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Compare and contrast the differences in purpose and data analysis methods between quantitative and qualitative nursing research.  Provide two examples of a research question, one question for each type of research, that you might wish to investigate in your future advanced nursing role. 

Expectations

Initial Post

• Length: A minimum of 250 words, not including references
• Citations: At least one high-level scholarly reference in APA format from within the last 5 years
• Readings Polit, D.R., & Beck, C.T. (2018).  Essentials of nursing research: Appraising evidence for

  nursing practice (9 th ed.). Philadelphia, PA: Wolters Kluwer Health.)

Develop a nursing theory that addresses a phenomenon in the workplace (The phenomenon to develop the Theory from is the building of trust between the patient and the nurse)

Rubric and instructions are attached, it must follow APA rules.  

 Vital Signs 

1. You are a nurse caring for a 58-year-old ironworker who has been admitted to your unit with acute hypertension. He became extremely symptomatic at work and was brought to your emergency department (ED) via ambulance. After receiving a report from the ED nurse, he is brought to your unit asymptomatic (other than his BP of 178/106) and seems in good spirits. After completing his admission paperwork, he settles in and awaits his health care provider. Four hours later, you answer his call light and he reports headache (rated 6 on a 0-to-10 scale) and dizziness.  a. Outline the pertinent information within this case study. b. How often would you expect to measure the patient’s vital signs based on his history? c. What would be your first intervention upon his reporting increased symptoms? Include rationale. d. What is the patient’s pulse pressure? e. Describe risk factors that could be contributing to your patient’s hypertension. 2. As a nurse in a critical care unit, your newest admission is a 24-year-old victim of a motor vehicle accident (MVA). Report from the OR nurse indicates that the patient has several surgically repaired fractures, a closed head injury, and elevated temperature. Additionally, he has IV fluid running postoperatively and dressing changes scheduled every shift. The patient is intermittently alert and disoriented, with his pain adequately controlled by IV analgesics.  a. Outline the pertinent information within this case study. b. What factors could be causing the patient’s elevated body temperature? c. Why is determining the fever’s cause important? d. Indicate areas that are important to monitor in a patient with elevated body temperature. e. Describe cause-specific interventions useful in treating the patient’s elevated body temperature.  

PLEASE, answer each question in order and separately. PLEASE,  this is the bibliography( Chapter 29-30). 1.Potter, P.A., &Perry, A. G. (2017). Fundamentals of Nursing: Concepts, Process, and Practice (9th ed.). St. Louis: MO:  Mosby. ISBN: 9780323327404  

Read the following case study and submit a 1500 – 2000 word paper that addresses the case study and the questions at the end of the case study. 

Mr. B. is an 83 year old male referred to home health services following a hospital admission for congestive heart failure. His payor source is Medicare (traditional). He lives alone and indicates he does not have sufficient financial resources to afford private-pay in home supportive care. His daughter, who lives in the neighboring county about 30 miles away, has offered her father to move in with her – he has refused and she is not “forcing the issue”. Mr. B. is also not open to discussing moving to an assisted living environment.

This is his third hospital admission for the same problem over the last 12 months and his second admission to a home health agency. He was discharged from the previous home health agency 6 weeks ago. Physician orders are for the home health agency to provide skilled nursing for assessment of his cardiac condition and to teach him about his care and medication regime. Physical therapy has been ordered to establish a home exercise program. Home health aide services have been ordered 3 times a week to assist Mr. B. with his personal care needs.

By the end of the third week of service, it is clear to the RN Case Manager that Mr. B. is not making progress to the established goals. She reports during case conference that he is not a good candidate for teaching because of intermittent confusion and forgetfulness. According to the nurse, no matter what she has tried to teach him and regardless of the aids she has used, Mr. B. continues to take is medication incorrectly. She states, “I know he needs services, but I am not sure that he is in the right environment. I am concerned about Mr. B. – I am not sure why his daughter won’t just step up and put her foot down.”

The physical therapist reports at case conference that the “client lacks motivation”. The home exercise program has been established with Mr. B.; however, he does not complete the exercises between therapy visits.

An improvement in his personal hygiene has been noted with the Home Health Aide (HHA) services. The HHA has also been successful in decluttering his living space. The HHA reports that she is concerned that he is not eating regular meals.

This situation offers an ethical challenge to the professional caregivers and to the agency for which they work. 

Discuss how you would handle this ethical dilemma. Address the following questions as a part of your response:

1. What are your concerns about this case?
2. How does the RN Case Manager meet her ethical responsibilities to the patient and to the organization?
3. What is the best plan of action to ensure the client’s safety and well-being?
4. What are realistic outcomes and goals for this client?
5. Who will provide the ongoing care needs required by this client?

Orlando and the 1950s and 60s

Assignment Description:

Create a PowerPoint presentation that addresses each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least four (4) outside sources and the textbook using APA citations throughout your presentation. Make sure to cite the sources using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Review the rubric criteria for this assignment.

Please create a PowerPoint to answer the following:

Case study

Ann, a community nurse, made an afternoon home visit with Susan and her father. After the death of her mother, Susan had growing concerns about her father living alone. “I worry about my father all the time. He is becoming more forgetful and he has trouble seeing. Mom used to take care of him. I am not sleeping and I am irritable around him. Yesterday I shouted at him because he wouldn’t let me help him with his laundry. I felt terrible! I am at my wits’ end! My brothers and sisters do not want to put dad in a nursing home but they are not willing to help out. As usual, they have left me with all the responsibility. I work part time and have two small children to care for.” Susan’s father, Sam, sat quietly with tears filling his eyes. He was well nourished and well-groomed but would not make eye contact. Nurse Ann noticed that the house was clean and orderly. A tray in front of the TV had the remains of a ham sandwich and glass of ice tea. Mail was piled up, unopened on a small table near the front door. There was only one car in the driveway and the yard was in need of attention.

• What questions does Orlando’s theory guide the nurse to consider in caring for Susan and Sam?
• Develop a family plan of care from the perspective of Orlando.

Explore the 1950 and 60’s in the United States:

• Explore was happening in the United States during this time (culture, social, economics, struggles)
• What did nursing look like during this time (what were their jobs like, responsibilities, dress, autonomy, respect)
• What is the most influential accomplishment in nursing theory from the 1950’s and 1960’s?

Assignment Expectations:

Length: 14-20 slides

Structure: Include a title slide, objective slide, content slides, reference slide in APA format. Title/Objective/Reference slides do not count towards the minimum slide count for this assignment.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of four (4) outside scholarly sources and the textbook are required for this assignment.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft PPT document (.pptx) or a PDF document (.pdf)

File name:  Name your saved file according to your first initial, last name, and the assignment number 

1) Minimum 2 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________ 

Part 1:  Physical Assessment 1

See PPT Ch07

The nurse is completing a cardiovascular assessment on a patient diagnosed with orthostatic hypotension. 

1. Identify what can result in a false high or false low blood pressure reading.

Based on specific medical conditions, the nurse may assess variations in vital signs. 

2. Discuss medical conditions that are associated with variations in a person’s vital signs.

Part 2:  Physical Assessment 2

 See PPT Ch09

The nurse is caring for a 60-year-old patient diagnosed with a cervical spinal cord injury in the ICU.

1. Discuss potential risk factors for pressure ulcers in this patient population and others.

Search http://annals.org/article.aspx?articleid=2173506 for the 2015 recommendations for treatment of pressure ulcers. 

2. Discuss the findings in relation to what is the current practice in your hospital facility.

To Prepare

Part 1: ANA Competencies and Standards Identification

• Review the American Nurses Association competencies found in the Nursing Informatics: Scope and Standards of Practice and reflect on the ANA functional areas detailed to determine which interests you the most. 
• Review the TIGER competencies and reflect on which of these you could develop based on how they relate to the ANA functional areas.
• Review the QSEN competencies and reflect on which of these you could develop based on how they relate to the ANA functional areas.

Part 2: ANA Competencies and Standards in Practice

• Identify a nurse informaticist to interview. You may interview the same nurse informaticist you interviewed in Module 2.
• Set up an interview date and time. Consult the Module 4 Interview Guidelines handout for guidance. In the Module 4 Interview Guidelines handout, you will find a form for the interview subject to sign as proof for the interview occurring.
• Develop interview questions that address all of the following:
  • An explanation of the interview subject’s current role.
  • A description of the challenges the interview subject has overcome, currently encounters, and foresees.
  • A description of how the ANA functional areas, TIGER competencies, and QSEN competencies relate to the interview subject’s role.
• Evaluate your responses in Part 1 and compare your responses with the responses from your interview subject.

The Assignment

Part 1: ANA Competencies and Standards Identification

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

• Identify the ANA functional areas you are interested in and explain why.
• Identify the TIGER competencies you might develop based on how they relate to the ANA functional areas you identified and explain why.
• Identify the QSEN competencies you might develop based on how they relate to the ANA functional areas you identified and explain why.

Part 2: ANA Competencies and Standards in Nursing Practice

Create a 6- to 8-slide PowerPoint presentation that addresses the following:

• Explain how your vision of your future as a nurse informaticist compares with the interview subject’s current role. To support your explanation, identify at least one area that has prompted you to change your vision of the future and explain how or why. Then, identify at least one area that aligns with your vision of the future and explain how or why.
• Compare the challenges you foresee in the nurse informaticist role with the challenges your interview subject regularly encounters. To support your comparison, identify at least one challenge that has prompted you to change your interpretation of typical challenges and explain how or why. Then, identify at least one area that aligns with your interpretation of typical challenges and explain how or why.
• Determine how the ANA functional areas, TIGER competencies, and QSEN competencies you identified relate to your interview subject’s current role. Are these functional areas and competencies still relevant or aligned to your future role as a nurse informaticist? Why or why not?
• Based on your responses in Part 1, evaluate whether your assessment of your own knowledge, skills, and attitudes about the functional areas, standards, or competencies has changed, broadened, or strengthened your alignment based on your interview. Be sure to refer to your Part 1 responses and explain the change (or lack of change).
• Provide references in APA style at the end of your presentation—the reference slide or slides do not count toward your Assignment total.
• Submit the completed parts of the Module 4 Interview Guidelines handout.

8 Replies 

APA Style 

References 

Please organize the replies by class names.

  This is a discussion….please make sure it is understandable when it is read

One example of a measurement tool is the Healthcare Effectiveness Data and Information Set (HEDIS) comprehensive care measures. Review the components of HEDIS comprehensive diabetes care; then consider the following scenario.

You are a staff nurse working in a private primary care practice. It is a small practice with 2 MDs (internists), 2 nurses, 1 medical assistant, and an office staff for billing. There are approximately 1,000 patients in the practice. You have had no EHR until the last year, but all charts are manual, historically. Your physicians are starting to inquire about quality incentives, particularly regarding patients with diabetes. 

Take on the role of the staff nurse in the scenario, and post an explanation of how you would go about finding out how many diabetics are in your practice and how many meet all components of HEDIS comprehensive diabetes care.

https://www.ncqa.org/hedis/measures/

I also attached another resource from this week

Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist).

Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old). (Refer to AWE Checklist, Capstone)

Based on the required topic study materials, write a reflection about worldview and respond to following:

1. In 250-300 words, explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care.
2. In 250-300 words, explain what scientism is and describe two of the main arguments against it.
3. In 750-1,000 words, answer each of the worldview questions according to your own personal perspective and worldview:
   1. What is ultimate reality?
   2. What is the nature of the universe?
   3. What is a human being?
   4. What is knowledge?
   5. What is your basis of ethics?
   6. What is the purpose of your existence?

Remember to support your reflection with the topic study materials.

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.