2) Describe at least one objective to facilitate your professional growth, and explain the steps you could take to achieve the objective(s) during your Practicum Experience. Support your response with examples from the literature.

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Preparing for Professional Transitions

Week 1 – Discussion

Top of Form

Preparing for Professional Transitions

Consider the following scenario:

Marcus recalls the beginning of his career, when he started as a nurse at Grand View Hospital. He had heard the organization was soliciting proposals from various companies so they could weigh the pros and cons associated with adopting a new health information technology system. He has been curious about the request for proposal (RFP) process ever since. Now, as he looks forward to new professional opportunities, he would like to ensure that he develops the skills and expertise needed to formulate an RFP.

What are your professional aims? How can you apply what you have learned in your coursework to your practicum setting? How will you leverage your experiences in the practicum to facilitate your development as a nurse leader-manager or informaticist?

In this Discussion, you reflect on your aspirations and consider the transitions that may be required to achieve them. You identify professional development objectives and evaluate opportunities for achieving them through your experiences in the practicum.

  • Think about the professional role changes you have been undergoing or that you may undertake following completion of this MSN program.
  • Review the information related to professional development and role change in the Learning Resources, and conduct additional research as necessary to address any questions or concerns you may have.
  • Consider the following questions:
    • What types of professional positions interest you? Are they significantly different from the types of positions you have held in the past? If so, how?
    • What challenges are you likely to encounter as you transition into a new role?
    • What resources could help you to manage this change? Consider your inner resources (e.g., drawing on previous experiences, stress management), resources available to you through your relationships with others, and institutional supports.
  • Consider how you could use this Practicum Experience to apply what you have learned and enhance or acquire specialization skills and knowledge, regardless of whether you intend to change roles or stay in your current position for the time being.
  • Review the NURS 6600 Course Outcomes listed in the Syllabus. Determine how your experiences in the practicum could help you to achieve one or more of these outcomes.
  • Review the information in the Introduction to the Practicum (in this week’s Practicum area) and the School of Nursing Practicum Manual as necessary to ensure you have a clear understanding of the practicum requirements.
  • Review the suggestions for developing effective learning objectives provided in the Learning Resources.
  • Think of two or three objectives that could help guide your professional development during your practicum. These objectives, referred to as your practicum professional development objectives, must be:
    • Specific
    • Measurable
    • Attainable
    • Results-focused
    • Time-focused
    • Reflective of the higher-order domains of Bloom’s Taxonomy (i.e., Application level and above)
  • Select one or more practicum professional development objectives to focus on for this Discussion. (You may continue to hone these objectives as you work on this week’s Application Assignment.)
  • Reflect on how you could achieve each objective through your Practicum Experience.

By 02/28/2017 post a minimum of 550 words in APA format and least 3 references from the list provided below. Apply the level one headings as numbered below:

1)      An explanation of your professional aspirations and how you intend to use the Practicum Experience to promote career change and/or enhance your performance.

2)      Describe at least one objective to facilitate your professional growth, and explain the steps you could take to achieve the objective(s) during your Practicum Experience. Support your response with examples from the literature.

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.

Submit a 2- to 3-page paper, double-spaced, that addresses the following:

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Submit a 2- to 3-page paper, double-spaced, that addresses the following:

  • Describe the two organizations you selected and explain why you chose them.
  • Summarize how your local organization compares to the local competitor, state averages, and national averages using the benchmark data from the three Compare sites in this week’s Resources.
  • Identify and describe any factors that can explain differences in performance measures. Find one scholarly article that could explain the differences.
  • Explain how these differences in performance measures might impact nursing practice.
  • Analyze the effect of publicly reported data on the quality and safety of care for ONE of the following organizations. Select hospitals, nursing homes, OR home health agencies, and analyze the effect of the data listed under that organization:
    • For Hospitals:
      • Patient Survey Results
      • Timely and Effective Care
      • Readmissions, Complications, and Deaths
      • Use of Medical Imaging
      • Linking Quality to Payment
      • Medicare Volume
    • For Nursing Homes:
      • Overall Rating
      • Health Inspections
      • Staffing
      • Quality Measures
    • For Home Health Agencies:
      • Quality of Patient Care
      • Patient Survey Results
  • Finally, address how this would not happen without standardized data.
  • Clinical quality measures (CQMs) are tools that help to measure and track the quality of care provided in hospitals, nursing homes, and home health care. These measures were developed by the Centers for Medicare and Medicaid (CMS) and use data to examine the ability to deliver high-quality care. CQMs are used to measure many aspects of patient care, including clinical processes, health outcomes, patient safety, and adherence to clinical guidelines. Measuring and reporting CQMs helps to ensure that a health care system is delivering safe, timely, efficient, effective, equitable, and patient-centered care. Hospital Compare collects this data from participating hospitals, nursing homes, and home health care agencies across the United States. The data is reported on the websites with links provided so that the information can be reviewed by prospective patients, insurers, and the public. As nurses, many of us participate in the implementation of the “core measures” in our facility and may recognize when we have a “fall out” or do not meet that standard. In this Assignment, a review of your facility and another that you consider comparable or a competitor to your own will facilitate the nurses’ role in quality improvement and patient safety issues that impact the clinical setting.For this Assignment:
    • Explore at least one of the CMS Compare sites provided in this week’s Resources.
    • Select two local organizations using benchmark data to focus on for this Assignment.
    • Compare the performances of these two organizations to each other and to state and national averages.
    • Find one scholarly article that could explain the differences you observed.

4) Describe how would you distinguish the differences between the patient having an aortic stenosis or mitral regurgitation?

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PLEASE COMPLETE BY EVENING THANK YOU!CASE STUDY 1: CardiovascularAnswer each question in detail.  Please be very clear as to which case study and which question you are answering.  You should numb

 PLEASE COMPLETE BY EVENING THANK YOU!

CASE STUDY 1: Cardiovascular

Answer each question in detail.  Please be very clear as to which case study and which question you are answering.  You should number your answers according to the case study questions.

Mr. J.L is a 62-year-old male who is scheduled to have coronary artery bypass surgery. His father died of a myocardial infarction (MI) at 65 years of age. Mr. J.L. has recently quit smoking. His cholesterol is 220 mg/dL with an HDL of 40 mg/dL. You are the nurse caring for Mr. J. L.

Critical Thinking Questions:

  • 1.  What will you do to prepare Mr. J.L. for surgery?
  • 2.  What assessments will you perform for Mr. J.L. when he is awaiting surgery?
  • 3.  What will be two priority nursing diagnoses in the postoperative period?
  • 4.  What are three key nursing interventions? Provide a rationale for each.
  • 5.  When he is transferred out of critical care, what complications will you monitor for Mr. J. L.?

CASE STUDY 2: Cardiovascular

On routine exam of an otherwise healthy 78-year-old man, you note a systolic murmur. 

Critical Thinking Questions:

1) What are the possible etiologies of this murmur?

2) What happens normally during systole and what could cause a murmur during systole?

3) What are the associated symptoms?

4) Describe how would you distinguish the differences between the patient having an aortic stenosis or mitral regurgitation?

5) How is a murmur diagnosed and how is it treated?

Discussion Board Grading Rubric

The original post should be approximately 200-300 total words. 

Please make sure that each answer has a complete APA reference from your textbook or other MPI materials and includes a page number.

Category

Point Values

Fully met  8-10pts

Partially met 5-7pts

Not met 0-4pts

Content

200-300 words

Post is original and answers the question using course textbook and shows nursing knowledge base. Student has responded to 2 classmates. 

Entry provides answers the question but does apply knowledge base as outlined in textbook

Entry does not answer the question and lacking information from text. Little or no nursing knowledge base.

Fluency

Good grammar, sentence structure, and spelling.

Entry has more than 2-3 grammatical and spelling errors.

Entry contains one or more serious grammatical and spelling problems.

APA

APA reference of student text

Improper use of APA format  

Student cited text

No use of APA format and word count guidelines.

Use of online resource

Application to career

100-200 words

Application to career by specifying relevant Nursing interventions and patient education.

Student attempted to apply to career but did not correctly state relevant interventions or patient education

Answers are irrelevant to the issue in discussion. No interventions or patient education provided.

3) Share an application and interview plan for that position, noting how you would convey your qualifications for this position.

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Job Search, Application, and Interview Processes

Week 11 – Discussion 1

Top of Form

Job Search, Application, and Interview Processes

Throughout your program of study, you have been encouraged to think about your strengths, values, and professional aspirations, as well as the opportunities you have to create positive impact as a nurse leader-manager or nurse informaticist.

How would you most like to leverage your knowledge and expertise going forward? What types of professional positions could you see yourself in, now and further along in your career? What steps could you take to identify a job that appeals to you and to secure a position that you find intellectually challenging and rewarding?

In this Discussion, you examine strategies for conducting an effective job search and assess how you could convey your qualifications for a position of interest to you.

To prepare:

·         Reflect on your strengths, values, and professional aspirations. How will these inform the next stage of your career?

·         Consider what you have learned through your experiences in the practicum about professional roles and functions in your specialty area.

·         Review the information in the Learning Resources, and think about the process of conducting a job search. If possible, speak with individuals in your practicum setting as well as other nursing professionals about how they have identified positions that align with their needs and ambitions. Ask for advice about conducting a successful job search.

·         Search postings of open positions that appeal to you, and identify one for which you would like to apply. If you have difficulty finding such a position, for the purposes of this Discussion you may select one that has already been filled or is in a different region. (Note: If you are not interested in finding a new position, please approach this activity as an opportunity to explore the field. If you are interested in changing positions, please use this activity for that purpose.)

·         What steps would you take to apply for and secure an interview for this position? Write a cover letter and target your résumé or Curriculum Vitae (CV) to this position. (Note: You are not required to complete the job application for this Discussion.)

·         How would you prepare for an interview for this position? What questions do you think would be posed, and what information would you like to learn about the position and the organization? Ask a colleague or friend to conduct a practice interview with you.

·         Consider how you might use your Professional Portfolio (submitted this week) to demonstrate your capabilities during the interview process.

With these thoughts in mind:

By tomorrow 5/9/17, post 550 words essay in APA format with at least 3 references from the list below. Apply the level one headings as numbered below:

1)      An explanation of how you would conduct a job search for a position of interest to you, including the resources you would use (and did use to identify the position for this Discussion).

2)      Include a brief description of the position you identified.

3)      Share an application and interview plan for that position, noting how you would convey your qualifications for this position.

Bottom of Form

Required Readings

    Beam, R. J., O’Brien, R. A., & Neal, M. (2010). Reflective practice enhances public health nurse implementation of nurse-family partnership. Public Health Nursing, 27(2), 131–139.

    Note: Retrieved from the Walden Library databases.

This article addresses the integration of reflective practice to achieve the aims of public health nursing. The authors examine the benefits and challenges of reflective practice.

    Jackson, D., Andrew, S., & Cleary, M. (2012). Telling our stories: Writing for publication to enhance reflective and contextualised family and community practice. Contemporary Nurse: A Journal for the Australian Nursing Profession, 41(1), 2–4.

    Note: Retrieved from the Walden Library databases.

 The writing process often engenders deep reflection, and stories that are documented in this way can help advance the nurse profession and/or specialty area practice. As the authors express, “we owe it to ourselves, to those who will follow us, but most of all to the patients, clients, families and communities who depend upon us, to record our stories of practice, so that those making health care decisions now and in the future have the information and evidence they need to provide the best possible care for all.” (2012, p. 3)

    Kinsella, E. A. (2010). Professional knowledge and the epistemology of reflective practice. Nursing Philosophy, 11(1), 3–14.

    Note: Retrieved from the Walden Library databases.

 The author examines the philosophical foundations of reflective practice and poses the following thought-provoking question: “How might we conceive of professional knowledge for the good of the patient, the practitioner, the professions, and society?” (2010, p. 4)

    Royds, K. (2010). Using reflective practice to learn from good and bad experiences. Learning Disability Practice, 13(5), 20–23.

    Note: Retrieved from the Walden Library databases.

The author engages in reflection to examine her interactions with mentors in practice settings and to assess the professional redirection and growth that resulted from her experiences.

    Gannett Healthcare Group. (2013). Job seekers. Retrieved from http://www.nurse.com/jobs

View the information related to your specialty area and/or positions of interest to you on this website.

    HealtheCareers. (2013). Nursing jobs. Retrieved from http://www.healthecareers.com/nursing-jobs

  On this website, you can browse job postings by category and view other resources.

    Johns Hopkins University School of Nursing. (2013). Career Center online resources. Retrieved from http://nursing.jhu.edu/life-at-hopkins/center/resources/

  View resources of interest to you on this website, including the areas entitled “Conducting a Long Distance Job Search” and “Resume Guide.”

    Nursing Jobs. (2013). Retrieved from http://www.nursingjobs.org/

You can also view information related to positions of interest to you or related to your specialty area on this website.

Evaluate the eight managerial tasks and how they are used to help guide overall organizational strategy.

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Week 8 Discussion and Assignment A-Plus or Essay Guru ONLY!!!!!!!!!

Part 1

Management By Walking Around

Write a 2 page paper addressing the following elements in your paper:

  • Discuss and Explain the managerial tool of management by walking around (MBWA) and its impact on creating a strategy ready culture.

Include a title page and 3-5 references. Only one reference may be from the internet (not Wikipedia). The other references must be from the Grantham University online library. Please adhere to the Publication Manual of the American Psychological Association (APA), (6th ed. 2nd printing) when writing and submitting assignments and papers.

Part 2

Final Exam

Your final exam consists of 2 essay questions.  Each essay question is a 2 page paper.  

Each essay question is worth 50 points for a combined score of 100.

In Essay Question #1 – Address the following:

  • Discuss the 5 P’s of strategy.

In Essay Question #2 – Address the following:

  • Evaluate the eight managerial tasks and how they are used to help guide overall organizational strategy.

Include a title page and 3 – 5 references (per question).  Only one reference (for both essays) may be from the internet (not Wikipedia).  The other references must be from the Grantham University online library.  Please adhere to the Publication Manual of the American Psychological Association (APA), (6th ed. 2nd printing) when writing and submitting assignments and papers.

Write a 2 page paper addressing the following elements in your paper:

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Week 5 Discussion and Assignment A-PLUS WRITER ONLY!!!!!!

1ST PART – Discussion

SWOT Analysis vs Focused Competitor Analysis

Discuss the differences between a traditional SWOT analysis and a focused competitor analysis.

When is it appropriate to use either one? 

150 words

2nd Part – Assignment

Ethics in Strategic Management

Write a 2 page paper addressing the following elements in your paper:

  • Evaluate the need for ethics in strategic management.

Include a title page and 3-5 references. Only one reference may be from the internet (not Wikipedia). The other references must be from the Grantham University online library. Please adhereto the Publication Manual of the American Psychological Association (APA), (6th ed. 2nd printing) when writing and submitting assignments and papers.

Remember this is a two part assignment!!!!

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

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Respond to this post with a positive response :Ask a probing question, substantiated with additional background information, evidence or research.Share an

                       Respond to this post with a positive response :

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

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 research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Use  references

                                Critical Thinking in the Workplace

While there is no clear definition of critical thinking, it can often be associated with the terms “evaluation”, “analysis”, and “higher-thinking” (Horvath & Forte, 2011, pg. 1). Critical thinking can be described as the process in which one uses logic and reason to determine a solution to a problem. As nurses, we develop critical thinking skills through our practices and expansion of knowledge. To critically think one must assess the problem, determine solutions, and apply them to the current situation. Critical thinking is a sought out skill that improves one’s ability to make reasonable decisions in and out of the workplace.

Critical thinking is an essential part in the delivery of high-quality patient care.  In the Emergency Department (ED) for example, patients are triaged and treated based on their level of acuity.  Let’s say that two patients present to the ED. The first patient is a 58 year old female who presents with chest pain and productive cough that started three days ago. The second patient is a 69 year old male who presents with sudden 10/10 “tearing” pain in his upper abdomen and chest. Based on signs and symptoms the nurse would use critical thinking to prioritize and determine which patient needs immediate treatment. In this circumstance, patient number two would be evaluated first; this is due to the high possibility of aortic dissection.  Prioritization and critical thinking are not only used in the ED but as well as other healthcare settings.  Critical thinking skills are essential in the nursing field because they allow nurses to prioritize and make key decisions that can save lives (Nurse Journal, 2005-2018, para. 1). 

                                 Strategies to Critical Thinking

In recent years there has been emphasis placed on the quality of care provided by nurses. To ensure the delivery of high quality patient care, it is essential that nurses maintain a high level of competence to respond effectively to complex clinical situations (Carvalho et al., 2017, pg. 103-107).   Two strategies that are often used to encourage the development of critical thinking include problem-based learning (PBL) and simulations.

PBL is a student-centered learning method that focuses on applying theory to real life situations. The use of open-ended questions in PBL allows students to think critically and provide feedback. Simulation labs are mock scenarios that allow health care professionals to practice in a controlled environment. Simulation labs are found to be highly effective as they allow students to critique their skills until competent. While there are several strategies used to develop critical thinking, it is essential to determine which strategies works best for each individual to promote adequate learning.

                           Critical Thinking, Nursing Practice, and Scholarship

            Critical thinking is an essential part of one’s nursing practice as it helps to build confidence and competency in the delivery of patient-directed care. With continued education and practical application nurses can develop skills needed to practice at a scholarly level. To continue to advance in one’s nursing practice nurses must evaluate strategies essential for the development of critical thinking skills. 

                                                  Resources

Carvalho, D. P., Azevedo, I. C., Cruz, G. K., Mafra, G. A., Rego, A. L, Vitor, A. F., . . .Junior, M. A. (2017). Strategies Used for the Promotion of Critical Thinking in Nursing Undergraduate Education: A Systematic Review. Nurse Education Today, 57, 103-107. Doi10.1016/j.nedt.2017.07.010

Horvath, C. P., & Forte, J.M. (2011). Education in a Competitive and Globalizing World: Critical Thinking: Retrieved December, 31, 2018, from https://ebook.central.proquest.com/lib/waldenu/reader.action?docID=3021945&ppg=155.

Nurse Journal. (2005-2018). The Value of Critical Thinking in Nursing & Examples. Retrieved from https://nursejournal.org/community/the-value-of-critical-thinking-in-nursing/ [Accessed 31 Dec. 2018].

· Were there ethical considerations regarding the treatment or lack of?

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ASSIGNMENT

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.

PICOT Statement 

Revise the PICOT statement you wrote in the Topic 1 assignment.

The final 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).

Research Critiques

In the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.

Refer to “Research Critique Guidelines.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

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.

To write a critical appraisal that demonstrates comprehension of the research study conducted, address each component below for qualitative study in the Topic 2 assignment and the quantitative study in the Topic 3 assignment.

Successful completion of this assignment requires that you provide a rationale, include examples, or reference content from the study in your responses.

Qualitative Study

Background of Study:

·         Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem.

·         How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem.

·         Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims.

·         List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers.

·         Were the purpose and research questions related to the problem?

Method of Study:

·         Were qualitative methods appropriate to answer the research questions?

·         Did the author identify a specific perspective from which the study was developed? If so, what was it?

·         Did the author cite quantitative and qualitative studies relevant to the focus of the study? What other types of literature did the author include?

·         Are the references current? For qualitative studies, the author may have included studies older than the 5-year limit typically used for quantitative studies. Findings of older qualitative studies may be relevant to a qualitative study.

·         Did the author evaluate or indicate the weaknesses of the available studies?

·         Did the literature review include adequate information to build a logical argument?

·         When a researcher uses the grounded theory method of qualitative inquiry, the researcher may develop a framework or diagram as part of the findings of the study. Was a framework developed from the study findings?

Results of Study

·         What were the study findings?

·         What are the implications to nursing?

·         Explain how the findings contribute to nursing knowledge/science. Would this impact practice, education, administration, or all areas of nursing?

Ethical Considerations

·         Was the study approved by an Institutional Review Board?

·         Was patient privacy protected?

·         Were there ethical considerations regarding the treatment or lack of?

Conclusion

·         Emphasize the importance and congruity of the thesis statement.

·         Provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice.

·         Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice.

·         Integrate a summary of the knowledge learned.

Quantitative Study

Background of Study:

·         Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem.

·         How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem.

·         Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims.

·         List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers.

·         Were the purpose and research questions related to the problem?

 Methods of Study

·         Identify the benefits and risks of participation addressed by the authors. Were there benefits or risks the authors do not identify?

·         Was informed consent obtained from the subjects or participants?

·         Did it seem that the subjects participated voluntarily in the study?

·         Was institutional review board approval obtained from the agency in which the study was conducted?

·         Are the major variables (independent and dependent variables) identified and defined? What were these variables?

·         How were data collected in this study?

·         What rationale did the author provide for using this data collection method?

·         Identify the time period for data collection of the study.

·         Describe the sequence of data collection events for a participant.

·         Describe the data management and analysis methods used in the study.

·         Did the author discuss how the rigor of the process was assured? For example, does the author describe maintaining a paper trail of critical decisions that were made during the analysis of the data? Was statistical software used to ensure accuracy of the analysis?

·         What measures were used to minimize the effects of researcher bias (their experiences and perspectives)? For example, did two researchers independently analyze the data and compare their analyses?

 Results of Study

·         What is the researcher’s interpretation of findings?

·         Are the findings valid or an accurate reflection of reality? Do you have confidence in the findings?

·         What limitations of the study were identified by researchers?

·         Was there a coherent logic to the presentation of findings?

·         What implications do the findings have for nursing practice? For example, can the findings of the study be applied to general nursing practice, to a specific population, or to a specific area of nursing?

·         What suggestions are made for further studies?

Ethical Considerations

·         Was the study approved by an Institutional Review Board?

·         Was patient privacy protected?

·         Were there ethical considerations regarding the treatment or lack of?

Conclusion

·         Emphasize the importance and congruity of the thesis statement.

·         Provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice.

·         Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice.

·         Integrate a summary of the knowledge learned.

Reference

Burns, N., & Grove, S. (2011). Understanding nursing research (5th ed.). St. Louis, MO: Elsevier.

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Explain why it is important to uphold the provision in maximizing the quality of patient care, and identify how it enhances your own practice as a nurse.

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Code of ethics

 choose two of the Nine provision of the Code of Ethics for Nurses and describe how you will personally apply each in the practice setting with your patients. Describe in detail the purpose of the provision and provide examples of theprovision applied in practice. Explain why it is important to uphold the provision in maximizing the quality of patient care, and identify how it enhances your own practice as a nurse. 

Your paper should be 1-2 pages.

Include a title page and a reference page to cite your text. Adhere to APA formatting throughout, and cite any outside sources you may use.

  1. The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.
  2. The nurse’s primary commitment is to the patient, whether an individual, family, group, or community. 
  3. The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient. 
  4. The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse’s obligation to provide optimum patient care. 
  5. The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth. 
  6. The nurse participates in establishing, maintaining, and improving health care environments and conditions of employment conducive to the provision of quality health care and consistent with the values of the profession through individual and collective action. 
  7. The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development. 
  8. The nurse collaborates with other health professionals and the public in promoting community, national, and international efforts to meet health needs. 
  9. The profession of nursing, as represented by associations and their members, is responsible for articulating nursing values, for maintaining the integrity of the profession and its practice, and for shaping social policy.

After reading the weekly article assignment by Nilsen it is clear that there is a benefit of incorporating a change model outweigh the time and effort it took to include it?

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Change ModelTo bridge the gap between scientific evidence and patient care we need an in‐depth understanding of the barriers and incentives to achieving change in practice.  Various theories and mo

Change Model

To bridge the gap between scientific evidence and patient care we need an in‐depth understanding of the barriers and incentives to achieving change in practice.  Various theories and models for change point to a multitude of factors that may affect the successful implementation of evidence.  When planning complex changes in practice, potential barriers at various levels need to be addressed. The nature of the EBP, characteristics of the professionals and patients involved, the social, and organizational culture all should be taken into account when planning and executing the implantation phase of change.  Ultimately, unorganized change with no implementation science is little more than “expensive trial and error” (Nelson, 2015, p.1).

                                                         Benefit

Utilizing a theory, model, or framework will provide structure to the process of change.  A benefit of utilizing a theory of change model will aid in understanding why the implementation of the practice either succeeds or fails (Nilsen, 2015).  Nilsen 2015 clearly describes three reasons for the importance of following implementation science. The following aims are included in the article Making Sense of Implementation theories, models, and frameworks 2015, (1) describing and /or guiding the process of translating research into practice, (2) understanding and/or explaining that influences implantation outcomes and  (3) evaluating implementation (Nilsen, 2015, p. 2). After reading the weekly article assignment by Nilsen it is clear that there is a benefit of incorporating a change model outweigh the time and effort it took to include it?

                                                    Conclusion

A crucial factor in delivering high-quality patient care is the nursing implementation of evidence-based practice (EBP); nurses, more than the institutional leadership, play an integral role in the implementation of EBP on nursing units (Kueny, et al., 2015).  EBP allows nurses to make complex health care decisions based on findings from rigorous or high-quality research reports, clinical expertise, and patient perspectives.  According to Kueny et al., 2015, models for EBP implementation provide stepwise guidance; however, particular contextual factors act as facilitators or barriers to the process (p. 29).  Only through using implementation science to achieve EBP will what is learned from research be translated into making care safer.                     

                                                       References

Kueny, A., Shever, L. L., Lehan Mackin, M., & Titler, M. G. (2015). Facilitating the

implementation of evidence- based practice through contextual support and nursing leadership. Journal of healthcare leadership, 7, 29-39. doi:10.2147/JHL.S45077

Nilsen, P. (2015). Making sense of implementation theories, models and frameworks.

Implementation Science, 10(53), 1-13. https://doi.org/10.1186/s13012-015-0242-0.