NR 439 Week 1: Role of Research and the Importance of the Searchable Clinical Question
Chamberlain University NR 439 Week 1: Role of Research and the Importance of the Searchable Clinical Question– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 439 Week 1: Role of Research and the Importance of the Searchable Clinical Question assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NR 439 Week 1: Role of Research and the Importance of the Searchable Clinical Question
Whether one passes or fails an academic assignment such as the Chamberlain University NR 439 Week 1: Role of Research and the Importance of the Searchable Clinical Question depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NR 439 Week 1: Role of Research and the Importance of the Searchable Clinical Question
The introduction for the Chamberlain University NR 439 Week 1: Role of Research and the Importance of the Searchable Clinical Question is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
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How to Write the Body for NR 439 Week 1: Role of Research and the Importance of the Searchable Clinical Question
After the introduction, move into the main part of the NR 439 Week 1: Role of Research and the Importance of the Searchable Clinical Question assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NR 439 Week 1: Role of Research and the Importance of the Searchable Clinical Question
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NR 439 Week 1: Role of Research and the Importance of the Searchable Clinical Question
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NR 439 Week 1: Role of Research and the Importance of the Searchable Clinical Question
According to CCN 2017 week 1 lesson, evidence can form the basis of best practices for the nursing process (assessment, diagnosis, planning, implantation and evaluation). As we consider the who, what, where, when, why and how of the situation, we begin to formulate a clinical question that addresses these queries. The PICOT format is a way to develop a clinical question that leads itself to searching for evidence. PICOT is an acronym for:
P= Population of interest
I= Intervention of interest
C= Comparison of interest
O= Outcome of interest
T Time
The case study of a 57 year old female with a 13 year history of diabetes who presented to the hospital due to failure of oral hypoglycemic agents (OHAs) in controlling her sugar levels, for the last 3 years, and was using biphasic insulin aspart 30/70 for treatment. She is a regular swimmer and socially very active, which led to her to have irregular meals and so often goes into frequent hypoglycemia. Her lifestyle, eating habits, and the use of biphasic insulin are the contributing factors of her uncontrolled diabetes and hypoglycemia. In addressing this case study, I will formulate the PICOT as follows:
P= 57 year old female with 13 years history of diabetes
I=Teaching regarding diabetic management
C=No teaching regarding diabetic management
O=Improvement in diabetic management and reduction of diabetic crisis
T=Daily monitoring of fasting blood-sugar and postprandial blood-sugar levels x 3 months and monitoring HA1C levels every 3 months. Assessment of knowledge about diabetic management.
Clinical question after PICOT format:
1. Etiology and assessment: Does lifestyle (irregular meals )and biphasic insulin aspart 30/70 causes hypoglycemia on the female.
Treatment and Prognosis: With lifestyle modification(regular meals), teaching on diabetic management and insulin degludec help in controlling the ladies diabetes by maintaining her blood-sugar levels and HA1C within normal limits?
References
CCN (2017). Week 1 Lesson. NR-439 RN Evidence-Based Practice. Online lesson. Downers Grove, IL: DeVry Education. Group.CCN (2016).
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Sample Answer 2 for NR 439 Week 1: Role of Research and the Importance of the Searchable Clinical Question
“The PICO(T) format is a way to develop a clinical question that lends itself to searching for evidence. PICO(T) is an acronym for
P = population of interest
I = intervention of interest
C = comparison of interest
O = outcome of interest
T = time”. (Lesson, week 1)
“Research is used as evidence in the evaluation and determination of best nursing practices. Nurse researches use a variety of methods to generate new knowledge or summarize existing study results”. In one of the given scenarios, we will try to generate new knowledge about the effects of the new medication. (Houser. 2018).
I chose the scenario about a 6 year old boy.
P=a 6 year old type 1 diabetic boy.
I=Using the new medication-Degludec/injection tresiba.
C=Standard IV insulin basal bolus therapy.
O=The diabetes type 2 stable control was achieved, with no reported hypoglycemic reaction, and diet compliance was achieved.
T=3 months.
My question is in assessment. Assess if the new medication can control diabetes type 2 with no episodes of hypoglycemia for 3 months.
According to the text, a 6 year old type 1 diabetic boy experienced the side effects from the standard IV insulin basal bolus therapy that he is usually getting. According to S. Kumar. (2015) “Tight glycemic control in type 1 diabetes mellitus patients is associated with the risk of hypoglycemia”. The major side effect in this study, were two severe hypoglycemic reactions. The other inconveniences were frequent blood glucose monitoring, severe anxiety, depression and frustration of the client and his parents. Our assessment is based on the results that we get over the period of three months, after the client and his parents agree to start the new medication Degludec. As we can see, the client’s blood glucose level has become stable, client demonstrates diet compliance, no hypoglycemic reactions were reported over the period of three months. The client can monitor his blood sugar level only once a day. The client is happier in his life, no anxiety or depression were reported. We conclude that the new medication Degludec can definitely control diabetes type 2 with no episodes of hypoglycemia for at least three months.
References:
Chamberlain College of Nursing. (2017). Week 1: Introduction to Evidence-Based Practice: Basic concepts.
Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). The importance of research as evidence in nursing. What is nursing research? pp.5.
Kumar, S. (2015). Type 1 diabetes mellitus-common cases. Indian Journal of Endocrinology& Metabolism, 19, S76-S77. Retrieve fromhttp://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=102354944&site=eds-liv
Sample Answer 3 for NR 439 Week 1: Role of Research and the Importance of the Searchable Clinical Question
“The accountability for transferring research to the bedside lies with nurses” (Houser.,.pp.475).
In our lesson this week PICO(T) questioning helps give us the framework for asking research questions with clarity. The case study of an 80-year old retired army officer, staying alone with Type 2 diabetes for the past 12 years. Despite the patients renal function test being normal he was still getting attacks of hypoglycemic episodes. The patient is on oral hypoglycemic medications along with insulin injections that he receives from an attendant, that is not present on weekends and holidays.
P (Population of Interest) = An 80-year old male with a 123 year history of type 2 diabetes.
I (Intervention of Interest) = Decrease episodes of hypoglycemia when patient is alone with the introduction of Insulin degludec, a 48 hour acting insulin.
C (Comparison of Interest) = Standard Sub-Q insulin therapy with sliding scale.
O (Outcome of Interest) = Desired diabetic control without any hypoglycemic events.
T (Time) = No specific time noted.
The focus of my question was on treatment. How can we manage an 80-year old mans hypoglycemia when he is alone and dependent on an attendant to administer his insulin shots? Giving the patient a 48 hour acting insulin and modifying his diet, improved his overall A1C and gave desired results of no hypoglycemic episodes when his attendant was not able to be there.
Thank you!
References
Houser,J., (2018). Nursing Research: Reading, Using and Creating Evidence. 4th Edition. Burlington, M.A: Jones & Bartlett Learning.
Kurmar,S., (2015). Type 1 diabetes mellitus-common cases. Indian J. Endocr Metab 2015; 19:76-7.
Sample Answer 4 for NR 439 Week 1: Role of Research and the Importance of the Searchable Clinical Question
According to this week’s lesson, “Evidence can form the basis of the best practices for the nursing care process, including assessment diagnosis, planning, implementation, and evaluation” (CCN, 2016). Today, there is a push for better healthcare, better delivery, and better technology. Our profession is constantly looking for the best practice and look to Evidence Based Practice to guide us in the right direction. At my currently position I do not have a large hand in changing the care we deliver. As new ideas come across based on EBP our unit (L&D) take them to the manager for further review. These ideas are then passed to Perinatal Committee before being implemented into our unit.
Looking at the case study for this week evidence is gathered about Mary to provide the best practice for her nursing care. “Finding and developing significant problems for nursing research is critical to improving processes and outcomes for patients, nursing staff, organizations, and communities” (Houser p. 77). Clinical questions that could be asked regarding Mary’s case study would be:
- Does physical activity and diet effect blood sugars in diabetic patients? This questions focuses on treatment ad prognosis. As nurses we are aware how diet and physical activity effects diabetic patients. This question can be used in reference to treatment and prognosis as an education tool for Mary and her risks in regards to her lifestyle choices.
P- Diabetic patients
I- Does diet and physical activity effect blood sugars
C- Diet and physical activity vs sedentary lifestyles in diabetic patients
O-Improve diet and physical activity to improve blood sugars in diabetic patients
T- No time noted.
- For patients with co-morbidity does the use of discharge programs reduce the risk of hospital readmission rates compared to no discharge programs? This question focuses on treatment of Mary. Hospital discharge programs and f/u would potentially decrease hospital readmission by addressing s/s in a timely fashion and addressing additional educational needs.
P- Patients with co-morbidity
I- Does discharge programs decrease hospital readmission rates with patients with co-morbidity?
C-hospital readmission rates without discharge programs.
O- To decrease hospital readmission with hospital discharge programs and patient f/u.
T- No time noted.
References:
Chamberlain College of Nursing. (2017). NR439 Evidence- Based Practice: Week 1 Lesson. Downers Grove IL: Online Publication
Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4rd ed.).