NURS 8201 Week 2: Concepts in Research Discussion -

NURS 8201 Week 2: Concepts in Research Discussion

Sample Answer for NURS 8201 Week 2: Concepts in Research Discussion Included After Question

Week 2: Concepts in Research

How do we improve the world around us? How might we improve the practice of nursing and the care we give our patients? Consider how the role of research may answer these two questions. Analyzing, evaluating, and experimenting is the driving force behind research, and research, can be the driving force towards positive change.
“With the rapid development of medical technology, the intensified severity and complexity of diseases, and emphasis on patient‐centered care, clinical nurses are facing increasingly complex and demanding conditions in the clinical practice” (Chen et al., 2020). Thus, nurses will find themselves with an increased need to utilize research in their practice. As a future DNP-prepared nurse, you will likely find yourself asking questions based on your experiences and observations. These in turn may be used in formulating a research problem and purpose as your first step in answering these questions.
This week, you will have the opportunity to practice these skills. You will select a research topic of interest and will develop a problem statement. You will identify your study variables and develop a hypothesis. You will have the opportunity to analyze how this problem statement may impact society or the use of evidence-based research to effect positive nursing practice changes. You will also examine potential ethical considerations in relation to your research problem statement.
Reference: Chen, Q., Liu, D., Zhou, C., & Tang, S. (2020). Relationship between critical thinking disposition and research competence among clinical nurses: A cross‐sectional study. Journal of Clinical Nursing, 29 (7–8), 1332–1340. doi:10.1111/jocn.15201
Learning Objectives
Students will:
• Formulate a research problem statement
• Identify study variables related to a problem statement
• Analyze ethical considerations in relation to research problem statements
• Develop hypotheses related to a problem statement
• Analyze how research problem statements contribute to positive nursing practice changes
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Learning Resources

Required Readings (click to expand/reduce)

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.
• Chapter 5, “Research Problem and Purpose” (pp. 103–128)
• Chapter 6, “Objectives, Questions, Variables, and Hypotheses” (pp. 129–151)
• Chapter 10, “Quantitative Methodology: Noninterventional Designs and Methods” (pp. 234–-260)
• Chapter 11, “Quantitative Methodology: Interventional Designs and Methods” (pp. 261–313)

Al-Edresee, T. (2021). Barriers for patient-reported data collection, exploring the challenges, and solutions. Journal of Health Informatics in Developing Countries, 15(1), 1–9.

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Required Media (click to expand/reduce)

Gorard, S. (2011). How do I choose between different research methods? [Video]. SAGE Research Methods. https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.4135/9781412995559

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Discussion: Starting the Research Process
You are a pediatric nurse working with a facility to increase awareness and understanding concerning childhood immunizations. You notice there is a lack of understanding from parents about the benefit of these immunizations, and you begin to consider how you might research ways to improve immunization rates. You develop a research problem statement and begin to examine the research purpose for possible solutions.
As outlined in the scenario, a research problem statement identifies an area of need in which there is a gap in knowledge or practice, and interest by a nurse researcher. Either from a hypothetical or real-world experience, nursing research problem statements help to focus the research purpose and guide the study of the problem.

Photo Credit: [kaan tanman]/[E+]/Getty Images
For this Discussion, you will develop your own research problem statement on a topic of interest to you. Reflect on your personal and academic experiences to consider which research problem you might address.
To Prepare:
• Review the Learning Resources regarding research problem statements and consider how you might formulate a research problem statement.
• Reflect on your personal, professional, and academic experiences to identify a topic of interest to focus on for developing a research problem statement
• Consider what study variables and hypothesis would support your research problem statement.
• Consider any ethical considerations that you should keep in mind in relation to your research problem statement.
• Consider how the selected research problem might contribute to positive nurse practice changes.
By Day 3 of Week 2
Post a proposed research problem statement, including your study variables and hypothesis to make your problem statement clear. Explain any ethical considerations you should keep in mind in relation to your research problem statement. Then, explain how addressing this research problem may bring about positive nursing practice change. Be specific and provide examples.
By Day 6 of Week 2
Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by providing specific feedback and critiquing their problem statement using the following criteria (Gray & Grove, 2020):
• Does the problem have professional significance?
• Does the problem have potential or actual significance for society?
• Does the problem have the potential to build or refine evidence-based practice?
Submission and Grading Information
Grading Criteria

To access your rubric:
Week 2 Discussion Rubric

Post by Day 3 of Week 2 and Respond by Day 6 of Week 2

To Participate in this Discussion:
Week 2 Discussion

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What’s Coming Up in Module 2?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images
In the next module, you will identify the purpose and use of quantitative research methods. You will examine data, specifically looking at collecting and analyzing quantitative research.
Next Module

A Sample Answer For the Assignment: NURS 8201 Week 2: Concepts in Research Discussion

Title: NURS 8201 Week 2: Concepts in Research Discussion

Research problem statement: The efficacy and safety of pairing spontaneous awakening trial and breathing trials as successful weaning modes within the ICU setting.
Working in the critical care setting for about two years now, I can clearly imagine how it feels to be in the shoes of family members who are watching or taking care of their critically ill families; ones that are mechanically ventilated, sedated, and on vasoactive medications. Whenever, I start my shift as an ICU nurse, I always make it a habit to plan how I am going to achieve my patient care goals; which is how to accomplish the most care within a 12 hour shift. Since most of the patients that are admitted in the ICU are critically ill that requires them to be intubated and sedated, I try my best as a nurse to ease their discomfort by promoting plans of care that would help decrease their days of being intubated and sedated. I plan to accomplish these goals through working alongside with other interdisciplinary healthcare team members that play a role in the patient’s daily care.
Moving forward, my colleagues and I who have been working in the ICU for a significant amount of time should be comfortable in handling mechanically intubated and provide plan of care in decreasing the patient length of stay and length of intubation. In the past few months, we are slowly hiring new nurses from different units that want to take up the challenge of becoming an ICU nurse. With this in mind, our nursing educator has brought it to the attention of the nursing management that the new nurses must be comfortable assessing the parameters that verify that a patient is ready to be extubated. This week, our nursing educator has set up educational information about the importance of pairing up spontaneous breathing trials (SBT) with spontaneous awakening trials (SAT) among ventilated patients in the ICU.
One of the most recent research EBP measures that our nurse education has presented to us is to learn the importance of incorporating spontaneous breathing trails partnered up interruption of sedation holidays. The rationale behind this to prevent ventilation assisted pneumonia development, which would further increase their length of stay as well as morbidity and mortality rates. According to AHRQ (2017), SATs and SBTs are associated with reduced length of mechanical ventilations, thereby reducing the ventilator assisted pneumonia, resulting in faster extubating time and earlier discharge date. Protocols for weaning from sedation and ventilation should be done in a timely manner to optimize outcomes.
The ICU setting is driven by sedation and analgesia as most patients experience pain and stress within their stay. It is also required to ease the discomfort and adaptation of mechanical ventilation. According to Shinotsuka (2013), prolonged sedation with intubation increases delirium rates, longer ICU stays, and increased mortality rate (p.186). Because of this, the evidence practice gap must be addressed because analgesia based goal is commonly a nurse driven protocol; therefore, educational efforts must be addressed to everyone working in the ICU.
With the current situation of the Covid-19 pandemic, healthcare personnel are now becoming more resilient and accepting to new protocols and education towards combating this new pandemic as well as teaching the community. As the burden of critical care services and its down streaming effects of sedation strategies, according to the Massachusetts General Hospital (2020), targeting less sedation overall is associated with improved outcomes in the critically ill mechanically vented patients including morality and overall stays in the ICU. These principles also apply with the management of Covid-19. Also, with the significant rise in the number of patients suffering from Covid-19 and medication shortages; sedation and analgesia should be saved for supporting care among critically ill patients who are reaching moderate to severe acute respiratory distress syndrome to facilitate comfort and ventilator tolerance. Therefore, research of current literature must be implemented in the ICU educational setting determining the risk of sedation balanced with need for lung protection. As a result, daily evaluation of sedation use should be visited among interdisciplinary healthcare teams and pay careful attention to pain and prevention of ICU delirium.

Reference(s):

AHRQ (2017). Spontaneous awakening trials and spontaneous breathing trial literature review.
AHRQ Safety Program for Mechanically Ventilated Patient Article.16 (17). 18-19. Retrieved from https://www.ahrq.gov/hai/tools/mvp/modules/technical/sat-sbt-lit-review.html
Massachusetts General Hospital (2020). Update in sedation and analgesia management in Covid-
19 ARDS. The General Hospital Article.. Retrieved from https://advances.massgeneral.org/pulmonary/article.aspx?id=1393
Shinotsuka, C. (2013). Implementing sedation protocols: Closing the evidence-practice gap.
Scielo Journal. 25(3). 186-187. Retrieved from https://www.scielo.br/j/rbti/a/hrpnjPwKdvz6kMQ966J5zVD/?lang=en&format=pdf

A Sample Answer 2 For the Assignment: NURS 8201 Week 2: Concepts in Research Discussion

Title: NURS 8201 Week 2: Concepts in Research Discussion

I enjoy reading your post. I agree that the gap between research evidence and clinical practice is one of the most persistent problems in providing quality care in healthcare settings. However, nursing research in clinical settings facilitates high-quality nursing care and improves patient health outcomes. For healthcare providers to accomplish these, the quality of care provided, and practical implementation are critical to improved nursing care quality. When the quality of nursing care is improved, visibility of nurses’ contribution to patient’s health outcomes becomes distinct, and nurses can justify the claim that nursing is a science and an independent profession (Semachew, 2018).

Reference

Semachew A. (2018). Implementation of the nursing process in clinical settings: the case of three governmental hospitals in Ethiopia, 2017. BMC research notes, 11(1), 173. https://doi.org/10.1186/s13104-018-3275-z

A Sample Answer 3 For the Assignment: NURS 8201 Week 2: Concepts in Research Discussion

Title: NURS 8201 Week 2: Concepts in Research Discussion

Excellent post. As a nurse, we often see the outcomes of not using enough evidence-based practices. Evidence-based practices in conjunction with changes in the implementation of policies and procedures= better clinical outcomes. Do you feel that your facility has a good system of using evidence-based practices? How does staffing affect the awakening trial and breathing trials that are being tried in the ICU?

This is insightful Manilyn, ICUs often present complex environments that require great attention to detail. Most healthcare institutions usually try to find innovative ways of dealing with problems that may lead to adverse patient outcomes (Morandi et al., 2017). The practices within the critical care units ought to be pegged into evidence-based practices and research processes to ensure the delivery of quality care (Diaz, 2020). Going with the above factors, your problem of research has professional significance, particularly when it comes to the delivery of quality care to patients in critical care units. The main objective of formulating research problems is to solve a particular problem in the healthcare system and society at large (Caldwell, 2021). In this case, the problem statement has potential or actual significance for society in terms of quality of treatment and the reduction of unnecessary costs that

come with longer hospital stays. Finally, your research problem, given the challenges it seeks to address, has the potential to build or refine evidence-based practice.

NURS 8201 Week 2 Concepts in Research Discussion

References

Caldwell, J. (2021). Evaluation of a Spontaneous Breathing Trial Extubation Protocol on Patient Outcomes. https://uknowledge.uky.edu/dnp_etds/351
Diaz, L. B. (2020). Paired Spontaneous Awakening Trial and Spontaneous Breathing Trial Protocol Implementation. https://archive.hshsl.umaryland.edu/handle/10713/12945
Morandi, A., Piva, S., Ely, E. W., Myatra, S. N., Salluh, J. I., Amare, D., … & Latronico, N. (2017). Worldwide ABCDEF (Assessing pain, both spontaneous awakening and breathing trials, choice of drugs, delirium monitoring/management, early exercise/mobility, and family empowerment) survey. Critical care medicine, 45(11), e1111. 10.1097/CCM.0000000000002640

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