NURS 8502 Week 4 Defining and Refining the Problem
Walden University NURS 8502 Week 4 Defining and Refining the Problem-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University NURS 8502 Week 4 Defining and Refining the Problem 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 NURS 8502 Week 4 Defining and Refining the Problem
Whether one passes or fails an academic assignment such as the Walden University NURS 8502 Week 4 Defining and Refining the Problem 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 NURS 8502 Week 4 Defining and Refining the Problem
The introduction for the Walden University NURS 8502 Week 4 Defining and Refining the Problem 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 NURS 8502 Week 4 Defining and Refining the Problem
After the introduction, move into the main part of the NURS 8502 Week 4 Defining and Refining the Problem 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 NURS 8502 Week 4 Defining and Refining the Problem
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 NURS 8502 Week 4 Defining and Refining the Problem
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 NURS 8502 Week 4 Defining and Refining the Problem
The project aims to address nurses’ compassion fatigue (CF) and burnout (BO). The research question I proposed will focus on variables affecting nurses and how to address the issues, what variables in CF and BO with nurses, and what steps are needed to mitigate the problems. Applying a mixed-method research approach using quantitative and qualitative research methodologies to address the problem statement and how to improve patient and staff well-being (Gray & Grove, 2020). The problem question has been refined several times. The original problem question was, “Does an educational intervention geared towards compassion fatigue (CF) increase knowledge and awareness among nurses in a healthcare organization?” However, after additional research, speaking with the stakeholders, and faculty preceptor, the current problem question is “Does an educational intervention focused on compassion fatigue increase knowledge and awareness among nurses working in a hospital setting?”
What is currently working?
The urgency of the need to address the issue of BO in our organization. It has been discussed several times in the past few years, but the process in place was not working. The idea of identifying the factors and mitigating the issues. Since there is a need to have a mitigating process immediately has assisted in getting my project approved. Because there are resources available to address the problems, the project team will be developing an educational module that will educate on CF and BO, how to identify, and what resources are available.
What has not Worked?
Currently, the main issue in this project is getting the team’s schedules to align. Everyone has a busy schedule with multiple meetings and obligations. It requires meetings with the project team in separate groups. We are working on finding a day that aligns with everyone’s schedules. I have attempted to schedule several sessions; however, schedule conflicts have been. I have sent an email requesting days best for the project team and asked to meet individually.
What Changes Might you Implement?
A change that I have been planning to address each project team is understanding their schedule restrictions and what works best for them. Most of the meetings are not face-to-face, but teams meeting or zoom calls at my organization. I plan to implement a group team text to keep everyone updated on the project’s status. We will be able to attach files, discuss project phases, and communicate when needed between meetings. The goal of the meetings is to be short due to busy schedules and to the point, addressing day-to-day questions, issues, or concerns on the team’s group text.
What Changes Might you Consider in Addressing the Problem?
Work with the project team on developing the “Burnout Button.” The “Burnout Button” will be an icon on the facility home page, giving the stakeholders the ability to find the resources needed. I would like to see the burnout button changed to an application on the stakeholder’s smartphone. The application to the smartphone will allow nurses access without feeling they are obligated to access it on a company computer. Allowing nurses to maintain anonymity and encouraging self-care with easy access.
Are These Changes Supported by Evidence?
The changes discussed are supported by evidence. For this to be successful, having evidence to support the findings will influence the stakeholder’s involvement. Healthcare professionals such as nurses seek to care for others while lacking self-care. CF leads to healthcare professionals leaving their profession due to BO and fear of seeking assistance from peers, managers, and supervisors (Fukumori et al., 2020; Watts & Thorne-Odem, 2020). Reducing BO requires actions by the organization, the unit, and the personnel (Wei et al., 2020). With the evidence researched, the project can provide positive changes to reduce CF and BO. However, the need for buy-in from the stakeholders is essential. Providing knowledge and awareness through education on compassion fatigue decreases compassion fatigue in healthcare professionals and enhances job satisfaction, patient safety, and patient outcomes.
References
Fukumori, T., Miyazaki, A., Takaba, C., Taniguchi, S., & Asai, M. (2020). Traumatic events among cancer patients that lead to compassion fatigue in nurses: A qualitative study. J Pain Symptom Manage, 59(2), 254-260. https://doi.org/10.1016/j.jpainsymman.2019.09.026
Gray, J.R., & Grove, S.K. (2020). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (9th ed.) Elsevier
Wei, H., Kifner, H., Dawes, M. E., Wei, T. L., & Boyd, J. M. (2020). Self-care strategies to combat burnout among pediatric critical care nurses and physicians. Critical Care Nurse, 40(2), 44-53. https://doi.org/10/4037/ccn2020621
Watts, S. A., & Thorne-Odem, S. (2020). Nursing yourself away from burnout and compassion fatigue to resilience and joy at work. Nursing Made Incredibly Easy!, 18(6), 6-8. https://doi.org/10.1097/01.NME.0000717684.70292.43
Westlake, C. (2012). Practical tips for literature synthesis. Clinical nurse specialist, 26(5), 244-249. https://1-/1097/nur/0b13e18263d766
Sample Answer 2 for NURS 8502 Week 4 Defining and Refining the Problem
Top of Form
- What is currently working?
Psychotropic medication compliance through regular follow-up visits with medication providers.
Psychotropic medication compliance through quality psychotherapies.
Psychotropic medication compliance through cost-effective treatment via 90 days supply, medication coupon via GoodRX.
Medication compliance through thorough medication education (Resnick, 2020).
- What has not worked?
Controlled substance non-compliance is one of the issues, which belongs to the psychotropic medication non-compliance. This is to say patients either take more dosages than they are prescribed, or take fewer dosages due to mainly fear of side effects, or effectiveness of the medication.
Concurrent use of substances that were not prescribed with prescribed medication
Psychotropic medication non-compliance due to change of job and loss of insurance (Semahegn, Torpey, Manu, Assefa, Tesfaye, & Ankomah, 2020).
- What changes might you implement?
Introduce the benefits of substance use dependence therapy:
Counseling can help patients recognize situations contributing to substance use.
Counseling can provide direct assistance for addiction.
Counseling can provide group support with peers for addiction.
Counseling can offer new behavior change strategies for recovery.
Counseling can decrease the risk of relapse (Health Center for Origin, 2020).
Medication safety use education:
Alcohol use and taking opioids or sedative-hypnotics, such as sleep and anti-anxiety medications, can increase your risk of an overdose. Examples of these medications include sleep aids such as zolpidem and eszopiclone, and benzodiazepines such as diazepam and alprazolam (National Institute on Alcohol Abuse and Alcoholism, 2021).
Provide medication with 90 days supply (U.S. Pharmacist, 2018).
- What changes might you consider in addressing the problem?
Address the tolerance of medication and the importance of the practice of using coping skills from psychotherapies
Initial medication safety use education during intake appointments and follow up appointments
Offer patient time and opportunity to have enough medication in case of withdrawal before new insurance becomes effective
- Are these changes supported by evidence?
The necessity of treatments with a combination of medication and psychotherapy:
For these patients, the combination of psychotherapy with medication can both improve outcomes and reduce healthcare expenses. The opposite can also be true. For patients not responding to psychotherapy alone, the addition of pharmacotherapy to the treatment regimen can improve outcomes and lower overall expenditure (Sammons, McGuinness, 2015).
Trust and Rapport for medication safety use, patient-centered treatment (Dang,
Westbrook, Njue, & Giordano, 2017).
Benzodiazepine withdrawal time frame, signs and symptoms:
Life-threatening if the user stops “cold turkey.” Those with a history of taking higher doses or taking the substance for a prolonged time have the worst withdrawal symptoms (Addiction Center, 2021).
Antidepressant withdrawal time frame signs and symptoms
Antidepressant withdrawal can make you feel edgy and out of sorts. You may feel like you have the flu (sluggish with a headache and nausea), have trouble sleeping and concentrating, and experience anxiety and even thoughts of suicide (Hartney, 2021).
Reference
Addiction Center. (10/27/2021). Benzodiazepine Withdrawal and Detox. Retrieved from
https://www.addictioncenter.com/benzodiazepines/benzodiazepine-withdrawal-and-detox/
Dang, B. N., Westbrook, R. A., Njue, S. M., & Giordano, T. P. (2017). Building trust and
rapport early in the new doctor-patient relationship: a longitudinal qualitative study. BMC medical education, 17(1), 32. https://doi.org/10.1186/s12909-017-0868-5
Elizabeth Hartney. (1/28/2021). How Long Does Withdrawal From Antidepressants Last? Retrieved from
https://www.verywellmind.com/antidepressant-withdrawal-4172110
Health Center for Origin. (4/24/2020). Five Big Benefits of Counseling in Drug
Addiction. Retrieved from
https://www.hanleycenter.org/five-big-benefits-of-counseling-in-drug-addiction/
National Institute on Alcohol Abuse and Alcoholism. (5/2021). Understanding the
Dangers of Alcohol Overdose. Retrieved from
Richard Resnick. (1/22/2020). 10 Strategies to Improve Patient Compliance with
Medication. Retrieved from
https://blog.cureatr.com/10-strategies-improve-patient-compliance-with-medication
Semahegn, A., Torpey, K., Manu, A., Assefa, N., Tesfaye, G., & Ankomah, A. (2020).
Psychotropic medication non-adherence and its associated factors among patients with major psychiatric disorders: a systematic review and meta-analysis. Systematic reviews, 9(1), 17. https://doi.org/10.1186/s13643-020-1274-3
Society for Prescribing Psychology. (4/2015). Combining Psychotropic Medications and
Psychotherapy Generally Leads to Improved Outcomes and Therefore Reduces the
Overall Cost of Care. Retrieved from
https://www.apadivisions.org/division-55/publications/tablet/2015/04/combininations
Jennifer Kim, Kelsy Combs, Jonathan Downs, and Frank Tillman. (2018). Medication
Adherence: The Elephant in the Room. Retrieved from
https://www.uspharmacist.com/article/medication-adherence-the-elephant-in-the-room