Please read the article, Hoping for a Good Death. (Need to click on link to NY Times).In this article, Elizabeth Reis states: The biggest lesson I have learned is that every family should not only discuss end-of-life wishes but should act on them by filling out an advance directive. If my father had completed one, his end might have played out differently.

What did she mean by this? How might the end have played out differently? What can be done to help increase the number of people with advance directives? Advance directives DO make a difference!

apa 

 

 Follow the discussion questions participation and submission guidelines.

·      Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.

·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (7th ed.)

·      Minimum of two references, not older than 2015.

Discussion Questions: 

QD1. A couple presents to the OB-GYN office you work at visibly agitated. After trying to have a baby for years, they just suffered their fifth miscarriage after the 10th week of gestation. Recently, the woman was diagnosed with antiphospholipid syndrome. You learn their agitation is due to a disagreement they have. The wife would like to adopt, but the husband feels strongly that they should continue to try for another baby.

1. If the couple asked your opinion, as a nurse with a thorough understanding of antiphospholipid syndrome, what would you tell them?
3. How would you as the provider remain impartial in allowing the couple to decide what is best for them?

QD2. Suppose you are going to conduct a study utilizing Quantitative Research Design: which type of research would you use, and which method would you utilize to collect data? 

Administer a safety survey (e.g., the Injury Prevention Program [TIPP] from the American Academy of Pediatrics, or develop your own) to assess the home environment of a 6-month-old and a 5-year-old.

1.  Develop a plan of education and anticipatory guidance for the family. 2. How would you apply this information to a larger population?

150-word minimum

· Minimum of two references  within last 3-5 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.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-reviewed research articles, as indicated below. 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.

1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 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.

Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles.  Therefore, they should not be included in this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 

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

M1: Lesson 3 – Discussion

1. Create an original posting with a minimum of 250-300 words.
2. Back up your arguments with reliable evidence. 

The Research Process

Instructions:

1. Read an article published recently(less than 5 years) on a topic of your interest. (in nursing) 
2. Provide the citation and a written summary of your answers to the following questions: 
   1. What is the research problem? 
   2. What is the purpose statement? 
   3. What were the initial hypotheses for this study? 
   4. What was the study design? 
   5. Where the hypotheses rejected or accepted? 
   6. What was the overall conclusion of this study?