Brief overview of the nursing conceptual model selected. WATSON
Explanation of how the nursing conceptual model incorporates the four metaparadigm concepts.
Explain at least three specific ways in which the nursing conceptual model could be used to improve nursing practice. Elaborate, explain, or defend each point mentioned.
Provide current reliable sources to establish credibility for the presentation.
Requirements for PowerPoint are as follows:
6 slides for content.
1 slide for references.
APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines.
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Give a good and positive Comment related with this argument…
Baccalaureate education in nursing and patient outcomes Essay
In a study published in the October 2014 issue of Medical Care, researcher Olga Yakusheva from the University of Michigan and her colleagues found that a 10% increase in the proportion of baccalaureate-prepared nurses on hospital units was associated with lowering the odds of patient mortality by 10.9%. Titled “Economic Evaluation of the 80% Baccalaureate Nurse Workforce Recommendation,” the study authors also found that increasing the amount of care provided by BSNs to 80% would result in significantly lower readmission rates and shorter lengths of stay. These outcomes translate into cost savings that would more than off-set expenses for increasing the number of baccalaureate-prepared nurses in hospital settings (Yakusheva, 2014).
In the February 2013 issue of the Journal of Nursing Administration, Mary Blegen and colleagues published findings from a cross-sectional study of 21 University Healthsystem Consortium hospitals which found that hospitals with a higher percentage of RNs with baccalaureate or higher degrees had lower congestive heart failure mortality, decubitus ulcers, failure to rescue, and postoperative deep vein thrombosis or pulmonary embolism and shorter length of stay (Blegan, 2013).
From my real life experience I cannot agree with these findings, but I’m sure the studies and numbers speak for themselves. I have never witnessed anything bad happening to a patient as a result of a RN having an ADN instead of BSN. When working together in the hospital, you really don’t know who has a BSN and who only has ADN. We share one common goal, which is taking care of our patients.
References:
Blegen, M.A., Goode, C.J., Park, S.H., Vaughn, T. & Spetz, J. (2013, February). Baccalaureate education in nursing and patient outcomes. Journal of Nursing Administration, 43(2), 89-94.
Yakusheva, O., Lindrooth, R. & Weiss, M. (2014, October). Economic evaluation of the 80% baccalaureate nurse workforce recommendation: A patient-level analysis. Medical Care, 52(10), 864-869
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RESEARCH QUESTIONS, REVIEW OF LITERATURE, AND NURSING THEORY
Learning Outcomes
1. Identify a priority research topic relevant to an issue in clinical practice.
2. Formulate a research proposal problem statement, a research question, and research variables.
3. Employ search strategies and databases to find credible resources and conduct a quality literature review.
4. Explain the relationship between theory, research, and nursing practice.
Introduction
In last week’s discussion, you shared perspectives on priority research issues in your clinical practice. This week, you will continue to investigate the issue, which you will develop into a topic for the Research Proposal, to learn more about the significance of the problem to nursing. We will explore the Ashford University Library and other resources that are available to assist in performing a quality literature review and searching for evidence. After gathering evidence, you will begin the first phase of the Research Proposal, and you will formulate a problem statement and a research question and identify relevant research variables. We will also examine the relationship between theory and research and nursing practice.
Required Resources
Text
Schmidt, N., & Brown, J. (2015). Evidence-based practice for nurses: Appraisal and application of research (3rd ed.). Burlington, MA: Jones & Bartlett Learning.
• Chapter 3: Identifying Research Questions
• Chapter 4: Finding Sources of Evidence
• Chapter 5: Linking Theory, Research, and Practice
Articles
American Association of Colleges of Nursing. (2006, March 16). Position statement on nursing research. Retrieved from http://www.aacn.nche.edu/publications/position/nursing-research
• This article summarizes AACN’s (accrediting body for BSN and graduate programs in nursing) position on nursing research. This article will be valuable to your completion of the discussion and written assignment for this week and also to your completion of the Research Proposal due Week Four.
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Connelly, M. L. (2014). Use of theoretical frameworks in research. MEDSURG Nursing, 23(3), 187-188. Retrieved from http://www.medsurgnursing.net/cgi-bin/WebObjects/MSNJournal.woa
• The full-text version of this article is available through the EBSCOhost database in the Ashford University Library. This article provides a brief research roundtable report discussing use of theoretical frameworks in nursing research. The article provides knowledge that will be valuable when you complete this week’s assignment, The Research Problem, and will also inform your Research Proposal due Week Four.
Web Page
National Institute of Nursing Research. (n.d.). Implementing NINR’s strategic plan: Key themes. Retrieved from https://www.ninr.nih.gov/aboutninr/keythemes#.VsimN9BX
• As the title indicates, this web page shares ideas and provides guidelines pertaining to the implementation of the NINR Strategic Plan. You are required to read and process this material as part of the week’s assignment, The Research Problem.
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Supplemental Materials
Ashford University Library. (n.d.). NUR306: Nursing Research: Conducting Research Using the CINAHL Database. Ashford University, College of Health, Human Services, and Science, San Diego, CA.
• This tutorial provides guidelines and demonstration to help students access databases related to nursing and conduct a keyword search for current nursing research reports using the CINAHL Database.
National Institute of Nursing Research. (2011). Bringing science to life: NINR strategic plan [PDF file]. Retrieved from https://www.ninr.nih.gov/sites/www.ninr.nih.gov/files/ninr-strategic-plan-2011.pdf
• This document identifies theme categories that delineate priorities for nursing research. You are required to read and process this document as part of this week’s assignment, The Research Problem.
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Recommended Resources
Multimedia
Jones & Bartlett Learning. (2014). Lesson 2: Identifying Research Questions [Class lecture slides]. In Nursing Research.
• This presentation summarizes key elements of the week’s textbook readings and will assist you in the week’s assignments.
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Jones & Bartlett Learning. (2014). Lesson 3: Finding Sources of Evidence [Class lecture slides]. In Nursing Research.
• This presentation summarizes key elements of the week’s textbook readings and will assist you in the week’s assignments.
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Jones & Bartlett Learning. (2014). Lesson 4: Linking Theory, Research, and Practice [Class lecture slides]. In Nursing Research.
• This presentation summarizes key elements of the week’s textbook readings and will assist you in the week’s assignments.
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Supplemental Material
Ashford University Library. (n.d.). Nursing Research Library Guide. Ashford University, College of Health, Human Services, and Science, San Diego, CA.
• The Nursing Research Library Guide is a resource that contains tutorials and other information that will help you search the Ashford University Library’s databases. It will assist you with APA style and scholarly writing in this week’s assignment and for assignments throughout the course and program.
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Descriptive statistics in nursing essay assignment
Explore key statistical concepts related to data and problem solving through the completion of the following exercises using SPSS and the information found in your Statistics and Data Analysis for Nursing Research textbook. The focus of this assignment is to become familiar with the SPSS data analysis software and to develop an understanding of how to calculate descriptive statistics and make conclusions based on those calculations. As you formulate your responses, keep in mind that descriptive statistics only allow you to make conclusions and recommendations for the sample at hand—not for the larger population to which that sample may belong.
To prepare:
Review the Statistics and Data Analysis for Nursing Research chapters assigned in this week’s Learning Resources. Pay close attention to the examples presented, as they provide information that will be useful when you complete the software exercise this week. You may also wish to review the Research Methods for Evidence-Based Practice video resources to familiarize yourself with the software.
Refer to the Week 4 Descriptive Statistics Assignment page and follow the directions to calculate descriptive statistics for the data provided using SPSS software. If you run into any difficulties or problems, post them to the Week 4 Discussion 2 area (see attached file)
Download and save the Polit2SetA.sav (see attached file) data set. You will open the data file in SPSS.
Compare your data output against the tables presented in the Week 4 Descriptive Statistics SPSS Output document (see attached file) This will enable you to become comfortable with defining variables, entering data, and creating tables and graphs.
Formulate an initial interpretation of the meaning or implication of your calculations.
To complete:
Complete the Part I, Part II, and Part III steps and Assignment as outlined in the Week 4 Descriptive Statistics Assignment page. (see attached file for week 4 descriptive statistics assignment page)
Required Media
Laureate Education, Inc. (Executive Producer). (2011). Research methods for evidence-based practice: Quantitative research: Data analysis.Baltimore, MD: Author.
Note: The approximate length of this media piece is 10 minutes.
In this week’s video, the presenter describes challenges to collecting and utilizing quantitative data and offers suggestions for assessing and improving data quality. The strategic use of quantitative data by health care organizations is also considered.
Introduction to SPSS”
Used by permission from SPSSVideoTutor.com A division of ConsumerRaters LLC., 1121 S Military Trail, 314, Deerfield Beach, FL 33442, USA
Descriptive Statistics”
Used by permission from SPSSVideoTutor.com A division of ConsumerRaters LLC., 1121 S Military Trail, 314, Deerfield Beach, FL 33442, USA
Note: The approximate length of this media piece is 12 minutes.
Note: The approximate length of this media piece is 11 minutes.
Top of Form
Required Readings
Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.
Chapter 21, “Introduction to Statistical Analysis”
This chapter discusses the concepts of statistical analysis with regard to hypothesis testing. The chapter also identifies and defines common statistical terminology.
Polit, D. (2010). Statistics and data analysis for nursing research (2nd ed.). Upper Saddle River, NJ: Pearson Education Inc.
Chapter 1, “Introduction to Data Analysis in an Evidence-Based Practice Environment”
This chapter provides an introduction to quantitative and qualitative data in evidence-based practice. The chapter introduces levels of measurement and types of statistical analyses relevant to different types of research studies.
Chapter 2, “Frequency Distributions: Tabulating and Displaying Data”
Chapter 2 discusses frequency distributions as well as the different methods of presenting data, especially when data are very extensive. The chapter includes information on the use of bar charts, pie charts, histograms, and frequency polygons.
Chapter 3, “Central Tendency, Variability, and Relative Standing”
This chapter examines the many ways data distribution for a quantitative variable can be described through shape, central tendency, and variability.
Software
IBM SPSS Statistics Standard GradPack (current version). Available in Windows and Macintosh versions. Please refer to the IBM SPSS Softwarearea in the Course Overview section on the left navigation bar for more information on how to install, register, and license this software.
Optional Resources
Bilheimer, L. T., & Klein, R. J. (2010). Data and measurement issues in the analysis of health disparities. Health Services Research, 45(5), 1489–1507. doi:10.1111/j.1475-6773.2010.01143.x
Granberg-Rademacker, J. S. (2010). An algorithm for converting ordinal scale measurement data to interval/ratio scale. Educational & Psychological Measurement, 70(1), 74–90.
This site provides step-by-step procedures and screenshots for working with SPSS.
Walden University. (n.d.). Descriptive statistics. Retrieved August 1, 2011, from http://streaming.waldenu.edu/hdp/researchtutorials/educ8106_player/educ8106_descriptive_stats.html
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Write a paper that lists the top five elements of the health care system that most need reform, in your opinion. Justify your choices through a logical analysis of the elements’ impact on the current system. 1000-1200words
Refer to the assigned readings to incorporate specific examples and details into your paper.An Innovative Approach to Health Care Delivery for Patients with Chronic Conditions,” by Clarke, Bourne, Skoufalos, Beck, and Castillo, from Population Health Management(2017). “Successful Strategic Planning for a Reformed Delivery System,” by Zuckerman, from Journal of Healthcare Management (2014). “Telemedicine and its Transformation of Emergency Care: A Case Study of One of the Largest US Integrated Healthcare Delivery Systems,” by Sharma, Fleischut, and Barchi, from International Journal of Emergency Medicine (2017). Reforming America’s Health Care Delivery System,” by Hackbarth, presented before the State Finance Committee Roundtable on Reforming America’s Health Care Delivery System (2009).
Prepare this assignment according to the APA guidelines
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In the United States, there was a whopping 97% increase in the number of health records breached from 2010 to 2011… The number of patient records accessed in each breach has also increased substantially, from 26,968 (in 2010) to 49,394 (in 2011). Since August 2009, when the US government regulated that any breach affecting more than 500 patients be publicly disclosed, a total of 385 breaches, involving more than 19 million records, have been reported to the Department of Health and Human Services.
A large portion of those breaches, 39%, occurred because of a lost, stolen, or otherwise compromised portable electronic device—a problem that will likely only get worse as iPads, smartphones, and other gadgets become more common in hospitals. (CMAJ, 2012, p. E215).
Consider your own experiences. Does your organization use portable electronic devices? What safeguards are in place to ensure the security of data and patient information? For this Discussion you consider ethical and security issues surrounding the protection of digital health information.
To prepare
Review the Learning Resources dealing with the security of digital health care information. Reflect on your own organization or one with which you are familiar, and think about how health information stored electronically is protected.
Consider the nurse’s responsibility to ensure the protection of patient information. What strategies can you use?
Reflect on ethical issues that are likely to arise with the increased access to newer, smaller, and more powerful technology tools.
Consider strategies that can be implemented to ensure that the use of HIT contributes to an overall culture of safety.
Post an analysis of the nurse’s responsibility to protect patient information and the extent that HIT has made it easier or more difficult to protect patient privacy. Comment on any security or ethical issues related to the use of portable devices to store information. Assess the strategies your organization uses to safeguard patient information and how these promote a culture of safety. Describe an area where improvement is needed and one strategy that could address the situation.
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Many times it is not enough to simply produce a good idea that you think may work to help patients. In order for an initiative to truly have a positive impact on the patient, you must explore the “why” behind it. This is where nursing research and evidence-based practice become essential to improving patient outcomes. In addition, recent developments in technology can help us reach our goals faster and more efficiently.
For this discussion, reflect on the safety initiative identified in the Unit 6 discussion Patient Safety Initiatives and consider the following:
THE TOPIC IS HAND HYGIENE more specifically in labor and delivery
What evidence in the literature supports your identified safety initiative?
How can the data from the initiative’s success measures be used to improve your processes or potentially help another organization dealing with the same issue?What role can nurses play in the data collection and analysis process?
What technology modalities are, or may be, beneficial to your selected safety initiative, and why?
must be at least 150 words with at least one APA formatted reference thoughout the text and as a reference at the end.
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Analyze the health status of a specific minority group. Select a minority group that is represented in the United States (examples include American Indian/Alaskan Native, Asian American, Black or African American, Hispanic or Latino, Native Hawaiian, or Pacific Islander).
In an essay of 750-1,000 words, compare and contrast the health status of the minority group you have selected to the national average. Consider the cultural, socioeconomic, and sociopolitical barriers to health. How do race, ethnicity, socioeconomic status, and education influence health for the minority group you have selected? Address the following in your essay:
What is the current health status of this minority group?
How is health promotion defined by this group?
What health disparities exist for this group?
Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
Cite a minimum of three references in the paper.
You will find important health information regarding minority groups by exploring the following Centers for Disease Control and Prevention (CDC) links:
Racial and Ethnic Approaches to Community Health (REACH): http://www.cdc.gov/chronicdisease/resources/publications/aag/reach.htm
Racial and Ethnic Minority Populations: http://www.samhsa.gov/specific-populations/racial-ethnic-minority
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
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 Turnitin. Please refer to the directions in the Student Success Center.
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The Future of Nursing: Leading Change, Advancing Health
Review the Institute of Medicine (IOM) report: “The Future of Nursing: Leading Change, Advancing Health,” focusing on the following sections: Transforming Practice, Transforming Education, and Transforming Leadership.
Write a paper of 750-1,000 words about the impact on nursing of the 2010 IOM report on the Future of Nursing. In your paper, include:
The impact of the IOM report on nursing education.
The impact of the IOM report on nursing practice, particularly in primary care, and how you would change your practice to meet the goals of the IOM report.
The impact of the IOM report on the nurse’s role as a leader.
Cite a minimum of three references.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
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