NSG 6101 Week 1,2,4,5,6,7,8 Complete Course Solution - $75.45 Add To Cart
NSG 6101 Week 1 Annotated Bibliography Complete Solution The focus of this article was the delivery of uniformed processes that are compelled by data to e... [Show More] stablish suitable patient-nurse relations all the while providing care that is harmless and of excellence, at the Veterans Health Administration (VHA). This articles intent was to define the Veterans Health Administrations proficiency by utilizing Staffing Methodology (SM) instruction plus considered some dynamics connected to the SM application. Evidence- based methodology of SM was to systematize the resource of the staff at the bedside inpatient setting. Executive nursing leaders are held accountable for applying the SM model. "Staffing Methodology is a data-driven model, relying on nursing hours per patient day (NHPPD) as the measure of staffing" (Annis, Robinson, Yankey, Krein, Duffy, Taylor, & Sales, 2017). Executive nursing leaders were offered an on-line survey to acquire how the application of the model fared, and what obstacles were faced. The discovery was the significance of the greater levels of nursing leadership and primary implementation, as a greater success was shown with increased SM implementation. Collective hurdles included educational needs, employees in training, and timing. Research in this article donates to appreciative influences that impact constructive implementation of staffing policies which remain dynamic for preserving safe and engaged nurses and exercising this evidence to alter existing policies. [Show Less]
NSG 6101 Week 2 Discussion Complete Solution I appreciated the information provided by the on-line course “Ethics and Human Subject Protection” conduc... [Show More] ted by the ACRP, 2018. With the focus on the commitment and accountability to safe guard the rights of human subjects allowed this student an increased understanding of guidelines involved within ethics committees and the responsibilities of the IRB. Three primary codes were discussed to ensure compliance during clinical research: Nuremberg code, Declaration of Helsinki and Belmont Report. The Nuremburg code was the first to consider informed consent, although not reinforced by law and the Declaration of Helsinki further enhanced informed consent by implementing protocols to adhere by, along with the need for ethic committees. This student found the Belmont Report the most intriguing by how it was founded based on the Tuskegee Syphilis Experiment; this report stipulates ethical scrutiny for ethical concerns (ACRP, 2018). Atrium Health in Charlotte, NC has core mission engrossed in clinical research that target particular diseases, with the leading being cancer and pediatric research. There are currently 1,100 active clinical studies that use the National Institute of Health supported registries and interventional trials. Atrium also uses “the Corporate Compliance Research Matrix (an ancillary group within Corporate Compliance) was formed in 2005 in collaboration with the Office of Clinical and Translational Research (OCTR) and is dedicated to dealing with compliance issues unique to the conduct of research at Atrium Health…” (Atrium Health, 2019). Every clinical study conducted by Atrium Health is reviewed by IRB or designee to ensure each participant is safeguarded. [Show Less]
NSG 6101 Week 4 Discussion Complete Solution According to Connelly “…various terms are used to refer to the theoretic basis of a study, including theo... [Show More] ry, theoretical framework, conceptual framework, and model” (Connelly, 2014, p. 187). There are multifaceted concepts associated with each theory that help to establish a correlation constructing a hypothesis for the researcher. It is apparent in all of the articles within the research that this student has obtained that conceptual models are being used to assist with the construct of the evaluation. In the article “Factors Associated with the Implementation of a Nurse Staffing Directive” the use of the quantitative data to guide the policy and implantation of the Staffing Model. The article from the Journal of Nursing Administration also utilized quantitative data to implement Six Sigma techniques to simplify the areas of supplies decreasing time spent by clinic staff finding them. Each article focused the paradigm of clinic flow, staffing and appointment scheduling to devise a plan to decrease in patient wait time. The apparent theme listed in each of the articles is the appropriate use of clinic staff, utilization of staffing models and decreasing waste. [Show Less]
NSG 6101 Week 5 Discussion Complete Solution How effective are anti-depressive medications on anxiety and depression? According to a meta-regression rese... [Show More] arch study, the use of pharmacotherapy is effective in reducing PTSD associated anxiety and depression in combat veterans. The most applicable research design for this type of study would be longitudinal experimental. This design is used to analyze information over a specific time frame. “…retrospective means looking backward, usually in relationship to time. Within research studies, these terms are used most frequently to refer to the timing of data collection” (Gray, Grove, & Sutherland, 2018, p. 196). The choice for this design based on the information to determine in what way and the effect that anti-depressive medications have on anxiety and depression; to determine the relationship between the treatment effects and the study characteristics of interest. What is the difference in attitudes of male and female college students toward condoms? To address and research this particular question this student would use a comparative descriptive design. The purpose is to describe the answer of “what” and two or more diverse factions are defined and equated in relations of their particular variables (Gray, Grove, & Sutherland, 2018). Based on this design the researcher has the ability to propose a distinctive way of data collection in the system of exploring life familiarities. Unfortunately, confidentiality and error can negatively impact the survey results and analysis of information creating bias. What is the relationship between alcohol and breast cancer? For this questions this student would choose to utilize a correlational design of research. Correlational designs study a relationship between two or more variables over time, with the ability to describe the expected relationship, to foresee beliefs of the variables, and to confirm [Show Less]
NSG 6101 Week 6 Sampling Proposal Complete Solution Probability sampling, often called random sampling permits for each representative of a given populati... [Show More] on an equivalent opportunity to be selected to participate in a survey. The samples are characteristically representative of a population and in turn decrease the chance of error and bias within the research (Gray, Grove, & Sutherland, 2018). Systematic sampling will be utilized for the research within a transplant ambulatory clinic, the desired sample size of 500 amongst 33,750 patients over a 45-day period, leading to a sampling size of 68 participants. The criteria for inclusion are any one-year post-liver, kidney or heart transplant patient scheduled for a follow up appointment with a provider during a 45-day time frame. Inclusion criteria also includes male and female patients age ranges from 25 to 60-year-old. The research design being implemented in the study is experimental. For the purpose of this design an increase in follow up appointment time will change from 15 minutes to 30 minutes, also additional nursing resources will be provided, along with standardization of nursing care for the overall flow of the clinic for improved quality and safe handling of patients. Team nursing will be implemented for nursing resources, which will include one Registered medical assistant and one Registered nurse for each provider; within the team nursing process a set of standardized duties for each respective clinician will be provided so each patient receives the same equal amount of care. The purpose for experimental design is to apply these variables to monitor if each will assist in the improvement of clinic flow, with innocuous and excellence in patient care. [Show Less]
NSG 6101 Week 7 Discussion Measurement Tools Complete Solution This student will be using the existing instrument of PSQ for clinical quality measure (eCQ... [Show More] M) which electronically collects and reports quality measures to convene meaningful use and advance development of care(Mercer, Hernandez-Boussard, Mahadevan, & Strehlow, 2014). The level of measurement is ordinal, as the data collected will be organized into categories: wait time to be seen by provider, thoroughness of clinic team and availability of provider appointments. With ordinal level data, the position an aspect occupies can be recognized. This level of data cannot be presented that the pauses between the classified groupings are equivalent (Gray, Grove, & Sutherland, 2018). Within this research the PSQ measurement will be applied to pre and post-transplant patients seen in an ambulatory setting over a 45-day time frame. A set number of standardized questions will be sent out to patients seen within the specific period of time to determine quality and safe patient care. Each question will be scaled from zero to five, with zero being strongly disagree and five being strongly agree, and three being neutral. A total of 25 questions will be asked based on the categories stated previously. Patient satisfaction signifies a key indicator of interaction and health-related behavior and satisfied patients tend to comply with the treatment, which leads to improved quality measures (Mercer et al., 2014). [Show Less]
NSG 6101 Week 7 Methodologies Research Proposal Complete Solution This research project style of design will demonstrate an investigational covariance. Th... [Show More] e rudimentary examination of this manner of proposal is to develop a pretest-posttest. The logic for choosing this particular proposal is due to the collection of random nurses that meet standards from distinctive transplant organ programs and departments. Extraneous Variables Controlled • Executing Lean Six Sigma at equal times • Eliminating additional strides on each unit • Systematizing procedures through all programs and departments • Patient-nurse ratio throughout the department and program Uncontrolled • Staff nurse involvement • Elevated hospital sizes • Staff nursing call outs or paid time off • Staff nurse turn over • Lack of supportive physicians • Lack of Lean Six Sigma knowledge Instrument The application of Frontline Improvement Thinking (FIT) survey pre and post-test, will be used to evaluate the effects of Lean Six Sigma Methodology on quality staffing care throughout the transplant programs & department and nurse rational (Serr, Roszell & Lynn, 2016). The design will be used to measure the amount of nursing awareness with the application [Show Less]
NSG 6101 Week 8 Data Analysis Planning Complete Solution Data analysis plans are considered tools used to organize and analyze survey data collected for a... [Show More] research study to achieve the goal of proving the validity of the hypothesis and answer the research question. A quantitative analysis plan is most appropriate for the hypothesis that team nursing can assist with improved quality care and patient satisfaction when implementing Six Sigma Lean Methodologies. This experimental design will utilize the independent samples t-test. Descriptive statistical tests to describe data analysis for demographics would include measure of central tendency for the mean age of transplant patients seen within the ambulatory clinic. According to Gray, Grove & Sutherland, 2018 “three measures of central tendency commonly reported in nursing studies include mode, median, and mean” (Gray, Grove, & Sutherland, 2018, p. 537). For this particular study the mean will be assessed, which is the average and the age that was recorded most frequently for each patient. The sum of the ages is then divided by the number of accumulated scores to equal the average and can highlight outlier data within the context of the sample. The single linear regression analysis is used to approximate the significance of a dependent variable based on the significance of an independent variable. It attempts to rationalize the dynamics with the use of a scatter plot by drawing a line through a plotted score (Gray et al., 2018). For instance, predicting that with the use of team nursing Lean methods will eliminate the number of steps taken by nursing staff can improve the quantity of time spent with patients. Plotted dots will be graphed, and the line will explain the linear association between the variables and determine with rough accuracy, use regression analysis to forecast the significance of one variable if we know the importance of the other variable (Gray et al., 2018). [Show Less]
NSG 6101 Week 8 Discussion Complete Solution When deciding what type of statistical testing to use it is important to use the hypothesis main study questi... [Show More] on. Depending on the level of the data one plans on examining (e.g., nominal, ordinal, continuous), inferential statistical procedures typically fall into two categories: parametric and non-parametric. Parametric tests trust on the assumption that the data one is analyzing looks like a specific dissemination, often with a normal or “bell-shaped” distribution. When the dependent variable is measured on a continuous scale, then a parametric test should typically be selected. The t-test is an example of this style of testing; independent t-test is used when examining the disparities between two independent variables. Two separate group of participants being studied are varied from a second group of participants (Gray, Grove, & Sutherland, 2018). The most common and prevalently used test for this is the ANOVA which assesses for difference in a continuous dependent variable between the two separate groups. Assumptions involved with this testing consider that the sample means are ordinarily distributed, the sequel variable is measured at the ratio level, the samples used have uniform amount of variance, and observations within the sample are independent of (Gray et al., 2018). As with a study on nursing intuition as an assessment tool when predicting severity of injury on trauma patients, parametric testing was utilized; 419 records were assessed, and two groups were created: (1) gut instinct only, and (2) all other criteria. Analysis for the data involved evaluating demographic and educational information (Cook, 2014). Non-parametric tests are also referred to as distribution-free tests because there are not strict assumptions to check in regard to the distribution of the data. When the dependent variable’s level of measurement is categorical or ordinal, then this test should be used. [Show Less]
NSG 6101 Research Proposal Complete Solution Introduction There appears to be a significant consensus across ambulatory clinics within the United States ... [Show More] relating to patient real-time wait times to be seen by a provider or other members of the multidisciplinary team. This student has recognized within her own outpatient transplant clinic the need to address these common issues. This topic was brought to attention by Press Ganey scores that exposed a noteworthy impact to patient satisfaction within the department. As the clinical supervisor of this transplant clinic, there have been several occasion where patients have voiced concern regarding the time they wasted waiting to be seen by a provider after checking in and the length of time to be seen for a follow up appointment. It is vital that pre and post-transplant patients be seen in a timely manner, as their care and treatment is contingent on these office visits. Once there is a delay in clinic it backs up all the existing scheduled appointments causing substantial clinic congestion due to a lack of exam rooms. As stated by the article Improving patient flow at a family healthcare clinic “Surveys have shown that waiting time is one of the top differentiators for “best practice” facilities, so reducing delays can offer a competitive advantage…” (Bard et al., 2016, p. 170). The purpose of this research is to identify the necessity for modification in appointment times, along with the practice of door flags to improve patient flow within the transplant ambulatory clinic for pre and post-transplant patients. Hypothesis This student is compelled to credit a direct relationship between clinic wait times with the flow of clinic and patient satisfaction. The efficiency appointment scheduling practice can be contingent on how the source is achieved (Bard et al., 2016). With the utilization of door flags and increasing the length of time a provider is able to spend with a patient, there will be a [Show Less]
Docmerit provided me with a simpler way to understand difficult topics. Notes were already simplified made studying that much easier.
I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. Now is my chance to help others.
University Of Arizona
One of the most useful resource available is 24/7 access to study guides and notes. It helped me a lot to clear my final semester exams.
Docmerit is super useful, because you study and make money at the same time! You even benefit from summaries made a couple of years ago.