Do you have sufficient evidence to support your clinical problem statement?

The literature review allows you to familiarize yourself with relevant research, the best evidence problem and purpose statement, and gaps in knowledge related to the topic. You will create a 4-5 page paper (excluding the title page, reference page, and appendix G and H) following the rubric criteria. Grading Rubric for Literature Search Strategies, Literature Review & Syntheisis of the Literature Literature Search Strategies (20 points) Literature Review (25 points) Synthesis of the Literature (25 points) Supporting Documents/Tools (Appendix G and Appendix H) (20 points) Scholarly Writing and APA (10 points) Some Guiding Questions to consider: Which databases will you use to guide your search: Pubmed and CINAHL Have you entered a date range to look for the most recent literature? 10 years Which search terms will you use? Consider various search terms (key terms) and combinations. For example, “readmission” might be noted as “rehospitalization” in the literature. How will you narrow down to a final selection of articles? Will you exclude specific populations, only include hospital settings, exclude articles not in English? Do you have sufficient evidence to support your clinical problem statement? CLINICAL PROBLEM : Veterans who receive care in the outpatient ambulatory services are not screened and referred to palliative care resulting in the underutilization of palliative care hospice services for veterans. Can the lack of providing early discussion and end of life planning for veterans with chronic medical conditions lead to a reduction and late referral to hospice and palliative care services in the Veterans Medical System? Have you selected and utilized a tool to assist you in organizing the literature and taking notes (e.g. Zotero and Reference Matrix)? Based on how you have organized the literature and taken notes, organize, interpret, and explain the literature. What are the relationships? What are the major differences? Utilize Appendix G, to gather your evidence (Individual Evidence Summary Tool): Appendix G /content/enforced/1242603-2024SP-BRK-NDNP7102-7072/Appendix G 2022 Final.docx In Appendix G, you will note the last column states “notes to team.” For the purposes of this class you can put N/A. For the “Reviewer Name” this will be the student. You may use clinical guidelines, best practice guidelines, integrative reviews, meta-analyses, systematic reviews, and research (quantitative and qualitative studies).

Do not review quality improvement articles. Appendix D (Hierarchy of Evidence Guide) can assist you in determining the levels of evidence for each article. Appendix D /content/enforced/1242603-2024SP-BRK-NDNP7102-7072/Appendix D 2022 Final.docx Referring to completed Appendix G, complete Appendix H (Synthesis and Recommendations Tool). Appendix H /content/enforced/1242603-2024SP-BRK-NDNP7102-7072/Appendix H 2022 Final.docx After completion of Appendix H, use it to write the synthesis of the literature. The synthesis includes the evidence, barriers, gaps, and overall findings. Overall, note the levels of evidence of the body of literature (see Appendix D). How does the synthesis inform your clinical problem statement?

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