Solved! Post an explanation of how the use of CBT in groups compares to its use in family or individual settings
Post an explanation of how the use of CBT in groups compares to its use in family or individual settings Post an explanation of how the use of CBT in groups compares to its use in family or individual settings. Explain at least two challenges PMHNPs might encounter when using CBT in one of these settings. Support your response with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly and attach the PDFs of your sources. Upload a copy of your discussion writing to the draft Turnitin for plagiarism check. Your faculty holds the academic freedom to not accept your work and grade at a zero if your work is not uploaded as a draft submission to Turnitin as instructed. Sample Expert Answer CBT Use in Groups, Family, and Individual Cognitive behavioral therapy (CBT) works well in family, group, and individual settings, although the therapeutic processes, results, and practical requirements vary depending on the environment. Individual CBT combines specialized methods and a solid therapy alliance to target a single client’s thoughts and behaviors. Group CBT speeds up skill development and normalizes experiences by utilizing peer processes, shared learning, and vicarious modeling. Family-based cognitive behavioral therapy (CBT) is especially helpful when dysfunctional family dynamics are a contributing element to the issue since it focuses on interactional patterns and systemic factors that sustain symptoms (Guo et al., 2021; Kopelovich et al., 2021; Law et al., 2021). In addition to comparing these forms, this paper highlights two potential difficulties that PMHNPs may encounter when providing CBT in group settings. It backs up its claims using three peer-reviewed sources and the course materials from this week. Comparison of CBT Settings In individual cognitive behavioral therapy (CBT), therapists evaluate the client’s unique beliefs, jointly create agenda items, and modify behavioral trials and cognitive restructuring according to the client’s speed. Strong therapeutic alliances are frequently the result of individual labor (Guo et al., 2021). Group CBT offers benefits in efficiency and social learning; participants get feedback, practice interpersonal exposures in vivo, and watch peers effectively employ coping mechanisms. Although variables (age, severity) affect relative effectiveness, meta-analytic evidence on youth anxiety indicates that both group and individual CBT can yield similar results (Guo et al., 2021). Preliminary research in psychosis-risk and caregiver training shows that family-inclusive approaches enhance engagement and carry over gains into everyday life. Family cognitive behavioral therapy (CBT) integrates caregivers, addresses communication patterns, and aligns support systems with therapeutic goals (Kopelovich et al., 2021; Law et al., 2021). How This Week’s Media Illustrates Differences The individual session vignette focused on functional analysis and customized behavioral experiments. The group demonstration featured role-plays, peer feedback, and structured skill modules; the family clip demonstrated the restructuring of interactional contingencies and homework assignments involving multiple family members. These recorded demonstrations and the week’s lecture on CBT modalities highlighted different mechanisms. It became clear from observing each format how the settings influence therapeutic tasks, with family sessions stressing systemic change and group sessions focusing on peer processes and standards. Challenges for PMHNPs Using CBT in Group Settings First, one of the main challenges is maintaining secrecy and group dynamics. Different groups have different interpersonal styles, levels of symptom intensity, and levels of change readiness. Setting standards, rebalancing interactions, and handling disclosures in an ethical manner are all skills that PMHNPs need to possess. The group demonstration included a specific example of a member monopolizing time. Ineffective dynamics management can degrade results and decrease treatment fidelity. Second, it can be challenging to customize interventions to meet the requirements of each member in a group. Group curricula that are standardized maximize efficiency, but they run the risk of not being sufficiently customized for complex comorbidities or cultural preferences that are prevalent in a variety of patient populations. When necessary, PMHNPs must schedule supplemental individual sessions or incorporate quick individual check-ins. Although group and individual cognitive behavioral therapy can be comparable in general, some clients will need more specialized care due to their diversity (Guo et al., 2021). Evidence Base and Why Sources Are Scholarly As a systematic quantitative synthesis published in a peer-reviewed journal (Frontiers in Psychiatry) with DOI and rigorous methodologies, the meta-analysis by Guo et al. (2021) of randomized controlled trials comparing individual and group CBT for teenage anxiety is considered academic. In a peer-reviewed publication (Psychiatric Services), Kopelovich et al. (2021) assess a CBT-informed caregiver training; the study employs empirical methodologies and presents findings pertinent to family-centered CBT, identifying it as academic. A feasibility study for combined individual and family CBT is described by Law et al. (2021) in a reputable peer-reviewed publication (Early Intervention in Psychiatry). The article includes baseline data, procedures, and trial justification, meeting academic criteria for methodology and review. Every source is published in respectable publications, undergoes peer review, and is clear in its methodology. Conclusion Although the flexibility of CBT enables successful work in family, group, and individual settings, each model has drawbacks. While group CBT increases productivity and peer learning, PMHNPs have difficulties due to group dynamics and the lack of individual customization. These restrictions can be lessened by combining different modalities or by including customized elements. PMHNPs can provide scalable, evidence-based CBT in a variety of contexts if they foresee and prepare for these difficulties. References Guo, T., Su, J., Hu, J., Aalberg, M., Zhu, Y., Teng, T., & Zhou, X. (2021). Individual vs. group cognitive behavior therapy for anxiety disorder in children and adolescents: A meta-analysis of randomized controlled trials. Frontiers in psychiatry, 12, 674267. https://doi.org/10.3389/fpsyt.2021.674267 Kopelovich, S. L., Stiles, B., Monroe-DeVita, M., Hardy, K., Hallgren, K., & Turkington, D. (2021). Psychosis REACH: Effects of a brief CBT-informed training for family and caregivers of individuals with psychosis. Psychiatric Services, 72(11), 1254-1260. https://doi.org/10.1176/appi.ps.202000740 Law, H., Izon, E., Au‐Yeung, K., Morrison, A. P., Byrne, R., Notley, C., … & French, P. (2021). Combined individual and family therapy in comparison to treatment as usual for people at‐risk of psychosis: A feasibility study (IF CBT): Trial rationale,
Solved! A 70-year-old woman is in your office complaining of recently having trouble maintaining her balance after taking diazepam
A 70-year-old woman is in your office complaining of recently having trouble maintaining Post your answers to the 6 questions corresponding to this week’s content on primary care medication management. Provide your responses and rationales. Support your rationales with high-level evidence. (See Post Expectations) A 70-year-old woman is in your office complaining of recently having trouble maintaining her balance after taking diazepam (valium). She occasionally takes diazepam when she feels anxious and has trouble sleeping. She has a 15-year history of taking diazepam. Q1. Explain the cause of this patient’s difficulty in maintaining her balance? Q2. Diazepam experiences a significant first-pass effect. What is the first-pass effect, and how can first-pass metabolism be circumvented? A 75-year-old woman develops symptoms of a cold and buys an over-the-counter cold medication at the grocery store. The medication contains diphenhydramine, acetaminophen, and phenylephrine. She takes the recommended adult dose but soon after taking the medication, she becomes very confused and disoriented. Q3. What is likely causing the signs of confusion? A 26-year-old woman who has never been pregnant is seeking preconception care as she is planning to pursue pregnancy in a couple of months. Currently, she has no symptoms to report and on review of body systems, there were no concerns. Her past medical history is significant for a history of rheumatic fever as a child. She subsequently underwent valve replacement with a mechanical heart valve. She is followed by a cardiologist who has already evaluated her cardiac function and she has received clearance from her cardiologist to pursue pregnancy. Records from her cardiologist include a recent cardiac echocardiography report that reveals a normal ejection fraction indicating normal cardiac function. She has no alterations in her daily activities related to her heart. She has no other significant medical or surgical history. She is a non-smoker, drinks occasionally but has stopped as she is attempting to conceive, and does not use any non-prescription drugs. Current Medications: Her current medications include only prenatal vitamins, which she has begun in anticipation of pregnancy, and warfarin. She has no known drug allergies. Vital Signs: On examination, her pulse is 80 beats per minute, blood pressure is 115/70 mm Hg, respiratory rate is 18 breaths per minute, and she is afebrile. Measurements: Weight = 152 pounds, Height = 5′5 ″, BMI= 25.29 Q4. How is warfarin metabolized? Does warfarin cross the placental barrier? Q5. Explain the hepatic drug metabolism of children 1 year and older. How do they compare with the hepatic drug metabolism of infants and adults? Q6. Explain protein binding in the neonate. Expert Answer and Explanation A 70-year-old woman is in your office complaining of recently having trouble maintaining her balance after taking diazepam (valium). She occasionally takes diazepam when she feels anxious and has trouble sleeping. She has a 15-year history of taking diazepam. Q1. Explain the cause of this patient’s difficulty in maintaining her balance? The main side effects of diazepam include drowsiness, dizziness, and impaired coordination (Greenblatt et al., 2020). The impaired coordination could be the primary reason why the patient could not maintain her balance. Q2. Diazepam experiences a significant first-pass effect. What is the first-pass effect, and how can first-pass metabolism be circumvented? The first-pass effect refers to the phenomenon in which a significant portion of an orally administered drug is metabolized by the liver before it reaches systemic circulation. First-pass can be circumvented through the use of alternative routes of administration such as intravenous (IV) administration directly delivers the drug into the bloodstream (Greenblatt et al., 2020). Other routes include buccal or sublingual administration, and transdermal patches. A 75-year-old woman develops symptoms of a cold and buys an over-the-counter cold medication at the grocery store. The medication contains diphenhydramine, acetaminophen, and phenylephrine. She takes the recommended adult dose but soon after taking the medication, she becomes very confused and disoriented. Q3. What is likely causing the signs of confusion? The confusion and disorientation in the 75-year-old woman is caused by the caused by the presence of diphenhydramine in the over-the-counter cold medication (Grinnell et al., 2022). As an antihistamine medication, diphenhydramine effects on the central nervous system which can also cross the blood-brain barrier and interfere with cognitive function. The sedative effect of the medication is more pronounced for older adults leading to confusion and disorientation. A 26-year-old woman who has never been pregnant is seeking preconception care as she is planning to pursue pregnancy in a couple of months. Currently, she has no symptoms to report and on review of body systems, there were no concerns… Current Medications: Her current medications include only prenatal vitamins, which she has begun in anticipation of pregnancy, and warfarin. She has no known drug allergies. Vital Signs: On examination, her pulse is 80 beats per minute, blood pressure is 115/70 mm Hg, respiratory rate is 18 breaths per minute, and she is afebrile. Measurements: Weight = 152 pounds, Height = 5′5 ″, BMI= 25.29 Q4. How is warfarin metabolized? Does warfarin cross the placental barrier? Warfarin is metabolized primarily in the liver through various enzymes that convert warfarin into inactive metabolites that are then excreted by the kidneys (Grinnell et al., 2022). The warfarin molecules are relatively small in size which make them to cross the placental barrier. However, the transfer is limited and usually considered to be low. Q5. Explain the hepatic drug metabolism of children 1 year and older. How do they compare with the hepatic drug metabolism of infants and adults? The hepatic drug metabolism of children 1 year and older begins to mature and become more similar to that of adults. Enzyme systems, become more developed, leading to improved drug metabolism and clearance (Grinnell et al., 2022). Infants have lower levels of drug-metabolizing enzymes, which can lead to slower drug metabolism and elimination, potentially requiring dose adjustments for certain medications. Adult hepatic drug metabolism, on the other hand, is generally fully developed and efficient. Q6. Explain protein binding in the neonate. Protein binding in the neonate is a crucial pharmacokinetic factor that influences how drugs are
Solved! The purpose of this assignment is to synthesize a literature review that will be used to draw conclusions in order to propose an evidence-based practice change to address your identified nurse practice problem.
The purpose of this assignment is to synthesize a literature review that will be used to draw conclusions in order to propose an evidence-based practice change The purpose of this assignment is to synthesize a literature review that will be used to draw conclusions in order to propose an evidence-based practice change to address your identified nurse practice problem. Using the “Literature Evaluation Table” assignment in Topic 1, and accompanying faculty feedback, you will synthesize the information created for your PICOT question into a literature review and evidence-based proposal. In a 1,500-1,750-word paper, provide an overview that illustrates the research related to your particular PICOT question. Use the following components from the “Literature Evaluation Table” to complete the assignment: Identified practice problem Two qualitative peer-reviewed research articles Two quantitative peer-reviewed research articles Use the “Research Critiques and Evidence-Based Practice Proposal Guidelines” document to organize your paper. You are required to cite a minimum of four peer-reviewed sources to complete this assignment. Sources must be published within the past 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. Sample Expert Answer Literature Review and Evidence-Based Practice Proposal Asthma is one of the most common chronic diseases affecting children, and it continues to be a major cause of hospitalizations worldwide. Many children experience frequent exacerbations that require emergency visits or readmissions. Caregivers often struggle to manage asthma effectively after hospital discharge, which increases the risk of early readmission. The nursing practice problem identified here is the high rate of 30-day hospital readmissions among children with asthma due to inadequate caregiver education and poor self-management support. The purpose of this paper is to review the existing research evidence on the effectiveness of nurse-led asthma self-management education programs compared to usual discharge instructions. This will help to propose an evidence-based practice change that can improve patient outcomes. The updated PICOT question guiding this review is: In caregivers of children with asthma (P), how does a nurse-led self-management education program (I) compared to usual discharge instructions (C) affect 30-day hospital readmission rates (O) within one-month post-discharge (T)? Method of Studies The four selected articles used different research designs to study asthma education interventions. The first article by Kassa et al. (2022) used a qualitative study design. The researchers conducted interviews with children, caregivers, and healthcare providers in Ethiopia to explore their perceptions of asthma and barriers to management. This method helped to answer the research question by providing rich insights into why families struggle with asthma care and why adherence to medication and follow-up is low. Qualitative data highlighted the social, emotional, and cultural factors that impact asthma management. The second article by Ng et al. (2021) used a quantitative randomized controlled trial. This trial compared a web-based asthma education at home taught by a nurse with the usual care. The researchers tested the program’s effectiveness in terms of caregiver knowledge, attitudes, practices, and hospital readmissions of the children due to randomization and statistical testing. This approach was a good source of evidence concerning the causality between the intervention and better outcomes. Radhakrishnan et al. (2022) used a mixed-methods design in the third article. It compared face-to-face and virtual asthma education through surveys on the amount of data and interviews on the comments of the qualitative data. In this way, the researchers could consider measurable outcomes like knowledge and confidence, as well as the experiences and preferences of participants. Using a combination of the two, the research provided a more complete view of the effectiveness of virtual and in-person education to families. In the fourth article by Thach et al. (2024), the study was a quantitative retrospective study. The authors studied the medical histories of 262 children in France who were subjected to various concentrations of asthma education. They compared the results of those with structured, unstructured, and those with minimal education. This approach was used to identify the effectiveness of organized asthma education in real-world situations, reducing hospitalizations and enhancing disease management. Together, these four methods, qualitative interviews, randomized controlled trial, mixed-methods evaluation, and retrospective chart review cover different angles of the problem. They examine barriers, test interventions, compare delivery formats, and evaluate long-term outcomes. Results of Studies / Key Findings The four studies provide important findings related to asthma education and management. Kassa et al. (2022) found that caregivers had low biomedical knowledge about asthma. Many caregivers had misconceptions about inhaled corticosteroids and worried about side effects. They also reported poor access to medications, high emotional burdens, and difficulty following long-term management plans. Healthcare providers in the study agreed that a lack of structured education contributed to poor adherence. These findings suggest that improving caregiver education and providing culturally appropriate support are necessary to improve outcomes. Ng et al. (2021) reported that the nurse-led web-based program significantly improved caregivers’ knowledge, attitudes, and practices. Children whose caregivers participated in the program had fewer unscheduled hospital visits and readmissions. The program also reduced children’s anxiety about inhaler use and improved family confidence in managing asthma. The findings showed that structured, nurse-led education could address the gaps highlighted in Kassa’s study. Radhakrishnan et al. (2022) found that both in-person and virtual education improved caregiver and patient knowledge and confidence. Interestingly, most families preferred virtual sessions because they were convenient, safe, and easy to attend. Caregivers reported feeling more supported through regular communication with asthma educators. This study shows that delivery format can be flexible as long as the education is structured and nurse-led. Thach et al. (2024) demonstrated that structured education improved treatment adherence, use of action plans, and knowledge about asthma. Structured education
Solved! The focus of this assignment is to apply the principles detailed in the Belmont Report to case studies involving human subjects in research or a quality improvement project.
The focus of this assignment is to apply the principles detailed in the Belmont Report to case studies involving human subjects in research or a quality improvement project. The focus of this assignment is to apply the principles detailed in the Belmont Report to case studies involving human subjects in research or a quality improvement project. Utilize the “Ethical Conduct of Scholarly Activities” document to complete this assignment. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. Benchmark Information This benchmark assignment assesses the following programmatic competencies and professional standards: RN-BSN 4.3: Promote the ethical conduct of scholarly activities [AACN ] American Association of Colleges of Nursing Core Competencies for Professional Nursing Education This assignment aligns to AACN Core Competency 1.2, 4.3, 9.1, 10.2 Sample Expert Answer Application of the Belmont Principles: Case Study 1 Belmont Report principles and the components of each principle Explain how the case meets the components of each principle. Explain how the case does not meet the components of each principle. What steps can the nurse researcher or quality improvement manager take to adhere to the ethical principles identified in the Belmont Report? Respect for Person Respect the right to choose, hold views, and act according to personal beliefs. Protect those with decreased capacity to make their own choice. Ensure voluntary participation. Provide informed consent, explaining harms and benefits. The woman has the right to decide about her treatment, even if her cultural background places decision-making with her spouse. Respect means giving her full information about the risks and benefits so she can make an informed choice (Millum, 2020). The researchers provided a careful consent process, which shows respect for her autonomy. However, they must also consider the cultural influence on her decision. Participation should remain voluntary and free from pressure. Protecting her choice means balancing respect for her beliefs with her individual right to decide her own care. The case does not fully meet respect for persons because the woman’s cultural background limits her ability to make her own decision. Even though she completed the informed consent process, her spouse’s refusal creates pressure that weakens her autonomy. She may not be truly free to choose if family or cultural rules override her wishes. While information was given, respect for personal beliefs also includes protecting her right to act on them (Omutoko et al., 2023). In this situation, the woman’s independence is not fully honored, making the principle incomplete. The nurse researcher should ensure the woman has the final say in her treatment decision. This means reinforcing that participation is voluntary and her right to choose is protected, even if cultural traditions suggest otherwise (Omutoko et al., 2023). The researcher can provide additional counseling to both the woman and her spouse, helping them understand that her autonomy is central in research ethics. Using interpreters or cultural mediators may also help explain the importance of her informed consent. Respecting her decision requires creating an environment where she feels empowered to act freely without fear of family or cultural opposition. Beneficence Minimize the harm/risks to the greatest extent possible. Maximize the potential benefits. Ensure that the rights and well-being of the patient take precedence over the needs of science. The experimental therapy offers some hope, though the chance of success is small and the risks are serious. Beneficence requires researchers to minimize the possibility of harm, such as explaining clearly about the risk of sudden cardiac failure. At the same time, they should maximize possible benefits, since the woman’s illness is advanced and options are limited. Her well-being should come before scientific progress, and she should not be treated as only a subject for data collection. The focus should stay on her safety, dignity, and comfort while receiving the therapy. The case does not fully meet beneficence because the risks of the experimental therapy are extremely high compared to the low chance of benefit. Some participants in trials have experienced sudden cardiac failure, which raises concerns about safety. While hope is given, there is no guarantee of effectiveness, and exposing her to such danger may cause more harm than good. The balance between potential benefit and risk is not clear. This means her well-being may not be protected above the scientific value of testing the experimental drug in more patients. The nurse researcher should take steps to minimize harm while offering the best chance of potential benefit (Millum, 2020). This can include thorough medical screening to ensure the woman is a safe candidate for the therapy, close monitoring during treatment, and quick intervention if complications arise. All information about risks, such as sudden cardiac failure, should be explained clearly and honestly. Emotional support should also be given to reduce stress and help her make informed choices (Omutoko et al., 2023). Beneficence means keeping her health and dignity first, not using her only for research outcomes, and prioritizing her safety above all scientific goals. Justice Justly distribute the benefits and burdens of the research. Guard against using vulnerable populations. Ensure a fair selection of research participants. Guard against coercion and undue influence. Avoid potential financial or other conflicts of interest. Justice requires fairness in how participants are selected and treated (Nagai et al., 2020). The woman is asking to join voluntarily, which means she is not being exploited as a vulnerable person. Researchers must make sure she is not pressured by her cultural setting or her spouse’s disagreement. The risks and benefits of this trial must be shared equally with all patients, not just
Solved! The purpose of this assignment is to refine the PICOT question you developed in the discussion forum this week and begin evaluating literature that you will use in subsequent weeks to write your research paper
The purpose of this assignment is to refine the PICOT question you developed in the discussion forum this week and begin evaluating literature that you will use in subsequent weeks to write your research paper The purpose of this assignment is to refine the PICOT question you developed in the discussion forum this week and begin evaluating literature that you will use in subsequent weeks to write your research paper. Use the “Literature Evaluation Table” to complete this assignment. Prior to starting the “Literature Evaluation Table,” complete the following: Review the feedback you have received in the discussion forum related to your PICOT question so far. Make any necessary edits to your PICOT question. Conduct a literature search to locate four research articles focused on your selected nursing practice problem of interest. Note: This literature search should include two quantitative and two qualitative, peer-reviewed, primary research articles to support your nursing practice problem. A mixed methods article can qualify towards meeting a qualitative or quantitative methodology. The two articles identified in Topic 1 DQ 2 can be used should you still find them relevant to your PICOT question. Articles must be published within the past 5 years, appropriate for the assignment criteria, and relevant to nursing practice. The PICOT question and four peer-reviewed research articles you chose will be utilized for subsequent assignments. Note: For best search results, do not include the words qualitative and quantitative in your search terms. Do include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic reviews, literature reviews, and metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles. Therefore, they should not be included in this assignment. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are not required to submit this assignment to LopesWrite. Sample Expert Answer NRS-445 Topic 1: Literature Evaluation Table Student Name: Faculty Name: Background of Nursing Practice Problem: Asthma is one of the most common chronic conditions in children and is a leading cause of hospital admissions and readmissions. Effective management at home relies heavily on caregivers, who are responsible for recognizing symptoms, administering medications, and avoiding environmental triggers. However, caregivers often face significant challenges in managing pediatric asthma, including limited knowledge of treatment plans, uncertainty in identifying early warning signs, and difficulties maintaining adherence, all of which contribute to higher readmission rates (Jones et al., 2022). Traditional discharge instructions are usually brief and may not provide caregivers with the skills or confidence needed to manage asthma effectively after the child leaves the hospital. Nurse-led self-management education programs address this gap by providing structured, tailored instruction to caregivers, ensuring they understand medication use, inhaler techniques, and strategies for monitoring symptoms. Evidence shows that such interventions, including web-based education, improve caregiver confidence, knowledge, and engagement, leading to better home management and reduced hospital utilization (Ng et al., & Cheng, 2021). By equipping caregivers with practical tools and ongoing support, nurse-led education has the potential to significantly reduce 30-day readmission rates and improve outcomes for children with asthma. PICO(T) Question: In caregivers of children with asthma (P), how does a nurse-led self-management education program (I) compared to usual discharge instructions (C) affect 30-day hospital readmission rates (O) within one-month post-discharge (T)? PICO(T) Question Template P Population Caregivers of children with asthma I Intervention A nurse-led self-management education program C Comparison Usual discharge instructions O Outcome 30-day hospital readmission rates T Timeline (optional) Within one-month post-discharge Intervention The intervention is a nurse-led asthma self-management education program delivered to caregivers before hospital discharge. It includes hands-on training in correct inhaler and spacer use, recognition of early asthma symptoms, personalized action plans, trigger avoidance strategies, and follow-up support through phone calls or digital platforms to reinforce learning and ensure adherence. Problem Statement It is not known if the implementation of a nurse-led self-management education program (I) would impact 30-day hospital readmission rates (O) among caregivers of children with asthma (P) within one month post-discharge (T). Criteria Article 1 Article 2 Article 3 Article 4 APA Reference (include the GCU permalink or working link used to access the article) Kassa, E., Kebede, R. A., & Habte, B. M. (2022). Perceptions towards childhood asthma and barriers to its management among patients, caregivers and healthcare providers: a qualitative study from Ethiopia. BMC Pulmonary Medicine, 22(1), 184. https://doi.org/10.1186/s12890-022-01984-2 Ng, J. S. K., Chau, J. P. C., Chan, A. W. K., Lui, J. K. C., & Cheng, J. W. C. H. (2021). A nurse-led web-based home asthma education program for children and their families: A randomized controlled trial. Journal of Pediatric Nursing, 59(1), 158–163. https://doi.org/10.1016/j.pedn.2021.04.014 Radhakrishnan, D., Higginson, A., Thipse, M., Tessier, M., & Radhakrishnan, A. (2022). Optimizing pediatric asthma education using virtual platforms during the COVID-19 pandemic. Allergy, Asthma & Clinical Immunology, 18(1), 72. https://doi.org/10.1186/s13223-022-00713-y Thach, C., Lafont, C., Epaud, R., Tahiri, K., Sauvage, F., Sagorin, V., Sérabian, V., & Delestrain, C. (2024). Effectiveness of pediatric asthma education program in the context of a general hospital in France: A retrospective real-life study. Heliyon, 10(15), e35356. https://doi.org/10.1016/j.heliyon.2024.e35356 Purpose/Aim of Study “The aim of the present study was therefore to explore the perceptions of the children with asthma, their caregivers and their healthcare providers towards asthma and barriers to long term childhood asthma management in an institutional setting in Addis Ababa, Ethiopia.” “This study aims to review existing evidence to allow for the development of a Web-based Home Asthma
Solved! Using a quantitative research article from one of the previous topics, analyze the p-value. What is it? Is it statistically significant? If your p-value is not statistically significant, what is the clinical significance?
Using a quantitative research article from one of the previous topics, analyze the p-value. What is it? Is it statistically significant? If your p-value is not statistically significant, what is the clinical significance? Statistical significance refers to the likelihood that the results of a study are not due to chance, while clinical significance refers to the practical importance of the results in terms of their impact on patient care. In other words, statistical significance is a measure of the strength of the evidence, while clinical significance is a measure of the relevance of the evidence to real-world situations. Using a quantitative research article from one of the previous topics, analyze the p-value. What is it? Is it statistically significant? If your p-value is not statistically significant, what is the clinical significance? Generalizability of research depends on a variety of factors. List three factors of generalizability, and discuss whether this research article is generalizable to the nursing problem you are researching. Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively. Sample Expert Answer As a researcher, it is crucial to understand the difference between statistical significance and clinical significance. Both of these measures have their own applications when interpreting the findings from a study. In the study by Wong and Choi (2023), the researchers wanted to find out whether immersive VR intervention significantly reduced pain and anxiety in pediatric patients undergoing venipuncture. Usually, a p-value less than 0.05 would suggest a statistically significant difference, making the researchers reject the null hypothesis, while one that is higher would imply no significant difference in the variable interaction, making the researchers accept the null hypothesis (Holmberg, 2024). In this study, the p-value for all the measures reported was below .04 against the stated o.05, which shows that there was a statistically significant reduction in both pain and anxiety among pediatric patients who received the immersive VR intervention compared to those who received standard care. The consistently low p-values provide strong evidence that the VR intervention was effective in reducing these outcomes (Wong & Choi, 2023). The study can be considered as clinically significant given the findings that show the efficacy of the proposed intervention in reducing pain among pediatric patients. Its applications are transformative in clinical practice, given their implication on pain reduction, comfort, and overall quality of care among pediatric patients. There are several factors that determine research generalizability, one of the most critical being the sample size. A larger, more diverse sample enhances generalizability, as it represents a wider range of characteristics found in the target population (Kamper, 2020). Another factor is the sample selection methodology, where the more random a sample is, the more generalizable the research findings are as it reduces selection bias and ensures the sample is representative of the larger population. The third factor is external validity of the research; in this case, when the study’s conditions reflect real-world scenarios, they tend to generally have better external validity, thus resulting in more generalizable findings. In the study by Wong and Choi (2023), one of the aspects that could make the research generalizable is the fact that it was a randomized controlled trial, with the randomization reducing the aspect of bias in selecting the sample. The sample size was also ideal, and given that my study is focused on pediatric patients, the sample appears to be adequate. However, the fact that it was conducted in a more controlled environment may limit its external validity, thus affecting its generalizability. References Holmberg, C. (2024). Toward a better understanding of statistical significance and p values in nursing. Nursing Forum, 2024(1), 7263781. https://doi.org/10.1155/2024/7263781 Kamper S. J. (2020). Generalizability: Linking Evidence to Practice. The Journal of Orthopaedic and Sports Physical Therapy, 50(1), 45–46. https://doi.org/10.2519/jospt.2020.0701 Wong, C. L., & Choi, K. C. (2023). Effects of an immersive virtual reality intervention on pain and anxiety among pediatric patients undergoing venipuncture: A randomized clinical trial. JAMA Network Open, 6(2), e230001. https://doi.org/10.1001/jamanetworkopen.2023.0001 Sample Peer Response Hello Linda, In nursing research, distinguishing between statistical significance and clinical significance is essential for understanding the practical implications of study findings. Statistical significance, determined by the p-value, confirms whether a result is likely due to chance, but clinical significance assesses the real-world impact of the intervention on patient outcomes (AbdulRaheem, 2024). The study you selected, from the p-values you shared, demonstrated both statistical significance and clinical significance by showing a 23% reduction in healthcare-associated infections (HAIs), leading to improved patient safety and reduced healthcare costs. Therefore, both statistical and clinical significance are useful in different regards when it comes to interpreting research results. The generalizability of this intervention is strong, as it was conducted in a large, diverse hospital setting and can be applied to other similar healthcare environments. Reference AbdulRaheem, Y. (2024). Statistical significance versus clinical relevance: Key considerations in interpretation medical research data. Indian Journal of Community Medicine: Official Publication of Indian Association of Preventive & Social Medicine, 49(6), 791. https://doi.org/10.4103/ijcm.ijcm_601_2 Dan Palmer – About MeI am a professional nursing assignment expert offering comprehensive academic support to university nursing students across various institutions. My services are designed to help learners manage their workload effectively while maintaining academic excellence. With years of experience in nursing research, case study writing, and evidence-based reporting, I ensure every paper is original, well-researched, and aligned with current academic standards. My goal is to provide dependable academic assistance that enables students to focus on practical training and career growth. Contact me today to receive expert guidance and timely, high-quality nursing assignment help tailored to your academic needs. academicresearchbureau.com/dan-palmer-rn/
Solved! Select a research article that uses a randomized controlled trial focusing on a clinical nursing problem of your choice
Select a research article that uses a randomized controlled trial focusing on a clinical nursing problem of your choice. Use this research article to address the following questions: Select a research article that uses a randomized controlled trial focusing on a clinical nursing problem of your choice. Use this research article to address the following questions: Provide an APA reference of the article including a GCU permalink or working link used to access the article. Using the “CASP Randomized Controlled Trial Checklist,” found in topic Resources, evaluate the study. Based on your findings, summarize the critical appraisal of the selected research article. Do the benefits of the experimental intervention outweigh the harms and costs? Identify and discuss one other ethical consideration applicable to quantitative research studies such as this one. Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively. Sample Expert Answer APA Reference: Wong, C. L., & Choi, K. C. (2023). Effects of an immersive virtual reality intervention on pain and anxiety among pediatric patients undergoing venipuncture: A randomized clinical trial. JAMA Network Open, 6(2), e230001. https://doi.org/10.1001/jamanetworkopen.2023.0001 Using the CASP criteria for evaluating randomized controlled trials, the study by Wong and Choi (2023) clearly addresses a well-formulated research question, evaluating the effects of immersive virtual reality (VR) on pain and anxiety in pediatric patients undergoing venipuncture. The participants were randomly assigned to either the VR intervention or control group, and an intention-to-treat analysis was used to account for all participants. The study groups were similar at baseline, and aside from the VR intervention, both groups received equivalent care. While it’s not explicitly stated whether participants or investigators were blinded, the assessors were blinded to the outcomes, reducing potential bias. These approaches, specifically randomization and blinding of the research participants, helped to enhance the validity of the study (Monaghan et al., 2021). The results were comprehensively reported, showing significant benefits in reducing pain and anxiety, with precise estimates provided through confidence intervals. The benefits of the immersive virtual reality intervention in this study were substantial, as it effectively reduced both pain and anxiety in pediatric patients undergoing venipuncture, providing a non-pharmacological approach to managing these common challenges in pediatric care. The minimal harms of the intervention, such as the potential for mild discomfort from wearing VR headsets, were negligible compared to its significant positive impact on the patients’ emotional and physical well-being. Additionally, the cost of implementing VR technology in a clinical setting is relatively low, especially considering the potential long-term benefits, such as improved patient experience and reduced reliance on pharmacological interventions. Overall, the intervention provides a cost-effective alternative with promising outcomes that justify its use in clinical practice. An important ethical consideration in this study is the potential for coercion in obtaining informed consent (Xu et al., 2020). Given the vulnerable pediatric population, it’s crucial that consent is obtained from parents or guardians and assent from the children, ensuring they understand the study’s purpose and procedures. The study should also address how it ensured participants’ autonomy and voluntary participation, minimizing any undue influence or pressure. References Monaghan, T. F., Agudelo, C. W., Rahman, S. N., Wein, A. J., Lazar, J. M., Everaert, K., & Dmochowski, R. R. (2021). Blinding in clinical trials: Seeing the big picture. Medicina, 57(7), 647. https://doi.org/10.3390/medicina57070647 Wong, C. L., & Choi, K. C. (2023). Effects of an immersive virtual reality intervention on pain and anxiety among pediatric patients undergoing venipuncture: A randomized clinical trial. JAMA Network Open, 6(2), e230001. https://doi.org/10.1001/jamanetworkopen.2023.0001 Xu, A., Baysari, M. T., Stocker, S. L., Leow, L. J., Day, R. O., & Carland, J. E. (2020). Researchers’ views on, and experiences with, the requirement to obtain informed consent in research involving human participants: A qualitative study. BMC Medical Ethics, 21(1), 93. Sample Peer Response Hello Darren, Your discussion highlights important insights into the study on evidence-based practice (EBP) training for nurses providing care to ventilated patients. Some of the benefits you have mentioned include improved nurse competency through EBP training. However, it is also important to assess potential harms, such as any unintended stress or pressure on the nurses from additional training requirements. The study did not report harm, but future research should continue to monitor this, especially as it scales. Ethically, informed consent is crucial. Participants must be fully aware of the potential risks, benefits, and purpose of the study prior to agreeing to their participation (World Medical Association, 2025). Additionally, the ethical considerations around resource allocation should also be considered, particularly with the challenges posed by financial investments and time constraints, which could limit the feasibility of implementing this training universally. Thank you for sharing! References World Medical Association. (2025). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human participants. Jama, 333(1), 71-74. Dan Palmer – About MeI am a professional nursing assignment expert offering comprehensive academic support to university nursing students across various institutions. My services are designed to help learners manage their workload effectively while maintaining academic excellence. With years of experience in nursing research, case study writing, and evidence-based reporting, I ensure every paper is original, well-researched, and aligned with current academic standards. My goal is to provide dependable academic assistance that enables students to focus on practical training and career growth. Contact me today to receive expert guidance and timely, high-quality nursing assignment help tailored to your academic needs. academicresearchbureau.com/dan-palmer-rn/
Solved! Compare independent variables, dependent variables, and extraneous variables. Describe two ways that researchers attempt to control extraneous variables
Compare independent variables, dependent variables, and extraneous variables. Describe two ways that researchers attempt to control extraneous variables Compare independent variables, dependent variables, and extraneous variables. Describe two ways that researchers attempt to control extraneous variables. Provide an example of how this is applied using a peer-reviewed, primary research article. Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively. Sample Expert Answer When defining features that make up a study, one that comes to mind is a variable. A variable in research is any factor or condition that can change or vary. It is mostly manipulated by researchers, measured, or observed to understand its relationship with other variables, helping to test hypotheses or answer research questions (Andrade, 2021). There are different types of variables in research, the first being independent variables. Independent variables in research are variables that are intentionally manipulated or categorized to observe their effect on another variable. It is considered the cause in a cause-and-effect relationship. Researchers alter this variable to assess its impact on the dependent variable, which is the outcome being measured (Andrade, 2021). An example of an independent variable in a study by Kopp et al. (2024), which focused on physical activity and mental health in school-aged children, was the level of physical activity. In this case, the varying level of physical activity was measured to determine the influence on the dependent variable. The dependent variable, on the other hand, is an outcome variable, meaning that it is a variable that is measured to assess the effect of the independent variable; meaning that the measurement or changes of the dependent variable depend on changes in the independent variable. In the study mentioned, the dependent variable was the mental health outcomes of school-aged children, which were influenced by their physical activity levels. The last type of variables are the extraneous variables. These are outside factors that can influence the dependent variable but are not the focus of the study. Extraneous variables can introduce unwanted variability, potentially affecting the results or making it difficult to draw clear conclusions (Andrade, 2021). Researchers aim to control or account for extraneous variables to ensure the findings are primarily due to the manipulation of the independent variable. In the study, potential extraneous variables could include factors like sleep patterns, diet, or social interactions, which might also influence mental health but were not the main focus. One of the ways of dealing with extraneous variables is by randomization. By randomizing sample selection and distribution, the extraneous variables are equally spread across all groups, thus reducing bias (Cobzaru et al., 2022). Matching is another strategy that can be used to control extraneous variables. In matching, the researcher pairs or groups participants based on similar characteristics, for example, age or gender, to control for variables that might influence the dependent variable. Both methods help isolate the effects of the independent variable, minimizing the impact of outside factors on the study’s results. References Andrade, C. (2021). A student’s guide to the classification and operationalization of variables in the conceptualization and design of a clinical study: Part 1. Indian Journal of Psychological Medicine, 43(2), 177. https://doi.org/10.1177/0253717621994334 Cobzaru, R., Jiang, S., Ng, K., Finkelstein, S., Welsch, R., & Shahn, Z. (2022). State of the art causal inference in the presence of extraneous covariates: A simulation study. AMIA Annual Symposium Proceedings, 2021, 334. https://pmc.ncbi.nlm.nih.gov/articles/PMC8861734/ Kopp, P. M., Möhler, E., & Gröpel, P. (2024). Physical activity and mental health in school-aged children: A prospective two-wave study during the easing of the COVID-19 restrictions. Child and Adolescent Psychiatry and Mental Health, 18, 4. https://doi.org/10.1186/s13034-023-00695-8 Sample Peer Response Hello Joan, Thank you for providing a great overview of key research variables, independent, dependent, and extraneous, and strategies for controlling extraneous variables. To add to your points, the independent variable in most cases is manipulated by the researcher to assess its effect on the dependent variable, which is the outcome being measured (Andrade, 2021). Extraneous variables, which are unrelated to the research hypothesis but potentially influence the results, can potentially lead to misleading conclusions. I agree that matching and randomization are effective techniques for controlling confounding or extraneous variables. By matching participants or randomizing assignments, researchers can reduce bias and isolate the true effect of the independent variable on the dependent one. Reference Andrade, C. (2021). A student’s guide to the classification and operationalization of variables in the conceptualization and design of a clinical study: Part 1. Indian Journal of Psychological Medicine, 43(2), 177. https://doi.org/10.1177/0253717621994334 Dan Palmer – About MeI am a professional nursing assignment expert offering comprehensive academic support to university nursing students across various institutions. My services are designed to help learners manage their workload effectively while maintaining academic excellence. With years of experience in nursing research, case study writing, and evidence-based reporting, I ensure every paper is original, well-researched, and aligned with current academic standards. My goal is to provide dependable academic assistance that enables students to focus on practical training and career growth. Contact me today to receive expert guidance and timely, high-quality nursing assignment help tailored to your academic needs. academicresearchbureau.com/dan-palmer-rn/
Solved! Select a qualitative research article, different than the one you used in Topic 1, focusing on a clinical nursing problem of your choice. Use this research article to address the following questions
Select a qualitative research article, different than the one you used in Topic 1, focusing on a clinical nursing problem of your choice. Select a qualitative research article, different than the one you used in Topic 1, focusing on a clinical nursing problem of your choice. Use this research article to address the following questions: Provide an APA reference of the article including a GCU permalink or working link used to access the article. Study design: How did you determine that the article is qualitative? What study methodology is used? Using the “CASP Qualitative Checklist,” found in topic Resources, evaluate the study. Based on your findings, summarize the critical appraisal of the selected research article. Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively. Sample Expert Answer APA Reference Lange, D., Lindenmeyer, A., Warren, K., Haroon, S., & Nagakumar, P. (2025). ‘Will anybody listen?’ Parents’ views on childhood asthma care: A qualitative study. BJGP Open, 8(4), BJGPO.2024.0070. https://doi.org/10.3399/BJGPO.2024.0070 Study Design The article “Will anybody listen? Parents’ views on childhood asthma care: a qualitative study” was identified as qualitative because it explored lived experiences rather than measuring variables numerically. The aim was to understand parents’ perspectives on barriers and facilitators to asthma care (Lange et al., 2025). Data were collected through semi-structured interviews, which are a hallmark of qualitative research. The methodology used was thematic analysis, guided by Braun and Clarke’s framework, to identify and interpret patterns within the data. A pragmatic approach underpinned by critical realism was applied, allowing the researchers to explore how parents’ experiences were shaped by both individual and social contexts. CASP Qualitative Checklist Appraisal The study met most of the Critical Appraisal Skills Programme (2024) criteria for high-quality qualitative research. The research question was clear and relevant, focusing on a significant clinical nursing problem: parental experiences in managing childhood asthma. The methodology was appropriate, as semi-structured interviews allowed participants to express personal and emotional experiences. Sampling was purposeful and convenient, targeting parents of children with asthma in a multi-ethnic, urban setting. Data collection was well described, and interviews were conducted by a trained researcher, enhancing credibility. Thematic analysis was rigorously applied, and NVivo software supported coding and theme development. Ethical approval was obtained, and participants were informed of their rights, which strengthens the trustworthiness of the study. The findings were rich and illustrated with direct quotes, enhancing validity. However, the small sample size and recruitment challenges limit generalizability. The authors acknowledged potential recall bias and lack of input from non-English speakers. Despite these limitations, the study contributes valuable insights into unmet educational and emotional needs of parents, highlighting areas for improved nursing practice. References Critical Appraisal Skills Programme (CASP). (2024). CASP qualitative studies checklist. https://casp-uk.net/casp-tools-checklists/qualitative-studies-checklist/ Lange, D., Lindenmeyer, A., Warren, K., Haroon, S., & Nagakumar, P. (2025). ‘Will anybody listen?’ Parents’ views on childhood asthma care: A qualitative study. BJGP Open, 8(4), BJGPO.2024.0070. https://doi.org/10.3399/BJGPO.2024.0070 Sample Response Qualitative research methods, such as semi-structured interviews and systematic text condensation, are often used to explore complex, lived experiences in clinical settings. In your selected study, the use of semi-structured interviews allowed registered nurses to share their experiences and insights regarding pain management for patients with opioid use disorder in home care. The advantage of applying qualitative methods in such studies is that they promote candid conversations, providing an in-depth understanding of the challenges and practices involved (Lim, 2025). Systematic text condensation in this case helped identify key themes, ensuring a thorough analysis of the narratives. These methods are effective in capturing nuanced perspectives and offer valuable insights that quantitative methods might miss, especially when studying sensitive or intricate topics like healthcare professionals’ experiences. Thank you for sharing! Reference Lim, W. M. (2025). What is qualitative research? An overview and guidelines. Australasian Marketing Journal, 33(2), 199-229. Dan Palmer – About MeI am a professional nursing assignment expert offering comprehensive academic support to university nursing students across various institutions. My services are designed to help learners manage their workload effectively while maintaining academic excellence. With years of experience in nursing research, case study writing, and evidence-based reporting, I ensure every paper is original, well-researched, and aligned with current academic standards. My goal is to provide dependable academic assistance that enables students to focus on practical training and career growth. Contact me today to receive expert guidance and timely, high-quality nursing assignment help tailored to your academic needs. academicresearchbureau.com/dan-palmer-rn/
Solved! The three types of qualitative research designs are phenomenological, grounded theory, and ethnographic research. Compare the differences and similarities between two of the three types
The three types of qualitative research designs are phenomenological, grounded theory, and ethnographic research. The three types of qualitative research designs are phenomenological, grounded theory, and ethnographic research. Compare the differences and similarities between two of the three types of qualitative studies and give an example of each. Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively. Sample Expert Answer Qualitative research takes different forms, among them being phenomenological research and grounded theory. Each of these approaches takes a different form of inquiry, with phenomenological research focusing on understanding the lived experiences of individuals and how they perceive a phenomenon (Alhazmi & Kaufmann, 2022). Grounded theory, on the other hand, aims to generate or discover a theory by systematically gathering and analyzing data (Charmaz & Thornberg, 2021). Phenomenology seeks to capture the essence of personal experiences by focusing on how individuals perceive and make sense of a particular phenomenon. Researchers use in-depth interviews and observations to gather detailed descriptions of participants’ lived experiences, aiming to uncover the underlying meaning and structure of those experiences. The goal is to explore how individuals interpret their world and the significance they attach to it, while bracketing any preconceived notions to allow for a pure understanding of the phenomenon (Alhazmi & Kaufmann, 2022). On the other hand, grounded theory works toward developing a conceptual framework that explains social processes (Charmaz & Thornberg, 2021). Both methods prioritize deep, contextual exploration, but they differ in their goals, data collection processes, and analysis techniques. In phenomenological research, an example could be exploring how patients experience living with chronic pain, focusing on their perceptions, emotions, and coping mechanisms. In grounded theory, an example could involve studying how nurses perceive the use of telemedicine compared to traditional approaches. Data would be collected through interviews and observations to develop a theory on how nurses adapt their practices, address challenges, and perceive the effectiveness of telemedicine in patient care, particularly in comparison to conventional in-person interactions. References Alhazmi, A. A., & Kaufmann, A. (2022). Phenomenological qualitative methods applied to the analysis of cross-cultural experience in novel educational social contexts. Frontiers in Psychology, 13, 785134. https://doi.org/10.3389/fpsyg.2022.785134 Charmaz, K., & Thornberg, R. (2021). The pursuit of quality in grounded theory. Qualitative Research in Psychology, 18(3), 305–327. Sample Peer Response Hello Your essay presents a compelling comparison between phenomenological research and grounded theory, effectively highlighting that each approach brings something unique to the field of qualitative inquiry. I appreciate the way you described phenomenology, with its emphasis on lived experiences and the researcher’s role in bracketing their preconceptions to understand the perspectives of participants better. The grounded theory case of how nurses adapt to telemedicine that you presented is especially timely in the modern healthcare context: it shows that theory can be a direct result of the practice in the field. Both methods contribute to the development of nursing research by providing context-specific data on patient and provider experiences. According to Adeniran and Tayo-Ladega (2024), phenomenology is particularly effective in revealing the more profound significance individuals attribute to their experiences; thus, it is an invaluable methodology when researching complex human responses in health. References Adeniran, A. O., & Tayo-Ladega, O. (2024). Critical analysis of phenomenological research design in a qualitative research method. Management analytics and social insights, 1(2), 186-196.https://orcid.org/0000-0002-6870-1212 Dan Palmer – About MeI am a professional nursing assignment expert offering comprehensive academic support to university nursing students across various institutions. My services are designed to help learners manage their workload effectively while maintaining academic excellence. With years of experience in nursing research, case study writing, and evidence-based reporting, I ensure every paper is original, well-researched, and aligned with current academic standards. My goal is to provide dependable academic assistance that enables students to focus on practical training and career growth. Contact me today to receive expert guidance and timely, high-quality nursing assignment help tailored to your academic needs. academicresearchbureau.com/dan-palmer-rn/
