NURS 6003 Part 4 Research Analysis

NURS 6003 Part 4 Research Analysis

NURS 6003 Part 4 Research Analysis

The emergency section of a health facility is one of the most critical areas that address urgent care needs of patients. Despite having staff from different specialties, nurses are the most professionals found in the emergency departments of care facilities. Notably, due to nurse shortage across most health facilities, focus has been made to allow the professionals to work in shifts to balance care services to patients (Svirsko et al., 2019). However, scheduling nurses in an emergency department is a daunting task and time-consuming to leadership in a health organization. Being able to balance shift hours in order to achieve sufficient nurse-staffing levels at the emergency department requires the implementation of a mathematical model to satisfy preferences of nurses in this section. The present excerpt delves into how mathematical modeling can be used to improve nurse-scheduling process at the emergency department of care facilities. It also uses a template to provide a comprehensive approach in the identification and analysis of peer-reviewed research required for evidence-based practice.

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Step 1: Research Analysis

Complete the table below

Topic of Interest:	Using Mathematical Modeling to Improve the Emergency Department Nurse-Scheduling Process
Research Article: Include full citation in APA format, as well as link or search details (such as DOI)	Svirsko, A. C., Norman, B. A., Rausch, D., & Woodring, J. (2019). Using mathematical modeling to improve the emergency department nurse-scheduling process. Journal of emergency nursing, 45(4), 425-432. https://doi.org/10.1016/j.jen.2019.01.013
Professional Practice Use: One or more professional practice uses of the theories/concepts presented in the article	Mathematical modeling can be used to satisfy the preference of nurses based on shift hours allocated. The approach uses a self-scheduling process so that nurses can select day or night shifts based on their preferences. However, to ensure that nurses attend all shifts, a cycle of rotation is made weekly so that those nurses scheduled for night shift in one week take day shifts in the following week. The concept of modeling serves to address time at the emergency department. Implementation of the nursing shift patterns as defined by a mathematical formula decreases the time needed by leadership to reconcile monthly schedule in a health facility. Therefore, sufficient time will be allocated for care at the emergency department and not used to solve conflicts arising due to unbalanced shift hours among nurses.
Research Analysis Matrix Add more rows if necessary	Strengths of the Research	Limitations of the Research	Relevancy to Topic of Interest	Notes
	It is based on detailed analysis of the concept of mathematical modeling and therefore enhances clarity for better understanding.	No randomized controlled trials (RCTs) have been conducted on this research which means the article relies on meta-analysis for information. This means data is limited in this research.	The topic will help me identify a formula for mathematical modeling that can effectively be used to allocate shifts to nurses throughout the day and for night schedules.	Additional studies on how mathematical modeling improved nurse-staffing levels.
	Formulation of a mathematical model for scheduling nurse shift hours promotes harmony as it reconciles duty allocation.	Study does not clarify specific area where the concepts has been applied to warrant its adoption in emergency departments.	Topic is instrumental in identifying methods that nurse leaders can use to increase satisfaction of nurses at the emergency department of a care facility.	Further research on how application of mathematical modeling concept in shift scheduling reduces nurse burnout to optimize care at the emergency department.

I would recommend this article for use to inform decision on professional practice at the emergency department of care facilities. This is because the article was published in 2019 and therefore it is relevant for present health practice (Lefebvre et al., 2019). Nonetheless, information present in the material relate with my areas of interest a family nurse practitioner with a specific interest in the emergency care. Notably, findings from the publication provides information to leadership of health organizations on the necessity of scheduling shift days and nights for nurses in ways that guarantee satisfaction for the professionals (Tricco et al., 2018). While this article was intended for emergency department, I would recommend it in all other departments because of its necessity to address shift hours which is always a bone of contention in most care facilities occasioned by shortage of health staff.

Step 2: Summary of Analysis

Craft a summary (2-3 paragraph) below that includes the following:

• Describe your approach to identifying and analyzing peer-reviewed research
• Identify at least two strategies that you would use that you found to be effective in finding peer-reviewed research
• Identify at least one resource you intend to use in the future to find peer-reviewed research

My approach to identify and analyze peer-reviewed research is based on critical reading as well as evaluation of articles to identify the best that is in line with my topic. Through intensive reading of materials from different library databases, I was able to classify these publications as either peer-reviewed or not and also identified their relevance for clinical research (Cooper et al., 2018). Notably, peer-reviewed articles are also checked in terms of the quality of the publication by analyzing accuracy and assessing validity of the research. For me to achieve this, I refined my search strategy by selecting relevant topic and ensured that the results in the manuscript were relevant to the present study by selecting the latest publication (Krishnamurthy & Wood, 2018).

I found data search skills and evaluation of types of resources in scholarly journals as two strategies that I would use in finding peer-reviewed articles. The first strategy enhances my ability to retrieve materials from a search database (Lefebvre et al., 2019). It is always a challenge for a majority of students to evaluate relevant materials for their studies but with the data search skills, one can categorize databases that are relevant to their area of research and select keywords to limit their searches. The second strategy on the other hand singles out articles that are peer-reviewed and published for use in scholarly journals (Cooper et al., 2018). These two strategies ensure that quality materials are selected so that I gain adequate knowledge for successful completion of my MSN program.

In order to find peer-reviewed resources in the future, I intend to use online library databases found at Walden University library and beyond. Database resources from an online library contain numerous peer-reviewed journals with special catalogs organized in an alphanumerical order from A to Z (Krishnamurthy & Wood, 2018). It then means that database search can be useful in locating published materials by selecting an alphabetical listing that coincides with the topic of research. The use of online library databases is also easy to navigate as one opts to find relevant information during studies (Tricco et al., 2018). As an MSN student, library databases will be instrumental in providing consistent information in a secure form as they can only be accessed at the Walden University library by students or staff who have valid passwords.

Conclusion

Academic and professional success requires one to delve into intensive research relevant to an area of study or expertise. However, since a lot of research is involved, one needs to identify a search strategy to retrieve peer-reviewed publications for studies. As discussed in the preceding texts, the selection of articles for research should be based on the use of online library databases that are easy to use and those that provide accurate information. The premise will guide in the selection of articles that provide information on evidence-based practice related to the adoption of a mathematical model that can be used to schedule shift hours for nurses.

References

Cooper, C., Booth, A., Varley-Campbell, J., Britten, N., & Garside, R. (2018). Defining the process to literature searching in systematic reviews: a literature review of guidance and supporting studies. BMC medical research methodology, 18(1), 1-14. https://doi.org/10.1186/s12874-018-0545-3

Krishnamurthy, M., & Wood, F. (2018). Promoting effective searches and use of information by DNP students: Getting the write start. Nurse educator, 43(2), 63-64. https://doi.org/10.1097/NNE.0000000000000457

Lefebvre, C., Glanville, J., Briscoe, S., Littlewood, A., Marshall, C., Metzendorf, M. I., … & Cochrane Information Retrieval Methods Group. (2019). Searching for and selecting studies. Cochrane Handbook for systematic reviews of interventions, 67-107. https://doi.org/10.1002/9781119536604.ch4

Svirsko, A. C., Norman, B. A., Rausch, D., & Woodring, J. (2019). Using mathematical modeling to improve the emergency department nurse-scheduling process. Journal of emergency nursing, 45(4), 425-432. https://doi.org/10.1016/j.jen.2019.01.013

Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., … & Straus, S. E. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Annals of internal medicine, 169(7), 467-473. https://doi.org/10.7326/M18-0850

Architect Daniel Libeskind is credited with saying “To provide meaningful architecture is not to parody history, but to articulate it.” The suggestion is that his work does not copy the efforts of others but relies on it.

Understanding the work of others is critically important to new work. Contributions to the nursing body of knowledge can happen when you are able to analyze and articulate the efforts of previous research. Research analysis skills are therefore critical tools for your toolbox.

In this Assignment, you will locate relevant existing research. You also will analyze this research using a tool helpful for analysis.

To Prepare:

Reflect on the strategies presented in the Resources this Module’s Learning Resources in support of locating and analyzing research.

Use the Walden Library to identify and read one peer-reviewed research article focused on a topic in your specialty field that interests you.

Review the article you selected and reflect on the professional practice use of theories/concepts described by the article.

The Assignment:

Using the “Module 4 | Part 4” section of your Academic Success and Professional Development Plan Template presented in the Resources, conduct an analysis of the elements of the research article you identified. Be sure to include the following:

Your topic of interest.

A correctly formatted APA citation of the article you selected, along with link or search details.

Identify a professional practice use of the theories/concepts presented in the article.

Analysis of the article using the “Research Analysis Matrix” section of the template

Write a 1-paragraph justification stating whether you would recommend this article to inform professional practice.

Write a 2- to 3-paragraph summary that you will add to your Academic Success and Professional Development Plan that includes the following:

Describe your approach to identifying and analyzing peer-reviewed research.

Identify at least two strategies that you would use that you found to be effective in finding peer-reviewed research.

Identify at least one resource you intend to use in the future to find peer-reviewed research.

Note: Add your work for this Assignment to the original document you began in the Module 1 Assignment, which was built from the Academic Success and Professional Development Plan Template.

By Day 7 of Week 7

Submit your analysis, including your completed section of the Academic Success and Professional Development Plan Template sections and your matrix and summary.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK7Assgn+last name+first initial.(extension)” as the name.

Click the Week 7 Assignment Rubric to review the Grading Criteria for the Assignment.

Click the Week 7 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK7Assgn+last name+first initial.(extension)” and click Open.

If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.

Click on the Submit button to complete your submission.

Due to the nature of this assignment, your instructor may require more than 5 days to provide you with quality feedback.

The topic selected for this assignment is impacts of Anxiety and anxiety in patient management. Anxiety is a normal psychological response to stress or a dangerous situation. It is adaptive because it helps us to protect ourselves from harm (Musey et al., 2018). For example, if you see a bear in the woods, your anxiety will increase and this will help you to take action (e.g., run away). However, sometimes people experience chronic anxiety which is not helpful or adaptive. This can be due to genetics, early life experiences, or current life stresses (Banov et al., 2020). People with chronic anxiety may have difficulty controlling their worry and may feel constantly anxious, irritable, and tense. This can interfere with daily activities and relationships. There are many sources of information on anxiety and anxiety in patient management. Some useful sources of information include: -The American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-5): This manual is used by mental health professionals to diagnose patients with mental disorders, including anxiety disorder. -The National Institute of Mental Health’s website: This website provides a wealth of information on mental health conditions, including anxiety disorder. -Anxiety and Depression Association of America’s website: This website offers support and resources for people with anxious or depressive feelings. -Books about anxiety: There are many helpful books about anxiety that can provide valuable insights and strategies for managing this condition. The purpose of week four assignment is to identify the topic of interest and research and identify one peer-reviewed research article focused on this topic.

Step 1: Research Analysis

Complete the table below

Topic of Interest:	Impacts Of Anxiety and Stress in Patient Management
Research Article: Include full citation in APA format, as well as link or search details (such as DOI)	Daviu, N., Bruchas, M. R., Moghaddam, B., Sandi, C., & Beyeler, A. (2019). Neurobiological links between stress and anxiety. Neurobiology of stress, 11, 100191. https://doi.org/10.1016/j.ynstr.2019.100191
Professional Practice Use: One or more professional practice uses of the theories/concepts presented in the article	Professional practice uses of this article’s theories and concepts can help clinicians better understand and treat patients with mental health disorders like anxiety disorders. By understanding the neurobiological links between stress and anxiety, clinicians can develop more targeted treatment plans that address the underlying causes of patients’ symptoms. In addition, the theories/concepts from this article can help clinicians educate patients about different approaches of managing anxiety.
Research Analysis Matrix Add more rows if necessary	Strengths of the Research	Limitations of the Research	Relevancy to Topic of Interest	Notes
	Broad scope – it covers literature from both animal and human studies.	Authors mainly looked at animal studies, so it is not clear if most of these findings can apply to humans as well.	The article provides relevant and up-to-date information that can be applied in supporting different aspects of the topic of interest.	The research article/source of information covers literature from both animal and human studies allowing readers to make comparison and contrast.
	Focus on mechanisms rather than symptoms	The authors only looked at short-term effects of stress and anxiety, so it is not clear if these effects persist over time.	This research article provides a comprehensive overview of the neurobiological links between stress and anxiety, which is one of the main aspects of the topic under consideration. It discusses how stress can lead to anxiety, and how anxiety can lead to stress (Daviu et al., 2019). The article also describes the various neural pathways that are involved in this process.	The article is a comprehensive review of the current state of knowledge on the relationship between stress and anxiety. It presents a detailed overview of the different mechanisms by which stress can lead to anxiety, as well as highlighting key research findings in this area.
	Use of up-to-date research	The authors did not look at all possible mechanisms by which stress and anxiety interact with each other.	The article presents a great deal of overlap between stress and anxiety, making it useful answer different aspects of the topic under consideration.	Overall, this article provides an excellent overview of the neurobiological links between stress and anxiety, and will be a valuable resource for anyone looking for up-to-date information.
	There is the use of data to substantiate the information being presented	The study was funded by a pharmaceutical company; therefore, the intention and professionalism of the researchers was difficult to determined.	The article provides accurate data that are applicable in the discussion and analysis of the topic under consideration.	The authors found that increased levels of self-reported stress were associated with lower HRV, which suggest that stress may lead to more sympathetic activation and less parasympathetic activity.

Step 2: Summary of Analysis

The first step was to identify the peer-reviewed journals that were most relevant to the topic of research. Once a list of relevant journals was determined, I read the abstracts of all the published articles in order to get a sense of the current research landscape. After having a good understanding of the current research, I started digging a little deeper by reading the full-text articles; this was important since it led to the identification of accurate information possible and to determine relevancy in line with the topic. Additionally, accurate key phrases were applied in identifying the most relevant article from Google search. Some of the keywords used include, anxiety, stress management, stress and anxiety.

There are a variety of strategies used to find peer-reviewed research articles. One effective strategy was to search for journal databases that offer full-text access to research articles. Another strategy was to search Google Scholar, which offers a broad range of scholarly literature from a variety of disciplines. Both of these strategies can be usefully supplemented by searching for specific keywords or terms related to the topic of interest. Some of the keywords used include, anxiety, stress management, stress and anxiety.

One great resource that I intend to use for finding peer-reviewed research in future is the website of the National Library of Medicine, which is part of the United States National Institutes of Health (Suarez et al., 2019). This website indexes journals from around the world and makes abstracts and full-text articles available online for free. One can search for journal articles by topic or keyword, or browse by subject area. Another great resource for finding peer-reviewed research is PubMed, a search engine developed by the National Library of Medicine. PubMed searches Medline – an international database of medical journal citations – as well as other life science databases. It also provides links to full-text articles when they are available online.

References

Banov, M. D., Young, J. R., Dunn, T., & Szabo, S. T. (2020). Efficacy and safety of ketamine in the management of anxiety and anxiety spectrum disorders: a review of the literature. CNS spectrums, 25(3), 331-342. https://doi.org/10.1017/S1092852919001238

Daviu, N., Bruchas, M. R., Moghaddam, B., Sandi, C., & Beyeler, A. (2019). Neurobiological links between stress and anxiety. Neurobiology of stress, 11, 100191. https://doi.org/10.1016/j.ynstr.2019.100191

Musey, P. I., Lee, J. A., Hall, C. A., & Kline, J. A. (2018). Anxiety about anxiety: a survey of emergency department provider beliefs and practices regarding anxiety-associated low risk chest pain. BMC emergency medicine, 18(1), 1-7. https://link.springer.com/article/10.1186/s12873-018-0161-x

Suarez, J. I., Sheikh, M. K., Macdonald, R. L., Amin-Hanjani, S., Brown, R. D., de Oliveira Manoel, A. L., … & Wong, G. K. (2019). Common data elements for unruptured intracranial aneurysms and subarachnoid hemorrhage clinical research: a national institute for neurological disorders and stroke and national library of medicine project. Neurocritical care, 30(1), 4-19. https://link.springer.com/article/10.1007/s12028-019-00723-6

My apology I am not sure what happened to the first post. Everything becomes one paragraph.

I use ProQuest Nursing & Allied Health Database as a search engine. I found that it is user-friendly, easy to navigate on the web page, and users can apply filters to be more specific on the topic searched. The results page is also easy to understand and navigate through. No apparent difficulties were found using the ProQuest search engine. I would recommend adding another filter searching by the author’s name. It is helpful for graduate students to use as a peer-reviewed literature search. I would recommend ProQuest to colleagues and other graduate students.

                I choose Managing Opioid Use Disorder and Co-Occurring Posttraumatic Stress Disorder Among Veterans by Snow, R. and Wynn, S.T. (2018). Opiate use disorder can lead to depression and suicidal thoughts due to feeling unworthy and judging themselves. “The increase in opioid drug misuse by diverse individuals across the nation has created a need for development of standard of good quality improvement practices by clinicians to better patient outcomes” (Snow & Wynn, 2018, para. 2). Managing patients experiencing opiate withdrawal with a diagnosis of PTSD can be challenging for healthcare providers. Lack of knowledge and experiences of the healthcare provider can affect a patient’s decision for treatment. Snow and Wynn (2018) used Human Patient Simulator (HPS) to teach nurses using the Clinical Opiate Withdrawal Scale to evaluate the simulator. There were pre/posttest scores improved after learning sessions. Overall, patient satisfaction improved after implementing the Clinical Opiate Withdrawal Scale in AIPUs. The only limitation was small samples. In conclusion, the project was suggested good patient outcomes from educating healthcare providers through HPS.