Posts in category: Nursing Papers

walden_nurs6052_week_7_discussion_latest_2017_october_.docx (90.6 KB)

Week 7 discussion Qualitative Research Designs
For the past 2 weeks, you have
focused on the features and considerations of quantitative research designs. However,
quantitative designs are not appropriate for all research questions. Perhaps
you are concerned with how patients react when confronted with negative test
results, or you wish to study how views on a certain health topic change over
time. In each of these cases, the emphasis is more on understanding the
thinking and experiences of an individual or group than on numerical
measurements. For these types of questions, a qualitative or mixed methods
research design is the most appropriate.
For this Discussion, you focus on
the different types of qualitative research designs, when they are used, and
why they are important.
To prepare:
Reflect on the comments made by
Dr. Mauk in this week’s media presentation on the value of qualitative research
in nursing.
Locate the journal Qualitative
Health Research in the Sage Premier database in the Walden Library.
From this journal, select an
article of interest to you that was published within the last 3 years.
Review the information on
different qualitative research designs in Chapter 21 of your course text.
Determine what qualitative
research design was used in your selected article and evaluate whether it was
the best choice.
Consider ethical issues involved
in the study and how the researchers addressed them.
Think about how using a
quantitative design would have affected the type of data gathered.
By Day 3
Post an APA citation for the
article that you selected and provide a brief summary of the content and the
qualitative research design used. Evaluate the appropriateness of the design,
and explain how ethical issues in the study were addressed. Analyze how the
study would have been different if a quantitative design had been used.
Read a selection of your
colleagues’ responses.
By Day 6
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.
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.

week_7_assignment_.zip (1471.34 KB)

Week 7 Assignment: Critiquing Quantitative, Qualitative, or Mixed Methods
Studies
Critiquing the validity and robustness of research featured in journal articles provides a critical
foundation for engaging in evidence-based practice. In Weeks 5 and 6, you
explored quantitative research designs. In Week 7, you will examine qualitative
and mixed methods research designs. For this Assignment, which is due by Day 7
of Week 7, you critique a quantitative and either a qualitative or a mixed
methods research study and compare the types of information obtained in each.
To prepare:
Select a health topic of interest
to you that is relevant to your current area of practice. The topic may be your
Course Portfolio Project or a different topic of your choice.
Using the Walden Library, locate
two articles in scholarly journals that deal with your portfolio topic: 1)
Select one article that utilizes a quantitative research design and 2) select a
second article that utilizes either a qualitative OR a mixed methods design.
These need to be single studies not systematic or integrative reviews
(including meta-analysis and metasynthesis). You may use research articles from
your reference list. If you cannot find these two types of research on your
portfolio topic, you may choose another topic.
Locate the following documents in
this week’s Learning Resources to access the appropriate templates, which will
guide your critique of each article:
Critique Template for a
Qualitative Study
Critique Template for a
Quantitative Study
Critique Template for a
Mixed-Methods Study
Consider the fields in the
templates as you review the information in each article. Begin to draft a paper
in which you analyze the two research approaches as indicated below. Reflect on
the overall value of both quantitative and qualitative research. If someone
were to say to you, “Qualitative research is not real science,” how would you
respond?
To complete this Assignment:
Complete the two critiques using
the appropriate templates.
Write a 2- to 3-page paper that
addresses the following:
Contrast the types of information
that you gained from examining the two different research approaches in the
articles that you selected.
Describe the general advantages
and disadvantages of the two research approaches featured in the articles. Use
examples from the articles for support.
Formulate a response to the claim
that qualitative research is not real science. Highlight the general insights
that both quantitative and qualitative studies can provide to researchers.
Support your response with references to the Learning Resources and other
credible sources.
As you complete this Assignment,
remember to:
Submit your paper to Grammarly and
SafeAssign through the Walden Writing Center. Based on the Grammarly and
SafeAssign reports, revise your paper as necessary.
Reminder: The School of Nursing
requires that all papers submitted include a title page, introduction, summary,
and references. The School of Nursing Sample Paper provided at the Walden
Writing Center provides an example of those required elements (available from
the Walden University website found in this week’s Learning Resources). All
papers submitted must use this formatting.
Combine all three parts of this
assignment into one Word document including both critique templates and the
narrative with your references. Submit this combined document.
By Day 7 of Week 7

walden_nurs6052_week_6_discussion_latest_2017_october_.docx (82.43 KB)

Week 6 discussion Validity in Quantitative Research Designs
Validity in research refers to
the extent researchers can be confident that the cause and effect they identify
in their research are in fact causal relationships. If there is low validity in
a study, it usually means that the research design is flawed and the results
will be of little or no value. Four different aspects of validity should be
considered when reviewing a research design: statistical conclusion validity,
internal validity, construct validity, and external validity. In this
Discussion, you consider the importance of each of these aspects in judging the
validity of quantitative research.
To prepare:
Review the information in Chapter
10 of the course text on rigor and validity.
Read the method section of one of
the following quasi-experimental studies (also located in this week’s Learning
Resources). Identify at least one potential concern that could be raised about
the study’s internal validity.
Metheny, N. A., Davis-Jackson,
J., & Stewart, B. J. (2010). Effectiveness of an aspiration risk-reduction
protocol. Nursing Research, 59(1), 18–25.
Padula, C. A., Hughes, C., &
Baumhover, L. (2009). Impact of a nurse-driven mobility protocol on functional
decline in hospitalized older adults. Journal of Nursing Care Quality, 24(4),
325–331.
Yuan, S., Chou, M., Hwu, L.,
Chang, Y., Hsu, W., & Kuo, H. (2009). An intervention program to promote
health-related physical fitness in nurses. Journal of Clinical Nursing, 18(10),
1,404–1,411.
Consider strategies that could be
used to strengthen the study’s internal validity and how this would impact the
three other types of validity.
Think about the consequences of
an advanced practice nurse neglecting to consider the validity of a research
study when reviewing the research for potential use in developing an
evidence-based practice.
By Day 3
Post the title of the study that
you selected and your analysis of the potential concerns that could be raised
about the study’s internal validity. Propose recommendations to strengthen the
internal validity and assess the effect your changes could have with regard to
the other three types of validity. Discuss the dangers of failing to consider
the validity of a research study.
Read a selection of your
colleagues’ responses.
By Day 6
Respond to at least two of your
colleagues in one or more of the following ways:
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.
Validate an idea with your own
experience and additional sources.
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.

walden_nurs6051_week_4_discussion_latest_2017_october_.docx (95.05 KB)

Week 4 discussion Current Information and Communication Technologies
With so much attention focused on health care reform, it is
important that nurses be given the opportunity to use high-quality technology
tools. These tools can increase access to vital medical information, promote
effective communication among health care professionals, and improve the
patient experience. By actively seeking out and adopting these tools, nurses
can greatly enhance the quality and safety of care that they provide.
This Discussion focuses on identifying quality technology
tools that increase the ability of nurses to provide safe, effective care.
To prepare:
Review the various technology tools described in this week’s
Learning Resources.
Identify a recently adopted information, education, or
communication technology tool in your specialty area. Reflect on how it is used
and how its use impacts the quality of care.
Consider how your identified technology tool might impact
nursing practice if it were more widely used. What are some barriers preventing
increased usage? How could wider implementation be facilitated?
By Day 3
Post a description of a current or new information,
education, or communication technology tool that is being used in your
specialty area and assess its impact on the quality of care. Highlight the
effect that increased use of this technology would have on nursing practice and
discuss the barriers that are slowing or hindering its adoption. Summarize how
adoption of the technology tool could be facilitated.
Read a selection of your colleagues’ responses.
By Day 6
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, 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.

walden_nurs6051_week_1_discussion_latest_2017_october_.docx (100.64 KB)

Week 1 discussion The Effects of “To Err Is Human” in Nursing Practice
The 1999 landmark study titled “To Err Is Human: Building a
Safer Health System” highlighted the unacceptably high incidence of U.S.
medical errors and put forth recommendations to improve patient safety. Since
its publication, the recommendations in “To Err Is Human’” have guided
significant changes in nursing practice in the United States.
In this Discussion, you will review these recommendations
and consider the role of health information technology in helping address
concerns presented in the report.
To prepare:
Review the summary of “To Err Is Human” presented in the
Plawecki and Amrhein article found in this week’s Learning Resources.
Consider the following statement:
“The most significant barrier to improving patient safety
identified in “To Err Is Human”is a “lack of awareness of the extent to which
errors occur daily in all health care settings and organizations (Wakefield,
2008).”
Review “The Quality Chasm Series: Implications for Nursing”
focusing on Table 3: “Simple Rules for the 21st Century Health Care System.”
Consider your current organization or one with which you are familiar. Reflect
on one of the rules where the “current rule” is still in operation in the
organization and consider another instance in which the organization has
effectively transitioned to the new rule.
By Day 3
Post your thoughts on how the development of information
technology has helped address the concerns about patient safety raised in the
“To Err Is Human” report. Summarize how informatics has assisted in improving
health care safety in your organization and areas where growth is still needed.
Read a selection of your colleagues’ responses.
By Day 6
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, 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.

walden_nurs6051_week_2_discussion_latest_2017_october_.docx (89.32 KB)

Week 2 discussion Nursing Informatics Competencies
Today’s fast-paced health care environment demands nurses to
be skilled not only in their clinical practice or specialty area but in the use
of technology tools that improve practice and lead to better patient care.
Basic and advanced technology competencies are required and expected as
technology increasingly touches and changes the job of every nurse. Numerous
organizations, including the American Nurses Association (ANA), the American
Medical Informatics Association (AMIA), and Healthcare Information and
Management Systems Society (HIMSS), have developed nurse-specific technology
competencies. The challenge for nurses is to identify both needs and training
opportunities.
In this Discussion, you identify the role informatics plays
in your professional responsibilities. You pinpoint personal gaps in skills and
knowledge and then develop a plan for self-improvement.
To prepare:
Review Nursing Informatics: Scope and Standards of Practice
in this week’s Learning Resources, focusing on the different functional areas
it describes. Consider which areas relate to your current nursing
responsibilities or to a position you held in the past. For this Discussion,
identify one or two of the most relevant functional areas.
Review the list of competencies recommended by the TIGER
Initiative. Identify at least one skill in each of the main areas (basic
computer competencies, information literacy competencies, and information
management competencies) that is pertinent to your functional area(s) and in
which you need to strengthen your abilities. Consider how you could improve
your skills in these areas and the resources within your organization that
might provide training and support.
By Day 3
Post the key functional area(s) of nursing informatics
relevant to your current position or to a position you recently held, and
briefly describe why this area(s) is relevant. Identify the TIGER competencies
you selected as essential to your functional area(s) in which you need
improvement. Describe why these competencies are necessary and outline a plan
for developing these competencies. Include any resources that are available to
you within your organization and the ways you might access those resources.
Assess how developing nursing informatics competencies would increase your
effectiveness as a nurse.
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues on two different
days using the following approach: Assume the role of a consultant. Respond to
your colleagues as someone who can offer advice on improving their skills on
the competencies they identified as needing improvement.

week_10_project_.doc (76 KB)

Week 10 course project Course Project: Part 3—Translating Evidence Into Practice
In Part 3 of the Course Project,
you consider how the evidence you gathered during Part 2 can be translated into
nursing practice.
Now that you have located
available research on your PICOT question, you will examine what the research
indicates about nursing practices. Connecting research evidence and findings to
actual decisions and tasks that nurses complete in their daily practice is
essentially what evidence-based practice is all about. This final component of
the Course Project asks you to translate the evidence and data from your
literature review into authentic practices that can be adopted to improve
health care outcomes. In addition, you will also consider possible methods and
strategies for disseminating evidence-based practices to your colleagues and to
the broader health care field.
To prepare:
Consider Parts 1 and 2 of your
Course Project. How does the research address your PICOT question?
With your PICOT question in mind,
identify at least one nursing practice that is supported by the evidence in two
or more of the articles from your literature review. Consider what the evidence
indicates about how this practice contributes to better outcomes.
Explore possible consequences of
failing to adopt the evidence-based practice that you identified.
Consider how you would disseminate
information about this evidence-based practice throughout your organization or
practice setting. How would you communicate the importance of the practice?
To complete:
In a 3- to 4-page paper:
Restate your PICOT question and
its significance to nursing practice.
Summarize the findings from the
articles you selected for your literature review. Describe at least one nursing
practice that is supported by the evidence in the articles. Justify your
response with specific references to at least 2 of the articles.
Explain how the evidence-based
practice that you identified contributes to better outcomes. In addition,
identify potential negative outcomes that could result from failing to use the
evidence-based practice.
Outline the strategy for
disseminating the evidence-based practice that you identified throughout your
practice setting. Explain how you would communicate the importance of the
practice to your colleagues. Describe how you would move from disseminating the
information to implementing the evidence-based practice within your
organization. How would you address concerns and opposition to the change in
practice?
By Day 7 of Week 10
This part of the Course Project is
due. It should be combined with the other two components of the Course Project
and turned in as your Portfolio Assignment for this course.
Note: In addition, include a
1-page summary of your project.
For this final iteration, you will
need to:
Submit your paper to Grammarly and
SafeAssign through the Walden Writing Center. Based on the Grammarly and
SafeAssign reports, revise your paper as necessary.
Reminder: The School of Nursing
requires that all papers submitted include a title page, introduction, summary,
and references. The School of Nursing Sample Paper provided at the Walden
Writing Center provides an example of those required elements (available from
the Walden University website found in this week’s Learning Resources). All
papers submitted must use this formatting.

walden_nurs6051_week_9_discussion_latest_2017_october_.docx (81.8 KB)

Week 9 discussion HITECH Legislation
In order for organizations to receive the incentives offered
through the HITECH legislation, they must be able to demonstrate that they are
using the technology in meaningful ways. The following criteria for meaningful
use must be evident to qualify for EHR incentives (U.S. Department of Health
& Human Services, 2012). The technology must:
Improve quality, safety, and efficiency, and reduce health
disparities
Engage patients and families
Improve care coordination
Improve population and public health
Ensure adequate privacy and security protections for
personal health information
For this Discussion you consider the impact of the
meaningful use criteria of the HITECH legislation on the adoption of health
information technology.
To prepare:
Review the Learning Resources on the HITECH legislation and
its primary goals.
Reflect on the positive and negative impact this legislation
has had on your organization or one with which you are familiar.
Consider the incentives to encourage the use of EHRs. Focus
on the definition of meaningful use and how it is measured.
Reflect on how the incentives and meaningful use impact the
quality of patient care.
Find an article in the Walden Library dealing with one of
the criteria to qualify for meaningful use and how it has been successfully
met.
By Day 3
Post a description of how HITECH legislation has positively
or negatively impacted your organization. Address how its related incentives
influence the adoption of health information technology in health care and
impact the quality of patient care. Provide a summary of the article you
identified and explain how it demonstrates the ability of health information
technology to meet the requirements of meaningful use.
Read a selection of your colleagues’ responses.
By Day 6
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, 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.

week_6_assignment_.docx (27.31 KB)

Week 6 Assignment: Application: Adoption of New Technology Systems
As a nurse, you can have a great impact on the success or
failure of the adoption of EHRs. It is important for nurses to understand their
role as change agents and the ways they can influence others when addressing
the challenges of changing to a drastically different way of doing things.
Everett Rogers, a pioneer in the field of the diffusion of
innovations, identified five qualities that determine individual attitudes
towards adopting new technology (2003). He theorized that individuals are
concerned with:
Relative advantage: The individual adopting the new
innovation must see how it will be an improvement over the old way of doing things.
Compatibility with existing values and practices: The
adopter must understand how the new innovation aligns with current practices.
Simplicity: The adopter must believe he or she can easily
master the new technology; the more difficult learning the new system appears,
the greater the resistance that will occur.
Trialability: The adopter should have the opportunity to
“play around’ with the new technology and explore its capabilities.
Observable results: The adopter must have evidence that the
proposed innovation has been successful in other situations.
Note: You are not required to purchase Rogers’ book or
pursue further information regarding his list of five qualities. The
information provided here is sufficient to complete this Assignment. The full
reference for Rogers’ work is provided below the due date on this page.
For this Assignment, you assume the role of a nurse
facilitator in a small hospital in upstate New York. You have been part of a
team preparing for the implementation of a new electronic health records
system. Decisions as to the program that will be used have been finalized, and
you are now tasked with preparing the nurses for the new system. There has been
an undercurrent of resistance expressed by nurses, and you must respond to their
concerns. You have a meeting scheduled with the nurses 1 week prior to the
training on the new EHR system. Consider how you can use the five qualities
outlined by Rogers (2003) to assist in preparing the nurses for the upcoming
implementation.
To prepare
Review the Learning Resources this week about successful
implementations of EHRs.
Consider how you would present the new EHR system to the
nurses to win their approval.
Reflect on the five qualities outlined by Rogers. How would
addressing each of those areas improve the likelihood of success?
By Day 7 of Week 6
Write a 3- to 5-page paper which includes the following:
Using Rogers’ (2003) theory as a foundation, outline how you
would approach the meeting with the nurses. Be specific as to the types of information
or activities you could provide to address each area and include how you would
respond to resistance.
Analyze the role of nurses as change agents in facilitating
the adoption of new technology.

walden_nurs6051_week_8_discussion_latest_2017_october_.docx (102.58 KB)

Week 8 discussion Using Health Information Technology as a Source of Evidence-Based Practice
Before the digital revolution, health information technology
supplied very limited support for evidence-based practice. If nurses wanted to
be informed about cutting-edge research, their best bet was to either subscribe
to leading journals or make periodic trips to the library. With the
establishment of research databases, however, nurses became empowered to learn
about and facilitate interdisciplinary and translational research. Databases
are just one example of how health information technology supports
evidence-based practice.
To prepare:
Read the following scenario from the text (McGonigle &
Mastrian, 2011, p. 482):
Twelve-hour shifts are problematic for patient and nurse
safety, and yet hospitals continue to keep the 12-hour shift schedule. In 2004,
the Institute of Medicine (Board on Health Care Services & Institute of
Medicine, 2004) published a report that referred to studies as early as 1988
that discussed the negative effects of rotating shifts on intervention accuracy.
Workers with 12-hour shifts realized more fatigue than workers on 8-hour
shifts. In another study done in Turkey by Ilhan, Durukan, Aras, Turkcuoglu,
and Aygun (2006), factors relating to increased risk for injury were age of 24
or less, less than 4 years of nursing experience, working in the surgical
intensive care units, and working for more than 8 hours.
Consider how the resources identified in the scenario above
could influence an organization’s practice.
Select an issue in your practice that is of concern to you.
Using health information technology, locate at least three evidence-based
practice resources that address your concern and that could possibly inform
further action.
By Day 3
Post a description of your practice concern. Outline how you
used health information technology to locate evidence-based practices that
address this concern. Cite and include insights from the resources. Analyze how
health information technology supports evidence-based practice.
Read a selection of your colleagues’ responses. Focus
particularly on those questions raised to which you can add comments based on
shared experiences or situations. Consider how your colleagues’ postings
reflect and/or differ from your own perceptions and opinions. Review the
Learning Resources for any clarification needed before responding.
By Day 6
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, 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.