Your paper will automatically be submitted to “Turnitin” at the same time you submit it here. It is expected that your revisions (at the time of summative evaluation) will have < 24% matching text (<10% is the goal!). Use of direct quotations is strongly discouraged in this course; the faculty are evaluating YOUR writing, not a published author’s writing. Developing abbreviations for frequently used phrases in your paper will help to avoid being flagged for plagiarism by the Turnitin tool.
You will need to include either a fourth randomized controlled trial or a clinical practice guideline (CPG) for this assignment. CPGs can be found on many web “warehouses”, including the AHRQ or NIH.
Abstract: on one page (less than 200 words), and includes the clinical problem, the objective or purpose of the paper, search engines & key words used, specific results, and conclusion. Hint: Review the abstract in one of the studies you located. The information in your paper should be similar in terms of content and format.
Introduction: Succinctly identify the clinical problem that requires an evidence-based solution. You may use systematic reviews, meta-analyses, or Cochrane reviews to document the significance of the topic in the introduction only. End the introduction with your PICOT question. You may refer to the Literature Table in this section.
Body/Content: (Use the bolded words below as headings)
Literature Search: Identify the databases that were used to search for the relevant literature (CINAHL, PubMed, etc.) and the key terms used. Be sure to include at least 3 sentences in all paragraphs.
Literature Review: Use a minimum of 3 peer reviewed, primary RCTs and one clinical guideline that informs the question. If there is no clinical guideline, find a 4th RCT.
You must use randomized controlled trials ONLY (systematic reviews or meta-analyses are not allowed in the literature review) [were the participants randomly placed into a control or intervention group? If not, then it is NOT an RCT].
If not already completed, create a literature table to summarize these key points, which will help you write this section. The table should be appended to the end of the paper.
Concisely summarize each RCT, writing a succinct paragraph stating the purpose, method/procedure, sample, measures, and specific results as they relate to the PICOT.
At the end of each paragraph that discusses the respective RCT, after discussing all aspects of the study (see previous bullet point), use the ‘RCT Appraisal Checklist’ to appraise the strengths and weaknesses of the study. All nine components of the ‘RCT Appraisal Checklist’ must be included in the strengths and weaknesses discussion. Do NOT include the authors’ review of literature.
Summarize the recommendations of the clinical guideline as it relates to the proposed practice change/PICOT.
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