MUST BE in APA FORMAT REVIEW ALL DIRECTIONS BELOW Using PICO question below Patient: Adult ED patients with suspected sepsis Intervention: Addition of a risk-stratification educational instrument to clinician gestalt Comparison: Clinical gestalt alone Outcome: Increased sepsis compliance, ED & ICU length-of-stay Find 4 articles that provide evidence to support your proposed practice change. These articles must be peer-reviewed research articles that provide scholarly evidence. 2) Upload a copy of each article 3) Upload the Appraisal Tool, that you used for each article 4.) Complete all the questions below for each article

Paper requirements – in details must be in APA FORMAT I. At the top of the paper write your PICOT question. Then for each article provide the name of the article (put full citation in the reference list) A. Under the Heading “Summary” Outline the article. Include the following information. 1. Research design: 2. Research question: 3. Site of research: 4. Population: a. inclusion criteria b. exclusion criteria 5. What was the study plan? a. was there an intervention? If yes, explain what was done b. if now what did they do instead? 6. Measurement: a. what was measured (which variables?) b. how was it measured 1) names of research tools (surveys used) 2) validity and reliability of tools 3) how often did they measure the variables – one time, pre/post, etc c. Data analysis methods to analyze results 1) if a qualitative article, what qualitative method was used to analyze data? 2) if quantitative article - which statistic was used to explain which result? (Hint: SPSS is not a statistic) d. Results of article data analysis 1) if qualitative – what themes were uncovered 2) if quantitative – were results significant, which ones? If not significant, what were the other findings in the results? 7. Discussion - What do the results mean according to the author? B. Under the Heading “Appraisal”. Choose an article appraisal tool that is appropriate for the Research Method used in the article. 1. Write a paragraph that includes the following information: a) What is the quality of the evidence? Summarize the findings from the article appraisal tool in 2-3 sentences (DO not put them in a table). (Hint: “good quality” or “ not very good quality” are not appropriate answers, explain why you have arrived at that decision) C. Under the Heading “Evidence”: Write a paragraph that includes the following information. This is a paragraph, not an outline or a Q&A. 1. How different is the research design from your planned design? 2. How different is the setting, and the population described in the article from your proposed project a) will that change your ability to use information from this article? Why or why not? 3. How different is the intervention or research plan from your proposed plan? 4. How different is the measurement strategy from your proposed study? 5. Will you be able to use the same research tools? Why or why not? 6 Will you be able to use the same statistics? Why or why not? 7. Summarize how your answers above make your study different from the article study? D. Under the Heading “Support”: Consider your answers from the previous questions, use that information to complete this section. 1. How will this article contribute to the development of your project? Provide at least 3 ways that this article will help you develop your project, include details that explain your assessment.