Demonstrate the use of research evidence for nursing practice applied to the care of a surgical patient.

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Written Assignment – Nursing the Surgical

Task overview

Assessment name Nursing the Surgical Patient
Assignment Objectives 1.Demonstrate the use of research evidence for nursing practice applied to the care of a surgical patient.

2.Augment skills in clinical decision making and reasoning through synthesizing and analyzing information required to care for a surgical patient.

3.Apply appropriate assessment, problem solving, planning, prioritizing of interventions to care for the selected client scenario chosen.

4.Demonstrate the nurse’s role in monitoring and implementing prioritized nursing interventions in response identified patient needs.

5.Demonstrate the ability to communicate specific patient care issues succinctly according to scholarly writing and referencing conventions.
Due Date  
Length 2000 words +/-10% (including headings) (word length includes in-text referencing and excludes your reference list)
Marks out of:

Weighting:

 A total of 80 marks = 40 %
Task description This assignment requires you to consider the case scenario of Frank Wright. Frank Wright has undergone a right total knee replacement.

Applying your knowledge and understanding of the post-operative patient, you will write an academic essay applying the principles of surgery, consideration of patient co-morbidities and implementing nursing actions that identify, assess and prevent potential clinical issues.

Must be written in the format of an academic assignment and in third person.

You may use headings to differentiate the three parts.

The assignment has three parts –

Part A: Using the clinical reasoning cycle, devise a post-surgical plan of care for a patient who has undergone a total knee replacement

Parts B: Discuss the impact of co-morbidities and a general anaesthetic on post-operative recovery

Part C:  Discuss discharge planning for the patient following a total knee replacement

1. Provide an INTRODUCTION (approximately 150 words)

An introduction should provide clear scope about the direction of your assignment.

Part A  Utilising the case scenario and considering the pre and post- operative clinical data and academic literature devise a plan of care (approximately 600 words)

  1. This section will concentrate on the first 24 hours of post-surgical care.
  2. Analyze the case and formulate an appropriate prioritized plan of care for Frank within the defined 24 hour period.
  3. In the plan of care include:

I. Identify relevant assessment (e.g. vital signs, renal, respiratory, etc.)

I. Based on your assessment, propose three (3) potential patient clinical issues.

II. Based on your assessment and three (3) potential clinical issues, develop prioritized interventions (including monitoring). These interventions should include nurse initiated and collaborative interventions.

  1. The scope of your prioritized interventions may include both physical and psychosocial aspects of care.
  2. The care plan must involve justification of your prioritized interventions and supported with rationales derived from the literature.

Part B: Analyzing the case to identify potential clinical issues in relation to co-morbidities (400-500 words)

1.Discuss smoking, and the co-morbidity of hypertension, high cholesterol and obstructive sleep apnoea (OSA) in the context of having a general anaesthetic within the 24 hour postoperative period.

2.In your discussion, include the possible clinical issues related to the smoking and OSA that could arise in this 24 hour period and how Fred might deteriorate (You will need to reason explain the relevant pathophysiology).

3.Detail the nursing interventions the nurse would initiate to decrease risk of clinical deterioration and include your rationale for the nursing interventions. Justify your rationale with reference to the literature.

Part C: Discharge Plan (300 words)

1.Identify and briefly discuss discharge planning for Frank. Identify from the case the discharge planning that would need to be put in place for Frank. Keep this section brief.

Provide an conclusion (approximately 150 words)

Your conclusion succinctly summarizes the main points of your assignment but this section is not an opportunity to introduce new information.

 

 

Case Study Pre-operative

Frank Wright is a 76 year old man, retired architect, married with two grown children and has been admitted for a right total knee replacement. Frank’s wife suffers from dementia and Frank is her main carer.  Consider the pre-operative data in your discussion.

Utilizing clinical reasoning cycle and referring to the post-operative data you will devise appropriate nursing plan for Frank.  Your answer will be divided into three parts with an introduction and conclusion. Ensure you refer to pre and post-operative data to support your answer.

Objective Data Past Medical History Social History
·         Weight 92kgs

·         Height 170 cm

·         BP 140/95

·         HR 86

·         RR 18

·         Temp 36/8

·         Urinalysis – normal

Current Medication

·         Simvastatin 40mg nocte

·         Atenolol 50mg daily

·         Ranitidine 150mg BD

 ·         Hypercholesterolemia

·         Hypertension

·         Osteoporosis affecting both hips and knees

·         Obstructive sleep apnoea confirmed with sleep study March 2019

 ·  Married with 2 grown children

·  Main carer for wife with who has early onset dementia

·  Retired

·  Smokes 10 cigarettes a day

·  Minimal alcohol use

Family history

·      Father RIP heart failure

·      Mother RIP pancreatic cancer

Postoperative

Frank has undergone a right total knee replacement and returned to the ward at 2100 hours. You are the nurse looking after him on the night shift.

Observations Medications Post-operative orders
·      BP 100/54, HR 106, Respiratory rate 12BPM, SaO2 95% FiO2 2 litres via nasal prongs, temperature 37.6°C Axilla,

·      Sedation score = 1-2

·      Vacudrain in-situ 50  ml in bag

·      Estimated blood loss (EBL) in OT 200ml

 

 

 ·         Simvastatin 40mg nocte

·         Regular paracetamol 1G QID

·         Captopril 50mg BD

·         Ranitidine 150mg BD

·         Aspirin 100 mg mane

·         Morphine PCA 1mg bolus: 5 minute lockout

·         Oxygen 2L via nasal prongs

·         Intravenous infusion: Sodium Chloride 0.9% (Normal Saline) (NaCl) 100mls/hour

 ·         Comfeel, crepe bandage to be de-bulked day one

·         Apply cryotherapy as tolerated

·         Normal diet

·         DVT prophylaxis –TED stockings

·         Aspirin 100mg daily

·         Pain management

·         GP follow up 2/52

·         OPD appointment 6/52 with Dr McMeniman

 

 

 

Submission information

What you need to submit Suggestions:

Microsoft Word document that contains the following items:

·       Coversheet including unit code, unit name, semester and year, assignment title, student name, student number, word count

·       Marking RUBRIC sheet on the last page of your assignment/ as a separate document
Submission requirements This assessment task must:

1.Use APA6 is the appropriate form of referencing.

2.Word count includes in-text references and citations but not the reference page.

3.Achieving correct referencing formatting is just one aspect of referencing.  More important is how you use someone else’s published material and correctly synthesize it into your own work – and correctly acknowledge that it is either theirs – or ascribed to someone else within their work (a secondary citation).

4.Each section of the assignment should read smoothly within itself and bring the reader in (introduce the topic) and out (conclude).

5.Academic staff assistance is provided to answer questions but we are not in a position to review drafts – but we will help with clarifying the assignment instructions.

6. When submitting your assignment you must complete the student declaration statement declaring that the assignment is your own work.

Any breach of this is a breach of professional ethics and this will be penalized appropriately.  Turning in work that someone else has done for you and stating that it is your own is considered fraud.  It does not reflect well on a student who is soon to be a Registered Nurse in Australia.  It does not reflect well on the profession
Moderation All academic staff who are assessing your work meet to discuss and compare their judgements before marks or grades are finalized.

 

What are some considerations faculty (nursing leadership) must consider when developing curricula for hybrid or online programs.

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POST 1:

Topic 1: Keating and DeBoor describe both internal and external factors/trends to consider when conducting a needs assessment for curriculum development/revision. (a) Identify how one of the following factors/trends: economic, political, or social may influence regulation and/or accreditation of nursing programs.  (b) identify one circumstance when faculty will need to assess/revise curriculum. (c) a) How does research and evidence-based teaching practice (EBTP) impact how nursing curriculum is developed and program content learned?

Initial: TYPE HERE (at least 400-500 words):

Resources (At least 2 peer reviewed in APA):

 

POST 2: Topic 2: You have been assigned to develop the curriculum for a new BSN program. Identify key documents and resources that you would consult to begin development of  the curriculum?

(c) What are some considerations faculty (nursing leadership) must consider when developing curricula for hybrid or online programs and

(d) offering online courses nationally (across states) and internationally. Provide references to substantiate content.

 

Initial: TYPE HERE (at least 400-500 words)

Resources (At least 2 peer reviewed in APA):

Discuss the criteria you used when evaluating and deciding to utilize a piece of literature. For example, article needed to be “published within the last 5 years” or only certain “levels of evidence” would be accepted.

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Chatham University.

Doctor of Nursing Practice (DNP) Program.

NUR702 Developing Evidence-based Practice.

Assignment Guidelines Integrative Review of the Literature.

Students will complete a review of the research literature specific to the problem of interest in order to uncover possible interventions that can be utilized in evidence-based practice.  The submitted paper will include relevant research findings that are offered as an intervention to address the clinical problem identified in the first assignment. The student is to critically appraise the studies that are shared in the paper. In addition to identifying 3-5 strong studies that will serve as the evidence base for evidence based practice, the student will also share general study findings related to addressing the problem using alternative interventions. Following your literature review, the student should be able to be knowledgeable about what the studies have found with regards to addressing a clinical problem and be able to ultimately identify the intervention they plan to use. This paper will briefly address the clinical problem, but mainly focus on studies found in the research literature that intervene upon the problem. This paper is NOT about the project you will design in NUR 704, but rather on the intervention you find in the research literature. This assignment will be used to support Chapter 2 in the final written capstone document.

The basic outline for the integrative review of the literature is as follows. This scholarly written assignment is to be formatted following the APA (6th edition).

  1. Introduction (5 points). This section should be a very succinct introduction of the clinical problem, the proposed intervention (which will be supported by this paper). You will need to share some background information to help the reader understand why the clinical issue must be addressed. The section should conclude with a statement that states “The purpose of this paper is to….”  Total length of this section is no more than two paragraphs.

*Note, this section is the first section of your paper which is preceded by a level one heading which is the same as the title of your paper.  Do not use “Introduction” as a level one header.

  1. Literature Search Methods (Total 10 points) – This section should discuss two major areas of content:
    1. Sampling Strategies (5 points) – you used to conduct the search process, such as the databases accessed, year restrictions used, types of studies you focused on, and key terms (PICO elements) used in the search. You need to justify or help the reader understand why you used these strategies (ex. data bases and key terms).  Utilize the search strategy matrix you have been using during your search to write this paragraph. Refer to this document in this section (“see Appendix A” or B…).
    2. Inclusion/Exclusion Criteria (5 points) – you need to discuss the criteria you used when evaluating and deciding to utilize a piece of literature. For example, article needed to be “published within the last 5 years” or only certain “levels of evidence” would be accepted.
  • Literature Review Findings (Total 25 points) – this section is composed of two parts:
    1. General Findings –

This section generally highlights all possible interventions found in the literature, but should not focus on your chosen intervention. That goes in the next section.  This is a broad list of possible interventions found in the literature supported by a brief description of a few of the studies. If there were a lot of interventions found, it is not expected that you describe all of them but a sampling of them. Remember, this is NOT where you are describing your chosen intervention. This should not include the intervention used in your PICO statement but others you have uncovered during your literature review. Be sure to carefully cite all the studies found. Briefly explain why you aren’t using any of these interventions. Add additional level headings as appropriate.

  1. Chosen Intervention–

Now introduce/present the 3 to 6 studies that support the exact practice change intervention you are considering. Each study should be presented sharing a clear, thorough description of the study including the setting, the sample, the methodology used including the intervention and the study’s outcomes (*Note you must share actual statistical data to reflect the positive outcomes achieved as a result of using the intervention).  Utilize your Evidence Matrix you have been completing to write this section. Attach the Matrix in the Appendix. Add additional level headings as appropriate. Be sure to cite your studies. **Remember, there must be evidence to support a practice change initiative.  The evidence table-matrix must be submitted with the final version of the assignment as an appendix. There must be at least 3 to 6 pieces of evidence that strongly support your chosen intervention/project.

 

  1. Discussion – (Total 15 points) – This section discusses three parts:
    1. Limitations-Identify limitations of the literature review process – some examples could be you only located literature that seems dated by our standards, there was a lack of published empirical studies on the topic (offer a rationale for using non-empirical studies), there was a lack of studies in nursing but did locate studies in another disciplines, etc. Explain why you needed to expand your search to other disciplines. You cannot say there wasn’t any support for your chosen intervention or else you cannot use it!!
    2. Conclusion of Findings– Briefly highlight your chosen intervention. How robust was the evidence? Why did you choose it?
    3. Potential Practice Change– Considering the information you provided in section B above, describe a potential practice change you can design for your problem using this intervention –remember, this is just a lead off to what you will actually design in NUR
    4. 704

 

  1. Conclusion (5 points) – a short summary of what was presented in the paper. Address “key take aways.” Do not introduce new information in the conclusion.
  2. References
  • Appendix (Total 10 points)
    1. Search Strategy Log– 5 points
    2. Evidence Matrix– 5 points
  • Structure and Format of Scholarly Writing Assignment (Total 30 points)
    1. Written in APA (6th edition) format (10 points)
    2. Correct spelling, grammar, and punctuation (10 points)
    3. Organization and presentation of content (10 points) – Be sure to use transitioning sentences when moving between sections of the paper. You need to help your reader follow your thinking.
    4. This paper should be 12-15 pages (Not including cover page, references or appendix). Maximum pages:

 

Total Possible Points=100 Points (40% of final grade)

The final problem and research evidence supporting the selected intervention must be approved by course faculty in order to pass the course and move on to NUR704 (second capstone course).

 

Grading Criteria Possible Points Student Score
Introduction  5  
Methods = 10 total

–          Sampling Strategies = 5

–          Criteria used = 5

 10  
Findings = 25 total

–          General findings

–          Chosen intervention

 25  
Discussion = 15 total

–          Limitations

–          General conclusions

–          Potential project

 15  
Conclusion 5  
Appendix

 

 10  
Written in APA format 10  
Correct spelling, grammar, punctuation 10  
Organization and presentation 10  
Total = 100 points 100  

 

Important Tips for Successful Writing

(not just for this paper but for all formal writing assignments):

As doctoral level students, please plan to pay close attention to: grammar, spelling, sentence structure, paragraph development, format, word usage, and style of writing. 

Mechanics:

*Your paper should have a title page and a reference page.

*You should also have page numbers and subject level headings. (use the level headings provided to you in this guideline!)

*All citations and the reference page should follow the APA Manual (6th edition) guidelines.

*The text should be 12 font, Times New Roman.

*Your paper should be double-spaced.

*There should be one inch margins.

 

Writing:

*Refer to yourself at the Project Implementer or Project Manager.

Whatever you use, plan to use this through all 8 chapters of your final capstone.

*Do NOT write any formal paper in this program in first person (I, me, my, our, we) unless specifically asked for as a personal reflection.  This paper is not a personal reflection and should be written very formally.

*A paragraph should have at least three sentences.  A paragraph leads off with a single idea (first sentence) and then the rest of the sentences in that paragraph support the main idea. A single paragraph should not contain multiple topics.

*New information (cited information) should not be introduced in the summary/conclusion.  This is a summary of the entire paper/section/chapter.

*There should be a brief paragraph (at least three sentences) under each level heading introducing the section.

*Try to avoid writing  “Results showed…. or do not show……”, but “Results indicate, suggest, demonstrate, report, etc.

*Never state “Investigators or studies conclude….” for there is always some bias in results (except in the strictest of lab environments). Investigators or studies may suggest, indicate or demonstrate.

 

Misc tips

*Faculty may allow drafts for certain major papers in the program. Not all courses allow for drafts. This is a courtesy and should be taken full advantage because the feedback you get on the draft will greatly improve your paper. However, this does not mean that additional drafts or re-writes will be accepted or that all papers in the program will be preceded by a draft submission.

*Drafts are not complete corrections of every aspect in your paper by the instructor.  Rather, it is expected the student will investigate further, then apply suggestions offered in their drafts throughout future writing revisions.

*Many faculty use MS Word “Track Changes” to provide feedback. Be sure to familiar yourself with this feature using the resource available in the course. When reviewing feedback in Track Changes, view the feedback showing “All Markup”, not “Simple Markup”.  Most importantly, REMOVE all track changes when submitting final papers by selecting “Accept all changes-Stop Tracking” and remove all faculty comments by right clicking on the comment and selecting delete. Some faculty will not accept assignments if Track Changes is visible on the paper.

*Save all work and papers from each course on a separate drive for future use. For papers that will eventually be chapters in your capstone, make the changes suggested by your course faculty RIGHT AWAY so they are ready to go when you get into NUR 799. Your capstone will be graded in NUR 799 so you will want it to be the best it can be.

 

 

What is your definition of spiritual care? How does it differ or accord with the description given in the topic readings?

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What is your definition of spiritual care? How does it differ or accord with the description given in the topic readings? Explain.

Classroom Policies Per Instructor

Please be sure to answer all of the Discussion Question so you do not lose points. This is a minimum of 250 words (with citations and references per APA Format). Please be sure to use the doi for journal reference entries. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Tips for answering this question with the consistency of previous assignments … I was raised in a Christian family and adopted this belief as my own.

Please ask me any questions if further information is needed.

Pls ask support team for login info

 

Chapters 13-15 in Called to Care: A Christian Worldview for Nursing.

URL: http://gcumedia.com/digital-resources/intervarsity-press/2006/called-to-care_a-christian-worldview-for-nursing_ebook_2e.php

“Medical Record – Spiritual Assessment” located on The Joint Commission website (2018).

URL:https://www.jointcommission.org/standards_information/jcfaqdetails.aspx?StandardsFaqId=1492&ProgramId=46

“Doing a Culturally Sensitive Spiritual Assessment: Recognizing Spiritual Themes and Using the HOPE Questions,” by Anandarajah, from AMA Journal of Ethics (2005).

URL: https://journalofethics.ama-assn.org/article/doing-culturally-sensitive-spiritual-assessment-recognizing-spiritual-themes-and-using-hope/2005-05

 

 

How ought the Christian think about sickness and health? How should a Christian think about medical intervention?

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Case Study: Healing and Autonomy

Mike and Joanne are the parents of James and Samuel, identical twins born 8 years ago. James is currently suffering from acute glomerulonephritis, kidney failure. James was originally brought into the hospital for complications associated with a strep throat infection. The spread of the A streptococcus infection led to the subsequent kidney failure. James’s condition was acute enough to warrant immediate treatment. Usually cases of acute glomerulonephritis caused by strep infection tend to improve on their own or with an antibiotic. However, James also had elevated blood pressure and enough fluid buildup that required temporary dialysis to relieve.

The attending physician suggested immediate dialysis. After some time of discussion with Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God. Mike and Joanne had been moved by a sermon their pastor had given a week ago, and also had witnessed a close friend regain mobility when she was prayed over at a healing service after a serious stroke. They thought it more prudent to take James immediately to a faith healing service instead of putting James through multiple rounds of dialysis. Yet, Mike and Joanne agreed to return to the hospital after the faith healing services later in the week, and in hopes that James would be healed by then.

Two days later the family returned and was forced to place James on dialysis, as his condition had deteriorated. Mike felt perplexed and tormented by his decision to not treat James earlier. Had he not enough faith? Was God punishing him or James? To make matters worse, James’s kidneys had deteriorated such that his dialysis was now not a temporary matter and was in need of a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their own kidneys to James, but they were not compatible donors. Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James. However, none of them were tissue matches.

James’s nephrologist called to schedule a private appointment with Mike and Joanne. James was stable, given the regular dialysis, but would require a kidney transplant within the year. Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match, but as of yet had not been considered—James’s brother Samuel.

Mike vacillates and struggles to decide whether he should have his other son Samuel lose a kidney or perhaps wait for God to do a miracle this time around. Perhaps this is where the real testing of his faith will come in? Mike reasons, “This time around it is a matter of life and death. What could require greater faith than that?”

 

Briefly describe an overview of its development and include a web address where this information can be found. If your state does not have guidelines, discuss a federal guideline. (Note: you may need to contact your state’s board of nursing, pharmacy or medicine if you cannot locate it on your own).

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Preparing the Paper:
Submit the paper as a Microsoft Word Document.
The length of the paper should be 2-4 pages, excluding title page and reference page(s). The title and reference pages should be in APA format.
Sources should be obtained directly from the state’s regulatory organization(s) and must be cited appropriately.

Requirements:
I. Guidelines and recommendations for your state (Florida):
In response to the opioid epidemic, individual states have developed and adopted voluntary guidelines or recommendations for the treatment of acute and chronic non-cancer pain. Based on research done on the state where you will practice clinically, include the following:
1. Provide the name of your practicing state’s organization, group or task force that created guidelines or recommendations for pain management therapies and education.
2. Briefly describe an overview of its development and include a web address where this information can be found. If your state does not have guidelines, discuss a federal guideline. (Note: you may need to contact your state’s board of nursing, pharmacy or medicine if you cannot locate it on your own).
3. Some states have multiple organizations or initiatives (ex: Ohio) in place to combat the opioid epidemic and advocate for safer opioid prescribing. Discuss whether or not your state has other resources, groups or organizations where prescribers can reference best practices for pain management treatment. If applicable, provide a brief overview of the group’s recommendations or initiatives. If your state does not have another state-specific resource, discuss the guidelines published by the American Pain Society.

II. State (Florida) specific laws on controlled substance prescribing for the nurse practitioner:
Research your state laws on advanced practice nurses’ authority to prescribe controlled substances. Based on research done on the state where you will practice clinically, include the following:
1. Identify the law, rule, code or statute that describes the advanced practice nurse’s authority to prescribe controlled substances in your state.
2. Discuss the provisions of the law, rule, code or statute with regard to the following:
– Conditions or limits on prescribing schedule I-V controlled substances.
– Requirements (if any) in documentation for treating acute and chronic pain.
– Are there specific requirements for advanced practice nurses to reference the state’s prescription drug monitoring database before prescribing a controlled substance? If so, what are they?

III. State (Florida) Prescription Drug Monitoring Program (PDMP):
Research your state’s PDMP* and provide the following information:
1. Name of the state’s program.
2. Website for the state PMDP.
3. Discuss the registration requirements and process.
4. Discuss the standards and procedures for the access and review of database information.

Define empirical references, which are categories of actual phenomenon that demonstrate the occurrence of the  concept (i.e., kissing demonstrates affection)

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Dr. Afaf Meleis is one of our foremost nurse scholars with an excellent grasp of difficult theoretical content. 

  • Meleis (1997) describes a phenomenon (singular) as “An aspect of reality that can be consciously sensed or experienced” (p. 11).
  • Phenomena (plural) can be described from the evidence that is sense-based and can be seen, heard, smelled, or felt, or is derived from evidence that is grouped together through connections (Meleis,1997).
  • To use a real-world example: you are flying home from Europe and you feel tired, groggy, and are having problems remembering things.  These things are all related to the phenomenon of flying across multiple time zones.
  • ..how does that relate to concepts? According to Dr. Meleis (1997), a concept “is a term used to describe a phenomenon or a group of phenomena” (p.12).

A concept provides us with a detailed summation of thoughts related to the phenomenon as a way of labeling.

  • If we did not have that label, we would have to go into detail to describe the phenomenon.
  • So, from our example above related to flying, we can give that the label “jetlag.”
  • Our concept is jetlag….when you hear that term, you automatically think of what that means…that groggy, slightly disoriented feeling you get when flying across time zones.
  • Sometimes, the appropriate labeling of the phenomenon will be very clear and other times it is more abstract.

Chinn & Kramer (2015) state that a concept lies along a continuum from the empiric (more directly experienced) to the abstract (more mentally constructed).

  • For example, the most concrete empirical concepts are those that can be directly experienced such as height and weight; this type of “measured” concept would lie at one end of the continuum.
  • Concepts can also be much more abstract, such as “self-esteem” and “wellness”, this type of concept would lie on the other end of the continuum.  Do you see the difference?
  • Of course, the more empiric and concrete, the easier it is to understand and measure.
  • The more abstract the concept, the more difficult to understand and measure (Chinn & Kramer, 2015).

How does this relate to theory?

  • Concepts are the building blocks of theory; a well-constructed theory will contain multiple, well-defined concepts that provide a way to examine our patients, the overall health situation, even the environment.
  • This will become more apparent to you when you begin Module 3.

A Concept Analysis is a prescripted evaluation of a specific “word” or group of words that may have different meanings to different people. 

  • There are several methods of Concept Analysis, the most frequently used method in nursing literature is the Walker and Avant (2005) method of Concept Analysis.
  • A Concept Analysis is intended to give clarification and a deeper understanding of words and phrases commonly used in nursing practice.

Avant and Walker (2005, 2019) describe eight (8) procedures for the concept analysis:

  1. Select a concept
  2. Determine the aim or purpose of the analysis
  3. Identify uses of the concept
  4. Determine the defining attributes
  5. Identify a model case that demonstrates all the defining attributes
  6. Identify the antecedents (causes) and consequences (effects)
  7. Define empirical references, which are categories of actual phenomenon that demonstrate the occurrence of the  concept (i.e., kissing demonstrates affection)

Your beginning step should be to think about the phenomenon of interest (POI) you just wrote about. 

  • What comes to mind when you think about the POI?
  • Are any “labels” apparent?

As a first step, you may want to search the Biomedical library with the search terms “concept analysis nursing”. 

  • This should result in a number of published concept analysis articles from the peer-reviewed literature.
  • From this broad search, you can then narrow your search to find an article that is appropriate for your selected Phenomenon of Interest.
  • An example of a Concept Analysis article is provided for you in the Recommended Resources section to help you identify what type of article you are looking for in your literature search.

Identify a Concept Analysis article and consider the following as you critically examine the article (Avant and Walker, 2019):

  • Determine if the authors tested the overall theory or only part of a theory.
  • Do the authors discuss any difficulties in testing the theory?
  • Do the authors describe any limitations that may have affected the validity of the theory testing?
  • Do the authors recommend changes to the theory as a result of testing?

References

Chinn, P.L., & Kramer, M.K. (2015). Knowledge development in nursing. (9th ed).  St. Louis, MO: Mosby Elsevier

Meleis, A. I. (1997). Theoretical nursing: Development and progress (3rd  Ed.). Philadelphia: Lippincott.

Walker, L.O., & Avant, K.C. (2005). Concept analysis: Strategies for theory construction in nursing (4th ed.). Upper Saddle River, NJ: Pearson Prentice Hall.  Link to Article

Walker, L.O., & Avant, K.C. (2019). Concept analysis: Strategies for theory construction in nursing (6th ed.) NY, NY: Pearson.

Is the workflow surrounding technology usage providing the organization with the data they need to make decisions and eventually meet meaningful use criteria?

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Based on the system development life cycle,human-technology interface,overview of the purpose of conducting workflow analysis and design,the waterfall model, rapid application development and interoperability.
Answer the following:
1.Is the workflow surrounding technology usage providing the organization with the data they need to make decisions and eventually meet meaningful use criteria?
2.How does current educational preparation need to change to address the skills necessary to perform workflow analysis and redesign clinical processes?

What specific assessment and nursing care is required particularly focusing on the complex nature of the assessment and care.

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Write a 3000 word assignment which critically examines the wider context of care management for a patient with complex circumstances.Examine selected key pathological and/or psychological processes and critically debate these in relation to complex care.
• Justify and critically evaluate nursing assessment and care strategies for individuals with a range of complex circumstances.
• Analyze the clinical course of specific conditions and justify the nursing interventions required to meet the holistic needs of individuals with complex needs.
• Evaluate clinical decision making that informs care and service delivery for individuals and communities in a multi-agency arena.
Confidentiality
Any information that might identify a peer, client/patient, and mentor/trainer workplace or organization must be omitted from the assignment. Failure to do so constitutes a breach of confidentiality. Focus on one person to critically examine their complex circumstance/s.
• Consider the underlying clinical condition and why this may be complex for this patient – is it a rare or specialist condition, is it the interaction with other circumstances that may include pathophysiological, clinical, social, psychological ethical, professional, legal, Health policy.
• You need to support your points with rationales explaining your reasoningAnalyse the clinical course of specific condition/s and justify the nursing interventions required to meet the needs of an individual with complex needs.
Assignment Guidelines:• What specific assessment and nursing care is required particularly focusing on the complex nature of the assessment and care.
• Is the prognosis or progress of the clinical condition something that will affect how care is delivered?
• You need to remember it is nursing assessment and care – not medical. It may be that liaison with other professionals is required or that a team approach is required for care delivery Consider the wider context of care management for a patient with complex circumstances• Are specific resources or funding required that make care complex – what factors influence how care is managed.
• Are families or carers involved that necessitate consideration in delivery of care?Question how nurses would lead clinical decision making in the context of multi-agency arena, caring for a patient with complex circumstance’s• What is the nurses’ role in caring for your patient, what specific nursing decisions need to be made and how does this factor into the overall care provided for your patient.

Are specific pieces of data (e.g., direct quotes) and more generalized statements (themes, theories) included in the report?

/in /by

Synopsis (12 pts.)

  1. What experience, situation, or subculture does the researcher want to understand?

The researchers are interested in finding out the best treatment and management method chronic fatigue syndrome.

  1. Does the researcher want to produce a description of an experience, or a social process, or an event, or is the goal to generate a theory?

The researchers intend to describe an experience.

  1. How was data collected?

The researchers conducted a cross-sectional study, where they consulted various publications of RCTs for patients diagnosed with chronic fatigue syndrome.

  1. How did the researcher control his or her biases and preconceptions?

Severely ill patients were excluded from the analysis, participants were not masked to treatment allocation. Also, outcomes were rated by participants. These ensured that the conclusions of the study would only reflect the experiences of the participants.

  1. Are specific pieces of data (e.g., direct quotes) and more generalized statements (themes, theories) included in the report?

 

Yes

  1. What are the main findings of the study? (10 Pts.)

The cross-sectional review suggested that there were beneficial effects to be realized from nutritional supplements, especially in CFS/ME patients with biochemically identified deficiency. Also, they suggested pacing to be the most rewarding intervention.

Credibility (18 pts.)

  1. Is the study published in a source that required

peer review?                                                                       Yes     No     Not Clear

yes

  1. Were the methods used appropriate to the study

purpose?                                                                             Yes     No     Not Clear

yes

  1. Were the methods used appropriate to the study

purpose?                                                                             Yes      No     Not Clear

yes

  1. Was the sampling of observations or interviews appropriate and varied enough to serve the purpose

of the study?                                                                       Yes          No          Not Clear

yes

  1. *Were data collection methods effective in

Reproduced with permission from: Brown, S. J. (2018). Evidence-based nursing: The research-practice connection (4th ed.). Burlington, MA: Jones & Bartlett Learning.

 

      2
                obtaining in-depth data?

yes

6. Did the data collection methods avoid the  possibility of oversight, underrepresentation,

  Yes  No  Not Clear
or overrepresentation from certain types of sources?

yes

7. Were data collection and analysis intermingled

  Yes  No  Not Clear
in dynamic way?

yes

8. *Is the data presented in ways that provide a  vivid portrayal of what was experience or

  Yes  No  Not Clear
happened and its context?

yes

9. *Does the data provided justify generalized

  Yes  No  Not Clear
statements, themes, or theory?  Yes  No  Not Clear

Yes

 

  1. ARE THE FINDGINGS CREDIBLE? All     Some    No

Clinical Significance (6 pts.)

  1. *Are the findings rich and informative?  All     Some    No

All

  1. *Is the perspective provided potentially useful in providing insight, support, or guidance for assessing

patient status or progress?                                                                All     Some    No  

All

* = Important criteria