Presentation: Advanced Practice

 

 

 


Develop a PowerPoint Presentation in regards to the issue of Advanced Practice.

Identify a current research problem related to advanced nursing practice that is of interest to you. Include WHY this is a problem. (Limit response to no more than 3 sentences). Develop a research question to provide information about the research problem.
Based on your research question, do you believe it will best be answered by a qualitative or quantitative study ? Support your decision as to why you believe the answers would best be provided by the type of study you have chosen.
Select a middle-range theory and identify the application of nursing theories to your research problem.
Conduct a literature review.
Based on your literature review answer the following questions:
If qualitative,
Identify the purpose of the study.
Briefly, describe the design of the study and explain why you think it is either appropriate or inappropriate to meet the purpose.
Identify ethical issues related to the study and how they were/were not addressed.
Identify the sampling method and recruitment strategy that was used.
Discuss whether sampling and recruitment were appropriate to the aims of the research.
Identify the data collection method(s) and discuss whether the method(s) is/are appropriate to the aims of the study.
Identify how the data was analyzed and discuss whether the method(s) of analysis is/are appropriate to the aims of the study.
Identify four (4) criteria by which the rigor of a qualitative project can be judged.
Discuss the rigor of this study using the four criteria. 
Briefly, describe the findings of the study and identify any limitations.
Use the information that you have gained from your critique of the study to discuss the trustworthiness and applicability of the study. Include in your discussion any implications for the discipline of nursing.
If quantitative,
Identify the purpose and design of the study.
Explain what is meant by ‘blinding’ and ‘randomization’ and discuss how these were addressed in the design of the study.
Identify ethical issues related to the study and how they were/were not addressed.  
Explain the sampling method and the recruitment strategy was used.
Discuss how the sample size was determined – include in your discussion an explanation of terms used.
Briefly, outline how the data was collected and identify any data collection instrument(s).
Define the terms of validity and reliability, and discuss how the validity & reliability of the instruments were/were not addressed in this study and why this is important.
Outline how the data were analyzed.
Identify the statistics used and the level of measurement of the data described by each statistical test – include in your discussion an explanation of terms used.
Briefly, outline the findings and identify any limitations of the study.
Use the information that you have gained from your critique of the study to briefly discuss the trustworthiness and applicability of the study. Include in your discussion an explanation of the term statistical significance and name the tests of statistical significance used in this study.

 

 

Slide 9: Findings, Limitations, and Applicability

 

Brief Findings: The study found three core themes influencing role clarity: 1) Physician Legacy Resistance (a cultural barrier to APN autonomy); 2) Administrative Ambivalence (failure to standardize job titles/credentialing); and 3) APN Proactive Boundary Management (ACNPs actively educating colleagues). The core barrier was found to be historical and cultural, not clinical.

Limitations: The study was limited to one state with restrictive practice laws, potentially overstating the impact of legislative barriers. All participants were from a single Magnet hospital, limiting the transferability to smaller or non-academic settings.

Trustworthiness and Applicability: Given the high credibility and moderate transferability, the findings are highly trustworthy for hospital systems facing similar challenges. The in-depth understanding of cultural and administrative barriers is directly applicable to creating targeted APN integration strategies.

Implications for Nursing:

Advocacy: Highlights the need for APNs to proactively engage with hospital leadership and state legislators to push for Full Practice Authority (FPA).

Education: Suggests the need to integrate interprofessional education into graduate APN curricula to proactively address role negotiation.

Policy: Provides concrete, qualitative data that can be used to inform organizational policy changes, such as mandatory interprofessional orientation programs focused on APN competencies.

Sample Answer

 

 

 

 

 

 

 

Slide 2: The Issue of Advanced Practice

 

Definition: Advanced Practice Nursing (APN) involves nurses who have obtained a master's or doctoral degree and possess specialized knowledge, complex decision-making skills, and clinical competencies for expanded practice.

APN Roles: Includes Nurse Practitioners (NPs), Clinical Nurse Specialists (CNSs), Certified Nurse-Midwives (CNMs), and Certified Registered Nurse Anesthetists (CRNAs).

Key Contribution: APNs are essential for increasing access to quality care, particularly in primary care and underserved communities, and for improving patient outcomes through evidence-based practice.

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