Evaluating Qualitative Quality

Both qualitative and quantitative research methodology will be use to investigate the hypothesis. The use of case study, questionnaire, interview and statistical analysis will be used to observe and asks questions about the views of the micro, meso and macro levels of society on my topic. Problems that could occur with these methodology is not having enough adequate data to proceed the with each analysis. Secondary research will be used to make subjective judgments about what data is useful and what is not for the motive for the research process.

Theory±practice relationship only will be offered here. The content of nurse practitioners ' discourse is the principal concern of this paper.

Budzi, Lurie, Singh, and Hooker (2010) state, “Nurse Practitioners’ (NP) interpersonal skills in patient teaching, counseling, and patient centered care contribute to positive health outcomes and patient satisfaction.” According to their research they encourage healthcare systems in the U.S. to hire more NPs to allow for better access affordable, and quality care (Denisco & Barker, 2016). With the demand for primary care providers, The NP role aids in delivering a solution to some of the healthcare issues that exist today. Organizations like the Institute of Medicine (IOM) and Centers for Medicare and Medicaid (CMS) all agree to allow nurses to practice to their full abilities to make healthcare more accessible and affordable, especially for the aging baby boomers and less accessible rural neighborhoods, and densely populated urban areas. Research has proven that NPs that provide primary care have similar health outcomes to primary care physicians (DeNisco et. al., 2016). NPs particularly take pride in their holistic approach, forming therapeutic relationships between other providers of the healthcare team, patients, and their families, aiding the informed decision making process, use of the evidence based practice approach in health management (Brown, 2005). Some of the other actions or qualities that

For instance, in 2014, Hain and Fleck discuss some of the barriers that nurse practitioners including Family Nurse Practitioners, in the wake of the various reforms taking place in the nursing profession. In their article, "Barriers to Nurse Practitioner Practice that Impact Healthcare Redesign", they examine some of the recent reforms and changes introduced in the nursing practitioners field in order to respond to growing demand for healthcare services. For instance, education for Nursing Practitioners began as a certificate course before advancing to the bachelors and master’s degree levels in order to impart nurses with appropriate skills that would help address emerging health challenges (Hain, & Fleck, 2014). The target population for nurse practitioners also broadened from pediatric and family to other areas such as women’s health, gerontology, and many other areas of specialty practice. Today, nurse practitioners play a crucial role in providing quality patient centered healthcare in different settings (Hain, & Fleck, 2014). As such, the role of NPs in healthcare in contemporary practice is very much different from what it was when the field emerged a few years

Some barriers to implementing evidence based practice include: lack of education, lack of organization, lack of time, geographical location, absence of literature to research, and the lack of willingness by staff (Melnyk, 2016). When people recognize that there are barriers involved in implementing evidence based practice, a plan should be made to eliminate as many of these barriers as possible. Despite the fact that nurses report that EBP leads to greater professional satisfaction and patient care, they are not consistently using it. “The two most frequent barriers to EBP, however, were a lack of time and an organizational culture that didn 't support it—getting past workplace resistance and the constraining power of the phrase, “That 's the way we 've always done it here” (Wallace, 2012). Some ways to implement evidence based practice include: incorporating education about EBP in order to start promoting the critical thinking and research interest.

In this paper I will discuss the goals of the 2010 Institute of Medicine (IOM) published report and its impact on nursing education, nursing practice specifically in primary care and the impact on the nurse as a role of leadership. In my conclusion, I will provide on a personal level what modifications I will make in my nursing practice to meet the IOM report goals. Within the paper I will explore how the impact of the 2010 IOM published report titled “The Future of Nursing: Leading Change, Advancing Health” has on the three topic points stated above. The IOM published report was set forth by the IOM’s Robert Wood Johnson Foundation Initiative on the Future of Nursing committee group whose purpose is

According to Schneider, Elliot, LoBiondo-Wood & Haber (2004), qualitative research methods, search for the meaning and understanding of human experiences in a naturalistic setting. A researcher obtains subjective facts in order to explore the experiences of each participant (Schneider, Elliot, LoBiondo-Wood & Haber 2004). As a result, qualitative research is a means in which a researcher gains an insight into the participant's point of view concerning their personal experiences; in order gain an understanding of the information given. Therefore this allows a researcher to collect subjective information to create a description of the phenomenon (Vishnevsky & Beanlands 2004).

Critical Appraisal skills program (CASP) will be defined and will be later use to critically appraise the research mentioned above. The importance of evidence based (EBP) in healthcare settings would be briefly explained. Lastly validity, strength and weakness of the study would be looked into and to conclude if it’s or not fair enough to be used or modified services to patients and service users in care settings.

Described below is a critical appraisal of a qualitative article by Lisa Booth using the frame-work suggested by Ryan, Coughlan and Cronin 2007 to establish its believability, robustness, credibility and integrity (Ryan, Coughlan & Cronin, 2007).

Analysis of data is important because it allows the researchers to derive meaning from the data collected. Numerous research studies are published online and while the internet is a great resource place to find an article, it is also contain innumerable information that are irrelevant to topic being searched. After scrutiny of the papers selected at the first part of this assignment, two published research studies were selected.

This article is about a study conducted on NPs in New York State to better understand their role, independent practice and team work in primary care organizations. Around 278 NPs completed an online survey. The results suggested that NP independent practice may improve team work.

Firstly, NPs built their extended roles based on nursing theories and practice. Nurses traditionally care for the needed under guidance of physicians and lack of autonomy which NPs have in the modern days. These extended roles are not new, but not old enough to break the traditional thinking. Regardless many evidences proved NPs are compatible to physician on standard medical care, many stakeholders still have doubts and reservation on NPs extended roles. They concerned NPs qualification on education gap and medical judgement, and questioned whether NPs were appropriate to be given such extended roles (Shaffer et al., 2012). These questions and doubts can turn easily to mistrust. Research suggested (Kilpatrick, Lavoie-Tremblay, Ritchie, Lamothe, & Doran, 2012) mistrust is one of the biggest obstacles in team dynamic and prevents effective team collaboration. As mentioned before, collaboration with other health care professional is one of the most important functions of NPs. Without a successful collaboration, NPs will not be able to practice in full potential (Bridges, 2014). Many literatures reviews have pointed out that there is a

Currently there is a shortage in primary care health professionals, the committee paid special attention to APRNS this field. The demand for primary care providers are expected to grow as the access to health insurance and

By giving nurses a sense of identity, nursing theory can help patients, managers and other healthcare professionals to recognize the unique contribution that nurses make to the healthcare service (Draper 1990).Hildegard Peplau, one of the role model of nursing theorist, established a theory of interpersonal relationships in nursing. Her reason is the goal of the nurse-client relationship is to give a quality nursing care moving forward to health promotion and maintenance. The purpose of this paper is to conduct a basic assessment of her theory.

Historically, nurses focused on the diagnosis and treatment of a disease, sickness or condition and emphasis on health promotion was nonexistent. However, today that has all changed. Nurses are now expected to expand their primary care services to include psychosocial nursing, advocacy, behavioral science, counseling and advocacy in addition to patient assessment, clinical diagnosis and patient-case management. In the article “Defining Nurse Practitioner Scope of Practice: Expanding Primary Care Services,” Sherwood, Brown, and Wardell (1997) state “the role of the nurse practitioner continues to evolve in response to changing societal and health care needs as consumers in all settings seek increasing services”. (Sherwood, Brown and Wardell, 1997).