Nursing Assignment

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Need to interview a nurse practitioner to answer some questions for an assignment regarding their experiences and educational journey ! Please reach out if willing to assist with this.

Assessment 3

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Assessment 3

Applying Ethical Principles

Competency 3

Apply ethical principles and academic standards to the study of health care.

Criterion

Summarize the facts of a case study using peer-reviewed journal articles as evidence to support analysis of the case.

Your Result: NON_PERFORMANCE

Does not summarize the facts of a case study using peer-reviewed journal articles as evidence to support analysis of the case.

Faculty Comments:

While you mention that the case study is one provided by Capella; unfortunately, you did not select one of the provided case studies that were listed in your instructions. Please review the written instructions and let me know if you have any questions.

Criterion

Discuss the effectiveness of the approach used by the professional in a case study as it relates to the three components of the ethical decision-making model.

Your Result: NON_PERFORMANCE

Does not discuss the effectiveness of the approach used by the professional in a case study as it relates to the three components of the ethical decision-making model.

Faculty Comments:

While you mention that the case study is one provided by Capella; unfortunately, you did not select one of the provided case studies that were listed in your instructions. Please review the written instructions and let me know if you have any questions.

Criterion

Apply ethical principles to a possible solution to the proposed problem or issue from a case study.

Your Result: NON_PERFORMANCE

Does not identify ethical principles related to the possible solution to the proposed problem or issue from the case study.

Faculty Comments:

While you mention that the case study is one provided by Capella; unfortunately, you did not select one of the provided case studies that were listed in your instructions. Please review the written instructions and let me know if you have any questions.

Competency 4

Write for a specific audience, in appropriate tone and style, in accordance with Capella's writing standards.

Criterion

Discuss the effectiveness of the communication approaches present in a case study.

Your Result: NON_PERFORMANCE

Does not discuss the effectiveness of the communication approaches present in a case study.

Faculty Comments:

While you mention that the case study is one provided by Capella; unfortunately, you did not select one of the provided case studies that were listed in your instructions. Please review the written instructions and let me know if you have any questions.

Criterion

Produce text with minimal grammatical, usage, spelling, and mechanical errors.

Your Result: BASIC

Produces text with some grammatical, usage, spelling, and mechanical errors, making text difficult to follow at times.

Faculty Comments:

Again, as mentioned in your previous assessment – your focus gets lost in your extravigant vocabulary. Please take a look at the example paper for ideas as to how your paper should look and sound.

Criterion

Integrate into text appropriate use of scholarly sources, evidence, and citation style.

Your Result: NON_PERFORMANCE

Does not integrate into text appropriate use of scholarly sources, evidence, and citation style.

Faculty Comments:

Your paper does not appear to be in APA format as discussed in the scoring guide of your previous assessment. Please utilize the resources provided to assist you with APA formatting. Additionally, you need to use literature that is recent and peer-reviewed. Resources should be 5 years old or less.

You should check two places for feedback from faculty: in the comments for each criterion above, and within the document itself, either as attached comments or within tracked changes.

Assessment 3 instructions

Introduction

Whether you are a nurse, a public health professional, a health care administrator, or in another role in the health care field, you must base your decisions on a set of ethical principles and values. Your decisions must be fair, equitable, and defensible. Each discipline has established a professional code of ethics to guide ethical behavior. In this assessment, you will practice working through an ethical dilemma as described in a case study. Your practice will help you develop a method for formulating ethical decisions.

Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.

For this assessment, develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:

Access the Ethical Case Studies media piece to review the case studies you will be using for this assessment.

Select the case most closely related to your area of interest and use it to complete the assessment.

Note: The case study may not supply all of the information you need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.

Include the selected case study in your reference list, using proper APA style and format. Refer to the Evidence and APA section of the Writing Center for guidance.

Summarize the facts in a case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.

Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.

Identify who is involved or affected by the ethical problem or issue.

Access the Ethical Decision-Making Model media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.

Apply the three components outlined in the Ethical Decision-Making Model media.

Analyze the factors that contributed to the ethical problem or issue identified in the case study.

Describe the factors that contributed to the problem or issue and explain how they contributed.

Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.

In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The NHS-FPX4000: Developing a Health Care Perspective Library Guide will help you locate appropriate references.

Cite and apply key principles from the journal article as evidence to support your critical thinking and analysis of the ethical problem or issue.

Review the Think Critically About Source Quality resource.

Assess the credibility of the information source.

Assess the relevance of the information source.

Discuss the effectiveness of the communication approaches present in a case study.

Describe how the health care professional in the case study communicated with others.

Assess instances where the professional communicated effectively or ineffectively.

Explain which communication approaches should be used and which ones should be avoided.

Describe the consequences of using effective and non-effective communication approaches.

Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.

Describe the actions taken in response to the ethical dilemma or issue presented in the case study.

Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.

Discuss the key lessons this case provides for health care professionals.

Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.

Describe the proposed solution.

Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.

Discuss how likely it is the proposed solution will foster professional collaboration.

Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

Apply the principles of effective composition.

Determine the proper application of the rules of grammar and mechanics.

Write using APA style for in-text citations, quotes, and references.

Determine the proper application of APA formatting requirements and scholarly writing standards.

Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

Ethical Case Studies to use for this assignment

Consider the ethical dilemma the health care professional is faced with in the selected case study. Pay particular attention to details that will help you analyze the situation using the three components of the Ethical Decision Making Model (moral awareness, moral judgment, and ethical behavior).

Note: The case study may not supply all of the information you may need for the assignment. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any speculations that you make.

Case Study topic is the missing needle protector.

E. L. Straight is director of clinical services at Hopewell Hospital. As in many hospitals, a few physicians provide care that is acceptable, but not of very high quality; they tend to make more mistakes than the others and have a higher incidence of patients going “sour.” Since Straight took the position 2 years ago, new programs have been developed and things seem to be getting better in terms of quality.

Dr. Cutrite has practiced at Hopewell for longer than anyone can remember. Although once a brilliant general surgeon, he has slipped physically and mentally over the years, and Straight is contemplating taking steps to recommend a reduction in his privileges. However, the process is not complete, and Cutrite continues to perform a full range of procedures.

The operating room supervisor appeared at Straight's office one Monday afternoon. “We've got a problem,” she said, somewhat nonchalantly, but with a hint of disgust. “ I'm almost sure we left a plastic needle protector from a disposable syringe in a patient's belly, a Mrs. Jameson. You know, the protectors with the red–pink color. They'd be almost impossible to see if they were in a wound.”

“Where did it come from?” asked Straight.

“I'm not absolutely sure,” answered the supervisor. “All I know is that the syringe was among items in a used surgical pack when we did the count.” She went on to describe the safeguards of counts and records. The discrepancy was noted when records were reconciled at the end of the week. A surgical pack was shown as having a syringe, that was not supposed to be there. When the scrub nurse working with Cutrite was questioned, she remembered that he had used a syringe, but, when it was included in the count at the conclusion of surgery, she didn't think about the protective sheath, which must have been on it.

“Let's get Mrs. Jameson back into surgery.” said Straight. “We'll tell her it's necessary to check her incision and deep sutures. She'll never know we're really looking for the needle cover.”

“Too late,” responded the supervisor, “she went home day before yesterday.”

Oh, oh, thought Straight. Now what to do? “Have you talked to Dr. Cutrite?”

The supervisor nodded affirmatively. “He won't consider telling Mrs. Jameson there might be a problem and calling her back to the hospital,” she said. “And he warned us not to do anything either,” she added. “Dr. Cutrite claims it cannot possibly hurt her. Except for a little discomfort, she'll never know it's there.”

Straight called the chief of surgery and asked s hypothetical question about the consequences of leaving a small plastic cap in a patient's belly. The chief knew something was amiss but didn't pursue it. He simply replied there would likely be occasional discomfort, but probably no life–threatening consequences from leaving it in. “Although,” he added, “one never knows.”

Straight liked working at Hopewell Hospital and didn't relish crossing swords with Cutrite, who, although declining clinically, was politically very powerful. Straight had refrained from fingernail biting for years, but that old habit was suddenly overwhelming.

SOAP note CKD

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SOAP note follow up chronic kidney disease stage 2

Cancer Treatment Options-Discussion Post

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Mrs. Williams is a 27-year-old female diagnosed with breast cancer. She is currently in pharmacy school. She does not have children, but hopes to have them someday. She has been tested and has a genetic predisposition for this disease.

  • What treatment options does she have?
  • What are the advantages and disadvantages of those treatment options?
  • What would you tell Mrs. Williams if she decided to refuse treatment?
  • Mrs. Williams really wants to have children before she starts treatment. What would you educate her about? Why? Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials, be sure to provide proper attribution and/or citation.

Initial post requirement must be 250 words minimum. The 2 peer responses must be 150 words minimum each. 

EVIDENCE BASE

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EVIDENCE BASE IN DESIGN

When politics and medical science intersect, there can be much debate. Sometimes anecdotes or hearsay are misused as evidence to support a particular point. Despite these and other challenges, however, evidence-based approaches are increasingly used to inform health policy decision-making regarding causes of disease, intervention strategies, and issues impacting society. One example is the introduction of childhood vaccinations and the use of evidence-based arguments surrounding their safety.

In this Discussion, you will identify a recently proposed health policy and share your analysis of the evidence in support of this policy.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 



WEEKLY RESOURCES

· Milstead, J. A., & Short, N. M. (2019). 
Health policy and politics: A nurse's guide (6th ed.). Jones & Bartlett Learning.

· Chapter 5, “Public Policy Design” (pp. 87–95 only)

· Chapter 8, “The Impact of EHRs, Big Data, and Evidence-Informed Practice” (pp. 137–146)

· Chapter 9, “Interprofessional Practice” (pp. 152–160 only)

· Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 183–191 only)

· American Nurses Association (ANA). (n.d.). 


Advocacy

Links to an external site.
. Retrieved September 20, 2018, from https://www.nursingworld.org/practice-policy/advocacy/

· Centers for Disease Control and Prevention (CDC). (n.d.). 


Step by step: Evaluating violence and injury prevention policies: Brief 4: Evaluating policy implementation

Links to an external site.
. Retrieved from https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf

·

Congress.govLinks to an external site.
. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/

· Klein, K. J., & Sorra, J. S. (1996). 

The challenge of innovation implementationLinks to an external site.
. 
Academy of Management Review, 21(4), 1055–1080.

· Sacristán, J., & Dilla, T. D. (2015). 

No big data without small data: Learning health care systems begin and end with the individual patientLinks to an external site.
. 
Journal of Evaluation in Clinical Practice, 21(6), 1014–1017.

· Tummers, L., & Bekkers, V. (2014). 

Policy implementation, street level bureaucracy, and the importance of discretionLinks to an external site.
. 
Public Management Review, 16(4), 527–547.

To Prepare:

· Review the Congress website provided in the Resources and identify one recent (within the past 5 years) proposed health policy.

· Review the health policy you identified and reflect on the background and development of this health policy.

BY DAY 3 OF WEEK 7

Post a description of the health policy you selected and a brief background for the problem or issue being addressed. Which social determinant most affects this policy? Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples.

BY DAY 6 OF WEEK 7

Respond to at least 
two of your colleagues
* on two different days by either supporting or respectfully challenging their explanation on whether there is an evidence base to support the proposed health policy they described.

PEER REVIEW

#1 Briana – WEEK 7 DISCUSSION MAIN POST

H.R. 1712 – Rural Health Innovation Act of 2023

     Emergency medical services in the rural community setting can be challenging. Along with the area being large and sparsely populated in some places, there may also be difficult terrain, and the providers may need to travel further to transport the patient to the hospital (Rural Health Information Hub, 2022). This bill would provide two grant programs to help increase access to emergency care in these rural areas (CRH, 2023). The first grant funds federally qualified healthcare centers in these areas, including urgent care, triage, and other services (CRH, 2023). The second grant would also increase funding for rural emergency services, but this grant provides funding to health departments (CRH, 2023). There has been a long-standing history of the need to increase emergency services to rural areas, and slowly, we are working to provide these services. Telehealth has also impacted this in that it allows easier access to services in these rural areas; however, emergency care still needs to be improved.

     Social determinants of healthcare should always be considered whenever a new law or policy is being developed. The social determinant of healthcare that is the most addressed by this bill would be access to affordable, quality healthcare (World Health Organization, 2023). Some rural areas are undereducated, and residents may live in poverty, causing them not to seek out regular healthcare services. It is commonly seen that those with lower socioeconomic statuses are more at risk for poor health (World Health Organization, 2023). Expanding emergency services would allow these residents to at least be cared for in urgent need. Increased funding would improve the accessibility of healthcare and its support services. Increasing services in these areas would improve the population health of these areas now and in the future.

References

CRS. (2023). H.R.1712 – Rural Health Innovation Act of 2023. Congress.gov; Library of Congress. 
https://www.congress.gov/bill/118th-congress/house-bill/1712?q=%7B%22search%22%3A%22health+policy%22%7D&s=1&r=31
Links to an external site.

Rural Health Information Hub. (2022). Rural Emergency Medical Services (EMS) and Trauma Introduction – Rural Health Information Hub. Ruralhealthinfo.org; U.S. Department of Health and Human Services. 
https://www.ruralhealthinfo.org/topics/emergency-medical-services
Links to an external site.

World Health Organization. (2023). Social determinants of health. World Health Organization. https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1

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#2 ANDERSON /Discussion- Week 7

H.Res.434

The H. Res.434-Declaring a mental health crisis among youth in the United States, and expressing the pressing need for historic investments in mental health care for students was authored by Democrat Seth Moulton, District 6 114th-118th, Massachusetts. It was introduced on the house on 5/22/23; the bill focus on the mental health crisis affecting youth in the United States; it acknowledges that the Covid-19 pandemic has exacerbated depression with an increase of 30% in emergency room admissions from adolescents, the World Health Association cites suicide as the fourth leading cause of death between ages 15-19, The National Institutes of Health states that low-income population, and those living in rural areas are by far the most affected, state mental health resources are scarce or its funds are mismanaged (Congress.gov, 2023).

To alleviate the ongoing crisis, the bill proposes to: increase mental health training of school educators, invest robust funding toward on-campus mental health resources, preserve the continuity of mental health treatment to lower-income students despite of their legal status in the country, recognize that physical health and mental health are intertwined, educate the public on mental health disorders to reduce its stigma, develop a highly efficient method to contact high-risk and isolated population to support children/adolescent suffering from mental health disorders, curb prejudice and discrimination in schools towards students diagnosed with mental health disorders, and to regularly screen incarcerated juveniles whose mental health issues are often times overlooked (Congress.gov, 2023).

Social Determinants  

There are two main social determinants linked to the mental health crisis among children; the covid-19 pandemic and the “digital depression”.  The pandemic altered the lives of children all over the world. In the United States, it has forced school shut-downs as classroom attendance became remotely driven leading children to feel more isolated due to loss of physical/emotional contact with their schoolmates. Lower-income children/adolescents were the most affected by the pandemic because some of their parents have lost their jobs and struggled to make ends meet. The isolation caused decrease in physical activity and an overwhelming increase in social media screen time. When in-person classes resumed, school districts were made aware that the pandemic had increased depression among their students; however schools firmly believed that discussing mental health issues with students equated to putting “ideas” into their heads (Ayer & Colpe, 2022) also, school districts were already overwhelmed with other issues such as food insecurities, student housing instability, and teachers burnout. Studies show that 72% of children/adolescents did not receive mental health treatment and that schools did not initiate depression screenings as a way to curb teen suicide. School teachers spend long hours with their students, they are likely to best recognize signs of depression and other mental health disorders affecting their students with the assist of a school nurse. The federal government added $122 billion in school programs which part of that fund had been allocated to suicide prevention (Ayer & Colpe, 2022) therefore 72% of children not having had received mental health screening/care raise alarming questions whether or not schools are well-equipped and safe to mentally afflicted  students; another obstacle is that 77% of parents did not report suicide ideation or other ongoing mental health ailments to the school possibly fearing that their children would be treated poorly, “downgraded ” to special ED, or be bullied by their classmates. In addition to parental overlook, there is limited mental health training in the school system particularly to provide support to gay and nonbinary/trans students who are more victimized and harassed by their classmates.

The second social determinant it is digitalization. The average time adolescents spend on social media averages nine hours daily. The pandemic inevitably led children to spend more time using smart phone and computers in lieu of physical activity and healthier socialization with other children. It is likely that during the pandemic, their parents began to dedicate more time to social media by simply working from home; parenting style has also “softened” as younger parents are less restrictive to their children screen time. Although social media was not created to harm children (Ghaemi, 2020) it does impact their mental health negatively because children/adolescents often go to sleep with their phones on causing day-time anxiety/mood disorders secondary to sleep deprivation; adolescents have partially developed brain maturation, particularly on the frontal lobe; therefore they are at higher risk to engage in dangerous sexual behavior/encounters, participate in peer-pressured bullying towards their schoolmates, pick up unsafe habits such as e-smoking, and take part in substance abuse. Cyber bullying has grown with its hate speech nuances causing targeted teenagers to become depressed, anxious and/or die of suicide.

Evidence-based support

Prevention is the key to manage depression and suicide among children and adolescents. Depression is still underreported  and under diagnosed in children (Patra & Kumar, 2022), suicide deaths have surpassed automobile accident deaths, and one in ten adolescents in high school have verbalized suicide ideation. Pediatricians are still reluctant to screen/treat children who present symptoms of mental health disorders fearing that they might over diagnose their clients based on false-positive screening scores; however there is more benefit in identifying and initiating treatment rather than ignoring the issue. There are multiple assessment tools available nowadays that use questionaries, parent interviews or child-self-report tools; providers who may not feel confident about treating these children should make a referral to a qualified mental health provider because early identification is key to prevent teen suicide.

Also, healthcare providers should not focus on making the ” right” diagnosis because in depression the mood is always ” negative” followed by visible signs and symptoms such as feelings of sadness, isolation, decrease in physical activity, poor eyes contact, lack of energy, and poor academic performance. Some providers also believe that discussing mental health issues with children could lead them to embrace these ideas which is a misconception because there are more benefits than risks to obtaining early detection and treatment. The main downfall is parental denial of children's poor mental health due to strict religious views on pharmacological treatments ( scientologists for example do not believe in prescription drugs) or the fear that their children will be perceived differently and be mistreated. The National Suicide Prevention warns that depression and suicide ideation should be taken seriously (Patra & Kumar, 2022) as there are multiple resources available today to prevent this ill fate among youth; healthcare providers who feel uncomfortable treating these disorders should make swift referrals, and school bodies should immediately utilize the money allocated to them to kick off school-based screening programs. 

When digitalization issues are concerned, it is vital that parents become more vigilant and monitor their children online activities closer. Given the availability of smart phones facilitated through texting and chatting, teenagers have gained easier access to sex, drugs, and pornography (Ghaemi, 2020). The goal is not to ban social media from children and adolescents; the recommendations are straightforward to follow: delay screen time to younger children, remove smart phones from the bedroom to promote sleep hygiene, limit screen time to one hour daily to mildly depressive children, and restrict social media altogether to severely depressive children presenting suicide thoughts (Ghaemi, 2020).

Current treatment options to depression are SSRI antidepressants, counseling and psychotherapy accompanied by diet and exercise. The most important content of H.Res.434 is educating parents, school bodies, and healthcare providers about recognizing  mental health disorders among children particularly to those living in rural areas where resources are oftentimes scarce. Also, it is important to work with low-income families who may not see mental health as a priority over housing and food. 

    

References

Ayer, L., & Colpe, L. J. (2022). The Key Role of Schools in Youth Suicide Prevention. 
Journal of the American Academy of Child & Adolescent Psychiatry, 
62(1). 
https://doi.org/10.1016/j.jaac.2022.06.022
Links to an external site.

Congress.gov. (2023). 
Congress.gov | Library of Congress. Congress.gov. 
https://www.congress.gov/
Links to an external site.

Ghaemi, S. N. (2020). Digital depression: a new disease of the millennium? 
Acta Psychiatrica Scandinavica, 
141(4), 356–361. 
https://doi.org/10.1111/acps.13151
Links to an external site.

Patra, K. P., & Kumar, R. (2022). 
Screening For Depression and Suicide in Children. PubMed; StatPearls Publishing. 
https://www.ncbi.nlm.nih.gov/books/NBK576416/
Links to an external site.

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PICO question quantitative research article

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Choose a topic from the topic list on the attached instructions.

Write a PICO question that relates to your topic.

Find a quantitative nursing research article. Make sure that it is  actually nursing research. You may not use any of the following:

  • A retrospective study
  • A mixed methods study
  • A qualitative research article
  • A systematic review
  • A quality improvement article
  • An evidence based practice article

You may not use the article that is being used for the RACs in this course session.

If you are repeating the class, you may not use the article or topic that you used for your last attempt at this class.

You may receive help from librarians in finding an article, but you  are ultimately responsible for whether it meets requirements or not.

Upload the worksheet and your article. The article must be in pdf format.

Topics

Addiction

Adherence

Alarm safety

Comfort

Delirium

Depression

Diabetes management

Discharge teaching

Falls

Functional ability

Health and wellbeing of nurses

Hospital readmission rates

Infection control

Mobility

Pain

Prenatal teaching

Prevention of post operative complications

Prevention of pressure ulcers

Sleep disturbances

Stress

The article needs to be within a 5 years old, quantitative research article only!

The interpretation of research in health care is essentia

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The interpretation of research in health care is essential to decision-making. By understanding research, health care providers can identify risk factors, trends, outcomes for treatment, health care costs, and best practices. To be effective in evaluating and interpreting research, the reader must first understand how to interpret the findings.

RESEARCH METHODOLOGIES – EBP

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  • 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

Culture of nursing discussion

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Please take a look at the attachment