W3 Research

 Professional nurses must be equipped to critique scholarly literature and discern its value for application to practice. Select one current, quantitative scholarly article related to your PICOT question. Appraise the article using the General Appraisal Overview for All Studies Tool (Melnyk & Fineout-Overholt, 2023, Appendix C; see also Box 6.1 in Chapter 6). Summarize your appraisal of the article in your own words. 

Include the following sections:

  1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
    1. Provide an overview of the study
      1. Purpose
      2. Study design
      3. Ethics review
    2. Describe the study
      1. Research question or hypothesis
      2. Study aims
      3. Sampling technique, sample size, and characteristics
    3. Major variables studied
      1. Independent variable
      2. Dependent variables
      3. How were the data analyzed? Were the statistics used appropriately?
      4. Were there any untoward events during the conduct of the study?
    4. Explain why and how you could use the study results in your practice to make a difference in client outcomes. If you cannot use the results, why not?
    5. Include a complete APA reference and Chamberlain Library permalink for the selected article. 

Article Summary 2

Find and read a nursing scholarly article that relates to your clinical practice (school Nurse) and is found in a peer-reviewed journal.

· What is the research question?

· What research method is being used?

· How are the subjects chosen (explain the parameters, sample size, & how many)

· What are the results of the study?

· What are the recommendations?

· What are your opinions?

Submission Instructions:

· lose points for improper grammar, punctuation, and misspellings.

· It must be a research article.  Write a 1-page summary using an outline of the steps of the research process, and discuss the study type, purpose, and research question(s) above.

·  current APA style and references should be current 

· The purpose of these article summaries is for you to educate me on the study – NOT the topic.

*** Turnitin report**NO AI**

Search Engines & Databases 416

What search engines or databases are you using to identify the articles for your Article Summary assignments?

What keywords are you using for your search?

Have they been effective in finding articles that are relevant to your clinical practice? Include rationale.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources
  • ** NO AI, NO Plagiarism, Turnitin report 

Question

250 words, APA style, it needs a reference not a bibliography

 Question: Does my patient have significant aortic stenosis? 

 A 72 year-old woman with a history of CHF presents with several weeks of gradually progressive dyspnea on exertion (DOE). At her baseline, she is able to walk several blocks, but now feels winded. She denies chest pain, palpitations, syncope/near syncope, cough, orthopnea, or PND. She states she is compliant with her medications and diet. She has had a recent functional study that showed minimal ischemia.  

Meds

aspirin
digoxin 0.125 qd
lisinopril 20 mg qd
furosemide 20 mg qd
KCl 10 mEq qd

PE

HR 90, regular
PB 134/70

Labs

chem 7:
Na 132
K 5
Cl 94
HCO3 30
BUN 18
Cr 1.3
CBC: notable for Hgb 14 g/dL (Hct 43%)

CV

RRR, normal S1 and S2
No S3 but has S4
2/6 mid-peaking systolic murmur at the LUSB that radiates to the carotids.

PMI is mildly enlarged and sustained

Neck

Carotid pulse is brisk.
JVP flat
Positive abdominojugular reflux

CXR

Xray shows cardiomegaly and mild vascular redistribution

ECG

Unchanged with an incomplete LBBB pattern

Clinical Diagnosis

Worsening of her congestive heart failure (positive AJR, enlarged and sustained PMI, cardiomegaly, and vascular redistribution).

Clinical Questions

Is this patient’s worsening CHF due to significant aortic stenosis? 

Please elaborate why you think it may be aortic stenosis according to patient’s symptoms and how do you assess each symptom.