Experiences Identifying Level 1 Evidence

Discussion 1

  • Share your experiences identifying Level 1 evidence to address the practice question below. Be specific and provide concrete examples.
  • PICOT Question: In adults with mental health or substance use disorders in rural communities, how does telehealth intervention compared to in-person treatment affect access to care and treatment outcomes over 6 months?
  • Explain how your PICOT did or did not assist you in identifying search terms to identify Level 1 evidence.
  • If you had difficulty finding Level 1 evidence, explain why. Describe what evidence you did find.

Resources

Discussion 2

Resources for discussion 2 only

Clark, K., Rödlach, A., Ballesteros, M., Davis, R., Holmes, L., Miller, J., Minnich, M., & Schultz, A. (2024). The role of doctor of nursing practice programs’ mission, vision, and values statements in the development of students’ professional identity: A qualitative study.Links to an external site. Nurse Education Today, 134, Article 106096. https://doi.org/10.1016/j.nedt.2024.106096

Fornili, K. S. (2022). Expanded conceptual framework for ethical action by nurses on the “further upstream and farther downstream” determinants of health equity.Links to an external site. Journal of Addictions Nursing, 33(3), 203–214. https://doi.org/10.1097/jan.0000000000000484

Green, C. (2022). Applying the Nightingale pledge in reducing health disparities: A hospital-acquired pressure injury case studyLinks to an external site.. Advances in Skin and Wound Care, 35(3), 180–183. https://doi.org/10.1097/01.asw.0000815492.11595.6

Khaghanizadeh M, Koohi A, Ebadi A, Vahedian-Azimi A. (2023). The effect and comparison of training in ethical decision-making through lectures and group discussions on moral reasoning, moral distress and moral sensitivity in nurses: A clinical randomized controlled trial.Links to an external site. BMC medical ethics, 24(1), Article 58. https://doi.org/10.1186/s12910-023-00938-5

Torkaman, M., Heydari, N., & Torabizadeh, C. (2020). Nurses’ perspectives regarding the relationship between professional ethics and organizational commitment in healthcare organizations.Links to an external site. Journal of Medical Ethics and History of Medicine, 13(17), 1–10. https://doi.org/10.18502/jmehm.v13i17.4658

Discussion

  • Review the Learning Resources above, paying special attention to the various ethical issues in nursing practice that are addressed.
  • Reflect on any ethical challenges in nursing you have personally experienced.
  • Identify the ethical challenge in nursing you selected.
  • Explain why you selected this ethical challenge and why you think it is important.
  • Describe the specific situation you experienced. Be specific and provide examples. Explain:
  • What happened?
  • How was it addressed by you and the other stakeholders involved?
  • Do you agree with the approach(es) that were taken?
  • Would you have done anything differently? If so, what?

experiences identifying Level 1 evidence

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