Identify A Current Research Problem Related To Advanced Nurs

Identify A Current Research Problem Related To Advanced Nursing Practi

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 used. Discuss how the sample size was determined — include 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 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.

Submission Instructions: The presentation is original work and logically organized. Follow current APA format including citation of references. The PowerPoint presentation should include 10-15 slides which are clear and easy to read. Speaker notes expand upon and clarify content on the slides. Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to the current APA style (the library has a copy of the APA Manual).

Paper For Above instruction

The ongoing evolution of healthcare and nursing practice emphasizes the need for research that addresses current issues affecting patient outcomes, nurse satisfaction, and healthcare system efficiency. One pressing research problem in advanced nursing practice is the integration of telehealth services into primary care settings. Despite growing adoption, there's limited evidence on how telehealth impacts nurse-patient communication, patient satisfaction, and health outcomes across diverse populations. This lack of comprehensive understanding constitutes a significant gap, especially considering the ongoing shifts toward digital health solutions catalyzed by recent global health crises (World Health Organization, 2020). The research question I propose is: "How does the implementation of telehealth influence patient satisfaction and health outcomes in advanced nursing practice?" I believe this research question lends itself best to a quantitative study because it involves measurable variables such as patient satisfaction scores, health indicators, and clinical outcomes, which can be statistically analyzed for significance and correlation (Polit & Beck, 2017).

Application of Nursing Theories

In exploring this issue, the application of the Roy Adaptation Model provides a relevant theoretical framework. This model emphasizes nursing’s role in helping patients adapt to changes in health status and environment, aligning with telehealth's core objective of facilitating patient adaptation to health management through technology (Roy, 2009). It guides investigation into how telehealth influences patient responsiveness, coping mechanisms, and health outcomes, rendering it a suitable middle-range theory for this research.

Literature Review and Methodology

A review of current literature indicates that studies utilizing quantitative designs offer robust data on the efficacy of telehealth in improving health metrics. For example, Smith et al. (2020) conducted a quasi-experimental study comparing traditional vs. telehealth services in chronic disease management, emphasizing the need for further research into patient satisfaction and engagement metrics. Ethical considerations in these studies generally include ensuring patient confidentiality, informed consent, and data security. Researchers address these issues by adhering to institutional review board protocols and employing encrypted data storage solutions (Johnson et al., 2021).

Sample recruitment often employs purposive sampling targeting patients with chronic conditions who are technologically capable and willing to participate, accompanied by convenience sampling in clinical practice settings (Brown & Green, 2022). These strategies align well with the research aims by ensuring participants have relevant experience with telehealth. Data collection typically involves structured surveys assessing patient satisfaction, clinical outcome measures, and usage data derived from electronic health records. Such methods are appropriate for the aims, as they facilitate quantitative measurement of variables related to health outcomes and satisfaction.

Data analysis generally employs statistical techniques such as t-tests, ANOVA, and regression analysis to identify significant differences or associations (Field, 2013). Validity and reliability are maintained by using standardized instruments with established psychometric properties, or through pilot testing instruments before full deployment (Cohen et al., 2018). The rigor of qualitative research can be assessed through criteria such as credibility, transferability, dependability, and confirmability.

Critique of Quantitative Study

The selected quantitative study’s rigor can be appraised through these four criteria: credibility (internal validity), transferability (external validity), dependability (consistency), and confirmability (objectivity). The study in question demonstrated strong validity through employments of validated measurement tools, such as the Telehealth Satisfaction Scale (Davis & Baird, 2019). Reliability was ensured through consistent data collection procedures and pilot testing. The findings suggested that telehealth significantly improved patient satisfaction and clinical outcomes among patients with chronic illnesses, with limitations including small sample sizes and potential selection bias. These limitations impact the generalizability of results but do not fundamentally undermine the study’s trustworthiness. Its implications underscore the importance of integrating telehealth strategies into advanced nursing roles to enhance patient-centered care.

Conclusion and Implications for Nursing Practice

Both qualitative and quantitative research provide critical insights into complex healthcare challenges. In this context, quantitative research offers measurable evidence supporting telehealth's integration into nursing practice. This evidence can inform policy development, enhance clinical protocols, and improve patient engagement strategies. Furthermore, ongoing research incorporating mixed-methods approaches can enrich understanding by blending statistical data with patient perspectives. For nursing professionals, embracing evidence-based technological innovations will be vital for improving health outcomes, expanding access, and fostering adaptive, patient-centered care models (Institute of Medicine, 2011). As healthcare continues to evolve, embedding research-driven practices ensures that advanced nursing practitioners remain pivotal contributors to effective and equitable healthcare delivery.

References

1. Brown, T., & Green, S. (2022). Patient recruitment strategies in telehealth research: A review. Journal of Nursing Research, 30(2), 145-152.
2. Cohen, M. Z., Crabtree, B. F., & Turner, D. (2018). Validity and reliability in healthcare research. Qualitative Health Research, 28(5), 654-666.
3. Davis, J., & Baird, D. (2019). Validity and reliability of the Telehealth Satisfaction Scale. Journal of Telemedicine and Telecare, 25(3), 154-160.
4. Field, A. (2013). Discovering statistics using IBM SPSS Statistics. Sage Publications.
5. Institute of Medicine. (2011). The Future of Nursing: Leading Change, Advancing Health. National Academies Press.
6. Johnson, L., Smith, R., & Williams, P. (2021). Ethical considerations in telehealth research. Nursing Ethics, 28(4), 567-575.
7. Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice. Wolters Kluwer.
8. Roy, C. (2009). The Roy Adaptation Model. Pearson.
9. Smith, A., Brown, R., & Lee, M. (2020). Effectiveness of telehealth in chronic disease management: A quasi-experimental study. Journal of Clinical Nursing, 29(19-20), 3801-3810.
10. World Health Organization. (2020). Digital health: Transforming healthcare. WHO Publications.