Assignment: Evidence-Based Project, Part 1: Identifying Research Methodologies 2025

Is there a difference between “common practice” and “best practice”? When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role. Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry. Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice? In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed. To Prepare: Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course. Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles. Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research. Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected. Part 1: Identifying Research Methodologies After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following: The full citation of each peer-reviewed article in APA format. A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest. A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article. A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific. A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

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Legal and Ethical Conduct 2025

Legal and Ethical Conduct Legal and Ethical Conduct As emphasized in this week’s media presentation, all nurses need to be familiar with the laws and regulations that govern their practice: their state’s Nurse Practice Act, ANA’s Nursing: Scope and Standards of Practice , specialty group standards of practice, etc. In addition, basic ethical principles guide nurses’ decision-making process every day. ANA’s Code of Ethics and ANA’s Social Policy Statement are two important documents that outline nurses’ ethical responsibilities to their patients, themselves, and their profession. This said, there is a dilemma: The laws are not always compatible with the ethical positions nurses sometimes take. This week’s Discussion focuses on such a dilemma. To prepare: Review this week’s Learning Resources, focusing on the information in the media presentation about the relationship between the law and ethics. Consider the ethical responsibility of nurses in ensuring patient autonomy, beneficence, non-malfeasance, and justice. Read the following scenario: Lena is a community health care nurse who works exclusively with HIV-positive and AIDS patients. As a part of her job, she evaluates new cases and reviews confidential information about these patients. In the course of one of these reviews, Lena learns that her sister’s boyfriend has tested HIV positive. Lena would like to protect her sister from harm and begins to consider how her sister can find out about her boyfriend’s health status. Consult at least two resources to help you establish Lena’s legal and ethical position. These resources might include your state’s Nurse Practice Act (I LIVE IN CALIFORNIA), the ANA’s Code of Ethics, ANA’s Nursing: Scope and Standards of Practice, and internal or external standards of care. Consider what action you would take if you were Lena and why. Determine whether the law and the ANA’s standards support or conflict with that action. Post by Day 3 a description of the actions you would take in this situation, and why. Justify these actions by referencing appropriate laws, ethical standards, and professional guidelines. Required Resources Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. Readings Milstead, J. A. (2013). Health policy and politics: A nurse’s guide (Laureate Education, Inc., custom ed.). Sudbury, MA: Jones and Bartlett Publishers. Chapter 4, “Government Regulation: Parallel and Powerful” (pp. 73–109) This chapter explains the major concepts of the regulation of health professionals, with emphasis on advanced practice nurses (APN) and the process of licensure and credentialing. ANA’s Foundation of Nursing Package – (Access this resource from the Walden Library databases through your NURS 6050 Course Readings List) Guide to the Code of Ethics: Interpretation and Application This guide details the history, purpose and theory, application, and case studies of this must-have Code of Ethics. Nursing Social Policy Statement The Nursing Social Policy Statement provides an understanding of the social framework and obligations of the nursing profession. Nursing: Scope & Standards of Practice This book contains several national standards of practice that can be used to inform the decision-making process, development, implementation, and evaluation of several functions and aspects of advanced practice nursing. Gallagher, T. H. (2009). A 62-year-old woman with skin cancer who experienced wrong-site surgery: Review of medical error. JAMA: Journal of the American Medical Association, 302 (6), 669–677. Retrieved from the Walden Library databases. The article showcases the different sides of medical error, from a 62-year-old patient who suffered and the components of the medical error’s impact and aftermath. Reinhardt, U. E. (2010, Jan 30). Repercussions of simplicity. New York Times , p. A14. Retrieved from the Walden Library databases. This article determines that the government should take low-income families into account when determining mandatory health insurance because many Americans choose to go without insurance despite preexisting conditions presumably no longer being an issue. Board on Health Care Services. (2007). Preventing medication errors: Quality Chasm Series . Washington, DC: The National Academies Press. Retrieved from http://www.nap.edu/openbook.php?record_id=11623&page=43 Part 1, “Understanding the Causes and Costs of Medication Errors” (pp. 43–49) This article discusses the multilayered nature of medication error as a system of failures due to individual behaviors and conditions. NOTE: 1 1/2 TO 2 PAGES; Consult at least two resources to help you establish Lena’s legal and ethical position.

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MN568 Advanced Practice Nursing – Case Study – Hypertension 2025

No Plegarism please, assignment will be checked with Turnitin. Will need minimum of 3 full content pages, plus title, and reference page APA Style, double spaced, times new romans, font 12, and and 3 references with intext citations. References within 5 years (2014-2018). Hypertension Case Study C.D is a 55-year-old African American male who presents to his primary care provider with a 2-day history of a headache and chest pressure. PMH Allergic Rhinitis Depression Hypothyroidism Family History Father died at age 49 from AMI: had HTN Mother has DM and HTN Brother died at age 20 from complications of CF Two younger sisters are A&W Social History The patient has been married for 25 years and lives with his wife and two children. The patient is an air traffic controller at the local airport. He has smoked a pack of cigarettes a day for the past 15 years. He drinks several beers every evening after work to relax. He does not pay particular attention to sodium, fat, or carbohydrates in the foods he eats. He admits to “salting almost everything he eats, sometimes even before tasting it.” He denies ever having dieted or exercised. Medications Zyrtec 10 mg daily Allergies Penicillin ROS States that his overall health has been fair to good during the past year. Weight has increased by approximately 30 pounds in the last 12 months. States he has been having some occasional chest pressure and headaches for the past 2 days. Shortness of breath at rest, headaches, nocturia, nosebleeds, and hemoptysis. Reports some shortness of breath with activity, especially when climbing stairs and that breathing difficulties are getting worse. Denies any nausea, vomiting, diarrhea, or blood in stool. Self treats for occasional right knee pain with OTC Ibuprofen. Denies any genitourinary symptoms. Vital Signs B/P 190/120, HR 73, RR 18, T. 98.8 F., Ht 6’1”, Wt 240 lbs. HEENT TMs intact and clear throughout No nasal drainage No exudates or erythema in oropharynx PERRLA Funduscopy reveals mild arteriolar narrowing without nicking, hemorrhages, exudates, or papilledema Neck Supple without masses or bruits Thyroid normal No lymphadenopathy Lungs Mild basilar crackles bilaterally No wheezes Heart RRR No murmurs or rubs Abdomen Soft and non-distended No masses, bruits, or organomegaly Normal bowel sounds Ext Moves all extremities well Neuro No sensory or motor abnormalities CN’s II-XII intact DTR’s = 2+ Muscle tone=5/5 throughout What you should do: Develop an evidence-based management plan. Include any pertinent diagnostics. (Screening Chest Xray/EKG, LABS, referrals to cardiologist to eval cardiovascular disease, smoking cessation education, nutritional consult) Describe the patient education plan. (lifestyle changes, weight management, AHA/DASH diet) Include cultural and lifespan considerations. ( Common in African American ) Provide information on health promotion or health care maintenance needs. Describe the follow-up and referral for this patient. Prepare a 3 page paper (not including the title page or reference page).

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dq-w7 2025

Discussion: Health Care Policy In this week’s media presentation, Dr. Trautman, Dr. Wakefield, and Ms. Coyle discuss how public policies initiated at the national or state level ultimately influence what occurs at the institutional and local level of nursing practice and health care delivery. Health care policy usually is developed to address health care cost, quality, or access, or a combination of the three. Due to the nature of their interaction with patients, nurses are well situated to be effective, knowledgeable advocates for their patients. In this week’s Discussion, you will examine how current policies impact how you as a nurse provide health care. You will then select an issue of interest and determine how you could advocate for policy in that area. To prepare: Select one public policy that currently is impacting you and your practice. Consider the following: What health care driver was the policy designed to address: cost, quality, access, or a combination? Does the policy appear to be achieving its intended results? On what data are you basing your assumption? What have been the effects (adverse or positive) of this policy on health care cost, quality, and access? How is this policy affecting your nursing practice? Next, select a health care issue—something you see or experience on a daily basis—about which you would like to influence a practice change through the policy process. Review the Learning Resources, focusing on Kingdon’s Model. How would you utilize this model to guide your policy development? Post a brief description of a public policy that is having an impact on your practice; summarize your analysis of the policy using the bulleted list above as a guide. Then, summarize the issue you would like to influence though a change in public policy, and outline how you would utilize Kingdon’s Model to guide your policy development. Required Readings Milstead, J. A. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones and Bartlett Publishers. Chapter 1, “Informing Public Policy: An Important Role for Registered Nurses” (pp. xvi -13) This chapter explains public policy and the nurse’s role in directing health care issues to the government and securing a response. Chapter 2, “Agenda Setting: What Rises to a Policymaker’s Attention” (pp. 16-34) This chapter provides examples of the process of moving a problem to the attention of the government so the solution can be considered at the state and federal levels. Chapter 3, “Government Response: Legislation” (pp. 36-54) This chapter explores the multiple factors that influence the development of public policy through the legislative branch of government. NOTE: CHECK THE BOOK, DOCUMENT AND MEDIA PRESENTATION ATTACHED BELLOW TO COMPLETE THE ASSIGNMENT

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MSN 2025

Then, post a draft of Part 1 of your Academic Success and Professional Development Plan Template indicating at least two academic and at least two professional individuals or teams that you would like to collaborate with to be successful in your MSN program and as a practicing nurse along with an explanation for your selections. My MSN programme is psychiatry mental health nursing nurse oractitioner

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