“In the adult maintenance hemodialysis patient, will a standardized documentation process for nursing management and assessment of vascular access particularly the interventions such as the use of clamp vs. handholding, heparin use and the interventions for the increasing life expectancy of the graft and fistula, increase conversion success to permanent fistula/graft access? Evidence Search – Discussed the search process utilized to answer the PICO formatted question Evidence Search – Included a thorough description of how the search was narrowed to identify specific pieces of evidence (e.g. Boolaen operations, MeSH, inclusion/exclusion criteria, and search limits) Qualitative Evidence Appraisal and Summary of Findings – Analyzed the strength and quality of 2 qualitative studies (identified in the search for evidence) using the Johns Hopkins Appraisal Tool. Recorded findings from the analysis in the Evidence Table. Qualitative Evidence Appraisal and Summary of Findings – Developed a written summary. Described the research report to include the study population, study purpose, study findings, and study limitations. Discussed if/how the findings address your research question and application to practice Quantitative Evidence Appraisal and Summary of Findings – Analyzed the strength and quality of 2 quantitative studies and 1 non-research using (identified in the search for evidence) (identified in the search for evidence) using the Johns Hopkins Appraisal Tool. Study population ii. Study purpose iii. Study findings iv. Study limitations When adding the Evidence Table – Quantitative to the document, create a level heading titled Appendix and place the Evidence Table-Quantitative in the Appendix section Evidence Table (Part F) Title of study/report in APA Article format (link to study) Study Purpose Summarize Analysis Findings (from the Johns Hopkins Appraisal Tool) Level Evidence Rating (Strength & Quality)

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