NURSE PRACTITIONER\’S ROLE IN HAPU\’S

Order Description
Week 3 discuss

This week you need to identify what your research problem is, why it is significant. Some background and then state this information as a problem statement. This is similar to what you did in week 1 discussion.

The research purpose is a statement similar to a goal and includes specific criteria. Please review your readings for proper construction of your purpose.

There are three types of research question:
Descriptive: describing something, using a descriptive approach that can simply be an observation of something, with the researcher taking the role of the witness and answering the basic question of what happened?;
Relational: a relational or correlational study exploring relationships between two or more variables using statistical analysis, and asking the question: how are these linked?;
Causal: exploring cause and effect to determine whether one or more variables causes or affects one or more outcomes using an experimental approach (Trochim, 2006).

Background and Significance Section articulates the problem and need for the proposed innovation. This section discusses the problem, why it is a problem and why it is significance to research and why the proposed innovation is needed
Statement of the Problem and Purpose of the Study is appropriate and supported with evidence. This section should a statement of the problem which literally is a sentence or two taken from the significance in the earlier section. The purpose is written as an example refer to page 83 in the research book.
Research Question is appropriate and meets all criteria. The research question should be written as a question that contains the elements of the PICO format. A research question is a concise, interrogative statements developed to direct studies that are focused on description of the variables, examination of variables, determination of differences between two or more groups, and prediction of dependent variables using independent variables.
Research Hypothesis (research hypothesis is stating the there is a relationship or a difference between two or more variables) and Null Hypothesis are appropriate for research question. (states there is no relationship between the variables being studied)
Variables are Operationally Defined. (How will your variables be measured or manipulated in the study?) pages 155 and 156 in the research textbook gives you examples of what it means to operationalize your variables.
Followed APA guidelines for writing style, spelling and grammar, and citation of sources.

THIS IS THE DISCUSSION QUESTION
Considering the feedback provided to you by the faculty member it is now time to prepare your problem statement, research purpose, and research question.
First share your refined problem and proposed solution (given your review of literature this may have changed depending on the evidence you were able to provide). Next, follow the steps to help define your research question.
1. Craft the problem statement and research purpose.
2. Design your research question aimed at solving (a part of) the problem and include the following components which will focus the literature review.
PICOT Question:
Patient, Population or Problem
1. What are the characteristics of the patient or population?
2. What is the condition or disease you are interested in?
Intervention or exposure
3. What do you want to do with this patient (e.g. treat, diagnose, observe)?
Comparison
4. What is the alternative to the intervention (e.g. placebo, different drug, surgery)?
Outcome
5. What are the relevant outcomes (e.g. morbidity, death, complications)?
3. Ensure that the research question is answerable, feasible and clinically relevant

THIS IS MY RESEARCH TOPIC FROM WEEK ONE
The identified problem related to my role as a Nurse Practitioners is early detecting, documenting, and reporting HAPUs in the intensive care unit will reduce cost and added stay in the hospital. I propose the innovation of incorporating an actual high risk skin assessment, nutrition and hydration while maintaining dryness and promoting protection. NPs, although most of them have been bedside nurses before have gotten away from the head to toe assessment. Assessments for the most part have been focused assessments. In the ICU setting the assessments need to be head to toe, because most of those patients are immobile. Detection of a pressure ulcer have been a nursing issue, leaving them to document injury and informing the physician that there is one present. If the skin is assess by the Nurse practitioner on admission to the unit pressure ulcers can be alleviate by implementing a buddy system, where the nurse and the CNA can assess the skin every shift, then daily the NP and the nurse will assess the patient together and document findings for reporting. Early mobilization for those in the unit that are able to walk, electrical beds that turn patients from side to side with a pulsating mattress.
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