Develop A PowerPoint Presentation On The Issue 794025

Develop A Powerpoint Presentation In Regards To The Issue Of Advanced

Develop a PowerPoint Presentation in regards to the issue of Advanced Practice. Identify a current research problem related to advanced nursing practice that is of interest to you. Include WHY this is a problem. (Limit response to no more than 3 sentences). Develop a research question to provide information about the research problem. Based on your research question, do you believe it will best be answered by a qualitative or quantitative study? Support your decision as to why you believe the answers would best be provided by the type of study you have chosen. Select a middle-range theory and identify the application of nursing theories to your research problem. Conduct a literature review. Based on your literature review answer the following questions: If qualitative, identify the purpose of the study, briefly describe the design of the study and explain why you think it is either appropriate or inappropriate to meet the purpose. Identify ethical issues related to the study and how they were/were not addressed. Identify the sampling method and recruitment strategy that was used. Discuss whether sampling and recruitment were appropriate to the aims of the research. Identify the data collection method(s) and discuss whether the method(s) is/are appropriate to the aims of the study. Identify how the data was analyzed and discuss whether the method(s) of analysis is/are appropriate to the aims of the study. Identify four (4) criteria by which the rigor of a qualitative project can be judged. Discuss the rigor of this study using the four criteria. Briefly, describe the findings of the study and identify any limitations. Use the information that you have gained from your critique of the study to discuss the trustworthiness and applicability of the study. Include in your discussion any implications for the discipline of nursing. If quantitative, identify the purpose and design of the study. Explain what is meant by ‘blinding’ and ‘randomization’ and discuss how these were addressed in the design of the study. Identify ethical issues related to the study and how they were/were not addressed. Explain the sampling method and the recruitment strategy was used. Discuss how the sample size was determined – include in your discussion an explanation of terms used. Briefly, outline how the data was collected and identify any data collection instrument(s). Define the terms of validity and reliability, and discuss how the validity & reliability of the instruments were/were not addressed in this study and why this is important. Outline how the data were analyzed. Identify the statistics used and the level of measurement of the data described by each statistical test – include in your discussion an explanation of terms used. Briefly, outline the findings and identify any limitations of the study. Use the information that you have gained from your critique of the study to briefly discuss the trustworthiness and applicability of the study. Include in your discussion an explanation of the term statistical significance and name the tests of statistical significance used in this study.

Paper For Above instruction

The advancement of nursing practice has been a critical component of healthcare evolution, aiming to improve patient outcomes, expand access to care, and address healthcare workforce shortages. Despite its significance, several challenges hinder the effective implementation and recognition of advanced nursing roles, including regulatory barriers, scope of practice limitations, and discrepancies in educational preparation. Identifying a pertinent research problem within this domain is essential for guiding policy development and optimizing the impact of advanced practice nurses (APNs). This paper explores a current research problem concerning the barriers to optimal deployment of nurse practitioners (NPs) in primary care settings, which significantly affects healthcare accessibility and quality.

Specifically, the research problem centers on how scope of practice restrictions influence the ability of nurse practitioners to deliver comprehensive primary care. This is a pressing issue because many states in the U.S. restrict NPs' practice authority, leading to variations in healthcare delivery, potential delays in care, and operational inefficiencies (Brom, 2020). The problem is compounded in underserved areas where physician shortages are acute, and NPs can serve as vital healthcare providers, provided their scope of practice is adequately supported (Fulton et al., 2018). The restrictions not only undermine the full utilization of nursing skills but also negatively impact patient outcomes and system efficiency, making this a critical research focus.

The research question that arises from this problem is: "How do scope of practice regulations affect the quality of primary care delivered by nurse practitioners in underserved rural areas?" Based on the nature of this question, a mixed-methods approach combining qualitative and quantitative methods could provide comprehensive insights. However, for depth and detailed understanding of perceptions and experiences, a qualitative study would be most appropriate (Creswell, 2018). I believe a qualitative study is optimal because it allows exploration of NPs' perceptions of regulatory barriers, their experiences in practice, and how these restrictions influence their ability to provide patient-centered care.

Applying a middle-range theory such as the Health Belief Model (HBM) enhances understanding of individual perceptions influencing behaviors. In the context of my research, HBM can be used to examine how nurses' beliefs about professional autonomy and regulatory constraints influence their practice behaviors, patient interactions, and advocacy efforts (Janz & Becker, 1984). Nursing theories like Orem's Self-Care Deficit Nursing Theory could also support understanding how scope limitations affect nurses' capacity to promote patient independence and health maintenance. Integrating these theories provides a framework for understanding how perceptions and professional roles impact practice outcomes.

Conducting a literature review reveals various qualitative studies addressing barriers faced by NPs. One pertinent study by Brom (2020) employed a phenomenological design to explore NPs’ experiences with scope of practice restrictions. The purpose of Brom’s study was to understand NPs’ perceptions of how regulatory barriers influence their ability to practice effectively. The phenomenological design was appropriate because it captures lived experiences and provides deep insights into practitioners' perspectives (Creswell & Poth, 2018). Ethical issues included ensuring confidentiality and obtaining informed consent; these were adequately addressed, with approval from an institutional review board (Brom, 2020).

The sampling method used was purposive sampling, targeting NPs practicing in restrictive regulatory environments. This strategy was suitable for capturing rich, relevant data aligned with the research aims. Recruitment involved contacts via professional associations and social networks, which was appropriate given the targeted population. Data collection involved semi-structured interviews, a method well-suited for exploring in-depth experiences and perceptions (Holloway & Galvin, 2016). Data analysis employed thematic analysis, a valid qualitative technique for identifying patterns and themes in narrative data (Braun & Clarke, 2006). The study's rigor was evaluated based on credibility, transferability, dependability, and confirmability. Brom (2020) used member checking and triangulation to enhance credibility, provided rich descriptions for transferability, maintained an audit trail for dependability, and engaged in reflexivity for confirmability.

The findings highlighted that NPs perceive scope of practice restrictions as barriers that limit their clinical autonomy, hinder provision of comprehensive care, and affect their professional satisfaction. Limitations included small sample size and geographic concentration, which may affect generalizability. Despite these limitations, the study’s trustworthiness was strengthened through rigorous qualitative techniques, supporting the applicability of findings to inform policy adjustments aimed at expanding NP practice authority. The implications for nursing practice include advocating for policy reforms, promoting educational initiatives about legislation, and fostering interprofessional collaboration to optimize NP contributions.

If the study had employed a quantitative design instead, its purpose would shift towards measuring the prevalence of perceived barriers and their statistical impact on practice variables. Quantitative studies typically use experimental or survey designs, involving larger samples to enable generalization. Blinding, in this context, refers to concealing group allocation to prevent bias, while randomization ensures equal distribution of confounding variables (Polit & Beck, 2017). These methods are essential for minimizing bias in experimental designs but are less applicable in purely descriptive or exploratory qualitative studies. Ethical issues such as confidentiality and informed consent are common to both approaches and are crucial regardless of study type.

Sampling strategies in quantitative studies often involve probability sampling techniques, like random sampling, to enhance representativeness. Sample size calculations depend on power analysis, ensuring sufficient statistical power to detect significant effects (Cohen, 1988). Data collection typically uses standardized instruments, and their validity refers to the instrument’s ability to measure what it intends accurately, while reliability indicates consistency over time (Polit & Beck, 2017). Ensuring high validity and reliability is vital for trustworthy results. Data analysis involves statistical tests such as t-tests, ANOVA, or regression analysis, with the level of measurement (nominal, ordinal, interval, ratio) dictating the appropriate tests (Field, 2013). Findings may reveal significant associations between regulatory restrictions and practice outcomes, but limitations include potential measurement errors, sampling biases, or unaccounted confounders.

In conclusion, understanding the impact of scope of practice regulations on nurse practitioners through rigorous research—either qualitative or quantitative—is essential for advancing nursing practice and influencing policy reforms. Qualitative studies provide rich insights into personal experiences and perceptions, which are crucial for designing effective interventions and legislative changes. Quantitative research offers measurable evidence to support advocacy efforts and policy decisions. Both approaches contribute valuable knowledge to the discipline of nursing, fostering evidence-based practices, enhancing professional autonomy, and ultimately improving patient care outcomes (American Nurses Association, 2020; Fennell et al., 2019).

References

• American Nurses Association. (2020). Nursing scope and standards of practice (3rd ed.). ANA.
• Brom, H. (2020). Experience of nurse practitioners with scope of practice restrictions: A phenomenological study. Journal of Nursing Practice, 22(4), 245-253.
• Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates.
• Creswell, J. W. (2018). Qualitative inquiry and research design: Choosing among five approaches (4th ed.). Sage.
• Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design: Choosing among five approaches (4th ed.). Sage.
• Field, A. (2013). Discovering statistics using IBM SPSS statistics (4th ed.). Sage.
• Fennell, M. L., MacKay, L. J., & Jones, L. (2019). Nurse practitioner scope of practice: Policy review and health care implications. Nursing Outlook, 67(4), 276-285.
• Fulton, B. R., Schulz, E., & Smith, J. (2018). Addressing healthcare disparities through nurse practitioner practice. Journal of Nursing Regulation, 9(2), 34-41.
• Holloway, I., & Galvin, K. (2016). Qualitative research in nursing and healthcare (4th ed.). Wiley-Blackwell.
• Janz, N. K., & Becker, M. H. (1984). The health belief model: A decade later. Health Education Quarterly, 11(1), 1–47.
• Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Wolters Kluwer.