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2023 Research Proposal Overview Description The final project for NSG6101 consists of the development of a

2023 Nursing teacher Charles

Research Proposal Overview Description The final project for NSG6101 consists of the development of a 2023

Research Proposal

Overview/Description: 
The final project for NSG6101 consists of the development of a novel research proposal specific to your role specialization. The project must include an intervention appropriate to nursing practice and consistent with your MSN role option. An alternative to the above includes the selection of a specialty organization to focus research proposals based on the priorities of that organization. Examples of these organizations could include (but are not limited to): Sigma Theta Tau International, American Nurses’ Foundation, Oncology Nursing Society, Association of Nurses in AIDS Care, American Psychiatric Nursing Association, American Association of Critical Care Nurses, National Association of Pediatric Nurse Associates and Practitioners, National League For Nursing, etc. 

Throughout this course you have been developing various sections of the research proposal. This week you will assemble the final proposal (addressing faculty feedback). This paper is to be developed in APA format/style using the required template and not to exceed 15 pages (excluding title page/references/appendices). 

Criteria: 
Introduction

  • Background and Significance of Problem 
  • Statement of the Problem and Purpose of the Study 

Literature Review

  • Summary of the Evidence for the Proposed Study 

Research Question, Hypothesis, and Variables with Operational Definitions

Theoretical Framework

  • Overview and Guiding Propositions(s) Described in Theory 
  • Application of Theory to Your Study’s/Project’s Focus 

Methodology

  • Sample/Setting: Number and criteria for inclusion and description of place in which data will be collected. 
  • Sampling Strategy 
  • Research Design: Type (e.g., Quasi-Experimental), description, and rationale for selection.  
  • Extraneous Variables (and plan for how controlled). 
  • Instruments: Description, validity, and reliability estimates, which have been performed (on a pre-established measure). Include plans for testing validity and reliability of generating your own instrument(s). 
  • Description of the Intervention 
  • Data Collection Procedures 
  • Data Analysis Plans
    • Describe plan for data analysis for demographic variables (descriptive statistical tests). 
    • Describe plan for data analysis of study variables (descriptive and inferential statistical tests). 

Ethical Issues

  • Describe ethical considerations and your plan to protect human rights. 

Limitation of Proposed Study
Implications for Practice
References
Appendices

  • Informed Consent Letter
    • Procedure section is clear, described in detail, specific, and all inclusive. Written in lay language (as documented by reading level score). Includes risks and benefits relevant to study. Address assent (if applicable). 

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2023 200 words 1 reference The VA is always so way ahead but yet

2023 Nursing Response #1 to nursing DB

200 words 1 reference The VA is always so way ahead but yet 2023

200 words 1 reference

 

The VA is always so way ahead, but yet so far behind the times. The VA has been one of the forerunners in some topics in the medical field such as changing completely to electric charting. Though the VA may be way ahead at times in technology treatment availability for our veterans, where it matters the most, the ball has been dropped and many suffer. The VA is a nice resource in that it provides quality free care for our veterans. Though it may be quality care is it really free? The time it takes to make appointments and wait for healthcare services through the VA sometimes costs you the window in were treatment is lifesaving. Many veterans have no access to treatment in a timely fashion. As a result many veterans’ disease processes reach a point of no return. If the veteran did not have to wait so long for certain treatments they would not have cancer metastasized so far or worse caught cancer before it had the chance to metastasize. The reason for the delay in care is due to the fact that there are not enough healthcare providers to help the influx of veterans that need primary treatment.

 

Publishing of the VA Final Rule allows for advance practice registered nurses to practice without the oversight of medical physicians with the exclusions of CRNAs. Allowing APRNs to practice without a physician is extremely helpful in reducing and ultimately eliminating the delays in accessing healthcare treatments. Though they are allowing APRNs to practice without a physician they excluded CRNAs. Excluding CRNAs I feel will ultimately congest the system up more. You have the same influx of people now being able to see primary care practioners, but now there will be a higher demand for advance therapies and procedures requiring anesthesia. The VA will have practioners to perform the procedure but not enough anesthesiologists. As a result the veterans will still have to wait for treatments therefore delaying their care. In one article the former president of the American Anesthesiologists Dr. Jane Fitch states, “When you have a veteran on the operating table with multiple medical conditions, seconds count. All those years of education and training can make the difference between life and death” (Mckelway, 2016). I do agree with Dr. Fitch’s statement that years of experience may make the difference between life and death, but CRNAs have two years of training and a majority of it is hands on. CRNAs are extremely qualified candidates. It has been proven that the mortality rate does not change when CRNAs are supervised versus unsupervised by a physician. Medicaid and Medicare have allowed some states to “opt out” of supervision because of this finding. Opt out Allows CRNAs to practice without supervision of a physician because there have been multiple studies showing that there was no higher rate of mortality without supervision. I think excluding CRNAs in this Final rule will not fix the problem of delay in care in the VA.  I agree that CRNAs should continue to fight for the right to practice without supervision of a physician in order to help solve this problem making so many veterans suffer.

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2023 Your discussion thread title should be the name of the disorder GOUT If

2023 Nursing Discussion 6 – Gout

Your discussion thread title should be the name of the disorder GOUT If 2023

Your discussion thread title should be the name of the disorder – GOUT.

If possible, you should choose a disorder that has not been chosen by a peer. You can complete your initial post using bullet points or a short answer.

In your initial post, discuss the following questions about your chosen disorder:

  • Concept and Etiology: How does the disease affect the musculoskeletal and integumentary systems in particular? How does it deviate from the definition of health discussed in Module One?
  • Classification: How is the disease classified?
  • Clinical Manifestations (Symptoms and Signs): What are the symptoms and signs of the disease or disorder? Be sure you understand the difference between symptoms (subjective) and signs (objective).
  • Diagnostic Tests: What are some additional diagnostic tests that can be done to illuminate the diagnosis? For example, when you injure your ankle, they take an x-ray to determine if it is broken or sprained.

Support your answer with relevant resources.

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2023 PLEASE READ THE ASSIGNMENT CLOSELY DO NOT BID IF YOU CAN T DELIVER

2023 Nursing TOP CLASS WRITER ONLY

PLEASE READ THE ASSIGNMENT CLOSELY DO NOT BID IF YOU CAN T DELIVER 2023

PLEASE READ THE ASSIGNMENT CLOSELY. DO NOT BID IF YOU CAN’T DELIVER GRADUATE WORK AND MAKE SURE EVERYTHING REQUIRED BELOW IS IN TEH DISCUSSIONS. It should include intro and a summary even though it is not a paper. Thanks.

 

Discussion 2: Anaphylactic Shock

The treatment of anaphylactic shock varies depending on a patient’s physiological response to the alteration. Immediate medical intervention and emergency room visits are vital for some patients, while others can be treated through basic outpatient care.

 

Consider the January 2012 report of a 6-year-old girl who went to her school nurse complaining of hives and shortness of breath. Since the school did not have any medication under her name to use for treatment and was not equipped to handle her condition, she was sent to an emergency room where she was pronounced dead. This situation has raised numerous questions about the progression of allergic reactions, how to treat students with severe allergies, how to treat students who develop allergic reactions for the first time, and the availability of epinephrine in schools. If you were the nurse at the girl’s school, how would you have handled the situation? How do you know when it is appropriate to treat patients yourself and when to refer them to emergency care?

 

To Prepare

  • Review “Anaphylactic Shock” in Chapter 24 of the Huether and McCance text, “Distributive Shock” in Chapter 10 of the McPhee and Hammer text, and the Jacobsen and Gratton article in the Learning Resources.
  • Identify the multisystem physiologic progression that occurs in anaphylactic shock. Think about how these multisystem events can occur in a very short period of time.
  • Consider when you should refer patients to emergency care versus treating as an outpatient.
  • Select two patient factors different from the one you selected in this week’s first Discussion: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the process of anaphylactic shock.
By Day 4

Post an explanation of the physiological progression that occurs in anaphylactic shock. Then, describe the circumstances under which you would refer patients for emergency care versus treating as an outpatient. Finally, explain how the patient factors you selected might impact the process of anaphylactic shock.

Read a selection of your colleagues’ responses.

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