A baccalaureate nurse understands, relates, and values the fundamental elements of research, process, and designs as a foundation for an evidence-based practice (AACN, 2008; QSEN, 2018).

Purpose:  

This assignment provides a learning activity for students to demonstrate understanding of quantitative and qualitative research, the purpose and importance of designs, and how research is critical for creating a credible evidence-based nursing practice. 

Course Outcomes:

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

CO 1:  Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

CO 2:  Apply research principles to the interpretation of the content of published research studies. (PO 4 & 8)

CO 5:  Recognize the role of research findings in evidence-based practice. (PO 7 & 8)

Directions for Preparing the Scholarly Paper:

1. Read each of these instructions.
2. Read the assignment grading rubric criteria.
3. This assignment is completed as an APA paper. APA resources can be found in your Resources Tab. You are required to complete the paper 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.
4. You are required to use the grading rubric criteria to ensure you are meeting all grading requirements of the paper. 
5. The guideline below is a recommended outline only and does not substitute for your assignment grading rubric; your paper will be graded using the assignment grading rubric criteria.  
6. For the introduction paragraph section, summarize your learning using mostly your own words (see the grading rubric for details):
   • The need for nursing research.
   • The importance for nurses to understand the basic principles of research.
   • The purpose of your paper.
7. For the quantitative research section, summarize your learning using mostly your own words (see the grading rubric for details):
   • The importance of quantitative research.
   • One type of quantitative design; explain one important feature of this type of design.
   • How quantitative research can help improve nursing practice.
8. For the qualitative research section, your learning using mostly your own words (see the grading rubric for details):
   • The importance of qualitative research.
   • One type of qualitative design; explain one important feature of this type of design.
   • How qualitative research can help improve nursing practice.
9. For the research sampling section, your learning using mostly your own words (see the grading rubric for details):
   • What is sampling and why is sampling important.
   • One sampling strategy used in quantitative research.
   • One other sampling strategy that you learned.
10. For the credible nursing practice section, your learning using mostly your own words (see the grading rubric for details):
    • How research can help to make nursing practice safer.
    • Why research is critical for creating an evidence-based nursing practice.
11. For the conclusion section, summarize your learning using mostly your own words (see the grading rubric for details):
    • Short, concise, thorough summary of the main points of the paper.
12. Double check your work with the grading rubric to ensure you have met all grading criteria for this assignment.
13. Two or more supporting scholarly references are required.  Textbooks are not allowed and should not be used as a scholarly source.  Use the Chamberlain Library to locate relevant, scholarly sources.
14. No more than two direct quotes are allowed.  You should be using mostly your own words to demonstrate your understanding of the topics/criteria for this assignment.  Citations and references must be included.
15. This is a short, scholarly paper. The assignment should be 3-4 pages in length not including the title page and references page. 
16. Submit the completed assignment on the Week 5: Assignment page.

Reminder

Before preparing your assignment, please review this “https://lms.courselearn.net/lms/content/1560/56460/NR447-M/Crediting%20Sources%20Made%20Simple%207-19.pdf“ resource. This tool is intended to help you understand scholarly writing, APA, referencing, and crediting. Please reach out to your instructor with any questions as you prepare your assignment.

**Academic Integrity**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

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References

American Association of Colleges of Nurses (AACN). (2008). Executive summary: The essentials of baccalaureate education for professional nursing practice (2008). Retrieved from http://www.aacnnursing.org/Education-Resources/AACN-Essentials

Quality and Safety Education for Nurses (QSEN). (2018). QSEN knowledge, skills, and attitude competencies. Retrieved from http://qsen.org/competencies/pre-licensure-ksas/

  

Professional Development Exercises :

Read the case study presented at the end of Chapter 8 (Guido, p. 150)

The patient was to undergo a fundoplication surgery to repair an

esophageal hernia. The procedure involves the insertion of an esoph-

ageal dilator, which at this institution is performed by the anesthesia

team. In this particular instance, the dilator was to be inserted by a

nursing anesthesia student. The student introduced herself to the

patient immediately before the procedure. She used her first name

only and stated that she was a registered nurse who would be work-

ing with the nurse anesthetist and the anesthesiologist. The student

referred to the nurse anesthetist by first and last names and to the

anesthesiologist using the term doctor and his last name.

During the insertion of the dilator, the student tore the lin-

ing of the esophagus. This required an open procedure to be per-

formed, which resulted in complications for the patient. The

patient sued for lack of informed consent, inadequate supervi-

sion, and negligence. Specifically, the patient argued that he had

the right to know if a student was to perform any part of the pro-

cedure and that he had the right to refuse such participation.

The court returned a verdict in favor of the patient on the

part of inadequate supervision. As stated in the institution’s writ-

ten policies, the student was to be supervised by an anesthesiolo-

gist, not merely a nurse anesthetist.

Is the patient correct in asserting that he has a right to know the names and status of individuals who will be performing this procedure?

Does the manner in which the student introduced herself and the two other team members have relevance in this case?

Was the informed consent deficient to the degree that there was a lack of informed consent by the patient?

How would you decide this case?

A patient is admitted to your surgical center for a breast biopsy under local anesthesia. The surgeon has previously informed the patient of the procedure, risks, alternatives, desired outcomes, and possible complications. You give the surgery permit form to the patient for her signature. She readily states that she knows about the procedure and has no additional questions; she signs the form with no hesitation. Her husband, who is visiting with her, says he is worried that something may be said during the procedure to alarm his wife. What do you do at this point? Do you alert the surgeon that informed consent has not been obtained? Do you request that the surgeon revisit the patient and reinstruct her about the surgery? Since the patient has already signed the form, is there anything more you should do?

Now consider the ethical issues that such a scenario raises. Which ethical principles is the husband in this example most portraying? Which ethical principles should guide the nurse in working with this patient and family member?

Jimmy Chang, a 20- year- old college student, is admitted to your institution for additional chemotherapy. Jimmy was diagnosed with leukemia 5 years earlier and has had several courses of chemotherapy. He is currently in an acute active phase of the disease, though he had enjoyed a 14- month remission phase prior to this admission. His parents, who accompany him to the hospital, are divided as to the benefits of additional chemotherapy. His mother is adamant that she will sign the informed consent form for this course of therapy, and his father is equally adamant that he will refuse to sign the informed consent form because “Jimmy has suffered enough.”

You are his primary nurse and must assist in somehow resolving this impasse. What do you do about the informed consent form? Who signs and why? Using the MORAL model, decide the best course of action for Jimmy from an ethical perspective rather than a legal perspective. Did you come to the same conclusion using both an ethical and a legal approach 

Create an APA essay with 1500-1800 words, complete the following questions using 4 scholarly sources to support your perspective. please an introduction and conclusion needed.