Solved: NUR 439 Research Practice Problems and Questions

Grand Canyon University Solved: NUR 439 Research Practice Problems and Questions-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University Solved: NUR 439 Research Practice Problems and Questions 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 Solved: NUR 439 Research Practice Problems and Questions

Whether one passes or fails an academic assignment such as the Grand Canyon University Solved: NUR 439 Research Practice Problems and Questions 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 Solved: NUR 439 Research Practice Problems and Questions

The introduction for the Grand Canyon University Solved: NUR 439 Research Practice Problems and Questions 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 Solved: NUR 439 Research Practice Problems and Questions

After the introduction, move into the main part of the Solved: NUR 439 Research Practice Problems and Questions 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 Solved: NUR 439 Research Practice Problems and Questions

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 Solved: NUR 439 Research Practice Problems and Questions

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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Professional nurses rely on research findings to inform practice decisions; they use critical thinking to apply research directly to specific patient care situations.

Think about an independent nursing practice problem you care passionately about and would be interested in searching for evidence.

The below problems should not be used:

*medical/doctor/physician problems such as medications, or medications administration or effects, diagnostics such as EKGs, labs, cardiac catherizations.

*staffing, nurse-to-patient ratios, workforce issues are organizational/system /political/administrative/multi-stakeholder problems which nursing cannot solve independently.

Describe a significant nursing clinical issue, topic of interest, or practice problem that is important to you. Describe why you chose the problem/topic.Write your clinical question in the PICO(T) format for your nursing practice problem.*To write your clinical question in the PICO(T) format, use the NR439_Guide for writing PICOT Questions and Examples found in your required reading or access the following link:

NR439_Guide for writing PICOT Questions and Examples (Links to an external site.)

List each of your PICOT elements.

Share why you care about this nursing practice problem and why you believe the problem would benefit from finding the best evidence.

I chose to discuss the use of Incentive Spirometers in the post op patient. Incentive Spirometers have been around for years, and to be honest, I haven’t seen them used as much in my career as they are now with Covid-19 patients and would like to explore their use in other clinical settings. During the summer I was frequently floated all over the hospital due to low census on my unit and had experience with numerous post op patients. I had some experiences where they did develop post op infections such as pneumonia, and it always frustrated me, as the patient comes to the hospital in hopes that we make them feel better, not worse. For a patient to undergo surgery, just to have to stay in the hospital longer because of an infection they acquired after they got the surgery while being in the hospital is disappointing, and also affects reimbursements and finances for the hospital, as well as adding to the patient’s bill as well.

During orientation, my facility emphasized the effects of sepsis in the hospital, and preventing infection is also the first step in preventing sepsis from attacking a patient. If sepsis is so heavily emphasized in the orientation period of starting a healthcare career, it must be a detrimental issue that is ongoing and needs to be addressed. In addition, I personally would be very unsatisfied with a facility if I had required a post op infection, knowing there is research out there for ways to avoid acquiring a post op infection through nursing skills. I am eager to see the results of using such a small tool. According to the CDC, “Each day, approximately one in 31 U.S. patients has at least one infection in association with his or her hospital care, underscoring the need for improvements in patient care practices in U.S.” (2020).

Write your clinical question in the PICO(T) format for your nursing practice problem.

PICOT Question-

In the post-op patient (P), does the correct use of the Incentive Spirometer (I), compared to early ambulation (C), decrease the rate of post-op infection (O), over 72 hours (T)?

List each of your PICOT elements.” This means to write them like this:

P: Post op patient

I: Incentive Spirometers

C: Early Ambulation

O: Decrease the rate of post op infection

T: Over 72 hours.

Share why you care about this nursing practice problem and why you believe the problem would benefit from finding the best evidence.

I care about this nursing practice problem because a lot of the times I receive a patient from a prior nurse who is post op and has orders for nursing communication to instruct the patient to use the incentive Spirometer as indicated 10x/hr, and there isn’t even an incentive spirometer in the room, or if there is, its just decoration and the patient doesn’t even know how to use it. It is very frustrating. In my experience, it is much easier to get a patient to do something beneficial for themselves when it is easy. A patient can do the Incentive Spirometer when laying in bed watching TV, if they are stable enough to do so, but overall, they can do it without having to get out of bed. Many times, I struggle motivating my patients to get out of bed when they are post op because of the pain and exhaustion, and it almost starts to feel forceful, and I hate that feeling although it is beneficial for the patient. It is rewarding later on if they are discharged home without complications. Overall, I personally, would like to dive deeper and explore the research behind these nursing interventions in preventing infection in post op patients. It would be nice to conclude that the Incentive Spirometer is just as effective, if not more effective than early ambulation in the post op patient.

Midweek Assignment Research Proposal Draft

We know early ambulation post operatively is beneficial in numerous ways, but what about the Incentive Spirometer? We have highlighted their use during this Pandemic now more than ever, and as I have used them for COVID-19 patients, I want to start encouraging their use more in other clinical areas such as the post op patient. If patients acquire a post op infection, that affects Hospital Acquired Infection (HAI) numbers which effects quality improvement and financial resources and reimbursements for the hospital, including lengthening the patient’s stay in the hospital, which not a goal. Many hospitals, including mine, aim to decrease the length of patient stay. So not only the patient would benefit, but the hospital and patient satisfaction rates would improve as well if nursing interventions such as the Incentive Spirometer were used to prevent post op infections. According to this week’s lesson, “We use the research process to help discover and solve nursing practice problems” (Houser, 2018), and I believe that the problem of post op infections will benefit from nursing research and help nurses find the best evidence to incorporate the best practice for our patients.

References-

Current hai progress report. (2020, December 02). Retrieved March 08, 2021, from https://www.cdc.gov/hai/data/portal/progress-report.htmlLinks to an external site.

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4^th edition). Jones & Bartlett.

Research Practice Problem and Questions

Introduction

Nursing roles in ensuring that patients get satisfactory, efficient, and sufficient patient services are vital in healthcare settings. However, various nursing clinical issues have arisen in the past, at present, and may occur in the future. While some of the nursing clinical issues have effectively been sorted and managed on different scales, some continue to be a challenge, hence threatening the fundamental goal of offering patients the best healthcare services for improved patient outcomes. One of such issues that have been a challenge and continue to be a challenge is patient falls. Inpatient hospital falls occur in various admission wards and is associated with numerous adverse effects on the health of patients as well as the hospital’s reputation.

Description of The Problem

Inpatient hospital fall can be regarded as any event that leads to a patient finding himself/herself in the fall during the hospital stay. The fall can take the form of unintentional or unplanned taking of the patient to the ground, whether assisted or unassisted. An unassisted fall happens in the event that a patient is alone and falls in the absence of another person to witness and help the patient (Heng et al., 2020). On the other hand, assisted fall occurs when a staff member is present and eases the patient to the ground. In one of the recent studies conducted in the US, patients have a chance of twelve percent of falling whenever admitted into a healthcare facility. The rates of patient falls differ widely from hospital to hospital globally, with the range falling between three to eleven fall per every one thousand bed days. In all the patient fall events, close to twenty-five percent of the falls result in soft tissue injuries and fractures.

Effects and Common Causes of Patient Falls

Patient falls can have detrimental effects on the patient’s health, and especially on the health of older adults who are always at more risk of falling than fairly younger patients. Some of the effects of patient falls include both economic and physical burdens. When a patient falls, there get injured, mortality rates rise, and the quality of life is substantially decreased. Besides, inpatient falls lead to a higher length of hospital stay and higher medical costs (LeLaurin & Shorr, 2019). Inpatient falls can also lead to litigation as some patients, and their family members may have an opinion that the fall is the hospital’s fall. The cause of patient falls has been associated with several factors, For instance, medications administered to patients, muscle weakness, polypharmacy, pain, anesthetics, co-morbidities, and ill-health.

Due to the several negative effects of inpatient falls, various stakeholders such as healthcare facilities, researchers, healthcare professionals, and others have come up with various efforts to try and minimize the incidences of patient falls. Besides, most of the hospitals have puts in place different guidelines for preventing patient falls such identification of those patients at high falling risk, so that appropriate step is taken (LeLaurin & Shorr, 2019). The other method is applying clinical judgment to choose the best fall prevention strategies to use.

PICOT Question

The issue of inpatient falls important to me and worthy of looking at evidence about it. The use of an answerable clinical question is vital in getting the evidence needed to solve a clinical issue. Therefore, this research will look at the efficacy of using bed alarms to control patients. Among the patients admitted to the neurosurgery unit (P), what is the influence of using bed alarms (I) compared to communication (C) in reducing patient fall rates (O) after twelve months (T)

Conclusion

Many adverse effects of inpatient falls dictate that inventive and innovative strategies are applied in managing it. It is important to a literature search and identifies various strategies that have been applied for the same. Evaluation of the best strategy requires an answerable clinical question in a PICOT format.

References

Heng, H., Jazayeri, D., Shaw, L., Kiegaldie, D., Hill, A. M., & Morris, M. E. (2020). Hospital falls prevention with patient education: a scoping review. BMC geriatrics, 20, 1-12. Doi: 10.1186/s12877-020-01515-w

LeLaurin, J. H., & Shorr, R. I. (2019). Preventing falls in hospitalized patients: state of the science. Clinics in geriatric medicine, 35(2), 273. Doi: 10.1016/j.cger.2019.01.007

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For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

Your response needs to be a minimum of 150 words (not including your list of references)
There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
Include in-text citations in your response
Do not include quotes—instead summarize and paraphrase the information
Follow APA-7th edition
Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

A minimum of 6 responses per week, on at least 3 days of the week.
Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
Each response needs to be at least 75 words in length (does not include your list of references)
Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
Follow APA 7th edition
Points will be deducted if the above is not followed
Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
Here are some helpful links
Student paper example
Citing Sources
The Writing Center is a great resource