Archive for month: October, 2018

Personal Ethics
Order Description
After reading the Topic 1 materials, complete the questionnaire titled, “My Nursing Ethic.”

Using the reading and the questionnaire, write a paper of 750-1,000 words in which you describe your professional moral compass. As you write your paper, include the following:

What personal, cultural, and spiritual values contribute to your worldview and philosophy of nursing? How do these values shape or influence your nursing practice?
Define values, morals, and ethics in the context of your obligation to nursing practice. Explain how your personal values, philosophy, and worldview may conflict with your obligation to practice, creating an ethical dilemma.
Reflect and share your own personal thoughts regarding the morals and ethical dilemmas you may face in the health care field. How do your personal views affect your behavior and your decision making?
Do not be concerned with the use of ethical terminology for this paper.

Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center.

Instructions: A major skill that is learned in this course is how to critically read and critique nursing research articles. The purpose for critiquing an article is to critically evaluate the research process followed by the author(s) of the assigned article. This is an information-intensive, time-intensive process that is not learned overnight. To demonstrate your skill at critiquing an article, you will complete this open-book multiple choice assignment.
Here’s how you should approach completing this week’s assignment to finish critiquing an article:
1. First, do your assigned reading in Grove, Gray, and Burns (2015) and complete the reading worksheets early in the week. This will introduce you to the critique skills you will need for the week.
2. Skim the entire instructor assigned research article that has been posted on Blackboard for you so that you will have an idea of what it is about. Lightly cross out the abstract for the article (you won’t be using it). Then, for this week, re-read carefully the methods, results, discussion, implications, and conclusions sections of the article again.
3. Print this document and find the best answer to each question below based on your Grove, Gray, and Burns (2015) assigned reading for the week and what you have read in the instructor assigned research article.
4. Some of the questions in the critique assignment below will seem unfamiliar to you. Look up key terms from the question in your textbook. Some examples of these terms might be: power analysis, inter-rater reliability, and generalization. You can also look in Chapter 12 for an example of a critical appraisal (or critique) of a quantitative research article.
5. Once you have completed this assignment “on paper”, go into blackboard and enter your answers by the assignment due date and time listed in the syllabus. Ignore any wording from Blackboard that indicates that “this is a test” and carefully enter your answers from this document.
6. You will have two access attempts to record your answers. This is given to you so that if you encounter technical difficulties on your first attempt, you will have another attempt to enter your answers successfully.
If you have questions about this assignment, you can post them to your group discussion board for help. Please do not post the exact question from the assignment below and ask the group for the answer as this would constitute academic dishonesty.

Questions 1 – 9: Sample. (For help with these questions, refer to chapters: 9 & 12)
1. What sampling method or plan was used by the authors in this study?

a. simple random sampling
b. systematic sampling
c. convenience sampling
d. network sampling
e. none of the above

2. According to Grove, Gray, and Burns (2015), what are the potential biases of this sampling method?

a. this is a strong probability sampling method with very little potential for bias
b. this method is used when an ordered list of all members of the population are available, and
provides a random but not equal chance for inclusion in the study.
c. this method provides little opportunity to control for bias because subjects are included in
the study merely because they happen to be in the right place at the right time.
d. this method is specific to the individuals who were recruited and the information gained
cannot be generalized to others who don’t share these types of experiences.
e. none of the above biases best describe the sampling method chosen by the author.

3. What was the final sample size reported by the authors for this study?

a. 193
b. 152
c. 125
d. 100

4. Was a power analysis conducted? If so, which statement best describes the results of the power analysis?

a. The authors indirectly mention that a power analysis was conducted by describing the desired effect size, alpha, and power desired.
b. The authors mention that a power analysis was conducted, and 193 subjects were
determined to be needed for the study.
c. The authors do not report that a power analysis was conducted.

5. Which of these statements would be considered to be an inclusion criterion for the sample in the research article? (select all that apply).

a. The author did not report inclusion criteria.
b. Older than 18 years old.
c. First time clinical presentation of stroke.
d. Satisfactory cognitive function as recorded on the Scandinavian Stroke Scale

6. Which of these statements would be considered to be an exclusion criterion for the sample in the research article?

a. The patient is cognitively incompetent.
b. The patient has satisfactory cognitive function determined by the Scandinavian Stroke Scale.
c. First time clinical presentation of stroke.
d. The author did not report exclusion criteria.

7. What is the refusal rate for this study? (Hint: see page 253 in your text)

a. 125/152 X 100% = 82%
b. The authors did not report an acceptance rate.
c. 27/152 X 100% = 18%
d. 6

8. Which of the following would be accurate for the attrition rate for this study?

a. 19/119 X 100% = 16%
b. 100/119 X 100% = 84%
c. 125/152 X 100% = 82%
d. There is no attrition rate recorded for this study because it is a cross-sectional study.

9. What was the setting for this research study? Briefly describe the setting and indicate whether it was appropriate for conducting this study.

a. The setting for this study was a natural or field setting and was appropriate for this study’s research design.
b. The setting for this study was a partially controlled setting and was appropriate for this study’s research design.
c. The setting for this study was a highly controlled setting and was appropriate for this study’s research design.
d. The setting for this study was not well described by the authors and therefore not appropriate for conducting this study.

Question 10 – 14: Measurement Methods. (For help with these questions, refer to chapters 10 & 12.)

10. Which of these questionnaires, scales, or physiologic measures are used in this research study? Select all that apply.

a. The Beck Depression Inventory (BDI)
b. Physical Functioning (PF) from the Short Form-36, acute version (SF-36-A)
c. The Pittsburgh Sleep Quality Index (PSQI)
d. Motionlogger Actigraph (AA-32)

11. How do the authors describe the CURRENT reliability of The Pittsburgh Sleep Quality Index (PSQI)?

a. they compared two pencil and paper forms of the test to determine their equivalence
b. they compared two observers of the same group of subjects to determine their equivalence
in making observations
c. they tested the current group of subjects twice using the same questionnaire or scale.
d. they computed a Cronbach’s alpha on the questionnaires that were administered to this
group of subjects.

12. How do the authors describe the validity of Physical Functioning (PF) from the Short Form-36, acute version (SF-36-A)?

a. content validity
b. evidence of validity from contrasting groups
c. evidence of validity from convergence
d. evidence of validity from divergence
e. the authors did not describe the validity of this questionnaire using any of these methods.

13. Did the authors develop a questionnaire or survey for this research study?

a. No, they used only previously developed questionnaires or surveys.
b. Yes, they developed their own questions to ask about demographic information.
c. Interviews were reportedly used, but the authors do not expound on what was included.
d. Yes, they reported adding a few of their own “short-answer” questions at the end of the
questionnaire.
e. Yes, they developed the Sleep-Awake Questionnaire.
f. This study did not use any questionnaires or surveys.

14. Did the authors use any physiological measurements in this study?
a. Yes
b. No

Question 15- 16: Data Collection. (For help with these questions, refer to chapters 10 & 12)

15. Which of the following best describes the data collection process used in this study. Select all that apply.

a. questionnaires / surveys were completed and returned to the researchers
b. questionnaires / surveys were completed via the internet
c. data was collected by two of the authors or a trained research assistant (all nurses)
d. trained observers watched the subjects and collected the data
e. nurse researchers interviewed the study participants
f. questionnaires / surveys were completed via the telephone

16. If there were more than one data collector for the study, would an estimation of inter-rater reliability be an important concept for the authors to report on for this study?

a. yes, and the authors reported their efforts to achieve inter-rater reliability.
b. yes, but the authors do not discuss any efforts to achieve inter-rater reliability.
c. no, the issue of inter-rater reliability does not apply here.

Question 17 – 19: Data Analysis. (For help with these questions, refer to chapters 11 & 12)
17. What descriptive statistics are used in this study? Select all that apply.

a. mean
b. median
c. mode
d. range
e. standard deviation
f. scatterplot
g. standard error of the mean

18. What inferential statistics are used to examine the data obtained from the subjects? Select all that apply.

a. Pearson’s Product-Moment Correlation
b. Factor Analysis
c. Regression Analysis
d. Chi-Square
e. ANCOVA
f. ANOVA
g. t-Test
h. None of the above inferential statistics were used in this study.

19. What is the level of significance (alpha) set at for this study? ( Hint: is there an alpha given under the
tables?)

a. .05 or 5%
b. .10 or 90%
c .01 or 1%
d. a level of significance was not specifically mentioned by the author.

Question 20-25: Researcher’s Interpretation of the Findings. (For help with these questions, refer to chapters 11 & 12)

20. There are many significant findings in this study. Which of these statements from the article would be considered a significant and predicted result? Select all that apply.

a. Women reported better sleep quality at the 6-month follow-up than in the acute phase of
stroke (t = 2.36, p =0.02)
b. Women reported worse habitual sleep efficacy than men based on PSQI scores
(t = -2.81, p = 0.01)
c. Subjective sleep quality was poorer overall (for both men and women) at the 6 month
follow-up.
d. None of the above.

21. Which one of these statements from the article would be considered a non-significant result.

a. Women reported better sleep quality at the 6-month follow-up than in the acute phase of
stroke (t = 2.36, p =0.02)
b. Women sleep more minutes each night in the acute phase of stroke based on actigraphy than men.
c. There were no non-significant results reported in this study.
d. None of the above.

22. Which one of these statements from the article would be considered clinically important?

a. Nurses should screen for sleep disturbances after a stroke.
b. The environment is not important for sleep hygiene of the stroke patients in the acute
phase.
c. Men should get more sleep than women during the day.

23. Which one of these statements from the article would be considered a limitation of the study?

a. This study has shown that subjective and objective measures of sleep are not always comparable after a stroke.
b. The size of the sample was not sufficient for evaluating the impact of stroke type and
location on sleep.
c. Using a longitudinal design is a weakness of the study.
d. There are no limitations discussed in this study.

24. Which one of these statements from the article would be considered a statement regarding
generalization of these results?

a. The sample consists of stroke survivors without severe disabilities and results cannot be
generalized to persons with severe disabilities.
b. The sample consists of stroke survivors without severe disabilities and results can be
generalized to persons with severe disabilities.
c. Due to the function of actigraphy, being awake at night and inactive may underestimate
sleep time.
d. Since women report better sleep quality, they need fewer minutes of sleep per night.

25. Which one of these statements from the article would be considered a recommendation for future studies?

a. Nurses should screen for sleep disturbances after a stroke.
b. Further studies on the role of sleep quality and the effect on rehabilitation after stroke are needed.
c. Even if this convenience sample appears to have characteristics in common with the target
population, the views of non-responders are unknown.
d. The authors did not give any recommendations for future studies

Public Health/ Nursing Theory

Order Description
Benchmark Assignment: Applying Theory to a Practice Problem: Part 3: Application of Borrowed Theory to Problem and Conclusion
It is important to understand how borrowed theory can help you in your everyday environment as a nurse. In the previous assignment, you identified a practical problem that emerged from the evidence in the extant literature or professional practice, and you explored how middle-range theory could be applied to solve the problem. In this assignment, you will explore and apply borrowed theory to solve the specific problem that you identified previously, and you will synthesize the applications of the middle-range theory and the borrowed theory into the most appropriate solution to the problem.

DIRECTIONS:

Consider the problem that you described in the previous assignments and the instructor feedback about those assignments.

Write a paper (1,700 words) that describes how borrowed theory can be applied to the identified problem. The paper should include the following:

A brief summary of the problem including the potential middle-range theory that could be applied.
A description of a borrowed theory that could be applied to the problem. Is this borrowed theory appropriate to your identified problem?
A brief history of the borrowed theory’s origins.
A discussion of how the borrowed theory has been previously applied.
A discussion of the application of the borrowed theory to the identified problem. How would your practice change by incorporating this theory?
A discussion of how application of both the borrowed theory and the middle-range theory can be integrated to create the most appropriate solution to the identified problem.
Prepare this assignment according to the APA 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 Turnitin.
USE RUBRIC PLEASE
A summary of the problem including the potential middle-range theory that could be applied is thoroughly presented with rich detail and includes all necessary elements. 5%
70.0 %Content
A description of a borrowed theory that could be applied to the problem is thoroughly presented with rich detail and includes all necessary elements.5%
15% A history of the borrowed theory’s origins is present, thorough, and well-detailed. The description is well supported with current and/or seminal research
15% A discussion of how the borrowed theory has been previously applied is present, thorough, and well-detailed. The description is well supported with current and/or seminal research
15% A discussion of the application of the borrowed theory to the identified problem is present, thorough, and well-detailed. The description is well supported with current and/or seminal research
15% A discussion of the integration of the borrowed theory and the middle-range theory is present, thorough, and well-detailed. The description is well supported with current and/or seminal research.
20.0 %Organization and Effectiveness

7.0 %Thesis Development and Purpose
10.0 %Format

5.0 %Paper Format (use of appropriate style for the major and assignment)
8% Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Application of Middle-Range Theory to ProbleM
Name: Ngulefac Richard Achaleke

Influenza is a very common disease that needs attention in the medical field. Mandatory immunization of HCP against influenza is an area that have been severally covered in the current literature. I have also experienced this practice in the course of my nursing professional practice. Ultimately, this paper concludes in line influenza vaccination policy among HCP.
The mortality rate of influenza victims continues to rise especially during the influenza pandemic. For instance there were a considerable number of people who died because of influenza and especially the Spanish flu that claimed the life of 20million people. Therefore, there is a great need to create influenza awareness and find remedies to address this problem. One way is to introduce mandatory health care personnel vaccination against influenza. Mandatory care personnel vaccination against influenza is a problem that needs to be addressed to ensure that it is implemented and well established in healthcare setting (Goldsmith, 2011).
Middle-range theories are made up of an inadequate number of ideas and proposal that are written at a comparatively tangible and precise level. Middle-range theories are created or tested by researching, and they are used as the confirmation for practice activities, such as evaluation and involvement. To be precise, middle range theories are the theories that lie between the trivial but essential working proposition that develop a number of research and the comprehensive methodical efforts to expand integrated theory that will clarify all the experiential uniformities of social behavior, organization and social change (Roy & Roy Adaptation Association, 2014).
One theory that could be used to address the above named problems is the intellectual capital theory. This theory is essential since it is able to provide conceptualization of the knowledge available within an organization and it explains the potential mechanisms that are responsible for the impact of that particular knowledge on the patient as well as the organization outcomes. The intellectual capital theory is a middle range theory since it has a limited number of concepts and propositions and it can be measured and tested in different context. The theory does propose meaningful interrelationships among characteristics within the work environment quality of patient care included (Meleis, 2010).
This theory emerged in the past decade and it was as a response to the ever growing realization of the importance of information and knowledge. The theory was conceptualized when the ideas of knowledge management and human capital became important part of organization discussion.
Intellectual capital theory has been used in different fields and especially the nursing field to conceptualize the source of nursing knowledge available within an organization and it also defines its relationship to patient and organization outcome. This theory has been very essential especially when it comes to guiding research on quality work environments and how such environment assists the administrative decision making to nursing human resource management and the continuing professional development (Roy & Roy Adaptation Association, 2014).
Therefore, the intellectual impact theory can be applied on the mandatory health care personnel vaccination against influenza. The theory will be able to be applied on the identified problem since it offers a conceptualization of the knowledge available within an organization and it explains the potential mechanisms that are responsible for the impact of that particular knowledge on the patient as well as the organization outcomes. Influenza as mentioned above has been the cause of great worry since it can even lead to death. This means that there is a need to gather more information on influenza and use this knowledge to find tangible solutions. Intellectual capital theory could greatly impact on the mandatory health care personnel vaccination against influenza .it will not only provide the needed information but it will also provide the theoretical framework and the practical means of how the mandatory health care personnel vaccination against influenza will be administered (Meleis, 2010). Through the intellectual capital theory the provided information on influenza will be tested and verified to ensure that the above named remedy is well utilized to combat influenza deaths and pandemics.
By incorporating intellectual capital theory on mandatory health care personnel vaccination against influenza the health organization will be assisted in the following ways. the doctors and the service providers will be made aware of the influenza its causes, symptoms, how it is treated, and curative and preventive measures among others. Most importantly, the service providers will be given tangible information on how to go about caring for people with influenza and also how to tackle the influenza pandemic. Furthermore, this theory will give comprehensive details on how to vaccinate against influenza. It is well put that influenza kills in millions and it is very hard to prevent its outbreak. Therefore, using intellectual capital theory will be of great importance since it will be giving some guidelines and policies on the already identified problem. Vaccination is the way to go when it comes to something that could bring so much problem and challenges in future. Intellectual capital theory will guide research pertaining to influenza and it will provide the much needed information about it. This way it will help to facilitate the combination of medication that could be used in vaccination to ensure that the influenza problem does not in any way cause havoc in the world (Goldsmith, 2011). This way quality environment will be created where influenza will become a history using the intellectual capital theory. It can be rare to find a study discussing health ailments without mentioning influenza or anything related to this disease. This paper also reviewed influenza statistics to indicate the need to adopt countermeasures of curbing influenza

References:
Goldsmith, C. (2011). Influenza. Minneapolis: Twenty-First Century Books.
Meleis, A. I. (2010). Transitions theory: Middle-range and situation-specific theories in nursing research and practice. New York: Springer Pub. Co.
Roy, C., & Roy Adaptation Association. (2014). Generating middle range theory: From evidence to practice. New York: Springer Pub.

Nursing Informatics application:Nursing Research

Paper details:

1. Complete the Chapter 26 Case Study (p. 462). During rounds Charles encounters a rare condition he has never personally seen, and only vaguely remembers hearing about in nursing school. He takes a few moments to prepare himself by searching the Internet. That evening, he researches even further to treat, administer, and assess the patient safely. He searches clinical databases online and his own school textbooks. Most of the information seems consistent, yet some factors vary. Charles wants to provide the highest quality in patient safety.

What should Charles do when he encounters information in two sources that is directly contradictory?
Which resources are the most trusted?
Which resources are the most accurate?
What criteria should Charles use to identify credible resources to enhance his clinical practice?
2. Practice extracting data from a database at the National Cancer Institute (NCI) State Cancer Profiles web site:

Compare data from at least 2 different states
Search for incidence by gender
Search for incidence by race/ethnicity
3. Visit the National Guidelines Clearinghouse web site:

Type ‘nursing’ in the search box to limit the results to those that are within the boundaries of nursing practice
Choose one of the guidelines and describe how it was developed and summarize the practice recommendations
How are these recommendations similar to or different from those contained in your textbook or those currently practiced in your clinical setting?
Choose a clinical topic and design a search strategy for searching an online database such as CINAHL or MEDLINE. Reflect on your search strategy, for example, what search terms did you initially use, what new terms did you discover as you searched, how did you limit/refine your search?
please put in microsoft word document, apa format, at least 2 citations and less than 20 percent plagarism.

Critical reflection of my values,belief and mandate regarding leadership in nursing.

Order Description
. LEADERSHIP PAPER (20%): March 8th

In this individual written assignment (not a group assignment), you will clarify your current values/beliefs, vision, and mandate regarding leadership in nursing and you will critically analyze the fit between your current perspectives and the literature – both course materials and outside sources in each of the 3 parts of the assignment. The 1st part is about your own values and beliefs, so it is very personal but then, as with all three sections, you also need to situate it within the literature to demonstrate how you fit or do not fit with the literature. The 2nd part is much broader and is about your ideal vision related to leadership in nursing as a profession. The 3rd part is about what you think you yourself should be doing in order to live out your values/beliefs about leadership within the context of your vision for nursing. For example, as an educator who believes in the importance of facilitating a student’s growth then I would need to describe ways in which I do just that.

Remember to relate all of your reflections to the literature, even though you also will be writing about your personal beliefs and so on. The critical analysis is crucial. It is expected that you use the literature from course materials (text book chapters and required articles that we have covered by the date the paper is due), but additional new material should also be sought. The new material must be current (preferably no more than 5 years old, but definitely not older than 10 years) and relevant, so only about nursing leadership.

Your paper about leadership in nursing should be no more than 5 typed pages double-spaced (excluding cover sheet and references) and must follow APA format, including a cover page and judicious use of headings. Please become familiar with the APA materials that I have posted on Moodle and use them to ensure you follow correct APA style. The APA folder within the Introduction folder even contains an example cover page and first page that you could use as a template for how to format your assignment. The references within this course are in APA format and I recommend you use them as your template for references. I prefer that you single-space your references, similar to the format in this course outline, as it saves space and pages.

Depth of analysis is essential, so be careful to explore each area; this paper is not simply a personal reflection. Your grade will reflect the extent to which you meet the following criteria:

• Level of critical reflection in a) how you describe your personal values and beliefs about leadership in nursing, i.e., what is important to you from a personal level when nursing with persons you are leading, and b) relate to the literature (both course and new material).
• Level of critical reflection in a) how you describe your vision related to leadership in nursing as a profession, i.e., what you envision the practice of leadership in nursing should be, and b) relate to the literature (both course and new material).
• Level of critical reflection in how you a) describe your mandate as a nurse within the context of your own values/beliefs and your vision for nursing leadership, i.e., your personal policy or course of action in providing and promoting leadership in nursing, and b) relate to the literature (both course and new material).
• Coherence, flow, and clarity of paper as per APA; relevant and accurate use of headings; accurate citation of references according to APA; no more than 10 references in total for this paper; follows other APA format, e.g., running head, 2 spaces between sentences, etc.

G. Course Reading Materials

Required text.

Gaudine, A., & Lamb, M. (2015). Nursing leadership and management: Working in Canadian health care organizations. Toronto, ON: Pearson.

NB: This book will be used extensively in class and for student evaluation.

Recommended text.

American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.

Required articles (12 references).

Cutcliffe, J., & Cleary, M. (2015). Nursing leadership, missing questions, and the elephant(s) in the room: Problematizing the discourse on nursing leadership. Issues in Mental Health Nursing, 36(10), 817-825. doi:10.3109/01612840.2015.1042176

Ellis, P., & Abbott, J. (2013). Leadership and management skills in health care. British Journal of Cardiac Nursing, 8(2), 96-99. doi:https://dx.doi.org/10.12968/bjca.2010.5.4.47424

Frederick, D. (2014). Bullying, mentoring, and patient care. AORN Journal, 99(5), 587-593. doi:https://dx.doi.org/10.1016/j.aorn.2013.10.023

Gottlieb, L. N. (2014). CE: Strengths-based nursing: A holistic approach to care, grounded in eight core values. American Journal of Nursing, 114(8), 24-32 (+ CE exam: 33, 36). doi:10.1097/01.NAJ.0000453039.70629.e2

Gottlieb, L. N., Gottlieb, B., & Shamian, J. (2012). Principles of strengths-based nursing leadership for strengths-based nursing care: A new paradigm for nursing and healthcare for the 21st century. Nursing Leadership, 25(2), 38-50. doi:10.12927/cjnl.2012.22960

Hutchinson, M., & Hurley, J. (2013). Exploring leadership capability and emotional intelligence as moderators of workplace bullying. Journal of Nursing Management, 21(3), 553-562. doi:10.11111j.1365-2834.2012.01372.x

Makaroff, K. S., Storch, J., Pauly, B., & Newton, L. (2014). Searching for ethical leadership in nursing. Nursing Ethics, 21(6), 642-658. doi:10.1177/0969733013513213