NR715 Week 7 Assignment | Synthesis Paper
NR715 Week 7 Assignment | Synthesis Paper – Step-by-Step Guide With Example Solution
The first step before starting to write the NR715 Week 7 Assignment | Synthesis Paper is to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment.
It is also important to identify the paper’s audience and purpose, as this will help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, review its use, including writing citations and referencing the resources used. You should also review the formatting requirements for the title page and headings in the paper, as outlined by Chamberlain University.
How to Research and Prepare for NR715 Week 7 Assignment | Synthesis Paper
The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify a list of keywords related to your topic using various combinations. The first step is to visit the Chamberlain University library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from the Chamberlain University Library, PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last 5 years and go through each to check for credibility. Ensure that you obtain the references in the required format, such as APA, so that you can save time when creating the final reference list.
You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next, create a detailed outline of the paper to help you develop headings and subheadings for the content. Ensure that you plan what point will go into each paragraph.
How to Write the Introduction for NR715 Week 7 Assignment | Synthesis Paper
The introduction of the paper is the most crucial part, as it helps provide the context of your work and determines whether the reader will be interested in reading through to the end. Begin with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.
How to Write the Body for NR715 Week 7 Assignment | Synthesis Paper
The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence collected from the research, and ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance, as well as how it relates to the thesis statement. You should maintain a logical flow between paragraphs by using transition words and a flow of ideas.
How to Write the In-text Citations for NR715 Week 7 Assignment | Synthesis Paper
In-text citations help readers give credit to the authors of the references they have used in their work. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:
“The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Morelli et al. (2024), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Alawiye (2024) highlights that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.”
How to Write the Conclusion for NR715 Week 7 Assignment | Synthesis Paper
When writing the conclusion of the paper, start by restating your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper by restating them. Discuss the implications of your findings and your arguments. Conclude with a call to action that leaves a lasting impression on the reader or offers recommendations.
How to Format the Reference List for NR715 Week 7 Assignment | Synthesis Paper
The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically, and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication.
Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:
References
Morelli, S., Daniele, C., D’Avenio, G., Grigioni, M., & Giansanti, D. (2024). Optimizing telehealth: Leveraging Key Performance Indicators for enhanced telehealth and digital healthcare outcomes (Telemechron Study). Healthcare, 12(13), 1319. https://doi.org/10.3390/healthcare12131319
Alawiye, T. (2024). The impact of digital technology on healthcare delivery and patient outcomes. E-Health Telecommunication Systems and Networks, 13, 13-22. 10.4236/etsn.2024.132002.
NR715 Week 7 Assignment | Synthesis Paper Instructions
Purpose
The purpose of this assignment is to present a revised evidence synthesis paper using the Week 5 submission, integrating course faculty feedback. This includes revising all parts of the assignment as recommended as well as the Johns Hopkins Individual Evidence Summary Tool. Also, please add new content identified below (Selection of Translation Science Model – 6f). Have a look at NR716 Week 1 Discussion | The Evidence-Based Intervention.
Instructions
Follow these guidelines when completing the assignment. Contact your course faculty if you have any questions.
Review the directions and complete the Johns Hopkins Individual Evidence Summary Tool. Use the 3 articles: 2 quantitative and 1 qualitative used in Weeks 3, 4, and 5. These must be recent research articles less than 5 years old and be related to a National Practice Problem.
Link (Word doc): Johns Hopkins Individual Evidence Summary Tool.
Use the most current version of Microsoft Word that is the format for all Chamberlain University College of Nursing. You can tell the document is saved as the current version because it will end in \”docx.\”
All Chamberlain University policies related to plagiarism must be observed. This written assignment will be screened for originality by Turnitin.
Revise the paper from Week 5, including course faculty feedback and adding the new section (6f).
Review the rubric for the grading criteria.
The assignment includes the following components:
Title Page
Introduction
Introduce the practice problem.
Discuss sources of research evidence identified in Weeks 3, 4, and 5.
Analysis of the Practice Problem (1-2 paragraphs)
Present the significance of the practice problem.
Present the prevalence of the practice problem from the selected articles.
Evidence Synthesis: Using the three articles (2 quantitative and 1 qualitative), write a synthesis of evidence to address the selected practice problem. In the synthesis of evidence include the following:
Identify the main themes and salient evidence that emerge from the sources. (Cited)
Compare and contrast the main points from all sources. (Cited)
Present an objective overarching synthesis of research evidence about the practice problem. (Cited)
Appraisal of the Evidence to Address the Practice Problem: Include the following:
Identify the level of evidence.
Provide a quality rating of the evidence.
Appraise and support the suitability of the evidence to address the practice problem.
Selection of a Translation Theory or Model (1-2 paragraphs)
Present the components of the theory.
Discuss how stakeholders are integrated into the design of the theory or model.
Conclusion
In one concise paragraph, provide a clear and logical conclusion summarizing the paper.
Summary Table: Complete all sections of the Summary Tables of Evidence using the Johns Hopkins Individual Evidence Summary Tool. Include the following:
Two quantitative research studies (identified in Week 3 & 4 Discussion).
One qualitative research study (identified in Week 5 Discussion).
Complete all sections completely and identify the quality and the levels of evidence.
Appendix A
Attach the completed Johns Hopkins Summary Tool as Appendix A.
Writing Requirements (APA format)
Length: 5-7 pages (not including title page or references page)
1-inch margins
Double-spaced pages
12-point Times New Roman or 11-point Arial font
Headings & subheadings
In-text citations
Title page
References page
Standard English usage and mechanics
Revisions based on course faculty feedback from Week 5 Assignment
Course Outcomes
This assignment enables the student to meet the following course outcomes:
Appraise the role of the DNP-prepared nurse in leading collaborative teams across the diverse healthcare systems. (POs 1, 2, 4, 7, 8, 9)
Critically appraise literature for level and quality of evidence to support practice change. (POs 1, 3, 5, 6, 7)
Appraise global healthcare practice problems and DNP practice relevant to advanced nursing practice. (POs 1, 3, 9)
Evaluate and integrate ethical principles and theories relevant to translation science theories and quality improvement (QI) methods. (POs 3, 4, 5, 6, 7)
Evaluate the structure and function of the interprofessional team and stakeholders in the translation of evidence. (POs 4, 6, 8, 9)
Due Date
By 11:59 p.m. MT on Sunday
Late Assignment Policy applies
NR715 Week 7 Assignment | Synthesis Paper Example
Synthesis Paper
Synthesis of evidence is a process of systematically identifying, selecting, and compiling information from different sources to inform a particular topic or assist in decision-making on a certain issue. It should be unbiased to produce evidence that can identify gaps in research, inform policy development and changes, and practice. This paper focuses on the evidence synthesis of the diabetes national practice problem, based on two quantitative and one qualitative articles. The level and quality of evidence, a translation science model, and the integration of stakeholders using the selected model.
Introduction of the National Practice Problem
Diabetes is the selected national practice problem. It has long been identified as a practice problem following high pressure on the healthcare system and various health populations. Diabetes is a group of chronic metabolic conditions characterized by high blood glucose levels due to problems in regulation or having low to no insulin in the body. The three types of diabetes are type 1, type 2, and gestational diabetes. Type 2 diabetes is the most common type, which occurs when the body is resistant to insulin or does not produce enough insulin. Type 1 diabetes, however, is where the body makes little to no insulin. Gestational diabetes occurs in pregnancy and disappears after birth. However, individuals with gestational diabetes are more likely to have type 2 diabetes later.
Diabetes prevalence, new cases and complications have significantly increased in the past few decades. About 422 million people are diabetic globally, with most of them coming from low and middle-income countries. Diabetes is attributed to 1.5 million deaths annually. Healthy People 2030 (n.d.) notes that over 30 million people in the US are diabetic, and they are not aware of it. More so, diabetes is the seventh leading cause of death and the costliest to manage and treat.
Sources of Research Evidence
The qualitative article is “Challenges to Diabetes Self-Management for Adults with Type 2 diabetes in Low-Resource Settings in Mexico City: A Qualitative Descriptive Study” by Whittemore et al. (2019). The research in this article studied the perceptions of type 2 diabetes patients and care providers to identify the challenges patients from low-resource settings encounter in diabetes self-management. The findings are that challenges faced by type 2 diabetes patients in diabetes self-management include inadequate social support and resources, difficulties in lifestyle modification, and mental health issues.
The first quantitative article is “Factors influencing Healthcare Providers’ attitude and willingness to use information technology in diabetes management” by Seboka, Yilma & Birhanu (2021). With the increasing use of healthcare technology, this study aims to understand the willingness and attitudes of healthcare providers towards using information technology in managing diabetes patients. The findings are that care providers are willing and have a positive attitude toward using information technology to help diabetes patients.
The second quantitative article is “Diabetes and the Risk of Hospitalization for Infection: The Atherosclerosis Risk in Communities (ARIC) Study” by Fang et al. (2021). The study’s primary objective was to identify and assess the relationship between diabetes and the risk of infection-associated hospitalization and mortality. The study found that diabetes confers a higher risk for infection-related hospitalization.
Analysis of the Practice Problem
The significance of the diabetes practice problem is felt locally, nationally, and globally. Type 2 diabetes is the main type of diabetes and a significant cause of diabetes complications. Diabetes complications include vision loss, diabetic foot leading to amputations, and retinopathy. Despite being expensive, diabetes complications are the major cause of the cost rise in diabetes treatment and management. The high costs exert pressure on the healthcare system, the individual and the family. The patient is required to adjust their lifestyle to suit diabetes self-management and care. Additionally, disparities exist in diabetes care access, affecting different populations disproportionately. Patients from low-resource settings face numerous challenges in managing their diabetes. Diabetes is also a leading cause of hospitalization, morbidity and mortality.
Significance and Prevalence of the Practice Problem
The impact of diabetes on an individual is mainly seen in their quality of life. Diabetes increases the risk of comorbidities and early death. Its complications may also lead to life-threatening conditions and disabilities. Diabetes is associated with cardiovascular conditions, stroke, blindness, amputations, and kidney failure. More so, research shows a profound relationship between diabetes, various cancers, and hearing loss (Abudawood, 2019). Stigmatization of diabetes in the communities exists, leading to poor social relationships that affect the attitude toward diabetes self-management, increasing the risk of complications.
Furthermore, diabetes negatively impacts patients’ mental health through anxiety, depression and diabetes-related distress. As mentioned earlier, about 422 million people have diabetes. About 10.5% of the US population has diabetes, yet most are unaware. About 95% of the total diabetes cases are type 2 diabetes cases, mainly caused by obesity and physical inactivity (WHO, n.d.). About 9 million people worldwide have type 1 diabetes, with a majority of them living in high-income countries.
Evidence Synthesis
The selected articles can adequately contribute to addressing the practice problem. The main themes in the 1st, 2nd, and 3rd articles are diabetes self-management in low-resource settings, diabetes management and healthcare technology, and diabetes and hospitalization risk, respectively. These are vital aspects of diabetes as a practice concern. Given the disparities in diabetes, more so in type 2 diabetes, self-management in low-resource settings informed the understanding of its prevalence and how the problem can be addressed. Healthcare technology, on the other hand, is resourceful in diabetes management, and helps improve patient outcomes. Additionally, diabetes and its contribution are significant causes of hospitalization.
The salient evidence emerging from the sources suggests that addressing the challenges faced by diabetes patients in self-management can significantly improve their health outcomes and quality of life. More so, care providers should be trained on the use of emerging diabetes management technology to improve care delivery to diabetes patients. Appropriate diabetes care and management reduces the risk of complications, infections and hospitalization.
The three sources have diabetes management as the major theme in common. They also share a similar aim: to understand diabetes management, thereby reducing complications, hospitalizations, and mortality rates. However, the first source focuses on the challenges patients face in diabetes self-management, the second examines the use of healthcare technology in diabetes management, and the third focuses on diabetes and the risk of hospitalization. In addition, the first and third sources emphasize the diabetes burden on patients from low-resource settings. On the contrary, the second source’s main focus is on the care providers and does not mention any population.
The overall objective for the practice problem, as evident in the evidence presented in the sources, is that proper diabetes management, particularly self-management facilitated by healthcare technology, can help mitigate diabetes complications and hospitalizations, thereby improving health outcomes and quality of life for diabetes patients.
Appraisal of the Evidence to Address the Practice Problem
Both quantitative sources present a level of evidence 3, while the qualitative source has a level of evidence 5. Quantitative experimental studies fall under the level of evidence 3, while qualitative studies present a level of evidence 5. The evidence from these sources is valid and reliable, as the methodologies used in the research are known to yield reliable results. Additionally, understanding the practice problem acquired from these sources can contribute to addressing it.
The quality rating of the evidence is level A since the recommendations are based on consistent, sound, and reliable scientific evidence. The evidence obtained from the above-discussed sources adequately addresses the practice problem. However, I believe that adequately addressing a practice problem such as diabetes requires consideration of disease prevention, rather than management and treatment alone. The sources of evidence discussed above did not mention how new cases of diabetes can be prevented, which is an essential factor in addressing the problem. However, it is worth noting that there is no known prevention for some types of diabetes, including type 1 and gestational diabetes.
Translation Science Model and its Components
The selected translation science model that can be used in addressing the practice problem is the RE-AIM framework. RE-AIM is a translation science model initially developed to enhance the planning, evaluation, and implementation of public health evidence-based programs and interventions (Titler, 2018). It emphasizes five significant dimensions: reach, effectiveness, adoption, implementation, and maintenance.
According to Esmail et al. (2020), RE-AIM is currently applied in planning the implementation stages of various healthcare areas, including disease management, prevention, and health promotion, across diverse settings. It is also used to report the results of evidence-based practice implementation. Diabetes affects the entire society, with its effects felt across different health populations. It mandates the healthcare system to carry out proper diabetes management, prevention, and health promotion using best practices and evidence-based approaches. Therefore, the RE-AIM model can perfectly address the practice problem.
Stakeholder Integration into the RE-AIM Model
Stakeholder integration into the RE-AIM model, while addressing the practice problem, is essential for influencing the successful implementation of addressing the practice problem. Among the stakeholders who will be part of the interprofessional team implementing practice change are the American Diabetes Association, diabetes support groups, nurses, doctors, endocrinologists, nutritionists, and community groups. Each of these stakeholder groups will impact the implementation of the project, as they include individuals who will be affected by the outcome of the practice change and those who will participate in its implementation. The care providers and diabetes patients will be in the model’s implementation, adoption, and maintenance parts. The American Diabetes Association will be a valuable resource in evaluating the effectiveness of the steps taken to address the practice problem.
Conclusion
Diabetes is a significant health concern and a national public health problem. It is the most expensive health condition to treat and manage. Research is used to inform evidence-based practice in diabetes treatment and management. The synthesis of evidence from the three research articles discussed above can adequately contribute to addressing the practice problem. The central theme of the evidence presented above is the management of diabetes patients. The quality of evidence is high, as it is justifiable, applicable, and reliable in addressing the practice problem. The RE-AIM translation science model can be used to facilitate the implementation of the practice problem change. Stakeholder integration in the translation science model is essential in ensuring the successful implementation of diabetes practice problem change.
References
Abudawood, M. (2019). Diabetes and cancer: a comprehensive review. Journal of Research in Medical Sciences: The Official Journal of Isfahan University of Medical Sciences, 24. https://doi.org/10.4103%2Fjrms.JRMS_242_19
Esmail, R., Hanson, H. M., Holroyd-Leduc, J., Brown, S., Strifler, L., Straus, S. E., Niven, D., & Clement, F. M. (2020). A scoping review of full-spectrum knowledge translation theories, models, and frameworks. Implementation Science, 15(1), 1-14. https://doi.org/10.1186/s13012-020-0964-5
Fang, M., Ishigami, J., Echouffo-Tcheugui, J. B., Lutsey, P. L., Pankow, J. S., & Selvin, E. (2021). Diabetes and the risk of hospitalization for infection: the Atherosclerosis Risk in Communities (ARIC) study. Diabetologia, 64(11), 2458-2465. https://doi.org/10.1037/hea0000710
Healthy People 2030. (n.d.). Diabetes, Overview, and Objectives. Retrieved from https://health.gov/healthypeople/objectives-and-data/browse-objectives/diabetes
Seboka, B. T., Yilma, T. M., & Birhanu, A. Y. (2021). Factors influencing healthcare providers’ attitude and willingness to use information technology in diabetes management. BMC Medical Informatics And Decision Making, 21(1), 1-10. https://doi.org/10.1186/s12911-021-01398-w
The World Health Organization. (n.d.). Diabetes. https://www.who.int/health-topics/diabetes#tab=tab_1
Titler, M.G. (2018). “Translation Research in Practice: An Introduction.” OJIN: The Online Journal of Issues in Nursing, 23(2). https://doi.org/10.3912/OJIN.Vol23No02Man01
Whittemore, R., Vilar-Compte, M., De La Cerda, S., Marron, D., Conover, R., Delvy, R., Lozano, A. M. & Pérez-Escamilla, R. (2019). Challenges to diabetes self-management for adults with type 2 diabetes in low-resource settings in Mexico City: a qualitative descriptive study. International Journal For Equity In Health, 18(1), 1-10. https://doi.org/10.1186/s12939-019-1035-x
