potential application for future practice

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With new information continually emerging, professional nurses must be equipped to critique scholarly literature and discern its value for practice.

Select one current, qualitative or mixed methods scholarly nursing article related to your PICOT question and determine its strengths, limitations, and potential application.Complete the Johns Hopkins Nursing Evidence Based Practice Appendix E Evidence Appraisal Tool. Once you’ve completed the tool, use your own words to summarize your appraisal of the article. Include the following:

  • Description of the purpose
  • Explanation of research design
  • Discussion of sample
  • Description of data collection methods
  • Summary of findings
  • Strengths of the study (minimum of 1)
  • Limitations of the study (minimum of 1)
  • Recommendations regarding potential application for future practice that are insightful and appropriate.

Attach the article to your post, in addition to including the full reference for the article in your post.

During the week, read a minimum of two articles posted by peers and add your thoughts about whether you feel their article would support an EBP change.

Reflection On Learning

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Purpose

The purpose of this assignment is to provide the student an opportunity to reflect on the weekly concepts learned in the course.
Activity Learning Outcomes

Through this assignment, the student will demonstrate the ability to:

CO1: Integrate evidence-based and research to support advancement of holistic nursing care in diverse healthcare settings. (PO 1,4)

CO2: Integrate knowledge related to evidence-based practice and person-centered care to improve health outcome. (PO 1, 2)

CO3: Demonstrate professional and personal growth through a spirit of inquiry, scholarship, and service in diverse healthcare settings. (PO 3, 4)

CO4: Develop knowledge related to research and evidence-based practice as a basis for designing and critiquing research studies. (PO 1, 5)

CO5: Analyze research findings and evidence-based practice to advance holistic care initiatives that promote positive healthcare outcomes. (PO 1, 2, 5)
Requirements:

  • Reflection: write 1-2 paragraphs reflecting on your learning for the week. Guiding questions are provided or you may write about what you felt was most significant to you for the week.

You will need to post your reflection here before you are able to see other students’ posts. 

  • How hard was it to find a qualitative article related to your area of interest?
  • Did you have any difficult determining whether the articles you reviewed were qualitative?
  • Is the qualitative approach appropriate for your area of interest? Would you be able to replicate the study you found?
  • Overall, which research design (quantitative, qualitative, or mixed methods) do you feel is best suited to your area of interest?

required reading  Dang, D., & Dearholt, S. (2018). Johns Hopkins Nursing Evidence-Based Practice: Model & Guidelines (Links to an external site.). Sigma Theta Tau International.

  • Review Ch. 6: Evidence appraisal: Research summary
  • Review Ch. 11: Lessons from practice: Using the JHNEBP tools Figure 11.4

Gray, J. R., Grove, S. K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). Elsevier.

  • Chapter;
  • 4: Introduction to qualitative research
  •  12: Qualitative research methodologies
  •  18: Critical appraisal of nursing studies pp 443-449

Recommended Readings

Greenhalgh, T. (2019). How to read a paper: The basics of evidence-based medicine and healthcare (Links to an external site.) (6th ed.). Wiley-Blackwell.

  • Chapter 12 Papers that go beyond numbers (qualitative research)

Characteristics of Qualitative and Quantitative Research Designs.

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REPLY 1

 

When evaluating quantitative data keep in mind that the data are numerical. This type of research evaluates the participant’s opinions and attitudes by testing a theory or hypothesis. The attributes that should be appraised when using quantitative method, when numerical data is collected it can be incorporated into the research in order to evaluate the hypothesis.  Whereas, qualitative data is non-numerical and uses data gathered through interviews, observations and surveys.

One characteristics of qualitative method, is the researchers who analyzed the collected data identifying themes, patterns and relationship Schmidt & Brown (2018). De Clark (2017) illustrated that qualitative understanding of dimensions as reflecting the nature of physical quantities, and the new, quantitative conception based on unit conversion and measurement. Quantitative research method is done to provide information on what is happening, while qualitative is done to show why what is being researched happened (Schmidt & Brown, 208).                                                         Reference De Clark, S. G. (2017). Qualitative vs quantitative conceptions of homogeneity in nineteenth century dimensional analysis. Annals of Science, 74(4), 299–325. https://doi-org.westcoastuniversity.idm.oclc.org/10.1080/00033790.2017.1372519 Schmidt, N. A., & Brown, J. M. (2018). Evidence-based practice for nurses: appraisal and application of research. Jones & Bartlett Learning.

 

REPLY 2

 

Qualitative Research

Qualitative research is carried out on items that cannot be accurately measured. It involves the usage of non-statistical approaches in data entry. Investigations or analyses are done using sensory techniques, such as observations, in gathering information and data organization into patterns (Roulston, 2019).

Quantitative Research

Quantitative research is a study carried out on items precisely measured to give out an output. It involves using statistical values, such as percentages, means, standard deviations and numbers (Knapp, 2017). For instance, a researcher may decide to conduct a study and determine that fifty percent of patients in a hospital die during childbirth. In this case, the quantitative research will be defined by fifty percent. Therefore, this type of research is used to describe life situations, giving them a precise meaning.

Characteristics of Qualitative and Quantitative Research Designs.

Qualitative Research Design

This type of research design uses words in its description, unlike the quantitative method, which uses numbers. Therefore, qualitative research design lacks both the independent and dependent variables in its analysis. Consequently, this makes the research design non-experimental. Furthermore, qualitative research design provides several data collection points at a given time, which brings about the difficulty in developing its hypothesis and making group comparisons.

Quantitative Research Design

The data in quantitative research design is collected using instruments, such as questionnaires, surveys, and data flow diagrams. The finding in this design is focused on particular population sample sizes. In addition, the method uses numbers in the analysis of specific behaviours of the study population. The study is also reliable, and this makes it flexible to be repeated. Since data is collected in the form of numbers, it can be arranged and analyzed in figures, tables and charts. Furthermore, quantitative research design can be used to describe a wider population.

An Example of Qualitative and Quantitative Research Designs.

In analyzing the experience of hope in women facing challenges during childbirth, semi-structured interviews can be used in the data collection. The data can also be recorded in groups, thus making it a qualitative research design. On the other hand, when analyzing the effect of body exercise on blood pressure levels, numbers can be used to measure the blood pressure levels and data entry in charts, figures, or tables, thus making it a quantitative data analysis.

 

References

Knapp, T. R. (2017). Quantitative nursing research. Sage Publications.

Roulston, K. (Ed.). (2019). Interactional studies of qualitative research interviews. John Benjamins Publishing Company.

technology in the nursing field

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In the nursing field, technology is a significant factor whereby when used. They allow practitioners to improve efficiency and communicate more effectively. Although some nurses are often negative about technology citing that it takes personal interactions away from the bedside. A lot of them believe that technology positively impacts patient care when used effectively during the care process. In my practice setting, technology is primarily used in different facets of care, and it co-exists with caring. The four Watson’s Caritas Processes that I will draw from in this assignment include the following #3: Cultivating One’s Own Spiritual Practices; Deepening Self-Awareness; Going Beyond Ego-Self. #4: Developing and Sustaining a Helping/Trusting Authentic Caring Relationship. #6: Creatively Problem-Solving, ‘Solution Seeking’ Through the Caring Process. #8: Creating a Healing Environment at All Levels (McGonigle & Mastrian, 2018).

In my practice setting, technology has been critical in (3) nurturing Individual Beliefs, Personal Growth, and Practices. In this sense, technology has been immense and influential for different providers in facilitating learning. That influenced their personal growth as well as in their practice. Such learning helps practitioners improve their caring abilities to evidence-based status. Secondly, (4) technology has been vital in nurturing helping, trusting, and caring Relationships in the practice setting. Technology has revolutionized caring, but in many settings, it is seen as a challenge when it comes to applying it to the caring context/culture.

interpreting data

Nurses see technology as a tool that is critical to improving patient outcomes by interpreting data and applying their experiential knowledge in the caring processes. It is done in a way that does not distance nurses from patients, which is a challenge but helps in bridging the gap and supporting effective caring. Thirdly, (6) technology helps deepen the scientific problem-solving methods for caring decision-making. It enables access to materials that facilitate the identification and application of scientific problem-solving methods positively impacting the care process. Lastly, (8) technology helps in the creation of a healing environment for the physical self which respects human dignity. For example, at the facility,

On the other hand, it is still a challenge for a lot of providers/nursing staff to balance technology and caring despite the technology being integral to the delivery of care. I will train them on how to develop a balance. The focus will be on how they can embrace technology without completely relying on it, but still maintain the human element when providing care and in staff engagement (Garcia-Dia & Joy, 2020). Besides, the training should focus on how providing effective and efficient care by incorporating technology will facilitate freeing more time for them to focus on personalized care.

Prescribing For Older Adults And Pregnant Women

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After assessing and diagnosing a patient, PMHNPs must take into consideration special characteristics of the patient before determining an appropriate course of treatment. For pharmacological treatments that are not FDA-approved for a particular use or population, off-label use may be considered when the potential benefits could outweigh the risks.

In this Discussion, you will investigate a specific disorder and determine potential appropriate treatments for when it occurs in an older adult or pregnant woman.

To Prepare:
  • Choose one of the two following specific populations: either pregnant women or older adults. Then, select a specific disorder from the DSM-5 to use.
  • Use the Walden Library to research evidence-based treatments for your selected disorder in your selected population (either older adults or pregnant women). You will need to recommend one FDA-approved drug, one non-FDA-approved “off-label” drug, and one nonpharmacological intervention for treating the disorder in that population.
By Day 3 of Week 9
  • Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your chosen disorder in older adults or pregnant women.
  • Explain the risk assessment you would use to inform your treatment decision  making. What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug?
  • Explain whether clinical practice guidelines exist for this disorder, and if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration.
  • Support your reasoning with at least three current, credible scholarly resources, one each on the FDA-approved drug, the off-label, and a nonpharmacological intervention for the disorder.

Substance Abuse In Florida

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One of the issues affecting my patient population is the integration of substance abuse management and mental healthcare. Successful integration between substance abuse and mental care has proved to achieve better outcomes. Integration addresses financial barriers and makes patients more satisfied. It also helps increase the quality of care and boost the quality of life on a long-term basis (Crowe et al., 2018). The challenge in integrating mental health and substance abuse where I work has led to poor health outcomes. The challenge has created financial difficulties, making it challenging to address substance abuse effectively. Despite efforts, the organization puts more effort into mental health with a lack of correlation between integration measures.

Information technology plays a significant role in the implementation of evidence-based practice in substance abuse management. Access to the internet makes it easy for health service providers to access information and use it for decision-making. Technological advances have also made it possible to mine large data sets and analyze health needs to determine treatment and management interventions (Mesko et al., 2018). Cloud services facilitate easy access to accurate data from remote areas, facilitating collaborative decision-making and integrated care. It is also easy to access clinical evidence for the assessment and implementation of health care strategies. Lastly, technology enhances the active participation of patients in decision-making (Lattie et al., 2020). Despite the physical distance, patients are connected with healthcare providers throughout.

References

Crowe, A., Mullen, P. R., & Littlewood, K. (2018). Self‐stigma, mental health literacy, and health outcomes in integrated care. Journal of Counseling & Development, 96(3), 267-277.

Lattie, E. G., Nicholas, J., Knapp, A. A., Skerl, J. J., Kaiser, S. M., & Mohr, D. C. (2020). Opportunities for and tensions surrounding the use of technology-enabled mental health services in community mental health care. Administration and Policy in Mental Health and Mental Health Services Research, 47(1), 138-149.

Meskó, B., Hetényi, G., & Győrffy, Z. (2018). Will artificial intelligence solve the human resource crisis in healthcare?. BMC health services research, 18(1), 1-4.

I NEED A COMMENT FOR THIS DISCUSSION BOARD WITH AT LEAST 2 PARAGRAPHS AND USE 3 SOURCES NO LATER THAN 5 YEARS

Define negotiation as it applies to patient education

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Assignment 1

Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.

1. Define negotiation as it applies to patient education.

2. Explain how the change in the patient’s status through the years has affected patient education.

3. List the pros and cons of negotiation.

4. Describe the general conditions that would be included in a patient contract.

5. Discuss old age and the baby boomer.

6. List several generational, religious, and cultural differences between the 30-year-old health care professional and the elderly patient.

7. Explain some of the barriers to patient education of the elderly and discuss their special needs.

8. List ways to best approach patient education of the elderly.

9. Discuss some cultural and religious beliefs about death that you have encountered.

10. Explain why it is important to discuss death and dying with the elderly patient and what the impact is on all involved.

11. Explain how to teach a patient with a life-threatening illness.

 

 

Assignment 2

Write a 500-750-word essay on the influence patient education has in health care using the experiences of a patient. Interview a friend or family member about that person’s experiences with the health care system. You may develop your own list of questions.

Suggested interview questions:

1. Did a patient education representative give you instructions on how to care for yourself after your illness or operation?

2. Did a health care professional, pharmacist, nurse, doctor, or elder counselor advise you on your medication, diet, or exercise?

3. Who assisted you at home after your illness or operation?

4. Do you know of any assistance services, i.e., food, transportation, medication, that would help you stay in your home as you get older?

pediatric medications

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The United States has spent more money on healthcare than any country in the western world. Yet they rank 37 in world health outcomes (Kaiser Family Foundation, 2017). The significant contribution to this alarming situation is the poor implementation of evident-based care. Many practices that are routinely implemented in healthcare do not have a solid body of evidence of them. Some even have data that support the claim that they promote adverse outcomes, including 12-hour shifts for nurses. Double-check of pediatric medications, vital signs every 2 or 4 hours on stable patients, 2 license checks on discharge. This practice is steeped in traditional instead of best evident. Resulting in less than optimum care, poor outcome, and wistful healthcare spending.

No wonder why nurses engage in behaviors that are not supported by evidence yet do not employ evidence-based practices. For instance, nurses used to change IV dressings on hospitalized patients daily. Despite the lack of evidence to support this practice. However, when clinical trials investigated how often IV dressings should be changed. They discovered that daily changes resulted in more phlebitis than less frequent changes. Nurses even interrupt patients’ sleep, which is crucial for restorative healing to monitor blood pressure and pulse rates. Despite the lack of evidence that doing so enhances the detection of possible concerns. Indeed, professionals frequently adhere to outdated rules. And procedures without questioning their contemporary relevance, appropriateness, or evidence.

Over the last few decades, there has been an explosion of scientific knowledge to help health professionals in clinical decision-making. Even though this evidence is readily available, the National Academic of Medicine has set a goal for 90 percent of clinical decisions to be backed by timely, up-to-date information based on the best available research by 2020. (Melnyk, & Fineout-Overholt, 2018).

challenges in the implementation of EBP

A multicomponent strategy must be in place at every level to overcome the many challenges in the implementation of EBP. Top administrators and directors/managers must “live the talk” by investing in education and skill-building programs for their physicians and thereby fostering a culture and infrastructure in which EBP is the standard of performance and care ( Melnyk, 2016b). Misconceptions about how to adopt practice based on the best available evidence must be rectified, and knowledge and expertise in the field must be strengthened for clinicians to promote the use of EBP. It must also be remembered that for many physicians who did not learn this approach to decision making and the essential ability in their school program, switching to EBP is a behavior change. However, deficiencies can be rectified through an intense EBP continuing education program that helps enhance and maintain EBP beliefs, knowledge, and competence.

Workplace Environment Assessment

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It is one of the most cliché of clichés, but it nevertheless rings true: The only constant is change. As a nursing professional. You are no doubt aware that success in the healthcare field requires the ability to adapt to change. As the pace of change in healthcare may be without rival.

As a professional, you will be called upon to share expertise, inform, educate, and advocate. Your efforts in these areas can help lead others through change. In this Assignment. You will propose a change within your organization. And present a comprehensive plan to implement the change you propose.

To Prepare:

  • Review the Resources and identify one change that you believe is called for in your organization/workplace.
    • This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.
  • Reflect on how you might implement this change. And how you might communicate this change to organizational leadership.

The Assignment (5-6-minute narrated PowerPoint presentation):

Change Implementation and Management Plan

Create a narrated PowerPoint presentation of 5 or 6 slides with video that presents a comprehensive plan to implement the change you propose.

Your narrated presentation should be 5–6 minutes in length.

Your Change Implementation and Management Plan should include the following:

  • An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)
  • A description of the change being proposed
  • Justifications for the change. Including why addressing it will have a positive impact on your organization/workplace
  • Details about the type and scope of the proposed change
  • Identification of the stakeholders impacted by the change
  • Identification of a change management team (by title/role)
  • A plan for communicating the change you propose
  • A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

Culture

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Culturally aware nurses recognize that states of health are revealed differently across cultures and ethnicities. Culture and ethnic background will affect the way each individual responds to health, illness, and death (Stanhope & Lancaster, 2020). These nurses are also aware of their own biases, which may affect the care they provide to others (Stanhope & Lancaster, 2020). Because most nurses work in institutions with individual patients. They are accustomed to delivering culturally competent care on a one-on-one basis.

When a public health nurse deals with a population. He or she must consider how the population culture affects the ways in which the community nurse may interact. This can be with regard to the provision of education. Or mass health care needs such as those required in a foodborne illness. If mass vaccinations are needed for a communicable disease outbreak. Or if education is required to prevent heart disease. In addition to understanding the nuances of the culture of a population, community health nurses must understand the role genetics play in health. Some disorders, such as glaucoma and diabetes, have a genetic link, as do some cancers, such as breast and ovarian.

Please discuss the following questions in your Practicum Discussion:

  • Provide a few examples of community resources that should be put in place to assist your population in resolving their health care needs. What gaps in service do you see that affect your population?
  • Are there any cultural considerations that might inform your approach to caring for this population?
  • Does your population have a genetic predisposition to the health care problem you have identified?
  • Identify at least one evidence-based, culturally competent behavior change that would promote health for your selected population and for the specific health care problem you are addressing?