NR 439 Week 4 Discussion: Designs – A Plan to Study for the Truth (graded)
Chamberlain University NR 439 Week 4 Discussion: Designs – A Plan to Study for the Truth (graded)– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 439 Week 4 Discussion: Designs – A Plan to Study for the Truth (graded) 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 4 Discussion: Designs – A Plan to Study for the Truth (graded)
Whether one passes or fails an academic assignment such as the Chamberlain University NR 439 Week 4 Discussion: Designs – A Plan to Study for the Truth (graded) 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 4 Discussion: Designs – A Plan to Study for the Truth (graded)
The introduction for the Chamberlain University NR 439 Week 4 Discussion: Designs – A Plan to Study for the Truth (graded) 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 4 Discussion: Designs – A Plan to Study for the Truth (graded)
After the introduction, move into the main part of the NR 439 Week 4 Discussion: Designs – A Plan to Study for the Truth (graded) 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 4 Discussion: Designs – A Plan to Study for the Truth (graded)
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 4 Discussion: Designs – A Plan to Study for the Truth (graded)
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 4 Discussion: Designs – A Plan to Study for the Truth (graded)
Reflect on your learning about Quantitative and Qualitative research; share two ways that helped you understand how they are different.
The word “quantitative” to me is related to quantity or numbers, and the word of “qualitative” is related to quality. When I do grocery shopping, with same amount of money, I could buy two times volume on non-organic produce than organic produce (quantitative vs qualitative).
Professor Charneia’s example gives me a clear distinguish of these two terms. Quantitative study is a type of study conducted in a traditional method, it measures the identified variables of interest in a trust and valid way. (Houser, 2018). Quantitative research is a process of objectively collecting data and analyzing numerical data. Its’ goals are to test the relationships between variables, generalize results to audience (Houser, 2018). Quantitative research use satistics to identify the significant differences between groups of data. Quantitative research can be counted, measured, and represented with data. Quantitative research is structured, objective and conclusive.
Qualitative study is an exploratory study. It focuses on an understanding of underlying reasons, opinions, and motivations (Houser, 2018). Qualitative study provides insights of an issue, help the researchers to understand a situation, develop ideas. Qualitative study is a process of collecting, analyzing, and interpreting non-numerical data, such as concepts, and descriptions. It can be conducted through observations, interviews and case studies (Houser, 2018). The study usually uses open-ended questions, facilitates the responders to response with their own words. Qualitative study required less or no structure. It is interpretive and subjective (Houser, 2018).
Choose one category of study design that you found interesting and describe; include what you learned about the design and how you believe it can help study nursing problems.
Quantitative study interests me the most. This type of research is most useful in nursing evidence-based practice. It is used to improve nurses’ clinical intervention, and outcome. It allows nurses to determine if the intervention has resulted a desired effect or if the intervention is needed to be changed or modified. Through presenting numerical data, quantitative study answer questions about nursing intervention that can influence outcomes (Houser, 2018). Quantitative study offers strong evidence for the benefit of an intervention and the cause and effect in nursing practice, the vital of nursing evidence-based practice.
I used Quantitative study in my week 3 assignment. Through the accurate numeric data collection, valid measurements, and results analyzing, quantitative study provides trustworthy evidence of nursing intervention. Quantitative study is important due to its’ accurate approach for collecting and analyzing measurable data.
Refer back to your clinical nursing priority problem and evidence you located for your week 3 assignment: The nursing-evidenced practice (NEBP) committee has requested for you to make a recommendation to the team: Describe the type of research and the design that you believe would be the best way to study your problem. Discuss your rationale.
I chose the study of CAUTI as my nursing priority in my week 3 assignment. CAUTI is most prevalent hospital-associate infection (Woten, 2018). ICU patient has the highest risk of developing CAUTI. It is also preventable by nursing interventions. Quantitative approach is the most effective way to conduct this study. The numerical data accurately reflect the declined of CAUTI compared to standardized infection ratio, decreased ICU CAUTI incidents, and shorter in catheter days compared to without nursing interventions (Scanlon, 2020). Quasi-experimental design is the study of the cause and effect by using existing groups to test interventions. I believe this design best to fit my CAUTI research. My research goal is obtaining the most accurate data and prove that multimodal nursing intervention can effectively prevent and reduce CAUTI. It is one of our nursing optimal goals: provide patients with best evidence-based practice, prevent harm, and safe lives.
Reference
Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones and Bartlett.
Scanlon, K. A. (2020). Saving lives and reducing harm: A CAUTI reduction program. Nursing Economic$. May/Jun2017, Vol. 35 Issue 3, p134-141. 8p. 1 Diagram, 1 Chart, 4 Graphs., Database
Woten, M. & Mennella, H. National patient safety goals (The joint commission, 2018): selecting evidence-based measures to monitor catheter-associated urinary tract infections (CAUTIs)
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Sample Answer 2 for NR 439 Week 4 Discussion: Designs – A Plan to Study for the Truth (graded)
Question1.
Reflect on your learning about Quantitative and Qualitative research; share two ways that helped you understand how they are different.
Quantitative Research focuses on a traditional approach in which the environment is tightly controlled by the researcher. The variables are identified and measured in a reliable and valid way.
Qualitative Research focuses on the individual’s perception rather than that of the researcher. Qualitative research believes there is no one view of reality, but is the individual s perception of what is their reality.
Question2.
Choose one category of study design that you found interesting and describe; include what you learned about the design and how you believe it can help study nursing problems.
The category of design research I choose is the Experimental design. It refers to studies of causes and effects, which are usually under taken to determine the effectiveness of the intervention. Houser(2019). After going back and reviewing the literature, I feel the most suitable research is the mixed approach, which combines quantitative and qualitative elements it involves the description of the measurable state of a phenomenon and the individual subjective response to it. Houser(2018).This translates to patient satisfaction. The nurse/researcher establishes relationship/partnership with the common goal to assist the individual to a healthy state. In my area this means the delivery of a healthy mother and baby
Question 3
Refer back to your clinical nursing priority problem and evidence you located for your week 3 assignment: The nursing-evidenced practice (NEBP) committee has requested for you to make a recommendation to the team: Describe the type of research and the design that you believe would be the best way to study your problem. Discuss your rationale.
For the priority problem that I chose, excessive call light usage. I would suggest that the committee initiate the ‘Nurse hourly rounding survey’ on every patient admitted for delivery. The use of the patient care white board is where the hourly rounds will be marked off. The nurse checks each hour that she interacts with the patient. This is the opportunity for patient teaching and care assistance. The follow-up was conducted in postpartum, by the members of the committee members. 100/100 patients were surveyed about their perspective of their care they had received. The results improved by 38-40%, to 98-100% satisfaction with the Nurse hourly rounding. Patients were impressed by the personalized care they felt they had received. This is quantitative/ qualitative research. I would suggest that survey be initially conducted for 3-6 months and then compare them with the HCAPHS scores.
Reference
Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones and Bartlett.
Sample Answer 3 for NR 439 Week 4 Discussion: Designs – A Plan to Study for the Truth (graded)
Quantitative and qualitative traditions may seem diametrically opposed but really have much in common. The characteristics of one may overlap from one to the other. Both approaches are characterized by rigorous attention to the scholarly nature of the work. Both aim for reliability of results, confidence in the conclusions, and focus on creating credible evidence. Both research traditions also have a single goal. – to establish truth. (Houser, 2018)
How do they differ? Qualitative research is holistic in nature while quantitative research is particularistic. Quantitative questions usually start with a what and when, the focus is establishing a relationship between variables and measuring the probability that error was responsible for the outcome. Qualitative focuses on how effective interventions are in nursing and is not only the evidence of importance. (Houser 2018)
There are many considerations when making a choice in the general approach. It is important of ensure that there is a match between the problem and the approach.
I would recommend this approach to my committee. As I have outlined below this is an area of nursing that requires further research, but I believe that if nurses do make an attempt to provide an environment that promotes sleep, the outcomes could determine if it is worth attempting. We know that on patient surveys their perception of a nurse intervening to promote sleep will look good on a patient satisfaction survey, so in research we are looking for all the good outcomes an intervention will result in.
I believe the Quasi-Experimental could be used to determine if nursing interventions regarding promoting sleep in hospitalized patients could result in good research.
Quasi-experimental designs are similar to true experiments, but they lack random assignment to experimental and control groups. Quasi-experimental designs have a comparison group that is similar to a control group except assignment to the comparison group is not determined by random assignment.
Quantitative research involves identifying the variables, in my case as in regard to promoting sleep in hospitalized patients it would be the patients that are hospitalized, the interventions by the nurses to promote sleep and the outcome: Are the patients perceiving a better sleep with nursing interventions. Are the patients actually sleeping better and for longer duration and see if patients perceive their sleep is improved with the interventions noted. Studying the cause and effect in nursing practice is necessary and important for evidence-based practice. Quantitative approaches are suited well for answering questions about nursing interventions that can influence outcomes.
In a pilot study aiming to support sleep quality and duration during hospitalizations. The design used was the Quasi-experimental prospective study. The setting was an academic center. The patients were on the general medicine unit. The nurse delivered sleep promoting interventions augmented by sleep hygiene education and environmental control to minimize sleep disruption. The measurements were questions, daily sleep diary and actigraphy monitor.
Actigraphy is a non-invasive method of monitoring human rest/activity cycles. A small actigraph unit, also called an actimetry sensor, is worn for a week or more to measure gross motor activity. The unit is usually in a wrist-watch-like package worn on the wrist. So, I would first identify the patients that have sleep issues, and we could determine that with the Actigraphy monitor. We could then incorporate the interventions and see if their sleep patterns and duration changed by extrapolating the info from the actigraph unit. (up to date)
So, the conclusion in this study demonstrated that there is an opportunity to identify patients not sleeping well in the hospital. Sleep promoting initiatives both at the unit level as well as individualized offerings may improve sleep during hospitalizations. (Gathecha 2016)
However, in another study as we see the evidence below, so we do see that some interventions do make a difference. However, there is more need for research in this area of nursing.
Findings: Little evidence for the nursing interventions, sleep hygiene, music, natural sound and vision, stimulation of acupoints, relaxation, massage and aromatherapy are found. However, large effect size of interventions was found when using massage, acupuncture and music, natural sounds or music videos. The use of sleep hygiene and relaxation, on the other hand, Conclusion: The lack of high evidence strength for the nursing interventions together with the uncertainty about their effects calls for more research before implementing these interventions (Hellstrom 2011)
Gathecha E, Rios R, Buenaver LF, Landis R, Howell E, Wright S. Pilot study aiming to support sleep quality and duration during hospitalizations. J Hosp Med. 2016 Jul;11(7):467-72. doi: 10.1002/jhm.2578. Epub 2016 Mar 11. PMID: 26970217.
i Hellström, A. and Willman, A. (2011), Promoting Sleep by Nursing Interventions in Health Care Settings: A Systematic Review. Worldviews on Evidence‐Based Nursing, 8: 128-142. https://doi.org/10.1111/j.1741-6787.2010.00203.xLinks to an external site.nto clinical practice. Produced only small effects. (
Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed) Jones and Bartlett.
www.uptodate.com/contents/actigraphy-in-the-evaluation-of-sleep-disorders#!
Sample Answer 4 for NR 439 Week 4 Discussion: Designs – A Plan to Study for the Truth (graded)
I agree with you that excessive call light usage will lead to alarm fatigue. Just this week we had a patients family member put the call light on 3 times, while the patient wasn’t even in the room. After the 3rd time I had to explain to the visitor that if they needed anything that it was important for them to come out to the desk to ask a question. Their needs were wanting to know when the procedure would be done, if we could get them some water, and an update on the procedure.
To coincide with hourly rounding, I would like to see if there is data collected on rapid response and code blue calls when hourly rounding is present vs not. I have only ever worked in an ICU and in my current procedural area, so I am sure that hourly rounding on a floor is much more difficult with an increased number of awake, talking patients, but even more so then its important to notice the minor changes happening in a patient. I would also like to see if there is information related to excessive call light use and family initiated rapid response calls. We used a “Code H” where a family member can call the operator if they feel that there is something wrong with the patient that is not being addressed. I am not sure that we have it in place any more, but I could see this also leading to an alarm fatigue so to speak. In a study by Dwyer, et. al, (2020), the authors found that “communication issues were central to more than half the activations, 35% of cases required no clinical intervention, with communication alone sufficient to achieve resolution”. I feel that this goes along with your statement that sometimes our patients just feel forgotten about throughout the day.
Dwyer, T, Flenday, T, Khal, J, Quinney, L. (2020). Evaluation of a patient and family activated escalation system: Ryan’s Rule. Australian Critical Care. January 2020 33(1):39-46