Methodology and Design

 

The DNP must have a basic knowledge of methodology and design. With this knowledge the DNP can identify how methodology and design can be used to evaluate the validity of research studies. This assignment will allow you to describe your understanding of methodology and design while examining external and internal validity of three studies.

General Requirements:

Use the following information to ensure successful completion of the assignment: Use at least three additional scholarly research sources published within the last 5 years. Provide citations and references for all sources used. Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is 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. You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Directions:

Using the Grand Canyon University Library, locate three articles, one quantitative, one qualitative, and one mixed-method related to your DPI topic.

Create a comparison table, using correct APA formatting, to describe the methodology and design used within each article. The table will be provided as an Appendix to the paper.

Write a 1,000 to 1,250 word paper discussing the different methodologies and designs used in each study.

Discuss the external and internal validity issues associated with each methodology and design. Discuss the external and internal validity issues associated with each methodology and design. Describe how using a different methodology or design might have been beneficial for each study and describe why. Summarize the paper.

 
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week 5.1 NR 532

  This paper will be graded on quality of information, use of citations, use of Standard English grammar, sentence structure, and organization based on the required components. Create this assignment using Microsoft (MS) Word, which is the required format for all Chamberlain documents. You can tell that the document is saved as a MS Word document because it will end in “.docx.” Submit to the appropriate assignment area by 11:59 p.m. MT on Sunday of the week due. Any questions about this paper may be discussed in the weekly Q & A Discussion topic. The length of the paper is to be approximately three pages, excluding the title page and reference list. APA format (6th edition) is required in this assignment, including a title page and reference page. Use APA level 1 headings for the organizational structure of this assignment. Remember that the introduction does not carry a heading that labels it as a level heading in APA format. The first part of your paper is assumed to be the introduction. See APA manual for details. See resource under the course Library Guide, “Guidelines for Writing Professional Papers.” Use the suggested format and headings to organize your assignment. Include introduction (do not label as a heading in APA format) Steps Related to Legal/Regulatory Issue State-Board Recovery Program Strategies Supporting Evidence Conclusion Preparing the paper

As the nurse executive of a healthcare organization, it was reported to you that one of your nurses may be chemically impaired (legal/regulatory issue) and has allegedly been taking drugs from the unit. This nurse also had two recent medication errors in the past week. Discuss the steps you would take to validate this allegation and how you would proceed after the allegation was confirmed to be true. Clearly introduce your legal/regulatory issue in the introduction paragraph; including a sentence that states the purpose of your paper. Clearly articulate the steps you would take as the nurse leader to investigate the allegation of this legal/regulatory issue as stated above and how to proceed when the allegation is confirmed to be true. Investigate/research and discuss if your state board of nursing offers some type of recovery program for chemically-impaired nurses (a strategy). If they do not offer a program in your state, discuss a proposed recovery program for chemically-impaired nurses that you would like to have implemented for your state.

Contact a state representative who may have an interest in this topic area and share their comments on this issue in an addendum (not included as part of the three page limit). Include your correspondence eg. Emails in your addendum, as well. This will demonstrate you contacted a state representative, in the event you do not receive a response.

4. Clearly articulate your specific strategies to improve costs and improve the quality of healthcare at your organization related to the legal/regulatory issue stated above. How do your strategies relate to the Person-Centred Nursing Leadership Framework by McCormack and McCance (2017); specifically the contextual domain?

5. Include of a minimum of three sources of scholarly, empirical evidence that supports your strategies to improve costs and quality of healthcare.

6. Provide concluding statements that should summarize your overall assignment content.

7. The paper should be no longer than three pages, excluding title and reference page(s).

8. Title and reference page(s) must be in APA format (6th edition).

9. Use 12 Times New Roman font and one-inch margins on all sides of the paper.

 
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RTP 4284

  Multigenerational nursing

Please, respond to the following discussion by using one reference from peer-reviewed Nursing Journal not older than 5 years.

Some of the challenges of having different generations in the workplace include a difference in education, particularly vocational training, and a difference in communication style. As current practices are studied and re-evaluated, traditional practices may be replaced by those that are more recently researched and are evidence-based. Veteran nurses may believe it is a waste of resources to change a practice that has been in place for so long and, in their view, has yielded adequate results.  Similarly, younger generations may readily dismiss suggestions and viewpoints from veteran nurses in favor of the new practices learned in school without considering that years of clinical experience can be just as valuable. This disconnect between nurses of differing generations may be rooted in a difference of communication style. For example, Baby Boomer nurses were trained to only voice their opinions when asked, whereas Millennial nurses’ were taught to speak up any time they have a problem with, or idea for, new practices; this difference in communication may lead the Baby Boomer nurse to regard the Millennial nurse as impertinent and disrespectful of authority instead of realizing that new nurse is actually trying to improve the patient experience (Phillips, 2016, p.198).

In my experience, some veteran workers can be set in their ways to a fault, even if there is clear evidence that practices they are accustomed to are simply not the best practices anymore. This is not to say that middle-aged or younger workers cannot share this attribute, however the veteran workers sometimes use their field experience as a rationale to ignore current research findings and continue using practices they deem appropriate. Also, as an employee that is frequently on the team that rolls out new technology and equipment, I feel that veteran workers take more time to warm up to change and can be somewhat hostile to a younger person, such as myself, training them.

As far as accommodations, we have certain older employees that will not perform job-necessary duties because of back issues, knee issues, or other medical issues in the same vein. As a result, these employees rarely get assigned total care patients, making the younger staff resentful because they feel they, literally, do all the heavy lifting while these older employees are routinely assigned the less acute patients. To a certain extent, allowances should be made for older workers, including nurses. After a lifetime of caring for patients, it is reasonable to deduce that the joints, particularly knees and back, can be irreparably damaged from repeated use. However, in my opinion if an employee is unable to perform the duties required of their job title, they should be doing a different job. It is not fair that one group of nurses consistently gets less acute patients, thereby doing half the work, but still receiving the same benefits as those nurses that pick up the slack. A potential solution would be for the nurses with physical limitations to shift to a position that utilizes their experience but is less physically demanding; such positions include resource nurse, case manager, or patient care coordinator. If this were fiscally feasible, the unit would be able to retain the wealth of knowledge provided by these seasoned nurses and still have room to hire new nurses that can help distribute the patient loads more equitably.

            Life expectancy in the United States has increased over the past few decades and older people are generally healthier than their predecessors, however the incidence of chronic conditions has also increased in this time frame (Tabloski, 2014, p.8). This indicates that there are more people to care for and these patients are more likely to have multiple comorbidities. This trend has the potential to put an enormous strain, economically and physically, on an already overburdened health care system and nurses, particularly bedside nurses, will bear the brunt of this (Tabloski, 2014, p.13). It is important that nurses engage in primary and secondary prevention with this population, including education related to diet, exercise, and proper medication utilization (Tabloski, 2014, p.13). By encouraging older patients to take an active role in preservation of function and overall health, nurses empower these patients to help decrease their risk for chronic conditions, like hypertension, and injury (Tabloski, 2014, p.13). Also, nurses must be educated on specific attributes of the older population, such as increased sensitivity to certain medications, decreased sensory perception, and increased susceptibility to mental health issues, such as depression, that may affect their physical health or motivation to maintain a healthy lifestyle.le

 
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Health Policy essay

1. Explain how policy analysis, advocacy, interest groups, lobbyists, and the media play a role in health care and nursing.

2. Explain how values, ethics and politics shape health policy.

As a reminder, students must include at least 2 scholarly sources in each original discussion post and must post a reply to at least 2 classmates’ discussions. The following are examples of scholarly sources:

-Published journal articles, books and other works (encyclopedias & newspapers)

-Official websites ending in .gov, .org, .edu (CDC,NIH,ADA,WHO, HARVARD, FIU,FNU)

Sites such Wikipedia, WebMD, Nursingworld, Allnurses are NOT scholarly sources. Please avoid using these sources as points will be deducted from assignment grade.

*250 words minimum 

 
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