NRS 445 Topic 1 DQ 1 & 2 Discussion: Qualitative versus Quantitative Research Designs

NRS 445 Topic 1 DQ 1 & 2 Discussion: Qualitative versus Quantitative Research Designs

NRS 445 Topic 1 DQ 1 & 2 Discussion: Qualitative versus Quantitative Research Designs

Topic 1 DQ 1

Assessment Description

After reviewing the course textbook, summarize the history of nursing research. Discuss the importance of nursing research as it relates to applying evidence in practice (evidence-based practice).

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Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

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Topic 1 DQ 2

Assessment Description

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this discussion question, you will create a clinical guiding question known as a PICOT question. The PICOT question must be relevant to a nursing practice problem (coordination of health care, assessment, education, patient support, trauma prevention, recovery, health screenings, etc.).

After reviewing the relevant topic materials:

Select a nursing practice problem of interest.

Develop a PICOT question using the template and example provided below.

Identify two articles, one qualitative and one quantitative, related to the problem of interest. Provide an APA-formatted reference for each article, and explain how each relates to your PICOT question. Be sure to identify which article is qualitative and which article is quantitative. These articles may be used in this week’s assignment.

PICOT question intervention format:

In_______________(Population), how does _______________ (Intervention) compared to _______________ (Comparison) affect _______________ (Outcome) within______________(Time, optional)?

Example: In critically ill patients in an Intensive Care Unit (ICU) (P), how do daily 2% chlorhexidine cloth baths (I) compared to daily disposable non-antimicrobial cloth baths (C) affect the incidence of health care-associated infections (HAIs) (O)?

In responses to peers, provide feedback related to peers’ PICOT questions and their associated articles.

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

Resources

Nursing Research: Understanding Methods for Best Practice

Required

Read Chapter 1 in Nursing Research: Understanding Methods for Best Practice.

View Resource

Focusing on the Fundamentals: A Simplistic Differentiation Between Qualitative and Quantitative Research

Required

Read “Focusing on the Fundamentals: A Simplistic Differentiation Between Qualitative and Quantitative Research,” by Rutberg and B

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cul&AN=129106232&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost

EBP: Evidence Based Practice

Required

Read “EBP: Evidence Based Practice,” located in the Student Success Center. This interactive resource provides an overview of how

https://lc.gcumedia.com/hlt540/ebp/v2.1/#/

Empirical/Research Articles

Required

Explore “Empirical/Research Articles,” located within the Nursing and Health Sciences Research Guide from the GCU Library. This r

https://libguides.gcu.edu/Nursing/research

Key Components of a Research Paper

Required

Read “Key Components of a Research Paper,” from the IES National Center for Education Evaluation and Regional Assistance website.

https://ies.ed.gov/ncee/edlabs/infographics/pdf/REL_SE_Key_Components_of_a_Research_Paper.pdf

Problem Identification: The First Step in Evidence-Based Practice

Required

Read “Problem Identification: The First Step in Evidence-Based Practice,” by Stannard, from AORN Journal (2021). This ar

https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00000703-202104000-00008&LSLINK=80&D=ovft

Qualitative vs. Quantitative Research Designs

Required

The attached “Qualitative vs. Quantitative Research Designs” resource provides a summary table outlining elements of qualitative

NRS-445-RS-T1-QualitativeversusQuantitativeResearchDesigns.pdf

Research Terminology

Required

Explore the “Research Terminology” website from Ebling Library, UW – Madison. This resource provides basic research terminology w

Research Terminology

Start With a PICOT Question to Make Your Case

Required

Read ” Start With a PICOT Question to Make Your Case,” by Echevarria and Walker, from Nursing Critical Care (2015). This

https://oce-ovid-com.lopes.idm.oclc.org/article/01244666-201505000-00004/PDF

Template for Asking PICOT Questions

Required

Utilize the “Template for Asking PICOT Questions,” by Fineout-Overholt (2006), available from the American Academy of Ambulatory

https://www.aaacn.org/sites/default/files/documents/misc-docs/1e_PICOT_Questions_template.pdf

The Underappreciated and Misunderstood PICOT Question: A Critical Step in the EBP Process

Required

Read “The Underappreciated and Misunderstood PICOT Question: A Critical Step in the EBP Process,” by Gallagher Ford and Melnyk, f

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What Are Quantitative and Qualitative Research Methods? A Brief Introduction

Required

Read “What Are Quantitative and Qualitative Research Methods? A Brief Introduction,” by Chalmers and Cowdell, from Dermatolog

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A Sample Of This Assignment Written By One Of Our Top-rated Writers

Topic 1 DQ 1: History and Importance of Nursing Research

Nursing is a crucial field that helps to answer fundamental health questions and enables populations to live healthily and productively. Regarding its history, the modern trends dominating nursing practice started in the western world, with influential individuals like Florence Nightingale helping its successive adoption and developments. According to Sharma (2022), Nightingale influenced research by recording observations about the impacts of nursing actions. Events in the 1950s included federal funding and publication of nursing research as well as the introduction of PhD programs in nursing education. The 1970s and 1980s were characterized by studies focusing on clinical practice, with research on this area intensifying in the 1990s to develop evidence-based and research-based practices (Sharma, 2022). Developments in the 21st Century include the establishment of research-related bodies that impact the growth of nursing research, such as the National Institute of Nursing Research.

Nursing research supports evidence-based practice (EBP) and helps to sustain a culture of innovation characterized by continuous improvements. Although nursing research and EBP involve clinical inquiry, nursing research helps to generate new knowledge or validate a theory (Erickson & Pappas, 2020). Typically, the research process involves identifying a knowledge gap, gathering data, its analysis, and making deductions using the analyzed data. Nurses and other healthcare professionals use this new knowledge (scientific evidence) to support evidence-based interventions. The practice involves finding and translating the best available (highest level) scientific evidence into clinical practice (Grys, 2022). The implication is that nursing research and EBP are intertwined, and an evidence-based nursing culture is only achieved since research provides the knowledge required for implementing new practices.

References

Erickson, J. I., & Pappas, S. (2020). The value of nursing research. JONA: The Journal of Nursing Administration, 50(5), 243-244. DOI: 10.1097/NNA.0000000000000876

Grys, C. A. (2022). Evidence-based practice, quality improvement, and research: a visual model. Nursing2023, 52(11), 47-49. DOI: 10.1097/01.NURSE.0000889812.89287.45

Sharma, S. (2022). Nursing Research and Statistics – E-Book. Elsevier Health Sciences.

Topic 1 DQ 2: PICOT Question

Nursing practice problems have profound impacts on healthcare costs, patients’ health, and the work environment. Part of the nurse’s role in supporting evidence-based practice (EBP) and ensuring improvements in care quality is identifying and responding to problems hampering patient care. Patient falls among older adults is a serious issue whose risk increases as age advances. Health conditions are another risk factor since older adults with type 2 diabetes are 59% more likely to fall than non-diabetic older adults (Freire et al., 2024). Implementing interventions to reduce the incidence of falls can prevent issues associated with falls, such as fractures, fear, low quality of life, and poor mental health. The PICOT (population, intervention, comparison, outcome, and time) approach ensures focused inquiry of the proposed solution and its effectiveness.

PICOT Question: In older adults with type 2 diabetes (P), how does an integrated (resistance, strength, and balance) weekly training (I) compared to no physical exercises (C) affect the incidence of falls (O) within 10 weeks (T)?

Articles Related to the Problem of Interest

Rikkonen et al. (2023)- quantitative study

This article is a randomized controlled trial exploring the effect of physical training in older adults. The primary finding was that the intervention was effective in reducing the rate of severe falls and injuries by 41%. The training focused on improving muscle strength, balance, and joint mobility.

Halén et al. (2022)- qualitative research

In this study, older women perceived structured training positively as a fall prevention intervention that improved safety and self-awareness. Researchers collected data via interviews to evaluate experiences with the program (StayBalanced Programme). Besides making the participants better physically, self-awareness left them less exposed to falls.

References

Freire, L. B., Brasil-Neto, J. P., da Silva, M. L., Miranda, M. G. C., de Mattos Cruz, L., Martins, W. R., & da Silva Paz, L. P. (2024). Risk factors for falls in older adults with diabetes mellitus: systematic review and meta-analysis. BMC Geriatrics, 24(1), 201. https://doi.org/10.1186/s12877-024-04668-0

Halén, C., Gripenberg, S., Roaldsen, K. S., Dohrn, I. M., & Halvarsson, A. (2022). “A manageable and challenging fall prevention intervention with impact on society”-older women’s perspectives on participation in the stayBalanced training programme. Physiotherapy Theory and Practice, 38(13), 2806-2816. https://doi.org/10.1080/09593985.2021.1972498

Rikkonen, T., Sund, R., Koivumaa-Honkanen, H., Sirola, J., Honkanen, R., & Kröger, H. (2023). Effectiveness of exercise on fall prevention in community-dwelling older adults: a 2-year randomized controlled study of 914 women. Age and Ageing, 52(4), afad059. https://doi.org/10.1093/ageing/afad059

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