviews EBP Part 2
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Armstrong, N. (2018). Management of nursing workplace incivility in the health care settings: A systematic review. Workplace Health & Safety, 66(8), 403-410. https://doi.org/10.1177%2F2165079918771106
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Razzi, C. C., & Bianchi, A. L. (2019). Incivility in nursing: Implementing a quality improvement program utilizing cognitive rehearsal training. In Nursing forum (Vol. 54, No. 4, pp. 526-536). https://doi 10.1111/nuf.12366
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| Why you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of the ethics of research related to your clinical issue of interest) | The article has been chosen because it is comprehensively addresses the importance of enhanced awareness and use of educational programs to reduce nurse-nurse incivility. The article explains in details how cognitive rehearsal techniques can be utilized to help nurses manage and cope with effects of incivility. The article supports the role of cognitive rehearsal in helping employees to cope with problems at work as it prepares them mentally to cope with stress.
The research article observed research ethics by allowing voluntary participation and treating the information provided anonymously and with confidentiality. |
The article has been selected because it explains in detail the detrimental effects of workplace incivility to healthcare workers’ health and patient care. Given the psychological effects of incivility, the article delves in ways of managing it from a nurse’s perspective.
The research ethics were observed by allowing willing and voluntary participation and withdrawal without getting penalized in anyway. Informed consent was sought as well as treatment of collected data with confidentiality. The aims of the research were explained in details to the participants and the Research Council and Ethics Committee affiliated to the Tabriz University of Medical Sciences approved the proposal Advanced Levels of Clinical Inquiry and Systematic Reviews EBP Part 2.
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The article was chosen as it addresses the issue of workplace incivility and proposes evidence-based strategies of managing it. The researcher opines that incivility has negative effects on the emotional well-being of nurses to an extent of risking patient care and safety by increasing the occurrence of medical administration errors.
The research observed ethics by summarizing ten qualitative research articles from different databases to avoid research bias.
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The article was chosen as it addresses the issue of incivility in nursing by implementing a quality improvement program. The study suggested use of cognitive rehearsal training in order to improve health at workplace, enhance job satisfaction, and organizational commitment.
The research observed ethics by seeking informed consent from the participants, explaining the research aims in details, maintaining confidentiality and anonymity in data collection, and allowing voluntary participation by the participants. |
| Brief description of the aims of the research of each peer-reviewed article | The aim of the research article was to create awareness among the nurses by helping them recognize incivility. In addition, the research aimed to reduce the impact of civility by using cognitive rehearsal techniques to address it. | The aim of the article was to determine how workplace incivility can be prevented in healthcare settings from perspective of nurses.
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The aim of the research was to effectively control workplace incivility by proposing practical interventions that can be applied help nurses manage the problem.
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The aim of this research was to educate nurses on how to identify workplace incivility and equip them with ways of dealing and addressing incivility.
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| Brief description of the research methodology used Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific. | The research utilized mixed method research approach which incorporate both qualitative and quantitative methods. Data was collected before nurses received cognitive rehearsal training and after. The data was collected via surveys and a comparative analysis done. | The researcher utilized qualitative methods based on conventional content analysis. Data was collected through semi-structured interviews while the sample was obtained using purposive sampling.
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The study utilized quantitative research methods to conduct a systematic review of current and relevant evidence on workplace incivility using ten studies.
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The research utilized quantitative research method. Data was collected using nursing incivility scale (NIS). The instrument was used to evaluate the effectiveness of cognitive rehearsal educational module. The participants completed the NIS before, immediately after, and 1 month after the program.
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| A brief description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected. | The major strength of mixed methods research approach is that it enhances understanding of qualitative and quantitative results’ contradictions and avoiding the limitations of a single approach. Also, it allows a shorter data collection time when compared to sequential methods.
The methods used in gathering data and information in mixed methods research approach supplement each other which strengthens data validity and reliability. |
The use of qualitative research method allowed the researcher to examine the issue of workplace incivility in depth. Use of semi-structured interviews allows the researcher to ask questions, seek clarification, as well as redirect questions as the situation obliges.
Reliability and validity was applied as the interviews allowed one-on-one correspondence while the interview questions were structured in a manner that all the participants were subject to same questions despite being in different locations. |
The key strength of systematic review of studies is that it provides quick answers on clinical issues as derived from previous studies as information is readily available. Systematic reviews are highly reliable and valid since the research evidence used is carefully synthesized to answer specific clinical questions.
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The use quantitative methods allowed the researcher to interpret data in an easier manner since the variables are already defined. The method also allow the researcher to maintain objectivity and accuracy in the process of data collection hence making results more reliable and valid.
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General Notes/Comments |
The article how an educational intervention (cognitive rehearsal) can be used promote a positive and civil workplace and ensure patient receive effective/safe care.
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The article is very useful as it expands knowledge on workplace incivility prevention. It explains how improving communication and supporting nurses can help in reducing workplace incivility | The article is informative and provides information on implications of workplace incivility in healthcare settings as well as proposes necessary interventions in addressing incivility such as educational training on incivility to create awareness and equipping nurses’ communication skills. | The article is informative as it adds to the body by explaining how incivility programs can equip nurses with skills to identify and manage incivility by reacting in a proactive, professional manner thereby promoting a healthy work environment.
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Conclusion
The research articles reviewed in the worksheet address the issue of workplace incivility among nurses, its psychological effects and interventions such as cognitive rehearsal techniques, resilience training, and creating of awareness. The articles can be further reviewed to get the best evidence to be used as evidence-based practice for reducing incivility Advanced Levels of Clinical Inquiry and Systematic Reviews EBP Part 2.
References
Abdollahzadeh, F., Asghari, E., Ebrahimi, H., Rahmani, A., & Vahidi, M. (2017). How to prevent workplace incivility?: Nurses’ perspective. Iranian Journal of Nursing and Midwifery Research, 22(2), 157-163. https://doi.org/10.4103/1735-9066.205966
Armstrong, N. (2018). Management of nursing workplace incivility in the health care settings: A systematic review. Workplace Health & Safety, 66(8), 403-410. https://doi.org/10.1177%2F2165079918771106
Kile, D., Eaton, M., deValpine, M., & Gilbert, R. (2019). The effectiveness of education and cognitive rehearsal in managing nurse‐to‐nurse incivility: A pilot study. Journal of Nursing Management, 27(3), 543-552. https://doi.org/10.1111/jonm.12709
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Razzi, C. C., & Bianchi, A. L. (2019, October). Incivility in nursing: Implementing a quality improvement program utilizing cognitive rehearsal training. In Nursing forum (Vol. 54, No. 4, pp. 526-536). https://doi 10.1111/nuf.12366
Walden University Library. (2022). Quick Answers: What are filtered and unfiltered resources in nursing? https://academicanswers.waldenu.edu/faq/73299
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Evidence_Based Project_Advanced Levels of Clinical Inquiry and Systematic Reviews ppt
Assignment: Evidence-Based Project, Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews
Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?
In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.
To Prepare:
- Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
- Advanced Levels of Clinical Inquiry and Systematic Reviews EBP Part 2
- Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.
- Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.
- Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.
The Assignment (Evidence-Based Project)
Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews
Create a 6- to 7-slide PowerPoint presentation in which you do the following:
- Identify and briefly describe your chosen clinical issue of interest.
- Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
- Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
- Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
- Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples