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Background or introduction of the problem/topic – in this section of your paper
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Background or introduction of the problem/topic – in this section of your paper you discuss why your PICOT population/problem needs to have an intervention strategy and comparison strategy reviewed. Your writing of the background will identify and describe the history and nature of your population/problem referencing existing literature, appropriate context of the problem in relation to theory, research, and/or practice, its scope. Background information does not replace the evaluation of literature section; it is intended to place the research population/problem in a proper context without bias towards either strategy. You may find research studies which examine the two strategies you have identified and this type of research study can be referenced in this section.
PICOT question – state your approved PICOT question here, this is not a problem statement. (Groves & Gray, p390-391)
Purpose of the paper – This section of your systematic review states the purpose, which is to conduct evidence based literature research and analysis to answer your PICOT question. This will be accomplished by comparing what evidence-based literature has to say about your I (intervention) strategy and your C (comparison) strategy. Your purpose statement presents the reason, scope, and direction of the paper. It tells the reader what to expect in a paper and what the specific focus will be. To minimize bias, you should not state an opinion in this section. This section is not long. Please note, you are not conducting original research.
Literature search strategy- this section includes the names of databases you used, research terms you used for research, research terms you eliminated in research (and why), research terms you included (and why), years of research included, types of journals reviewed, the type of studies, the number of journals reviewed, any problems encountered….. (Groves & Gray, Table 13.1, p391-392). This should be written so a peer could duplicate the process.
Evaluation of the Literature- in this section you analyze/assess/interpret the research articles from primary sources you selected to answer your PICOT question. Questions to ask for analysis: Does the literature utilize qualitative or quantitative studies? What are the sample sizes? What are the locations? Are they similar? Were the findings similar? You should include at least three (3) original research articles from primary sources which examine the I (intervention) strategy and at least three (3) different original research articles from primary sources which examine the C (comparison) strategy. By investigating, reading, analyzing, and interpreting EB literature which discusses the good and bad of both the intervention strategy and the comparison strategy, you minimize bias (Groves & Gray, Ch12).
Use a subheading to identify your analysis of scholarly research on your intervention strategy and use a subheading to identify your analysis of scholarly research on your comparison strategy. Summary of the evaluation of literature – in this section you clearly state the results of your evaluation of literature, whether the intervention strategy or the comparison strategy is better and why. This section restates the main elements or attributes of the evaluation which have been discussed already.
Include a section discussing implementing change in healthcare – in this section you may choose to have personal communications with your leaders in your organization or in your community about change. You can include information on what the process is to implement change at your healthcare facility by asking your Unit Practice Council, Manager, about the change process. Support the findings with literature on change. You can write generically about implementing change in healthcare identifying an evidence-based practice model you could use to facilitate change… Be sure to use APA format to CITE personal communication!!
Include a section discussing barriers to change – in this section you will discuss barriers/blockades to change in the healthcare setting. There is EB literature available which generically discusses barriers to change in healthcare. You may also your discuss change with your leaders, as they may identify barriers to change in your organization. Cite them and find a scholarly source to support their input. Be sure to CITE with evidence!!
Conclusion of findings – This section has three to four paragraphs, synthesizing and wrapping up the topic: restating the PICOT question, restating the analysis/evaluation of literature research findings, how change can or may occur and barriers to change. You present the implications, recommendations, findings, gaps in research identified, next step/areas of needed research or future areas to be examined and lessons learned from your evaluation/analysis, change discussion, and barriers discussion. References page APA 7th edition formatted with ten (10) or more scholarly references.
A reminder, your systematic review should be APA 7th edition formatted, use headings, use APA 7th edition format in text references, and be 6-12 pages (double spaced) long. Not included in the page count, but required, an APA 7th edition formatted title page and reference(s) page.
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