MAKE A DECISION: Do you recommend that James and Maria move in together?

1. Yes, they should move in together.
2. James and Maria should move in together only after James works on XYZ.
3. They should move in together only after Maria works on XYZ.
4. No, they should not move in together.

Why? Give reasons for why you chose the way you did. Consider the following factors in your reasons:

• James and Maria’s respective family backgrounds
• James and Maria’s respective expectations of the relationship
• James and Maria’s respective values and beliefs
• Financial factors

  

Instructions: Go through the interactive module and use the first box below it to take notes as you progress through the exercise.

Findings from research on cohabitation varies depending on the country and ethnic origin of the persons being studied. We have concentrated on the US for this module.

· Cohabitation has increased dramatically in the US over the past three decades, climbing from 500,000 couples in 1970 to nearly 5 million couples in 2000 (U.S. Bureau of the Census, 2001). Currently, about 18 million adults are cohabitating, which is a 29% increase since 2007 (Pew Research Center, 2017).

· Research by Manning and Smock (2005) and Stanley et al. (2006) indicates that few people make a deliberate decision to begin cohabitation. Instead, it seems to happen gradually, often without clear communication between partners about the meaning of the transition.

· Although cohabitation has become increasingly prevalent across other groups, it continues to be a trend driven by those with fewer economic resources (Sassler, 2004; Sassler & Miller, 2011).

Increasingly, couples are choosing to live together before, or instead of, getting married.

· Most couples say they decide to marry each other based on positive connections, such as fun, friendship, and passion (Sternberg, 1998). When couples divorce or separate, reasons include not having enough commitment, too much conflict, infidelity, and growing apart. (Johnson et al 2002).

· Some research shows that couples who live together before getting engaged or married say they’re less satisfied in their marriages and are more likely to get divorced (Stanley et al. 2010; Kamp Dush et al. 2003; Cohan and Kleinbaum, 2002). This is known as the “cohabitation effect.”

· Research shows that an unstable family background (e.g. divorced parents) makes young adults more cautious about marriage and increases their uncertainty about their ability to weather relationship difficulties (Sassler et al. 2009).

Relationships between human beings are complex and the factors affecting them are numerous. Here are a few:

· Many studies have shown that successful communication is a key factor in predicting marriage and relationship satisfaction many years later (Gottman et al. 1998).

· Research shows that economic hardship is associated with more conflict among cohabiting couples (Hardie & Lucas, 2010).

· Attachment theory states that children develop an attachment style based on the type of relationship they have with their primary caregiver (e.g. parents) (Bowlby, 1969: 1982). Subsequent research has found that the attachment style that an individual develops during childhood influences later interactions with intimate partners (Bretherton et al. 1999; Crowell et al. 1999).

· Economics is a key factor affecting young adults’ relationship quality. Research links financial instability to the dissolution of both marriages and cohabiting unions (Amato et al. 1997; Burstein, 2007; Hoffman & Duncan, 1995; Kalmijn et al. 2007; Smock et al. 2005; South 2001).

Do you think James and Maria should move in together?

Social media conversation

Hope: Wow! You guys are really gonna do this?!
 

Maria: Yes, I’m so excited! He asked me on our three-year anniversary! It was so romantic! My card from him had a door key and a tiny toothbrush in it. (smile emoji)
 

Hope: You’re the only one of us four girls who’ve been brave enough to even think about it! Mom and Dad are going crazy… “Living in sin” and all that!
 

Maria: I know, I’ve tried talking to them, but they won’t listen, they’re pretty mad at me. I’m pretty sure we’ll get engaged this year, so it won’t be “sinful” for long. (smile emoji)
 

Hope: As long as you’re happy. I think sometimes me, Helena, and Ana wished we’d done the same before we all got married. (wink emoji)
 

And have you talked to James about the fact that your guys’ apartment is going to be taken over by hoards of your crazy friends every other night of the week? And that you spend all the money from your new job on clothes?!
 

Maria: Ha! Well, he knows I spend lots of time with my friends and thinks it’s a good thing. I’ll only have them over when he’s out and we can go their places too so he gets some peace and quiet! And shopping means that I always have nice clothes (wink emoji).
 

Please will you be my advocate whenever you talk to Mom and Dad?!
 

Hope: Sure. You know I’ll try my best, but Mom’s Catholic views are not gonna die easily!

Email conversation 

To Lauren,
July 04, 2015, 09:36 a.m.
E-mail subject: Hey!
 

Yo Sis,
 

How’s the clan? Happy Fourth of July! Hope you guys are having a great day.
 

So, my news is that I asked Maria to move in with me! She’s given notice on her lease and will move in next month. I’m pretty excited right now to be honest! She’s amazing and still makes me really happy (smiley emoji). I know I’m not the easiest person to live with sometimes, ha! You should know! But this time it will be different. She makes me talk about things and I haven’t ever done that before.
 

I’m glad you guys have all had a chance to meet her a few times and that you like her, that’s important to me. She really wants to get married and I’m coming round to that idea, believe it or not (!). I know I said I never would and I thought Mom and Dad really messed that up for me with the horrible thing that they had together, but it turns out I’m not a lost cause after all.
 

Her parents are giving us a really hard time, and I’m actually going to see her Dad this weekend and try and talk to him and explain where I’m coming from. I guess I do intend to ask her to marry me at some point soon, I just need a little bit more time as I really never thought I’d do it. Oh, and I’m saving really hard for an amazing ring! I hope I can help him understand that I have honorable intentions…!
 

How is Mom anyway? I haven’t seen her yet this year, though I suppose I ought to soon.
 

Other news, work is slow right now and that has meant finances are a little tighter than usual. Hopefully I can take care of that soon. Freelancing is a tough business!
 

Right, I’ll call you in a couple of days when my favorite niece and nephew are around so I can catch up with them.
 

Meantime, send my love to everyone.
 

James

1-  For the second of these Assignments find two proper APA Style references for two (2) “External Authoritative Sources” (defined below), discussing the changed environment between pharmaceutical companies and medical providers concerning gifts and provide a brief paragraph narrative (one paragraph for each of the required two (2) “external authoritative sources”) incorporating proper APA in-text citations and reference for each source, as well as, a link for each source which leads to the full article referenced is required immediately following each reference.

2-  Proper APA Style is required for in-text citations and references for each of the two sources. 2.4 A link is required for each source after the complete APA Style reference for each source. The link provided must lead to the full article referenced.

3-  “External Authoritative Sources” for purposes of this course shall mean: books, peer reviewed journal articles, education and government sites as well as non-partisan national or international organizations (such as WHO, UNICEF, UNAIDS etc) provided, the foregoing source/material article selected has in text citations and references to support statements made therein. Under no circumstances are newspapers (e.g., the Wall Street Journal), blogs (regardless of source), editorials, panel discussions and “dot com” sites be used. The foregoing is not considered authoritative for this course.

Purpose

Reading, understanding, and appreciating original nursing research literature is essential for evidence-based practice (AACN, 2008; QSEN, 2018). This assignment provides a learning activity for students to read an original research study and complete a worksheet  to demonstrate understanding of the study purpose, design, sample, data collection, analysis, limitations, conclusions, and the importance of reading research literature.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8)

CO4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4, 8)

CO5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)

Due Date

Submit the completed RRL Worksheet 

Assignment Directions

1. Read over each of the following directions, the required Reading Research Literature worksheet, and grading rubric.
2. Review the following link which contains a tutorial for your Week 6 Assignment. Tutorial may look slightly different session to session. Grading criteria and rubric will be the same.  Click here for transcript. (Links to an external site.) 

https://lms.courselearn.net/lms/video/player.html?video=0_jhxsfia6

1. Download and complete the required  Reading Research Literature (RRL) worksheet (Links to an external site.). This must be used.  
2. Download or access the required article below. This must be used.  

Diacon, A. & Bell, J. (2014). Investigating the recording and accuracy of fluid balance monitoring in critically ill patients. Southern African Journal of Critical Care, 30(2), 55-57. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsdoj&AN=edsdoj.2db92a9d728747eaa508e67b298f67bd&site=eds-live&scope=site (Links  to an external site.)

1. This assignment contains:  
   • Purpose of the Study:   Using information from the required article and your own words, summarize the purpose of the study.  Describe what the study is about. 
   • Research & Design:   Using information from the required article and your own words, summarize the description of the type of research and the design of the study.  Include how it supports the purpose (aim  or intent) of the study.
   • Sample:  Using information from the required article and your own words, summarize the population (sample) for the study; include key characteristics, sample size, sampling technique.
   • Data Collection:  Using information from the required article and your own words, summarize one data that was collected and how the data was collected from the study.
   • Data Analysis:  Using information from the required article and your own words, summarize one of the data analysis/ tests performed or one method of data analysis from the study; include what you know/learned about the descriptive or statistical test or data analysis method.
   • Limitations:  Using information from the required article and your own words, summarize one limitation reported in the study.
   • Findings/Discussion:  Using information from the required article and your own words, summarize one of the authors’ findings/discussion reported in the study. Include one interesting detail you learned from reading the  study.
   • Reading Research Literature:  Summarize why it is important for you to read and understand research literature.  Summarize what you learned from completing the reading research literature  activity worksheet.
2. You are required to complete the worksheet using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx”  format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.). Click on the envelope at the top of the page.
3. Submit the completed Reading Research Literature Worksheet to the Week 6 Assignment.

  

Part 1

When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.

The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format.

In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.

To Prepare:

· Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.

· Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. (1-2 pages)

Part 2

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

· Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

· Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.

· Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.

· Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

· Identify and briefly describe your chosen clinical issue of interest.

· Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.

· Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

· Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.

· Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.