NURSING RESEARCH

· Week 5: Assignment – Critical Appraisal of Jean Watson’s Theory of Human CaringWeb PagePoints: 100 | Due Date: Week 5, Day 7 | CLO: 6 | Grade Category: AssignmentsAssignment PromptJean Watson’s Theory of Human Caring is a conceptual thread in the USU College of Nursing’s curriculum framework. The purpose of this assignment is to offer students the opportunity to be exposed to Human Caring Science while providing students with the skills of critical appraisal of evidence.1. Students will select one nursing research article that focuses on a study that used Jean Watson’s Theory of Human Caring as a theoretical framework.2. Students should use as a guide, an appropriate Rapid Critical Appraisal Checklist found in Melnyk & Fineout-Overholt (2019; pp. 708-722).3. The critiques are to be informal, although correct grammar, spelling, etc., are expected. The critique should include a brief description of the study that was reviewed and should address elements of the study relevant to critique.4. Students will provide a written critique on a critical appraisal of the elements relevant to the nature of the research study such as type of study, design, quality of the study; and rationale, as well as implications for practice and further research and/or evaluation.The grade will be based on accuracy, level of content and structure of the document.Examples of research articles incorporating Jean Watson’s theory  in USU online library:Durgun Ozan, Y., & Okumus, H. (2017). Effects of nursing care based onWatson’s theory of human caring on anxiety, distress, and coping wheninfertility treatment fails: A randomized controlled trial. Journal of CaringSciences, 6(2), 95-109.Rossillao, K. (2018).  Caritas education: Theory to practice…2018National Teaching Institute research abstracts presented at the AACNNational Teaching Institute, Boston, Massachusetts, May 21-24, 2018.American Journal of Critical Care, 27(3), e 14 – e15.Expectations· Due: Saturday, 11:59 pm PT· Length: 4-5 pages (including title and reference pages)· Format: Formal paper in APA 6th ed format· Citations: If used (not required) cite references according to APA 7th ed.· File name: Save the file with Student First Name_Last Name_AppraisalSee USU NUR Writing Assignment Rubric for additional details and point weighting.

 
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Case Study

You have been assigned to complete a community needs assessment for a neighborhood in Little Havana with a population of approximately 3,000.You find out most of the people who live in the area mostly speak Spanish and do not understand English. The average family income is $18,000, and 85% of the population is living below the poverty level. Half of the population receive some form of aid such as Medicaid or Medicare.There are many elderly in the community.You are not fluent in speaking Spanish; however, you can understand some Spanish but not as much as you would like to. There are several local clinics and a hospital nearby.Questions that need to be answered:How would you begin to assess this community? (Think about factors such as sexual behaviors, alternative health practices, level of eduction, and health incidence.)What assets are present in this community that might assist with problem-solving?What interventions could be taken to better serve this community?

 
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Nursing assessment.

AG is a 54-year-old Caucasian male who was referred to your clinic to establish care after a recent hospitalization after having a seizure related to alcohol withdrawal. He has hypertension and a history of alcohol and cocaine abuse. He is homeless and is currently living at a local homeless shelter. He reports that he is out of his amlodipine 10 mg which he takes for hypertension. He reports he is abstaining from alcohol and cocaine but needs to smoke cigarettes to calm down since he is not drinking anymore

 
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Case Study 1

A 23-year-old woman presents to the OB-GYN office you work in. She was recently surprised to learn that she is pregnant. She estimates that she is about 8 weeks along. She tells you that she regularly drinks on the weekends with her friends. She asks you, “Is that a problem? As long as I don’t drink very much, I can still have a drink occasionally while I’m pregnant, right?”.Answer the following questions and use APA format with 2 references that are published within the last 5 years. 1 page onlyHow would you answer her questions?What types of abnormalities can be caused by alcohol, and how does genetics influence this?

 
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2 coments each one 150 words (CITATION AND REFERENCE). BY1/6

REPLY1Dissemination process involves circulating information and interventions of a targeted public health audience. The main purpose of dissemination is to promote and increase the extent of EBP knowledge with aim of improving and enhancing patient outcome (Samnani, Vaska, Ahmed & Turin, 2017). There are several internal and external methods of disseminating EBP project results.Nevertheless, it is important to determine and use the most effective method. The term effective dissemination is described with positive engagement of audience hence enhancing understanding, awareness as well as motivation in workplace. Use of hospital boards is one of the internal method I will adopt to help me disseminate my knowledge internally. The above board is composed of employees of the health organization like nurses, and physicians. In addition face to face is most appropriate since it will facilitate interaction and instant feedback during questioning sessions.External method I would use is by presenting in conference of professional organization, predominantly American Nurse Association. The organization will not only allow me to get more ideas but it is also an ideal platform to enable dissemination to a larger group of nurses (Brownson, Colditz & Proctor, 2018). While making consultation I would prefer using face-to-face technique; however, the mode of communication will vary in both forums. Dissemination increases decision-making ability among groups in nursing practice as well as promoting patient outcomes. Reporting the results to a group will lead to constructive criticism hence bringing room to improvement.ReferenceSamnani, S. S., Vaska, M., Ahmed, S., & Turin, T. C. (2017). Review typology: The basic types of reviews for synthesizing evidence for the purpose of knowledge translation. Journal of the College of Physicians and Surgeons Pakistan, 27(10), 635-641.Brownson, R. C., Colditz, G. A., & Proctor, E. K. (Eds.). (2018). Dissemination and implementation research in health: translating science to practice. Oxford University Press.REPLY2Delirium is a serious condition characterized by alterations of consciousness, attention, and perception. Misconceptions and lack of understanding on early identification of delirium leads to many individuals lacking immediate intervention required to prevent life-threatening consequences. Education on early identification of delirium should extend beyond health care professionals and reach into the homes and community where individuals at risk for delirium reside.Services provided through my facility include a crisis mobile team responding to individuals with behavioral health issues. Not only does this special crisis team assess individuals for mental and suicidal tendencies, they also coordinate the appropriate treatment and level of care required. Some characteristics presented by delirium include confusion, anxiety, incoherent speech and hallucinations. Awareness of delirium signs by this crisis team is essential for accurate diagnosis and medical treatment intervention. The internal method for dissemination of the evidence-based change proposal for the crisis team would include a PowerPoint presentation outlining the signs of delirium along with a pocket card for quick access to be carried when the team is responding to a call.An external method of communication includes an organization providing services for the elderly in my community. Pima Council on Aging has expanded training for CNAs, certified caregivers, assisted living managers and direct care workers in the community through their Caregiver Training Institute (CGTI). Research has determined when family members or direct care providers are educated on the signs of delirium, they are able to intervene quickly and provide information for the hospital should that member be admitted. The Family Confusion Assessment Method (FAM‐CAM} consists of 11 items that characterize changes in attention, speech, arousal, and orientation and is another method for delirium education (Kennedy, Hwang & Han, 2020). The training on the FAM-CAM method for identifying delirium would be in the format of an in-house workshop at the Pima Council on Aging led by a RN.The methods between external and internal dissemination vary for the change proposal; however, the message is consistent in providing education for early identification of delirium. Early detection and treatment of delirium can prevent acceleration of cognitive and functional decline.ReferenceKennedy, M., Hwang, U. & Han, J.H. (2020). Delirium in the emergency department: Moving from tool‐based research to system‐wide change. J Am Geriatr Soc, 68: 956-958. https://doi.org/10.1111

 
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4076w3P

Week 3 ProjectIn a Microsoft Word document of 2-3 pages formatted in APA style, you will describe the final proposal for your capstone project using the format below. Please note that the title and reference pages should not be included in the total page count of your paper.IntroductionThe introduction establishes the scope, context, and significance of the research being conducted by summarizing current understanding and background information (literature) about the topic, stating the purpose of the work in the form of the research problem and research question(s), explaining briefly the methodological approach used to examine the research problem, and highlights the potential outcomes your study may reveal.Problem StatementA problem statement is the description of a currently existing issue which needs to be addressed with evidence-based interventions. The statement of the problem is the focal point of the research. Be sure to back up the noted issue/problem with evidence. Must include citations of evidence.Research QuestionsTo help you formulate your research question or questions the following website may be useful: https://researchrundowns.com/intro/writing-research-questions/One or two research questions for your capstone project are suggested. Based on the constraint of project length of 10 weeks you may not have time to address a multitude of questions. One research question may be sufficient for your project and will make your life a lot easier.MethodologyThe methodology section of a research paper answers two main questions: How were the data collected or generated? You must include when and how you will collect the pre-intervention data, what the intervention(s) is and when/how the intervention(s) will be implemented then how and when you will perform your post-intervention data measurement. Lastly, how the data will be analyzed. A friendly reminder that unless your project has gone through the IRB process you will not be allowed to collect data on more than 3 people. For data collection, you will choose 3 people from your aggregate.TimetableDevelop a timetable considering the following questions:When will your research start and finish?Are there particular stages to the research – e.g. piloting, then main research? Screening interviews, then a main study? If there are stages, what are they?What objectives have you set for this investigation? Are they addressed in the timeline?Is the timetable realistic?Is it influenced by external constraints or deadlines?How will you provide regular updates and progress reports and to whom will you provide them? How will you demonstrate progress?On a separate references page, cite all sources using APA format.Use this APA Citation Helper as a convenient reference for properly citing resources.This handout will provide you the details of formatting your essay using APA style.You may create your essay in this APA-formatted template.

 
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Module 04 Discussion – Discussion A/B

Group B ResponseMary is not progressing in labor appropriately, and the decision has been made to move toward a cesarean section. She understands, agrees, and signs the consent for surgery. You will again accept this patient in the recovery – or initial postpartum period.Recognize that you will complete BUBBLEHE assessment. In addition, the abdominal assessment will also include assessment of the incision. Note the type of dressing used to cover the incision. Is it approximated? Is there any bleeding? Does she have bowel sounds? Is the abdomen distended? Is it soft? Do you assess the fundus and where is it located? It should be firm. Note pain assessment.Postpartum:Susan P. had a SVD (spontaneous vaginal delivery) today approximately 2 hours ago. The labor and delivery nurse is calling to give you report. She is new and not sure what you want to know from her.What questions do you need to ask to provide comprehensive care to this patient once she is transferred into your care?

 
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Discussion: Pain

Discussion: PainThe neurological system affects all parts and functions of the body through nerve stimulation. Nerves also control the sensation and perception of pain. While pain can be described in a variety of ways, it is essentially labeled according to its duration and source. As an advanced practice nurse evaluating a patient, you need to consider the following questions: Does the pain quickly come and go, or is it persistent and ongoing? Does the pain arise at the source of injury or in another location? In this Discussion, you compare three common types of pain—acute, chronic, and referred.To Prepare· Review this week’s media presentation on the neurological system, as well as Chapter 14 in the Huether andMcCance text.· Identify the pathophysiology of acute, chronic, and referred pain. Consider the similarities and differences between these three types of pain.· Select two of the following patient factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the pathophysiology, diagnosis, and prescription of treatment for acute, chronic, and referred pain.Post a description of the pathophysiology of acute, chronic, and referred pain, including similarities and differences between them. Then, explain how the factors you selected might impact the pathophysiology, diagnosis, and prescription of treatment for acute, chronic, and referred pain.Required ReadingsHuether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.Chapter 14, “Pain,      Temperature, Sleep, and Sensory Function”This chapter covers the role of pain, sleep, stress, and the senses on body functions. It also explores alterations involving pain, sleep, stress, and the senses.Instructor RequirementsAs advanced practice nurses, we are scholars, nurse researchers and scientists. As such, please use Peer-Reviewed scholarly articles and websites designed for health professionals (not designed for patients) for your references. Students should be using the original citation in Up to Date and go to that literature as a reference. The following are examples (not all inclusive) of resources/websites deemed inadmissible for scholarly reference:Up      to Date (must use original articles from Up to Date as a resource)WikipediaCdc.gov-      non healthcare professionals sectionWebmd.comMayoclinic.com

 
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2-Jan

Discuss why it is important for a person working in health care to understand statistical concepts. Provide an example of how statistical data is used in your organization or specialty area today and what you are expected to do with this information as a practitioner.

 
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Catherine Owens

How can You, One Nurse, Educate Clients in Your Facility/Neighborhood/Community.The ANA has stated, “Education for those in the health-care professions must increase in depth and breadth as scientific knowledge expands” (Catalano, 2012, p.91) According to Catalano, there has been a lack of adequate preparation for educating clients with self-management concerns, particularly clients with chronic illnesses, and this lack of education is a serious violation of ethical responsibilities by health care providers.Do you agree or disagree with these statement and why? Is the failure to properly educate clients the fault of the Nurse? Does the Nurse’s level of education matter? Why do you feel that way?

 
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