Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest

Advanced Levels of Clinical Inquiry and Systematic Reviews

Identify and briefly describe your chosen clinical issue of interest.Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses).

Develop a PICO(T) question to address the clinical issue of interest for the Assignment.Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.

Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

Provide APA citations of the four peer-reviewed articles you selected.


Only choose four articles from the cites

ABBASI, M., DEHGHAN, S. F., MADVARI, R. F., MEHRI, A., EBRAHIMI, M. H., POURSADEGHIYAN, M., … GHALJAHI, M. (2019). Interactive Effect of Background Variables and Workload Parameters on the Quality of Life among Nurses Working in Highly Complex Hospital Units: A Cross-sectional Study. Journal of Clinical & Diagnostic Research, 13(1), 8–13.

Holland, P., Tham, T. L., Sheehan, C., & Cooper, B. (2019). The impact of perceived workload on nurse satisfaction with work-life balance and intention to leave the occupation. Applied Nursing Research, 49, 70–76.

Jin, H., Chen, H., Munechika, M., Sano, M., &Kajihara, C. (n.d.). The effect of workload on nurses’ non-observance errors in medication administration processes: A cross-sectional study. INTERNATIONAL JOURNAL OF NURSING PRACTICE, 24(5).

Joan, Z. (2018). Higher Than Optimal Nurse Workloads Increase the Odds of Patient Mortality. AJN, American Journal of Nursing, (8), 17.

Shin, S., Park, J.-H., & Bae, S.-H. (2018). Nurse staffing and nurse outcomes: A systematic review and meta-analysis. Nursing Outlook, 66(3), 273–282.

Chiang, H.-Y., Hsiao, Y.-C., & Lee, H.-F. (n.d.). Predictors of Hospital Nurses’ Safety Practices Work Environment, Workload, Job Satisfaction, and Error Reporting. JOURNAL OF NURSING CARE QUALITY, 32(4), 359–368.

Halm, M. (2019). The Influence of Appropriate Staffing and Healthy Work Environments on Patient and Nurse Outcomes. American Journal of Critical Care, 28(2), 152. Retrieved from


Anna Lee, Yip Sing Leo Cheung, Gavin Matthew Joynt, Czarina Chi Hung Leung, Wai-Tat Wong, & Charles David Gomersall. (2017). Are high nurse workload/staffing ratios associated with decreased survival in critically ill patients? A cohort study. Annals of Intensive Care, (1), 1.



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