Nursing Research Critique Paper Template

Nursing Research Critique Paper Template

Template for Research Critique Paper  –

 The paper should be doubled spaced and insert page numbers

 

Page One:        Title Page (with usual elements)

Page Two:

Title of Paper

 

Introduction section for your paper with 2-3 sentences about the critique process in general (define it, what is it? why we use it?). Cite source(s) of your info. Conclude the first paragraph with: The purpose of this paper is to use Nieswiadomy‘s (2012) suggested guidelines to critique the research study report “                        ” by author(s) (year).

 

Introduction of the Research Study Report

 

>>Read the title and the abstract.

How do the title and abstract components capture your attention?

What is the problem (issue, need, gap, area of interest)?

Who is the population of interest?

What are two questions related to the problem and population of interest that you would like for the researchers to study and answer for you?

 

Variables

>>Determine the variable(s) of interest.                                                                                              What is/are the variables?

What is the independent variable (IV)?  

What is the dependent variable (DV)?                                                                                                                                                         What question(s) did you ask yourself to determine which variable is which?

 

Review of Literature

>>Identify relevant literature and previous studies that the researchers present.

How are literature and previous studies related to the variable(s) and population of interest?

What is the significance of the problem to nursing?  

What other literature topics would you like the researchers to present? Nursing Research Critique Paper Template

 

Purpose

>>Identify the purpose of the research study.                                                                                            What is the researchers’ purpose statement?

How does the purpose statement answer the question of “why” did the researchers conduct this study?

What are two research questions that the researchers might pose? (hint: use the purpose statement with the variables and population of interest to create research questions)

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Theoretical/Conceptual Framework

>>Identify the theoretical/conceptual framework.                                                                                   What is the theoretical/conceptual framework(s)?       

How is the framework related to the problem and population of interest?                                                                                                          What is one question that you have about how the researchers used this framework to support their study?        

Research Design

>>Examine the research study design.

What are two clues that will help you to determine the design types? 

What design type(s) did the researchers use? (use all relevant descriptors) Nursing Research Critique Paper Template

 

Sampling

>>Examine the sampling procedures.

Who was the study sample (participants)?

How did the researchers select the sample?     

 

Sampling Threats

>>Consider sampling threats.

What sampling threats to internal validity do the authors mention?   

Your ideas for other threats?

What sampling threats to external validity do the authors mention?   

Your ideas for other threats?

Ethics

>>Consider ethics.

How did the researchers demonstrate use of informed consent?

What are two potential ethical issues that the researchers might have encountered?

 

Research Instruments

>>Examine the research study instruments.

What are the names of the instrument(s) that the researchers used to collect data?

How did the researchers describe instrument reliability?

How did the researchers describe instrument validity?  What types?

What instrument threats to validity do the authors mention? If none, what are your ideas?

 

Data Collection

>>Consider the data collection procedures.

Who, when, and where did researchers collect data?    

What is your idea about one other data collection method that the researchers might use to collect data about the variables and the population of interest? Nursing Research Critique Paper Template

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Data Analyses

>>Explore the data analysis(es).

What are four familiar data analysis terms that you see in the research report?

What types of descriptive data analysis(es) did the researchers perform?                                                                  

What types of noninferential data analysis(es) did the researchers perform?     

What types of inferential data analysis(es) did the researchers perform?   

How did the study design, sampling methods, and collected data determine the types of data analysis(es)?

Findings

>>Explore the findings.

What were the major findings?    

What statistically significant finding(s) did the researchers discuss?     

How did the researchers communicate and display their findings?

 

Implications for Nursing Practice

>> Consider implications for nursing/interprofessional practice.

What are two implications for nursing practice?

What are two implications for interprofessional practice (i.e., involves other disciplines)?

 

Implications for Nursing Education

>> Consider implications for nursing education. Nursing Research Critique Paper Template

What are two ideas about content or clinical experiences that basic nursing education programs should include?    

What are two ideas about content that inservice/continuing education should include?

 

Recommendations for Research

>>Consider recommendations for future research.

What are two areas that future research should explore?

 

Constructive Suggestions to Researchers

>>Consider constructive suggestions to researcher(s).                                                                                         Write two constructive suggestions to the researcher(s) (i.e., your ideas about what they could/should add or modify to better meet Nieswiadomy’s recommendations).

What is one question that you still have as a curious investigative consumer of this nursing research report?

 

Reflections and Creative Idea About Research Critique Experience

>>Reflect about critique experiences.

What are two of your experiences throughout your research critique work?     

Create a mnemonic or acronym to help you remember the process or contents of research critique –even 3 years from now! A mnemonic is a memory aid such as a formula, rhyme, or mental image that helps to remember something. An example of a mnemonic is “My Very Excited Mother Just Served Us Nine Pizzas” to remember that the order of the planets is Mercury, Venus Earth, Mars, Jupiter, Saturn, Uranus, Neptune, Pluto.

An acronym is a word formed from the initial letters or groups of letters of words in a set phrase or series of words and pronounced as a separate word (e.g., WAC from Women’s Army Corps).

 

Conclusion

>>Determine your conclusion texts.

Summarize major points of your entire paper. See critique evaluation rubric for contents of conclusion section of your paper. Use citations. Nursing Research Critique Paper Template

 

References

>>Document references.

Write references that you cited in your critique paper

 

 

Template adapted from Nieswiadomy, American Journal of Critical Care (ACCN journals), American Nurses Association (Kaplan), AACN Baccalaureate Essentials Nursing Research Critique Paper Template

NUR 343 Nurse as Consumer of Research Study Scenario Exercise

NUR 343 Nurse as Consumer of Research Study Scenario Exercise

Nursing Research Study Scenario Exercise

NUR 343        Nurse as Consumer of Research            Worth 25%

 

“Investigation of Self-Concept in Pregnant Adolescents”

Name:

This nursing research study scenario asks students to apply research principles, decision-making, and critical analysis. The nursing research study scenario presents information that addresses research steps such as: the problem/area of interest, population of interest, intervention, data collection, data analysis, interpretation of findings, communication of findings, and use of findings in practice.

Review the scenario. Scroll down. Type your responses directly into the Template for Student’s Reponses. The table will expand as your type in your responses to each item/question. The numeric value is listed for each item/section of the template. Total possible numeric value = 100 points. NUR 343 Nurse as Consumer of Research Study Scenario Exercise

 

A nurse researcher hypothesized that subjects who participated in the program “Build Your Self-Concept During Pregnancy” to improve self-concept would score higher on the Adolescent Self-Concept Measuring Device (ASMD) than subjects who did not participate in the program “Build Your Self-Concept During Pregnancy” to improve self-concept.

 

The purpose of the study was to examine and compare the Adolescent Self-Concept Measuring Device (ASMD) scores of pregnant adolescents who participated in the program “Build Your Self-Concept During Pregnancy” and the ASMD scores of pregnant adolescents who did not participate in the program “Build Your Self-Concept During Pregnancy”.

 

Self-concept was operationalized as measured by the ASMD. This instrument has been evaluated for content and construct validity. The instrument has a Cronbach’s alpha co-efficient (.93).  The tool consists of 20 items with each item scored at intervals of 0-5 to represent each subject’s evaluation of her self-concept. Possible scores on the tool are from 0 to 100.

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The nurse researcher used the ASMD to collect self-concept data from an experimental and a control group. The table below displays the scores from the experimental group. The mean score = 63.85    The nurse researcher set her “p” level at p less than or equal to .05 NUR 343 Nurse as Consumer of Research Study Scenario Exercise

 

Score on ASMD Frequency of Score
15 3
20 4
40 2
75 8
95 9

 

Use the scenario and course information to respond to the following items and questions.

 

 

Template for Student’s Responses Point value & score
PROBLEM  
What is “the problem”(area of interest, issue, need) that is of interest to this nurse researcher?

 

/5
REVIEW of LITERATURE (2 items worth total of 5 possible points) Total = 5
What topics would you expect the researcher to explore? Name two topics.                                                                        1-

2-

 

/2.5
What “types” of literature sources would you expect the researcher to explore? Name two types.

1-                                                                                                                                                                                                 2-

 

/2.5
VARIABLES  (2 items worth total of 5 possible points) Total = 5
What are the variables of interest?

1-

2-

 

/2.5
What is the independent variable [intervention]?

 

What is the dependent variable [outcome]? 

 

/2.5
RESEARCH QUESTIONS  
Write two research questions that the nurse researcher might pose.

1-

 

2-

/5
HYPOTHESES (4 items worth total of 6 possible points) Total = 6
State the research hypothesis.

 

/1.5
Is the research hypothesis simple or complex? Why?

 

/1.5
Is the research hypothesis directional or nondirectional? Why?

 

/1.5
State the null hypothesis (write in correct format and include all relevant elements).

 

/1.5
THEORETICAL/CONCEPTUAL FRAMEWORK (2 items worth total of 5 possible points) Total = 5
What is a potential theoretical/conceptual framework that the nurse researcher might use to guide the study?

 

/2.5
How might the nurse researcher conceptually define “self-concept”? (explore definitions and cite source of the definition that you select as your response)

 

/2.5
ETHICS  (2 items worth total of 5 possible points) Total = 5
State two ethical considerations related to this study.

1-

2-

 

/2.5
Discuss the concept of “vulnerable population” related to this study.

 

/2.5
INTERVENTION (2 items worth total of 5 possible points) Total = 5
Describe two contents that you think the “Build Your Self-Concept During Pregnancy” program (intervention) might contain.                                                                                                                                                                   1-

2-

/2.5
Describe two activities that you think the “Build Your Self-Concept During Pregnancy” program (intervention) might contain.

1-

2-

/2.5
DATA COLLECTION TOOLS (4 items worth total of 6 possible points) Total = 6
What are two demographic data might the researcher collect?                                                                                         1-

2-

/1.5
What are two areas that the ASMD data collection tool might explore in order to measure variables of interest in pregnant adolescents?                                                                                                                                                        1-

2-

/1.5
Interpret this statement: The ASMD has a Cronbach’s alpha co-efficient (.93)

 

/1.5
Explain what the phrase “self-concept was operationalized as measured by the ASMD” means.

 

/1.5
DATA COLLECTION METHODS (2 items worth total of 5 possible points) Total = 5
What are two quantitative data collection methods that the nurse researcher might use?                                                                           1-

2-

/2.5
What are two qualitative data collection methods that the nurse researcher might use?                                                1-

2-

/2.5
STUDY DESIGN  (3 items worth total of 5.01 possible points) Total = 5.01
What are two types of research study designs that describe this study?                                                                                      1-

2-

/1.67
Discuss the terms of “experimental” and “control” group.

Experimental –

Control –

 

/1.67
Identify one threat to internal validity and one threat to external validity in this study.

Internal –

External –

 

/1.67
DATA ANALYSIS DECISIONS (4 items worth total of 8 possible points) Total = 8
What statistical test would you expect the researcher to use to analyze the ASMD data if data were interval level?      

 

/2
What statistical test would you expect the researcher to use to analyze the ASMD data if the data were ordinal level?

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/2
What statistical test would you expect the researcher to use to analyze the ASMD data if the control and experimental groups were randomly selected and randomly assigned? NUR 343 Nurse as Consumer of Research Study Scenario Exercise

 

/2
What statistical test would you expect the researcher to use to analyze the ASMD data if the control and experimental groups were selected by convenience sampling?

 

/2
DATA ANALYSIS RESULTS (6 items worth total of 12 possible points) Total = 12
What are two types of descriptive statistics that the researcher uses?                                                                                  1-

2-

/2
What is the “n” of the experimental group?

 

/2
What is the mean, median, and the mode of the experimental group’s scores?                                                     Mean =                                                                                                                                                                                     Median =                                                                                                                                                                           Mode = /2
What is the level of measurement of the ASMD? Why?

Level of measurement

 

Why?

 

/2
To what does “the mean score= 63.85” refer?

 

/2
In a normal distribution, what does it mean that “the ASMD score of 75 was 2 standard deviations away from the mean”?       

 

/2
DATA ANALYSIS INTERPRETATIONS (Correlations and p-value items)                                                                (4 correlation items worth total of 10 possible points)     Total = 10
Correlations – Discuss each of these four dimensions for each correlation below:

1- direction [positive or negative]

2- strength/magnitude

3- type of relationship [direct or indirect]

4- meaning of the relationship between the variables of these correlations                                                                                **(be sure to use the wording that each correlation statement uses as you write the meaning of the relationship between the variables) NUR 343 Nurse as Consumer of Research Study Scenario Exercise

Each of 4 correlations = worth 1 point (with .25 point for each dimension)
>Participants’ length of their pregnancy correlated with their ASMD self-concept scores at r = -.60                  (note minus sign)

1- direction [positive or negative] =

2-strength/magnitude =

3- type of relationship [direct or indirect]  =

4- meaning of the relationship between the variables =

 

/1
>Participants’ age correlated with their ASMD self-concept scores at r = .25

1- direction [positive or negative] =

2-strength/magnitude =

3- type of relationship [direct or indirect]  =

4- meaning of the relationship between the variables =

 

/1
>Participants’ reported amount of social support correlated with their ASMD self-concept scores at r = .85

1- direction [positive or negative] =

2-strength/magnitude =

3- type of relationship [direct or indirect]  =

4- meaning of the relationship between the variables =

 

/1
>Participants’ reported fears about labor and delivery correlated with their ASMD self-concept scores at                        r =  -.94 (note minus sign)

1- direction [positive or negative] =

2-strength/magnitude =

3- type of relationship [direct or indirect]  =

4- meaning of the relationship between the variables =

 

/1
What does it mean when “the nurse researcher set her p – level at less than or equal to .05”?  

 

/2
When the researcher analyzes her data, the computer prints out (p = .67). If the researcher tested for statistical significance at p is less than or equal to .05, what does p = .67 mean in relation to the null hypothesis?                       In relation to the research hypothesis?

Null hypothesis decision

 

Research hypothesis decision

 

/2
When the researcher analyzes her data, the computer prints out (p = .001). If the researcher tested for statistical significance at p is less than or equal to .05, what does p = .001 mean in relation to the null hypothesis?                                                                                                                                                                                  In relation to the research hypothesis?

Null hypothesis decision –

 

Research hypothesis decision

 

/2
PRESENTATION OF FINDINGS (3 items worth total of 5.01 possible points) Total = 5.01
What are two methods that the nurse researcher might use to display findings?                                                                                 1-

2-

/1.67
What are two facts that you know by reading the frequency distribution table of scores from the experimental group? NUR 343 Nurse as Consumer of Research Study Scenario Exercise                                                                                                                                                                                  1-

2-

/1.67
Would you use a bar graph or a histogram to display data such as “no social support, limited social support, moderate social support, high social support”?

 

 

Would you use a bar graph or a histogram to display data such as “pregnant adolescents’ ASMD scores”?

 

/1.67
COMMUNICATION OF FINDINGS (2 items worth total of 5 possible points) Total = 5
What are two methods that the nurse researcher might use to communicate these research study findings?                                                1-                                                                                                                                                                                        2- /2.5
What are two databases that a nurse might use to obtain an abstract or full report of this research study?                1-                                                                                                                                                                                        2-     /2.5
USE OF RESEARCH FINDINGS  
Suggest two areas of nursing practice that might use these research study findings.                                                         1-                                                                                                                                                                                        2- /2.98
Faculty feedback to student: Enter Total Score Here:            /100 possible points

NUR 343 Nurse as Consumer of Research Study Scenario Exercise

 

NUR 343 Nursing quantitative and qualitative Research Study Design

The purpose of this NUR 343 Nursing quantitative and qualitative Research Study Design exercise is to familiarize students with and offer learning opportunities about the two major types of research designs: quantitative and qualitative.

The links below are for two research study reports. One report uses a qualitative research design and one report uses a quantitative research design.
http://www.hindawi.com/journals/nrp/2014/836921/ (Links to an external site.)
http://www.cdc.gov/pcd/issues/2015/pdf/14_0405.pdf (Links to an external site.)

Your task is to determine which report fits each type of research design. Then, complete the attached assignment.

The exercise is in a table format. As you type in your responses, the table cells will expand to accommodate your responses. Include textbook citations to support your decisions as you complete the elements of this exercise. NUR 343 Nursing quantitative and qualitative Research Study Design

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Attachments

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Research Study Design Exercise

NUR 343 Nurse as Consumer of Research                 Worth 10%

Name:

Quantitative Research Design Work:     Point Value & Score
1-      Write APA reference for the quantitative research study report.

 

 

/5
2- List the major components (headings and areas of discussion) that your research study report presents (begin with the title and move through the report). /5
3- Use principles of research design to defend your decision. Describe three characteristics that indicate that you have selected a quantitative research study report.

a-

b-

c-

/20
4- Describe two ways that your selected quantitative research study report moves beyond tradition, authority, and/or trial-and-error to inform professional nursing practice. NUR 343 Nursing quantitative and qualitative Research Study Design

a-

b-

/20
Qualitative Research Design Work:            Point Value & Score
1- Write APA reference for the qualitative research study report.

 

/5
2- List the major components (headings and areas of discussion) that your research study report presents (begin with the title and move through the report). /5
3- Use principles of research design to defend your decision. Describe three characteristics that indicate that you have selected a qualitative research study report.

a-

b-

c-

/20
4- Describe two ways that your selected qualitative research study report moves beyond tradition, authority, and/or trial-and-error to inform professional nursing practice.

a-

b-

/20
Faculty feedback to student: NUR 343 Nursing quantitative and qualitative Research Study Design Enter Total Score Here:                                                /100 possible points

NUR 343 Argumentative Nursing Research Paper

NUR 343 Argumentative Nursing Research Paper

In this course, you will write an Argumentative Research Paper to learn about scholarly research and academic writing processes. These reflect the reading and writing skills necessary for success in undergraduate, graduate, and professional settings. Each week, you will practice skills in writing, information literacy, and APA formatting. By the end of this course, you will have written a 10-14 page paper on a controversial topic selected from the provided list associated with your major area of study.

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Your paper’s success will depend on both your content and your style of delivery. As this is an argumentative paper, you will be taking a position on your topic and using rhetorical and stylistic techniques to persuade the reader to adopt your stance. The hypothetical intended audience for this paper is professionals and experts in the field. The quality of your writing should be suitable for submission to a scholarly journal or trade publication. Therefore, careful attention should be paid to mechanics, grammar, spelling, punctuation, and word choice in every assignment. Because all good writers know that the first attempt is never the best, you will be submitting drafts of each section of the paper for instructor feedback. Upon receiving these suggestions, you will revise your draft while working to produce the next section of your paper, learning and improving as you progress. NUR 343 Argumentative Nursing Research Paper.

The focus of each week’s draft will be as follows:
Week 1: Topic Selection
Week 2: Thesis Statement
Week 3: Introduction
Week 4: Body 1
Week 5: Body 2
Week 6: Abstract and Conclusion
Week 7: Final submission

Research Critique Paper Directions

NUR 343 Nurse as Consumer of Research         Worth 30%

 

PURPOSE of Research Critique Paper:

·         Expose students to expected standards for published research study reports

·         Familiarize students with concept, process, and application of research critique

·         Promote analysis, questioning, and critical thinking about application of expected standards for published research study reports NUR 343 Argumentative Nursing Research Paper

·         Develop consumer of research knowledge and skills

 

DESCRIPTION of Research Critique Process:

·         Conduct an in-depth critical reading and appraisal of all components (parts) of the study report

·         Use a “gold standard” model (see Nieswiadomy’s extensive criteria about specifications/standards/ expectations that published research study reports should meet); use the textbook’s extensive critique questions and expected standards as benchmarks and points of comparison to guide the critique process and evaluate the study’s strengths, weaknesses, value, and worth

·         Objectively compare reading and review findings with “gold standard” model expectations

·         Record critical analyses of strengths and weaknesses

·         Constructively suggest ideas for improvement and/or future research

 

PROCESS to COMPLETE the Research Critique Paper:

·         Assume this investigative mission as a consumer of nursing research.

·         Explore, carefully read, and use your knowledge to analyze and critically evaluate the research study report.

  • Use the textbook as the expert and point of comparison source; you do not need any other sources.
  • Access the research study report: Shaw, J.D., O’Neal, D.J., Siddarthan, K., & Neugaard, B.J. (2014). Pilot program to improve self-management of patients with heart failure by redesigning care coordination. Nursing Research and Practice, 2014, http://dx.doi.org/10.1155/2014/836921

·         Use the template to write your critique paper. The template headings represent standard components of a research study report. NUR 343 Argumentative Nursing Research Paper

·         Leave the headings and questions in place. Do not alter the template.

·         After each bolded question, type in a brief summary of Nieswiadomy’s recommendations. Follow the summary with your responses, using examples for the report to address the critique questions.

·         You must support your writing with citations from the textbook and from the research study report. NUR 343 Argumentative Nursing Research Paper

·         As a final step, consider your ideas for constructive suggestions to the study researcher(s).

  • Submit your final assignment per your course faculty’s directions. Turnitin will also review your final research critique paper.

 

 

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Here is a sample text that shows the “thought process” to critique the abstract from Hayes’ (2014) research study about the impact of new medication prescriptions for older adults who are discharged from the emergency department. Using a step thought process, the template questions, and headings keeps you focused and on track with your critique work.

 

Step 1- Nieswiadomy (2012) recommends that the abstract should use 100-200 words to summarize the research study and should contain the essential components (i.e., purpose, hypothesis or research question(s), methods, description of subjects, and major findings).

Step 2 – Hayes’ (2014) abstract contained 154 words, the purpose ( i.e.,  to determine the effect of newly prescribed medications for older adults discharged from the emergency department), the research question (i.e., What is the effect of newly prescribed medications for older adults discharged from the emergency department?), the methods (self-administered Medication Complexity Index and telephone administration of the Knowledge of Medication subtest at 48-72 hours after discharge from the emergency department), and a description of the subjects (i.e., 60 adults aged 65-90 years). The abstract did not contain the major findings of the study. NUR 343 Argumentative Nursing Research Paper

Step 3 – Constructive suggestions for the researcher: Hayes (2014) could have reported the study’s findings in the abstract in order to attract the reader’s attention (Nieswiadomy, 2012). Hayes (2014) needed to better emphasize and give examples to demonstrate how emergency nurses can use her research findings in their practice. In particular, emergency nurses need information about working with the aging adult population who receive newly prescribed medications at discharge.

 

 

Template for Research Critique Paper  –

 

The paper should be doubled spaced and insert page numbers

 

Page One:        Title Page (with usual elements)

 

Page Two:

Title of Paper

 

Introduction section for your paper with 2-3 sentences about the critique process in general (define it, what is it? why we use it?). Cite source(s) of your info. Conclude the first paragraph with: The purpose of this paper is to use Nieswiadomy‘s (2012) suggested guidelines to critique the research study report “                        ” by author(s) (year).

 

Introduction of the Research Study Report

 

>>Read the title and the abstract.

How do the title and abstract components capture your attention?

What is the problem (issue, need, gap, area of interest)?

Who is the population of interest?

What are two questions related to the problem and population of interest that you would like for the researchers to study and answer for you? NUR 343 Argumentative Nursing Research Paper

 

Variables

>>Determine the variable(s) of interest.                                                                                              What is/are the variables?

What is the independent variable (IV)?  

What is the dependent variable (DV)?                                                                                                                                                         What question(s) did you ask yourself to determine which variable is which?

 

Review of Literature

>>Identify relevant literature and previous studies that the researchers present.

How are literature and previous studies related to the variable(s) and population of interest?

What is the significance of the problem to nursing?  

What other literature topics would you like the researchers to present?

 

Purpose

>>Identify the purpose of the research study.                                                                                            What is the researchers’ purpose statement?

How does the purpose statement answer the question of “why” did the researchers conduct this study?

What are two research questions that the researchers might pose? (hint: use the purpose statement with the variables and population of interest to create research questions) NUR 343 Argumentative Nursing Research Paper

 

Theoretical/Conceptual Framework

>>Identify the theoretical/conceptual framework.                                                                                   What is the theoretical/conceptual framework(s)?       

How is the framework related to the problem and population of interest?                                                                                                          What is one question that you have about how the researchers used this framework to support their study?        

Research Design

>>Examine the research study design.

What are two clues that will help you to determine the design types? 

What design type(s) did the researchers use? (use all relevant descriptors)

 

Sampling

>>Examine the sampling procedures.

Who was the study sample (participants)?

How did the researchers select the sample?     

 

Sampling Threats

>>Consider sampling threats.

What sampling threats to internal validity do the authors mention?   

Your ideas for other threats?

What sampling threats to external validity do the authors mention?   

Your ideas for other threats?

Ethics

>>Consider ethics.

How did the researchers demonstrate use of informed consent?

What are two potential ethical issues that the researchers might have encountered?

 

Research Instruments

>>Examine the research study instruments.

What are the names of the instrument(s) that the researchers used to collect data?

How did the researchers describe instrument reliability? NUR 343 Argumentative Nursing Research Paper

How did the researchers describe instrument validity?  What types?

What instrument threats to validity do the authors mention? If none, what are your ideas?

 

Data Collection

>>Consider the data collection procedures.

Who, when, and where did researchers collect data?    

What is your idea about one other data collection method that the researchers might use to collect data about the variables and the population of interest?

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Data Analyses

>>Explore the data analysis(es).

What are four familiar data analysis terms that you see in the research report?

What types of descriptive data analysis(es) did the researchers perform?                                                                  

What types of noninferential data analysis(es) did the researchers perform?     

What types of inferential data analysis(es) did the researchers perform?   

How did the study design, sampling methods, and collected data determine the types of data analysis(es)?

Findings

>>Explore the findings.

What were the major findings?    

What statistically significant finding(s) did the researchers discuss?     

How did the researchers communicate and display their findings?

 

Implications for Nursing Practice

>> Consider implications for nursing/interprofessional practice.

What are two implications for nursing practice?

What are two implications for interprofessional practice (i.e., involves other disciplines)?

 

Implications for Nursing Education

>> Consider implications for nursing education.

What are two ideas about content or clinical experiences that basic nursing education programs should include?    

What are two ideas about content that inservice/continuing education should include?

 

Recommendations for Research

>>Consider recommendations for future research.

What are two areas that future research should explore?

 

Constructive Suggestions to Researchers

>>Consider constructive suggestions to researcher(s).                                                                                         Write two constructive suggestions to the researcher(s) (i.e., your ideas about what they could/should add or modify to better meet Nieswiadomy’s recommendations).

What is one question that you still have as a curious investigative consumer of this nursing research report?

 

Reflections and Creative Idea About Research Critique Experience

>>Reflect about critique experiences.

What are two of your experiences throughout your research critique work?     

Create a mnemonic or acronym to help you remember the process or contents of research critique –even 3 years from now! A mnemonic is a memory aid such as a formula, rhyme, or mental image that helps to remember something. An example of a mnemonic is “My Very Excited Mother Just Served Us Nine Pizzas” to remember that the order of the planets is Mercury, Venus Earth, Mars, Jupiter, Saturn, Uranus, Neptune, Pluto.

An acronym is a word formed from the initial letters or groups of letters of words in a set phrase or series of words and pronounced as a separate word (e.g., WAC from Women’s Army Corps).

 

Conclusion

>>Determine your conclusion texts.

Summarize major points of your entire paper. See critique evaluation rubric for contents of conclusion section of your paper. Use citations.

 

References

>>Document references.

Write references that you cited in your critique paper

 

 

Template adapted from Nieswiadomy, American Journal of Critical Care (ACCN journals), American Nurses Association (Kaplan), AACN Baccalaureate Essentials NUR 343 Argumentative Nursing Research Paper

 

 

 

Advanced practice nurse and quality healthcare essay

Advanced practice nurse and quality healthcare essay

Across the world access to quality healthcare and the cost of said care is a major concern. In the United States escalating costs of healthcare due to chronic diseases has led to a merger of technology and health as it relates to data management (Newhouse, et al., 2011). Working for a health insurance company in a clinical division, most of the patient data that is used to make decisions is delivered through an electronic clinical exchange. As a health plan, we are contracted with the Agency for Healthcare Administration (AHCA) and therefore, must adhere to very specific criteria related to the management of patient data and expected patient outcomes. Within our work process we report on information specific to performance benchmarks, clinical dashboards, disease management, quality indicators, evidence-based practices and outcomes(Hamric, Hanson, Tracy, & O’Grady, 2014). In my current role as a Clinical Leader for Medicaid disease management, I review electronic reports related to the above data and feel comfortable in applying the reported information to make decisions about how to engage the patient in their care. Some examples of the type of information that is collected are high ER utilization, frequent inpatient admissions, compliance with primary care physician (PCP) appointments, medication utilization and compliance, patient access to care complaints, diagnosis and compliance with HEDIS measures. Advanced practice nurse and quality healthcare essay. Advanced practice nurse and quality healthcare essay

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While, my organization does have accountability for successfully meeting these expectations, as an APRN my personal accountability increases. The direct proximity of the interactions between practitioners and their patients places them in the best position to deliver quality care. Therefore, practitioners are held most accountable for the discrepancies in the care patients are receiving (Baker & Hopkins, 2010). Practitioners receive the same reports as the health plan regarding patient data. Utilizing the report from the aspect of the provider will be a change for me. Currently, it is frustrating to me when I see patients that have never established with their PCP. However, they are utilizing the ER for all their needs. The PCP looks to the health plan to make an impact in the patient’s utilization because it directly impacts their payment based on their contract. As an NP my focus would not be to look for the health plan to resolve my issue with my patient’s non-compliance. I feel that it would be my responsibility as the provider to engage my member by utilizing the patient data that is readily available to me. It is the interpretation of this data by the practitioner and subsequent application that would make the biggest impact in patient outcomes. Advanced practice nurse and quality healthcare essay.

References

Baker, L. C., & Hopkins, D. P. (2010). The contribution of health plans and provider organizations to variations in measured plan quality. International Journal For Quality In Health Care: Journal Of The International Society For Quality In Health Care, 22(3), 210-218. doi:10.1093/intqhc/mzq011

Hamric, A., Hanson, T., Tracy, C., & O’Grady, E. (2014). Advanced practice nursing: an integrative approach. St Louis, MO: Elsevier.

Newhouse, R. P., Stanik-Hutt, J., White, K. M., Johantgen, M., Bass, E. B., Zangaro, G., & Weiner, J. P. (2011). Advanced practice nurse outcomes 1990-2008: a systematic review. Nursing Economics, 230. Advanced practice nurse and quality healthcare essay

Chronic Venous Insufficiency and Deep Venous Thrombosis Essay

Chronic Venous Insufficiency and Deep Venous Thrombosis Essay

Chronic venous insufficiency and deep venous thrombosis are both conditions that affect the veins .Veins carry deoxygenated blood back to the heart, to effect this important function there are valves which prevents backflow of blood, pooling, and clotting in the lumen. These conditions both affect the legs ie the calf muscle and the lower extremities in different ways. Here we evaluate the conditions on the following topics, epidemiology, pathophysiology, clinical presentations, diagnosis, and treatment

According to(Gulati, 2013) Chronic venous insufficiency is estimated to affect 40%of people living in the united states and highly occurs in women of more than 50yrs of age. This is due to the continued inability of the veins to carry blood back to the heart. This happens when the calf muscle does not contract regularly to compress the veins and aid in an upward flow of blood Chronic Venous Insufficiency and Deep Venous Thrombosis Essay. Hence increased pressure is applied on the valves which are positioned to stop the backflow blood i.e. one-way valves. this causes damage to the valve, as a result, the blood flows back and pools in veins lumen .the pooling are known as stasis .When a clot is formed it blocks the flow causing more pressure to the smaller vein that can easily burst .When this happens a reddish-brown, sensitive to bump swelling occurs and if broken a very painful ulcer occurs.

This is common due to the high population of aged people in unites states, also a very sedentary lifestyle that many have adopted or sometimes the cause may be secondary to pelvic tumors. Idiopathic chronic venous insufficiency is also common Chronic Venous Insufficiency and Deep Venous Thrombosis Essay.

The common signs and symptoms of chronic venous insufficiency include edematous ankles and calf muscle, newly formed varicose veins, aching or always tried legs, lathery-looking and itching skin on the legs, static ulcers

This can be diagnosed by use of duplex ultrasound, this simply placing a small device on the skin where you will be able to visualize the blood flow by use of waves .x rays can also come in handy if the duplex ultrasound is not available

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The most common treatment for chronic venous insufficiency is a lifestyle change; this includes wearing of compression stocking, exercises that involve the calf muscle e.g. walking. Avoid standing or sitting for long hours. In medical management, the physician may give some antibiotics if ulcers have formed. Anticoagulants to stop clot formation. pain killers to relieve pain if they are painful. Management may also involve non-invasive methods like sclerotherapy, a procedure where the doctor injects a solution into affected to scar and eventually cause bypass of the affected vein. Technologically treatment has improved to Endovenous thermal ablation where radio waves are used to heat and close the affected vein Chronic Venous Insufficiency and Deep Venous Thrombosis Essay. Vein ligation, vein repair, vein transplant, and vein bypass can be done.

Deep venous thrombosis condition affects a vein deep inside the body, the pathophysiology of deep venous thrombosis formation of a clot which in turn blocks the vein causing pooling in vein.

The major cause of DVT is a blood clot. Which may result from various reasons these include; injury to a blood vessel, drugs that encourage blood clotting, surgery: this happens when clot escapes the eye of the surgeon before suturing. and reduced movement either by age or sickness.

According to a center for diseases control and prevention( CDC), deep venous thrombosis have the following symptoms; swelling of the ankle or general foot, cramping pain starting from the calf muscle, warmth on the affected area, and change of color on the affected area.these are symptoms for lower extremities but if one has deep venous thrombosis on hands one may experience neck pain, shoulder pain, and sometimes general weakness on the affected hand.

To diagnose deep venous thrombosis you can perform the following ;a compression test where one gets to express pain on compression,checking of temperature on the painful area. A venous dropper ultra sounded and dimmers blood test can also be done

The methods of treatment for deep venous thrombosis are both invasive and non-invasive methods. These methods include the use of compression stockings, insertion of filters in the large abdominal vein known as venacava to prevent clots from moving to the lungs and cause a pulmonary embolism. The physician commonly prescribes the use of warfarin to dissolve clots and advice on reduced exercise to stop the clots from moving up to the lungs Chronic Venous Insufficiency and Deep Venous Thrombosis Essay.

In comparison, the major difference in Chronic Venus Insufficiency and Deep Venous thrombosis is that Deep venous thrombosis is the formation of a be a blood clot within a deep vein causing blockage and Chronic Venous Insufficiency is a decrease in blood flow from the legs to the heart. Deep venous thrombosis can be cured while chronic venous insufficiency does not have a cure. They also have a no of similarities these include they cause edema, pain, and discoloration. The risk for both conditions are related and be caused by similar conditions. Inactivity can cause an increase in both conditions and can be prevented by increasing daily activity. Diagnosis of CVI and DVT can be done by use venous Doppler ultrasound and D-Dimer blood test Chronic Venous Insufficiency and Deep Venous Thrombosis Essay.

References

Introduction to the study of deep venous thrombosis. (2008). The Aetiology of Deep Venous Thrombosis, 1-9. https://doi.org/10.1007/978-1-4020-6650-4_1

Lawrence, P. F., & Gazak, C. E. (2000). Epidemiology of chronic venous insufficiency. Chronic Venous Insufficiency, 3-8. https://doi.org/10.1007/978-1-4471-0473-5_1

Gulati, O. (2013). Pycnogenol® in Chronic Venous Insufficiency and Related Venous Disorders. Phytotherapy Research28(3), 348-362. https://doi.org/10.1002/ptr.5019 Chronic Venous Insufficiency and Deep Venous Thrombosis Essay

 

Compare the pathophysiology of chronic venous insufficiency and deep venous thrombosis. Describe how venous thrombosis is different from arterial thrombosis.
Explain how the patient factor you selected might impact the pathophysiology of CVI and DVT. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
Construct two mind maps—one for chronic venous insufficiency and one for deep venous thrombosis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper. Chronic Venous Insufficiency and Deep Venous Thrombosis Essay

 

Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness

Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness

Introduction

The organizational culture survey tool of choice for the purpose of assessing the readiness of Memorial Regional Hospital in Hollywood Florida for the implementation of Evidence Based Practice is Organization Culture and Readiness for System-Wide Integration of EBP Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness. This survey tool adequately explores the factors that influence or hinder organizations from adopting EBP including the changes that should be expected. Therefore, this tool will be the most appropriate to investigate, evaluate and identify the readiness of Memorial Regional Hospital in Hollywood Florida to take part in evidence based practice.

Level of Organizational Readiness

`           Based on the findings of the evaluation, it was evident that the organization is ready to take part in evidence-based practice. There is passion and commitment among nurses who form a major part of the health workforce in the organization and this will serve as a drive to conduct further research to improve health outcomes. Physicians are self-drive, dedicated and fully collaborate with nurses in providing care to patients. This is indicative that, in conducting and implementing evidence based practice, there will be maximum inter-professional collaboration which increases the chances of success and quality care (Melynyk & Fineout-Overholt, 2015).  Memorial Regional Hospital has a department that conducts research which is linked with the research centers at the state and national levels. Nurses are actively involved in conducting research in this department and numerous journals on different research topics have so far been published Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness. The presence of a library supports the availability of resources for conducting research in various topics.

Barriers to Implementing EBP

There are certain human and organizational factors which are potential barriers to implementing EBP in Memorial Regional Hospital. They include: time, tight work schedules and inadequate experience in EBP among staff members. Since the organization receives an influx of patients, it is often busy and most nurses are always on tight work schedules which limit their availability to adequately participate in EBP. This also explains most nurses have inadequate experience with EBP Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness.

Facilitators to Implementing EBP

Recently, there has been a significant increase in the number of geriatric patients suffering from pneumonia admitted to the hospital to receive care. This has raised concerns from healthcare providers and the hospital administration on the need to find and implement preventive measures Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness. The leadership of Memorial Regional Hospital believes and supports that EBP is the only alternative to achieving quality and improved health outcomes (Yano, 2014). It is ready to support the full adoption and implementation of EBP by providing financial and non-financial resources.

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References

Melynyk, B. & Fineout-Overholt, E. (2015). Evidence-based practice in nursing and healthcare. A guide to best practice (3rd ed.). China: Wolters Kluwer Health.

Yano, E. M. (2014). The role of organizational research in implementing evidence-based practice: QUERI Series. Implementation Science, 3(1), 1 Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness.

Assignment Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment

Details:

Before making a case for an evidence-based project, it is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation. Select an appropriate organizational culture survey tool and use this instrument to assess the organization’s readiness.

The organization is Memorial Regional Hospital in Hollywood Florida

  1. Develop an analysis of 250 words from the results, addressing your organization’s readiness level, possible project barriers and facilitators, as well as how to integrate clinical inquiry.
  2. Make sure to include the rationale for the survey categories scores that were significantly high and low, incorporating details and/or examples. Also explain how to integrate clinical inquiry into the organization, providing strategies that strengthen the organizations weaker areas Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness.
  3. Submit a summary of your results. The actual survey results do not need to be included.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness assignment to Turnitin. Please refer to the directions in the Student Success Center.

RUBRICS

Top of Form

Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment 

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Less than Satisfactory
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Satisfactory
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100.0 %Organizational Culture and Readiness Assessment Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness
100.0 %Describe the results from the organizational culture survey you selected, addressing the readiness level of your organization. Provide an analysis of any possible project barriers and facilitators, and describe how to integrate clinical inquiry into your organization. The survey results are listed without an in-depth explanation. Analysis of the project barriers and facilitators is not outlined or is outlined poorly. Clinical inquiry is defined and/or broad statements are made about it, but the individual organization being assessed is not specifically addressed. Inaccurate comprehension of material is revealed, as is the lack of ability to apply information. Subject matter is absent, inappropriate, and/or irrelevant. Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.

Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness

The survey results are listed without an in-depth explanation. The project barriers and facilitators are ignored or superficially evaluated. Unwarranted conclusions are drawn. Clinical inquiry is defined and/or broad statements are made about it, but the individual organization being assessed is not specifically addressed. A lack of comprehension is displayed, but there is an attempt to apply information. There is weak, marginal coverage of subject matter with large gaps in presentation. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present. A basic survey overview is provided, but any rationale, details, and/or examples are minimally included. A surface level of evaluation of the possible project barriers and facilitators is conducted. Very narrow focus is provided. Claims and ideas of the criteria are supported but not developed in-depth. How to integrate a basic idea of clinical inquiry into the organization is explained but does not specifically address the individual organization being assessed. Comprehension of the material is exhibited and there is clearly an attempt to integrate and apply information. All subject matter is covered in minimal quantity and quality. Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Information in relation to the survey categories which scored high and low on the survey is provided. The rationale for the scores, including details and/or examples, is stated. Analysis on the project barriers and facilitators is direct, competent, and appropriately aligned to the survey. How to integrate a basic idea of clinical inquiry into the organization is explained, and strategies that broadly encompass many issues of concern are provided. Integrative and accurate comprehension is demonstrated and information is applied as appropriate. There is comprehensive coverage of subject matter. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Detailed information in relation to the survey categories that scored high and low on the survey is provided. The rationale for the scores, including details and/or examples, is provided. The major project barriers and facilitators are thoughtfully analyzed and evaluated. Warranted conclusions are drawn. An informed position on how to integrate clinical inquiry into the organization is developed and explained, providing strategies which align to the weaker areas of the organization. Clarity and specificity of comprehension are demonstrated, and all relevant information is synthesized. Coverage extends beyond what is needed to support subject matter. Writer is clearly in command of standard, written, academic English.
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CBT vs REBT Essay

CBT vs REBT Essay

Cognitive Behavioral Therapy versus Rational Emotive Behavioral Therapy

Introduction

According to the World Health Organization, mental and behavioral health disorders are a global public health concern that affects more than 70 million people at one point in life. This estimate contributes to approximately 10% of the global disease burden and is expected to increase by the year 2030 (David et al., 2018).  In the United States, behavioral and mental disorders affect close to 50 million adults. However, despite the high prevalence, highly recognized therapies are effectively being used to alleviate this problem resulting to improved health outcomes CBT vs REBT Essay. The best examples of therapies being used are: cognitive behavioral therapy and rational emotive behavioral therapy.

Cognitive behavioral therapy is a treatment approach used to manage people with different mental and behavioral health problems based on thoughts, behavior and emotions. In comparison, rational emotive behavioral therapy emphasizes on rational thinking for the development of healthy expressions and emotional behavior. This paper discusses the similarities and differences between the two behavioral therapies and how the differences might impact my clinical practice as a mental health counselor. CBT vs REBT Essay To add on, I will discuss about the version of cognitive behavioral therapy I would use with clients with supporting reasons.

Similarities Between Cognitive Behavioral Therapy (CBT) And Rational Emotive Behavioral Therapy

Cognitive behavioral therapy and rational emotive behavioral therapy use theories which are founded from the ABC model. Therefore, the two therapies have similar beliefs in terms of development and maintenance of psychopathology (Brown  & Gaudiano, 2013) CBT vs REBT Essay.  To add on, the practical applications of both CBT and REBT are the same more so in terms of organization and interrelations of beliefs which may either be labeled as irrational or dysfunctional. The last similarity is that the major notions of CBT and REBT uphold that human behavior and emotions are highly dependent on individual beliefs, ideas, thinking and attitude and not by the sole occurrence of events. Therefore, for behavioral and emotional change to occur, one has to change his/her thinking.

Differences Between Cognitive Behavioral Therapy (CBT) And Rational Emotive Behavioral Therapy

A major difference between CBT and REBT is that REBT addresses the irrational thoughts and philosophical basis of emotional disturbance based on a client’s personality, which results to solutions that involve unconditional self-acceptance. On the contrary, CBT addresses irrational thoughts based on a client’s disorder through reinforcement of positive qualities which leaves many pitfalls in case of a client’s poor performance (David, Lynn & Ellis, 2010).  CBT insists on psychoeducation as an early vital component of treatment while REBT is highly reliant on psychoeducation in the entire period of treatment CBT vs REBT Essay.

With regards to the therapeutic relationships, CBT emphasizes on having a high quality therapeutic relationship for good treatment outcomes whereas REBT does not recognize the necessity of a therapeutic relationship. In terms of reasoning, CBT utilizes inductive reasoning by laying emphasis on inferential thinking. In contrast, REBT maximizes on deductive thoughts with a focus on evaluative reasoning (Sapp, 2014) v. Generally, these differences would help to gauge the best case practice scenarios that one therapy may be well suited to adequately address a client’s needs as in comparison to another for a mental health counselor.

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The Version Of Cognitive Behavioral Therapy I Might Use With Clients

The version of Cognitive Behavioral Therapy that I might use with clients is Dialectical Behavioral therapy. This form is highly reliable in being able to identify the triggers which result to negative tendencies and thoughts such as self-harm, suicidal thoughts and drug abuse (Craske & American Psychological Association, 2017).  It also provides a mental health counselor with a framework for identifying the irrational and dysfunctional behavior in a client and the tools that can effectively be used to counteract it CBT vs REBT Essay.

Conclusion

From this discussion on the similarities and differences between REBT and CBT, it is rather evident that the latter is more advantageous as compared to the former CBT vs REBT Essay. A perfect example is in the management of self-esteem, the establishment of a therapeutic relationship and thinking style. With this knowledge, mental health counselors are able to apply the most effective therapies depending on a client’s needs.

References

Brown, L., & Gaudiano, B. (2013). Investigating the similarities and differences between

practitioners of second-and third-wave cognitive-behavioral therapies. Behaviour Modification.

Craske, M. G., & American Psychological Association,. (2017). Cognitive-behavioral therapy.

David, D., Cotet, C., Matu, S., Mogoase, C., & Stefan, S. (2018). 50 years of rational‐emotive

and cognitive‐behavioral therapy: A systematic review and meta‐analysis. Journal of Clinical Psychology74(3), 304–318 CBT vs REBT Essay.

David D., Szentagotai A., Lupu V., & Cosman D. (2013). Rational emotive behavior therapy,

cognitive therapy, and medication in the treatment of major depressive disorder: a randomized clinical trial, posttreatment outcomes, and six‐month follow‐up. Journal of Clinical Psychology, 64(6), 728–746.

David, D., Lynn, S. J., & Ellis, A. (2010). Rational and irrational beliefs: Research, theory, and

clinical practice. New York: Oxford University Press.

Sapp, M. (2014). Cognitive-behavioral theories of counseling: Traditional and nontraditional

approaches. Springfield, Ill: C.C. Thomas.

 

Assignment 1: Cognitive Behavioral Theory Versus Rational Emotive Behavioral Theory

While cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) have many similarities, they are distinctly different therapeutic approaches CBT vs REBT Essay. When assessing clients and selecting one of these therapies, you must recognize the importance of not only selecting the one that is best for the client, but also the approach that most aligns to your own skill set. For this Assignment, as you examine the similarities and differences between CBT and REBT, consider which therapeutic approach you might use with your clients.

Learning Objectives

Students will:

  • Compare cognitive behavioral therapy and rational emotive behavioral therapy
  • Recommend cognitive behavioral therapies for clients

To prepare:

  • Review the media in this week’s Learning Resources.
  • Reflect on the various forms of cognitive behavioral therapy CBT vs REBT Essay.

The Assignment

In a 1- to 2-page paper, address the following:

  • Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar.
  • Explain at least three differences between CBT and REBT. Include how these differences might impact your practice as a mental health counselor.
  • Explain which version of cognitive behavioral therapy you might use with clients and why. Support your approach with evidence-based literature CBT vs REBT Essay.

Watson’s theory of human caring nursing essay

Watson’s theory of human caring nursing essay

Watson’s theory of human caring

Introduction

Health professionals including nurses are expected to the truthful to their colleagues and more so to their patients (Fontes, Menezes, Borgato, et al., 2017). However, if a closer re-examination was to be done in the daily routine of a nurse, there are situations where telling the truth may not be the best option. This raises a significant question: are nurses especially obligated to tell the truth in situations where a level of dishonesty is bound to save the patient from more harm? When and under which circumstances withholding truth should be justified? Watson’s theory of human caring nursing essay.

One such scenario is when a Muslim patient comes to the healthcare facility seeking IVF treatment. The couple has been married for three years without any children forthcoming. All medical interventions have failed.  The woman’s in-laws are a traditionalist and are demanding for a grandchild. The in-laws are pushing for divorce and requesting their son to marry a ‘fertile’ woman. The husband has obliged to his family’s request. However, the wife persuaded him that they try IVF. However, after the first round of IVF treatment, the treatment fails. The woman is definitely going to lose her husband and home Watson’s theory of human caring nursing essay. The ethical dilemma for the nurse at this point is whether to tell the patient the truth or withhold part of or all of the truth.

Violation of the Nursing Code of Ethics

Nursing code 1.4 discusses the right of self-determination of a patient. Nurses are obligated under this code to include patients in discussions, identify options, provide referrals to resources, and address any problems in the process of decision-making. The nurse should show support of patient autonomy by respecting the method of decision making the patient applies while recognizing that different cultures understand confidentiality, privacy, autonomy, and healing in different ways (Winland, Lachman, & Swanson, 2015).

Nursing code 2.1 discusses the primacy of the patient’s interests. In this code, the primary commitment of the nurse is to the patient. Any plan of care should be reflective of this commitment. A nurse should address the interests of a patient against the background of the patient’s place in the family as well as other relationships. Watson’s theory of human caring nursing essay. Where there is a conflict between the patient’s interests and others, a nurse should attempt to resolve the conflict. If a nurse does not succeed in resolving the conflict, then the patient’s wishes should be upheld (Winland, Lachman, & Swanson, 2015).

In this case scenario, the failure to disclose the information to the patient will violate both nursing codes 1.4 and 2.1. The nurse as a caring provider should use wisdom in disclosing the information to the patient and her spouse. The nurse will also help the situation better by collaborating with other colleagues in the healthcare facility. Nursing code 2.3 encourages nurses to collaborate with other healthcare professionals for the provision of high-quality care to the patient. Thus, in this case, while disclosing the information, other professionals such as a psychologist, OBGYN, and child social services should be present. These additional staff will offer the patient the needed support as well as offer her options on the way forward regarding starting her own family with her husband. Watson’s theory of human caring nursing essay.

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Creating an Ethical Environment in the Workplace

Regan, Laschinger, & Wong (2016) propose that to create and sustain an ethical environment in the workplace, a nurse as a leader can define the professional responsibilities’ scope in ethical situations such as identifying nurse expectations when they fail to observe ethical behavior.  A nurse as a leader can support and encourage ethical concerns’ open expression for example when a nurse faces an ethical dilemma, nursing ethics consultants and ethics committees can be utilized. Additionally, a nurse as a leader can make ethics resources available for nurses and which will allow for open discussion on ethical challenges with no fear of retribution. Lastly, the nurse leader can establish a mechanism that will protect staff when they wish to anonymously report an unethical issue.

Watson’s theory of Human Caring in Ethical Decision Making

The nurse should practice loving kindness to the patient and her husband; she should not ridicule or show criticism to the childless couple but instead, reassure them that medical and social procedures still exist that have the potential to change their situation. By being authentically present, the nurse is fully aware of her emotions toward the patient and does not allow these emotions to cloud her judgment. The nurse can use her emotions to offer empathy to the patient and her husband. A nurse also needs to cultivate her spiritual practice and be aware that one is more than just a body. When one’s spirit is aligned with the body and mind, then one is likely to be in a calmer mental state and can offer the same calmness to the patient Watson’s theory of human caring nursing essay. The nurse should also develop and sustain a caring relationship with the patient. In this case, the nurse should have a trusting relationship with the patient to the point that the patient is willing to listen to and consider the alternative options for resolving her health issue. It is expected that the patient will have both negative feelings and possibly positive ones. The nurse should be present and support whichever of the two emotions expressed by the patient.

Further, a nurse can use creative ways of knowing in assisting the patient. In this case, the nurse can involve other professionals in the decision making to offer the patient with other options of starting a family. As the nurse engages in genuine learning and teaching experience, the knowledge base is increased and can be utilized in future similar occurrences. In this case, the solutions provided by other professionals involved in this case scenario will offer a teaching-learning experience that the nurse will refer to in the future as a guide in caregiving. Additionally, the nurse should offer an environment that promotes healing Watson’s theory of human caring nursing essay. In the case scenario, the healing process involves psychological healing and thus, a nurse should involve a psychologist in the patient’s healing process. Lastly, the nurse should assist the patient with basic needs as well as be open to the possibility of a miracle. Medical miracles have been reported even in cases of infertility. The nurse should give hope to the patient without promising pie in the sky guarantees. The hope given to the patient should be backed by evidence-based practices.

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In conclusion, the 10 Caritas need to be applied when caring for a patient. In this case scenario, a nurse can use Watson’s theory to ensure the patient gets the best outcomes out of the possibly problematic situation she finds herself.

References

Fontes, C. M. B., Menezes, D. V. D., Borgato, M. H., & Luiz, M. R. (2017). Communicating bad news: an integrative review of the nursing literature. Revista brasileira de enfermagem70(5), 1089-1095.

Regan, S., Laschinger, H. K., & Wong, C. A. (2016). The influence of empowerment, authentic leadership, and professional practice environments on nurses’ perceived interprofessional collaboration. Journal of nursing management24(1), E54-E61.

Winland-Brown, J., Lachman, V. D., & Swanson, E. O. C. (2015). The new’Code of ethics for nurses with interpretive statements'(2015): Practical clinical application, Part I. Medsurg Nursing24(4), 268. Watson’s theory of human caring nursing essay.

 

Ethical Decision-Making, NRP/508: Health Policy And Role Of The Advanced Practice Nurse Week 4 Assignment Instructions

  1. Conduct an Internet search for the Core Concepts of Jean Watson’s Theory of Human Caring/Caring Science article.
  2. Read the article.
  3. Complete the questions from Box 15-1: Ethics Inventory located on p. 141 in Ch. 15 of Policy & Politics.
  4. Select an ethical dilemma you would face as an APRN. Watson’s theory of human caring nursing essay.
  5. Write a 1,050-word paper addressing the following:
  6. Identify which provision of the nursing code of ethics would be violated in the ethical dilemma. How can you use the code of ethics to address the issue? (15 pts)
  7. How can you create an ethical environment in your workplace to bring about awareness for other nurses in this area? (15 pts)
  8. Explain how you can use Watson’s theory of human caring as a guide when encountering ethical decisions. (15 pts)
  9. Provide references for all sources cited and format according to APA guidelines. There must be at least one scholarly work that is peer-reviewed and within the last 5 years. References and in-text citations must be included in APA format. (5 pts)

 

Reading for assignment.  Box 15-1 is included in the reading below.  Box 15-1, page 141, Chapter 15, Policy and Politics in Nursing and Health Care text.

  1. Hamric, A. B., Hanson, C. M., Tracy, M.F., & O’Grady, E.T (2019). Hamric and Hanson’s advanced practice nursing: an integrative approach (6th ed.). St. Louis, MO: Elsevier. Watson’s theory of human caring nursing essay.

Chapter 7 and 13.

 

  1. Mason, D. J., Gardner, D. B., Outlaw, F. H., & O’Grady, E. T. (2016). Policy & politics in nursing and health care, 7th ed. St. Louis, MO: Elsevier.

Chapter 8 and 15.

 

  1. Weber, B. B. (2011). The role of professional nursing organizations in maintaining a healthy workplace. Plastic Surgical Nursing, 31(3), 92-94. Watson’s theory of human caring nursing essay

Case Study on Biomedical Ethics in the Christian Narrative

Case Study on Biomedical Ethics in the Christian Narrative

Applying the Four Principles: Case Study

Part 1: Chart (60 points)

Based on the “Healing and Autonomy” case study, fill out all the relevant boxes below. Provide the information using bullet points or a well-structured paragraph in the box. Gather as much data as possible.

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Medical Indications

Beneficence and Nonmaleficence

Patient Preferences

Autonomy

The principle of beneficence and non-maleficence is among the major five ethical principles outlined by APA. The beneficence principle states that psychologists should only engage in activities, which are beneficial to others (Young, 2017). On the other hand, the principle of non-maleficence states that practitioners should ensure that no one is hurt during their practices (Singh & Ivory, 2015). They should expose clients to the minimum harm to obtain the best outcomes. In the case study, the incidents of beneficence and non-maleficence are as described below.

·         The physician suggested immediate dialysis for James during the first visit due to his elevated blood pressure and fluid buildup,

·         Placing James on regular dialysis during the second visit to stabilize his deteriorating condition,

·         Proposing a kidney transplant to be performed within the next one year despite James being in a stable state currently,

·         Informing Mike and Joanne that the church members were not potential donors due to mismatch of their tissues, and

·         Suggesting for Mike and Joanne of a donor that was an ideal tissue match, James’ brother Samuel.

 

Autonomy is another major ethical principle, which psychologists and healthcare providers are required to adhere to. This ethical principle states that everyone is entitled to the right to independence, self-determination, and freedom to make their own choices without being influenced (Motloba, 2018). In the healthcare sector, the principle of autonomy states that clients have a right to make decisions about their own health without being influenced by care providers. Therefore, healthcare providers should respect autonomy even if they are not in agreement with the decision made by the client. The case study portrays various incidents of autonomy as illustrated below. Case Study on Biomedical Ethics in the Christian Narrative

 

v  The physician did not interrupt when Mike and Joane were making decisions regarding James’ medication,

v  The physician did not interrupt when Mike and Joane were making a decision to forego the dialysis and place their faith in God, and

v  The physician did not interrupt when Mike and Joane were making a decision whether to let Samuel donate a kidney to James or perhaps wait for God to do a miracle this time around.

Quality of Life

Beneficence, Nonmaleficence, Autonomy

Contextual Features

Justice and Fairness

v  The physician did not consider Mike or Joanne as ideal kidney donors to James since they were not compatible donors,

v  The physician did not consider any of the church members as an ideal donor since their tissues did not match with those of James,

v  The physician advised Mike and Joanne to ensure a kidney transplant was done in the next year despite James’ current stable state,

v  The physician proposed Samuel as an ideal kidney donor, and Case Study on Biomedical Ethics in the Christian Narrative

v  The physician allowed Mike and Joanne to make a decision about Samuel donating one of his kidneys to his brother, James.

This APA general principle holds that individuals are entitled to the advancements, which have been made within a particular field of practice such as psychology or healthcare (APA, 2020). Justice and fairness are portrayed in the case study in one major incident.

v  The physician allowed James to use the dialysis machine. This machine was used to perform daily rounds of dialysis to stabilize his condition.

 

 

 

 

Part 2: Evaluation

Answer each of the following questions about how principlism would be applied:

  1. In 200-250 words, answer the following: According to the Christian worldview, which of the four principles is most pressing in this case? Explain why. (45 points)
In the context of the Christian worldview, the principle of autonomy would be considered as the most pressing in this case. Autonomy states that everyone is entitled to the right to independence, self-determination, and freedom to make their own choices without being influenced (Singh & Ivory, 2015). In the healthcare sector, the principle of autonomy states that clients have a right to make decisions about their own health without being influenced. Case Study on Biomedical Ethics in the Christian Narrative. Therefore, healthcare providers should respect autonomy even if they are not agreed with the decision made by the client regarding treatment procedures. In this case, parents (Mike and Joane) are entitled to the independence of thought, and action when making any decision regarding the health care procedures of the patient since he is a minor. Thus, the physician respects their decision even if he was not in an agreement with it. The physician does not interrupt their decision to taking James home and wait for a miracle even if he was proposing for immediate dialysis due to his deteriorating condition. Additionally, he does not influence their decision when they decided to believe in God rather than making their son, Samuel loses his kidney. These two decisions were wrong and they were putting James’ life in danger. He could end up losing his life while they were waiting for God’s best time to perform a miracle for them Case Study on Biomedical Ethics in the Christian Narrative. Therefore, the Christian worldview considers autonomy as the most pressing principle among the four principles evidence in the case study.

 

  1. In 200-250 words, answer the following: According to the Christian worldview, how might a Christian rank the priority of the four principles? Explain why. (45 points)
A Christian would rank the principles in order. The principle of Non-maleficence, which advocates for less harmful procedures would be ranked as the first one (Ediger, 2015). This principle ensures that healthcare practitioners expose clients to minimize harm to get the best results. The second principle is justice or fairness. This principle holds that individuals are entitled to the advancements, which have been made within a particular field of practice such as psychology or healthcare. Therefore, this principle will give Christians an opportunity to benefit from technological advancements while receiving treatment. The third is the principle of beneficence, which advocates for good intentions towards the patients (Al-Bar & Chamsi-Pasha, 2015). Therefore, Christians should consider a decision that accrues the most benefits to them. Thus, the principle is against the Christians who fail to seek medication on time due to their faith. This behavior makes their health condition deteriorate like in the case of James. The principle of autonomy would be ranked as the last one. This ethical principle states that everyone is entitled to the right to independence, self-determination, and freedom to make their own choices without being influenced Case Study on Biomedical Ethics in the Christian Narrative. In this case, parents are entitled to the independence of intention, thought, and action when making any decision regarding health care procedures since the patient is a minor. The healthcare practitioner, therefore, is not supposed to use false during the decision-making process. This principle risks the health of most Christians who based their health decisions on faith rather than on facts.

 

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References:

Al-Bar, M. A., & Chamsi-Pasha, H. (2015). Beneficence. In Contemporary Bioethics (pp. 129-139). Springer, Cham.

APA. (2020). Ethical Principles of Psychologists and Code of Conduct: Including 2010 and 2016 Amendments. Retrieved from https://www.apa.org/ethics/code/

Ediger, M. J. (2015). Teaching Clinical Ethics Using the Four Topic Method. International Journal of Athletic Therapy and Training20(6), 10-13. Case Study on Biomedical Ethics in the Christian Narrative

Motloba, P. D. (2018). Understanding the principle of Autonomy (Part 1). South African Dental Journal73(6), 418-420.

Singh, J, P & Ivory, M. (2015). Beneficence/Nonmaleficence. The Encyclopedia of Clinical Psychology. 1-3.

Young, G. (2017). The Five Core and the Five Supplementary Ethical Principles and Their Sub-principles. In Revising the APA Ethics Code (pp. 63-91). Springer, Cham.

 

Case Study: Healing and Autonomy

Mike and Joanne are the parents of James and Samuel, identical twins born 8 years ago. James is currently suffering from acute glomerulonephritis, kidney failure. James was originally brought into the hospital for complications associated with a strep throat infection. The spread of the A streptococcus infection led to the subsequent kidney failure. James’s condition was acute enough to warrant immediate treatment. Usually cases of acute glomerulonephritis caused by strep infection tend to improve on their own or with an antibiotic. However, James also had elevated blood pressure and enough fluid buildup that required temporary dialysis to relieve Case Study on Biomedical Ethics in the Christian Narrative.

The attending physician suggested immediate dialysis. After some time of discussion with Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God. Mike and Joanne had been moved by a sermon their pastor had given a week ago, and also had witnessed a close friend regain mobility when she was prayed over at a healing service after a serious stroke. They thought it more prudent to take James immediately to a faith healing service instead of putting James through multiple rounds of dialysis Case Study on Biomedical Ethics in the Christian Narrative. Yet, Mike and Joanne agreed to return to the hospital after the faith healing services later in the week, and in hopes that James would be healed by then.

Two days later the family returned and was forced to place James on dialysis, as his condition had deteriorated. Mike felt perplexed and tormented by his decision to not treat James earlier. Had he not enough faith? Was God punishing him or James? To make matters worse, James’s kidneys had deteriorated such that his dialysis was now not a temporary matter and was in need of a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their own kidneys to James, but they were not compatible donors. Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James. However, none of them were tissue matches.

James’s nephrologist called to schedule a private appointment with Mike and Joanne. James was stable, given the regular dialysis, but would require a kidney transplant within the year. Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match, but as of yet had not been considered—James’s brother Samuel.

Mike vacillates and struggles to decide whether he should have his other son Samuel lose a kidney or perhaps wait for God to do a miracle this time around. Perhaps this is where the real testing of his faith will come in? Mike reasons, “This time around it is a matter of life and death. What could require greater faith than that?” Case Study on Biomedical Ethics in the Christian Narrative

 

This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles of principlism.
Based on the \”Case Study: Healing and Autonomy\” and other required topic study materials, you will complete the \”Applying the Four Principles: Case Study\” document that includes the following:
Part 1: Chart
This chart will formalize principlism and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice.
Part 2: Evaluation
This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview.
Remember to support your responses with the topic study materials.
APA style is not required, but solid academic writing is expected.
Applying the Four Principles: Case Study
Part 1: Chart (60 points)
Based on the “Healing and Autonomy” case study, fill out all the relevant boxes below. Provide the information by means of bullet points or a well-structured paragraph in the box. Gather as much data as possible.

Medical Indications
Beneficence and Nonmaleficence Patient Preferences
Autonomy

Quality of Life
Beneficence, Nonmaleficence, Autonomy Contextual Features
Justice and Fairness

Part 2: Evaluation
Answer each of the following questions about how principlism would be applied:
1. In 200-250 words answer the following: According to the Christian worldview, which of the four principles is most pressing in this case? Explain why. (45 points)

2. In 200-250 words answer the following: According to the Christian worldview, how might a Christian rank the priority of the four principles? Explain why. (45 points) Case Study on Biomedical Ethics in the Christian Narrative
References: