• Ethical Dilemma
  After reviewing The Invisible Patients documentary, define/describe in detail an ethical dilemma that was experienced by the NP. Please note, there are several ethical issues, so there should be diversity in the responses.  Explain how you would have handled the situation.
• How is the NP in the documentary a Disruptive Innovator?
• Discuss if there is a relationship between your personal beliefs and values and this ethical dilemma/barrier.
• Describe at least one mechanism to overcome the barrier discussed.
• Examine the potential cost and benefits to this barrier.
• Remember there is no right or wrong answer for this ethical question. Suggested reference Look at the Nuremburg Code (US Department of Health & Human Services, 2005; Washington, 2012) as it was the major start of ethics in research and that can carry over to nursing practice.
  US Department of Health & Human Services. (2005). The Nuremberg code.
    Retrieved from http://www.hhs.gov/ohrp/archive/nurcode.html
  Participation Responses: No later than the due date assigned, review and comment on the discussion question responses posted by at least two of your peers and faculty. Continue to monitor your question and responses until the end of the week.
  Guidelines: Support your responses with scholarly academic references using APA style format. Assigned course readings and online library resources are preferred. Weekly lecture notes are designed as overviews to the topic for the respective week and should not serve as a citation or reference.
  In your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations, references, and examples that demonstrate a clear connection to the readings.
  In your participation responses to your peers, comments must demonstrate thorough analysis of postings and extend meaningful discussion by building on previous postings.
• Week 3 ProjectAssignment Due June 21 at 11:59 PMProfessional Practice Paper
  Based on the AP role of the person that you interviewed in W1 Project, in a 2-4 page paper (excluding the title page, references, and appendices) describe the role, the type of organization, and address all the interview questions, and include:
• List the type of organization. For example: Primary care office, ED, Specialty, cardiology GI etc.
• List the type of and how many clients it serves. FP would see all ages. Research in your area the number of visits in a local office per year or # of visits seen local ED, specialty office etc. 
• The professional fit for advanced nursing role. “Fit” refers to the Qualifications in order to be an AP provider at that agency/organization. What license, credentialing (accrediting agency, and other expectations NPI, CMS)?
• What are the core competencies required in this role?
• Include a brief job description
• Discuss board of nursing NPA or scope of practice of the state. Include what the NPA in the state allows and restrictions.
• Submission Details:
• Submit your document to the Submissions Area by the due date assigned.

Instructions

In Week 3 you will be submitting a 2-3 page paper that will explore the background of your issue. For paper #1 you will be defining this issue or disease using the literature.  The parts of your paper should include:

• Introduction
• Definition
• Epidemiology
• Clinical Presentation
• Complications
• Diagnosis
• Conclusion with PICOT Question

If you are not on a clinical tract (NP) you will explore the issue extensively to define the problem or issue you are interested in—using these headers as appropriate.

When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.

The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format.

In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
• Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
• Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course. 

Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.

In this forum, you will use you will use skillsets you have developed in this module related to the sampling process by responding to the following discussion prompt and answering all (4) questions. You may want to use the internet in addition to resources provided in Module 7. 

A researcher based in Miami wants to learn about the experiences of homeless people in the United States by conducting interviews with them. He plans to conduct in-person interviews with the homeless people he samples. He is having trouble deciding how to draw a representative sample of homeless people because homeless people are difficult to find, often move from place to place, and are often cycled in and out of homelessness. The researcher has one year and a $5,000 grant with which to conduct his interviews.

Your task is to help this researcher.

1. What is the population he wants to generalize to?
2. What are possible sampling frames (sources) from which he can draw his sample?
3. What do you think would be a good/realistic sample size?
4. What sampling methods would you suggest he uses? Why?

Many APNs become independent contractors for health care groups that provide services to patients. Discuss the elements that are important to you when seeking a place of employment. What is negotiable and what is non-negotiable? Discuss the two benefits of formal employment as an APN.

Expectations

Initial Post:

• Due: Thursday, 11:59 pm PT
• Length: A minimum of 250 words, not including references
• Citations: At least one high-level scholarly reference in APA from within the last 5 years