What NANDA-approved nursing diagnoses may be relevant to this patient?

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 Mrs. Elle, 80 years of age, is a female patient who is diagnosed with end-stage cancer of the small intestine. She is currently receiving comfort measures only in hospice. She has gangrene of her r

1. Mrs. Elle, 80 years of age, is a female patient who is diagnosed with end-stage cancer of the small intestine. She is currently receiving comfort measures only in hospice. She has gangrene of her right foot and has a history of diabetes controlled with oral agents. She is confused and the physician has determined that she is unable to make her own informed decisions. The hospice nurse, not realizing that the weekly order for CBC and renal profile had been discontinued, obtained the labs and sent them to the nearby laboratory for processing. The abnormal lab results obtained later that day revealed that the patient needed a blood transfusion. The hospice nurse updated the patient’s medical power of attorney who was distressed at the report. The patient’s wishes were to die peacefully and to not have to undergo an amputation of her right foot. But if the patient receives the blood transfusion, she may live long enough to need the amputation. The patient’s physician had previously informed the medical power of attorney that the patient would most likely not be able to survive the amputation. The patient’s medical power of attorney had made the request to cease all labs so that the patient would receive comfort measures until she died. The patient has no complaint of shortness of breath or discomfort. 

  1. What ethical dilemma exists?
  2. Who are the stakeholders and what gains or losses do each have?
  3. What strategies should the hospice nurse take to resolve the ethical dilemma?

2. The nurse receives a 12-year-old girl from the operating room after an emergent appendectomy due to ruptured appendix. Upon arrival to the postanesthesia care unit, the patient is drowsy, but arousable to voice; she was extubated in the operating room and is receiving oxygen by facemask at 40%. She has two peripheral IVs in her left arm that are infusing Lactated Ringers solution at 100 mL/hr. A nasogastric tube is attached to low constant suction, and a small amount of aspirate is noted. She has a urinary catheter that is draining clear, yellow urine. Her abdominal dressing is dry and intact. Upon arousal, she complains of abdominal pain.  

  1. What NANDA-approved nursing diagnoses may be relevant to this patient?
  2. Once the nursing diagnoses are determined, what steps does the nurse take to complete the Planning Phase of the Nursing Process?
  3. What is the difference between nursing diagnoses and collaborative problems?

The final discussion is a concluding argument revealing a “defensible solution” to the healthcare topic, supported by the “evidence” .introduction and discussion/conclusion.

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introduction and discussion/conclusion. The final discussion is a concluding argument revealing a “defensible solution” to the healthcare topic, supported by the “evidence” .introduction and discussi

 introduction and discussion/conclusion.

The final discussion is a concluding argument revealing a “defensible solution” to the healthcare topic, supported by the “evidence” .introduction and discussion/conclusion.

  • Scientific, mathematical/analtycal, ethical, cultural perspective of the neurological disorder relating to spinal cancers and tumor.  placing the perspectives in a strategic arrangement that supports the final paper, your argument for a “defensible solution” to the health care issue you have studied, researched, and written about. As a result, this final paper will be comprehensive and summative.
  • Important: this final paper should include a newly composed introductory section, and a final conclusion section which presents your discussion of (and argument for) the solution. Your argument for the defensible solution that you propose should be the focus of this paper. 

Your paper must:

  • Be 15–20 pages in length 
    • Title page (1 page)
    • Introduction (1–2 pages)
    • Reworked informative papers (10-15 pages)
    • Conclusion (1–2 pages)
    • References page (1–2 pages)
  • Reference 12–15 scholarly, peer-reviewed resources (compiled by combining all of the references from your Perspective of Inquiry papers and any additional resources you use in this final paper.)
  • Follow all APA formatting guidelines for this paper, with each of your previous four papers being presented as “sections” of this fifth paper, using Level 1 headings.
  • Use the provided template.

Refer to the rubric for evaluation details and to assist in preparing the paper.

Due: Submit by 11:59 pm (Pacific time) the evening before the Week 8 onsite classPoints: 150

Team Meeting Notes:

  • In your team meetings this week (both in-class and online) focus on sharing your solutions as you develop them.
  • Pay attention to (and learn from) the unique aspects of each team member’s solutions, but do not reference them in your final paper. (You will reference one another’s solutions in your final presentation assignment.)

Other Important Notes:

  • Use the Learning Resources that address introductions and conclusions to help understand best practices and procedures for argumentative paper
  • That being said, realize that this paper is unique, as it is a culmination of Informative Papers (rather than a traditional argumentative essay). Use the aforementioned Learning Modules as guidelines for best practices, not as procedural requirements.
  • It is highly recommended that you compose the conclusion section of your paper (your solution) first, then move backward into the introduction, and finally the abstract.
  • Use the final paper template provided, adapting the titles of each of your four short papers as headings in this final paper, and following instructions and examples provided in our in-class meeting.
  • Make sure to review the SafeAssign report generated when you submit your paper, and address and revise any portions of your work which might be plagiarized.

Reflect on how the theory or model provides structure to the research study described in the article.

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NURS 5052/NURS 6052: ESSENTIALS OF EVIDENCE-BASED PRACTICE – Discussion 3 (Grading Rubic and Media Attached)

Discussion: Theory, Research, and Evidence-Based Practice

As they explore the world around them, young children often want to know the “why” and “how” of the things they observe. This is similar to what researchers do when they approach a new problem. Researchers develop new theories or build on old ones to explain the “why” of the world around them. They use models and conceptual frameworks to help explain “how” the processes and events they observe occur. Together, theories and models provide an understanding of the world and allow researchers to explore it in meaningful ways.

Virtually all research questions can benefit from the use of an existing theory or model. Researchers should consider their research questions and select the most suitable theory or model, which then serves as a foundation for the research design. The selection of a theory or model is an important part of the research process.

In this Discussion, you focus on the role of theory and models in research and evidence-based practice.

To prepare:

Review the information in Chapter 6 of the course text. Focus on the various conceptual theories and models that are currently used in nursing research.

Select one of the theories or models described that is of interest to you.

Using the Walden Library, search for and identify a research article that uses the theory or model you selected.

Reflect on how the theory or model provides structure to the research study described in the article.

Now, think about an issue in your practice area that you would be interested in exploring through research.

Review this week’s media presentation and consider strategies for locating and identifying a relevant theory or model for a research study.

Post a summary of the article that you located and explain how the theory or model that you selected was used in the research study. Assess the value of basing research on an established theory or model.

Read a selection of your colleagues’ responses.

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, and evidence.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.

Please go though the Grading Rubic please

Required Readings

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

Chapter 2, “Evidence-Based Nursing: Translating Research Evidence into Practice” (Review pages 14–31)

Chapter 6, “Theoretical Frameworks”

In this chapter, you are introduced to the concept of theories, models, and frameworks and how they serve as the foundation for research. The chapter examines key theories for both quantitative and qualitative research. Finally, critiquing frameworks in research reports is detailed.

Cantrell, M. A. (2011). Demystifying the research process: Understanding a descriptive comparative research design. Pediatric Nursing, 37(4), 188–189.

Retrieved from the Walden Library databases.

This article discusses the primary aspects of a prominent quantitative research design as used in a specific research study. The author analyzes the advantages and disadvantages of the design, along with the rationale for choosing that design.

Finn, P. (2011). Critical thinking: Knowledge and skills for evidence-based practice. Language, Speech, and Hearing Services in Schools, 42(1), 69–72.

Retrieved from the Walden Library databases.

This article responds to the assertion that “rational or critical thinking is an essential complement to evidence-based practice.” The author stipulates how critical thinking is relevant to EBP, what skills and thinking dispositions are important, and how thinking can go wrong.

Tagney, J., & Haines, C. (2009). Using evidence-based practice to address gaps in nursing knowledge. British Journal of Nursing (BJN), 18(8), 484–489.

Retrieved from the Walden Library databases.

This article illuminates key barriers to undertaking and implementing nursing research. The authors suggest a framework for improving the implementation of evidence and research.

Media

Laureate Education (Producer). (2012i). Selecting a framework. Baltimore, MD: Author.

Note: The approximate length of this media piece is 3 minutes.

This animated video shows the process of selecting a particular research framework. The video follows a specific scenario in which a researcher considers several possible frameworks and selects the most appropriate one.

Select a current or proposed health care policy that is designed to improve a specific population’s access to quality, cost-effective health care. In a paper of 1,000-1,250 words, include the following:

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benchmark

Select a current or proposed health care policy that is designed to improve a specific population’s access to quality, cost-effective health care. In a paper of 1,000-1,250 words, include the following:

  1. Explain the policy and how it is designed to improve cost-effectiveness and health care equity for the population. Is the policy financially sound? Why or why not? How does the policy account for any relevant ethical, legal, and political factors and the nursing perceptive one must consider when implementing it?
  2. To what state, federal, global health policies or goals is this particular policy related? How well do you think the policy is designed to achieve those goals?
  3. Finally, discuss the advocacy strategies you would employ on behalf of your population to ensure they have access to the benefits of the policy. Explain, from a Christian perspective, the professional and moral obligation of advanced registered nurse to advocate for and promote health and prevent disease among diverse populations.

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,

2.2) Discuss a nursing management or interventions appropriate for your

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Medical Research

Description:

You are to write an essay which analyses a case study in order to discuss appropriate biopsychosocial factors and nursing management or interventions relevant to that case. Recent and relevant literature must be used to support your discussion.Instructions:

  1. 1)  Select a case study provided.
  2. 2)  Use recent literature to support your discussion:
  1. 2.1)  Discuss biopsychosocial factors that contribute to the development of the selected disorder.
  2. 2.2)  Discuss a nursing management or interventions appropriate for your

selected case study. 2.3) Discuss ethical implications for the selected case study.

Other elements:

  •   Ensure that you use scholarly literature (digitised readings, research articles, relevant Government reports and text books) that has been published within the last 10 years.
  •   Provide a clear introduction and conclusion to your paper.
  •   You may use headings to organise your work if you wish.  Unless otherwise instructed, write in the third person.
  •   Use academic language throughout.
  •   Refer to the marking guidelines when writing your assignment. This will assist you in calculating the weightings of the sections for your assignment.
  •   State your name, essay title and word count (excluding your reference list) on the Title page.Please find the attached document 

How did your nursing knowledge advance through the utilization of research?

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Choose an EBP topic and two scholarly peer-reviewed journal articlesCompare the difference between theory, research, and practice in nursingChoose a theory that best correlates with the EBP practice c

  • Choose an EBP topic and two scholarly peer-reviewed journal articles
  • Compare the difference between theory, research, and practice in nursing
  • Choose a theory that best correlates with the EBP practice change that you would like to make
  • Compare and contrast the quantitative and qualitative research article that you choose for the EBP topic
  • What technology did you use to locate the articles? Databases? Search terms?
  • What are the philosophical, theoretical, and methodological perspectives in the research articles that were chosen?
  • What are the ethical and scientific integrity issues related to the research?
  • How did your nursing knowledge advance through the utilization of research?

This PowerPoint® (Microsoft Office) or Impress® (Open Office) presentation should be a minimum of 20 slides, including a title, introduction, conclusion and reference slide, with detailed speaker notes and recorded audio comments for all content slides. Use at least four scholarly sources and make certain to review the module’s Signature Assignment Rubric before starting your presentation. This presentation is worth 400 points for quality content and presentation.

2) What levels of evidence are most prevalent in these articles? (I, II, III, IV or V)

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Searching and Critiquing the Evidence

Searching and Critiquing the Evidence

Bring to mind the various practice problems you and your colleagues have been considering in this course. What insights might the literature provide with regard to these issues? How should you evaluate the research? And, why is it important to review and critique this information? This Discussion addresses strategies for searching the literature in order to critique existing evidence. Please note that this Discussion is related to Application Assignment #4, which is assigned this week. You are strongly encouraged to read through that assignment now.To prepare:

  • Review the Walden Library Webinars presented in the Learning Resources.
  • Recall the practice problem and theoretical framework you identified for the Week 5  Discussion (See attached file). Using the Walden Library and other professional databases, conduct a search and locate four (4) appropriate primary research articles one of which is a systematic review.
  • Review the articles and determine what level of evidence they represent. Using the critique strategies presented in the Learning Resources as a guide, consider how the articles you located either support or weaken the merit of your theoretical framework or the importance of your practice problem.

By Wednesday 7/05/17, post 550 words essay in APA format with 2 references from the list below, as well as the 4 references for the articles review that include the level one headings as numbered below:

post a cohesive response that addresses the following:

1)       How does the literature strengthen or weaken the merit of your selected theoretical framework and practice problem?

2)       What levels of evidence are most prevalent in these articles? (I, II, III, IV or V)

3)       Why do you think that level of evidence is most prevalent?

Walden Library Webinars:

 Conducting a Literature Search on a Clinical Research Question. Retrieved from: http://academicguides.waldenu.edu/library/webinararchives/nursing#s-lg-box-9896498

 Evidence-Based Health Research Retried from: http://academicguides.waldenu.edu/library/webinararchives/healthscience#s-lg-box-1523116

 Introduction to Health Science Research. Retrieved from:http://academicguides.waldenu.edu/library/webinararchives/healthscience#s-lg-box-9897916

 Medical Research: Finding Reviews. Retrieved from: http://academicguides.waldenu.edu/library/webinararchives/healthscience#s-lg-box-1525868

 Medical Research: Finding Studies by Type. Retrieved from: http://academicguides.waldenu.edu/library/webinararchives/healthscience#s-lg-box-1526057

 Medical Research: Health Policies and Legal Cases. Retrieved from: http://academicguides.waldenu.edu/library/webinararchives/healthscience#s-lg-box-1526434

Recommended Webinars:

 Webinars on Library Skills. Retrieved from: http://academicguides.waldenu.edu/library/webinararchives/libraryskillswebinars

 Evidence Based Practice for NURS 6052. Retrieved from: http://academicguides.waldenu.edu/library/webinararchives/nursing#s-lg-box-9896497

Required Readings

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

Chapter 3, “Introduction to Quantitative Research”

 Chapter 3 provides an overview of quantitative research, the concepts associated with this type of research, and different quantitative research designs.

Chapter 4, “Introduction to Qualitative Research”

 Chapter 4 describes the philosophy of qualitative research and provides examples of how it is used in nursing research. Understanding the basic principles of quantitative and qualitative research is necessary to effectively critique research literature.

Chapter 7, “Review of Relevant Literature”

 Chapter 7 examines the process of preparing for a literature review to support research efforts.

Chapter 13, “Outcomes Research”

Moran, K., Burson, R., & Conrad, D. (2017). The doctor of nursing practice scholarly project: A framework for success (2nd ed.). Burlington, MA: Jones & Bartlett Learning.

Review Chapter 6, “Developing the Scholarly Project”

Armola, R., Bourgault, A., Halm, M., Board, R., Bucher, L., Harrington, L., & … Medina, J. (2009). AACN levels of evidence: What’s new? Critical Care Nurse, 29(4), 70–73. doi: 10.4037/ccn2009969

 Note: You will access this article from the Walden Library databases.

 This article provides a hierarchical evidence rating system which can be used as a guide to determine the quality and level of evidence presented in different types of research studies.

Elkins, M. Y. (2010). Using PICO and the brief report to answer clinical questions. Nursing, 40(4), 59–60. doi: 10.1097/01.NURSE.0000369871.07714.39

 Note: You will access this article from the Walden Library databases.

 The article explains how to use the PICO method to develop clinical questions.

Fineout-Overholt, E., Melnyk, B., Stillwell, S., & Williamson, K. (2010). Critical appraisal of the evidence: Part I an introduction to gathering, evaluating, and recording the evidence… fifth in a series. American Journal of Nursing, 110(7), 47–52. doi: 10.1097/01.NAJ.0000383935.22721.9c

 Note: You will access this article from the Walden Library databases.

 This article discusses the process of rapid critical analysis of research and literature through the categorization of studies and utilization of an evaluation table.

Fineout-Overholt, E., Melnyk, B., Stillwell, S., & Williamson, K. (2010). Critical appraisal of the evidence: Part III the process of synthesis: Seeing similarities and differences across the body of evidence. American Journal of Nursing, 110(11), 43–51. doi: 10.1097/01.NAJ.0000390523.99066.b5

 Note: You will access this article from the Walden Library databases.

 This article continues the discussion of critical analysis of evidence and concludes with how nurses can then make decisions based on a synthesis of the findings.

 Nursing Library and Information Resources Cushing/Whitney Medical Library (n.d.). Levels of evidence pyramid. Retrieved from http://guides.library.yale.edu/ld.php?content_id=11940516

 This article discusses the use of systematic reviews in evidence-based practice and provides sources for locating this type of research article.

Duke University Medical Center Library. (2009). Evidence-based clinical practice resources: Hierarchy of evidence-based medicine (EBM) resources. Retrieved from http://guides.mclibrary.duke.edu/content.php?pid=274373&sid=2289252

 Duke University provides this visual representation of levels of evidence.

University of Illinois at Chicago. (n.d.) Evidence-based practice in the health sciences: Levels of evidence. Retrieved from http://ebp.lib.uic.edu/nursing/node/12

 This web-based tutorial provides an overview of evidence-based practice and includes a section on developing practice questions for evidence-based projects.

 Evidence-Based Nursing. (n.d.) Retrieved from http://ebn.bmj.com/

 This website surveys a wide range of international clinical journals and includes only those research articles that demonstrate high quality and validity.

Harvey Cushing/John Hay Whitney Medical Library (n.d.). Finding evidence in PubMed. Retrieved from http://library.medicine.yale.edu/tutorials/577

 The Joanna Briggs Institute (n.d.). Retrieved from http://joannabriggs.org/

This international organization was created by the Faculty of Health Sciences at the University of Adelaide in South Australia and provides members with access to systematic reviews and other research efforts.

Optional Resources

Boss, C., & Wurmser, T. A. (2009). Searching for evidence: Mission-critical tips. Nursing Management, 40(9), 12. doi: 10.1097/01.NUMA.0000360766.29235.8e

 Note: You will access this article from the Walden Library databases.

Coughlan, M., Cronin, P., & Ryan, F. (2007). Step-by-step guide to critiquing research: Part 1: Quantitative research. British Journal of Nursing (BJN), 16(11), 658–663.

 Note: You will access this article from the Walden Library databases.

 This article provides strategies for critiquing quantitative research and includes definitions of frequently used research terms.

Cronin, P., Ryan, F., & Coughlan, M. (2008). Undertaking a literature review: A step-by-step approach. British Journal of Nursing (BJN), 17(1), 38–43.

 Note: You will access this article from the Walden Library databases.

 This article details an approach for nurses to use when analyzing research, synthesizing data, and writing and reporting research findings.

Dale, J. C. (2005). Critiquing research for use in practice. Journal of Pediatric Health Care, 19(3), 183–186. doi:10.1016/j.pedhc.2005.02.004

 Note: You will access this article from the Walden Library databases.

 Engle, M., Blumethal, A., & Cosgrave, T. (2010). How to prepare an annotated bibliography. Cornell University Library Olin & Uris Libraries: Ask a Librarian. Retrieved from http://olinuris.library.cornell.edu/ref/research/skill28.htm

Evans, D. (2003). Hierarchy of evidence: A framework for ranking evidence evaluating healthcare interventions. Journal of Clinical Nursing, 12(1), 77–84. doi: 10.1046/j.1365-2702.2003.00662.x

 Note: You will access this article from the Walden Library databases.

Hanson, D., Hoss, B. L., & Wsorick, B. (2008). Evaluating the evidence: Guidelines. AORN Journal, 88(2), 188–196.

 Note: You will access this article from the Walden Library databases.

Holopainen, A., Hakulinen-Viitanen, T., & Tossavainen, K. (2008). Systematic review – A method for nursing research. Nurse Researcher, 16(1), 72–83.

 Note: You will access this article from the Walden Library databases.

Kleinpell, R. M., Gawlinski, A., & Burns, S. M. (2006). Searching and critiquing literature essential for acute care NPs. Nurse Practioner, 31(8), 12–13.

 Note: You will access this article from the Walden Library databases.

Parahoo, K., McCaughan, E., Noyes, J., & McDonough, S. (2010). The effectiveness of psychosocial interventions for men with prostate cancer: A systematic review. Cochrane Database of Systematic Reviews, (6). doi: 10.1002/14651858.CD008529

 Note: You will access this article from the Walden Library databases.

This systematic review provides results of psychosocial theories utilized in assisting men with prostate cancer.

Sherrod, R. A., Ford, C., & Oliver, J. (2010). Using data from the Internet to teach ethical principles for critiquing research studies. Nurse Educator, 35(1), 17–1 9. doi: 10.1097/NNE.0b013e3181c41f8d

 Note: You will access this article from the Walden Library databases.

Tatano-Beck, C. (2009). Critiquing qualitative research. AORN Journal, 90(4), 543. doi: 10.1016/j.aorn.2008.12.023

 Note: You will access this article from the Walden Library databases.

Traynor, M. (2009). Humanism and its critiques in nursing research literature. Journal of Advanced Nursing, 65(7), 1560–1567.

 Note: You will access this article from the Walden Library databases.

 Consortium Library University of Alaska Anchorage (2011). Nursing research guide. Retrieved from http://libguides.consortiumlibrary.org/content.php?pid=44173&sid=330967

 The Writing Center (2007). Literature reviews. University of North Carolina at Chapel Hill. Retrieved from http://writingcenter.unc.edu/handouts/literature-reviews/

 The University of Wisconsin-Madison Writing Center. (2009). Writer’s handbook: Common writing assignments: Review of literature. Retrieved from http://www.wisc.edu/writing/Handbook/ReviewofLiterature.html

Assignment: Literature Review Matrix

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Literature Review Matrix

Assignment: Literature Review Matrix

This Assignment expands upon the work you have been conducting for this week’s Discussion on “Searching and Critiquing the Evidence” (See attached file) . For this Assignment, you will conduct a search for literature on your selected practice problem. A Literature Review Matrix template will be used to identify gaps in the literature (See attached file).

To prepare:

  • Consider the practice problem you addressed in this week’s Discussion. (You may select a new issue if necessary, but it is not recommended.) (See attached file)
  • Review the guidelines in the Literature Review Matrix, included in the Learning Resources. Formulate a research question around your issue as indicated in Part I. Then complete Part II of the Matrix, identifying the resources you will use, search terms and criteria, and Boolean search strings.
  • Using the Walden Library, locate 10 articles related to your research question. At least one article must be a systematic review. All of the articles should be primary sources. NOTE: If appropriate, you may use the four articles you reviewed for this week’s Discussion.

By Day 4 of this Week

1)       Complete Part I and Part II of the Literature Review Matrix template.

2)       Complete Part III of the Literature Review Matrix.

3)       In your analysis of the strengths and weaknesses of the existing literature, note the appropriate use of the theoretical frameworks.

4)       Complete Part IV addressing the influence of empiricism on quantitative methodology.

Walden Library Webinars:

 Conducting a Literature Search on a Clinical Research Question. Retrieved from: http://academicguides.waldenu.edu/library/webinararchives/nursing#s-lg-box-9896498

 Evidence-Based Health Research Retried from: http://academicguides.waldenu.edu/library/webinararchives/healthscience#s-lg-box-1523116

 Introduction to Health Science Research. Retrieved from:http://academicguides.waldenu.edu/library/webinararchives/healthscience#s-lg-box-9897916

 Medical Research: Finding Reviews. Retrieved from: http://academicguides.waldenu.edu/library/webinararchives/healthscience#s-lg-box-1525868

 Medical Research: Finding Studies by Type. Retrieved from: http://academicguides.waldenu.edu/library/webinararchives/healthscience#s-lg-box-1526057

 Medical Research: Health Policies and Legal Cases. Retrieved from: http://academicguides.waldenu.edu/library/webinararchives/healthscience#s-lg-box-1526434

Recommended Webinars:

 Webinars on Library Skills. Retrieved from: http://academicguides.waldenu.edu/library/webinararchives/libraryskillswebinars

 Evidence Based Practice for NURS 6052. Retrieved from: http://academicguides.waldenu.edu/library/webinararchives/nursing#s-lg-box-9896497

Required Readings

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

Chapter 3, “Introduction to Quantitative Research”

 Chapter 3 provides an overview of quantitative research, the concepts associated with this type of research, and different quantitative research designs.

Chapter 4, “Introduction to Qualitative Research”

 Chapter 4 describes the philosophy of qualitative research and provides examples of how it is used in nursing research. Understanding the basic principles of quantitative and qualitative research is necessary to effectively critique research literature.

Chapter 7, “Review of Relevant Literature”

 Chapter 7 examines the process of preparing for a literature review to support research efforts.

Chapter 13, “Outcomes Research”

Moran, K., Burson, R., & Conrad, D. (2017). The doctor of nursing practice scholarly project: A framework for success (2nd ed.). Burlington, MA: Jones & Bartlett Learning.

Review Chapter 6, “Developing the Scholarly Project”

Armola, R., Bourgault, A., Halm, M., Board, R., Bucher, L., Harrington, L., & … Medina, J. (2009). AACN levels of evidence: What’s new? Critical Care Nurse, 29(4), 70–73. doi: 10.4037/ccn2009969

 Note: You will access this article from the Walden Library databases.

 This article provides a hierarchical evidence rating system which can be used as a guide to determine the quality and level of evidence presented in different types of research studies.

Elkins, M. Y. (2010). Using PICO and the brief report to answer clinical questions. Nursing, 40(4), 59–60. doi: 10.1097/01.NURSE.0000369871.07714.39

 Note: You will access this article from the Walden Library databases.

 The article explains how to use the PICO method to develop clinical questions.

Fineout-Overholt, E., Melnyk, B., Stillwell, S., & Williamson, K. (2010). Critical appraisal of the evidence: Part I an introduction to gathering, evaluating, and recording the evidence… fifth in a series. American Journal of Nursing, 110(7), 47–52. doi: 10.1097/01.NAJ.0000383935.22721.9c

 Note: You will access this article from the Walden Library databases.

 This article discusses the process of rapid critical analysis of research and literature through the categorization of studies and utilization of an evaluation table.

Fineout-Overholt, E., Melnyk, B., Stillwell, S., & Williamson, K. (2010). Critical appraisal of the evidence: Part III the process of synthesis: Seeing similarities and differences across the body of evidence. American Journal of Nursing, 110(11), 43–51. doi: 10.1097/01.NAJ.0000390523.99066.b5

 Note: You will access this article from the Walden Library databases.

 This article continues the discussion of critical analysis of evidence and concludes with how nurses can then make decisions based on a synthesis of the findings.

 Nursing Library and Information Resources Cushing/Whitney Medical Library (n.d.). Levels of evidence pyramid. Retrieved from http://guides.library.yale.edu/ld.php?content_id=11940516

 This article discusses the use of systematic reviews in evidence-based practice and provides sources for locating this type of research article.

Duke University Medical Center Library. (2009). Evidence-based clinical practice resources: Hierarchy of evidence-based medicine (EBM) resources. Retrieved from http://guides.mclibrary.duke.edu/content.php?pid=274373&sid=2289252

 Duke University provides this visual representation of levels of evidence.

University of Illinois at Chicago. (n.d.) Evidence-based practice in the health sciences: Levels of evidence. Retrieved from http://ebp.lib.uic.edu/nursing/node/12

 This web-based tutorial provides an overview of evidence-based practice and includes a section on developing practice questions for evidence-based projects.

 Evidence-Based Nursing. (n.d.) Retrieved from http://ebn.bmj.com/

 This website surveys a wide range of international clinical journals and includes only those research articles that demonstrate high quality and validity.

Harvey Cushing/John Hay Whitney Medical Library (n.d.). Finding evidence in PubMed. Retrieved from http://library.medicine.yale.edu/tutorials/577

 The Joanna Briggs Institute (n.d.). Retrieved from http://joannabriggs.org/

This international organization was created by the Faculty of Health Sciences at the University of Adelaide in South Australia and provides members with access to systematic reviews and other research efforts.

Optional Resources

Boss, C., & Wurmser, T. A. (2009). Searching for evidence: Mission-critical tips. Nursing Management, 40(9), 12. doi: 10.1097/01.NUMA.0000360766.29235.8e

 Note: You will access this article from the Walden Library databases.

Coughlan, M., Cronin, P., & Ryan, F. (2007). Step-by-step guide to critiquing research: Part 1: Quantitative research. British Journal of Nursing (BJN), 16(11), 658–663.

 Note: You will access this article from the Walden Library databases.

 This article provides strategies for critiquing quantitative research and includes definitions of frequently used research terms.

Cronin, P., Ryan, F., & Coughlan, M. (2008). Undertaking a literature review: A step-by-step approach. British Journal of Nursing (BJN), 17(1), 38–43.

 Note: You will access this article from the Walden Library databases.

 This article details an approach for nurses to use when analyzing research, synthesizing data, and writing and reporting research findings.

Dale, J. C. (2005). Critiquing research for use in practice. Journal of Pediatric Health Care, 19(3), 183–186. doi:10.1016/j.pedhc.2005.02.004

 Note: You will access this article from the Walden Library databases.

 Engle, M., Blumethal, A., & Cosgrave, T. (2010). How to prepare an annotated bibliography. Cornell University Library Olin & Uris Libraries: Ask a Librarian. Retrieved from http://olinuris.library.cornell.edu/ref/research/skill28.htm

Evans, D. (2003). Hierarchy of evidence: A framework for ranking evidence evaluating healthcare interventions. Journal of Clinical Nursing, 12(1), 77–84. doi: 10.1046/j.1365-2702.2003.00662.x

 Note: You will access this article from the Walden Library databases.

Hanson, D., Hoss, B. L., & Wsorick, B. (2008). Evaluating the evidence: Guidelines. AORN Journal, 88(2), 188–196.

 Note: You will access this article from the Walden Library databases.

Holopainen, A., Hakulinen-Viitanen, T., & Tossavainen, K. (2008). Systematic review – A method for nursing research. Nurse Researcher, 16(1), 72–83.

 Note: You will access this article from the Walden Library databases.

Kleinpell, R. M., Gawlinski, A., & Burns, S. M. (2006). Searching and critiquing literature essential for acute care NPs. Nurse Practioner, 31(8), 12–13.

 Note: You will access this article from the Walden Library databases.

Parahoo, K., McCaughan, E., Noyes, J., & McDonough, S. (2010). The effectiveness of psychosocial interventions for men with prostate cancer: A systematic review. Cochrane Database of Systematic Reviews, (6). doi: 10.1002/14651858.CD008529

 Note: You will access this article from the Walden Library databases.

This systematic review provides results of psychosocial theories utilized in assisting men with prostate cancer.

Sherrod, R. A., Ford, C., & Oliver, J. (2010). Using data from the Internet to teach ethical principles for critiquing research studies. Nurse Educator, 35(1), 17–1 9. doi: 10.1097/NNE.0b013e3181c41f8d

 Note: You will access this article from the Walden Library databases.

Tatano-Beck, C. (2009). Critiquing qualitative research. AORN Journal, 90(4), 543. doi: 10.1016/j.aorn.2008.12.023

 Note: You will access this article from the Walden Library databases.

Traynor, M. (2009). Humanism and its critiques in nursing research literature. Journal of Advanced Nursing, 65(7), 1560–1567.

 Note: You will access this article from the Walden Library databases.

 Consortium Library University of Alaska Anchorage (2011). Nursing research guide. Retrieved from http://libguides.consortiumlibrary.org/content.php?pid=44173&sid=330967

 The Writing Center (2007). Literature reviews. University of North Carolina at Chapel Hill. Retrieved from http://writingcenter.unc.edu/handouts/literature-reviews/

 The University of Wisconsin-Madison Writing Center. (2009). Writer’s handbook: Common writing assignments: Review of literature. Retrieved from http://www.wisc.edu/writing/Handbook/ReviewofLiterature.html

2) Explain what you will do to ensure you achieve your objectives by the end of your practicum.

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Practicum Professional Development Objectives: Progress Appraisal

Week 6 – Discussion

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Practicum Professional Development Objectives: Progress Appraisal

In Week 1, you developed your practicum professional development objectives. How have your experiences thus far in the practicum contributed to your growth as nurse leader-manager or nurse informaticist? What difficulties, if any, have you experienced, and how might this affect the achievement of your objectives?

In this Discussion, you assess your progress toward fulfilling your practicum professional development objectives and consider how you could enhance or alter your activities to achieve your aims.

To prepare:

  • Reflect on the practicum professional development objectives you developed and outlined in your Practicum Professional Experience Plan in Week 1.
  • Keeping in mind the practicum activities you have engaged in thus far, consider the following questions:
    • How have these activities helped to promote your professional development?
    • Are you satisfied with your progress toward meeting your objectives? If not, what will you do to ensure you achieve them before the end of your Practicum Experience? As a reminder, you must complete all of your practicum hours on or before Day 5 of Week 11.
    • What challenges or unexpected opportunities have arisen at your practicum site? How has this affected your professional development?
  • Think about the experiences you may have in the forthcoming weeks. Do you foresee any particular challenges on the horizon? If so, what is your plan for addressing those challenges?
  • Think about the time you have spent with your Preceptor. How has this time enhanced or changed your understanding of the role and functions of the nurse leader-manager or nurse informaticist?

By Tuesday 04/04/2017, post a minimum of 250 -550 words in APA format with 3 scholarly references from the list below. Include the level one headings as numbered below:

1)      An assessment of your progress toward achieving your practicum professional development objectives, including how your involvement in specific practicum activities has contributed to your development.

2)      Explain what you will do to ensure you achieve your objectives by the end of your practicum.

3)       Summarize challenges or unexpected opportunities that have arisen, as well as any challenges that you anticipate may arise. Explain how you will address those challenges.

4)      Finally, summarize what you have learned about the role and functions related to your specialization (Nursing Informatics) through time spent with your Preceptor.

Required Readings

    Cipriano, P. F., & Murphy, J. (2011). The future of nursing and health IT: The quality elixir. Nursing Economic$, 29(5), 286–289.

    Note: Retrieved from the Walden Library databases.

“Technology tools will continue to revolutionize how we plan, deliver, document, review, evaluate, and derive the evidence about care” (p. 289). This article examines how nurses can use information technology to transform nursing and redesign the health care system. It focuses on the use of technology to promote quality and notes that technology can also be used to address challenges in education, research, leadership, and policy.

    McKimm, J., & Swanwick, T. (2009). Setting learning objectives. British Journal of Hospital Medicine, 70(7), 406–409.

    Note: Retrieved from the Walden Library databases.

 This article clarifies the terminology associated with learning objectives and explains how learning objectives relate to professional development and the transformation from novice to expert. It also introduces common pitfalls when setting learning objectives and provides suggestions for avoiding them.

    Murphy, J. (2011). The nursing informatics workforce: Who are they and what do they do? Nursing Economic$, 29(3), 150–153.

    Note: Retrieved from the Walden Library databases

    The author examines the nursing informatics workforce, explaining that professionals in this well-established specialty area can play an integral role in transforming health care.

    Sørensen, E. E., Delmar, C., & Pedersen, B. D. (2011). Leading nurses in dire straits: Head nurses’ navigation between nursing and leadership roles. Journal of Nursing Management, 19(4), 421–430.

    Note: Retrieved from the Walden Library databases.

“Successful nursing leaders navigate between nursing and leadership roles while nourishing a double identity” (p. 421). In this article, the authors examine how individuals in key professional roles negotiate between and apply nursing and leadership skills.

  Warm, D., & Thomas, B. (2011). A review of the effectiveness of the clinical informaticist role. Nursing Standard, 25(44), 35–38.

    Note: Retrieved from the Walden Library databases.

 The authors investigate the application of specialized knowledge and expertise to facilitate the appropriate use of emerging technologies in clinical settings. They argue for informaticists’ involvement in strategic development and delivery of information management and technology initiatives to promote patient-centered outcomes.

    Wilkinson, J. E., Nutley, S. M., & Davies, H. T. O. (2011). An exploration of the roles of nurse managers in evidence-based practice implementation. Worldviews on Evidence-Based Nursing, 8(4), 236–246.

    Note: Retrieved from the Walden Library databases.

 In this article, the authors examine the role nurse managers should play in leading and facilitating evidence-based practice.

  Armstrong, P. (2013). Bloom’s taxonomy. Retrieved from http://cft.vanderbilt.edu/teaching-guides/pedagogical/blooms-taxonomy/

    Vanderbilt University provides this overview of Bloom’s taxonomy. This site also presents the original and updated versions of the taxonomy along with verb suggestions for each level.

    Clark, D. (2013). Bloom’s taxonomy of learning domains. Retrieved from http://www.nwlink.com/~donclark/hrd/bloom.html

This article addresses three domains of learning: cognitive, affective, and psychomotor.

University of Central Florida, Office of Experiential Learning (n.d.). Writing SMART learning objectives, Retrieved from http://explearning.ucf.edu/registered-students/tips-for-success/writing-smart-learning-objectives/195

  This blog post focuses on the distinction between learning outcomes and objectives. Consider this information as you develop your practicum professional development objectives this week.

 The University of North Carolina at Charlotte, Center for Teaching & Learning. (2013). Writing objectives using Bloom’s taxonomy. Retrieved from http://teaching.uncc.edu/articles-books/best-practice-articles/goals-objectives/writing-objectives-using-blooms-taxonomy

    This resource outlines elements of Bloom’s Taxonomy.

Required Media

    Laureate Education (Producer). (2012a). Professional behavior in the practicum setting [Interactive media].

    Note: Retrieved from the Walden Library databases.

In this audio presentation, Dr. Jeanne Morrison discusses topics that demonstrate professional behavior in the practicum setting, such as dressing professionally, punctuality, and communication.

    Laureate Education (Producer). (2012b). Professional best practices [Interactive media].

    Note: Retrieved from the Walden Library databases.

In this audio segment, Dr. Jeanne Morrison provides an overview of best practices and tips for students engaged in the Practicum Experience. She discusses what activities are included in practicum hours, the importance of staying in touch with your Preceptor, and strategies for dealing with stress.

    Laureate Education (Producer). (2012c). Professionalism and the practicum experience [Interactive media].

    Note: Retrieved from the Walden Library databases.

What is the Practicum Experience all about? What are the roles of the Faculty Member and the Preceptor? In this media presentation, Dr. Jeanne Morrison discusses these and other critical aspects of the Practicum Experience. She also provides an overview of the professional demeanor expected of all students throughout the Practicum Experience.Bottom of Form

Define the evaluation criteria to track the effect of each of the interventions on the patient’s health and healing process.

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Assignment 2: Project Part Three—Outcomes, Interventions, and Evaluating Criteria

Assignment 2: Project Part Three—Outcomes, Interventions, and Evaluating Criteria

 post your response to the tasks below in a 3-4 page MS Word document to the W3: Assignment 2 Dropbox. Be sure to format your paper according to APA 6th edition style.

  1. Review the needs, challenges or problems you identified in your Case Study from last week’s assignment. For each need, challenge or problem identified, provide a desired outcome. Include a supporting rationale for each desired outcome. Outcomes should be stated as SMART goals (specific, measurable, action oriented, realistic, and time limited).
  2. List at least one holistic nursing intervention you will use to achieve the outcome for each of the nursing diagnoses listed on your plan. Provide supporting rationale for each chosen intervention. The rationale should include what the intervention will provide for the patient, what level of the person it will address, and how it will assist the patient in achieving the desired outcome.
  3. Define the evaluation criteria to track the effect of each of the interventions on the patient’s health and healing process.