Discussions

Week 1: Role
of Research and the Importance of the Searchable Clinical Question

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The practice of nursing is deeply
rooted in nursing knowledge, and nursing knowledge is generated and
disseminated through reading, using, and creating nursing research.
Professional nurses rely on research findings to inform their practice
decisions; they use critical thinking to apply research directly to specific
patient care situations. The research process allows nurses to ask and answer
questions systematically that will ensure that decisions are based on sound
science and rigorous inquiry. Nursing research helps nurses in a variety of
settings answer questions about patient care, education, and administration.

As you contemplate your role in the
research process, read the following article.

Kumar, S. (2015). Type 1 diabetes
mellitus-common cases. Indian Journal of Endocrinology & Metabolism,
19,S76–S77. doi:10.4103/2230-8210.155409.
http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=102354944&site=eds-live
(Links to an external site.)Links to an external site.

1. Choose one case study, and formulate
   one searchable, clinical question in the PICO(T) format. There are several
   potential questions that could be asked.
2. Identify whether the focus of your question is
   assessment, etiology, treatment, or prognosis.
3. Remember to integrate references.

Week
2: Search for Literature and Levels of Evidence

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1. Reflect
on your practice, and identify a significant nursing clinical issue or change
project that you would like to search for evidence in online sources. Formulate
searchable, clinical questions in the PICO(T) format for your nursing clinical
issue.

2. Next,
review the guidelines for the PICOT Assignment due Week 3. Use your PICOT
elements to search forone report
of a single, original study that has been published within the last 5 years
from the CCN Library that is relevant to your nursing clinical issue.

3. Briefly
describe how it is relevant to your nursing clinical issue. Remember to give a
complete reference to the study.

Week
3: Research Problems, Designs, and Sample

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This week, we will discuss the research design
and sample for your nursing clinical issue. The research design flows from the
research question and outlines the plan for the study that will answer the
research question. The design identifies the major components of the study. It
is important to remember that there is no one best design for a research study.

1. After
you review the designs, describe which research design you would expect to find
when searching for evidence relevant to your own research question from Week 2.
Why? Explain your answer.

2. The
most common sampling method is the convenience sample; therefore, many of the
studies that you find for evidence use this sampling method. What are the
implications for using a convenience sample on the way you interpret and use
the findings?

Week
4: Ethical and Legal Issues

Read one of the following.

Stefaniak, M., & Mazurkiewicz, B. (2017).
The importance of adhering to high standards of research ethics. British
Journal of Nursing, 26(1), 62. http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120706824&site=eds-live&scope=site
(Links to an external site.)Links to an external site.

Feeney, S., & Freeman, N. K. (2016).
Ethical issues: Responsibilities and dilemmas. YC: Young Children, 71(1), 86.
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(Links to an external site.)Links to an external site.

Questions for first article:

1. Describe
one reason for adhering to high standards in ethics.

2. What
are the dangers of conflict of interest?

Questions for second article:

1. Discuss
the difference between ethical responsibility and ethical dilemma.

2. Share
an experience of ethical dilemma or moral distress in nursing today.

Week
5: Data Collection and Measurement

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Access the following information. You may read
the PDF online or download it.

American Nurses Association. (2014).Fast facts: The nursing workforce 2014: Growth, salaries,
education, demographics & trends. ANA.

http://nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/workforce/Fast-Facts-2014-Nursing-Workforce.pdf
(Links to an external site.)Links to an external site.

1. Review
these facts, and describe what the results say about this sample of the nursing
workforce.

2. What do
you believe was the intent of the researcher who designed the survey?

3. The
next process for our study is to collect data. The research design will indicate
the best data to be collected. The tools that we use to collect data need to be
reliable and valid. Define these terms with respect to research, and explain
why they are important.

4. Consider
data collection and measurement methods for your nursing clinical issue.
Explain how you would collect data and what measurement methods you would use.

Week
6: Data Results and Analysis

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After the data are collected, it is time to
analyze the results!

1. Discuss
one of the four basic rules for understanding results in a research study.

2. Compare
clinical significance and statistical significance. Which one is more
meaningful when considering applying evidence to your practice?

3. Compare
descriptive statistics and inferential statistics in research. Please give an
example of each type that could be collected in a study that would be done on
your nursing clinical issue you identified in previous weeks.

Week 7:
Applying and Sharing Evidence to Practice

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After the data have been analyzed, conclusions
are made regarding what the findings mean. Then, this information must be
shared with your healthcare team.

1. Choose
one of the articles from the Week 5 RRL assignment, and discuss the findings.
Would you apply the evidence found to your practice? Explain your answer.

2. Translating
research into practice is the final and most important step in the research
process. Review information you found your nursing clinical issue and explain
ways in which you would share the research-based evidence with your peers.

Week 8:
Where Do You Go From Here?

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Improving patient outcomes is paramount to
healthcare improvement today.

1. How has
your thinking changed about nursing research and evidence- based practice as
the result of this course?

2. Will
the information you learned during this course be helpful in your nursing role
today?

NR439 Week 3 PICOT/Evidence Appraisal Assignment Latest 2017
August

PICOT Worksheet Guidelines

Purpose

Clear identification of the problem or opportunity is the first
step in evidence-based nursing. This assignment offers a tool to assist in the
identification of the problem, proposed intervention, and desired outcomes.
Completion of the assignment will include identification of the problem or
concern using the PICOT format.

Course Outcomes

This assignment enables the student to meet the following Course
Outcome.

CO1: Examine the sources of evidence that contribute to
professional nursing practice. (PO7)

Due Date

Submit the
completed PICOT Worksheet form (Links to an external site.)Links to an external
site. by Sunday, 11:59 p.m. MT at the end of Week 3.

Points

This assignment is worth 200 points.

Directions

1. Read
these guidelines including the grading rubrics below. Watch this video on how
to complete the assignment at
http://www.brainshark.com/devry/vu?pi=zIAz11yLtvzHr05z0 (Links to an external
site.)Links to an external site.

2. Download
the PICOT Worksheet form (Links to an external site.)Links to an external site..

3. Consider
what is the nursing problem or issue that you have uncovered. Make sure it is related to nursing,
i.e., one that a nurse can solve independently. Do not select a medical problem
that is dependent upon a medical professional to resolve.

4. Download
an Example (Links to an external site.)Links to an external site. of how to
fill in the worksheet to help you complete your own form.

5. Submit
the completed PICOT Worksheet form.

Example 1:

What is the PICO question?

Will influenza immunization compliancy rates increase if flu
clinics are provided in a Flu PODS and immunization clinics at convenient times
covering all shifts?

Define each element of the question
below:

P- (Patient, population, or problem): Hospital employees and
volunteers required to have the influenza immunization annually

I -(Intervention): Offer multiple Flu “PODS” and
immunization clinics to hospital employees and volunteers making it convenient
to receive the required immunization. Offer at a variety of times, available to
all shifts

C- (Comparison with other treatment/current practice): Compare
analytics showing employees and volunteers who received flu shot prior to 2016
when Flu PODS and immunization clinics were not offered compared to 2016 where
Flu PODS and immunization clinics are offered to accommodate shifts. Track
number of employees/volunteers coming at each hour time frame.

O- (Desired outcome): Increase of compliance of receiving the
annual mandatory flu shot by employees and volunteers

Example 2:

What is the PICO question?

For non-diabetic patients on corticosteroid therapy, does
monitoring for headache, fatigue, nausea, vomiting, and blurred vision hourly
vs. no observations for signs of hyperglycemia promote improvement of pulmonary
complications?

Define each element of the question
below:

P- (Patient, population, or problem): Non-diabetic patients on
corticosteroid therapy.

I- (Intervention): Monitoring for headache, fatigue, nausea,
vomiting, and blurred vision

C- (Comparison with other treatment/current practice): No observations
for signs of hyperglycemia

O- (Desired outcome): Improvement of pulmonary complications

T-(Time): 90 days

NR439 Week 5 Reading Research Literature Assignment Latest 2017
August

Reading Research Literature Guidelines

Purpose

The student will read research literature to determine the
research purpose, question, design, population, sample, limitations, data
collection and analysis.

Course Outcomes

This assignment enables the student to meet the following course
outcomes:

CO2: Apply research principles to the interpretation of the
content of published research studies. (PO4 and 8)

CO4: Evaluate published nursing research for credibility and lab
significance related to evidence-based practice. (PO4 and 8)

Points: This
assignment is worth 225 points.

Due Date: Submit the completed Reading Research Literature form
(Links to an external site.)Links to an external site. by 11:59 p.m. MT Sunday
at the end of Week 5.

Requirements

1. Download
the research articles from the Chamberlain library.

Retrieve the following research
articles:Make sure you are viewing the full text PDF. If you view the article
in HTML format, you may not be able to see the tables and figures that are
referenced in the questions.

Velayutham, S. G., Chandra, S. R., Bharath, S., & Shankar,
R. G. (2017). Quantitative balance and gait measurement in patients with
frontotemporal dementia and Alzheimer diseases: A pilot study. Indian Journal
Of Psychological Medicine, 39(2), 176-182. doi:10.4103/0253-7176.203132.
http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=122248443&site=eds-live&scope=site
(Links to an external site.)Links to an external site.

Pals, R. S., Hansen, U. M., Johansen, C. B., Hansen, C. S.,
Jørgensen, M. E., Fleischer, J., & Willaing, I. (2015). Making sense of a
new technology in clinical practice: A qualitative study of patient and
physician perspectives. BMC Health Services Research, 15(1), 1-10.
doi:10.1186/s12913-015-1071-1 http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=her&AN=109884152&site=eds-live
(Links to an external site.)Links to an external site.

1. Download
the Reading Research Literature form (Links to an external site.)Links to an
external site..

2. Watch
the video on how to complete this assignment at
http://www.brainshark.com/devry/vu?pi=zGCzbNjK4zHr05z0. (Links to an external
site.)Links to an external site.

3. Type
answers to the questions directly onto the form. Your form does NOT need to
follow APA formatting; however, you are expected to use correct grammar,
spelling, syntax, and write in complete sentences.

4. Please
post questions about this assignment to the Q & A Forum.

5. Save
the file by clicking Save as and adding your last name, e.g.,NR439_W5_Reading_Research_Literature_Form_Smith.docx.

6. Submit
the completed form by 11:59 p.m. MT Sunday at the end of Week 5.

NR439
Week 6 Research Article Critique Paper Assignment Latest 2017 August

Research Article Critique Guidelines

Purpose

The purpose of this assignment is for the student to learn
to examine, analyze, critique, and summarize an original research article.
Student is to select an article from the Research Article Critique List of
Articles (Links to an external site.)Links to an external site.. Open the link
to find a choice of articles from which you must choose ONE to complete this
assignment.

Course Outcomes

Through this assignment, the student will demonstrate the ability to meet
the following course outcomes:

CO1: Examine the sources of evidence that contribute to professional nursing
practice. (PO7)

CO2: Apply research principles to the interpretation of the content of
published research studies. (POs 4 and 8)

CO4: Evaluate published nursing research for credibility and lab
significance related to evidence-based practice. (POs 4 and 8)

CO5: Recognize the role of research findings in evidence-based practice.
(POs 7 and 8)

Points

The assignment is worth a total of 175 points.

Rubric

Click to view and download the NR439 Research Article
Critique Paper Rubric (Links to an external site.)Links to an external site..

Due Date

You are to submit your paper by Sunday 11:59 p.m. MT at the end of Week 6.

Requirements

Through this assignment, the student will:

1. Critique
   a peer-reviewed study, and in your own words, describe the research
   question, sample, design of study, data collection method, findings, and
   limitations of each. (CO 1, CO2,)
2. Summarize
   the research article and evaluate the significance to nursing. Do not just
   quote the author’s words. Paraphrase the information. (CO 4, CO5).

Guidelines to writing the Paper

1. Tips
   on how to complete this assignment may be found at
   http://www.brainshark.com/devry/vu?pi=zFmz5THHgzHr05z0&intk=406182077
   (Links to an external site.)Links to an external site.
2. Download
   the Research Article Critique List of Articles (Links to an external
   site.)Links to an external site. and select ONE to analyze.
3. Retrieve
   the full-text version of the article from the library. Read it thoroughly.

1. Introduction
   (one paragraph): The introduction should be interesting and capture the
   reader’s attention.
1. Provide
   a brief description of the research article to be discussed.
2. Discuss
   the purpose of your paper. The purpose statement of the paper should
   relate to the research article reviewed and the implications that it has
   to evidence based nursing practice.
3. You
   will need to summarize and analyze the information from the article in
   your own words

1. Describe
   the research question for this study in a paragraph.

1. Describe
   the research in greater detail.
2. Include
   your observations about this question.
3. Discuss
   events or trends that could have affected this question.
4. You
   will need to summarize and analyze the information from the article in
   your own words

1. Describe
   the research design of this study, and in your own words discuss the
   design.
1. Discuss
   the research design of the study.
2. Discuss
   the strengths and weaknesses of the type of design and hypothesize why
   the author utilized the design as opposed to others.
3. You
   will need to summarize the information from the article in your own words
2. Describe
   the sample.

1. Briefly
   describe the sample size used for this study
2. Make a
   judgment as to whether the sample size was adequate and defend your
   answer.
3. Describe
   the number or participants and determine if the number of participants was
   adequate compared to the research question and the intent of the study.
4. Are
   these numbers adequate? Discuss gaps in that you identified.
5. You
   will need to summarize and analyze the information from the article in
   your own words

1. Describe
   the data collection method(s)’

1. Who
   collected the data?
2. What
   tools were used?
3. What
   were the ethical considerations addressed and discuss gaps you identified.
4. You
   will need to summarize and analyze the information from the article in
   your own words

1. Describe
   the limitations of the study.

1. Identify
   the limitations within the study
2. Describe
   how the limitations could be overcome in subsequent studies
3. Comment
   on why limitations are important to list and discuss within a study
4. You
   will need to summarize and analyze the information from the article in
   your own words

1. Describe
   the findings reported in the study.

1. Describe
   the findings reported in the study
2. Discuss
   whether the findings of the study answered the research question posed
   within the study
3. Discuss
   the credibility of the findings
4. If the
   findings do not support the research question posed within the study, what
   do you believe is the reason?
5. You
   will need to summarize and analyze the information from the article in
   your own words

1. Summary
1. Summarize
   important points from the body of your paper including the key components
   of the paper.
2. Include
   a statement about the research question and the findings.
3. Discuss
   the probability of implementation into practice. Based on these findings,
   is the evidence that you found on your topic strong enough to suggest a
   change in practice, or an idea for practice?
4. End
   with a concluding statement.
2. Citations and References must be included to
   support the information within each topic area. Refer to the APA manual,
   Chapter 7, for examples of proper reference format. In-text citations are
   to be noted for all information contained in your paper that is not your
   original idea or thought. Ask yourself, “How do I know this?”
   and then cite the source.
3. Reference
   Page: The Reference Page should start on a new page (insert a page break).
   All references should be cited within the body of the paper as (Author,
   year) and the full reference should be included in APA format on the
   reference page. A url link alone is not an adequate reference. See the APA
   Guidelines in Course Resources for examples of properly formatted
   references.

NR439 Articles List for Week 6 Research Article Critique

Katon, W., Russo, J., & Gavin, A. (2014). Predictors of postpartum
depression. Journal of Women’s Health (15409996), 23(9), 753-759.
doi:10.1089/jwh.2014.4824. (7p.)

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Murfet, G. O., Allen, P., &Hingston, T. J. (2014). Maternal and neonatal
health outcomes following the implementation of an innovative model of nurse
practitioner-led care for diabetes in pregnancy. Journal of Advanced Nursing,
70(5), 1150-1163.doi:10.1111/jan.12277. (14p.)

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Stavrianopoulos, T. (2016). Impact of a nurses-led telephone Intervention
program on the quality of life in patients with heart failure in a district
hospital of Greece. Health Science Journal, 10(4), 1.

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