One way informatics can be especially valuable is in capturing data to inspire improvements and quality change in practice. The Agency for Healthcare Research and Quality (AHRQ) collects data related to adverse events and safety concerns. If you are working within a practice setting to implement a new electronic health record (EHR) system, this is just one of the many considerations your team would need to plan for during the rollout process. NURSE’S ROLE

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In a paper of 1,250-1,500 words, address the following questions related to the advanced registered nurse’s role during this type of scenario:

1. What key information would be needed in the database that would allow you to track opportunities for care improvement?
2. What role does informatics play in the ability to capture this data?
3. Which systems and staff members would need to be involved in the design and implementation process and team?
4. What professional, ethical, and regulatory standards must be incorporated into the design and implementation of the system? NURSE’S ROLE
5. How would the EHR team ensure that all order sets are part of the new record?
6. How would you communicate the changes, including any kind of transition plan?
7. What measures and steps would you take to evaluate the success of the EHR implementation from a staff, setting, and patient perspective?
8. What leadership skills and theories would facilitate collaboration with the interprofessional team and provide evidence-based, patient-centered care?

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the 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 assignment to Turnitin. Please refer to the directions in the Student Success Center.NURSE’S ROLE 

PICO STATEMENT

PLEASE FOLLOW EVERY INSTRUCTION TO COMPLETE THE ASSIGMENT CORRECTLY.. BELLOW ARE ATTACHED TEMPLATES DOCUMENTS AS A GUIDE TO COMPLETE THE ASSIGMENT CORRECTLY..USE GRADING RUBRIC TO COMPLETE THE ASSIGMENT.

Details:

The first step of the EBP process is to develop a question from the nursing practice problem of interest.

Select a practice problem of interest to use as the focus of your research.

Start with the patient and identify the clinical problems or issues that arise from clinical care.

Following the PICOT format, write a PICOT statement in your selected practice problem area of interest, which is applicable to your proposed capstone project. PICO STATEMENT

The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem.

Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts.

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Suggestions for locating qualitative and quantitative research articles from credible sources:

1. Use a library database such as CINAHL Complete for your search.
2. Using the advanced search page check the box beside “Research Article” in the “Limit Your Results” section.
3. When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative. PICO STATEMENT

To narrow/broaden your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Diabetes and pediatric and dialysis. To determine what research design was used, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods.

Prepare this assignment according to the 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. PICO STATEMENT

ETHICAL DILEMA

Deciding to place a loved one into a long-term care facility can be extremely difficult. Even more difficult is the thought of your loved one’s rights being violated while in long-term care. Patient healthcare rights are not as clearly defined as one would expect, and there are long-term care and other healthcare facilities that create their own sets of patient rights. However, there are also certain indisputable rights afforded to patients across the board.

Read the case study titled “A Legal and Ethical Dilemma”, located on pages 463-465 of your text. Next, use the Internet or Strayer Library to research information on a patient’s right to die. ETHICAL DILEMA

Write a four to six (4-6) page paper in which you:

1. Describe the legal and ethical dilemma discussed in the case study. Analyze the key ways in which a patient’s right to die relates to this specific case.
2. From your research, specify the potential repercussions for failure to comply with the wishes of a patient who has requested to withhold a life-sustaining procedure. Next, take a position on whether the patient’s right to die or the patient’s right to be protected from harm should take precedence in this case. Provide a rationale for your position.
3. Imagine that you are a part of the ethics committee investigating this case. Determine the main facts pertaining to the issue that the committee should consider. Suggest one (1) step that the facility should take next in order to resolve the dilemma. Provide a rationale for your response.
4. Use at least three (3) quality academic resources. Note: Wikipedia and other similar websites do not qualify as academic resources. ETHICAL DILEMA

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Your assignment must follow these formatting requirements:

• Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
• Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

• Identify the factors that have led to the current realities of long-term care in the United States.
• Assess the various stakeholder groups of long-term care along with the nature of the relationship(s).
• Evaluate the impact of litigation on long-term care providers and practices.
• Use technology and information resources to research issues in long-term care management.
• Write clearly and concisely about long-term care management using proper writing mechanics. ETHICAL DILEMA

Grading for this assignment will be based on answer quality, logic / organization of the paper, and langu

The experimental research design is a framework system constructed to evaluate the interrelation of actions and reactions among absolute and conditional variables. (Grove, Gray, & Burns, 2015, p. 212).

A strong element of control is prevalent in experimental research design.  Researchers can maneuver and influence variables to coerce the desired effect. Pre-test post-test experiment design is one of the most common design studies used in medicine and nursing. This research design exhibits increased control over key elements to solidify the validity of the study. This design is where a selected group of subjects receive proposed treatment or therapy, and another group of subjects perceives they are also receiving treatment when they are receiving a placebo or conventional care.The researcher is examining the degree of impact the treatment/therapy has to the group of test subjects as apposed to the no treatment/therapy subjects.  EXPERIMENTAL RESEARCH

Non-experimental research (also known as descriptive and correlational) design is a framework system constructed to evaluate naturally occurring variables not manipulated by a researcher and purposed to analyze and interpret the relationship between these variables. Non-experimental research does not include manipulation of the framework or variables. Observation of the interrelationship of variables with no manipulation, or control is evident in a non-experimental research. 

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Non-experimental research (descriptive or correlational) are used to observe and investigate a group of subjects with similar characteristics to understand, research and study commonality for possible future experimental research.

According to Grove, Gray, and Burns 2015, “descriptive design may be used to develop theories, identify problems with current practice, make judgments about practice, or identify trends of illnesses, illness prevention, and health promotion in selected groups” (Grove, Gray, & Burns, 2015, p. 213). EXPERIMENTAL RESEARCH

Experimental research design exhibits strict control and manipulation over variables and environment whereas non-experimental research design lacks control and manipulation of variables and is strictly observing variables in their natural occurrence. 

References

Grove, S. K., Gray, J., & Burns, N. (2015). Understanding nursing research: building an evidence-based practice (6th ed.). Retrieved from https://pageburstls.elsevier.com/#/books/9781455770601/cfi/8!/4/2/2@0:0 EXPERIMENTAL RESEARCH

WEIGHING DATA EVIDENCE

When conducting original research, the final step researchers must complete is weighing the evidence and interpreting the meanings of their data, statistics, and analyses. This is the culmination of the research process in which all of the research methods and designs can be synthesized into a meaningful conclusion. In this stage, researchers should formulate explanations for what their data indicates, determine whether the data answers their initial research question, identify areas of uncertainty, and consider directions for further research. WEIGHING DATA EVIDENCE

In this Discussion, you focus on one of the research articles that you identified for Part 2 of the Course Project (Literature Review). You then explore the process of how the researchers generated conclusions based on their data, consider other possible interpretations of their data, and formulate ideas for further research.

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To prepare:

• Review this week’s Learning Resources, focusing on how researchers find meaning in their data and generate sound conclusions. Pay particular attention to Table 2 in the article, “Study Design in Medical Research.”
• Revisit the 5 articles that you identified in Part 2 of the Course Project. Select one to consider for the purpose of this Discussion.
• Read sections of the chosen article where the data is presented, analyzed, and interpreted for meaning. What reasoning process did the researchers use to formulate their conclusions? What explanation did they give to support their conclusions? Were there any weaknesses in their analysis or conclusions?
• Consider possible alternate conclusions that the researchers could have drawn based on their data.
• Examine the findings that the article presents and consider how well they addressed the researcher’s initial question(s). What additional research could be done to build on these findings and gain a fuller understanding of the question?

By Day 3

Post an APA citation and brief summary of the research article that you selected. Describe the data and the results of any statistical tests or analyses presented in the article. Explain how the researchers formulated their conclusion, any weaknesses in their analysis or conclusions, and offer at least one alternate interpretation of their data. Propose at least one additional research study that could be done to further investigate this research topic.

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.WEIGHING DATA EVIDENCE

• Chapter 21, “Qualitative Research Design and Approaches” 
  
  This chapter introduces qualitative research designs. It provides an overview of the different types of qualitative research and then describes each one in greater detail, outlining how and when they should be used.

Houghton, C. E., Casey, D., Shaw, D., & Murphy, K. (2010). Ethical challenges in qualitative research: Examples from practice. Nurse Researcher, 18(1), 15–25.

Retrieved from the Walden Library databases.

This article explores ethical challenges associated with qualitative research. Specifically, the authors examine the challenges of informed consent procedures, the researcher-participant relationship, risk-benefit ratio, confidentiality, and the dual role of the nurse-researcher.

Pringle, J., Hendry, C., & McLafferty, E. (2011). Phenomenological approaches: Challenges and choices. Nurse Researcher, 18(2), 7–18.

Retrieved from the Walden Library databases.

This article examines the dilemmas faced by a researcher looking for appropriate methods and approaches for investigating the experiences of stroke survivors. In addition, this article reviews the challenges of using phenomenology as a research method.

Ryan-Nicholls, K. D., & Will, C. I. (2009). Rigour in qualitative research: Mechanisms for control. Nurse Researcher, 16(3), 70–85.

Retrieved from the Walden Library databases.

The authors of this article provide recommendations for improving the control mechanisms of methodological rigor in qualitative research methods. The text establishes the basis of criticism on the rigor of qualitative work, ways of demonstrating methodological rigor, and the definition of rigor.

Smith, J., Bekker, H., & Cheater, F. (2011). Theoretical versus pragmatic design in qualitative research. Nurse Researcher, 18(2), 39–51.

Retrieved from the Walden Library databases.

This article assesses the benefits of using a generic qualitative approach to design studies for understanding user and caregiver perspectives. The authors assess these benefits in the context of a qualitative study that focused on parents’ experience of living with children with hydrocephalus.

Walker, W. (2011). Hermeneutic inquiry: Insights into the process of interviewing. Nurse Researcher, 18(2), 19–27.

Retrieved from the Walden Library databases.

This article examines the process of interviewing from a research perspective. The authors supply personal and theoretical insights into using the research interview, along with a guide to the practicalities of interviewing. WEIGHING DATA EVIDENCE