Review the Topic Materials and the work completed in NRS-433V to   formulate a PICOT statement for your capstone project.

A PICOT starts with a designated patient population in a particular   clinical area and identifies clinical problems or issues that arise   from clinical care. The intervention should be an independent,   specified nursing change intervention. The intervention cannot require   a provider prescription. Include a comparison to a patient population   not currently receiving the intervention, and specify the time frame needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the   assigned readings. The PICOT statement will provide a framework for   your capstone project.

In a paper of 500-750 words, clearly identify the clinical problem   and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

1. Evidence-Based Solution
2. Nursing Intervention
3. Patient Care
4. Health Care Agency
5. Nursing   Practice

Prepare this assignment according to the guidelines found in the APA   Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to   beginning the assignment to become familiar with the expectations for   successful completion.

You are required to submit this assignment to Turnitin

After discussion with your mentor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account in developing the evidence-based practice project. Explain how your proposal will, directly and indirectly, impact each of the aspects.

Speaking with the mentor, the financial aspect of the project would be hours spent trying to get nurses educated on the proposed guidelines for late preterm infants. Hours will be needed as well to get the basic checklist implemented into the computer in this particular area, which requires going to different committees and getting approvals needed. This takes more than one nurse or person to get this done. This requires more hours of pay, and that would be the financial aspect of the proposed project.

Now, the clinical aspect that has to be taken into account with developing the project would be how the nurses will accept the project. As lifelong learners, staff nurses continually encounter new knowledge of relevance to their patients. The conscientious nurse remains alert to clinical problems and encourages investigation into ways to improve patient outcomes(Di Lenoardi, 2014). The nurses need to be given research and data that proves this could help readmission of late preterm infants. If given this data, they would be involved in the process of implementing as well,

In 2001, the Institute of Medicine (IOM) recommended evidenced based practice to improve healthcare outcomes(Stephens, 2013). This project is to improve the quality outcome of late preterm infants and prevent their readmission to hospital.

All the aspects brought together will make a good impact on the project the author believes with the research and data given to the nurses, implementation and then follow up of results will show this is a great solution to help alleviate many readmissions nationwide as well. If this hospital shows that the guidelines are helping there, then they can show other colleagues in the nation that this helps and also will cut costs by preventing readmissions.

 

References

Di Lenoardi, B. C. (2014). Bringing evidence-based practice to life. Retrieved from https://lms.rn.com/getpdf.php/2145.pdf

Stephens, K. R. (2013, May 13). The impact of evidence-based practice in nursing and the next big ideas. The Online Journal of Issues in Nursing., 18. https://doi.org/10.3912/OJIN.Vol18No02Man04

4-Phenomenological research and grounded theory are common methods of conducting qualitative research.

Similarities:

·          Both collect data from their subjects’ perceptions and perspectives

·          Both do their best to make sure their findings are not influenced by preconceived notions or judgments

·          Both explore their participants’ personal experiences

·          Both seek understanding the meaning of events and experiences on peoples’ lives, (Driessnack, 2007)

Differences:

·          Phenomenological research focuses on understanding the impact an experience has on a person’s life. The only sources of information are the people experiencing the event (phenomena). This type of research is often limited to interviews only, (Driessnack, 2007)

·          Grounded theory research includes a variety of data sources, including diaries, observations, images, and past research. They compare the data they collected with older data and look for differences and contradictions, as well as social patterns.

References

Driessnack, M., Sousa, V. D., & Mendes, I. C. (2007). An overview of research designs relevant to nursing: part 2: qualitative research designs.

 

5-“The purpose of phenomenological research is to provide a thorough description of a lived experience. Some researchers will summarize their findings with a written summary that combines the findings into a thorough description or an exemplar of the experience” (Grove 70).

“Grounded theory research is an inductive technique that emerged from the discipline of sociology. The term grounded means the theory developed from the research has its roots in the data from which it was derived. Most scholars base the grounded theory methodology on symbolic interaction theory. George Herbert Mead (Mead, 1934), a social psychologist, developed symbolic interaction theory, which involves exploring how people define reality and how their beliefs are related to their actions. Reality is created by attaching meanings to situations. Meaning is expressed in such symbols as words, religious objects, patterns of behavior, and clothing. These symbolic meanings are the basis for actions and interactions. However, symbolic meanings are different for each individual, and we cannot completely know the symbolic meanings for another individual” (Grove 70-71).

“Grounded theory has been used most frequently to study areas in which little previous research has been conducted and to gain a new viewpoint in familiar areas of research. Through their interviews to understand the perspectives of persons who were dying, Glaser and Strauss (1967) developed grounded theory research as a method and published a book describing it as a qualitative method. Nurses were attracted to the method because of its applicability to the life experiences of persons with health problems and its potential for developing explanations of human behavior (Wuerst, 2012)” (Grove 71).

“Ethnographic research was developed by anthropologists as a method to study cultures through immersion in the culture over time. The word ethnography means “portrait of a people.” Anthropologists study a people’s origins, past ways of living, and ways of surviving through time—in other words, their culture. Culture is the focus of ethnography. Early ethnography researchers studied primitive, foreign, or remote cultures (Savage, 2006). Such studies enabled the researcher who spent a year or longer in another culture to acquire new perspectives about a specific people, including their ways of living, believing, and adapting to changing environmental circumstances. This reflects the emic approach, one of studying behaviors from within the culture that recognizes the uniqueness of the individual (Ponterotto, 2005). The emic view from inside the culture is the typical goal of ethnography” (Grove 74).

I feel as though phenomenological research and grounded research have the most similarities due to the fact they both want to get to the root of the research by analyzing data from the core. Both types of research analyze both, people and experiences. I prefer grounded research because I like to investigate and analyze current and new research to understand it and create a different viewpoint, and maybe even learn about some of my own discoveries related to that research.

References

Grove, Susan, Jennifer Gray, Nancy Burns. Understanding Nursing Research, 6th Edition.      Saunders, 092014. VitalBook file.

 

6-I use the online lecture notes to my advantage. They are very helpful for discussion questions. I do not have a hard copy of either the Burns and Gray textbook or the APA manual. I use online information about 99% of the time. I go to owlpurdue.com when I have questions about APA format/quotes. I feel as though it is quicker to have access to online materials whether your are at home on the computer or on your phone. Technology has took off in the last few years.

Hope this is helpful.

-Shelby.

Review the two attached articles:

Next, review the evidence you are collecting for your proposed study. Which theories have others cited? Are you seeing a common theme? Next construct a conceptual map (see p. 138 in your textbook). Use Microsoft Word or Microsoft PowerPoint and include this as an attachment. Be sure you have defined the concepts and included relational statements.

Do one page for the review and one page for the conceptual map.

APA Format

Interview a person in a formal position of leadership within your organization (e.g., a supervisor, a manager, a director). Begin your interview with the following questions:

1. What is your role as a health care team member?
2. How do you define professionalism and how does professional responsibility influence your work?
3. Do you consider yourself a steward of health care? Why or Why not?
4. Is it important to you that leaders exercise professional advocacy and authenticity as well as power and influence when working with colleagues? Why or why not?
5. In 500-750 words, summarize your interview and share your impressions of the leader’s responses.