Degree:  Master of Science in Nursing 

There are many ways of knowing. Think about how you learn in both your personal and professional life. Discuss various ways you have gained knowledge through your observational experiences during your capstone practicum by answering the following questions:

• What is the focus of your capstone practicum?
• What have you observed thus far?
• How do you determine if the information presented is valid and accurate?
• Review the “hierarchy of evidence” model and determine where you seek most of your information for both your personal and professional life and why.
• Provide personal examples.
• Include at least 2 scholarly articles supporting your statements.

 

• Differentiate between quantitative, qualitative, and mixed-method research methodologies 
• Analyze the relationship between peer-reviewed articles and clinical issues
• Analyze research ethics related to clinical issues and peer-reviewed research
• Analyze the aims of research studies presented in peer-reviewed articles
• Analyze research methodologies described in peer-reviewed articles
• Analyze strengths, reliability, and validity of research methodologies in peer-reviewed research

References: 

 Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.

• Chapter 2, “Asking Compelling Clinical Questions” (pp. 37–60)
• Chapter 22, “Generating Evidence Through Quantitative and Qualitative Research” (pp. 731–776)
• Grant, M. J., & Booth, A. (2009). A typology of reviews: An analysis of 14 review types and associated methodologies. Health Information and Libraries JournalLinks to an external site., 26, 91–108. doi:10.1111/j.1471-1842.2009.00848.x
• Hoare, Z., & Hoe, J. (2013). Understanding quantitative research: Part 2. Nursing StandardLinks to an external site., 27(18), 48–55. doi:10.7748/ns2013.01.27.18.48.c9488

 

People have seen consistent rates of inflation over the past several decades in healthcare. This inflation has been driven by increases in costs for health insurance, technology utilization, and demand for qualified providers and facilities. Consider the many areas in which the U.S. healthcare system has seen steady rises in costs. Imagine you are a financial manager for an organization that has seen significant cost increases in the past few years or decades in an area related to your organization (e.g., supplies, technology, outside services). Prepare an outline for a proposal on how to help reduce or minimize these costs.Use your text as a resource for this assignment plus one other resource from the library. Please cite your sources. The outline should include the following:

• Cost that is being looked at
• History of increases
• Potential future increases
• 1–2 suggestions for improvement or change

Read the following case study and answer the reflective questions. Please provide evidence-based rationales for your answers. APA, 7th ed. Citations must be followed.

CASE STUDY: Active Labor: Susan Wong

Mrs. Wong, a first-time mother, is admitted to the birthing suite in early labor after spontaneous rupture of membranes at home. She is at 38 weeks of gestation with a history of abnormal alpha-fetoprotein levels at 16 weeks of pregnancy. She was scheduled for ultrasonography to visualize the fetus to rule out an open spinal defect or Down syndrome, but never followed through. Mrs. Wong and her husband disagreed about what to do (keep or terminate the pregnancy) if the ultrasonography indicated a spinal problem, so they felt they did not want this information.

Reflective Questions 

1. As the nurse, what priority data would you collect from this couple to help define relevant interventions to meet their needs?

2. How can you help this couple if they experience a negative outcome in the birthing suite? What are your personal views on terminating or continuing a pregnancy with a risk of a potential anomaly? What factors may influence your views? 

3. With the influence of the recent Human Genome Project and the possibility of predicting open spinal defects earlier in pregnancy, how will maternity care change in the future?