Integrative review
Purpose
In this course, students will complete a DNP Project Integrative Review Paper of their proposed DNP project; this is a revision and extension of the approved project proposal that was developed in NR702: DNP Project & Practicum I, the literature synthesis completed in NR705: DNP Project and Practicum II, and the case study completed in NR707: DNP Project and Practicum III. The completed DNP Project Integrative Review Paper will provide a detailed account of the evidence related to the practice problem, evidence to support the proposed intervention, and further recommendations based on the current body of evidence.
Course Outcomes
This assignment enables the student to meet the following course outcomes.
CO1: Evaluate the outcomes of the DNP Project using narrative and statistical methods. (POs 3, 5 and 6)
CO2: Develop a comprehensive plan for communicating the results of the evaluation of DNP Project for determination of sustainability and replication. (POs 5 and 6)
CO3: Engage in a process of self-assessment and career planning through the development of an electronic professional portfolio to demonstrate growth and development, achievement of program outcomes, and DNP sub-competencies as designated in the AACN DNP Essentials (POs 6, 7, and 8).
CO4: Uses project management processes to implement the DNP project (POs 4 and 8)
Points
This assignment is worth a total of 250 points.
Due Date
Submit to the Dropbox by the end of Week 4, Sunday, at 11:59 p.m. MT.
Requirements
- To complete this assignment, you will need to review the grading rubric carefully and consider how to incorporate each required criterion into the integrative review paper. The integrative review paper is an extension of the project proposal that you completed in NR702, the literature synthesis completed in NR705, and the case study completed in NR707.
- The DNP Integrative Review Paper is worth 250 points and will be graded on quality of information, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric. All evaluation criteria must be acceptable to earn the 250 points and pass this course.
- Create your manuscript using Microsoft Word (a part of Microsoft Office), which is the required format for all Chamberlain College of Nursing documents. You can tell that the document is saved as a MS Word document because it will end in “.docx”
- The length of the paper will vary based on the results reporting. The paper should include title page, abstract, body, reference pages, and appendices. The following are estimates for length of each section.
Title Page
Abstract
The abstract (150-200 words) is structured by subheadings to include Introduction, Research Methodology, Results and Discussion, and Conclusions and Further Recommendations.
Introduction
The introduction section contextualizes the topic of the review and explains its significance. It discusses the need for assessing the topic and the relevance and importance of the topic to the reader. It also identifies the general research question or problem statement underlying the review.
- Introduction: (1-2 paragraphs)
- Practice Problem Statement: (1 paragraph)
- Significance of the Practice Problem: (1-2 pages)
- Theory or Translation Science Framework (1-2 pages)
Methodology
The methodology section consists of a comprehensive description of how the review was executed based on three separate components:
- Review Protocol: (1-2 pages) This section should be written so that others can replicate the study. Describes in detail how the review was conducted, including a description of the search strategy, the selection of databases used with justification, and the search terms.
- Inclusion/Exclusion Criteria: (1-2 pages) Specifies selection rules, including which sources were included in the review.
- Data Analysis: (1-2 pages) Explains how data were extracted from the sources and describes how results from the studies were handled and combined. Explains the process for how the sources were analyzed, whether quantitatively or qualitatively, with a justification of the analytic methods and their appropriateness.
Results and Discussion
The results and discussion section characterizes the body of literature included in the review and offers a synthesis of the findings.
- Characterization of the Body of Literature: (2-4 pages) This section describes the attributes of the literature included in the review (i.e., number of sources included, number of sources excluded, types of journals, methods used, quality of the resources)
- Findings Synthesis: (5-8 pages) This section offers a thematic analysis of the findings. It ends with an overall summary of the findings.
Conclusions and Further Recommendations
- Implications for Nursing Practice: 1-2 pages
- Conclusions and Contributions to the Professions of Nursing: 1-2 pages
- Recommendations: 1-2 pages
- Professional References
- Appendices
- Doctoral level writing
- APA format is required with a title page, abstract, and reference page. An APA template is available in the Course Resources with required headings and content described.
Preparing the Integrative Review Paper
The following are best practices for preparing this paper:
- Use the DNP Project Integrative Review Paper template with required headings and descriptions of required content.
- Use the attached grading rubric to guide the development of your proposal.
Christmals, C. D., & Gross, J. J. (2017). An integrative literature review framework for postgraduate nursing research reviews. European Journal of Research in Medical Sciences Vol, 5(1). http://www.idpublications.org/wp-content/uploads/2016/12/Full-Paper-AN-INTEGRATIVE-LITERATURE-REVIEW-FRAMEWORK-FOR-POSTGRADUATE-NURSING-RESEARCH-REVIEWS.pdf
Holly, C. (2019). Practice-Based Scholarly Inquiry and the DNP Project. Springer Publishing Company. https://ebookcentral-proquest-com.chamberlainuniversity.idm.oclc.org/lib/chamberlain-ebooks/reader.action?docID=5746595&ppg=181
Holly, C. (2013). Scholarly inquiry and the DNP capstone. Springer Publishing Company. https://ebookcentral-proquest-com.chamberlainuniversity.idm.oclc.org/lib/chamberlain-ebooks/reader.action?docID=1581169&ppg=142
Directions and Grading Criteria
Complete an Integrative Review Paper of your proposed DNP project, along with conclusion and further recommendations. You must present details of the entire proposed DNP project, including evidence of the related practice problem from a global, national, and site perspective, your proposed evidence-based intervention, with expected outcomes. For example, you will be able to use parts of your project proposal completed in NR702, the literature synthesis completed in NR705, and the case study completed in NR707, as long as you integrate comments provided by your professor when it was graded. The page limit relates to the body of the paper only and does not include the cover sheet, reference list, or appendices. The paper must be complete and polished and reflect doctoral-level writing skills. The grading rubric should be reviewed carefully as you prepare the paper to ensure that all required elements are included.
Category |
Description |
| Organization/Structure | See Rubric |
| Mechanics/Usage | See Rubric |
| APA | See Rubric |
| Abstract | See APA template for Final Paper and Rubric |
| Introduction | See APA template for Final Paper and Rubric |
| Problem Statement | See APA template for Final Paper and Rubric |
| Significance of the Practice Problem | See APA template for Final Paper and Rubric |
| Theory or Translation Science Framework | See APA template for Final Paper and Rubric |
| Methodology | See APA template for Final Paper and Rubric |
| Review Protocol | See APA template for Final Paper and Rubric |
| Inclusion/Exclusion Criteria | See APA template for Final Paper and Rubric |
| Data Analysis | See APA template for Final Paper and Rubric |
| Results and Discussion | See APA template for Final Paper and Rubric |
| Characterization of the Body of Literature | See APA template for Final Paper and Rubric |
| Findings Synthesis | See APA template for Final Paper and Rubric |
| Conclusions and Further Recommendations | See APA template for Final Paper and Rubric |
| Implications for Nursing Practice | See APA template for Final Paper and Rubric |
| Conclusions and Contributions to the Profession of Nursing | See APA template for Final Paper and Rubric |
| Recommendations | See APA template for Final Paper and Rubric |
| References | See APA template for Final Paper and Rubric |
| Appendices | See APA template for Final Paper and Rubric |
| Total: 250 | A quality essay will meet or exceed all the above requirements as described on the APA Template for the DNP Project Integrative Review Paper and the following grading rubric |
Grading Rubric
| Note: You will be allowed to rewrite this assignment if you do not earn an acceptable score on all criteria.
• If an acceptable score is not obtained for all criteria of Part I: Writing and APA, the paper will not be graded but returned to you to rewrite the paper and earn an acceptable rating on all criteria, pass this assignment, the course, and progress to graduation. • If an acceptable score is obtained on all criteria of Part I: Writing and APA but the content in one or more sections of Part II is unacceptable, the paper will be returned to you to rewrite the paper to earn an acceptable rating on all criteria, pass this assignment, the course, and progress to graduation. If your DNP Project Integrated Review is returned to you to rewrite, it is due within 5 days of when it was returned to you. |
Grading Rubric
Part I: Writing and APA Criterion |
Acceptable | Not Acceptable |
| Organization/Structure
There is logical sequencing of ideas through well-developed paragraphs. Transitions are used to enhance organization. There is a logical progression of thoughts and ideas. Concepts are clearly presented with doctoral level vocabulary. The paper is well organized from introduction to conclusion. |
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| Mechanics/Usage
There are few errors in punctuation, capitalization, spelling, sentence structure, or word usage. |
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| APA
There is consistent adherence to APA criteria in title page, running head, headings, citations, and/or reference page. Font, layout, and/or margins adhere to APA format. |
| Part II: Content – Abstract | Acceptable | Not Acceptable |
| Abstract
The abstract includes all required content in 150 – 200 words. Effectively summarizes the DNP Project. |
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| Part II: Content – Introduction | Acceptable | Editing Required |
| Introduction (1-2 paragraphs)
The introduction clearly and concisely states the paper’s purpose. It is engaging and thought-provoking. The introduction clearly states and describes the main topic and previews the structure and content of the paper. |
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| Problem Statement (1 paragraph)
The problem statement flows logically from the content provided within the Introduction section. A clear statement of the problem is provided, as well as explanation of the how the proposed intervention will address the issue. |
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| Significance of the Practice Problem (1-2 pages)
This section effectively describes the significance of the problem including human and societal impact from a global, national, and practicum site perspective. The problem is significant to nursing and the student’s identified practice area. Current data on incidence and/or prevalence is included if appropriate. Cultural, political, legal, ethical, quality, and safety implications are included if appropriate. There is substantiation with adequate number and quality of professional references with no uncited statements of fact. |
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| Theoretical Framework (1-2 pages)
The theoretical framework/translation science model is appropriate to the problem and/or intervention and the student’s identified practice area. There is clear linkage between the components of the framework and the elements of the problem and/or intervention. |
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| Part III: Content – Methodology | Acceptable | Editing Required |
| Review Protocol (1-2 pages)
The methodology is written so that others can replicate the study. There is a description in detail of how the review was conducted, including a description of the search strategy, the selection of databases used with justification, and the search terms. |
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| Inclusion/Exclusion Criteria (1-2 pages)
The specific selection approach is discussed, with an explanation of the selection of sources. |
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| Data Analysis (1-2 pages)
Explains how data were extracted from the sources and describes how results from the studies were handled and combined. Explains the process for how the sources were analyzed, whether quantitatively or qualitatively, with a justification of the analytic methods and their appropriateness. |
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| Part IV: Content – Results and Discussion | Acceptable | Editing Required |
| Characteristics of the Body of Literature (2-4 pages)
The characteristics of the body of literature provides a thorough review of the quality of the sources, the number of sources eliminated, the number of sources included, the various types of journals reviewed, and the methods used for the review. The strengths and weaknesses of the sources are examined. |
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| Findings Synthesis (5-8 pages)
The findings synthesis offers a substantial thematic analysis or meta-analysis of the findings (in a met-analysis, numerical data is combined from multiple studies to draw new conclusions). The review of the literature covers all facets of the problem, intervention and outcomes with numerous (at least 15 primary research articles and/or systematic reviews no more than 5 years old) references linking the practice problem and the selected intervention. Direct quotations are not included, as synthesis of literature is expected. Evidence tables of primary research and systematic reviews are included as Appendices. Only research evidence is included in the synthesis and on the evidence table. No secondary sources are included. |
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| Part V: Content – Conclusions and Further Recommendations | ||
| Implications for Nursing Practice (1-2 pages)
The implications of the project on nursing and healthcare is effectively described, based on the integrative review. The impact on the appropriate system (i.e., micro, meso, macro) and recommendations are included. |
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| Conclusions and Contributions to the Professions of Nursing (1-2 pages)
The conclusion reviews the main topics presented and clearly and effectively summarizes significant conclusions. |
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| Recommendations (1-2 pages)
Recommendations based on the findings should be for the nursing profession and society in general, and to specific nursing leaders as mentioned in the significance portion. A summary of the major findings concludes the findings and interpretations portion with a transitional paragraph introducing the recommendations portion. |
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| Professional References
References are current (within last five years or seminal studies), from peer-reviewed journals, minimal secondary sources, and all are appropriate to the identified nursing problem and intervention. |
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| Appendices
Required appendices are included and complete: primary research evidence table, systematic reviews evidence table. |
| Total Points = 250 points
This assignment is graded as an all or none; all criteria must be acceptable to earn the 250 points. |
