Comprehensive Literature Synthesis Essay 

Discussion

Purpose

The purpose of this discussion is to begin the analysis of evidence collected for your evidence-based intervention literature synthesis. By comparing and contrasting an excerpt of your research synthesis and discussing it with student colleagues, you will examine the analysis process.(Comprehensive Literature Synthesis Essay for Nursing Students)

A suggestion for identifying themes in the research articles is to read the research results and discussion sections for each article. The authors will discuss elements (or themes) that influenced the outcome or results. For example, the research articles focused on diet and exercise in reducing obesity in elementary or middle-school age children.  In the results section of the articles, the researchers talked about school and family support being integral to the success of the intervention. Some other research articles focused on culturally accepted foods that contributed to a successful outcome for the same intervention.(Comprehensive Literature Synthesis Essay for Nursing Students)

Instructions

Review this week’s readings and provide your response in 150 words or less:  

1.  State your practice question in PICOT format.  

2.  Examine the main themes in at least five (5) research articles demonstrating your intervention is effective in changing the practice problem and/or your outcome. (This research provides the strong support for an effective intervention)

3.  Explain why the intervention was selected. Cite at least five (5)  research articles in your discussion.(Comprehensive Literature Synthesis Essay for Nursing Students)

4.  Attach the Johns Hopkins table to this discussion with at least five (5) articles supporting your intervention. 

Refer to your completed Johns Hopkins Individual Evidence Summary Tool and the Johns Hopkins Research Evidence Appraisal Tool to answer this discussion question this week. If you need blank copies of the tools, they are located in the Student Resource Center under Project & Practicum Resources.(Comprehensive Literature Synthesis Essay for Nursing Students)

Use Grammarly and current APA format for the posts. Do not repeat the prompts in the post. Provide respectful and thought-provoking feedback to your student colleagues. Ask for clarification and elaboration if needed.

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

·     Link (webpage): DNP Discussion GuidelinesLinks to an external site.

Course Outcomes

This discussion enables the student to meet the following course outcomes:(Comprehensive Literature Synthesis Essay for Nursing Students)

1.  Synthesize scientific knowledge, theory, and practice expertise to inform evidence-based practice and impact outcomes. (POs 1, 3, 4, 5, 6, 9)

2.  Design an evidence-based translational science project to address a practice problem. (POs 1, 2, 3, 4, 5, 6, 7, 8, 9)

3.  Apply effective strategies in project design for managing practice problems in healthcare delivery at the micro, meso, and macro-system levels. (POs 1, 2, 3, 4, 5, 6, 7, 8, 9)

Comprehensive Literature Synthesis Essay for Nursing Students

PICOT

For adults with a history of schizophrenia in the outpatient setting, does the implementation of technology with motivational interviewing, compared with current practice, impact medication nonadherence in 8-10 weeks?(Comprehensive Literature Synthesis Essay for Nursing Students)

1. Examine the main themes in at least five (5) research articles demonstrating that your intervention effectively changes the practice problem and/or your outcome. (This research provides strong support for an effective intervention)

Five articles that demonstrate the efficacy of the chosen intervention, i.e., technology with motivational interviewing (MI) in improving medication adherence include Ertem & Duman (2019), Dobber et al. (2020), Harmacnci & Budak (2022), Inwanna et al. (2022), and Pupus et al. (2022). The main themes that emerged in Ertem & Duman (2019) include correct identification of psychotic features, disease awareness, and treatment adherence. In Dobber et al. (2020), a trusting relationship and empathy promote change, a core aspect of effective MI. Harmacnci & Budak (2022) identify MI techniques that promote adherence, psychological well-being, and hope. Inwanna et al. (2022) highlighted nurse-patient relationship, patient’s hesitation and treatment beliefs, cognitive abilities, involving family members to express their emotions, and educating patients on how to manage medication as crucial aspects of MI. Lastly, Pupus et al. (2022) identified MI adaptability to various settings.(Comprehensive Literature Synthesis Essay for Nursing Students)

2. Explain why the intervention was selected. Cite at least five (5) research articles in your discussion.

MI was selected because of its adaptability to many different settings (Pupus et al., 2022). Moreover, MI has significantly impacted medication adherence (Ertem & Duman, 2018); Dobber et al., 2020; Pupus et al., 2022; Harmacnci & Budak, 2022; Inwanna et al. (2022). MI is also associated with various mental health outcomes that promote medication adherence, such as hope and mental well-being (Harmacnci & Budak, 2022). These aspects of MI suggest that the intervention is evidence-based and can help mitigate medication nonadherence among schizophrenia patients in an inpatient facility.(Comprehensive Literature Synthesis Essay for Nursing Students)