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NR714 Full Course Assignments
Derived from your healthcare experience, describe the differences between integrative versus systematic review of evidence from an advanced nursing practice perspective.
Derived from your healthcare experience, describe the impact of the comprehensive systematic review of evidence on a selected healthcare stakeholder (patient, family, organization, or the profession) from an advanced nursing practice perspective NR714 Full Course Assignments.
Derived from your healthcare experience, determine the utility in differentiating qualitative from quantitative research methods and analysis from an advanced nursing practice perspective.
Derived from your healthcare experience, determine the utility in differentiating metasynthesis from meta-analysis measurement and monitoring from an advanced nursing practice perspective NR714 Full Course Assignments.
Derived from your healthcare experience, determine the components of partial economic evaluation from an advanced nursing practice perspective.
Derived from your healthcare experience, determine the components of full economic evaluation from an advanced nursing practice perspective.
titative, and Economic Evidence in Advanced Nursing Practice
Articulate the knowledge, skills, and integrative abilities necessary for leveling qualitative, quantitative, and economic evidence that serve to shape the advanced nursing practice environment.
DQ2 Grading of Qualitative, Quantitative, and Economic Evidence in Advanced Nursing Practice
Articulate the knowledge, skills, and integrative abilities necessary for grading qualitative, quantitative, and economic evidence that serve to shape the advanced nursing practice environment NR714 Full Course Assignments.
NR714 Application of Analytic Methods II
DQ1 Power Analysis in Advanced Nursing Practice
Examine potential power analysis contributions that serve to improve the advanced nursing practice environment.
DQ2 Reliability Versus Validity in Advanced Nursing Practice NR714 Full Course Assignments
Examine potential reliability and validity contributions that serve to improve the advanced nursing practice environment.
Week 6 Discussion
DQ1 Differentiating Quantitative and Qualitative Research
Differentiate selected quantitative versus qualitative research designs that shape a preferred evidence-based practice environment.
DQ2 Quantitative and Qualitative Research Procedures
Differentiate selected quantitative versus qualitative procedures including appropriate data collection, levels of measurement, and sampling considerations.
NR714 Application of Analytic Methods II
DQ1 Issues Related to Descriptive Analysis
Formulate effective strategies for descriptive analysis that contribute to evidence-based quality improvement. NR714 Full Course Assignments
DQ2 Nonparametric Versus Parametric, Inferential, and Multivariate Analysis
Formulate effective strategies in planning and selection of appropriate statistical analysis that contribute to evidence-based quality improvement.
NR714 Application of Analytic Methods II
Week 8 Discussion
Using Outcomes Assessment to Differentiate Original Research From Quality Improvement
Differentiate original research from quality improvement using outcomes assessment in advanced nursing practice.
NR714 Application of Analytic Methods II
Systematic and Integrative Review
of Selected Practice Query
Guidelines
The purpose of this application is to provide the student an opportunity to develop a systematic and integrative
review of selected practice query.
COURSE OUTCOMES
This assignment provides documentation of student ability to meet the following Course Outcomes:
CO 1: Formulate PICOT/PICoT questions relevant to advanced nursing practice (PO #3).
CO 2: Utilize comprehensive systematic-review skills necessary for evidence-based practice (PO #5).
CO 3: Critically appraise level and quality of evidence related to a selected advanced nursing practice
issue (PO #3).
CO 5: Evaluate appropriateness of a qualitative research design for a selected PICoT question (PO #3).
CO 6: Evaluate appropriateness of a quantitative research design for a selected PICOT question (PO #3).
CO 7: Evaluate appropriateness of an economic research design for a selected economic appraisal of
evidence (PO #3).
CO 9: Analyze qualitative, quantitative, and economic data for the purposes of critical appraisal of
evidence (PO #3).
CO 10: Evaluate selected statistical methods for the purposes of critical appraisal of evidence (PO #5).
POINTS
This assignment is worth a total of 265 points.
DUE DATE
Submit your completed assignment by Sunday 11:59 p.m. MT of Week 5, as directed.
1. To complete this application, you will want to access all available scientific search engines. There are numerous robust scientific search engines to retrieve relevant research to support your clinical problem and clinical question (PICOT). The link to our library home is http://library.chamberlain.edu with a link for research help in the Ask A Librarian box http://chamberlain.libanswers.com/ask
2. The Systematic and Integrative Review of Selected Practice Query paper is worth 250 points and will be graded on quality of information, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric. NR714 Full Course Assignments
3. Create your report using Microsoft Word (a part of Microsoft Office), which is the required format for all Chamberlain College of Nursing documents. You can tell that the document is saved as a Microsoft Word document because it will end in .docx.
4. Follow the directions and grading criteria closely. Any questions about this project may be posted under the Q & A forum.
5. The length of the project report is to be no less than 6 and no greater than 8 pages excluding title page and reference pages. NR714 Full Course Assignments
6. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headings (upper and lower case, centered, boldface):
Note: Introduction—Write an introduction to the systematic and integrative review of selected practice query, but do not use Introduction as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63). APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered):
a. Description of systematic and integrative review of selected practice query (both integrative and systematic review of evidence)
b. Presentation of systematic and integrative review of selected practice query analysis including quantitative, qualitative, and economic evidence
PREPARING THE PROJECT REPORT
The following are best practices for preparing this project report:
1. When introducing the systematic and integrative review of selected practice query, be sure to include
pertinent background information regarding the topic (who, what, where, when, and why).
2. When describing the selected practice query, be sure to fully identify and address evidence using a
synthesis (integrative review citing areas of agreement and disagreement among authors) approach for
the written summary and embed or attach the evidence table (systematic review citing leveling and
grading of evidence) using the template found in Course Resources.
3. When presenting the systematic and integrative review of selected practice query analysis, be sure to
fully incorporate evidence from quantitative, qualitative, and economic sources
NR714 Application of Analytic Methods II
PURPOSE
The purpose of this applicationis to provide the student an opportunity to acquire skills, understanding, and integrative abilities in the area of statistical analysis.
COURSE OUTCOMES
This assignment provides documentation of student ability to meet the following Course Outcomes:
CO9: Analyze qualitative, quantitative, and economic data for the purposes of critical appraisal of evidence (PO #3).
CO10: Evaluate selected statistical methods for the purposes of critical appraisal of evidence (PO #5).
CO11: Differentiate selected statistical methods for the purposes of evidence-based practice quality improvement (PO #5).
CO12: Demonstrate advanced nursing practice skills necessary for outcome assessment, measurement, and evaluation (PO #5).
This assignment is worth a total of 260 points.
Complete all quizzes with 100% accuracy by Sunday11:59 p.m. MT of Week 7 as directed.
1. To complete this application, you will need to access the following modules located under the Statistics Moduleof your course shell:
a. Using Concepts of Probability During Evidence Critique (Including Distribution and Central Tendency)
b. Using Concepts of Variability and Power Analysis During Evidence Critique
c. Using Confidence Limits and t-test Concepts During Evidence Critique
d. Using Correlation and Regression Concepts During Evidence Critique
e. Using Prevalence and Incidence Rate Concepts During Evidence Critique
f. The Impact of Generalizable Versus Transferrable Data Concepts on the DNP Project
g. Using Descriptive Statistics for the DNP Project
h. Appropriate Application of Randomization Techniques
2. Follow the directions and completion criteria closely. Any questions about this project may be posted in the Q&A forum.
The following are best practices for preparing for this assignment:
1. Prior to completing each module, review the lessons, reading, and course texts up to this point.
2. You will complete the corresponding exam found under the Quizzes area of the Course Home.
3. Each module is worth 32.5points.
4. You may continue taking the exam until 32.5 points/100% is achieved.
NR714 Application of Analytic Methods II
You Decide Reflection
PURPOSE
The purpose of this applicationis to provide the student an opportunity to reflect on selected DNP competencies acquired through the NR714 course.
COURSE OUTCOMES
This assignment provides documentation of student ability to meet the following course outcomes:
CO1: Formulate PICOT/PICoT questions relevant to advanced nursing practice (PO #3).
CO4: Compare and contrast differences and similarities with selected characteristics of qualitative, quantitative, and economic research designs (PO #3).
CO5: Evaluate appropriateness of a qualitative research design for a selected PICoT question (PO #3).
CO6: Evaluate appropriateness of a quantitative research design for a selected PICOT question (PO #3).
CO8: Demonstrate understanding of mixed-method research and the strategy of triangulation design (PO #3).
CO12: Demonstrate advanced nursing practice skills necessary for outcome assessment, measurement, and evaluation (PO #5).
POINTS
This assignment is worth a total of 100 points.
DUE DATE
Submit your completed application under the Dropbox tab by Wednesday11:59 p.m. MT of Week 8 as directed.
NR714 Full Course AssignmentsREQUIREMENTS
1. The You Decide Reflectionis worth 100 points and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.
2. Create your essay using Microsoft Word(a part of Microsoft Office), which is the required format for all Chamberlain College of Nursing documents. You can tell that the document is saved as a MS Word document because it will end in “.docx”
3. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q&A forum.
4. The length of the reflection is to be within three to six pages excluding title page and reference pages.
5. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered):
Note: Introduction – Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63).
a. You Decide Reflection
b. Conclusion
NR714 Application of Analytic Methods II
Question 1
Which of the examples below demonstrates generalizability?
A commercial endotracheal tube stabilizer was tested in the ICU at a rural hospital and found to be effective in preventing device-related circumoral pressure ulcers. The Chief Nursing Officer has now approved the device to be used in the Burn Unit.
A new pain medication was shown to be effective in a group of osteoarthritis patients in a major metropolitan city and subsequently has been approved for use for all osteoarthritis patients nationwide.
A new helmet law was implemented in a Midwestern state. In response to this new legislation, hospital X has begun to give free helmets to patients upon discharge.
A second generation antihypertensive drug is FDA-approved and added to the DNP curriculum in a major university.
Question 2
Which of the following examples demonstrates transferability?
You read a research article that reported that music therapy decreased anxiety in pre-operative patients. Subsequently you obtained approval to use music therapy at your hospital with pre-operative patients.
You identify several key research studies in your hospital’s searchable database and transfer them to your personal files.
A nurse implements a new evidence-based intervention aimed at reducing ventilator-associated pneumonia (VAP). He is unable to adhere to the demanding work schedule and is transferred to another unit.
You conduct a randomized control trial (RCT) with a sample of Myasthenia Gravis patients. You are now able to apply this statistically significant RCT to the general population of Myasthenia Gravis patients.
Question 3
All of the statements are true of transferability EXCEPT:
If there are sufficient similarities between the research and our own clinical situation, we may be able to infer that the results of the research would be similar in our situation.
When reading a research article, we note certain characteristics of the study and consider the applicability to our own clinical practice.
We must know as much as possible about the original research in order to determine if the results are applicable to our own practice.
We can transfer or apply any study results to our own practice as long as the study was reliable and valid.
Question 4
The concept of transferability is constantly applied in everyday life. Some examples include (Select all that apply)
A professor sits in on a colleague’s class to see if he can apply new and effective teaching techniques in his own classroom.
A busy nurse, wife and mother, on her day off watches a cooking show to determine what quick, easy and nutritious meals she can prepare for her family.
An individual is engaged in a conversation with a friend about the benefits about a new vehicle that would add convenience to her own life.
A neighbor tells you that he has come up with a new health plan for him and his family and that everyone in the world should adopt this same plan.
Question 5
Examples of generalizability in everyday life include (Select all that apply)
As health care professionals, we make the assumption that poor diet and lack of exercise puts individuals at risk for diseases such as diabetes and heart disease.
In the United States, we make the assumption that everyone will drive on the right side of the road.
We make the generalization that everyone in the United States speaks English and abides by American customs.
We make the assumption that driving under the influence of drugs or alcohol can lead to accidents.
Question 6
You overhear two nurse colleagues talking about a research study on Diabetes, recently conducted at your hospital. You hear them say, “The results showed that children with Type II Diabetes responded well to a new anti-hyperglycemia drug at our hospital. We can now generalize our findings to women with pregnancy-induced Diabetes.” You are excited to join their conversation. What is the most appropriate response?
“I couldn’t help but to overhear your conversation about our exciting Diabetes research study. I am excited because women all over the world with pregnancy-induced Diabetes will finally have an effective drug to control their hyperglycemia.”
“I couldn’t help but to overhear your conversation about our exciting Diabetes research study. Since our study was aimed at children with Type II Diabetes, we cannot generalize our results women with pregnancy-induced Diabetes.”
“I couldn’t help but to overhear your conversation about our exciting Diabetes research study. We can generalize our findings because we used a nonprobability sample.”
“I couldn’t help but to overhear your conversation about our exciting Diabetes research study. Generalization is feasible because we have a very large sample size.”
Question 7
You read a research article on a study aimed at reducing central line associated blood stream infections (CLBSIs). The authors report that a detailed protocol using chlorhexidine was statistically significant in reducing CLABSIs by 98% in their study sample of 5678 Neonatal Intensive Care Unit (NICU) patients. Which of the following statements is accurate?
The findings from the CLABSI study can be applied or transferred to a neonatal intensive care unit at your hospital to reduce CLABSIs.
While the findings are impressive and statistically significant, further research is warranted in NICU patients.
The findings can be generalized to an adult ICU in a Magnet hospital in Beirut, Lebanon.
The findings from this study can be generalized to a general Respiratory ICU unit at the same hospital.
Question 8
When reviewing research study results aimed at reducing fall rates among elderly patients at hospital X, which statement most likely indicates representativeness of the sample related to the general target population at large?
The sample consisted of 50 elderly patients on Central Nervous System depressant drugs that put the study patients at risk for falls.
The sample consisted of a randomly selected subset of 6000 elderly patients over a 1-year time frame.
The sample consisted of 200 elderly outpatients on a strict health regimen consisting of probiotics, exercise and adequate nutrition and not taking any prescription drugs.
The sample consisted of 100 elderly patients whom ranged in age from 65-70 years in the study over a 1 week period.
Question 9
You have been asked to select a random sample of 1000 patients in your 5-hospital system for a proposed study aimed at reducing hospital readmissions. Each of the 5 hospitals has 600 beds. Which of the following approaches is best?
You spend a week going from room to room in each hospital, explaining the study to each patient and asking for volunteers for the study, making a list of the 1000 patient names who agree to participate.
You ascertain a list of all patient names and room numbers from each of the 5 hospitals and call each patient room asking for patient volunteers for the study.
You post flyers at the nursing stations of each unit at all 5 hospitals and explain the proposed study to the nursing staff. The nursing staff will recruit patients and contact you with the names and contact information for each patient who is interested up to 1000.
You obtain a list of all patient names in each of the 5 hospitals in the system and assign each name a numerical value. Using a table of random numbers, you select 1000 numbers (patients).
Question 10
A nurse colleague wants to survey nurses on his unit to determine the level of RN satisfaction. He proposes to administer a pre-test survey and design a practice change based on the results. He then proposes to administer a post-test to determine if the new intervention was effective. You recognize right away that the sample will be a nonprobability, nonrandom or convenience sample. All of the statements below are accurate EXCEPT:
A convenience sample in this case is appropriate because the nurse simply wants to make an effective practice change on his unit directly.
Findings from this proposed study cannot be generalized to the larger population of RNs.
Findings from this proposed study can be transferred to other units in the hospital.
The proposed study will not be reliable or valid because the sample will not be randomly selected.
NR714 Application of Analytic Methods II
Question 1
A nurse researcher in a large medical center is reviewing data from a study recently conducted on reducing the number of ventilator-associated pneumonia cases. She wants to obtain information on the spread of the data. This information will tell her how close or far apart the scores are from each other. This is known as
Variability
Power
Subject participation
Data cleaning
Question 2
A research article reports a limitation in the published study that the sample size was too low. How might this low sample size affect the study?
The study will not be affected by a low sample size.
The study will not be cost effective and resources will likely be wasted.
The study results may not be reliable and research questions may not be accurately answered.
The researcher will have to go back and include more participants in the study to increase the sample size which will delay completion of the study.
Question 3
As you read more closely into the study results, you see that the scores of the new nursing mothers are very far from the mean or average score. You think back on your research class and realize that that this means that the study scores have a large _______________.
range
standard deviation
variance
power
Question 4
Another study results show all of the scores in the center of the distribution curve. In other words, the average or mean scores are 50%. This means that the study has very little or limited (select all that apply)
Range
Skewness
Variability
Reliability
Question 5
You are talking to a nurse colleague who is proposing to conduct an innovative research study using warming blankets on patient pre-surgery to determine if post-operative complications are reduced. He tells you that he does not plan to perform a power analysis because he is including all patients scheduled for surgery over the next 6 months which will give him a sample size well over 4000 subjects. Which of the responses below is the most appropriate?
“Performing a power analysis helps to make sure that more subjects are not included than is necessary because excess resources may be used with little added benefit to the study.”
“That is great that you have such a high number of subjects, as the large number of subjects will increase the reliability of your study.”
“Too many subjects will decrease the reliability of the study, regardless of cost.”
“That is a good sample size, but did you get approval for subject payment to make sure there is enough money in the research budget?”
Question 6
A nurse colleague tells you that it is not important to perform a power analysis because he already knows that his sample size will be small in an upcoming study he is conducting on safety reporting on falls. The small sample size is already a known limitation. Which is the best response to the nurse?
“I see your point, the power analysis is used to determine sample size. It will be a waste of time and resources to perform the analysis since we already know the power will be limited.”
“The power analysis must be conducted regardless as mandated by state regulations.”
“While the power analysis does help determine sample size, it is helpful in determining the likelihood of your statistical test will be in detecting effects of that size in your particular situation.”
“If your sample size is that small, it will not be advantageous to conduct the research.”
Question 7
A nurse is discussing a recent research study with the hospital biostatistician. The study compared two groups of patients who received diagnostic breast biopsies to detect malignancy. One group received lavender aromatherapy and the other received jasmine aromatherapy. The hypothesis was that there would be a statistically significant difference in anxiety level between the two groups. More specifically, the assumption was that the lavender group would demonstrate a significant drop in anxiety level. He tells the biostatistician that he is concerned because the study results indicated that the null hypothesis turned out to be true. In fact, both groups showed a decrease in anxiety level despite the fragrance. What does this mean, and does the nurse have a reason for concern? Please select the best answer.
The nurse has a legitimate concern because the null hypothesis means that there was no difference between the groups. Since both groups’ anxiety level was decreased, the study is meaningless.
The nurse has a legitimate concern because the study was a waste of time and human and financial resources. The hospital will have to be reimbursed.
The nurse’s concern is unwarranted because just because the results were not as expected, important data were gathered and information about clinical practice was learned. The reason for research is to answer a question because although we may suspect the answer, we do not know.
The nurse does have a legitimate concern since the null hypothesis was correct and the study should be replicated with a larger sample size.
Question 8
You have been asked to present the four major measures of variability to your hospital research team, including: (choose all that apply)
range and interquartile range
skewness
variance
standard deviation
Question 9
The normal distribution curve depicts the distribution of all possible scores in a research study where the majority of the scores, or the mean or average scores would fall in the center of the curve. The closer the scores are to this midline means less
deviance
range
scores
variability
Question 10
You are reading a research article and you see that the scores fall primarily in the midline of the distribution curve. This curve is known as a
Normal distribution.
Skewed distribution.
Non-distribution.
Power distribution.
NR714 Application of Analytic Methods II
Question 1
You have just been hired at Hospital X as Director of Nursing Research. You propose to conduct a study aimed at educating homeless women at risk for AIDS. The research coordinator asks how you will reach out to all homeless women in the city. What is the best response?
“Rather than trying to reach all homeless women in the city, we will include a sample of homeless women that are a reasonable representation of this population.”
“Research coordinators will ‘comb’ the city streets until we include all homeless women in the study”.
“We cannot realistically include all homeless women in the city, but we will try to include as many as we can find.”
“We only need to include a few homeless women in the study.”
Question 2
The term that captures the entire target group of individuals under study is referred to a
placebo
sample
confidence interval
population
Question 3
You are conducting a research study on the effectiveness of normal saline administered subdermally compared to lidocaine to reduce pain during IV insertion. If subjects getting lidocaine are in the experimental group, the subjects getting the inert normal saline are in the
control group
preliminary group
sample group
research group
Question 4
The same colleague asks you now to define the sample in research. Which is the most accurate response?
“The sample is a subset of the population that the researcher intends to study.”
“The sample is a group of individuals used in a pilot study before the actual study is conducted.”
“The sample is a small group of study participants who drop out of a research study.”
“The sample refers to a partial subject payment paid to study participants at the start of a research study.”
Question 5
In the inner city study investigating the impact on air quality on childhood asthma, what is the study sample?
“The study sample is a randomly selected subset of all inner city school-aged children in city X.”
“The study sample is the entire group of inner city school-aged children in city X.”
“The study sample is a small self-selected group of inner city school-aged children diagnosed with asthma.”
“The study sample is the group of all inner city school-aged children with asthma and their parents.”
Question 6
If a researcher tells you she achieved a narrow interval, in which there is little difference between lower and upper limits. The narrow confidence interval indicates
an inaccurate measure of how well the true measure of the parameter is estimated.
a satisfactory, but less desirable estimate than a wide interval.
a less precise estimate than does a wide interval.
a better and more precise estimate than does a wide interval.
Question 7
You are attending your hospital’s monthly Institutional Review Board (IRB) meeting and the Principle Investigator, Dr. King, reports to the group that she has a 95% confidence interval in her weight loss study. You clarify this statement to the team by saying NR714 Full Course Assignments
“Dr. King
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