Description
In your responses, choose two peers and review their chosen articles. Describe why their articles meet the requirements for primary research and comment on their assessment of its potential to inform evidence-based practice.
Did they miss anything? If the chosen peer article is not a primary research article, clarify the difference in primary research and the selected article.
S. Coylee- The PICO acronym helps the researcher to develop a research question that helps in the search for and narrowing down of available evidence on the topic in question (Polit & Beck, 2021).
The “P” is the population or patients in question, which for my PICO question would be the in-hospital patient population extending to the emergency department (Polit & Beck, 2021). The “I” is the intervention, therapy, or exposure of interest, which in this case I have chosen inadequate nurse staffing or higher nurse-to-patient ratios as the intervention of interest (Polit & Beck, 2021). The “C” is the comparison or population receiving an alternative intervention, which in this case would be adequate nurse staffing or lower nurse-to-patient ratios (Polit & Beck, 2021).
The “O” is the outcome of interest, which in this case would be the patient-specific quality indicators and safety outcomes (Polit & Beck, 2021).
In hospitalized patients, what is the effect of higher nurse-to-patient ratios in comparison with lower nurse-to-patient ratios on the outcomes of patient quality indicators and patient-specific safety outcomes?
Numerous articles have been published in the last five years about the pressing nurse practice issue of staffing ratios and the multiple downstream effects associated with staffing levels. I have found six articles pertaining to this practice issue as it relates to my PICO question.
The articles were retrieved from the Shapiro Library, using the CINAHL database. Polit & Beck (2021) outline that the nurse research should look to primary sources, or studies described by the conducting researcher themselves, but for an in-depth search to support evidence-based practice, a systematic review of high quality can provide information about the available topical evidence.
A secondary source is defined as studies described by someone other than the primary researcher who conducted the study and include literature reviews (Polit & Beck, 2021). CINAHL and MEDLINE are two useful databases for nurse researchers as they cover a broad swath of nursing, medicine, and health literature (Polit & Beck, 2021). Peer reviewers are defined as other researchers who review research journal articles and make important recommendations regarding if the article should be accepted to the journal and about revisions needed before acceptance can be considered (Polit & Beck, 2021).
Peer reviewers are usually blinded in that they are unaware of whose research they are reviewing and they provide written critiques on the positives and negatives of the research in the article put forward (Polit & Beck, 2021).
The search keywords are usually the “I” and “O” of the PICO question, reflecting the independent or dependent variables, and possibly include the “P” of the PICO (Polit & beck, 2021). The search keywords and terms utilized were “nurse staffing ratios OR nurse-patient ratios,” “nurse staffing ratios AND patient quality indicators,” and “nurse staffing ratios AND patient outcomes.” Search parameters included articles between 2016 and 2021 and were limited to peer reviewed journals. Please respond to this thread. Refer to order # 8422748989. Also follow the directions.
