Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses.

Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.

In a 1,000–1,250 word essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Find two articles that identified as most important on this research topic: “Patient Safety in the Hospitalized Setting during a Pandemic”

 Everything you are going to need is in the attachment and don’t forget to do as it asks. 

I need all the criteria to be meet and I also attach the format of how everything should be in the paper.

P.S please follow the instructions in the instructions box images. This paper is very important. Use the scholarly articles that are less than 5 years published.  Don’t forget to go over the rubric while you write the paper. I need 3-4 pages, appendix table, and not including the title and references page 

Thank you 

For this assignment, you are to complete a clinical case – narrated PowerPoint report that will follow the SOAP note example provided below. The case report will be based on an assigned clinical case scenario.  

You are to approach this clinical scenario as if it is a real patient in the clinical setting.

Instructions:

Step 1 – Read the assigned clinical scenario and using your clinical reasoning skills, decide on the diagnoses. This step informs your next steps.
Step 2 – Document the given information in the case scenario under the appropriate sections, headings, and subheadings of the SOAP note.
Step 3 – Document all the classic symptoms typically associated with the diagnoses in Step 1. This information may NOT be given in the scenario; you are to obtain this information from your textbooks. Include APA citations.

Example of Steps 1 – 3:
You decided on Angina after reading the clinical case scenario (Step 1)
Review of Symptoms (list of classic symptoms):
CV: sweating, squeezing, pressure, heaviness, tightening, burning across the chest starting behind the breastbone
GI: indigestion, heartburn, nausea, cramping
Pain: pain to the neck, jaw, arms, shoulders, throat, back, and teeth
Resp: shortness of breath
Musculo: weakness

Step 4 – Document the abnormal physical exam findings typically associated with the acute and chronic diagnoses decided on in Step 1. Again, this information may NOT be given. Cull this information from the textbooks. Include APA citations.

Example of Step 4:
You determined the patient has Angina in Step 1
Physical Examination (list of classic exam findings):
CV: RRR, murmur grade 1/4
Resp: diminished breath sounds left lower lobe

Step 5 – Document the diagnoses in the appropriate sections, including the ICD-10 codes, from Step 1. Include three differential diagnoses. Define each diagnosis and support each differential diagnosis with pertinent positives and negatives and what makes these choices plausible. This information may come from your textbooks. Remember to cite using APA.

Step 6 – Develop a treatment plan for the diagnoses. Only use National Clinical Guidelines to develop your treatment plans. This information will not come from your textbooks. Use your research skills to locate appropriate guidelines. The treatment plan mustaddress the following:
a) Medications (include the dosage in mg/kg, frequency, route, and the number of days)
b) Laboratory tests ordered (include why ordered and what the results of the test may indicate)
c) Diagnostic tests ordered (include why ordered and what the results of the test may indicate)
d) Vaccines administered this visit & vaccine administration forms given,
e) Non-pharmacological treatments
f) Patient/Family education including preventive care
g) Anticipatory guidance for the visit (be sure to include exactly what you discussed during the visit; review Bright Futures website for this section)
h) Follow-up appointment with a detailed plan of f/u

CLINICAL CASE SCENARIO 

A 5-year-old boy presents to your clinic with a 1-day history of refusing to use his left arm. His father states that his son and his older sister were cared for by a babysitter the previous day. The babysitter said she had been playing with the children in the front yard when the patient ran after a ball that was rolling toward the street. She grabbed the patient’s left forearm and pulled him away from the street. Thereafter, the patient was irritable and holding his left arm close to his body with the elbow in a flexed position. On physical examination, the child has no bony tenderness, erythema, or swelling of the joints, but on passive motion, the child resists and cries in pain. Today, his vitals are as follows: weight 40.5 lbs, height 43.0 inches, BP 110/76, HR 100, RR 26, and Temperature is 98.6 F.

Diagnosis – Subluxation of Radial Head

As you develop your narrated PowerPoint, be sure to address the criteria discussed in the video above and the instructions listed below:

FOLLOW THE TEMPLATE BELOW for the Clinical Case Report – SOAP PowerPoint Assignment:

DO NOT INCLUDE THESE INSTRUCTIONS IN THE POWERPOINT. POINTS WILL BE DEDUCTED. REFER TO THE EXAMPLE CASE REPORT FOR GUIDANCE.

SUBJECTIVE (S): Describes what the patient reports about their condition.
For INITIAL visits gather the info below from the clinical scenario and the textbook. DO NOT COPY AND PASTE THE SCENARIO; EXTRACT THE RELEVANT INFORMATION.

Historian (required; unless the patient is 16 y/o and older): document name and relationship of guardian
Patient’s Initials + CC (Identification and Chief Complaint): E.g. 6-year-old female here for evaluation of a palmar rash
HPI (History of Present Illness): Remember OLD CAARTS (onset, location, duration, character, aggravating/alleviating factors, radiation, temporal association, severity) written in paragraph form
PMH (Past Medical History): List any past or present medical conditions, surgeries, or other medical interventions the patient has had. Specify what year they took place
MEDs: List prescription medications the patient is taking. Include dosage and frequency if known. Inquire and document any over-the-counter, herbal, or traditional remedies.
Allergies: List any allergies the patient has and indicate the reaction. e.g. Medications (tetracycline-> shortness of breath), foods, tape, iodine->rash
FH (Family History): List relevant health history of immediate family: grandparents, parents, siblings, or children. e.g. Inquire about any cardiovascular disease, HTN, DM, cancer, or any lung, liver, renal disease, etc…
SHx (Social history): document parent’s work (current), educational level, living situation (renting, homeless, owner), substance use/abuse (alcohol, tobacco, marijuana, illicit drugs), firearms in-home, relationship status (married, single, divorced, widowed), number of children in the home (in SF or abroad), how recently pt immigrated to the US and from what country of origin (if applicable), the gender of sexual partners, # of partners in last 6 mo, vaginal/anal/oral, protected/unprotected.

Patient Profile: Activities of Daily Living (age-appropriate): (include feeding, sleeping, bathing, dressing, chores, etc.), Changes in daycare/school/after-school care, Sports/physical activity, and Developmental History: (provide a history of development over the child’s lifespan. If a child is 1y/o or younger, provide birth history also)

HRB (Health-related behaviors):
ROS (Review of Systems): Asking about problems by organ system systematically from head-to-toe. Included classic associated symptoms (this includes pertinent negatives and positives).

OBJECTIVE: Physical findings you observe or find on the exam.
1. Age, gender, general appearance
2. Vitals – HR, BP, RR, Temp, BMI, Height & Percentile; Weight & Percentile, Include the Growth Chart
3. Physical Exam: note pertinent positives and negatives (refer to the textbook for classic findings related to present complaint and the diagnosis you believe the patient has)
4. Lab Section – what results do you have?
5. Studies/Radiology/Pap Results Section – what results do you have?

RISK FACTORS: List risk factors for the acute and chronic conditions

ASSESSMENT: What do you think is going on based on the clinical case scenario? This is based on the case. You are to list the acute diagnosis and three differential diagnoses, in order of what is likely, possible, and unlikely (include supporting information that helped you to arrive at these differentials). You must include the ICD-10 codes, the definition for the acute and differential diagnoses, and the pertinent positives and negatives of each diagnosis.

You are to also list any chronic conditions with the ICD-10 codes.

NATIONAL CLINICAL GUIDELINES: List the guidelines you will use to guide your treatment and management plan

TREATMENT & MANAGEMENT PLAN: Number problems (E.g. 1. HTN, 2. DM, 3. Knee sprain), use bullet points, and include A – F below for each diagnosis and G – H after you’ve addressed all conditions.

Example:
1. HTN
a) Vaccines administered this visit & vaccine administration forms given,
b) Medication-include dosage amounts and mg/kg for drug and number of days,
c) Laboratory tests ordered
d) Diagnostic tests ordered
e) Non-pharmaceutical treatments
f) Patient/Family education including preventive care

2. HLD
a) Vaccines administered this visit & vaccine administration forms given,
b) Medication-include dosage amounts and mg/kg for drug and number of days,
c) Laboratory tests ordered
d) Diagnostic tests ordered
e) Non-pharmaceutical treatments
f) Patient/Family education including preventive care
Also discussed:
g) Anticipatory guidance for next well-child visit (be sure to include exactly what you discussed during the visit; review Bright Futures website for this section)
Return to the clinic:
h) Follow-up appointment with a detailed plan for f/u and any referrals

Submission Details:

• Post the Week 8 Clinical Case Report SOAP Note Assignment to the Discussion Boardbelow by the date assigned.
• Name your Case Report SOAP note document NSG6435_W8_SOAP_LastName_FirstInitial.ppt.

Purpose 

·  The purpose of this paper is to interpret the article as most relevant to the group topic. 

·  Analyze ONE PRIMARY DATA RESEARCH ARTICLES most relevant to your group topic and research question. 

Course Outcomes

This assignment enables the student to meet the following course outcomes:

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

CO 4: Evaluate published nursing research for credibility and clinical significance related to evidence-based  

 practice (PO#4 & 8).

Due Date (Submit in Canvas by 11:59 pm)

·  Week #4, Mon, May 24,  Part I: Research Question, Purpose of Study, Variables, & Participants.  

·  Week #4, Wed, May 26,  Part II: Intervention Procedures OR Obtaining Information Procedures  

·  Week #5, Mon,. May 31, Part III Data Collection & Measurement Tools/Instruments.

·  Week #5, Wed.. Jun 2, Part IV Results/Findings. 

·  Week #6, Mon., Jun 7, Part V Synthesis of Findings & Nursing Implications. 

·  Week #6, Wed. Jun 9, Part VI  Group Article Summary Table.  Only 1 group member should submit

·  The College’s Late Assignment Policy applies to this assignment.

Paper Preparation:

·  Please describe the literature review in paragraphs and complete sentences with appropriate APA in-text citations.  

§ It is NOT acceptable to use bullet-points in the body of text review paper.

§ All review contents must be PARAPHRASED with your OWN words with in-text citations.

§ It is NOT acceptable to QUOTE article contents EXCEPT the Purpose of Study as required.

·  Paper MUST be written using PAPER FORMAT (page #3).

·  Paper must include all required APA-Style/Format elements as designated.

·  Do NOT leave blank for any of these review elements.

·  Any review element left blank will get 0 point: If authors did not provide information or it was not applicable for certain elements, make note such as “No information was given” or “Not applicable”

PLAGIARISM: “Turnitin” Percentage

·  Less than 25 percentage: Acceptable percentage.

·  Turnitin Draft Submission Box

§ Before any final submission, must use the Turnitin DRAFT box to check your percentage. Can submit multiple times as needed before you submit your final paper to designated Unit (too many . 

·  If your Final paper has 25% or higher percentage, you must revise/modify your paper contents BEFORE you submit your paper by due date and time.

·  If your Final paper has 25% or higher percentage AT/AFTER you submit your final paper due date and time, Academic Integrity Violation Procedures will be initiated

·  If Final paper has less than 25% and NO in-text citations, that is also considered an Academic Integrity Violation

Academic Integrity Violation Procedure

·  Academic Integrity Violation letter will be sent to student

·  Assignment Grade will be 0 point as placeholder

·  The violation case will be reviewed, and a further sanction will be determined by the Addison Leadership Team.

Analyzing Published Research Article (IAPRA)

Part I

Research Question

·  Clearly and concisely state your group research question and in PICO format.

Purpose of the Study

·  Describe the purpose/aim of the study as the author(s) stated in the article – direct quote.

·  Do NOT change or modify the purpose statement on the article 

Variables: Identify study variables from the above stated Purpose of Study

Quantitative Study: Dependent & Independent Variables OR

Descriptive, Qualitative Study: Variables of Interest 

Participants:

Enrollment: How did they recruit/enroll eligible participants in the study?

Inclusion & Exclusion Criteria: Describe Inclusion & Exclusion Criteria

Total Participant Numbers: Total numbers of participants in the study

Part II: Intervention Procedures OR Descriptive/Qualitative Studies: Obtaining Information Procedures

Quantitative Study: 

Intervention/Treatment Group

·  Describe the intervention contents given to Intervention group

·  Describe how the contents were given to Intervention group

·  Identify the person who provided Intervention contents to Intervention group

Control Group: If the study has Control Group

·  Describe the contents given to Control group

·  Describe how the contents were given to Control group

·  Identify the person who provided contents to Control group  

OR

Descriptive/Qualitative Study: Obtaining Information Procedure 

· Describe the detailed procedure for obtaining information/data (i.e. made appointment to meet each participant, visited home/met in clinical setting, etc.)

Part III: Data Collection Procedures & Measurement Tools/Instruments

·  Describe ALL methods to collect data in detail (i.e. interview, survey, observation……etc.)

·  Describe each measurement tool/instrument used to measure/assess outcomes in the study in detail.

Part IV: Results/Findings

Participant Characteristics/Sociodemographic Findings

·  Describe participant characteristics or sociodemographic status

·  Must be objective, descriptive, and comprehensive

·  Must describe the findings of Tables/Figures to provide comprehensive information about participant characteristics as article provided.

Study Results/Findings

·  Describe ALL Other Results/Findings of study in detail.

§ Each result item may include Headings/Subheadings as the article provided.

§ Must summarize the findings of Tables and Figures as the article provided.

§ Do NOT simply saying “pain level was decreased,” “adherence was increased”…etc  

§ Do NOT include contents from Discussion and/or Conclusion in the article. 

Part V

Synthesis of Findings

·  Describe the Rationale/Mechanism for how/why Finding of each intervention/factor helps your Research Question (i.e. how/what mechanism does music therapy help pain, how does sucking stimulation increase oral intake for pre-term infants, or how each identified factor decrease quality of life….etc)

·  Should NOT repeat same contents you had on Findings section and/or article

·  May include citations from the analyzed article or from other sources for above described rationale/mechanism (i.e. textbooks, CDC…etc) 

Nursing Implications

·  How can nurses implement/incorporate the research findings into nursing practice?

Part VI: Group Article Summary Table

· Each group member should summarize their own article on one Group document: Research Article Summary Table.

· Use bullet points for each category

· Only 1 member should submit the Group Summary Table

Grading Rubric & Description for Analyzing Published Research/Individual Literature Review

Part I (40)

Research Question (5)

· Accurately/Clearly state group’s Research Question as your group formulated and in PICO format

Purpose of Study (5) 

· Describe the purpose of the study as the author stated in the article.

§ Do NOT change or modify the statement on the article

Variables (10)

· Identify study variables from the above stated Purpose of Study

§ Quantitative Study: Dependent & Independent variables 

 OR

§ Descriptive, Qualitative Study: Variables of Interest 

Participants (15)

5

5

5

· Enrollment: How did they recruit eligible participants in the study?

· Eligibility: Describe Inclusion & Exclusion Criteria

· Numbers: Total numbers of participants in the study

Format (5)

Followed APA format for paper and in-text citations

Part II (40)

Intervention Procedures ORObtaining Information Procedures (35)

Quantitative Study:

·  Intervention Group: Describe the detailed Intervention contents, procedures, and person who provided Intervention for Intervention group.

·  Control Group: Describe the detailed contents, procedures, and person who provided contents for Control group  

OR

Descriptive/Qualitative Study:

· Describe the detailed procedure for obtaining information/data (i.e. made appointment to meet each participant, visited home/met clinical……etc)

Format (5)

Followed APA format for paper and in-text citations

Part III (35)

Data Collection & Measurement Tools(30)

5

25

· Describe ALL data collection Methods in detail (i.e. survey, interview, blood test, observation….etc)

· Describe ALL Measurement tools/instruments in detail 

Format (5)

5

Followed APA format for paper and in-text citations

Part IV (40)

Results/Findings (35) 

10

25

Participant Characteristics/Sociodemographic Findings

·  Describe participant characteristics or sociodemographic status

·  Must be descriptive and comprehensive

·  You must describe the findings of Tables/Figures to provide comprehensive information about participant characteristics as article provided

Study Results/Findings

·  Describe ALL Other Results/Findings besides above participant characteristics in the article in detail for each Result item

·  Each Result item must include Headings/Subheadings of Results as the article provided.

·  Must describe the contents of Tables and Figures as the article provided.

·  Do NOT simply saying “pain level was decreased,” “adherence was increased”…etc.  

·  Do NOT include contents from Discussion and/or Conclusion in the article.  

Format (5)

Followed APA format for paper and in-text citations

Part V (20)

Synthesis of Findings (10)

·  Describe the Rationale/Mechanism for how/why Finding of each intervention/factor helps your Research Question (i.e. how/what mechanism does music therapy help pain, how does sucking stimulation increase oral intake for pre-term infants, or how each identified factor decrease quality of life….etc.)

·  Should NOT repeat same contents you had on Findings section and/or article

·  Should have citation of analyzed article(s)

·  May include citations from other sources for above described rationale and mechanism (i.e. textbooks, CDC…etc.)

Nursing Implication (7)

·  How the nurses can implement the research findings into nursing practice?

Format (3)

·  Followed APA format for paper, in-text citation, references.

Part VI (25)

Group Article Summary Table (25)

· Describe article on Research Article Summary Table

· Use bullet points for each column in the Table

· Submit Table as separate document

In a 3 page paper discuss how health and illness beliefs can influence the assessment process. You can use the Table on Traditional Health and Illness Beliefs in your textbook or any other evidence-based sources. Include how belief structure might impact how a client responds to an assessment interview and how culture might influence physical findings. Your assignment must have accurate spelling and grammar and use APA Editorial Format.