Identify and discuss various issues and challenges that are commonly associated with qualitative research

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Qualitative Research and Evidence-Based Practice

For this week’s discussion, you will engage with the following questions to deepen your understanding of qualitative research and evidence-based practice. Please provide thorough and well-supported answers:

  1. Issues Associated with Qualitative Research and Evidence-Based Practice:
  • Identify and discuss various issues and challenges that are commonly associated with qualitative research in the context of evidence-based practice.
  • Create a comprehensive list of these issues, providing detailed explanations of each.
  • Include an analysis of how these issues can be or have been addressed in practice, citing relevant examples or strategies.
  1. Criteria for Evidence-Based Practice:
  • Define the essential criteria that must be met for a practice to be considered evidence-based.
  • Provide three to four concrete examples of practices that meet these criteria.
  • Explain how these practices adhere to the defined criteria and the impact they have on patient care and outcomes.
  • Briefly share how this course has helped you and will help you in your FUTURE advanced clinical nursing role

Additional Guidelines:

  • Use minimally 3 scholarly references [not older than 5 years] to support your answers, as appropriate.
  • Minimum 500 words
  • Post Structure:
  • Organize your answers clearly, using headings and subheadings where necessary to enhance readability.
  • Provide detailed and well-articulated responses, drawing from academic sources, course materials, and personal insights.

Approaches to Disease Management: Hypertension

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You see a 3-year-old with hypertension (documented on three different visits) in your primary care clinic. From the perspective of a nurse practitioner:

  • Describe the workup, differential diagnoses, assessment, and management.
  • How would your plan of care be different if the child were 10 years old?
  • What risk factor counseling and advice would you include?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources published within the last five years. 
  • in paragraph form, no bullet points or numbering.

Analyze the results and apply published research to the development of a proposed treatment

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 In this Portfolio Assignment, you will continue to analyze the results and apply published research to the development of a proposed treatment for any issues uncovered by the assessment. 4 PGS

5-2 Milestone Four: Planning

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Follow rubric Verbatim

 What to Submit

The draft of your planning section should be submitted as a 2- to 3-page Microsoft Word document with double spacing, 12-point Times New Roman font, and one-inch margins. Any references should be cited in APA format. Use appropriate headings to identify each critical element.

Give a brief description of the activities leading to achieving the objectives in your program proposal.

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Begin your initial post with a one-sentence summary of your proposal topic. Then, give a brief description of the activities leading to achieving the objectives in your program proposal. It should include your rationale behind their selection, their sequence, and your reasoning behind why these methods may work. This discussion will help you complete Milestone Five, which is due in Module Six. 

Submit a Personal Legislative Agenda detailing your strategy for moving your policy through the legislative process

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legislative agenda

                                        
Review the Personal Legislative Agenda and Action Plan Exemplar to demonstrate how you will construct your Personal Legislative Agenda for the state and federal proposed legislation.  
Review the Personal Legislative Agenda and Action Plan Exemplar to determine which approach might work best for advancing your policy initiatives at various stages of the legislative process. Submit a Personal Legislative Agenda detailing your strategy for moving your policy through the legislative process, using the Personal Legislative and Agenda and Action Plan Exemplar as your template. 
In your Personal Legislative Agenda, choose from the strategies provided in Advocacy Toolkit resource that best suite moving your policies forward. Be sure to connect the strategies to the appropriate sections of the policy model you selected in Module 2.

Chief Complaint: Decrease in my vision; glare is very bothersome!

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A 79-year-old male remarks on his first visit that he has noticed a gradual decrease in vision in both his eyes since last year. His old medical record has not yet arrived at your office. He states that since he moved from Florida a year ago, he has not had an eye examination and does not yet know an ophthalmologist. He is having difficulty carrying on his activities of daily living that involve his sight. He states that he cannot recognize people at some distance until they come quite close and he is often frightened by his perception of strangers speaking to him. Watching television and reading are becoming increasingly difficult for him. He states that glare is a problem and notes that a few times he almost tripped over something on the floor. He still drives his car in the local community. He asks if you think he may have a cataract. He says his wife had two cataracts in the past and he remembers her complaining of vision problems which have now resolved.

Vital Signs: BP 128/84; HR 82; RR 18; BMI 24.

Chief Complaint: Decrease in my vision; glare is very bothersome!

Discuss the following:

1) What additional subjective data are you seeking to include past medical history, social, and relevant family history?
2) What additional objective data will you be assessing for?
3) What are the differential diagnoses that you are considering?
4) What laboratory tests will help you rule out some of the differential diagnoses?
5) What radiological examinations or additional diagnostic studies would you order?
6) What treatment and specific information about the prescription that you will give this patient?
7) What are the potential complications from the treatment ordered?
8) What additional laboratory tests might you consider ordering?
9) What additional patient teaching may be needed?
10) Will you be looking for a consult?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

How do you approach the management of treatment-resistant schizophrenia

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  • As a psychiatric mental health nurse practitioner (PMHNP), how do you approach the management of treatment-resistant schizophrenia, particularly in cases where traditional antipsychotic medications and psychosocial interventions have been ineffective?
  • What are the challenges and opportunities in utilizing biomarkers of inflammation to aid in the early diagnosis and personalized treatment of Alzheimer’s disease, and how can PMHNPs stay current with advancements in this rapidly evolving field?

Explain your views on allowing a minor to explore their gender identity.

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  • Explain your views on allowing a minor to explore their gender identity.
  • Discuss how a psychiatric nurse practitioner could create space for a minor to discuss their gender identities and expressions during a session?
  • Use the US clinical guidelines to support your response. 

Submission Instructions:

  • Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources- scholarly articles only.  

Leadership in healthcare policy and administration

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Maria A

 

The Institute of Medicine’s (IOM) landmark 2011 report about the future and goals of nursing served as a national call to action to strengthen the nursing profession’s role in transforming healthcare. Over the past decade, the nursing community has made measurable progress in key areas, including education, clinical practice, leadership, and workforce planning. While not every target has been met, the direction and impact of the changes demonstrate the profession’s commitment to long-term systemic improvement.

One of the report’s central goals was to get an 80 % of nurses holding a Bachelor of Science in Nursing (BSN). Although the target was not fully achieved by 2020, the number of nurses with BSN degrees rose substantially due to widespread implementation of RN-to-BSN pathways, bridge programs, and collaborative academic models (Campaign for Action, 2023). The increase in doctoral-prepared nurses, particularly those pursuing the Doctor of Nursing Practice (DNP), also reflects a national trend toward advanced nursing education aligned with clinical leadership and evidence-based practice (AACN, 2021).

Equally significant is the increase of autonomous nurse practitioners (APRNs). Today, more than 25 states allow nurse practitioners to practice autonomously (AANP, 2023). This evolution in regulatory practice has helped close gaps in healthcare access, especially in rural and underserved areas, empowering APRNs to serve as primary care providers and manage chronic conditions more effectively.

Leadership in healthcare policy and administration is another area where nurses have increased their presence. Nurses are now serving on hospital boards, shaping institutional policy, and participating in health reform initiatives. These advancements reflect the implementation of DNP Essentials related to systems leadership, organizational transformation, and policy advocacy (DeNisco, 2023). Initiatives such as the Nurses on Boards Coalition have amplified the collective voice of the profession, ensuring that nurses are present where key decisions are made.

Moreover, improvements in nursing workforce data collection have enabled better planning and forecasting. Enhanced data systems have provided critical insights into geographic shortages, demographic shifts, and the need for diversity in the profession. These findings help inform policy decisions and ensure that resources are directed to the areas of highest need (National Academies of Sciences, Engineering, and Medicine, 2021).

In conclusion, this beautiful and human profession has responded to the IOM’s vision with focused, measurable efforts. Although challenges such as faculty shortages and funding gaps persist, the profession continues to evolve through education, expanded clinical roles, leadership engagement, and strategic workforce development. These achievements not only validate the recommendations made over a decade ago but also reinforce the profession’s ongoing capacity to lead change and advance health.

References

American Association of Nurse Practitioners. (2023). State practice environment. American Association of Nurse Practitioners.

Campaign for Action. (2023). Campaign maps show nurses’ progress in earning BSN degree. Campaign for Action.

DeNisco, S. M. (2023). Advanced practice nursing: Essential knowledge for the profession (5th ed.). Jones & Bartlett Learning.

National Academies of Sciences, Engineering, and Medicine. (2021). The future of nursing 2020–2030: Charting a path to achieve health equity. National Academies Press.