Replies week 2 – 5400

I have to write a reply to each of the texts in the document attached below, they must be 200 words each and include references.

Intro to nursing reaearch

 Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Provide an overview of the problem and discuss how addressing the problem through nursing research can improve patient outcomes. Provide rationale and support for your answer. 

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Replies week 6 MSN 5300

 Replies each one with 200 words

The main advantage of mixed-methods research design is that it allows researchers to integrate multiple data sources to provide more insight into the study phenomena. Because mixed methods utilize both numerical and non-numerical data, researchers can assess and explore the relationships and elements of social and human life. Qualitative and quantitative research concepts may be non-specific and ambiguous in some cases. These two challenges may have significant implications for the research. Therefore, when a researcher mixes qualitative and quantitative research, they get the chance to experience new empirical insights into the research from a dynamic and comprehensive approach. Such experiences override the challenges that may come with quantitative or qualitative methods, including inconclusive outcomes and longer than the expected research time. Researchers can take an analytical approach to understanding complex research questions through the use of mixed-methods design.

Similarly, mixed-methods research design allows researchers to integrate data triangulation into the study. With data triangulation, researchers can confirm the validity of research findings by applying several data sources to identify inconsistencies in the variables (Dawadi et al., 2021). For example, to confirm the experiences of patients admitted to palliative care, researchers may use both open-ended and closed-ended surveys to acquire data. The data can be compared through triangulation. Triangulation, thus, allows for the application of “more diverse data,” a quality that may not be achieved by using a single design (Dawadi et al., 2021). When this happens, the validity and reliability of the research findings are improved. 

The main disadvantage of mixed-methods design is that it may be complicated for inexperienced or rookie researchers. Researchers who have little research experience may find it challenging to meet the requirements of the method due to its complex nature (Wasti et al., 2022). Such researchers may also have a hard time identifying interdisciplinary or multidisciplinary team members who have expertise in both quantitative and qualitative research. If this happens, the research process may be gravely compromised. Similarly, mixed-methods design escalates research costs and time since it requires data collection and analysis to be conducted in several stages (Wasti et al., 2022). For example, the study team must collect and analyze both numerical and non-numerical data as prescribed by the design. This may be costly in case of budget constraints and limited time. Lastly, the appropriateness of mixed-methods design is never guaranteed because it mainly depends on the nature of the research questions. Some research questions may be subject to ambiguity which may not be effectively addressed by mixed-methods design.

2. Mixed method research has become increasingly popular in the field of social science and other areas of study because they provide an extensive framework for comprehending challenging research topics. This approach combines quantitative and qualitative research techniques to offer a more thorough and sophisticated knowledge of a particular issue.

Multiple benefits are provided by mixed research methods. By integrating quantitative data for statistical accuracy and qualitative data for perspective and depth, they provide a thorough comprehension of study concerns providing validity and reliability of the results. Qualitative approaches are particularly useful for complicated or understudied issues because they enable investigation and the discovery of unanticipated findings. Additionally, context is added to findings through mixed methods research, increasing their relevance for practical applications (Tashakkori & Teddlie, 2019).

Comprehensive Understanding is one of the main advantages of a mixed methods research design. This attention to detail results from the integration of both quantitative and qualitative data, which enables researchers to go further beyond the most obvious conclusions. While qualitative data explore the “why” and “how” by revealing underlying meanings, motives, and context, quantitative data show statistical patterns and connections, providing answers to the “what” and “how many” questions. The findings are more solid and practical as a result of the holistic method, which guarantees that researchers get a thorough, multidimensional understanding of the topic under study. (Tashakkori & Teddlie, 2019).

Exploration and discovery are fundamental benefits of using mixed methods research designs. Particularly making use of methods that are qualitative provides the flexibility to examine unforeseen factors of a research subject, leading to the discovery of additional patterns. This element is extremely useful when researching difficult or relatively unexplored subjects since it allows researchers to modify their questions and dive further into unexpected areas. Mixed methods research embraces the qualitative component, encouraging researchers to be open to different viewpoints, eventually resulting in a better and more comprehensive knowledge of the phenomena being examined (Johnson et al., 2021).

Research designs using mixed methodologies have various limitations. They may need a lot of time, money, and skill. Research durations may be affected by the complexity of combining both qualitative and quantitative methods. Furthermore, because qualitative research is subjective, there is a chance that the results may be biased (Tashakkori & Teddlie, 2019).

In conclusion, mixed methods research designs that call for both quantitative and qualitative viewpoints provide a highly effective approach. They increase the validity and trustworthiness of study findings and offer a thorough comprehension of complicated events. They do, however, also have disadvantages, such as demands on resources, complexity, and possible bias. When considering whether to adopt a mixed methods approach, researchers must carefully evaluate the advantages and disadvantages and make sure they are prepared to handle the complicated processes involved. They may then use the advantages of both quantitative and qualitative techniques to better understand their research issues.

nursing

 Provide examples of experimental and nonexperimental research design. Contrast the levels of control applied to each. 

Health Assessment

 Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and assess his or her health risks. 

   CASE STUDY AG is a 54-year-old Caucasian male who was referred to your clinic to establish care after a recent hospitalization after having a seizure related to alcohol withdrawal. He has hypertension and a history of alcohol and cocaine abuse. He is homeless and is currently living at a local homeless shelter. He reports that he is out of his amlodipine 10 mg which he takes for hypertension. He reports he is abstaining from alcohol and cocaine but needs to smoke cigarettes to calm down since he is not drinking anymore. 

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Discusssion

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APRNs are primary care providers, pivotal in providing primary health care and preventive services in communities. Advanced practice nursing is defined by the Nurse Practice Act but governed by the Board of Nursing in different states or territories. Where the Nurse Practice Act falls short in interpretation, the Board of Registered Nursing guides the form of an opinion (American Nurses Association, n.d.). Advanced practice nurses should understand how these laws and regulations shape practice.

            I am from California, and I chose Iowa for comparison. In both states, APRN nursing regulations allow advanced practice nurses to function as primary care providers with permission to certify disability pursuant to the unemployment insurance code section2708 (California Legislative Information, n.d.). Similarly, in both states, APRNs also sign POLST forms.

            APRNs in California can prescribe controlled substances after fulfilling specific requirements, including six months of physician supervision, a pharmacology course, and another specific course about schedule II-controlled drugs. Iowa Board of Registered Nursing also allows nurse practitioners to prescribe Schedule II drugs after registering with the pharmaceutical board. Both states require the prescriber to be registered with the Drug Enforcement Agency.

           Advanced Registered Nurse Practitioners in Iowa have autonomy in practice; alternately, they can collaborate with a physician or surgeon, but this is not a requirement of the Iowa Board of Nursing. APRNs in Iowa practice autonomously. California has a standardized procedure arrangement for advanced practice nurses to diagnose, treat, and prescribe. APRNs in California have career-long supervision, delegation, or team management by a physician. Largely, California regulations allow advanced nurse practitioners to approve, sign, or modify treatment plans after consultation with a physician.

          California Board of Registered Nursing allows for using marijuana by nurses as long as it is not used within the workstation. The legislation makes it unlawful for an employer to eliminate hiring someone based on that person using Cannabis away from their workstation. The legislation further guides that a nurse who uses cannabis for medical purposes should also be exempted from this policy. On the contrary, recreational use of marijuana is illegal under Iowa law. A nurse may be affected even if the positive drug screen was done in another state that allows the use of marijuana. Potential employers usually forward positive marijuana screens where a nurse has a license.

           Advanced Practice Registered Nurses with full legal authority to practice at full scope will have issues practicing autonomously in California because of the restricted practice legislation. One of the objectives of the ANA is to fight barriers to nursing practice so that nurses practice to the full extent of their education and training despite being in different territories. All nurses are licensed by their state of practice or by a multistate license. The Nurse Licensure Compact provides APRNs with a multistate license that allows nurses to practice in the home state and other compact states (NCSBN. (n.d.). Not all states are compact states.

            Nurses adhere to the rules through continuous education to keep up with the latest practices and technology. Many approved colleges provide the necessary certification; some are state-specific, and others can be found online. Joining Professional organizations is also useful for sources of the latest information in the medical world.

explain how the regulatory environment and the regulations selected by your colleague differ from your state/region. Be specific and provide examples. 

Reflection of Scenario

 1) Watch the entire scenario. In the scenario assignment, you are asked to reflect on responses to the presented scenario. 

2) Fill out the template attached below

3) Compose the last question on the template reflection in a Word document and be sure to address, at a minimum, the following questions:

*Why do you feel the way you do about the issue presented?

*Of the four responses offered in the scenario, which do you think is the most ethical and why?

*Which ethical theory would you use to support your stance? Why does this theory work?

4)  Support your conclusions with evidence and specific examples from the textbook, including a minimum of one theory of ethics to defend your stance.