Methodist College 331 Evidence-Based Practice Annotated Bibl ✓ Solved

methodist Collegen331 Evidence Based Practiceannotated Bibliography A

This assignment involves creating an APA-formatted annotated bibliography with a minimum of four scholarly sources related to a PICOT question in healthcare. Each citation should be followed by an indented, single-paragraph annotation of about 250 words that summarizes and/or critically evaluates the source. The annotation must include information on the main ideas, methodology, relevance to the research topic, the author’s expertise, biases, strengths, weaknesses, and its utility in the research context. The bibliography should be organized by topic if lengthy, and all sources should be credible, academic, and relevant to the PICOT question.

The process involves citing each source properly, analyzing its contribution, comparing it with other sources, and assessing its quality and relevance. The format requires double-spacing, no extra lines between citations, and objective, third-person language throughout.

Sample Paper For Above instruction

In conducting research for evidence-based practice regarding the prevention of deep vein thrombosis (DVT) in immobile post-surgical patients, it is essential to examine the effectiveness of mechanical prophylaxis methods such as sequential compression devices (SCDs) and leg exercises. These interventions are common strategies used in hospital settings to reduce DVT risk, yet their efficacy varies depending on patient conditions, mobility levels, and adherence. Leading research, including studies by Manici, Alemanno, & Nuzzaco (2018), highlights that SCDs promote venous blood flow, particularly when combined with leg exercises, but their effectiveness can be limited by patient mobility and compliance issues. Their work underlines that active leg exercises can significantly enhance venous return if patients are physically able and willing to perform them, which may not always be feasible in post-operative patients experiencing pain or weakness. Conversely, Snyder et al. (2017) investigated the comparative effectiveness of mechanical prophylaxis, emphasizing that while SCDs are widely used due to patient comfort and perceived effectiveness, their benefits might be constrained by immobility and short-term application, especially in long bed-rest scenarios. They advocate for a tailored approach based on patient assessment and activity level. Tanaka et al. (2016) further contribute by discussing the limitations of leg exercises in post-surgical patients who often experience fatigue and discomfort, reducing their capability to perform effective exercises independently. These studies collectively suggest that while both methods are integral to DVT prevention, their success heavily depends on individual patient factors, underscoring the need for personalized prophylactic strategies. Critical evaluation reveals that while SCDs provide passive intervention with consistent benefits, active exercises offer dynamic benefits but require patient cooperation. This indicates that an optimal DVT prevention protocol should incorporate both methods, tailored to each patient's physical status and mobility capacity.

References

• Manici, M., Alemanno, G., & Nuzzaco, M. I. (2018). Venous Thromboembolism Prevention and Prophylaxis. In Nursing in Critical Care Setting (pp. 45-58). Springer, Cham.
• Snyder, M. A., Sympson, A. N., Scheuerman, C. M., Gregg, J. L., & Hussain, L. R. (2017). Efficacy in deep vein thrombosis prevention with extended mechanical compression device therapy and prophylactic aspirin following total knee arthroplasty: a randomized control trial. The Journal of Arthroplasty, 32(5), 1520-1527. https://doi.org/10.1016/j.arth.2017.02.028
• Tanaka, K., Kamada, H., Shimizu, Y., Aikawa, S., Nishino, T., Ochiai, N., & Yamazaki, M. (2016). The use of a novel in-bed active Leg Exercise Apparatus (LEX) for increasing venous blood flow. Journal of Rural Medicine, 11(1), 11-16. https://doi.org/10.2185/jrm.11.11
• Dhakal, P., Wang, L., Gardiner, J., Shrotriya, S., Sharma, M., & Rayamajhi, S. (2019). Effectiveness of Sequential Compression Devices in Prevention of Venous Thromboembolism in Medically Ill Hospitalized Patients: A Retrospective Cohort Study. Turkish Journal of Hematology, 36(2), 150-156. https://doi.org/10.4274/tjh.galenos.2019.2019.0022
• Carvalho, B., Zheng, L. L., & Butwick, A. (2017). Comparative Effectiveness of Lower Leg Compression Devices Versus Sequential Compression Devices to Prevent Postspinal Hypotension During Cesarean Delivery. Anesthesia & Analgesia, 124(2), 696-697. https://doi.org/10.1213/ANE.0000000000001873