Assignment: Evidence-Based Practice Project Evaluation of Literature Table
Assignment: Evidence-Based Practice Project Evaluation of Literature Table
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Assignment: Evidence-Based Practice Project Evaluation of Literature Table
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Literature Evaluation Table
It has been found that about 64% of cancer patients experience pain and a majority of the pain is uncontrolled (Scarborough & Smith, 2018). Pain is a complex experience and it is crucial for nurses to do a detailed pain assessment and use appropriate interventions as needed. Pain assessments need to include more than just a number scale rating. Pain assessments need to look at the characteristics of the pain to determine the true cause of the pain (Scarborough & Smith, 2018). Cancer related pain can be from the tumor itself or from the cancer treatment. For example, a colon cancer patient may be experiencing abdominal pain. However, this pain could be due to the tumor pressing on internal organs or could be due to constipation or diarrhea as a side effect of the treatment the patient is receiving. These would be treated very differently depending on the true cause of the pain. A barrier to comprehensive pain assessments is the lack of time. Although we know the importance of routine pain assessments, many patients still report that their healthcare providers do not even ask about their pain (Wickham, 2017).
Learner Name:
PICOT
Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article |
Article Title and Year Published
|
Research Questions/ Hypothesis, and Purpose/Aim of Study
|
Design (Quantitative, Qualitative, or other)
|
Setting/Sample
|
Methods: Intervention/ Instruments
|
Analysis/Data Collection
|
Outcomes/Key Findings
|
Recommendations
|
Explanation of How the Article Supports Your Proposed EBP Practice Project Proposal |
| Lin et al., Journal of Pediatric Nursing, https://doi.org/10.1016/j.pedn.2020.07.003 |
Effects of Parental Education on Screen Time, Sleep Disturbances, and Psychosocial Adaptation Among Asian Preschoolers: A Randomized Controlled Study2021 |
Parental education and instruction manuals play an instrumental role in reducing screen time among children. The study investigated the effect of parental educational program on screen use, sleep quality, and psychosocial adaptation among preschoolers. | Quantitative- it is an observational study. | The study was conducted in Chiayi, Taiwan from April to December 2018. 129 parent-child dyads participated in the study. | The experimental group (N=63 dyads) received parental education and the control group (N=66) performed daily activities. | Data was collected before and after the intervention and a liner mixed-model analysis conducted to examine the intervention’s efficacy. | The screen time in the intervention group was significantly reduced and they presented improved sleep quality and attention score for psychosocial adaptation. | Parental education was recommended as an effective intervention for reducing screen time and improving sleep quality and attention among preschoolers. | The study supports the EBP project proposal by confirming the critical role of educational interventions in reducing screen time. |
| Joseph et al., Global Pediatric Health, https://doi.org/10.1177%2F2333794X19865856 |
Young Children’s Screen Time and Physical Activity: Perspectives of Parents and Early Care and Education Center Providers2019 |
Caregivers’ lack of awareness of physical activity and screen time guidelines affects their participation in promoting behaviors that reduce childhood obesity.
The study investigated how early care and education providers and parents can facilitate physical activity and reduce screen time in children, with particular attention on preschoolers. |
Qualitative- conducted focus groups and thematic analysis. | The research was conducted in ECE centers of a selected parish of a southeastern US state. 28 caregivers participated in the study. | Four focus groups were conducted (3 parent and 1 ECE provider) | Demographics, accelerometry data, and screen time habits of children were collected at home and ECE centers before and after implementing new guidelines. | The groups differed in their view regarding screen time as an entertainment or educational tool and the time limit appropriate for children. Parents and ECE providers were found to lack awareness of physical activity or screen time guidelines. | The research recommended the need for improved awareness on screen time and physical activity guidelines. It also recommends investigation into opportunities to utilize screen time effectively. | The qualitative research supports the EBP project proposal by showing the need for increasing awareness in parents regarding screen time and physical activity guidelines. |
| Sheila et al., International Journal of Behavior Nutrition and Physical Activity, https://dx.doi.org/10.1186%2Fs12966-019-0788-3 |
Parental influences on screen time and weight status among preschool children from Brazil: a cross-sectional study.2019 |
The study hypothesized that parental attributes and parental screen time behaviors proportionately affect preschoolers’ screen time and weight status. The study examined the relationships between parental screen time, parental self-efficacy to limit screen time, child screen time and child BMI in preschool-aged children. | It is quantitative design since it is a cross-sectional study. | The study took place in seven Early Childhood Education and Care (ECEC) centers in Caruaru – Pernambuco, Brazil.
318 parent-child dyads participated in the study. |
The 318 parent-child dyads who participated in the study completed a survey measuring sociodemographic data, weekday and weekend screen time, and parental self-efficacy for limiting screen time. | Height and weight were collected using standardized WHO measurement procedures. Observed variable path analysis was used to evaluate the relationships between the parental and child variables. | Greater child screen time was associated with higher child BMI percentile. Parental screen time and self-efficacy to limit screen time emerged as influences towards child screen time and weight status. | Parents should understand the need to reduce screen time. Reducing parental screen time and increasing parental confidence to limit screen time may be effective strategy to prevent overweight. | The study supports the proposed EBP project by confirming the role of parental knowledge in modeling children’s behavior. It advocates for the need to increase parents knowledge to enable them regulate self- and children’s screen time to reduce overweight problems. |
| Pearson et al., BMC Public Health, https://doi.org/10.1186/s12889-020-8232-9 |
Reducing screen-time and unhealthy snacking in 9–11 year old children: the Kids FIRST pilot randomized controlled trial.2020 |
The study hypothesized that increasing parent-and home-focused interventions can change multiple health behaviors in children. The study evaluated the effectiveness of the Kids FIRST project, a randomized controlled trial to reduce screen time and unhealthy snacking. | Quantitative- a randomized controlled trial. | The Kids FIRST program was family based with a school component in East Midlands region of the United Kingdom.
Children- 407, parents- 75, in 4 schools. |
The randomized controlled trial to reduce screen time and unhealthy snacking had pre- and post-intervention assessments. Baseline and post-intervention data was compared. | Children and parents reported (full questionnaire data) their own screen-time behaviors as children went further to report snacking behaviors. Descriptive analysis was undertaken intending to treat. | Reductions in children’s school day and weekend day TV viewing and computer game use were associated with healthy behaviors in children. | The study recommended more parental engagement in controlling screen time and unhealthy snacking as a parent- and home-focused intervention to promote healthy behaviors in children. | The study supports the EBP project proposal by recommending the need for more parental engagement in regulating children behavior in early stages. Educating parents will enable them to embrace this role to become more active in regulating screen time as a home-focused intervention to reduce childhood obesity. |
| Tester et al., Pediatrics, https://doi.org/10.1542/peds.2017-3228 |
Characteristics of Children 2 to 5 Years of Age With Severe Obesity2018 |
Children with severe obesity have not been extensively described and more than the recommended screen time limit is a trigger of severe obesity. | Quantitative design- the study classifies and evaluates sociodemographic data, birth characteristics, and screen time, among other factors. | Children from NHANES, a complex, multistage probability cross-sectional sample designed to be representative of the US civilian, non-institutionalized population, participated.
N= 7028 |
Children were classified as having normal weight, overweight, obesity, or severe obesity (SO) and sociodemographics, birth characteristics, screen time, total energy, and Healthy Eating Index 2010 scores evaluated. | Height and weight were measured by trained personnel at the MEC by using standardized protocols.
From 2001 to 2014, scree time limit was evaluated by asking about average hours per day “over the past 30 days.” |
Children with SO had higher odds of screen time above the limit. Children with SO have greater disparities in social determinants of health and more than twice as likely to engage in double the recommended screen time limit. | Children should be more knowledgeable about the connection between obesity and screen time. | The study supports the EBP project by supporting the need for increasing children’s knowledge on the connection between screen time and obesity. The EBP project looks forward to educating parents and children on reducing screen time and increasing physical activity. |
| Schwarzfischer et al., Plos One, https://dx.doi.org/10.1371%2Fjournal.pone.0229708 |
Effects of screen time and playing outside on anthropometric measures in preschool aged children2020 |
Excessive screen time is a risk factor of overweight irrespective of the time children spend playing outside. The study investigated the relationship between average time spent playing outside and screen time and anthropometric measures. | Quantitative- the study is an annual assessment of children through questionnaires. | Children of the European Childhood Obesity Project (CHOP) participated in the study.
N= 526 |
Annual assessments were done through questionnaires. Body weight, waist circumference, and height were measured at 3 and 6 years to calculate Body-Mass-Index z-Scores (zBMI) and waist-to-height ratio (WTH). | Researchers performed liner, logistic, and quantile regressions to test the effect of average time spent on playing outside and screen time on anthropometric measures. | Excessive screen time in early years is a risk factor for increased zBMI irrespective of the time children spend playing outside. | Screen time reduction in early years is critical to preventing childhood obesity. | The study supports the EBP project proposal by affirming the need for interventions that reduces screen time in children. It confirms that physical activity should be supplemented with other methods to reduce childhood obesity. |
| Wernberg et al., Journal of Clinical Medicine, https://doi.org/10.3390/jcm10040795 |
Screen Time and Parents’ Education Level Are Associated with Poor Adherence to the Mediterranean Diet in Spanish Children and Adolescents: The PASOS Study.2021 |
A greater amount of screen time and low parental education level adversely affects adherence to healthy diet intake increasing risk to childhood obesity. The study evaluated the connection between screen time and parents’ education levels with adherence to a Mediterranean dietary pattern. | Quantitative design- a cross-sectional study of health approaches and risks. | The research was done in a representative sample of the Spanish population aged 8 to 16 years across 17 regions. The analysis included 3333 children and adolescents. | Randomization of the participants was performed through multistage sampling procedure to determine physical activity, sedentarism, lifestyle factors, and weight status. | Data on daily screen time, diet adherence, physical activity, and education levels was gathered via questionnaires. | High screen time was associated with low adherence to healthy diet and the situation was worse among parents with low education levels. | Improving parents’ knowledge can improve children’s adherence to healthy eating and physical activity and reduce screen time as interventions to reduce childhood obesity. | The study supports the EBP project proposal since it confirms the critical role of parents in regulating children’s behavior and how knowledge affects decisions related to screen time, diets, and physical activity. |
| Oli et al., Plus One, https://doi.org/10.1371/journal.pone.0200329 |
Knowledge, attitude and practice on diet and physical activity among mothers with young children in the Jhaukhel-Duwakot Health Demographic Surveillance Site, Nepal2018 |
Health education interventions can improve mothers’ and children’s knowledge, attitude, and practice to improve cardiovascular health. The study assessed the needs of mothers concerning cardiovascular health, with particular attention on diet, physical activity, and baseline for future intervention. | Qualitative- interviews are used to gather information. | The research was done at Jhaukhel-Duwakot Health Demographic Surveillance Site (JD-HDSS), located near the capital Kathmandu, Nepal.
962 mothers of children aged 1-7 years participated. |
Nine trained enumerators interviewed mothers in August-November 2014. | Responses on dietary and physical activity knowledge, attitude, and practice (KAP) were scored and categorized based on percentages. | The research found that 57% mothers had good knowledge but required improvement, 44.6% had good attitude and 90% poor practice. Perceived Barriers included attitude towards physical activity, lack of leisure time, and lack of knowledge regarding healthy practices. As a result, health education was necessary in promoting healthy lifestyle. | Health care providers should consider health education interventions to improve healthy lifestyles among mothers and children to improve knowledge, attitudes, and practices. | The study supports the EBP project proposal by confirming the importance of health education interventions in improving mother’s and children’s knowledge. The EBP project proposes educating mothers and children on reducing screen time and increasing physical activity and the primary theme is addressing knowledge deficiencies through education programs. |
| Hewitt et al., Infant Behavior and Development, https://doi.org/10.1016/j.infbeh.2017.11.008 |
Child care centre adherence to infant physical activity and screen time recommendations in Australia, Canada and the United States: An observational study2018 |
Adherence to physical activity, screen time, and sedentary behavior recommendations is critical to promoting optimal health among children. The study compared adherence to physical activity, screen time, and sedentary behaviors recommendation. | Quantitative since it is a cross-sectional study using data. | Data was collected from Australian preschools, studies, and trials.
9 Australian 2013 Standing Preschool, 22 Early Start Baseline studies (2014-2017), and 14 Canadian Healthy Living Habits in Pre-School Children study (2011). Others included the American 2008 (N = 31) and 2013–2017 (N = 31) Baby Nutrition and Physical Activity Self-Assessment for Child Care trials. |
The observational study primarily compared data on physical activity, screen time, and sedentary behavior recommendation. | Center-level data was collected without any interaction with human subjects. | Child care centers compliant with recommendation for promoting physical activity, reducing screen time, and hindering sedentary living were associated with high levels of health standards. | Children care centers should be assisted on limiting the use of equipment that restricts movement and education about children’s physical activity to families is important. | The study supports the EBP project proposal by affirming the need for education about children’s physical activity to families. A key component of the EBP project proposal is educating parents on increasing physical activity besides regulating screen time. |
| Eyimaya and Irmak, Journal of Pediatric Nursing, https://doi.org/10.1016/j.pedn.2020.10.002 |
Relationship Between Parenting Practices and Children’s Screen Time During the COVID-19 Pandemic in Turkey2020 |
There is a direct relationship between parents’ practices and children’s screen time. The study investigated the relationship between parenting practices and children’s screen time following the COVID-19 outbreak. | Quantitative- it is a cross-sectional study. | The study was conducted in three randomly-selected schools in the western, eastern and central regions of Turkey.
1115 parents participated |
The data were collected using a descriptive questionnaire form and the Parenting Practices Scale. | The online questionnaire was shared with the parents (children aged 6–13 years) between May 15 and 31, 2020. | There was a significant rise in the amount of screen time after the amount of time that parents spent at home increased due to lockdown. Parenting practices were found to influence children’s screen time and ground rules are necessary to reduce screen time. | Parents need information on setting ground rules for screen time to prevent an increase in screen time as the amount of time spent at home increases. | The study supports the EBP project proposal by affirming that parental knowledge affects children’s screen time and regulation is necessary. Therefore, educating parents to set ground rules is pivotal in reducing screen time at home as a practical intervention of reducing childhood obesity. |
NUR 550 Evidence-Based Practice Project Evaluation of Literature Table
The purpose of this assignment is to provide research evidence in support of the PICOT you developed for your selected topic.
Conduct a search for 10 peer-reviewed, translational research articles published within the last 5 years that demonstrate support for your PICOT. You may include previous research articles from assignments
completed in this course. Use the “Literature Evaluation Table” provided to evaluate the articles and explain how the research supports your PICOT.
Once your instructor returns this assignment, review the feedback and make any revisions necessary. If you are directed by your instructor to select different articles in order to meet the assignment criteria or to better support your PICOT, make these changes accordingly. You will use the literature evaluated in this assignment for all subsequent assignments you develop as part of your evidence-based practice project proposal in this course and in NUR-590, during which you will synthesize all of the sections into a final written paper detailing your evidence-based practice project proposal. NUR 550 Evidence-Based Practice Project Evaluation of Literature Table
Read Also: NUR 550 Topic 4 Assignment: Critical Appraisal of Research
Click here to ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT on NUR 550 Evidence-Based Practice Project Evaluation of Literature Table
When I was looking for my ten research articles for this week’s assignment, I was surprised by how many of them found the interventions to be beneficial but refused to implement or maintain them due to a lack of time. I understand how time-consuming working in a busy clinic can be, but I don’t see how showing a patient a program that can confidentially/anonymously notify their partners to get tested for STDs or slipping a one-page survey to a patient at check-in can be so time-consuming. According to one of the studies, patients on those surveys requested STD testing but were not tested (Romo et al, 2019). And we’re curious as to why syphilis is so common. It’s ridiculous.
The goal of this study was to look into how early care and education providers and parents can encourage children to engage in physical activity while also limiting the amount of time children spend in front of screens, with a particular focus on preschoolers.
Theme analysis and focus group facilitation are two examples of qualitative research methods.
The research was conducted at ECE facilities in a specific parish in a state in the southeastern United States. There were 28 caregivers who participated in the study.
There were a total of four focus groups that were held (3 parent and 1 ECE provider) (3 parent and 1 ECE provider)
Children’s demographic information, accelerometry data, and screen time habits were collected before and after the new rules were implemented, both at home and at early childhood education facilities.
The groups had very different ideas about whether screen time should be viewed as entertainment or an educational tool, as well as what the acceptable time limit for children is. It was discovered that parents and early childhood educators are unaware of the physical activity and screen time limits.
According to the study’s findings, there is an urgent need for increased public awareness of recommended guidelines for screen time and physical activity. It also suggests conducting research into the various ways in which screen time can be used productively.
The findings of the qualitative research lend credence to the EBP project concept by demonstrating the imperative nature of raising parental understanding about acceptable levels of screen time and levels of physical activity.
Goncalves et al. (2019). International Journal of Behavior Nutrition and Physical Activity, https://dx.doi.org/10.1186%2Fs12966-019-0788-3
Parental influences on screen time and weight status among preschool children from Brazil: a cross-sectional study.
2019
The study hypothesized that parental attributes and parental screen time behaviors proportionately affect preschoolers’ screen time and weight status. The study examined the relationships between parental screen time, parental self-efficacy to limit screen time, child screen time and child BMI in preschool-aged children.
It is quantitative design since it is a cross-sectional study.
The study took place in seven Early Childhood Education and Care (ECEC) centers in Caruaru – Pernambuco, Brazil.
318 parent-child dyads participated in the study.
The 318 parent-child dyads who participated in the study completed a survey measuring sociodemographic data, weekday and weekend screen time, and parental self-efficacy for limiting screen time.
Height and weight were collected using standardized WHO measurement procedures. Observed variable path analysis was used to evaluate the relationships between the parental and child variables.
Greater child screen time was associated with higher child BMI percentile. Parental screen time and self-efficacy to limit screen time emerged as influences towards child screen time and weight status.
Parents should understand the need to reduce screen time. Reducing parental screen time and increasing parental confidence to limit screen time may be effective strategy to prevent overweight.
The study supports the proposed EBP project by confirming the role of parental knowledge in modeling children’s behavior. It advocates for the need to increase parents knowledge to enable them regulate self- and children’s screen time to reduce overweight problems.
Pearson et al., BMC Public Health, https://doi.org/10.1186/s12889-020-8232-9
Reducing screen-time and unhealthy snacking in 9–11 year old children: the Kids FIRST pilot randomized controlled trial.
2020
The study hypothesized that increasing parent-and home-focused interventions can change multiple health behaviors in children. The study evaluated the effectiveness of the Kids FIRST project, a randomized controlled trial to reduce screen time and unhealthy snacking.
Quantitative- a randomized controlled trial.
The Kids FIRST program was family based with a school component in East Midlands region of the United Kingdom.
Children- 407, parents- 75, in 4 schools.
The randomized controlled trial to reduce screen time and unhealthy snacking had pre- and post-intervention assessments. Baseline and post-intervention data was compared.
Children and parents reported (full questionnaire data) their own screen-time behaviors as children went further to report snacking behaviors. Descriptive analysis was undertaken intending to treat.
Reductions in children’s school day and weekend day TV viewing and computer game use were associated with healthy behaviors in children.
The study recommended more parental engagement in controlling screen time and unhealthy snacking as a parent- and home-focused intervention to promote healthy behaviors in children.
The study supports the EBP project proposal by recommending the need for more parental engagement in regulating children behavior in early stages. Educating parents will enable them to embrace this role to become more active in regulating screen time as a home-focused intervention to reduce childhood obesity.
Tester et al., Pediatrics, https://doi.org/10.1542/peds.2017-3228
Characteristics of Children 2 to 5 Years of Age With Severe Obesity
2018
Children with severe obesity have not been extensively described and more than the recommended screen time limit is a trigger of severe obesity.
Quantitative design- the study classifies and evaluates sociodem
