Assignment 2

NSG 460: Research Methods for Evidence-Based Nursing Practice – Literature Review


Objectives: FLAS COMP 1: Effective Communication in Speaking and Writing    SLO 1.1

FLAS COMP 5: Mathematical Skills and Technology   SLO 5.2.1

Assignment Criteria:
Instructions:   Pick a topic from practice of interest to you. Begin finding and reviewing at least Twenty journal articles.  Five articles will be used for this Literature Review assignment.  (Five more will be added later for your Proposal, making a total of ten. The journal articles on the topic, must be no more than five years old (when possible), primary research conducted in the Unites States, or written in English and published in Peer-Reviewed journals.

The topic must be approved by faculty and pertain to one of the following five domains of nursing: Safety, Informatics, Client-Centered Care, Quality Improvement or Team-Work/Collaboration (other topics will not be accepted)

The Lit Review is the precursor to the Proposal–same topic. You will not have two different research topics going on here. You may look through the research you have already accumulated/done for High Acuity, Mental health or another course, and see if something would lend itself to the requirements for this course.

YOU MAY NOT USE A PREVIOUS TURNED IN PAPER contents for this proposal.

  • Do you see a similar theme or maybe a contrast or contradiction of opinions on nursing care/management/use as it pertains to your topic?
  • Would any of that lend itself to a research proposal on comparing/correlating/pilot study/clinical trial–or even a study to find out more information?

    The journal reviews you do for High Acuity, Mental Health, OB, etc. are to increase your knowledge base and to help you to better understand the aspects of various treatment modalities. In 460, you can use that info/lack of sufficient info to guide you in developing a proposed research study.

    In this course, you are developing a research idea, compiling the review of the literature that supports that this is important to nursing and that more work is needed, and learning how to create the proposal.


Assignment Directions continued (for Literature Review)

  1. Complete the set of 12 questions for each of these 5 articles. This form is found below and in MPC documents. Please start each article’s analysis on a different page, use APA format for author(s)’ names. (see the format below as 1a)


  1. Complete the grid, taking information requested from each article. Type authors’ names first name, last name in the grid only. When completing the Design column in the grid (Lit Review assignment) you identify the design format: quant. or qual. tradition, descriptive, correlation, etc.; using medical records reviews, surveys, interviews, etc. (see the format below labeled as 2a)


  1. Write up a Literature Review as you will use it in the final Proposal assignment: the narrative form (of the information in the CCL) will only include the material from that article that you would use to write the Lit Review section of your proposal. There is no need to compose paragraphs of all the information contained in the CCL for each of your articles. This narrative can serve as the “first draft” of the lit review section of your proposal. It will also serve as a template, as you will need to add more articles for the proposal assignment. BUT you just write the narratives/comprehensive, you do not add additional grids or 12-question write-ups. (see the format below labeled as 3a)
  2. What will be turned into me is the 5 CCLs (1a), the Grid (2a), and what you think will be the Lit Review section (3a) (with 5 articles written comprehensively – see examples below). This Lit Review portion will be folded into 5 more Lit Reviews to form part of your Proposal paper due later.














1a: Comprehensive Critique of Literature (CCL) Form

Directions: Fill-in-the-blank form to use before writing a comprehensive critique

Answer the 12 items for each of the five articles, separate page(s) for each article, title on first page of each CCL. (Additionally, this is the form that you will use for the four (4) HW assignments.)  Place in a Word Document with a Title Page and a Reference page in APA Format.



Comprehensive Critique of Literature

NAME: ___________________________________     DATE: ______________

Title of Article:

  1. Author(s) (5 pts.)
  2. Year of publication (5 pts.)
  3. Purpose/focus of study (5 pts.)
  4. Sample size and characteristics (5 pts.)
  5. Setting (5 pts.)
  6. Variables or factors of interest (10 pts.)
  7. Quantitative or qualitative research (5 pts.)
  8. Type of quantitative or qualitative study (5 pts.)
  9. Results (10 pts.)
  10. Conclusions; Usefulness in practice (15 pts.)
  11. Limitations of study (15 pts.)
  12. Your thoughts on the relevance of this article to nursing knowledge (15 pts.)

2a: Example of a Completed Literature Grid for the Lit Review assignment (next page)

The effects of regional anticoagulation agents in continuous renal replacement  vs. systemic
Authors Year Title Design Variables Other
H. K. Tan; I. Baldwin; R. Bellomo 2000 Continuous veno-venous hemofiltration without anticoagulation in high-risk patients Quantitative

Actual research design needs to be ID’d here

Ind. Variable: no anticoagulants

Dep. Variable: Lifespan of filter

M. Joannidis; J. Kountchev; M. Rauchezauner; N. Schusterschitz; H. Ulmer; A. Mayr; R. Bellmann 2007 Enoxaparin vs. unfractionated heparin for anticoagulation during continuous veno-venous hemofiltration: A randomized controlled crossover study Quantitative

Randomized controlled crossover design

Ind. Variables:

Enoxaparin vs. Heparin

Dep. Variables: Effects

R. Bellomo; H. Teede; N. Boyce 1993 Anticoagulation regimens in acute continuous hemodiafiltration Quantitative

See above entry for 1st article

Ind. Variables: Regional vs. systemic anticoagulation

Dep. Variables: Effects

L. P. Fabbri; M. Nucera; M. Al Malyan; C. Becchi 2010 Regional anticoagulation and antiaggregation for CVVH in critically ill patients: A prospective, randomized controlled pilot study Quantitative Prospective, randomized controlled pilot study Ind. Variables:

Pre-filter vs. systemic anticoagulation

Dep. Variables: Effects

H. T. Davies; G. Leslie; S. M. Pereira; S. A. R. Webb


2008 A randomized comparative crossover study to assess the effect on circuit life of varying pre-dilution volume associated with CVVH and CVVHDF Quantitative Randomized comparative crossover study Ind. Variables: Varying Pre-Dilution Volume, CVVHF vs. CVVHDF

Dep. Variable: circuit life




The above is an example of a Completed Literature Grid for the Lit Review Assignment

  1. Title above the grid reflects proposal topic
  2. Authors: Initials then last name; okay to separate authors names with (;) as above for this grid. Use whatever initials are given by the author(s) in the article, or use initials of first and/or first and/or middle name. First and/or middle names are not used, unless more than one author has the same initials.
  3. Year: year of publication of the article
  4. Title: type it exactly as it appears on the article “title page” or as above. Remember that proper names/nouns are capitalized, most medical term abbreviations (e.g. CVVH) are capitalized—when writing any narrative/paragraph/paper, APA requires that the term be written out the first time, with the abbreviation in ( ); then the abbreviation alone can be used in the rest of the paper. I’m not requiring that rule be obeyed in this grid: takes up too much space. In this instance, I could figure out what CVVH stands for from the Tan, et al. (2000) article title. However, I didn’t want to take a stab at defining CVVHDF. Maybe it stands for the term (underline added) in the Bellomo, et al. (1993), with veno-venous also added to it.
  5. Research Design: this student actually only ID’d the research tradition (qualitative, quantitative). Three of the five articles had the research design included in the titles. You would find the research design ID’d in one or more of the sections in the article: Methods, Design—not the Abstract!!
  6. If the quantitative research design is a comparison, correlation, or pilot study or a trial of some kind, the variables need to be ID’d as independent (Ind.) or dependent (Dep.). If the research design is qualitative, leave this column blank and list the variables in “Other”, ID’d as “study variables” or “research variables”.

I purposely left my suggestions/corrections intact (in red) so that you could see what I was explaining within the grid.


3a:  Example of a Comprehensive Critique Review. This is a sample of how you might write your literature review part for ‘one article’.  You will need to write for all 5 articles for this assignment.  *You may also review a sample paper found in MPC documents.

Raffelli and Jackson (2004) studied the effect of massage on the number of sick days taken by emergency-room nurses in three busy urban hospitals. Using an experimental design, 100 nurses were consented and told that they would all receive massage treatment for a period of six months every night they worked, either immediately or at the conclusion of data collection. Nurses who consented to participate were randomly assigned to either the immediate massage group or control group (with massage after study completion).

Nurses who received a massage on all nights that they worked took significantly fewer sick days (p <.05). On closer examination, the authors found that the significance lay in sick days taken for physical injury, both on the job and off the job. Although the incidence of respiratory illness was not statistically significant when groups were compared, nurses in the massage group had fewer respiratory illness-sick days than did the control group. Incidence of gastrointestinal illness did not differ between groups.

Raffelli and Jackson concluded that massage was effective in decreasing the number of sick days taken by emergency-room nurses in one city. Replication in other geographic areas is necessary for any recommendation to implement this strategy for hospital nurses. However, a trial of the intervention, although expensive, appears benign, even if the results could not be replicated.

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