Done as agreed 2025

Based on the article you are replicating for your proposal Post an APA reference of the article you are replicating. Include the database or where you classmates can find the article (have info listed below) Based on this article, begin the draft of the research design section of your proposal. Respond to the following questions Using the draw function of Word, create an illustration of the research design (use chapter 11 in Grove and the example proposals as a guide). Label the design and post the illustration on the discussion board for others to critique Discuss the purposes, structures, strengths, and weaknesses of the study design for your proposal Based on the research design for your study identify threats to validity Reference Grove, S. K., Burns, N., & Gray, J. R. (2013). The Practice of Nursing Research: Appraisal, Synthesis and Generation of Evidence . (7th) St. Louis: Saunders/Elsevier. The APA reference of the article that I will be using for my research proposal. Found from CINAHL Nursing Journal database. Brennan, C. , Daly, B., Jones, K. (2013). State of the science: The relationship between nursing staff and patient outcomes. Western Journal of Nursing Research, (35)5, 760 – 794. doi: 10.1177/0193945913476577.

Nursing Assignment Help 2025

FOR SURAYA ONLY 2025

Research study Evidence of Aspiration Risk is the research study I have chosen to review. The goal of conducting any research experiments is to accurately test a hypothesis in an unbiased format and derive valid trustworthy results. The internal validity of a study is the proven relationship between the independent variable and the outcome of the study (Polit & Beck, 2017). If the findings of a study can be explained in a way other then it is being presented, the internal validity of the study is automatically weakened. Quasi-experimental studies have a higher risk of issues with internal validity than other research designs (Polit & Beck, 2017). Researchers must plan to prevent any possible ambiguity or threats to the internal validity of their study by using control mechanisms such as selection biases. Questioning the Internal Validity I read the “Methods” section of the aspiration risk-reduction study as instructed in this week’s discussion post instructions, and I immediately had questions. Before reading the entire study, my thoughts were: What was the age (or age range), gender, and comorbidities of all of the patients involved? Did they all have the same vent settings? How sedated were they? Was there a suctioning schedule followed for both groups? Was the same suction equipment used in all of the patients? What method was used to determine their target feeding goal? Were they all bolus fed through the feeding tube or around the clock fed? Did they all receive free water flushes? Were the feedings held based on residual? How often was residual checked? Did any of them have a diagnosis of upper GI bleed? Were they all on a peptic ulcer prevention drug? In which part of the lung was pneumonia found? Did they only consider the right upper lobe “aspiration pneumonia”? These are just to name a few of the questions that I had surrounding this study. After reading the entire study many of the questions I mentioned above were answered. However, I still found that some of the specific questions I had were not addressed. Had the researcher discussed some of the variables that could have impacted the outcome it would have strengthened the internal validity of the study.  Additionally, of the data described in this study does question the internal validity as both groups that were monitored and compared for aspiration were treated differently. The usual care group did not address guidelines regarding head of the bed elevation, nor did the nurses have formal training regarding insertion of small-bowel feeding tubes, and the gastric residual volumes were not regulated. Whereas the Aspiration Risk-Reduction Protocol (ARRP) group had guidelines to follow for all of the above (Metheny, Davis-Jackson, & Stewart, 2010).  Because this is an older study and I am very familiar with the CDC “VAP Bundle”, and it is fairly common knowledge that keeping the head of the bed up helps prevent pneumonia and aspiration. With all of the variables in this study, the external validity is questioned, meaning how can this research pinpoint what was most effective. With that said, despite my personal experience and additional questions, I feel that the findings do concur with current practice as it related to keeping the head of the bed up. However, have never seen feeding tubes placed in the small bowel below the pylorus. Failing to consider validity Statistical validity is the relationship between variables which can be simply described as the hypothesized cause and effect. Where construct validity is the inferences made from the specific settings, outcomes, or treatments, and external validity helps determine if the results of the study can be applied to various people, settings, and treatment (Polit & Beck, 2017). If any area of validity in a study is in question, that can potentially compromise the overall validity of the study, leaving the learner to question all aspects of the research. References Metheny, N., Davis-Jackson, J., & Stewart, B. (2010). Effectiveness of an aspiration risk-reduction protocol. Nursing Research, 59(1), 18-25. doi:10.1097/NNR.0b013e3181c3ba05 Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

Nursing Assignment Help 2025

Nursing Theory Paper 2025

Must Be Plagiarism Free!!! Requirements (see attached for full instructions). Description of the Assignment This assignment focuses on the importance of nursing theory within the profession. Selecting one nursing theory (non-nursing theories are not allowed), the nursing theory will be presented by identifying the key concepts present within the theory. The selected nursing theory will then be applied to the following professional nursing practice area: · Nurse practitioner –A minimum of 4 (four) scholarly references within the last 5 years must be used. — Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6 th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used. — The paper (excluding the title page and reference page) should be at least 5, but no more than 7 pages. Points will be lost for not meeting these length requirements .

Nursing Assignment Help 2025

comment karan 2025

I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 120-150 WORDS First I would need to find evidence-based research that supported my idea and the need for practice change. Ultimately supporting how this would improve patient care (Huber, 2014). Selling an idea to higher upper management can be intimidating and difficult but not impossible. The key to selling an idea is effectively communicating and making your statement clear, simple, and quick. To sell the idea the presenter must be creative and find common ground that can help relay the message across. The idea must first be presented in an informal manner to see what feedback can be attained before the formal presentation. This type of technique can help the presenter anticipate some questions that might come up when formally selling the idea to upper management. The formal presentation should consist of a power point and handout. Lab Manager suggests the following when selling an idea to upper management (Lab Manager, 2010). 1. Summarize the idea 2. Define the need for the idea. What problem will it solve? 3. Explain how the idea will make money for the company. Are there other benefits as well? 4. Define the resources needed. What will be needed to develop and commercialize the idea? How much money will it cost? How much time will it take? 5. Request a commitment. Following up on your presentation may be required to get a definite, timely decision on whether it will be funded. References Lab Manager. (2010). Selling ideas to upper management. Retrieved from http://www.labmanager.com/business-management/2010/02/selling-ideas-to-upper-management?fw1pk=2#.Vl-w-HarTIU Huber, D. (2014). Leadership and nursing Care Management (5 th ed.). Maryland Heights, MO: Saunders Elsevier. ISBN-13: 9781455740710

Nursing Assignment Help 2025

HCS335 Ethical Health Care Scenarios 2025

Review the following scenarios. Scenario 1: Medical coding in a physician’s practice Imagine you work in a high-pressure cardiology physician’s office and you are one of two medical coders. Your supervisor is very focused on the greatest reimbursement to satisfy revenue projections for the practice. As a result, you are asked to “up-code” billing. How can the pressure of acquiring the maximum repayment for services lead to manipulating or falsifying documentation? Scenario 2: Administration of patient medications in the hospital setting Imagine you are a new graduate nurse working nights on a busy medical unit. You just received a new patient who needs to be admitted to your unit and you just finished medicating a patient with a narcotic injection with a dose greater than ordered. Clearly understanding medication errors may lead to patient injury and even death, explain why a clinician may choose not to report the incident. Scenario 3: Not hiring a qualified individual because of discrimination Imagine you are a new human resources director in a nonprofit organization and have been pressured not to hire Middle Eastern candidates by the organization’s CEO. In the United States, discrimination against people based on their ethnicity, race, or cultural orientation is strictly forbidden under federal and state laws. Ethical discrimination may result in the breeding of ill feelings at work, as well as reduced productivity. To eliminate these ramifications, organizations need to put forth increased effort in curbing ethical discrimination in the employment sector. What are some interventions organizations can put in place to prevent discrimination? Write a 150- to 350-word response for each ethical scenario. Include a title page with your name and your responses. Format your assignment according to APA guidelines. Include a title page, an introduction, headings, in text citations, a conclusion and a separate reference page.

Nursing Assignment Help 2025