Mention the three steps of the nursing Process (Assessment versus Implementation) strategies.

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Mention the three steps of the nursing Process (Assessment versus Implementation) strategies.

List the strategy process steps mentioned in the workshop and provide a brief definition of each step. And how will help you answering NCLEX questions.

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List the strategy process steps mentioned in the workshop and provide a brief definition of each step. And how will help you answering NCLEX questions.

Analyze the role of the advanced practice nurse in the changing health care environment.

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Topic 1: The Role of the Advanced Practice Nurse in a Changing Health Care Environment

Analyze the role of the advanced practice nurse in the changing health care environment. How will this role augment physicians’ practice? What implications will the Affordable Care Act have on this new delivery system?

How would you approach health care systems leaders or employers about changing employment policies related to punitive actions when errors occur?

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Read the case study number one, Moving to a Common Core Interprofessional Patient Safety Curriculum on page 254 in Health Policy and Politics: A Nurse’s Guide, by Milstead. Why is it important that health professionals share a common understanding of patient safety standards and practices? What are the policy implications from accepting that “mistakes are normal and all human err”? How would you approach health care systems leaders or employers about changing employment policies related to punitive actions when errors occur?

What the government’s response to this problem has been previously (i.e., what has been done in terms of laws, rules, regulations, or programs; if the issue has never been addressed, you will discuss what needs to be done)

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Within your group, you will work to create a WebQuest. A WebQuest is an inquiry-oriented assignment. Look at sample WebQuests (search online) to see how creative you can be. The format is divided into sections or independent pages. Think of each section as a section on a paper.

For your WebQuest presentation, you will choose a problem that is a public policy issue. (Nursing Shortage) You will define the health care problem.

You may be working in a certain clinical area and may see a need for more research or alternatives to treatment options. The problem may be a professional problem that you as an advance practice nurse are encountering in terms of autonomy or reimbursement for your services. It could be a workplace safety issue or a management issue. It could be a general societal problem that needs to be brought to the attention of the legislators.

Your WebQuest Presentation:

  • Most of the information for your WebQuest will come from the Web. However, you are expected to use the Library to supplement the information that you find on the Web.
  • You must also use a minimum of three graphics or images to illustrate your points. The graphics can go on any of the pages in the WebQuest and you can use more if you like. The graphics do not substitute for the text that is to explain each section.
  • You are expected to use analysis in each of the sections and provide details and explanations in each area. The Web resources are to validate what your position or argument is.
  • You will use this WebQuest PowerPoint template to build your WebQuest. Before you begin your work however, watch this video to learn how to edit the template to create your unique WebQuest.

Movenote Presentation

In one section of your WebQuest, you will include a link to a Movenote presentation that you create. Movenote is an online tool that allows you to combine slides (e.g., PowerPoint, Google Slides, or Prezi slides) and video, displayed as an inset. The video will be of you, on camera, as you narrate. In this way, you can combine the two, presenting your ideas in video as you display your slides. Be sure to review How to Use Movenote for Your Assignment Presentation before you begin.

In your Movenote presentation, you will give a 5-minute talk with slides, as if you were speaking at a press conference delivering your message to a politician or to the community as a whole about what you have identified as the problem. Your presentation should explain why your identified problem needs to be addressed.

The following should be incorporated in your WebQuest:

  • The health care problem/public policy issue
  • A link to your Movenote presentation
  • A transcript of the Movenote presentation
  • What the government’s response to this problem has been previously (i.e., what has been done in terms of laws, rules, regulations, or programs; if the issue has never been addressed, you will discuss what needs to be done)
  • Your assessment of the legislative and policy-making strategies that influence health care services
  • Your proposed bill, either on the state or federal level, advancing your proposed change
  • Why these changes are important and a discussion of what opportunities nurses have to become involved in the design of this program
  • Your advice on how the program can be implemented
  • A summary of the Project
  • The credits page

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements:

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors.

Describe the clinical situation concisely and descriptively. It can be an actual situation or a hypothetical one.

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Choose a patient-care situation in which the RN should intervene and advocate for the patient.  An example of such a situation might be when a patient has not been given complete informed consent.

Include the following in your paper:

  • Describe the clinical situation concisely and descriptively. It can be an actual situation or a hypothetical one.
  • Apply the Bioethical Decision Making Model to the specific clinical ethical situation that you choose. Address each section of the model in your paper.
  • Conclude with a discussion of nursing advocacy in the clinical setting and the nurse’s role as a patient advocate.

Your paper should be 4-5 pages.

You must reference and cite 1-2 scholarly sources other than your text. Include a title page and a reference page to cite your text and adhere to APA formatting.

Bioethical Decision Making Model 1. Define the dilemma: Use your own words to describe the problem. State it in a way that others can quickly understand your dilemma. Review 2. Identify the medical facts: Describe the facts that are relevant to the dilemma. 3. Remember that the diagnosis and prognosis are medical facts. 4. Identify the non-medical facts (patient and family, external influences): a. Patient and family facts such as culture, religion, social, economic, the existence of an Advance Healthcare Directive, verbal preferences made by the patient, how the patient lived his/her life. b. Those that you discuss should be relevant to the situation. 5. External influences include: organizational policies, federal and state laws, practice acts, code of ethics. These should be relevant to the situation. 6. For both step 2 or 3, separate the facts from the assumptions: Sometimes all healthcare professionals allow assumptions to guide their decision-making. These must be identified so that these assumptions do not interfere with the process. 7. Identify items that need clarification. Your paper should identify facts that you need to clarify. When initially discussing an ethical situation, it is not unusual to not have all of the answers. 8. Identify the decision makers: Is the patient an adult competent to make their own choices? Is the patient a child who is old enough to have a say in the decision. If the patient cannot make their own decision, who is the decision maker? How was this person selected? 9. Review the underlying ethical principles: Review which ones and why they apply t this particular case: beneficence, nonmaleficience, veracity, fidelity, autonomy and justice. 10. Define alternatives: One-Way to proceed may be apparent at this point. However, sometimes there are different choices. They should be addressed identifying the benefits and burdens for doing one thing versus the other. 11. Follow-up: Define the process to be used with the chosen alternative. Reference Source: Levine-Ariff, J. & Groh, D.H. (1990). Creating an Ethical Environment. Nurse m

Why       are parametric methods (t tests and ANOVA) inappropriate for       the statistical analysis of each study’s data?

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In this Discussion, you examine the two articles in this week’s Learning Resources, both of which employ nonparametric methods of statistical analysis. In addition, as the final week of exploring quantitative statistics, you consider which statistical method is most frequently used in your area of nursing practice.

To prepare:

  • Review      the articles presented in this week’s Learning Resources and analyze each      study’s use of nonparametric tests.
  • Critically      analyze each article, considering the following questions in your      analysis:

 

  • What       are the goals and purpose of the research study each article describes?
  • How       are nonparametric tests used in each study? What are the results of their       use?
  • Why       are parametric methods (t tests and ANOVA) inappropriate for       the statistical analysis of each study’s data?
  • What       are the strengths and weaknesses of each study (e.g., study design,       sampling, and measurement)?
  • How       could the findings and recommendations of each study contribute to       evidence-based practice in the health care field?
  • Reflect      on the quantitative statistical analyses presented throughout this course      in the research literature, the Learning Resources, media presentations,      and those articles you reviewed for your abbreviated research proposal.
  • Ask      yourself: Which method is most commonly used in research studies that      pertain to my area of nursing practice, and why this might be so?

By tomorrow Thursday 10/19/17 by 5pm, write a minimum of 550 words in APA format with at least 3 references from the list of Required Readings below. Include the level one headings as numbered (1, 2 &3) below.

 

Post a cohesive response that addresses the following:

1) Critically analyze each article, including the items noted above. (See attached file for 1 article & follow this link for the 2nd article: http://www.ajmc.com/journals/issue/2010/2010-07-vol16-n07/AJMC_2010jul_Tija_489to496).

2) Identify one statistical analysis method that you found recurring in many of the articles you used in your literature review for your research proposal. This method does not necessarily have to be nonparametric.

3) Based on your area of nursing practice (Critical Care), which method of statistical analysis is most frequently used in the research literature? Why do you think other forms of statistical analysis are less frequently used? Provide a rationale for your response.

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 25, “Using Statistics to Determine Differences”

Statistics and Data Analysis for Nursing Research

Chapter 8, “Chi-Square and Nonparametric Tests”

This chapter defines nonparametric tests and chi-square tests of independence. Nonparametric tests measure nominal or ordinal variables, whereas chi-square tests are used to draw conclusions about population differences.

Fisher, K., Orkin, F., & Frazer, C. (2010). Utilizing conjoint analysis to explicate health care decision making by emergency department nurses: A feasibility study. Applied Nursing Research, 23(1), 30–35. doi: 10.1016/j.apnr.2008.03.004 (SEE ATTACHED FILE)

This article describes a study that employed conjoint analysis, a measurement technique incorporating simulation into experimental design to generate a mathematical model of individual decision making. The study focused on nurses’ decisions related to the care of patients with intellectual disability and used contingency tables and nonparametric tests to analyze the data.

Tjia, J., Field, T., Garber, L., Donovan, J., Kanaan, A., Raebel, M., … Gurwitz, J. (2010). Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. American Journal of Managed Care, 16(7), 489–496. (Follow this link: http://www.ajmc.com/journals/issue/2010/2010-07-vol16-n07/AJMC_2010jul_Tija_489to496)

Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. American Journal of Managed Care, 16(7) by Tjia, J., Field, T., Garber, L., Donovan, J., Kanaan, A., Raebel, M., & Gurwitz, J. Copyright 2010 by INTELLISPHERE, LLC. Reprinted by permission of INTELLISPHERE, LLC via the Copyright Clearance Center.

This article discusses a pilot test that aimed to catalog safety intervention trials by monitoring high-risk medications for efficacy, safety, and drug interactions. The statistical analysis of the study’s data included the use of nonparametric tests to examine trends across ordered groups of drugs.

Optional Resources

Walden University. (n.d.). Nonparametrics. Retrieved August 1, 2011, from http://streaming.waldenu.edu/hdp/researchtutorials/educ8106_player/educ8106_nonparametric_tests.html