Formulating the Research Question, Problem Statement, Research Purpose

In the Week 1 discussion forum you had an opportunity to present a potential problem and an innovative solution specific to your role specialization. In addition, you have reviewed the literature to identify qualitative and quantitative research articles and submitted annotated bibliographies to provide evidence supporting the problem.

Considering the feedback provided to you by the faculty member it is now time to prepare your problem statement, research purpose, and research question.

First share your refined problem and proposed solution (given your review of literature this may have changed depending on the evidence you were able to provide). Next, follow the steps to help define your research question.

1. Craft the problem statement and research purpose.
2. Design your research question aimed at solving (a part of) the problem and include the following components which will focus the literature review.

PICOT Question:

Patient, Population or Problem

1. What are the characteristics of the patient or population?
2. What is the condition or disease you are interested in?

Intervention or exposure

1. What do you want to do with this patient (e.g. treat, diagnose, observe)?

Comparison

1. What is the alternative to the intervention (e.g. placebo, different drug, surgery)?

Outcome

1. What are the relevant outcomes (e.g. morbidity, death, complications)?
2. Ensure that the research question is answerable, feasible and clinically relevant

The next step in Submissions Area will be to develop a research hypothesis from the research question.

Provide constructive feedback to your classmate’s responses.

BASED ON ABOVE MENTIONED TOPIC DO THIS ASSIGNMENT 

Research Proposal Draft

By the due date assigned write a 2-3-page paper addressing the sections below of the research proposal.

Introduction

• Background and Significance of the Problem
• Statement of the Problem and Purpose of the Study

Research Questions, Hypothesis, and Variables with Operational Definitions

• Research Question
• Hypothesis: Research and Null
• Identifying and Defining Study Variables
• Operationalize Variables

Post your assignment to the Submissions Area. You will find the assigned text helpful in identifying the salient points to cover.

  

Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere that lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be or how the next new idea for applying existing technology can benefit outcomes.

In this Discussion, you will reflect on your healthcare organization’s use of technology and offer a technology trend you observe in your environment.

To Prepare:

• Reflect on the Resources related to digital information tools and technologies.
• Consider your healthcare organization’s use of healthcare technologies to manage and distribute information.
• Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery.

By Day 3 of Week 6

Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples.

HealthIT.gov. (2018c). What is an electronic health record (EHR)? Retrieved from https://www.healthit.gov/faq/what-electronic-health-record-ehr

 

Healthcare Information Management and Systems Society. (2018). Electronic health records. Retrieved from https://www.himss.org/library/ehr/

Respond to this post with a positive response :

Ask a probing question, substantiated with additional background information, evidence or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Use at least 3 references

                        

                                       Main post

Professional nursing is defined as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” (Epstein & Turner, 2015, para. 2). This definition comes from the American Nurses Association (ANA). The ANA has been responsible for supporting nursing practice through developing and applying policies, establishing the standards and scope with which nurses can practice, and the implementation of the Code of Ethics for Nurses. Nurses have responsibilities to advocate for their patients regardless of their own beliefs and values. This can result in conflicting and ethical challenges for the nurse; such is the case in this scenario with the community health nurse, Lena.

In this scenario, it is imperative to observe what ethical responsibilities Lena has as a professional nurse, as defined by the ANA. Provision 3 of the Code of Ethics for Nurses states, “the nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient,” (Fowler, 2015, p. 42). Her responsibilities include ensuring patient autonomy which gives the patient the right to self-determination. Beneficence refers to the actions that promote the well-being of others and ties into non-malfeasance meaning to ‘do no harm.’ Lastly, Lena’s ethical responsibilities boil down to justice, which I feel plays the largest role in this scenario and it means to uphold and follow the laws in place that govern how a nurse practices.  Lena must decide in this situation if she is going to inform her sister of her boyfriend’s HIV status or maintain the integrity of the patient which is her ethical duty as a nurse. There are statutes in place in the state of Florida that would help Lena to uphold her ethical responsibilities but also her moral duties to her sister. Florida statute 384.24 (2) states that it is unlawful for an individual who knowingly has HIV and has been informed that the disease is transmissible and can be passed on to another individual through sexual intercourse unless the other person has been informed and consents to the interaction.

If I were in Lena’s place, I would first verify the patient’s identity and all pertaining results. Once I have all accurate information in hand, I would contact the patient (sister’s boyfriend) and have him come into the clinic where he would be informed of all results, treatment options, and the importance of informing all partners of HIV status. I would impress upon the patient the consequences of not abiding by the Florida law and how the patient can be required to pay fines of up to $5,000 and face up to five years of prison time (The Center for HIV Law & Policy, n.d.). I would reiterate the fact that I would abide by his rights to privacy and confidentiality but that it is unlawful not fully to disclose HIV/AIDS status to all sexual partners.

References

Epstein, B., & Turner, M. (2015). The nursing code of ethics: Its value, its history. The Online Journal of Issues in Nursing, 20 (2). https://doi.org/10.3912/OJIN.Vol20No02Man04

Fowler, M. D. (2015). Guide to the code of ethics for nurses with interpretive statements: Development, interpretation, and application (2nd ed.). Silver Spring, MD: Nursebooks.

Official Internet Site of the Florida Legislature. (2018). The 2018 Florida statutes: Sexually transmissible diseases. Retrieved January 22, 2019, from http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0300-0399/0384/0384.html

Schroeder-Back, P., Duncan, P., Sherlow, W., Brall, C., & Czabanowska, K. (2014). Teaching seven principles for public health ethics: Towards a curriculum for a short course on ethics in public health programmes. BMC Medical Ethics, 15, 73. https://doi.org/10.1186/1472-6939-15-73

The Center for HIV Law and Policy. (n.d.). Florida: HIV-specific criminal laws. Retrieved January 22, 2019, from https://www.hivlawandpolicy.org/states/florida

Respond 

 

     As the CNO of my current healthcare organization having to restructure a top heavy nursing department with the intention of reducing financial loss, we must evaluate the best way to restructure the department without inadvertently losing employees in the process, as well as flattening the line to reduce additional cost. As a leader we must evaluate and assess all three decision-making models and integrate the problem at hand in each scenario.

            Overall, the PDSA makes the most sense in a scenario as sensitive to the possibility of resistance to change such as healthcare organizational changes. The PDSA Model also known as the Plan-Do-Study-Act or Plan-Do-Check-Act model is a methodology tool used as a part of the Institute for Healthcare improvements’ Model for Improvement. The PDSA tool is ultimately utilized to improve quality of care, in return improving healthcare safety disparities, patient adverse events, and producing a timely, effective, patient-centered solution to disparities, in this case nursing staffing shortages in healthcare organizations (Polit & Beck, 2017). The cycle consists of four steps, the first step is “plan”, planning a change in this case such as implementing to reduce leadership roles. Second step to the PDSA cycle is “do”, healthcare organization carries out the plan on a small scale or pilot program. In this scenario, the shift in personnel/staff  will be implemented on medical surgical units only where based from previous studies, the med-surg units are often times short staffed and hold lowest job satisfaction scores (Donnelly & Kirk, 2015). The third step is “study”, data and review analysis take priority, in this phase where researchers, administrators and leadership identify outcomes and lessons learned. The final step is “act”, essential step to facilitating effective change by gathering learned information, data and disseminating to associates to implement effective change.

Ask a question as well.

Concept Synthesis Paper on Personal Nursing Philosophy

Your Concept Synthesis Paper is due this week. By the due date assigned, submit your scholarly paper, in which you have identified, described, researched and applied the concepts that underlie your personal philosophy for professional nursing practice.

Collate the work that you have done so far from Weeks 1–3, and submit your paper in the prescribed format to the Submissions Area.

Your paper should include:

• Nursing Autobiography: A brief (1 page) discussion of your background in nursing.
• The Four Metaparadigms: Identification, discussion, and documentation from the literature of your perspective on the four metaparadigms of patient, nurse, health, and environment.
• Two Practice-Specific Concepts: Identification, discussion, and documentation from the literature of your perspective on at least two concepts specific to your own practice.
• List of Propositions: A numbered list of at least five propositions or assumption statements that clearly connect the concepts described.

Your paper should integrate these discrete elements and reflect your personal nursing philosophy.

The paper should be thoroughly researched and well documented, with relevant material from the nursing theorists presented incorporated into the paper. The current APA Manual is to be used throughout the paper. Sources should focus on references from nursing theory but may also include conceptual and theoretical material from other professional domains. The paper, excluding references or appendices, is to be limited to 4-6 pages. Writing should be succinct and well organized, as it is impossible for the facilitator to evaluate form and content separately.

Your philosophy/framework is to be given a title that is appropriate to its content and emphasis.