critical appraisal

To Prepare:

Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT. 

Deemer K, Zjadewicz K, Fiest K, Oviatt S, Parsons M, Myhre B, and Posadas-Calleja J. Effect of early cognitive interventions on delirium in critically ill patients: a systematic review. Can J Anaesth. 2020 Aug;67(8):1016-1034. doi: 10.1007/s12630-020-01670-z. Epub 2020 Apr 24. PMID: 32333291; PMCID: PMC7222136 

Guerra, C. S., Koyfman, A., Cooper, B. W., Gourley, S., Wang, L., & McNamara, R. M. (2019). The association between delirium and mortality in older adults: a systematic review and meta-analysis. The American Journal of Emergency Medicine, 37(5), 913-917.  

• Salluh JI, Wang H, Schneider EB, Nagaraja N, Yenokyan G, Damluji A, Serafim RB, Stevens RD. Outcome of delirium in critically ill patients: systematic review and meta-analysis. BMJ. 2015 Jun 3;350:h2538. doi: 10.1136/bmj.h2538. PMID: 26041151; PMCID: PMC4454920. 

Wang C, Chen Q, Wang P, Jin W, Zhong C, Ge Z, Xu K. The Effect of Dexmedetomidine as a Sedative Agent for Mechanically Ventilated Patients with Sepsis: A Systematic Review and Meta-Analysis. Front Med (Lausanne). 2021 Dec 13; 8:776882. doi: 10.3389/fmed.2021.776882. PMID: 34966760; PMCID: PMC8711777 

Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection. 

PICOT Topic 

•P (Patient or Problem): Patients in the ICU with sepsis and delirium 

• I (Intervention): Potential interventions for prevention and management  

•C (Comparison): Standard care without the interventions 

• O (Outcome):  Cost and general factors (e.g., length of hospital stays, patient outcomes) 

• T (Time): During their ICU stay. 

Consider the best method of disseminating (Virtual conferences and webinars) The Assignment: (Evidence-Based Project) 

Part 4: Recommending an Evidence-Based Practice Change 

Create a Narrated PowerPoint presentation in which you do the following: 

Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.) 

Describe the current problem or opportunity for change. Include in this Question the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general. 

Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered. 

Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation. 

Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy. 

Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change. 

Provide citations of the supporting evidence-based, peer-reviewed articles you selected to support your thinking. 

Add a lesson learned section that includes the following: 

A summary of the critical appraisal of the peer-reviewed articles you previously submitted