DUE IN 16 HOURS

Instructions: Your Research Study Selection

In this assignment you will choose a study from the folder of selected studies and identify the key components of a research study.

Review Experimental and Quasi-experimental studies in chapter 21 of your textbook for definitions and specific types of experimental and quasi-experimental studies.

This assignment is due at the end of Week Two.

Directions:

Select a nursing research study from the folder of studies  and upload it in the assignment.

In the text box identify:

1. The study “Method” and  “Design”

2. Problem Statement 

3. Purpose Statement 

4. Independent Variable and the Dependent Variable 

5. The intervention 

6. The hypothesis or research question. 

This selection will be the study you use for your final project.

THIS ASSIGNMENT IS WORTH 5% OF YOUR GRADE 

Quantitative and qualitative techniques are the main approaches used to evaluate evidence in nursing research (Liddle, Williamson & Irwig, 2016). Quantitative technique entails assessment of data and comparison of various measures used in the research study. Metrics applied in quantitative method of evidence evaluation include standard deviation, mean or average, as well as other statistical parameters. In addition, quantitative criteria is a measurable formal tool used for predicting, and ensures objectivity of both the results and applied variables.

Conceptual framework in respect to qualitative methods of evaluating evidence involve assessment of the process, meanings, experiences, and perceptions that study subjects including patients with reference to a particular variable under evaluation (Jake-Schoffman, Silfee, Waring, Boudreaux, Sadasivam, Mullen & Pagoto, 2017). However, qualitative approach is not used in measurable parameters. Nevertheless, in order to analyze the relevance of evidence, interpretation we use of emphatic comprehensions. The above implies that the findings and variables relies on the context of research study.

References

Liddle J, Williamson, M, & Irwig, L. (2016). Method for evaluating research and guideline evidence. Sydney: NSW Health Department.

Jake-Schoffman, D. E., Silfee, V. J., Waring, M. E., Boudreaux, E. D., Sadasivam, R. S., Mullen, S. P. … & Pagoto, S. L. (2017). Methods for evaluating the content, usability, and efficacy of commercial mobile health apps. JMIR mHealth and uHealth, 5(12), e190.

REPLY2

In conducting a research, the researcher often needs evidence from a variety of articles, journals, and/or other studies to direct, guide, and support his or her research. However, it is not every evidence that the researcher finds online, in journals, or in the library that can provide valuable evidence in research. In other words, evidence must be reliable and valid before it can be used in research, and must take the study’s methodology, as well as other important factors into consideration (East Carolina University Libraries, 2020).

Two different methods for evaluating evidence would include criteria pertaining to publication characteristics and criteria pertaining to study design and relevance to the study and variables of interest (Treadwell et al, 2011). Evaluating evidence through its publication characteristics involves determining the source or evidence is peer-reviewed or whether it is a practice-based publication that publishes expert opinions about a specific issue. Another publication characteristic that must be considered when evaluating research evidence is the year of publication. Evidence published not more than five years ago are considered more appropriate than older evidence. Lastly, language of publication should also be considered when evaluating research evidence because of translation problems. On the other hand, evaluating evidence through the study design and study relevance criteria involves determining the kinds of research methodology used in the evidence and the relevance of such evidence to your own study or in explaining your variables of interest, and the applicability of such evidence to nursing practice. The hierarchy of research designs and levels of scientific evidence suggests that Meta- Analysis Systematic Reviews and Randomized Controlled Trials provide a more reliable and valid evidence in nursing research (Bowen and Forrest, 2017).

                                                                                    References

Bowen, D. M., & Forrest, J. L. (2017). Translating Research for Evidence-Based Practice. Access, 10–14.

East Carolina University Libraries. (2020). Evidence-Based Practice for Nursing: Evaluating the Evidence. Available from: https://libguides.ecu.edu/c.php?g=17486&p=97640

Treadwell, J. R., Singh, S., Talati, R., McPheeters, M. L., Reston, J. T. (2011). A Framework for “Best Evidence” Approaches in Systematic Reviews [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2011 Jun. Available from: https://www.ncbi.nlm.nih.gov/books/NBK56653/

1. Examine this case study through the dependency cycle model (Fig. 14.3). The outer arrows show a progression through varying stages of dependency. The inner circle represents who can be involved in the dependency cycle. Where are Jane and Dan in this cycle?

2. Using the basic dependent-care system model (Fig. 14.4), assess Dan and Jane. Identify the basic conditioning factors (BCFs) for each. What is the effect of Dan’s BCFs on his self-care agency? Is he able to meet his therapeutic self-care demands? Continue on to diagnose Dan’s self-care deficit and resulting dependent-care deficit. Now assess Jane’s self-care system.

3. Design a nursing system that addresses Jane’s self-care system as she increases her role as dependent-care agent for Dan.

“Nurses are often placed in situations where they are expected to be agents for patients, physicians, and the organization simultaneously, all of which may have conflicting needs, wants, and goals.” Marquis, p. 84.

     You are the evening shift charge nurse of the postanesthesia care unit (PACU).  You have just admitted a 32-year-old woman who 2 hours ago was thrown from a Jeep in which she was a passenger.  She was rushed to the emergency department and subsequently to surgery, where cranial burr holes were completed and an intracranial monitor was placed.  No further cranial exploration was attempted because the patient sustained extensive and massive neurologic damage. She will probably not survive your shift.  The plan is to hold her in the PACU for 1 hour and, if she is till alive, transfer her to the intensive care unit (ICU). 

     Shortly after receiving the patent, you are approached by the evening house supervisor, who says that the patient’s sister is pleading to be allowed into the PACU.  Normally, visitors are not allowed into the PACU when patients are being held there only temporarily, but occasionally exceptions are made.  Tonight, the PACU is empty except for this patient.  You decide to ben the rules and allow the young woman’s sister to come in.  The visiting sister is near collapse; it is obvious that she had been the driver of the Jeep.  As the visitor continues to speak to the comatose patient, her behavior and words make you begin to wonder if she is indeed the sister. 

     Within 15 minutes, the house supervisor return and states, “I have made a terrible mistake.  The patient’s family just arrived, and they say that the visitor we just allowed into the PACU is not a member of the family, but it’s the patient’s lover.  They are very angry and demand that this woman not be allowed to see the patient. 

     You approach the visitor and confront her in a kindly manner regarding the information that you have just received.  She looks at you with tears streaming down her face ans says, “Yes, it is true.  Mary and I have been together for 6 years.  Her family disowned her because of it, but we were everything to each other.  She has been my life, and I have been hers.  Please, please let me stay.  I will never see her again.  I know the family will not allow me to attend the funeral.  I need to say my goodbyes.  Please let me stay.  It is not fair that they have the legal right to be family when I have been the one to love and care for Mary.”

Instructions:

1. You must decide what to do.  Recognize that your own value system will play a part in your decision.  
   1. List several alternatives that are available to you.
   2. Identify which ethical frameworks or principles most affected your decision making.  
2. Decide whether this could cause you “moral distress” if you were the nurse taking care of this patient.  Elaborate on why this is the case…
3. Answer the questions as thoroughly and concisely as possible.
   1. Be sure to reference any works that you utilize in answering the questions (Be sure that references are in APA format).