Selecting one nursing theory (non-nursing theories are not allowed), the nursing theory will be presented by identifying the key concepts present within the theory.

Requirements

Description of the Assignment

This assignment focuses on the importance of nursing theory within the profession. Selecting one nursing theory (non-nursing theories are not allowed), the nursing theory will be presented by identifying the key concepts present within the theory. The selected nursing theory will then be applied to ONE of the following professional nursing practice areas:

Education (e.g. undergraduate, staff development, etc.)
Leadership (e.g. nurse executive, manager, leader, etc.)
Informatics (e.g. data management, etc.)
Healthcare policy (e.g. application to local, state, national, or global healthcare concerns, etc.)
Nurse practitioner

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However, keep in mind that a literature review is not simply a compilation of three separate research summaries

Psychology

Literature Review

It is recommended that you use the PsychARTICLES index for this assignment. Nursing, medical or non-Psychology
journals will not be accepted and the assignment will receive a zero.

You have already completed a research summary of one empirical article, so you will only need to locate two more
empirical articles for the literature review. You should make all necessary corrections and edits based on the
returned graded copy of your research summary and include that research article as part of the literature review.
However, keep in mind that a literature review is not simply a compilation of three separate research summaries. You
must synthesize the information by organizing the information by topics. See the links at the end of the assignment
for help with writing the literature review.

In addition to the article you already have from the research summary assignment, you must locate two recent primary
(empirical) pieces of research that are both scholarly and peer-reviewed. You should rely heavily on their copy of
the Publication Manual of the American Psychological Association (6th ed.) for help with the literature review. You
can also find resources online through the Trent University Library (http://www.trentu.ca/library/) and you may email
the Trent University academic skills ( http://www.trentu.ca/academicskills/)
http://www.writing.utoronto.ca/advice/specific-types-of-writing/literature-review
http://www.iupui.edu/~uwc/pdf/Literature%20Review%20and%20Synthesis.pdf

The third link provides an actual student example of a literature review with comments from the professor.

http://faculty.mwsu.edu/psychology/Laura.Spiller/Experimental/sample_apa_style_litreview.pdf

Keep in mind that the example is much longer than the literature review required for this assignment because it
consisted of 5 research articles and only 3 are required for this one.

This literature review should be no more than 5 pages, not including title page and reference page.
Literature Review Rubric

Provides complete, accurate and relevant information based firmly on extensive and careful evaluation of the
research.

Provides mostly complete, accurate, and relevant information based on research.

Provides basic, some of which may be incorrect and/or irrelevant information based on minimal research.

Paper is lacking information and/or information is inaccurate and irrelevant needing much more research.

Demonstrates little understanding of the topic through minimal analysis and reflection.
Identified gaps, but demonstrates no critical thought.
Ideas for future research do not flow from the critique of current research and fail to provide a connected avenue of
study

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The setting would be any general tertiary hospital. Your help is greatly appreciated. I need help getting started. Emerging Standards of Care Review emerging standards of culturally competent care. Here are possible resources to use: a. DHHS Office of Minority Health http://www.omhrc.gov/clas/; b. National Center for Cultural Competence http://data.georgetown.edu/research/gucchd/nccc/; c. AHRQ http://www.ahrq.gov/about/cods/cultcomp.htm; d. Annie E Casey Foundation http://www.aecf.org/initiatives/hswi/. Prepare a response that explores the following topics in your own workplace or a setting that you select for this discussion: a. Define culturally competent care appropriate for your own workplace, based on your perusal of the assigned readings. b. Identify the populations served and any issues of population vulnerability. c. Comment on standards of cultural competence that appear to be met and any that are not met d. Identify potential impacts of delivery of nursing care where standards are being met, and where standards are not being met. e. Comment on solutions that could be implemented where standards are not being met.

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ANALYZE AND CRITIQUE A QUANTITATIVE NURSING RESEARCH ARTICLE FROM A NURSING RESEARCH JOURNAL PUBLISHED WITHIN THE PAST 3 TO 5 YEARS. INCLUDE 3 SCHOLARLY REFERENCES—THE ARTICLE, THE TEXT, AND ONE OUTSIDE SOURCE.

USE THE UNIVERSITY OF PHOENIX MATERIAL: GUIDELINES FOR QUANTITATIVE NURSING RESEARCH CRITIQUE TO COMPLETE THE FOLLOWING STEPS:

Analyze and critique a quantitative nursing research article from a nursing research journal published within the past 3 to 5 years. Include 3 scholarly references—the article, the text, and one outside source. Use the University of Phoenix Material: Guidelines for Quantitative Nursing Research Critique to complete the following steps:

1. State the purpose of the study and identify the problem. Demonstrate that more aggressive measures improve the efficacy of analgesic interventions in patients with difficult pain conditions.
Breakthrough pain in patients with chronic cancer and their three categories:
1- Spontaneous pain with no evident precipitating event.
2- Incident pain, with a precipitating cause or event.
3- End-of-dose failure.
2. Analyze the literature review. The articles relevancy is that the use of IV morphine has advantages in specific clinical situations and should be part of daily physicians practice for patients with cancer pain.
No study has assessed the cost-effectiveness of IV morphine.
Majority of reference used were current, between 2000 and 2008, with cero resources from the last five years and eighteen resources from the last ten years.
Morphine iv would not require many days or weeks to reach an effective dose in patients with relevant needs, decreasing suffering for patients with high levels of pain intensity.
Decreasing in the cost of hospital stay, (discharge after dose titration with IV morphine was 4•6 days), and allowing bed availability for other patients.4

3. Analyze the study framework or theoretical perspective. The theoretical framework was implicit within the article, the framework was based on scientific theory: Total drug availability and predictable effects, short onset for opioid titration and breakthrough pain, flexible modalities: boluses, continuous infusion, patient-controlled analgesia, less initial metabolite formation, unlimited volumes, best for patients with oral tract precluded or poor gastrointestinal absorption.
The framework identify, described, and compared the different between patients treated with oral and iv pain medications:
1- Opioid titration (satisfactory pain relief, rapid titration and parenteral routes, and Conversion between IV and oral route).
2- Risk of respiratory depression with parenteral opioids.
3- Potential Interactions of IV medications (Morphine).
4. Identify, describe, and critique for appropriateness any research objectives, questions, or hypothesis. Research process was described in detail, and references were used from Medline, Current Contents, PubMed, and relevant articles using the search terms “intravenous and/or parenteral morphine” and “cancer pain”. Abstracts and reports from meetings were included only when they related directly to previously published work (between January, 1988, and June, 2009), to conclude that the findings were credible and appropriate methods were used, and that the use of IV morphine has advantages in specific clinical setting and should be part of the physicians practice while treating patients with cancer pain.

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