PLEASE RESPOND TO THIS DISCUSSION WITH REFERENCES. 

The rigor associated with research differs between qualitative and quantitative research. In quantitative research a study is rigorous when it is reliable and valid. The researcher must maintain adherence to the procedure during data collection and analysis (Lohfield, 2018). Reliability is the degree to which a research instrument produces consistent results. There are a few different methods to test reliability. Stability reliability is tested using test-retest, where the same concept is is tested with the same instrument over time to see if it yields the same results. Equivalence reliability is tested by inter-rater reliability, which is when two people judge their equvalence, and alternate forms, which is a comparison of two instruments to determine their equivalence. Internal consistency is mainly used with scales as a meausuring concept.  Validity is how accurate an instrument is at measuring what it is trying to measure. There are four types of validity. Face validity is just looking at the instrument to determine if it looks legitamate. Content validity looks to see if the method has all of the main components ncessary to measure whatever is being measured. Construct validity determines whether the instrument measures the theoretical component it is meant to measure. Criterion related validity is used when a score on a test can be used to predict the persons performance in a different situation.

In qualitative research, maintatining trustworthiness is key to a rigorous study. Trustworthiness is the analogous for rigor in qualitative research (Amankwaa, 2016). Trustowrthiness involves establishing credibility, transferability, dependability, and confirmability. the researcher must also have self awareness, because qualitative research involves interpreting findings, and this may be affected by a researchers biases.

To ensure trustworthiness, I think a researcher having a lot of knowledge of themselves and being aware of this when interpreting data would be key to keep their study rigorous. to increase validity, a researcher should make sure they have a very good research tool. To increase reliability, it is best to use a large sample size in the study.

References

Amankwaa, L. (2016). Creating Protocols for Trustworthiness in Qualitative Research . Journal of Cultural Diversity, 23(3), 121-127

Lohfield, L. (2012). Testing the validity of a scenerio based questionnaire to assess the ethical sensitvity of undergraduate medical students. Medical Teacher, 34(8), 635-642.

 

1) **********complet format (Literature Evaluation Table)

2)********** It will be verified by Turnitin and SafeAssign 

3) References not older than 5 years

_________________________________________________________

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

1) you will create a clinical guiding question know as a PICOT question. 

The PICOT question must be relevant to a nursing practice problem. 

2) To support your PICOT question, identify six supporting peer-revised research articles. 

The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.

Use the “Literature Evaluation Table” to complete this assignment.

Format: 

1) Select a nursing practice problem of interest to use as the focus of your research. 

 a) Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200 minimum words, provide a summary of the clinical issue.

2) Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).

3) The PICOT question will provide a framework for your capstone project.

4) Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.

1. Overall goal for the FNP program 

2. What happened in your BSN that made me fall below a 3.0 GPA

3. What are the detailed plans to maintain a 3.0 GPA average in the MSN program ( I.e hours committed per week, plans per class).

Some examples cutting  back on working hours.

 A minimum of three references is required. The written essay should be at least 1250 words in length.APA format is required.

Write a scholarly paper in which you apply the concepts of epidemiology and nursing research to a communicable disease. Choose one communicable disease. 

THE DISEASE IS  rubeola

MUST USE ATTACHED FORMAT******

Epidemiology Paper Requirements

Include the following in your assignment:

1. A thorough description of the disease including causes, mode of transmission, symptoms, treatment and complications. Discuss the demographic most affected-incidence, prevalence, morbidity and mortality.
2. What are the determinants of health affecting this disease? https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health.
3. Identify the epidemiologic triad including host, agent and environmental factors as related to this disease.
4. Discuss the role of the public health nurse in relation to this disease. How is the public health nurse involved in finding, reporting, collection and analysis of data and follow up?

Respond to your colleagues’ posts by sharing your thoughts on their specialty, supporting their choice or offering suggestions if they have yet to choose. 

At least 2 references in each peer responses!

  

Having been an RN in a few different countries, namely the Philippines, Jordan, Saudi Arabia, and Canada, impacted how I evolved as a nurse in the 21st century. Starting as an RN in a third world country 13 years ago was challenging. Instruments in the operating room, as well as gloves, were reusable through the process of autoclaving. Patients documents were hand or typewritten and attached in a solid steel frame chart. In far-flung areas where hospitals are out of reach, people die of myocardial infarction and infectious diseases due to the lack of resources. There is available transportation, including an ambulance; however, there is the absence of an AED or life-saving medications and providers to treat a disease. Besides, the travel takes at least 3 hours to arrive in the hospital. That is the reality of my hometown in the Philippines.

As I ventured along as a nurse in the Middle East, I was amazed at a national system of government-funded health care and how technology evolved. I practice how to use computer-based electronic health and utilized advanced technology in my daily patient care encounter. However, the electronic health record didn’t have much of the options in transmitting data compared to the electronic health record (EHR) that we have today. Those days, the usage of a computer was to record nurses’ notes, input records of vital signs, and check laboratory and imaging results of the patient. In today’s world, we can see competitions and evolving EHR in hospitals. Nowadays, several hospitals and health systems with mature EHRs have portals for patients to access and record their health data. (Glassman, 2017).

We are now in the future of involving patients in their care. I got awestruck with telemedicine and hospital bill payment transactions through hospital portals. Globally, the spread of information in several countries in the hospital setting evolved tremendously. Saudi Arabia’s government spends thousands to millions of dollars to develop and improve the kingdom’s health care through research and technology. King Faisal Specialist Hospital & Research Centre (KFSH&RC) is Saudi Arabia’s first integrated digital hospital that successfully utilized superior health information technology upon achieving Stage 7 on the ambulatory Electronic Medical Record Adoption Model (EMRAM). Alswailem(2017).  

Before my arrival in the US, It was part of my obligation to do a 16-week online course in Health Stream as part of my transition in the US nursing practice. It is a great advantage to re-learn basic nursing principles using animations and online patient simulations. I also learn about the problems of miscommunications in the hospital setting due to the use of abbreviations. All health care settings should create a plan for implementing an ANA recognized terminology supporting nursing practice within their EHR. (American Nurses Association, 2018). 

Interestingly, I find out that few of my colleagues still utilized abbreviations like U, IU, QOD, and other more. I realized that there is still discrepancies and incongruencies with the abscense of nursing informatics whose role is to facilitate clinical care, education, administration and research. (Darvish, Bahramnezhad, Keyhanian, & Navidhamidi, 2014).

Indeed, it is essential to be aware that a standardized nursing language should always be carried out. This will enhance better communication among co-workers, increased visibility of nursing interventions, improved patient care, enhanced data collection to evaluate nursing care outcomes, greater adherence to standards of care, and facilitated assessment of nursing competency. (Rutherford, 2008). In the future, we may be able to defend ourselves if a quantitative or court review comes knocking on our doors.