Category: Nursing homework help

Goal:
You will critically appraise a research design
Content Requirements: 
You will select one research report with a qualitative design and one with quantitative design and answer the following questions regarding the following categories:
Discuss what is meant by the term Qualitative Research
Briefly, describe the characteristics of qualitative research and identify nursing issues/phenomena that lend themselves to a qualitative research approach.
Compare and contrast three different qualitative research methodologies.
Briefly, discuss the strengths and weaknesses of qualitative research evidence for informing nursing practice.
Communicate how this research design used in research.
The study, sampling, data collection, analysis, rigor, findings and limitations
Identify the purpose of the study.
Briefly, describe the design of the study and explain why you think it is either appropriate or inappropriate to meet the purpose.
Identify ethical issues related to the study and how they were/were not addressed.
Identify the sampling method and recruitment strategy that was used.
Discuss whether sampling and recruitment were appropriate to the aims of the research.
Identify the data collection method(s) and discuss whether the method(s) is/are appropriate to the aims of the study.
Identify how the data was analyzed and discuss whether the method(s) of analysis is/are appropriate to the aims of the study.
Identify four (4) criteria by which the rigor of a qualitative project can be judged.
Discuss the rigor of this study using the four criteria. 
Briefly, describe the findings of the study and identify any limitations.
Use the information that you have gained from your critique of the study to discuss the trustworthiness and applicability of the study. Include in your discussion any implications for the discipline of nursing.
Discuss what you understand by the term Quantitative Research – Use the following dot points to guide your discussion (give reasons for your argument and support with references):
Describe the characteristics of quantitative research.
Identify nursing issues/phenomena that lend themselves to a quantitative research approach
Differentiate between observational and interventional research designs and also between experimental and quasi-experimental designs.
Briefly, outline the difference between inferential and descriptive statistics and their relationship to levels of measurement.
Communicate how this research design used in research.
Critique the Quantitative Research Report – Use the following headings to guide your critique (in all discussions and explanations give reasons for your argument and support with references):
The study
Identify the purpose and design of the study.
Explain what is meant by ‘blinding’ and ‘randomization’ and discuss how these were addressed in the design of the study.
Identify ethical issues related to the study and how they were/were not addressed.
 Sampling
Explain the sampling method and recruitment strategy that was used.
Discuss how the sample size was determined – include in your discussion an explanation of terms used.
Data collection
Briefly, outline how the data was collected and identify any data collection instrument(s).
Define the terms validity and reliability and discuss how the validity & reliability of the instruments were/were not addressed in this study and why this is important.
Data analysis
Outline how the data were analyzed.
Identify the statistics used and the level of measurement of the data described by each statistical test – include in your discussion an explanation of terms used.
Findings and limitations
Briefly, outline the findings and identify any limitations of the study
Use the information that you have gained from your critique of the study to briefly discuss the trustworthiness and applicability of the study. Include in your discussion an explanation of the term statistical significance and name the tests of statistical significance used in this study.
Submission Instructions:
The response is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
The response should be formatted per current APA and 7-10 pages in length, excluding the title, abstract and references page.
Incorporate a minimum of 3 current (published within last five years) scholarly journal articles  or primary legal sources (statutes, court opinions) within your work.

1.) What are the differences that may affect Cuban-American patients who immigrated at different times? 
2.) What can a nurse do to make life in the hospital more culture-specific for an Amish client? 
3.) List at least two etiological reasons for the development of alcoholism within an Irish-American family. 
500 words, apa 2 citations

1.https://docs.google.com/document/d/1vSwavAxCHRfKlAAcLV9-_Ot93N2dNPQW/edit
 link  one above is the grading Rubric i need you to use when writing the work.
2.https://docs.google.com/document/d/12UKuuk4zRBTEJpXHVZEg3vaQbLD5xUEa/edit#bookmark=id.gjdgxs 
the link two is an example i need you to look  at  follow same format and writing a patient teaching on the topic. “How to use inhalers and it’s benefit”. i want it done APA format 3 to 4 page with 3 source of intext citation. use this  textbook below as one source and then any other two.
Harding, M. M., (2020). Lewis’s medical-surgical nursing: Assessment and management of clinical problems (11th ed.). Elsevier.

PLEASE RESPOND TO THE FOLLOWING POST OF A CLASSMATE IN 100 WORDS, Remember that your posts must be substantive and contribute to the dialogue that is taking place and Response posts must offer at least one new piece of information or insight.
Please also include references!
According to Edmonson & Zelonka, bullying in nursing begins in nursing schools, where nursing students may encounter aggressive behavior during their clinical rotations (2019). One of the recent studies showed that 77% of nursing students were bullied over a year. Another study revealed that 59% of RNs leave their first jobs because of lateral violence and aggression of their colleagues. Bullying can range from verbal abuse to physical threatening. Often bullying can be easy to recognize. This may include unnecessary remarks, verbal humiliation of a person, excessive control. However, sometimes it can be difficult to recognize bullying. For example, giving RN unfair workload with “more difficult” patients or gossiping about him/her. Bullying can occur based on age and experience differences. For example, older RNs can bully novice RNs because they lack practical knowledge. Younger RNs can bully older RNs for some physical limitations. Bullying can also be based on gender. For example, male RNs can be more dominant and bully female RNs. Bullying can also be based on the personal trauma of the bully, which is projected onto his/her colleagues. I’ve been lucky so far with my coworkers. Everybody has been helpful from day one when I started working as RN. I always have support from my coworkers and can rely on them in difficult times. The hospital where I work promotes this type of relationship between colleagues. In case if I was bullied by someone at my workplace, I would get manager involved right away. I think it would be the best way of self-protection.  
References  
Edmonson, C., & Zelonka, C. (2019). Our Own Worst Enemies: The Nurse Bullying Epidemic. Nursing administration quarterly, 43(3), 274–279. https://doi.org/10.1097/NAQ.0000000000000353Links to an external site.  

Students will choose from one of the predetermined topics for this assignment.  Using the literature, national/international organizations, and .org/.gov websites, students will draft the WHITE ASSIGNMENT including a problem statement, proposed solution, and a relevant Change Model to assist with implementation. The problem should be explained in detail using the literature.  The proposed solution should also be described in detail as a rationale for implementation.  Given that change can be difficult, students will then explain the change model they have selected from the list and provide information on how it will facilitate the implementation of the proposed solution.  Assignment should be APA formatted & 5-7 pages long, excluding title and references. Turnitin must be under 35% compatibility.

Geneva Guadalupe is a new manager on the busiest medical and surgical unit in a tertiary hospital. There are 39 beds on 9 Tower, which has a high volume of diabetes patients. She is excited to improve the quality and outcomes on this unit. During her interview, she learned that under the previous leadership the quality was deteriorating, as reflected in Hospital Consumer Assessment of Healthcare Providers and Systems (HCHAPS) scores and absenteeism and turnover rates. It was costing the unit between $42,000 to $65,000 to replace a nurse.
While making rounds, Nurse Guadalupe observed complaints about missed nursing care from all shifts and decided to make staff accountable for ensuring that patient care is completed. She asked a CNL to monitor the types of patient care activities that were being omitted. After 1 week, the CNL stated that it was difficult to make that determination because everyone had a different opinion on which interventions were being omitted. Additionally, staffing was an issue. The manager’s initial response was, “What’s wrong with staffing? Why would you blame staffing for omitting patient care?”
In your own words:
1. What is your first approach to showing a link between missed nursing care and staffing?
2. What questions could you pose to frontline nurses to understand how their staffing experience related to missed care?
3. Whom will you engage institutionally to understand the issue fully? Why them?
4. Which data elements may be required to build a case for staffing and missed nursing care?
5. What ideas would you propose to the administration to reverse the financial effects and improve HCHAPS scores?

PLEASE RESPOND TO THE FOLLOWING POST OF A CLASSMATE IN 100 WORDS, Remember that your posts must be substantive and contribute to the dialogue that is taking place and Response posts must offer at least one new piece of information or insight.
Please also include references!
Yes, bullying can be present in nursing, as it can be in any profession. Bullying in nursing might include behaviors such as verbal abuse, intimidation, undermining, or humiliation. It can be perpetrated by colleagues, superiors, or even patients and their families. Bullying can create a hostile work environment and negatively impact the quality of patient care. According to a systematic review collects and analyzes recent evidence from previous workplace violence studies in primary healthcare settings. The study found that the prevalence of violence ranged from 45.6% to 90%, with verbal abuse being the most commonly reported form of violence. (Hanizah, Y. 2023)
The worst workplace violence came from a doctor. She screamed at me so loud I cried and really wanted to quit my job. According to a study it found that workplace violence was positively correlated with turnover intention and job burnout, and negatively associated with job. (Duan, X.,Ni,2019)
 There are several strategies that nurses, and healthcare organizations can implement to prevent bullying and workplace violence.  Providing training on recognizing and managing bullying and violence can empower nurses to address these issues when they arise. Having clear, well-communicated policies against bullying and violence can help create a culture of respect. Establishing safe and confidential ways for nurses to report incidents can ensure that issues are addressed promptly and appropriately. Leaders who model respectful behavior and take reports of bullying and violence seriously can help foster a positive work environment.
Encouraging supportive relationships among colleagues can help nurses feel more comfortable addressing issues of bullying or violence. Remember, it’s important for everyone in the healthcare environment to work together to create a safe and respectful workplace.
Hanizah, Y 2023Contemporary evidence of workplace violence against the primary healthcare workforce worldwide: a systematic review Hum Resource Health 21, 82
Duan, X., Ni, X., Shi, L. et al. 2019 the impact of workplace violence on job satisfaction, job burnout, and turnover intention: the mediating role of social support. Health Qual Life Outcomes 17, 93 (2019). https://doi.org/10.1186/s12955-019-1164-3Links to an external site.

1. Community Resource Survey Informational Flyer
You will conduct a survey of resources within your Fayetteville community, cumberland county, NC 28314 etc. that offer assistance to elderly adults, particularly those in underserved populations, in ONE of the following areas listed below. Your task is to create a one-page informational flyer about your selected topic. 
Healthcare services, obtaining prescription drugs, medical rehabilitation
2. Guidelines/Instructions: PLEASE READ CAREFULLY. POINTS WILL BE DEDUCTED FOR FAILURE TO FOLLOW INSTRUCTIONS. 
Community Resource Survey Informational Flyer
Student Learning Outcomes (SLOs) for this assignment.
1. Examine political, legislative, and policy issues affecting the health of older adults.
2. Collaborate with clients and other health care professionals in the care of the older
person in the home, acute care, long-term care, or alternate community settings.
3. Investigate barriers to health promotion and health maintenance strategies for older
adults.
Flyer Guidelines
You are to create a 1-page informational flyer that can be displayed or handed out as a
resource for older adults in your community, particularly those that may live in under-resourced
or under-served areas. You should limit your survey to the community in which YOU live—
and that could be a small town, your county, or a specific community within a town or county
(Example: “Steel Creek” area of Charlotte), etc.
Your flyer should focus on ONE of the following areas listed below.
 Healthcare services, obtaining prescription drugs, medical rehabilitation
 Transportation services, shopping/errands
 Groceries/nutrition/food security
 Companion care, adult daycare
 Housing/Assisted living and/or nursing home facilities/ memory care
 Recreation/social activities/Educational activities for the elderly
 Spiritual/faith communities & services geared toward the elderly community
 Flyer is to be creative, colorful, and eye catching.
 Rubric for grading is included in canvas.
The flyer should include the following:
1. Create a slogan for your informational campaign. Ex. “Step Up for Seniors in Steele
Creek – Companion Care Resources” (preferably, something a lot more creative than
that!)
2. What is the exact location (street address) & contact information of the services/facility?
3. What populations are served?
4. Specifically, what services are available to the seniors?
5. Is there a cost associated with the service(s)? If so, what type of payment is accepted?
6. Who is the owner/sponsor of the business/service?
7. Is the service run by volunteers or paid employees?
8. Is the service associated with any governmental agency or program? If so, identify the
agency.
9. Any references used should be in APA format (7th edition) at the bottom of the flyer.
10. Please include your name on the flyer itself.
3. NSG 400 community Resource Flyer Rubric 

Case Study Scenario Paul had been in the psychiatric unit for two days. He has a history of anger since his traumatic brain injury (TBI) a few years ago. On the morning of Paul’s second day there, a new client was admitted. Her name was Gwen, and he heard the nurse say that she had psychosis with delusions. As soon as she saw Paul standing near her in the hallway, Gwen stared at him and began to yell. Paul felt instantly on edge. He tried to remain calm but could not understand why she had specifically targeted him. The staff calmed Gwen and distracted her attention. Paul voluntarily went to his room for some quiet time. Throughout the day every time Gwen saw Paul, she would say something hurtful. The nurse said, “She is confused, don’t let her upset you.” Paul tried not to let her comments bother him, but Gwen would not stop. He tried avoiding her, but she seemed to find him and would interrupt whatever he was doing to say rude comments. Even though the words didn’t always make sense, her intent was obvious. Paul became more irritated until he felt he might say something he shouldn’t. His goal was to be discharged soon, and he realized that out-of-control behavior would keep him in the hospital longer. He tried to ignore Gwen even when she kept insisting, he answered her questions and comments. 1. Which phase of the aggression cycle is Paul in? 2. What are the signs, symptoms, and behaviors of this cycle? 3. Explain the nursing interventions for a client in this phase? Paul started answering Gwen’s accusations. He tried telling her to stop. He tried reasoning with her, but that made no difference. He paced in the hallway, hitting his fist on his hand. He was breathing fast and perspiring. The nurse asked Paul what was going on. She said, “You seem tense, please tell me about it.” Paul replied, “If that woman doesn’t stop being rude, I’m going to slug her!” 4. Which phase of aggression is Paul in? 5. What are the signs, symptoms, and behaviors of this cycle? 6. Explain the nursing interventions for a client in this phase? That evening Paul felt weary with enduring Gwen’s taunts. She had threatened to “beat him up” which he didn’t think she could actually do. He was sitting at a table in the day room reading when Gwen came into the room. She went directly to him and made offensive comments. When he ignored her and wouldn’t look up, Gwen shoved him, hard. Paul jumped to a standing position from his chair. “Knock it off,” he said. Gwen punched him in the chest and then Paul lost control. He and Gwen were on the floor  Mental Health Case Study #4 – Instructor’s version / answer sheet fighting. Other peers and staff pulled them apart. Paul felt so angry. He yelled at Gwen and threatened to kill her. He kept trying to get away from staff to attack her again. 7. Which phase of the aggression cycle in Paul in? 8. What are the signs, symptoms, and behaviors of this cycle? 9. Explain the nursing interventions for a client in this phase? Paul was put in the seclusion room with four-point restraints. Staff forced him to receive an injection. The nurse said, “This will help you calm down.” As the medication took effect, Paul did feel calmer. His tense muscles relaxed and he started to fall asleep. He no longer wanted to kill Gwen. 10. Which phase of the aggression cycle in Paul in? 11. What are the signs, symptoms, and behaviors of this cycle? 12. Explain the nursing interventions for a client in this phase? The nurse asked Paul if he felt like he could get out of the restraints and go to his room to rest on his bed. He nodded and went with staff to lie down. He was worrying about how this incident was going to stop him from getting discharged soon. He needed to get home so he could return to work as soon as possible. He apologized to the nurse; he realized he was crying. He thought maybe it was due to all the stress. He was embarrassed and felt so tired. He just stayed in his room the rest of the night. 13. Which phase of the aggression cycle is Paul in? 14. What are the signs, symptoms, and behaviors of this cycle? 15. Explain the nursing interventions for a client in this phase? Paul’s Medications The injection the RN gave to calm Paul down contained haloperidol. 16. What type of medication is this and which drug class? What are the side effects of this medication? What are the names of some other meds in this drug class? The new medication Paul’s psychiatrist in the hospital prescribed and started him on is risperidone. 17. What type of medication is this and which drug class? What are the side effects of this medication? What are the names of some other meds in this drug class? Answer the following from “Critical Thinking Questions” on p. 183 18. Many community-based residential programs will not admit a client with a recent history of aggression. Is this fair to the client? What factors should influence such decisions? 19. If an aggressive client injures another client or a staff person, should criminal charges be filed against the client? Why or why not? 20. Many consumer and family support groups support the total abolition of restraints and seclusion. Is that realistic? Without restraint or seclusion options, how should aggressive/assaultive clients be managed?

– https://docs.google.com/document/d/1vSwavAxCHRfKlAAcLV9-_Ot93N2dNPQW/edit
Read the link above to see the grading Rubric and the link below is an example of how i would want the work done.
https://docs.google.com/document/d/12UKuuk4zRBTEJpXHVZEg3vaQbLD5xUEa/edit#bookmark=id.gjdgxs
 Open the second link to see the example how exactly it should be done. Use the topic of Drug toxicity or any related to health to teach the patient. APA format, 3 to 4 page excluding work cited page. you any other  two source and use this one  in the bracket to make a total of 3 source( 
Harding, M. M., (2020). Lewis’s medical-surgical nursing: Assessment and management of clinical problems (11th ed.). Elsevier.)