NRS 445 For this discussion question, you will create a clinical guiding question known as a PICOT question

Grand Canyon University NRS 445 For this discussion question, you will create a clinical guiding question known as a PICOT question-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University NRS 445 For this discussion question, you will create a clinical guiding question known as a PICOT 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 NRS 445 For this discussion question, you will create a clinical guiding question known as a PICOT question                            

Whether one passes or fails an academic assignment such as the Grand Canyon University NRS 445 For this discussion question, you will create a clinical guiding question known as a PICOT 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 NRS 445 For this discussion question, you will create a clinical guiding question known as a PICOT question                          

The introduction for the Grand Canyon University NRS 445 For this discussion question, you will create a clinical guiding question known as a PICOT 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.

How to Write the Body for NRS 445 For this discussion question, you will create a clinical guiding question known as a PICOT question                          

After the introduction, move into the main part of the NRS 445 For this discussion question, you will create a clinical guiding question known as a PICOT 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 NRS 445 For this discussion question, you will create a clinical guiding question known as a PICOT 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 NRS 445 For this discussion question, you will create a clinical guiding question known as a PICOT 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 NRS 445 For this discussion question, you will create a clinical guiding question known as a PICOT question

Re: Topic 1 DQ 2

In Post post-surgical patients, how does early ambulation in first 12hours compared to delayed ambulation affect patient recovery?

Early ambulation versus delayed ambulation in post-surgical patients significantly influences patient recovery. Early ambulation, defined as initiating walking soon after surgery, promotes faster recovery compared to delayed ambulation, where walking is postponed. Research indicates that early ambulation reduces the risk of postoperative complications such as pneumonia, deep vein thrombosis, and pulmonary embolism. It also aids in preventing postoperative ileus, improving gastrointestinal function, and enhancing respiratory function by preventing atelectasis. ambulation prolongs the recovery period, increases the likelihood of complications, and can lead to muscle weakness and functional decline. A study by Fanning et al. (2019) found that delayed ambulation was associated with longer hospital stays and increased healthcare costs.

Moreover, early ambulation enhances patient satisfaction and promotes a sense of autonomy and self-efficacy in the recovery process. Patients who ambulate early report less pain, improved mood, and a faster return to preoperative function compared to those with delayed ambulation.

Early ambulation significantly improves postoperative outcomes, reduces complications, and accelerates recovery compared to delayed ambulation, making it a crucial intervention in post-surgical care.

References:

Fanning, J., Nealy, C., Gannon, J., Pool, J., & Broussard, E. (2019). Early Ambulation in Hospitalized Patients: A Review of the Literature. Journal of Patient-Centered Research and Reviews, 6(2), 166–174.

Joshi, D., Kale, S., & Chandel, S. (2017). Ambulation after Major Surgery: A Systematic Review. International Journal of Science and Research, 6(5), 2003–2008.

Schaller, S. J., Anstey, M., & Adams, J. (2016). Early, goal-directed mobilization in the surgical intensive care unit: a randomized controlled trial. The Lancet, 388, S26.

Sample Answer 2 for NRS 445 For this discussion question, you will create a clinical guiding question known as a PICOT question

Many aggressive patients are at risk of injuries to themselves and that of the team members. This discussion seeks to check both qualitative and quantitative articles in relation to this PICOT question about restraints.

In adult patients with aggressive altered mental status in the intensive care unit, what influences the decision to apply  physical restraint and chemical restraints to protect them from falls and injuries compared with to not putting them in any restraints during hospital stay.

In quantitative research at the intensive care a total of 109 patients were put in restraints in the unit. Out of this 47 were given chemical restraints while 59 were not. The goal was to protect these patients from injuries. The research conclude that poor communication and other factors influenced team members decision to use restraints.

In qualitative research to Identifying the factors that lead to a patient put in physical or chemical restraint in the management of psychomotor agitation on the critical care unit. A population of 23 studies were reviewed and the findings published. It was realized the decision to put a patient in restraints emanate from the team members especially the nurses. It also concluded that there is wide distinction in the use of restraints and many factors are associated with a change in a patient’s behavior and those underlining causes must also be determining in some cases.

References

Teece, A., Baker, J., & Smith, H. (2020). Identifying determinants for the application of physical or chemical restraint in the management of psychomotor agitation on the critical care unit. Journal of clinical nursing, 29(1-2), 5-19.

Langley, G., Schmollgruber, S., & Egan, A. (2011). Restraints in intensive care units—a mixed method study. Intensive and Critical Care Nursing, 27(2), 67-75.

Sample Answer 3 for NRS 445 For this discussion question, you will create a clinical guiding question known as a PICOT question

Thanks for your post. Your exploration of the PICOT question regarding the use of physical and chemical restraints in adult patients with aggressive altered mental status in the ICU is insightful. The quantitative study highlighting the use of restraints in 109 patients, 47 of whom received chemical restraints, underscores the critical issue of patient and staff safety. It is particularly concerning that poor communication influenced the decision to use restraints, which suggests a need for improved protocols and training (Langley et al., 2011).

The qualitative research provides valuable insights into the factors leading to restraint use. By reviewing 23 studies, the authors identified that nurses play a pivotal role in deciding when to apply restraints, emphasizing the importance of understanding the underlying causes of patients’ behavior changes (Teece et al., 2020). This comprehensive approach highlights the complexity of managing psychomotor agitation and the necessity of considering multiple factors before resorting to restraints.

Both articles you referenced effectively address different aspects of restraint use, contributing to a broader understanding of this critical issue. Future research should focus on developing strategies to enhance communication among healthcare teams and explore alternatives to restraints to ensure patient safety.

Langley, G., Schmollgruber, S., & Egan, A. (2011). Restraints in intensive care units—A mixed method study. Intensive & Critical Care Nursing/Intensive and Critical Care Nursing, 27(2), 67–75. https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0964339710001175?via%3Dihub

Teece, A., Baker, J., & Smith, H. (2019). Identifying determinants for the application of physical or chemical restraint in the management of psychomotor agitation on the critical care unit. Journal of Clinical Nursing, 29(1–2), 5–19. https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsbl&AN=vdc.100096223542.0×000001&site=eds-live&scope=site

NRS-445 Topic 2 DQ 1 Sample Answer

THE ETHNOGRAPHIC AND GROUNDED THEORY. 

There are various qualitative designs like the grounded theory, the phenomenological theory and as well, the ethnographic theory. This work however focuses on the ethnographic and grounded theory providing the much needed insights on the same. The ethnographic and grounded theory are often confused because they are almost similar. According to Bartholomew and Brown (2022), these theories are crucial to qualitative research in the social sciences, including nursing. Both theories are inductive and methodical in examining a feature to provide insights on the same. In addition, both methods rely on an explanation route, in which the researcher establishes rapport with the respondents and hopes they will share personal stories. 

Despite these similarities, there are also important distinctions. To begin, grounded theory expects procedures that point to an element and connect the many aspects of the approach. When determining what causes hypertension for instance, grounded theory takes a more in-depth look into the person’s emotional history and lifestyle choices. As a result, a method is established that associates it with hypertension (van den Scott 2018).  The theory is therefore developed on the basis of collected data in the process of research and lays emphasis on iterative analysis and constant comparison. The ethnographic theory entails a holistic perspective where a researcher immerses themselves in a community or culture to have a better understanding of various perspectives and social phenomena as an insider. It lays emphasis on contextual and detailed observations. In addition, it covers the whole research process of a certain issue. The point that the observer aimed to make in the research is directly related to the following conclusion. It establishes a connection between the research and the cultural practices of a certain community (van den Scott 2018). For instance, while studying human behavior, an observer considers a wide range of elements, including the individual’s traditions and conventions, to predict how that behavior would unfold. It is therefore important to understand these theories and how they are applied in the nursing practice. 

References 

Bartholomew, T. T., & Brown, J. R. (2022). Entering the ethnographic mind: A grounded theory of using ethnography in psychological research. Qualitative research in psychology, 19(2), 316-345. https://www.tandfonline.com/doi/full/10.1080/14780887.2019.1604927  

Van den Scott, L. J. K. (2018). Visual methods in ethnography. https://www.researchgate.net/publication/328806774_Visual_Methods_in_Ethnography