Description
Literature Review Paper
Literature review paper
One of the main learning exercises in the course is a Literature review paper. The literature review paper’s purpose is to answer a significant clinical question. Most of your discussions and activities in this course are created to build the skills need it to write this paper. To do this paper you need to work each week on assignments, that will help you build your skills for the successful completion of this assignment.
Your paper should be 5-6 pages long (double-spaced, 12 font) not including the references and title page). You should have a reference page of at least eight (8) academic sources, including at least five (5) primary research sources that specifically answer the review question. Use APA format for references and citations. All papers must be submitted to be reviewed for similarity, any paper with a score of 20% or higher in the similarity index, will receive an automatic “0”, and will not be reviewed until the similarity score is below 20%.
Step by step directions and a rubric is posted below. After your paper has been corrected and graded, you have the option to revise your literature review paper in order to improve your writing and correct your mistakes. If there is a significant improvement, the grade will be increased. Revisions are due a week after receiving feedback.
Instructions:
Your paper needs to follow the following criteria:
Choose a problem faced by clients in your practice area that you think is important and would like to learn more about
Use your knowledge of PICO to develop a well-built narrow clinical question. For example: In adult patients with total hip replacements (P), how effective is pain medication (I) compared to aerobic stretching (C) in controlling post-operative pain (O)? (the development of the PICO question should not be included in the paper)
Write a five (5) to six (6) page literature review paper on the standing knowledge of the chosen question.
Include a minimum of five (5) journal articles, at least three (3) from nursing journals. However, make sure that the (5) journals are the ones analyzed and synthesized in the results and discussion sections.
The body of the paper should be made of the following titled sections: Title (introduction), Methods, Results, Discussion, and Conclusion.
Provide a specific and concise tentative title for your literature review paper (You may use the results or at least the variables in the title).
The abstract is not required
Include a 1-page introduction of your topic (background information), the focus/aim of your review. The introduction should include a statement of the problem, briefly explain the significance of your topic study, and act to introduce the reader to your definitions and background. Must include your main statement (i.e. the purpose of this review is…{PICO Question}).
The method section should include sources, databases, keywords, inclusion/exclusion criteria, levels of evidence, and other information that establishes credibility to your paper
The results should summarize the findings of studies that have been conducted on your topic. For each study, you should briefly explain its purpose, procedure for data collection, and major findings. This is the section where you will discuss the strengths and weaknesses of studies
Submit a table of the studies as per the matrix development
The discussion should be like a conclusion portion of an essay paper. It serves as a summary of the body of your literature review and should highlight the most important findings. Your analysis should help you to draw conclusions. In this section, you would discuss any consensus or disagreement on the topic. It can also include any strengths and weaknesses in general of the research area. If you believe there is more to research, you may include that here.
Finally, you will need to conclude your paper. At this point, you have put substantial effort into your paper. Close this chapter with a summary of the paper, major findings, and any major recommendations for the profession.
In general, your paper should show a sense of direction and contain a definite central idea supported with evidence. The writing should be logical, and the ideas should be linked together in a logical sequence. The ideas need to be put together clearly for the writer and for the reader.
Papers will be graded by rubric. When preparing to work on an assignment it is a good idea to review the rubric for the assignment. The rubric identifies the important points that will be graded as well as the description of the information that should be provided to receive all of the points in each section of the assignment. Reviewing the rubric before you begin a paper and then once again as you complete the paper will give you confidence that you included the required information and will receive maximum points for each section. See the grading rubric for this assignment.
Format references and citations using APA guidelines
Unformatted Attachment Preview
The Well-Built Clinical Question
PICO Worksheet
INSTRUCTIONS:
Think about a complex clinical problem that you encountered in your daily practice. Use the following
table to identify the patient/population, intervention, comparison, and outcomes. Once is done, try to
formulate your question.
Question Components
Your Question
P – Patient or Population
Pregnant women between 15 to 36 years with
gestational diabetes often face pregnancy
problems resulting from the effects of gestational
diabetes.
Describe the most important characteristics of the
patient.
(e.g., age, disease/condition, gender)
I – Intervention; Prognostic Factor; Exposure
Low carbohydrate intake forms part of the dietary
changes in gestational diabetes management.
Describe the main intervention.
(e.g., drug or other treatment,
diagnostic/screening test)
C – Comparison (if appropriate)
A standard low-fat diet is a known therapy for
managing diabetes.
Describe the main alternative being considered.
(e.g., placebo, standard therapy, no treatment, the
gold standard)
O – Outcome
Comparing the two interventions will help
determine which is effective in glycemic control.
Describe what you’re trying to accomplish,
measure, improve, and affect.
(e.g., reduced mortality or morbidity, improved
memory, accurate and timely diagnosis)
The well-built clinical question:
In Pregnant women between 15 to 36 years with gestational diabetes, what is the effect of _low
carbohydrate diet on __glycemic control compared with standard low-fat diet _______________?
INSTRUCTIONS: Fill in the blanks with information from your clinical scenario:
THERAPY
In__ Pregnant women between 15 to 36 years with gestational diabetes_____________, what is the effect
of _low carbohydrate diet_______________on __glycemic control_____________ compared with __
standard low-fat diet _______________?
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INSTRUCTIONS: Scenario (check all that apply):
Type of Question
X Therapy
Ideal Type of Study
RCT
Note: Meta-analyses and systematic reviews, when available, often provide the best
answers to clinical questions.
INSTRUCTIONS:
OR →
MeSH/Subject Headings
Main Concepts
(PICO concepts)
Pregnant women,
gestational diabetes
“Pregnancy in Diabetics,”
“Gestational Diabetes”
Low carbohydrate
diet
“Diet, Carbohydrate-Restricted,”
“Low Carbohydrate Diet”
Standard low-fat
diet
“Diet, Low-Fat,” “Standard
Diet”
Glycemic control
“Blood Glucose,” “Glycemic
Control”
AND
Synonyms
Expectant mothers,
Pregnant females,
Pregnancy with diabetes,
Gestational
hyperglycemia
Low carb diet,
Carbohydrate-restricted
eating plan, Dietary
carbohydrate reduction
Regular low-fat diet,
Conventional low-fat
eating plan, Standard
dietary treatment
Blood sugar
management, Glucose
regulation, Glycemic
outcome, Blood glucose
level control
Search Strategy Development
INSTRUCTIONS: Finding the right words to get what you want. From your PICO, fill in as much as you
can of the table below.
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Primary search term
P
I
Pregnant women, gestational
diabetes
Use of low carbohydrate diet
C
Use of standard low-fat diet
O
Synonym 1
Pregnant females,
carbohydraterestricted diet,
dietary intervention
Conventional lowfat diet
Blood sugar control
Glycemic control
Synonym 2
expectant mothers,
diabetes during
pregnancy
Low carb diet
standard dietary
treatment with
reduction of fat
glucose regulation,
glycemic
management
INSTRUCTIONS: List your inclusion criteria –i.e., gender, age, years of publication
INSTRUCTIONS: Check any limit that may pertain to your search:
_____ Age _15-36 years__________________ Language _English_________ Year of publication between
2018 to 2023
RCT studies.
Type of study/publication you want to include in your search: (From Step 2 of tutorial)
__ Individual Research Studies
__
Check the databases you searched:
[X] Cochrane Library
__ CINAHL with Full Text
__ PubMed Clinical Queries
What information did you find to help answer your question?
A search for randomized controlled trials published in English between 2018 to 2023 in the three
databases shows that several studies have been carried out on the use of different interventions, including
dietary adjustments, lifestyle changes, and the use of medications. However, no study has ever been carried
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out to compare the two interventions in the PICOT questions. A study by Mijatovic et al.(2020) shows that
a low carbohydrate diet positively affects glycemic control in managing gestational diabetes (GDM).
Research, such as the study conducted by Mijatovic et al. (2020), has demonstrated that a diet with reduced
carbohydrate content can significantly improve glycemic control by keeping mean glucose levels below 87
mg/dL. This improvement in blood sugar regulation is crucial in preventing fetal overgrowth, a common
complication of GDM.
Additionally, a low-carbohydrate diet helps reduce the risk of giving birth to small-for-gestationalage (SGA) infants, which can be a concern when traditional diabetic diets are used. Therefore, adopting a
low-carbohydrate diet as part of the management strategy for gestational diabetes can effectively promote
maternal and fetal health. Other studies, such as the one by Rasmussen et al.(2020), indicate that a low-fat
diet help in controlling diabetes.
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References
Mijatovic, J., Louie, J. C. Y., Buso, M. E. C., Atkinson, F. S., Ross, G. P., Markovic, T. P., & BrandMiller, J. C. (2020). Effects of a modestly lower carbohydrate diet in gestational diabetes: a
randomized controlled trial. The American journal of clinical nutrition, 112(2), 284–292.
https://doi.org/10.1093/ajcn/nqaa137
Rasmussen, L., Poulsen, C. W., Kampmann, U., Smedegaard, S. B., Ovesen, P. G., & Fuglsang, J. (2020).
Diet and Healthy Lifestyle in the Management of Gestational Diabetes Mellitus. Nutrients, 12(10),
3050. https://doi.org/10.3390/nu12103050
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