NR 439 Week 2 Discussion: Research, Practice Problems, and Questions

Chamberlain University NR 439 Week 2 Discussion: Research, Practice Problems, and Questions-Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University NR 439 Week 2 Discussion: 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 NR 439 Week 2 Discussion: Research, Practice Problems, and Questions                  

Whether one passes or fails an academic assignment such as the Chamberlain University NR 439 Week 2 Discussion: 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 NR 439 Week 2 Discussion: Research, Practice Problems, and Questions                  

The introduction for the Chamberlain University NR 439 Week 2 Discussion: 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 NR 439 Week 2 Discussion: Research, Practice Problems, and Questions                  

After the introduction, move into the main part of the NR 439 Week 2 Discussion: 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 NR 439 Week 2 Discussion: 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 NR 439 Week 2 Discussion: 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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Sample Answer for NR 439 Week 2 Discussion: Research, Practice Problems, and Questions Included After Question

First, I encourage you to post your discussion answer ASAP because this is a tough concept and the earlier you post, the more you will benefit from my feedback.

Second, This week’s discussion is FOUR questions:

The first is :  “Describe a significant nursing clinical issue, topic of interest, or practice problem that is important to you. Describe why you chose the problem/topic.”

A Sample Answer 2 For the Assignment: NR 439 Week 2 Discussion: Research, Practice Problems, and Questions

Title: NR 439 Week 2 Discussion: Research, Practice Problems, and Questions

First of all, it has to be a NURSING issue.  Not only a nursing issue, but something that a staff nurse can do independently.  Staffing issues require administration involvement, so those would not be appropriate.  The efficacy of one drug vs. another is not appropriate because the nurse does not order the medication.  Using an order bundle is not appropriate because the nurse doesn’t write the orders.

Second, I STRONGLY urge you to review the Week 3 PICOT assignment before you post in this discussion.  That assignment requires you to pick a topic related to quality or safety, and it gives several examples.  If you use one of those topics for your Week 2 discussion, you can use it again for the Week 3 assignment.  Why re-invent the wheel?  However, be aware – the topic you choose can be from the list, but the intervention within that topic needs to be an independent nursing function.  For instance, the topic of SSI’s is fine, but an intervention of administering pre-op antibiotics is not appropriate because it is the physician who orders them, not the nurse.

The second question is:

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

This means that you have to write the question out in question format.  Make sure you follow the  NR439_Guide for writing PICOT Questions and Examples.  You actually have to put the PICOT letter into the question!

The third question is:

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

P:

I:

C:

O:

T:

Again, make sure you follow the  NR439_Guide for writing PICOT Questions and Examples.  Also, remember that outcomes have to be specific and measurable.  “Fewer patient problems” is neither specific nor measurable.

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Finally, the fourth question asks you to:

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

This may seem very similar to the first question, and part of it seems redundant.  However, while the first question asks to describe why you chose it on a personal level, this question asks you to describe why you care about this nursing practice problem in general.  For instance, you might say that you chose a particular issue because it seems like the problem has increased on your unit (personal).  Why you care about this issue might include morbidity and mortality issues, financial reimbursement, research that has been proven to improve outcomes that you are not currently using, etc.  Don’t forget to say why you believe the problem would benefit from finding the best evidence.  How might that evidence improve the outcomes?

I hope this helps to clarify not only this discussion but also the Week 3 assignment!

This week’s graded topics relate to the following Course Outcome (CO).

CO 2:Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8)

CO 5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)

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. *For the below questions, medical/doctor/physicion problems will not be used, for example, treatments such as medications or diagnostics such as cardiac catherizations. Also, broad practice problems such as staffing issues, workforce issues, or patient ratios will not… os this is an organizational/system/politicol/administrative/multi-stokeholder problem which nursing cannot solve independently.

• Reflect on nursing practice and describe a significant nursing clinical issue, topic of interest, or practice problem that is important to you. Describe why you chose the problem/topic.

• Develop a searchable, clinical question in the PICO(T) format for your nursing practice problem. *To format your clinical question using PICO(T), use the AAACN oolkit: Template for Asking PICOT Questions found in your required reading or access the following link.

https:/mww.aaacn.org/sites/default/files/documents/misc-docs/l e_PICOT_Questions_template.pdf (Links to an external site.)Links to an external site.

• List each of your PICOT elements.

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

A Sample Answer 3 For the Assignment: NR 439 Week 2 Discussion: Research, Practice Problems, and Questions

Title: NR 439 Week 2 Discussion: Research, Practice Problems, and Questions

Describe a significant nursing clinical issue, topic of interest, or practice problem that is important to you. Describe why you chose the problem/topic.

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. 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.

5. Grading Rubric

Discussion Criteria	 A (100%) Outstanding or highest level of performance 	B (87%) Very good or high level of performance	C (76%) Competent or satisfactory level of performance	F (0) Poor or failing or unsatisfactory level of performance
Answers the initial graded threaded discussion question(s)/topic(s), demonstrating knowledge and understanding of concepts for the week. 16 points	Addresses all aspects of the initial discussion question(s) applying experiences, knowledge, and understanding regarding all weekly concepts.16 points	Addresses most aspects of the initial discussion question(s) applying experiences, knowledge, and understanding of most of the weekly concepts.14 points	Addresses some aspects of the initial discussion question(s) applying experiences, knowledge, and understanding of some of the weekly concepts.12 points	Minimally addresses the initial discussion question(s) or does not address the initial question(s).0 points
Integrates evidence to support discussion. Sources are credited.* ( APA format not required) 12 points	Integrates evidence to support your discussion from:assigned readings** OR online lessons, ANDat least one outside scholarly source.***Sources are credited.*12 points	Integrates evidence to support discussion from:assigned readings OR online lesson.Sources are credited.*10 points	Integrates evidence to support discussion only from an outside source with no mention of assigned reading or lesson.Sources are credited.*9 points	Does not integrate any evidence.0 points
Engages in meaningful dialogue with classmates or instructor before the end of the week. 14 points	Responds to a classmate and/or instructor’s post furthering the dialogue by providing more information and clarification, thereby adding much depth to the discussion.14 points	Responds to a classmate and/or instructor furthering the dialogue by adding some depth to the discussion.12 points	Responds to a classmate and/or instructor but does not further the discussion.10 points	No response post to another student or instructor.0 points
Communicates in a professional manner. 8 points	Presents information using clear and concise language in an organized manner (minimal errors in English grammar, spelling, syntax, and punctuation).8 points	Presents information in an organized manner (few errors in English grammar, spelling, syntax, and punctuation).7 points	Presents information using understandable language but is somewhat disorganized (some errors in English grammar, spelling, syntax, and punctuation).6 points	Presents information that is not clear, logical, professional or organized to the point that the reader has difficulty understanding the message (numerous errors in English grammar, spelling, syntax, and/or punctuation).0 points
PARTICIPATION: Response to initial question: Responds to initial discussion question(s) by Wednesday, 11:59 p.m. M.T.	0 points lostStudent posts an answer to the initial discussion question(s) by Wednesday, 11:59 p . m. MT.		-5 pointsStudent does not post an answer to the initial discussion question(s) by Wednesday, 11:59 p . m. MT.
PARTICIPATION Total posts: Participates in the discussion thread at least three times on at least two different days.	0 points lostPosts in the discussion at least three times AND on two different days.		-5 pointsPosts fewer than three times OR does not participate on at least two different days.
NOTES: * Credited means stating where the information came from (specific article, text, or lesson). Examples: Our text discusses…. The information from our lesson states…, Smith (2010) claimed that…, Mary Manners (personal communication, November 17, 2011)…. APA formatting is not required.
** Assigned readings are those listed on the syllabus or assignments page as required reading. This may include text readings, required articles, or required websites.
*** Scholarly source – per the APA Guidelines in Course Resources, only scholarly sources should be used in assignments. These include peer reviewed publications, government reports, or sources written by a professional or scholar in the field. Wikipedia, Wikis, .com website or blogs should not be used as anyone can add to these. For the discussions, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. Outside sources do not include assigned required readings.