CHECK THE DOCUMENTS ATTACHED BELLOW TO ANSWER THE ASSIGMENT..USE GRADING RUBRICS
Use the practice problem and a qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.
In a 1000-1,250 word essay, summarize the study, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.
Refer to the resource “Research Critique Guidelines” for suggested headings and content for your paper.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
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Rough Draft Qualitative Research
Running Head: PICOT STATEMENT Title: Picot Statement and Literature Search Name: Idalmis Espinosa Course: NRS-433V Introduction to Nursing Research Date:04/24/17 Nursing problem Rheumatoid Arthritis (RA) is an autoimmune condition that affects the joint. The immune systems try to destroy healthy body tissues for unknown reasons. With RA it affects the lining of the joints making them painful, swollen and painful. It is associated with old age, but this is not the case a research by the Arthritis foundation it can affect ages between 30- 60 years (Carteron, 2016). The study is necessary has it help man adults prevent this condition at early and old age. RA is chronic has it progress over time with increased activity, called flames and period of remissions. The symptoms of RA vary from one individual to the other depending on the severity of the condition. The non- joint symptoms of RA include fatigue, loss of appetite and low- grade fever. The symptoms precede the painful commonly associated with RA. These signs continue with over the months before the condition grows out of proportions. According to, (Belleza, 2017)morning stiffness is among the major symptoms of RA. The joint stiffen for about 2 t0 3 hours and sometimes longer. They can be prolonged for longer period especially during napping and watching television. Continued stiffness can lead to difficulties in simple tasks such as unbuttoning a shirt or opening a jar very hard. This especially occurs in the later stages of RA. (Masters, 2015)Describes joint swelling and the pain as the other major symptom of RA. The joints tend to be painful, red in color and feel when touched. The article also states that smaller joints tend to be affected during the early stages which include the wrists, hands and feet. Over time. Longer joints tend to be affected such as the knees, the shoulder hips, and elbows. What differentiates RA from other arthritis it attacks symmetrically? It is likely to affect two parts of the body an example the right and the left wrist. The exact cause of RA is not exactly known, but different factors are associated with the condition. We know the condition attacks the joints but triggers the attack is not known. According several factors are attributed to different aspects which include autoimmune, genetic susceptibility, hormones, and syvioum. Autoimmune is one of the major cause of RA, where the body attacks its healthy tissues. Antibodies found of the joint in RA case attack the tissues instead of protecting them against viruses and infection. Hormones can have also being attributed to RA, has being found that it’s twice common in women than men. This is due to the female hormone oestrogen which associated to development and progression of the condition. The condition according to (Johm M. Davis, 2012) the study by morbidity and mortality weekly report, the center for disease and prevention control found that 52.2 million of adults in the U.S are affected by arthritis resulting to total of 23% of the population. Another study by the National Arthritis data work group showed that rheumatoid arthritis is the primary form of arthritis affecting the citizen of the United States with 1.3 million people suffering from it. A study (Paulu, 2011) linked that women are likely to be affected by the condition, with about two- thirds of women being affected compared to one-third of men. Hormonal factors have being attributed to this, and also the different occupational women and men stated to be the possible cause of the condition occurring more in women than in men. Men tend to engage more in activities that involve a lot of physical strength compared to women. RA conditions can be treated and managed through the various methods which include medical management, surgical management and pharmacological management (Venables, 2017). The method selected depends on the phase of RA in the body. Medical management involves rest and exercises, therapy, nutrition and biological modifiers. On the other end, pharmacological management involves use of drugs at the different stages of RA. Finally, the patient can progress through treatment to correct the condition which reconstructive surgery. PICOT STATEMENT For Adult patients aged between the ages of 30- 60 years, with rheumatoid arthritis RA, treatment through the use pharmacologic therapy which involves the use of drugs. These drugs are known as nonsteroidal inflammatory drugs (NSAIDs) or disease- modifying antirheumatic drugs (DMARDs) at every stage of RA or surgical treatment which involves either reconstructive surgery, arthroplasty, tenorraphy. Patient who through the surgical treatment when RA is critical have likely hood of doing better than those who go through both pharmacological or the medical treatment. For patients in the early phases of RA, medical management is recommended as the patient is not at risk of permanent or unacceptable side effects that come with both the surgical and the pharmacological treatment. References Belleza, M. (2017, Feburary 23). Nurse labs. Retrieved from Rheumatiod Arthtisis: https://nurseslabs.com/rheumatoid-arthritis Carteron, N. (2016, decemeber 22). Heathline. Retrieved april 24, 2017, from Know your body: Rheumatiod Arthtisis Sysmptoms in Women: http://www.healthline.com/health-slideshow/rheumatoid-arthritis-symptoms-women#2 Johm M. Davis, E. L. (2012). My Treament Approach Towards Rheumatiod Arthtisis. NCBI Resources, 7. Masters, K. (2015). Nursing theories: A Framewok Proffesional PracticeS. United State: Jones and Bartlet Publishers. Paulu, M. (2011, July 6). a Survey of Rheumatiod Arthtisis Patients for Self Efficacy. Retrieved from Internet Scientific Publication: ub.com/IJANP/9/2/1145 Venables, P. (2017, April 19). Patient Education :Rheumatoids Arthritis Treament ( Beyond the Basis). Retrieved from UpToDate: https://www.uptodate.com/contents/rheumatoid-arthritis-treatment-beyond-the-basics
Rough Draft Qualitative Research
Research Critique Guidelines To write a critical appraisal that demonstrates comprehension of the research study conducted, address each component below for qualitative study in the Topic 2 assignment and the quantitative study in the Topic 3 assignment. Successful completion of this assignment requires that you provide a rationale, include examples, or reference content from the study in your responses. Qualitative Study Background of Study: Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem. How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem. Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims. List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers. Were the purpose and research questions related to the problem? Method of Study: Were qualitative methods appropriate to answer the research questions? Did the author identify a specific perspective from which the study was developed? If so, what was it? Did the author cite quantitative and qualitative studies relevant to the focus of the study? What other types of literature did the author include? Are the references current? For qualitative studies, the author may have included studies older than the 5-year limit typically used for quantitative studies. Findings of older qualitative studies may be relevant to a qualitative study. Did the author evaluate or indicate the weaknesses of the available studies? Did the literature review include adequate information to build a logical argument? When a researcher uses the grounded theory method of qualitative inquiry, the researcher may develop a framework or diagram as part of the findings of the study. Was a framework developed from the study findings? Results of Study What were the study findings? What are the implications to nursing? Explain how the findings contribute to nursing knowledge/science. Would this impact practice, education, administration, or all areas of nursing? Ethical Considerations Was the study approved by an Institutional Review Board? Was patient privacy protected? Were there ethical considerations regarding the treatment or lack of? Conclusion Emphasize the importance and congruity of the thesis statement. Provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice. Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice. Integrate a summary of the knowledge learned. Quantitative Study Background of Study: Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem. How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem. Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims. List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers. Were the purpose and research questions related to the problem? Methods of Study Identify the benefits and risks of participation addressed by the authors. Were there benefits or risks the authors do not identify? Was informed consent obtained from the subjects or participants? Did it seem that the subjects participated voluntarily in the study? Was institutional review board approval obtained from the agency in which the study was conducted? Are the major variables (independent and dependent variables) identified and defined? What were these variables? How were data collected in this study? What rationale did the author provide for using this data collection method? Identify the time period for data collection of the study. Describe the sequence of data collection events for a participant. Describe the data management and analysis methods used in the study. Did the author discuss how the rigor of the process was assured? For example, does the author describe maintaining a paper trail of critical decisions that were made during the analysis of the data? Was statistical software used to ensure accuracy of the analysis? What measures were used to minimize the effects of researcher bias (their experiences and perspectives)? For example, did two researchers independently analyze the data and compare their analyses? Results of Study What is the researcher’s interpretation of findings? Are the findings valid or an accurate reflection of reality? Do you have confidence in the findings? What limitations of the study were identified by researchers? Was there a coherent logic to the presentation of findings? What implications do the findings have for nursing practice? For example, can the findings of the study be applied to general nursing practice, to a specific population, or to a specific area of nursing? What suggestions are made for further studies? Ethical Considerations Was the study approved by an Institutional Review Board? Was patient privacy protected? Were there ethical considerations regarding the treatment or lack of? Conclusion Emphasize the importance and congruity of the thesis statement. Provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice. Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice. Integrate a summary of the knowledge learned. Reference Burns, N., & Grove, S. (2011). Understanding nursing research (5th ed.). St. Louis, MO: Elsevier. © 2016. Grand Canyon University. All Rights Reserved.