Your assignment this week will be an APA paper to include title page, level headings, and a reference page.Case StudyThe hospice nurse sat with Ann’s husband, Ben. Ann was resting quietly as the incre

Your assignment this week will be an APA paper to include title page, level headings, and a reference page.

1. Case Study

The hospice nurse sat with Ann’s husband, Ben. Ann was resting quietly as the increased dosage of IV pain medication gradually reached its therapeutic level. Ben turned his head and slowly turned, looking out the room’s only window. As he glanced up, a small flicker of light caught his breath. It was a shooting star. A tear fell from the corner of his eye and he turned to Ann. The nurse sensed that something significant to Ann and Ben was unfolding. Shuffling to Ann’s bedside, he took her small fragile hand in his. These hands had rocked cradles, burped babies, and groomed the horses she loved to ride. Gently holding her hand, he turned to the nurse. “She would ride like the wind was chasing her.” Looking back to Ann his voice broke; choking back tears “Ann, Ann I saw Jessie…Jessie is calling.” Ben turned “Jessie was our daughter. She died having a baby that was too big. When she died it was a pitch-black night. Cold, so cold, the baby died too, a little boy, named him Abe, Jr. after Jessie’s husband. I took Ann outside so she could cry to God above and there in this dark sky we saw two falling stars…together…just falling. We knew it had to be Jessie and Abe…two angels to light up the night.” Ben turned back as a deep sign escaped from Ann’s lips. A soft smile remained as she joined Jessie and Abe.

• Based on this case study how would the nurse actualize Parse’s theory of Human Becoming?
• What are characteristics of a humanbecoming nurse?  What are strengths and weaknesses to this theory of nursing?
• What challenges exist for healthcare institutions to switch to this nursing approach?
• How might Parse’s understanding of transcendence guide the nurse, as Ann’s death became a reality to Ben?
• From the nursing theories we have discussed, what theory would you apply to this case study? Develop a plan of care to include both nursing theories (be specific and provide reasons)

The APA formatted paper should include 2 outside references and your book. The essay should be between 1250 and 1500 words in length.

please read first

Introduction to Health Care Delivery

Although the current U.S. health care delivery system offers undeniable benefits, according to many, the negatives are becoming increasingly unacceptable to greater numbers of people. Rising costs, consumer activism, and a changing model of health care delivery are driving health care reform. The movement to reform health care has stimulated great political and social interest, promoting debate and action at local, state, and federal levels. Those in the nursing profession can play a pivotal role in the reform movement.

This week, you will consider the role of nurses as leaders in health care reform as you examine the Institute of Medicine’s recommendations for areas in which nursing education and training need to be strengthened to better prepare nurses to be effective leaders.

Learning Objectives

Students will:

• Evaluate the current state of research efforts on the Institute of Medicine’s priorities for transforming nursing leadership

Required Readings

Knickman, J. R., & Kovner, A. R. (Eds.). (2015). Health care delivery in the united states (11th ed.). New York, NY: Springer Publishing.

• Chapter 6, “Public Health: A Transformation for the 21st Century” (pp. 108–117)This section of Chapter 6 outlines the roles of various government health agencies, as well as the powers and responsibilities of state versus federal institutions.

https://class.waldenu.edu/bbcswebdav/institution/USW1/201750_27/MS_NURS/NURS_5050/readings/USW1_NURS_5050_Week02_chapter4.pdf.

Note:

1 1/2 pages with 3 references, APA

Starting the Research Process

Starting the Research Process

Formulating a specific, applicable research problem statement is an important step in beginning a research process. The problem statement defines the focus of the research study, dictates what methods and tools will be used, and sets the stage for all subsequent elements of the research process. Because of this, it is necessary to put a great deal of thought into the problem statement to ensure that the rest of the research process will be well planned and appropriate to the problem at hand.

This week’s Discussion asks you to identify evidence-based practice problems that can be addressed using quantitative research methods. Based on the practice problem you select, formulate a quantitative research problem statement. In this Discussion, you are also given the opportunity to evaluate your colleagues’ problem statements. Please refer to this week’s Learning Resources for appropriate and scholarly examples of research problem statements and how they inform the rest of the research process.

To prepare:

• Determine a nursing practice problem that is of interest to you and that is appropriate for a quantitative research study. Note: You will continue to use this problem in the Discussions over the next several weeks.
• Using the Walden Library and other credible sources, locate and read two or three articles that address your practice problem. (you must cite the articles read in this assignment)
• With your practice problem in mind, review the Learning Resources and media presentations focusing on the strategies presented for generating a research problem statement.
• Ask yourself: What is the importance of my practice problem to nursing, research, and theory? How might addressing this problem bring about positive social change? How will investigating this problem support evidence-based practice?

By Tomorrow 09/06/17, write a minimum of 550 words in APA format with a minimum of 3 references from the list below which include the level one headings as numbered below:

Post 

1)    A proposed research problem statement ( it has to be related to nursing for example: could be on diabetes, heart failure or more …)

2)    Including sufficient information to make your focus clear and explaining how addressing this problem may bring about positive social change.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Research methods for evidence-based practice: Selecting a research topic and developing a hypothesis. Baltimore, MD: Author.

Note:  The approximate length of this media piece is 13 minutes.

In this week’s video, Dr. Leiyu Shi discusses the characteristics of a good research hypothesis and details the steps in developing a hypothesis that can be tested through research.

Laureate Education. (2011). Important events in clinical research history. Retrieved from http://mym.cdn.laureate-media.com/2dett4d/Walden/CLRA/6100/01/mm/timeline/index.html

This timeline identifies and describes key historical events related to the development of clinical research throughout the ages.

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 5, “Research Problem and Purpose”

Chapter 5 outlines how to identify and develop a research problem statement, purpose, and research questions. The chapter also provides examples of both quantitative and qualitative research topics, problems, and purpose.

•Chapter 6, “Objectives, Questions, Variables, and Hypothesis” 

This chapter explains the different types of hypotheses and assesses how research variables can be used to formulate research objectives in both quantitative and qualitative studies.

•Chapter 10, “Quantitative Methodology: Noninterventional Designs and Methods” 

Chapter 10 describes the principles of research design and those foundational concepts that influence the selection of an appropriate quantitative design: causality, bias, manipulation, control, and validity.

•Chapter 11, “Quantitative Methodology: Interventional Designs and Methods” 

This chapter builds on the material presented in Chapter 10 and discusses how to select the most appropriate quantitative research design for addressing a particular research problem.

Select one of the following articles to use for this week’s Assignment:

Fouquier, K.F. (2011). The concept of motherhood among three generations of African American women. Journal of Nursing Scholarship, 43(2), 145–153. (See attached files)

Grey, M., Whittemore, R., Jaser, S., Ambrosino, J., Lindemann, E., Liberti, L., Northrup, V., & Dziura, J. (2009). Effects of coping skills training in school-age children with Type 1 diabetes. Research in Nursing & Health, 32, 405–418. (See attached files)

Methey, N.A., Davis-Jackson, J., & Stewart, B.J. (2010). Effectiveness of an aspiration risk-reduction protocol. Nursing Research, 59, 18–25. (See attached files)

Newhouse, R.P., Morlock. L., Pronovost, P., & Breckenridge-Sproat, S. (2011). Rural hospital nursing: Results of a national survey of nurse executives. Journal of Nursing Administration, 41(3), 129–137. (See attached files)

Handouts

Laureate Education. (2011). Litmus test for a doctoral-level research problem. Baltimore, MD: Author.

Optional Resources

Caress, A., Luker, K., & Chalmers, K. (2010). Promoting the health of people with chronic obstructive pulmonary disease: Patients’ and carers’ views. Journal of Clinical Nursing, 19(3–4), 564–573.

Mbeba, M. M., N., Jere, D. L., Kachingwe, S. I., Crittenden, K. S., McCreary, L. L., … Norr, K. F. (2011). Peer group intervention reduces personal HIV risk for Malawian health workers. Journal of Nursing Scholarship, 43(1), 72–81.

Miller, J., Gaboda, D., Nugent, C., Simpson, T., & Cantor, J. (2011). Parental eligibility and enrollment in state children’s health insurance program: The roles of parental health, employment, and family structure. American Journal of Public Health, 101(2), 274–277.

Su, C., Lu, X., Chen, W., & Wang, T. (2009). Promoting self-management improves the health status of patients having peritoneal dialysis. Journal of Advanced Nursing, 65(7), 1381–1389.

Bottom of Form

Acting case study forum. Each student will be subdivided into group of 5 students. Each group will be assigned a case study for which the group will need to select the proper scientific methods to sol

Acting case study forum. Each student will be subdivided into group of 5 students. Each group will be assigned a case study for which the group will need to select the proper scientific methods to solve the problem as well as support it utilizing a nursing theory.

Each student will be assigned a role: Narrator, Nurse Practitioner, Researcher, Patient, and Theorist. Each student will need to describe their role in the case study:

First Narrator will provide the story, then the patient and the nurse practitioner (NP) will displayed interaction based on the case study (Make it realistic), then the researcher and theorist will present the scientific steps to reach the solution that the NP arrived with supporting information and the theorist will present the nursing theory selected by the group that is best allocated to your study (Why that Nursing Theory was selected). Time allowed 15 minutes per group.. Please provide a short synopsis of the material being presented.

Rubric

Group 2: Case Study # 2

Carolyn Jones” is a 40-year-old professor of economics. The past week she has felt tried and weak. The past few days she has noticed small, red dots on her skin and gums. Even more upsetting, she cut herself while making dinner and the wound bled for a long time.

Objectives: 

The anatomic location and stimulus for platelet production.

The role of platelets in hemostasis and the consequences of a low platelet count.

The causes and treatment of thrombocytopenia.

The influence of the spleen on the number of circulating platelets.

NURS 6565 Week 11 Discussion

During NP clinical practicum experiences, we identify, as nurses, many health care issues that need to be addressed at the local, state, or national level. Addressing the need for change in health care policy is now an intricate part of your role as a social change agent.

For this Discussion, you will identify a change needed in your community (state of Mississippi) and what your nursing legacy for positive social change will be.

To prepare:

• Consider the health care issues and deficits you have recognized in your professional practice.
• Identify a change needed in your community (state of Mississippi) in health care policy and discuss how you could impart change during your career as an NP.
• Consider your future as a NP and what your nursing legacy will be. How will you impart Social Change?

To complete:

Post 1-2 pages on:

A change needed in your community (state of Mississippi) and an explanation for how you will begin to implement that change.

Then, share with your colleagues a brief explanation of what your nursing legacy will be and how will you impart Social Change.

References

Buppert, C. (2015). Buppert, C. (2015). Lawmaking and Health Policy. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.). (423-436). Burlington, MA: Jones & Bartlett.

Christensen, C. M., Bohmer, R. M. J., & Kenagy, J. (2000). Will disruptive innovations cure health care? Harvard Business Review, 78(5), 102-112, 199.

National Conference of State Legislatures. (n.d.). Glossary of Legislative Terms. Retrieved from http://www.ncsl.org/research/about-state-legislatures/glossary-of-legislative-terms.aspx

You may use other scholarly resources and websites as you see fit.