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Posted: September 6th, 2023

Essentials of Evidence-Based Practice NURS 6052 CRITICALAPPRAISAL OF RESEARCH

Essentials of Evidence-Based Practice NURS 6052 CRITICALAPPRAISAL OF RESEARCH
Module 4: Assignment
Due Apr 16 by 10:59pm Points 100 Submitting a text entry box or a file upload Attempts 0
Allowed Attempts 2
Start Assignment
Back to Module at a Glance
(https://waldenu.instructure.com/courses/53151/modules/items/1043734)
Realtors rely on detailed property appraisals—conducted using appraisal tools—to assign market values to houses and other properties.
These values are then presented to buyers and sellers to set prices and initiate offers.
Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to
determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of
action.
In this Assignment, you will use an appraisal tool to conduct a critical appraisal of published research. You will then present the results of
your efforts.
EVIDENCE-BASED PROJECT, PART 3: CRITICAL
APPRAISAL OF RESEARCH
RESOURCES
4/7/23, 12:23 AM Module 4: Assignment
https://waldenu.instructure.com/courses/53151/assignments/323784 2/6
To Prepare:
Reflect on the four peer-reviewed articles you selected in Module 2 and the four systematic reviews (or other filtered high- level
evidence) you selected in Module 3.
Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.
Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.
The Assignment (Evidence-Based Project)
Part 3A: Critical Appraisal of Research
Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal
Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module
2 and Module 3.
Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two
unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module
2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both
modules and types of studies are represented.
Part 3B: Critical Appraisal of Research
Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly
explain the best practice, justifying your proposal with APA citations of the research.
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES (https:/waldenu.instructure.com/courses/53151/modules/items/1043739)
BY DAY 7 OF WEEK 7
4/7/23, 12:23 AM Module 4: Assignment
https://waldenu.instructure.com/courses/53151/assignments/323784 3/6
NURS_6052_Module04_Week07_Assignment_Rubric
Submit Part 3A and 3B of your Evidence-Based Project.
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts
from the Start Here area.
1. To submit your completed assignment, save your Assignment as MD4Assgn+last name+first initial.
2. Then, click on Start Assignment near the top of the page.
3. Next, click on Upload File and select Submit Assignment for review.
SUBMISSION INFORMATION
4/7/23, 12:23 AM Module 4: Assignment
https://waldenu.instructure.com/courses/53151/assignments/323784 4/6
Criteria Ratings Pts
45 pts
35 pts
Part 3A: Critical Appraisal of
ResearchCritical Appraisal of
Research Conduct a critical
appraisal of the four peer-reviewed
articles you selected and analyzed
by completing the Critical Appraisal
Tool Worksheet Template. Be sure
to include: · An Evaluation Table
45 to >40.0 pts
+++++
Part 3A: Critical Appraisal of Research

Introduction: Briefly introduce the purpose of the critical appraisal and provide a brief overview of the peer-reviewed articles selected.

Evaluation Table: Complete the Evaluation Table within the Critical Appraisal Tool Worksheet Template for each of the four peer-reviewed articles selected. Provide an evaluation of each article’s research design, methodology, results, and limitations.

Summary: Summarize the strengths and weaknesses of the four peer-reviewed articles in relation to the clinical topic of interest. Identify any common themes or trends across the articles.

Part 3B: Evidence-Based Best Practices

Introduction: Briefly introduce the purpose of this section and provide an overview of the best practice that emerged from the research.

Best Practice: Suggest a best practice that emerges from the research reviewed, based on the common themes or trends identified in Part 3A. Explain the best practice in detail, including the specific interventions or strategies involved.

Justification: Justify the proposed best practice with APA citations of the research reviewed in Part 3A. Discuss how the research supports the effectiveness of the proposed best practice and any potential limitations or areas for future research.

Conclusion: Summarize the proposed best practice and its potential impact on clinical practice. Discuss any implications for further research or future practice.

+++++
Essentials of Evidence-Based Practice
NURS 6052
Clinical Issue Identified: Causes of Heart Disease among the Elderly Population
The clinical issue identified is the causes of heart disease among the elderly population. Four peer-reviewed articles from Walden Library were selected for review.

The first study indicates that a right-sided population shift in blood pressure distribution causes cardiovascular disease. The study shows that high blood pressure is a vital risk factor for dementia, heart failure, aortic syndromes, atrial fibrillation, heart valve disease, and chronic kidney disease.

The second study found that heart failure is declining, but mortality rates associated with heart failure are rising among individuals living in low-income countries because of the western lifestyle and the communicable diseases’ double burden. The results show that although the number of mixed heart failure incidences has reduced among the young, there are still opposite trends thought to be caused by obesity.

The third study suggests that increased particulate matter is associated with cardiovascular disease mortality, with ischemic heart disease mortality increasing by 16% and stroke-related mortality by 14%. Exposure to particulate matter was found to be higher among non-Hispanic blacks.

The fourth study summarizes the cardiovascular disease clinical consequences in chronic kidney disease (CKD). Results show that nearly all patients with stage 4 and 5 CKD exhibit cardiovascular heart disease, and between 40% to 50% of the cardiovascular heart disease-associated deaths have CKD.

The first study utilized randomized controlled trials and meta-analysis as the research design. The second study used echocardiographic screening meta-analysis studies. The methodology employed in the third study is descriptive statistics with a Cox regression base model. The fourth study utilized a meta-analysis methodology.

In terms of the methodologies used in the peer-reviewed articles, the first article used a mixed-method approach, which includes a meta-analysis. The second article utilized meta-analysis with cohort studies applied to a population, including the Chicago heart cohort and cardiovascular heart study. The third article utilized descriptive statistics with a Cox regression base model, while the fourth article used a meta-analysis methodology.

Overall, the selected articles provide valuable insights into the causes of heart disease among the elderly population, and the methodologies used in each article are reliable.
References
Fuchs, F. D., & Whelton, P. K. (2020). High blood pressure and cardiovascular disease.
Hypertension, 75(2), 285-292.
https://doi.org/10.1161/HYPERTENSIONAHA.119.14240
Groenewegen, A., Rutten, F. H., Mosterd, A., & Hoes, A. W. (2020). Epidemiology of heart
failure. European journal of heart failure, 22(8), 1342-1356.
https://doi.org/10.1002/ejhf.1858
Hayes, R. B., Lim, C., Zhang, Y., Cromar, K., Shao, Y., Reynolds, H. R. … & Thurston, G. D.
(2020). PM2. 5 air pollution and cause-specific cardiovascular disease mortality.
International journal of epidemiology, 49(1), 25-35. https://doi.org/10.1093/ije/dyz114
Jankowski, J., Floege, J., Fliser, D., Böhm, M., & Marx, N. (2021). Cardiovascular disease in
chronic kidney disease: pathophysiological insights and therapeutic options. Circulation,
143(11), 1157-1172. https://doi.org/10.1161/CIRCULATIONAHA.120.050686

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