You prepared for this assignment by completing this weeks discussion activity, in which you conducted a search of the research literature and wrote a draft literature review of four peer-reviewed studies focused on the identified health care or public health challenge, the need for improvement, and the significance of the improvement.In addition to completing the discussion activity, review the questions in this weeks "What You Need to Know" activity that you used to guide your search for the evidence. Use information you provided in your literature review as a basis for your summary of each article. Remember that your research evidence synthesis integrates information, in addition to that in a literature review, such as why the study is related to, or supports, the need for improvement associated with the identified challenge, how the pieces of evidence fit together, how you might apply study concepts to your own project, why you chose each of the studies, and how they provide a body of evidence to support the need for improvement. A synthesis is not an article-by-article summary; rather, it is an integration of the evidence from the studies and articles you select. It is your opportunity to address similarities and differences among the results and perspectives inherent in the sources. Note:This assignment corresponds with the DPP Part 1 section, "Health Care or Public Health Challenge, Need to Improve and Significance." It is the second piece of content for this DPP Part 1 section. Instructions Write a papersynthesizing the research evidence that substantiates the need for improvement and the significance of that improvement with respect to the identifiedchallenge. Requirements The requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for the format of your paper, its length, and supporting evidence.

• Refine your literature review by summarizing each study's purpose, methods, results, and implications and how each study relates to the need for improvement and significance of that improvement. Include:
  • The date of publication.
  • Primary purpose of the study.
  • Methodology and design used.
  • Significant findings.
• Complete a rapid critical appraisal of each study's methods and the evidence it produced. Address the following questions:
  • Does this study address a clearly focused research question?
  • Did the study use valid methods to address this question?
  • Are the valid results of this study important?
  • Are these valid, important results applicable to my population?
  • Is the study recent (published within the last 5 years)?
  • What is the experience of the authors or practitioners who created it?
• Synthesize research evidence from all of the studies to substantiate the need for improvement and the significance of that improvement. Address the following questions pertaining to the evidence:
  • Does it answer my PICO(T) question?
  • Does it clearly support my points?
  • Is it recent?
  • Is it logical?
  • What is the experience of the authors or practitioners who created it?
  • What other evidence challenges it?
  • How important is it?
  • How relevant is it to my project's study focus?
  • What is its significance?
  • In what ways is it consistent with other evidence I have collected, and in what ways is it different?
•