NUR4232 Protecting your Clients in the Conduct of Research Assignment

NUR4232 Protecting your Clients in the Conduct of Research Assignment

Consider the topic you have selected to complete your evidence-based practice project. While we are not conducting research here, per se, we are considering implementing a new practice - and with any new practice comes the potential for both benefit and harm to clients. It\'s important to think about how practice changes may affect clients - both positively and negatively. So as you get ready to conduct your EBP review, you\'ll want to think about how you can make sure to keep your clients safe and your practice ethical. NUR4232 Protecting your Clients in the Conduct of Research Assignment

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In an APA format paper, approximately 3 pages in length, address the following questions. (Please note that you will continue to write in the same document you completed for part 1 of this assignment (completed in module 2) - you can keep the same cover page, correcting any errors noted on your feedback. Please correct your reference page as noted from your module 2 submission feedback and update it with your new material.) In addition, although you are submitting your entire project to date (with revisions), your actual grade will be based only on the current section, as addressed below:
Discuss what the principle of \"respect for persons\" means to you. NUR4232 Protecting your Clients in the Conduct of Research Assignment
How will you ensure that it is carried out in the implementation of your EBP project? (Remember that you don\'t need to know the exact outcome/findings of the project yet - you just need to consider how you will ensure autonomy for clients, and protection of those with diminished autonomy, if that is relevant to the practice setting.)
Discuss what the principle of \"beneficence\" means to you. How will you ensure that it is carried out in the implementation of your EBP project?
Discuss what the principle of \"justice\" means to you. How will you ensure that it is carried out in the implementation of your EBP project?
How will completing the NIH Protecting Human Research Participants certification help you carry out the principles mentioned above? NUR4232 Protecting your Clients in the Conduct of Research Assignment
Consider this brief example as you begin the paper:
In previous modules, we gave this example of a PICO(T) question:
In clients over the age of 65 undergoing elective total hip arthroplasty, is chemical DVT prophylaxis more effective than mechanical DVT prophylaxis alone in preventing the development of DVT in the 30 days following surgery?
So for this assignment you might consider the following:
Respect for persons:
Do individuals have the right to refuse DVT prophylaxis if they choose (right to self-determination)?
What if they fall into the \"diminished autonomy\" category (i.e. have dementia, etc.)
How does this affect their right to autonomy? NUR4232 Protecting your Clients in the Conduct of Research Assignment
Beneficence:
How will this project maximize benefits and minimize harms?
What might be the benefits of changing practice or staying with the same practice?
What would be the risks?
How will you make sure that you reduce risks to clients as you consider practice changes?
Justice: NUR4232 Protecting your Clients in the Conduct of Research Assignment
How will you make sure that there is fairness in the distribution of burdens and benefits?
Will you make sure that the findings are distributed to all clients?
What about on other units? Remember, we should make sure that everyone has the opportunity to benefit from research findings, when applicable.
You will also include a copy of your National Institutes of Health Protecting Human Research Participants certificate along with this submission - please incorporate it as the final page in the document.

RN to BSN students - Discuss your work practice area here.  Are you in long-term or acute care settings? What is the size of your facility?  How many beds in your unit?  What is the typical patient population?  How long do they stay?  What is the typical nurse to patient ratio?  How many nurses are on per shift?  How many nursing assistants are on per shift?  What is the role of the supervisor and the manager?  Make sure that you are not writing in first person

A-BSN students – Discuss something that is of concern to you in a current clinical setting or something you are interested learning more about in a future clinical experience.  NUR4232 Protecting your Clients in the Conduct of Research Assignment

Overview of Topic

            What is your topic of interest?  Why is it of interest to you?  Provide an example if possible of something related to you topic that makes this topic interesting to you.

RN to BSN students – Perhaps you have a high fall rate and are interested in learning ways to help lower the incident of falls.  Or maybe you are interested in introducing a new intervention into your practice setting.  Maybe you work in the NICU and see a high population of babies born to addicted mothers and want to learn better ways to help those infants.

A-BSN students -  You may be going to a critical care area and are interested in learning more about Ventilator Safety.  Or maybe you are going to Maternity and are interested in water birth safety compared to c-section or vaginal deliver. NUR4232 Protecting your Clients in the Conduct of Research Assignment

Population

What is the patient population that you are interested in?  Be specific about age, gender, etc.

Maternity example – Pregnant women

ICU example – Patients requiring CPR

Infant – Infants with Neonatal Abstinence Syndrome (NAS)

Intervention

What is the intervention you are interested in learning more about?

Maternity example- Water births

ICU example – automated compression delivery machine

Infant – Breastfeeding and use of medication

Comparison

What are you comparing the new intervention to?  Usually you are comparing something new to something that is already in place.

Maternity example – vaginal delivery

ICU example – manual compressions

Infant – use of medication

Outcome

What is the outcome that you are hoping to prove with this new intervention?

Maternity example – Water births are safer and the women experience less pain during delivery.

ICU example – Improved neurologic function

Infant -  decrease severity of symptoms within 4 weeks of life

PICO(T) Question

Does the use of water birth improve quality of delivery by decreasing pain during the delivery process compared with vaginal delivery experience?

In patients requiring who suffer VFib arrest, does the use of an automated compression delivery machine compared with manual compressions improve neurologic outcomes?

In infants with NAS, does utilizing methadone and breastfeeding, compared with methadone alone, decrease the severity of symptoms within 4 weeks of life. NUR4232 Protecting your Clients in the Conduct of Research Assignment

Principle of Respect

Discuss the ethical principle of respect.  How can this be integrated into your project?

Assurance of Autonomy

Discuss the ethical principle of autonomy.  How will this be intergrated into your project?

Beneficence

Discuss the ethical principle of beneficence. How will this be intergrated into your project?

Justice

Discuss the ethical principle of justice. How will this be intergrated into your project?

Quantitative Study One

APA formatted reference should be written here

Provide an overview of study one.  (Note that quantitative studies provide statistical analysis of data.  They are all about the numbers). NUR4232 Protecting your Clients in the Conduct of Research Assignment

Type of Study

Discuss the specific type of quantitative study that was performed.  Summarize the information provided in the journal article.

Threats to Internal and External Validity

            What are the internal threats to the validity of the study?

What are the external threats to the validity of the study?

Where there any other threats that you thought of that were not mentioned?

How do these threats affect the study validity? NUR4232 Protecting your Clients in the Conduct of Research Assignment

Applicability

Will this study be applicable to your project?  Why or why not?  Remember that you are not to be writing in first person

Quantitative Study Two

APA formatted reference should be written here

Provide an overview of study one

Type of Study

Discuss the specific type of quantitative study that was performed.  Summarize the information provided in the journal article.

Threats to Internal and External Validity

            What are the internal threats to the validity of the study?

What are the external threats to the validity of the study?

Where there any other threats that you thought of that were not mentioned?

How do these threats affect the study validity?

Applicability

Will this study be applicable to your project?  Why or why not?  Remember that you are not to be writing in first person

Qualitative Study One

APA formatted reference should be written here

Provide an overview of the qualitative study. NUR4232 Protecting your Clients in the Conduct of Research Assignment

Type of Study

            Discuss the type of qualitative study that was performed.  Note that qualitative studies look at the lived experience and do not have statistical analysis of data.

Credibility, Confirmability, Dependability, and Transferability

In this section you will discuss how researchers establish validity in qualitative research.  This is different from the evaluation of quantitative research.

  • Credibility – believability and trustworthiness of the findings. Think of this as internal validity
  • Confirmability – describes how well the research finding are supported by the actual data collected
  • Dependability – refers to the consistency with which the results could be repeated. Did the researches document any changes or unexpected occurrences that might have affected their findings.  Think of this as reliability. NUR4232 Protecting your Clients in the Conduct of Research Assignment
  • Transferability – the degree tha the findings of the research can be transferred to other contexts. Can the information be applied to other similar settings, population or sitatuions?  Think of this as external validity

Applicability

Will this study be applicable to your project?  Why or why not?  Remember that you are not to be writing in first person. NUR4232 Protecting your Clients in the Conduct of Research Assignment

Qualitative Study Two

APA formatted reference should be written here

Provide an overview of the qualitative study.

Type of Study

            Discuss the type of qualitative study that was performed.  Note that qualitative studies look at the lived experience and do not have statistical analysis of data.

Credibility, Confirmability, Dependability, and Transferability

In this section you will discuss how researchers establish validity in qualitative research.  This is different from the evaluation of quantitative research.

  • Credibility – believability and trustworthiness of the findings. Think of this as internal validity
  • Confirmability – describes how well the research finding are supported by the actual data collected
  • Dependability – refers to the consistency with which the results could be repeated. Did the researches document any changes or unexpected occurrences that might have affected their findings.  Think of this as reliability.
  • Transferability – the degree tha the findings of the research can be transferred to other contexts. Can the information be applied to other similar settings, population or sitatuions?  Think of this as external validity

Applicability

Will this study be applicable to your project?  Why or why not?  Remember that you are not to be writing in first person. NUR4232 Protecting your Clients in the Conduct of Research Assignment

Ranking the Evidence

Quantitative Study I (author(s), year and title)

Utilizing the evidence hierarchy, discuss the type of research conducted and where it falls on the 8 level evidence hierarchy.  Be specific.  Is it level II evidence (RCT) or is it Level VIII (expert opinion) and what does this level indicate about the evidence?  The pyramid can be found in the Module 8 lesson folder, figure 14-11.

Quantitative Study II (author(s), year and title)

Utilizing the evidence hierarchy, discuss the type of research conducted and where it falls on the 8 level evidence hierarchy.  Be specific.  NUR4232 Protecting your Clients in the Conduct of Research Assignment

Qualitative Study I (author(s), year and title)

Utilizing the evidence hierarchy, discuss the type of research conducted and where it falls on the 8 level evidence hierarchy.  Be specific.

Qualtitative Study II (author(s), year and title)

Utilizing the evidence hierarchy, discuss the type of research conducted and where it falls on the 8 level evidence hierarchy.  Be specific.

Strength of Evidence

Evaluate each article based on the GRADE criteria.  Is the strength of the evidence very low, low, moderate or high?  Analyze each article individually and then determine the overall strength of the evidence that you have gathered.  The GRADE criteria article can be found in the Module 8 assignment folder.

Practice Recommendations

Based upon the research articles that you have reviewed, what are two practice recommendations that you would put into place?

Strength of Recommendations

Once you have decided what you would recommend, you should then evaluate each individual practice recommendation using the GRADE criteria and determine the overall strength of each recommendation. NUR4232 Protecting your Clients in the Conduct of Research Assignment

Key Stakeholders

Who are three key stakeholders and why are they important to your project?

Engagement Strategies

How will you engage the stakeholders?  What strategies will you use to get them to help you make your project a success?  A work group? A committee? NUR4232 Protecting your Clients in the Conduct of Research Assignment

Resistance Strategies

Resistance to change is a frequent occurrence.  What can you do to help decrease resistance and improve the success of the project?  What interventions can you put into place to improve participation?

Evaluation

How will you evaluate the results of your intervention?  Be specific including methods used and timeframe.

NUR4232 Protecting your Clients in the Conduct of Research Assignment