This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles and four boxes approach.

Based on the “Case Study: Healing and Autonomy” and other required topic study materials, you will complete the “Applying the Four Principles: Case Study” document that includes the following:

Part 1: Chart

This chart will formalize the four principles and four boxes approach and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice.

Part 2: Evaluation

This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview.

Remember to support your responses with the topic study materials.

APA style is not required, but solid academic writing is expected.

 

In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Develop a 1,250-1,500 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

1. Background
2. Clinical problem statement.
3. Purpose of the change proposal in relation to providing patient care in the changing health care system.
4. PICOT question.
5. Literature search strategy employed.
6. Evaluation of the literature.
7. Applicable change or nursing theory utilized.
8. Proposed implementation plan with outcome measures.
9. Discussion of how evidence-based practice was used in creating the intervention plan.
10. Plan for evaluating the proposed nursing intervention.
11. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome.
12. Appendix section, if tables, graphs, surveys, educational materials, etc. are created.

Review the feedback from your instructor on the Topic 3 assignment, PICOT Question Paper, and Topic 6 assignment, Literature Review. Use this feedback to make appropriate revisions to these before submitting.

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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

1.1:     Exemplify professionalism in diverse health care settings.

2.2:     Comprehend nursing concepts and health theories.

3.2:     Implement patient care decisions based on evidence-based practice.

      

Question

Answers

Possible Points

  

Is the study population identified and   described? Are eligibility criteria specified? 

–

–

  

Study Population

5

 

Eligibility criteria

5

 

2.  

Dependent   variable

6

 

3.  

Independent   variable

6

  

What approach do the authors use to   establish content validity?

Content validity is the “degree to which an   instrument has an appropriate sample of items for the construct being   measured and adequately covers the construct domain.” To ensure a   “content-valid” instrument, researchers should start with a conceptualization   of the construct. This can be based on:

· First-hand   knowledge

· Literature   review

· Expert   consultations

· Preliminary   qualitative studies

6

  

What type of sampling plan was used?   Would an alternative sampling plan have been preferable? Was the sampling   plan one that could be expected to yield a representative sample?

–

–

  

Sampling plan. 

5

  

Alternative sampling plan

2

  

Sampling plan yielding representative   sample

2

  

If sampling was stratified, was a useful   stratification variable selected? If a consecutive sample was used, was the   time period long enough to address seasonal or temporal variation?

–

–

  

Stratification

1

  

Consecutive sampling

1

 

7.  

If   cluster sampling was utilized, what were the clusters and   how was sampling done within clusters? 

2

  

How were people recruited into the   sample? Does the method suggest potential biases?

–

–

  

Recruitment

4

  

Potential biases

4

  

Did some factor other than the   sampling plan affect the representativeness of the sample?

5

  

Are possible sample biases or   weaknesses identified by the researchers themselves?

5

  

Are key characteristics of the sample   described (e. g., mean age, percent female)? If yes, please provide detailed   information on sample characteristics.

12

  

Was the sample size justified on the   basis of a power analysis or other rationale?

5

 

13.  

What approach do the authors use to check   for internal reliability? 

5

 

14.  

What approach do the authors use to   establish interrater reliability?

2

 

15.  

What approach do the authors use to   establish test-retest reliability?

2

 

16.  

What approach do the authors use to   establish discriminant validity?

Discriminant   validity is “the ability to differentiate a construct from other similar   constructs.”

5

  

Does the sample support inferences   about external validity? To whom can the study results reasonably be   generalized?

–

–

  

External validity

5

  

Generalizability

5

 Sexual assault includes any type of sexual activity to which an individual does not agree. Because of  the effects of some drugs, commonly called date rape drugs, victims may be physically helpless,  unable to refuse, or even unable to remember what happened. Jessica, a 16-year-old high school  sophomore, expresses concern to the school nurse practitioner that she knows someone who might  have had sex “without knowing it.” How can the nurse practitioner answer these common questions?  Reflective Questions  1. What are date rape drugs and how can a person be unaware that such a drug has been  ingested?  2. What can you do to protect yourself?  3. What do you do if you think you have been sexually assaulted? 4. What can you do when someone you care about has been sexually assaulted? 5. What role does a nurse practitioner play in the care of sexually assaulted patients,  particularly in the adolescent age group