QUESTION
Theory, Research, and Evidence-Based Practice in Nursing
USE ONLY THE RESOURCES LISTED
APA FORMAT
500 WORDS COUNT
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.
By Day 3
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.
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.
Clinical Question
UncategorizedIdentifying A Clinical Question
Write a 1000-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least five (5) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.
Identify a clinical question related to your work environment, write the question in PICOT format and perform a literature search on the identified topic.
Purpose
To enable the student to identify a clinical question related to a specified area of practice and use medical and nursing databases to find research articles that will provide evidence to validate nursing interventions regarding a specific area of nursing practice.
Review the Application Case Study for Chapter 3: Finding Relevant Evidence to Answer Clinical Questions as a guide for your literature search.
Guidelines
PICOT (Population/Problem, Intervention, Comparison, Outcome, and Time
UncategorizedIn Part A, (attached) you described the population and quality initiative related to your PICOT (Population/Problem, Intervention, Comparison, Outcome, and Time to achieve the outcome) statement. In this assignment, you will formalize your PICOT and research process.
Use the GCU Library to perform a search for peer-reviewed research articles. Find five peer-reviewed primary source translational research articles.
In a paper of 1,250-1,500 words, synthesize the research into a literature review. The literature review should provide an overview for the reader that illustrates the research related to your particular PICOT. Include the following:
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.
Journal
Uncategorized‘s expertise?
Nursing Essay HelpThe question below is a Discussion board, I need to peer review scholarly articles for the question below.
: The final written assignment will synthesize what you have discovered about the different advanced practice roles and scope of practice found in the master of nursing curriculum
UncategorizedOverview/Description of Final Paper: The final written assignment will synthesize what you have discovered about the different advanced practice roles and scope of practice found in the master of nursing curriculum: APRNs, nurse educator, nurse informaticist, and nurse administrator/executive. You will review all roles and then examine the specialty for which you were admitted, focusing on the scope of practice, core competencies, certification requirements, and legal aspects of practice for that specific role. You will also identify the practice environment and population you will be working with, as well as peers and colleagues. In addition, you will discuss your future leadership role and participation in professional organizations.
Your paper is to be based on current literature, standards of practice, core competencies, and certification bodies for your chosen role. The paper should be 8-10 pages excluding the title and reference pages, and APA format is required.
Criteria:
Advanced Practice Roles in Nursing:
Briefly define advance nursing practice and the roles in advanced practice nursing pertaining to clinical practice, primary care, education, administration, and health information. Distinguish between ANP and the APN.
Describe the advance nursing practice role you aspire and briefly share the experiences and/or qualities you have that have influenced your decision. Include your personal philosophy.
Selected Advanced Practice Role:
Identify the AP you interviewed and summarize the interview, which should/may include (if not in the interview, please address):
Examine regulatory and legal requirements for the state in which you plan to practice/work.
Describe the professional organizations available for membership based on your selected role.
Identify required competencies (domains), including certification requirements for your selected role.
Describe the organization and setting, population, and colleagues with whom you plan to work.
Leadership Attributes of the Advanced Practice Role:
Determine your leadership style
Define Transformational Leadership and as it relates to your identified leadership attributes that you possess or need to develop
Apply the leadership style you will embrace in AP to one of the domains
Health Policy and the Advanced Practice Role
Based on your program of study, review the literature and address the following:
FNP/AGNP:Medicare reimbursement for NPs is 85%for the same health care that MDs receive at 100% reimbursement? Please address questions below and state your position on this mandate.
FNP/AGNP:What states have NP Full Practice Authority and which states have limitations or restrictions? How does this apply to your state? Please address questions below and state your position on this regulation.
For the above category chosen, address the following:
Describe the current policy or trends and determine if it needs to change; if opposed to change state why
Provide the process required to make the change with key players and parties of interest; support opposition
Explain how you could lead the effort to make or influence the change in policy or keep the policy the same and the impact in healthcare quality.
Conclusion-Summarize your role paper by highlighting key points made in your paper.
Submission Details:
Support your responses with examples.
Cite any sources in APA format
Nursing Theories
UncategorizedNursing theories are tested and systematic ways to implement nursing practice. Select a nursing theory and its conceptual model. Prepare a 10-15 slide PowerPoint in which you describe the nursing theory and its conceptual model and demonstrate its application in nursing practice. Include the following:
Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
Lawrence Kohlberg’s theory
Nursing HomeworksEvaluate Lawrence Kohlberg’s theory in a 1,050- to 1,400-word paper. Address the following:
Include at least two references from professional peer-reviewed journals.
Employee Health Insurance Plans
UncategorizedEmployee Health Insurance Plans
Part I
Consider the four health plans below with an eye to choosing one to offer to the company’s employees. Assume that the health plans and their annual per employee premiums are as follows:
The employer will pay 80% of the premium for individual coverage, and the employee will pay the remaining 20% as well as the entire additional premium for family coverage. (The premiums listed above, while realistic in magnitude, are hypothetical and computed solely for the purpose of this project.) All of the plans are managed care plans. Assume that the benefit package is the same across all plans, so there is no difference between them in what services are covered.
In addition to the above data, click here to view and investigate the Online Report on Quality Performance Results in New York State, the latest report card issued by the New York State Department of Health, 2013, and incorporate the information into your evaluation.
You can view the various categories of measures on which health plans are rated (e.g., Access to Care, Adult Living with Illness, etc.). Click each link for a summary chart that presents the performance (usually as a percentage score) of each plan in the group on the relevant measures and how each plan compares to regional and statewide scores.
Submit a 2-page analysis in a Microsoft Word document that outlines the plan you selected and why. Generally, you would select the plan with the highest score, but if you chose a plan with a lower score, explain why. Include the following elements in your analysis:
Part II
You need to use the multiattribute utility (MAU) technique to respond to the following questions. Although the technique can be performed with pencil and paper, it is recommended you use a Microsoft Excel to do the various calculations involved.
Click the following links to access the information on using the MAU technique:
Did it make the decision harder to make or easier to justify?
Support your responses with examples.
Cite any sources in APA format.
Theory, Research, and Evidence-Based Practice in Nursing
UncategorizedQUESTION
Theory, Research, and Evidence-Based Practice in Nursing
USE ONLY THE RESOURCES LISTED
APA FORMAT
500 WORDS COUNT
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:
By Day 3
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.
Required Readings
Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.
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.
Define the nursing process a systematic problem solving approach toward providing individualized nursing care.
UncategorizedDefine the nursing process a systematic problem solving approach toward providing individualized nursing care. What is NANDA-I North American Nursing
Diagnosis Association International What are the characteristics of the nursing process? 1-framework for care to indiv, families, & communities 2-orderly & systematic 3-interdependent 4-provides specific care for the indiv, fam, & comm 5- client centered 6-appropriate for use throughout lifespan 7-used in ALL settings What are the steps of the nursing process? ADPIE A=assessment D=diagnosis P=planning I=implementation E=evaluation How does the nurse obtain assessment info? 1- initial (or admission assessment) 2- focused assessment 3- emergency assesment How does the nurse obtain assessment info? past medical hx – family hx – reason for admission – current meds – previous hospitalizations & surgeries – psychosocial assessment – nutrition – complete physical assessment focused assessment Collects data about a problem that has already been identified. This type of assessment determines whether
the problem still exists, or any changes. focused assessment questions – What are your symptoms?
– When did they start?
– What activity were you doing ?
– What makes it better or worse?
– What are you doing to relieve the symptom? Emergency assessment Performed to identify a life-threatening problem (choking, stab wound, heart attack). subjective data Information verbalized or stated by the client. objective data – Observable and measurable information.
– Remember to include your senses: smell, hearing, touch and sight. sign An objective finding perceived by the examiner ex. (fever, rash, etc.) symptom Subjective findings verbalized or stated by the client ex. (“I have a headache” ” I feel sick in my stomach.”) signs are objective symptoms are subjective 2 sources of data primary & 2ndary primary source of data -Information obtained from the patient (only) secondary sources of data – Family members
– Significant others
– Past & current health records, laboratory tests,diagnostic procedures, consultations from other healthcare professionals. collect the data then BLANK the data VALIDATE
-Confirm and verify the information.
– Keep it free from errors, bias, or misinterpretation. Data is 1,2,3 collected, validated, then clustered clustering of data often contains defining characteristics which are specific assessment findings that support a
nursing diagnosis. during the clustering of data what is used critical thinking is used to analyze and synthesize the information that is
collected. The data is then put into specific clusters that describe a specific client problem. identify sources of data for obtaining information from the client subjective & objective, primary & secondary, people, healthcare professionals, medical chart, test & lab results etc identify how you develop a nursing diagnosis As you cluster data, you begin to consider various diagnoses that may relate to the client. You must remember that if certain defining characteristics do not exist for a specific diagnosis, then you must not use the diagnosis. identify how you develop a nursing diagnosis (what is first / next etc) 1. Complete thorough assessment of the patient.
2.Highlight or underline relevant symptoms (defining
characteristics).
3. Make a list of symptoms.
4. Cluster and interpret the symptoms.
5. Analyze and interpret the symptoms.
6. Select a nursing diagnosis based on the definition
found in the nursing diagnosis manual by Doenges,
Moorhouse and Murr.
7. Remember to prioritize the identified problems. what is the difference between a medical and nursing dx A medical diagnosis describes a disease process. A nursing diagnosis describes an individual, family or
group response to an actual or potential problem. medical dx -Identification of a disease condition based on specific
findings such as diagnostic tests and procedures.
– Remains the same as long as the disease is present. nursing dx – Clinical judgment in response to actual or potential
health problems.
– Provides a basis for providing nursing care through
various interventions to achieve outcomes.
– Changes possibly from day to day as the patient’s
response changes. what are the 4 types of NANDA-I dx 1. Actual diagnosis
2. Risk diagnosis
3. Health promotion diagnosis
4. Wellness diagnosis actual dx Represents a problem that has been validated by the
presence of defining characteristics (signs and
symptoms). risk dx Is defined by NANDA-I , “describes human responses to health conditions/life processes that may develop in a vulnerable individual, family, or community. It is supported by risk factors that contribute to increased
vulnerability” (NANDA, 2007). Ex. infection after surgery health promotion dx Clinical judgment of a person, family, or community desire to enhance their well being and readiness to implement health behaviors of a higher level. Ex. nutrition wellness dx Describes the human responses to levels of wellness in an individual, family or community that have readiness to enhance well being. Ex.Coping, readiness of enhanced related to successful cancer treatment. how do you formulate an actual nursing dx; what does it consist of A nursing diagnosis consists of 3 parts or what is referred to PES format:
P= Problem
E =Etiology
S =Signs and Symptoms what is the purpose of the problem to identify the health status or
problem of the individual using the approved NANDA – I list. Ex.Pain, acute what is the etiology the cause ; Identifies the physiologic, psychological, sociologic, spiritual, or environmental factors assumed to be the
cause of the problem or a contributing factor. the etiology is linked to the problem with the phrase “related to” ; The etiology cannot be related to a medical diagnosis. signs & symptoms Identified as subjective and/or objective data that supports the problem.
– Identified by the nurse from the clustering of
significant data including assessment findings. signs & symptoms are linked to the etiology by the phrase “as evidenced by” how do you formulate a risk dx? what does a risk dx consist of? consist of a problem and the etiology only – there are NO signs & sypmtoms because it hasn’t happened yet what does the planning phase of the nursing process consist of develop a plan of care.This is accomplished by developing client centered goals
and expected outcomes. – use critical thinking to develop nursing interventions to resolve the client’s problem and achieve the goals. 3 helpful guides in prioritizing needs 1-Maslow 2- Pt preference what does the pt think is important 3-Anticipation or future problems Maslow Maslow’s Hierarchy of Needs
a. physiological needs
b. safety needs
c. love and belonging needs
d. self-esteem needs
e. self-actualization needs prioritizing nursing dx ex 1 1 -airway 2- urinary 3- sexual 4- skin integrity prioritizing nursing dx ex 2 1-gas exchange 2-hypothermia 3-knowledge defecit 4- infection prioritizing nursing dx ex 3 1-pain 2-mobility 3- social isolation 4-self esteem define a goal ” a broad statement that describes the desired change in a client’s condition or behavior.” components of a correctly written goal include expected outcomes or
measurable criteria to evaluate the achievement of the goal. short term goal an objective behavior or response
you expect the client to achieve in a short period of time usually less than one week. long term goal An objective behavior or response you expect the client to achieve in a longer period of time possibly over several days, weeks, or months. what is an expected outcome An outcome is a measurable change in the client’s status that you expect to occur related to the implemented care. guidelines to remember when writing goals 1-client centered 2-singular 3-observable 4-measurable 5-time limited 6-mutual 7-realistic what are nursing interventions Are actions or treatments based on knowledge or judgment that the nurse performs to meet the patient outcomes. what are the 3 types of nursing interventions – provide examples 1-independent ex. positioning 2-dependent ex. med admin 3-collaborative or interdependent ex. OT what are frequent errors when writing nursing interventions 1-Failure to be precise or fully indicate the nursing action. 2-Failure to indicate frequency 3-Failure to indicate quantity 4-Failure to indicate method what is the purpose of scientific rationale for student nurses is the reason for choosing the particular intervention based on supportive evidence
from textbooks, journals, and/or online nursing
references (so we know why we are doing the task we are doing) what is the implementation phase of the nursing process This step begins after the care plan has been developed by the nurse. This is the step of the nursing process where the nurse performs the interventions as a means
of achieving the goals. interventions can be BLANK or BLANK direct (performed through interaction with the client) or indirect (without the client but on their behalf) the implementation process takes into account 5 activities 1-reassessing 2-review/revise existing nursing dx & care plan 3-organizing resources & delivery of care 4-Anticipating/preventing any complications 5-Implementing interventions Implementing Interventions: requires 3 skills 1-cognitive 2-personal 3-psychomotor Implementing Interventions :cognitive skills critical thinking ; good decisions Implementing Interventions: personal skills communication ; therapeutic interactions Implementing Interventions ; psychomotor skills proper performance and knowledge of skills what is the evaluation phase of the nursing process Evaluation is the final stage of the nursing process. You as the nurse determine if the patient has achieved the expected outcomes not if the nursing interventions were completed. the evaluation phase has 5 components 1. Identifying criteria and standards.
2. Collecting data to determine if the criteria or
standards are met.
3. Interpreting and summarizing findings.
4. Documenting findings and any clinical judgment.
5. Terminating, continuing or revising the care plan.