Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses.

Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.

In a 1,000–1,250 word essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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Assignment Description

Qualities of a Nurse Leader

It is important for nurse leaders to engage with other nurse leaders to understand professional roles; a practice experience is assigned to achieve this end. It is expected that you will spend 8-10 hours with the nurse leader, shadowing them in their position, observing them go about their day, and interviewing them. The interview can take place before, during, or after the shadow period or can be on a different day. 

You will engage with and interview a nurse leader in person. You should begin thinking about this activity as soon as possible and identify how you will identify and gain access to the interview. You may include photos, graphs, or charts.

1. Choose a nurse leader who holds a leadership nursing position in their organization who have direct reports (they supervise other employees). Examples of this include Director of Nursing, Director, Unit Manager. *You may not be employed in the same facility as your interviewee or shadow during personal work hours* (If special accommodations need to be made, approval by your instructor is required first). 
2. Develop an interview guide before conducting the interview. Identify information that you want to know before the interview and plan clarifying questions. You must include at least one question about technology/informatics.
3. Conduct an interview regarding their professional role in the organization, and a current health care issue that is of interest to you (ethics, conflict management, budget, staffing, culture of safety, “just culture”, career advancement, quality improvement, etc.). Identify the name of the organization and use names of all involved (no anonymity).
4. Prepare a written report of the interview.

Sample questions below. Feel free to vary the content of the questions to fit your interview:

• Please describe the nursing and inter-professional teams that operate in this facility/on this unit.
• Can you provide an example of a nursing practice that has been changed in the last year based on current best evidence?
• What do you consider your biggest challenge?
• What do you love most about your job?
• Why did you choose this job?
• What other kinds of nursing/other job did you ever do?
• How would you describe your company’s culture?
• How would you describe your role in admission and staffing decisions?
• What is your leadership style?  

* If you are employed in a large healthcare facility that has more than one location, you may interview the nurse leader in that organization with prior permission from your instructor. The purpose of this is to get you out of your organization and explore other nursing leadership roles than you might be familiar with.

Assignment Expectations:

Length: 1750 words in length; Upload log Separately 

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. Your essay should have at least two scholarly references in addition to the textbook. Please be sure to cite the interview in APA format.

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As an advanced practice nurse, one can engage in activism in order to achieve desired policy change at various levels including their own organization. Examine the following questions, should nurses be unionized and how does being unionized impact a workforce culture of safety? Be sure to include one MSN Essential in your discussion that relates to this topic.

All questions must be answered to receive full credit for this discussion. Use scholarly sources to support your discussion. 

Minimum of 250 words addressing the assigned question. A rule of thumb for all DQ responses is the 3-3 rule; 3 paragraphs minimum, 3 sentences per paragraph minimum.  Use APA (6th). No more than 5 years

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Describe the difference between research and quality improvement. Provide a workplace example where qualitative and quantitative research is applied and how it was used within your organization. When replying to peers, discuss how these research findings might be incorporated into another health care setting.

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Quality Improvement Action Plan

An organization’s ability to learn, and translate that learning into action rapidly is the ultimate competitive advantage.—Jack Welch as quoted by KerriganThink back to when you first identified the quality improvement issue for your Course Project. 

What insights related to quality measurement, improvement strategies, and evaluation have you gained since then? How have these insights informed your view of the issue and shaped your understanding of how to promote positive outcomes for your selected organization? How would you suggest the organization proceed based on the outcomes of your investigation?In this section of the Course Project, you synthesize your analysis and recommendations into an action plan for implementing the quality improvement initiative.

To prepare:Begin to develop a plan for implementing your quality improvement initiative, including the redesigned process that you identified in Section 3. 

Consider the following:                    

 How would you undertake the process of determining a timeline for planning, implementing, and evaluating this quality improvement plan? What are some reasonable milestones for this initiative? What are the daily, weekly, monthly steps/goals?

To complete:Write a 2- to 3-page summary of your quality improvement action plan.

Required ReadingsHickey, J. V., & Brosnan, C. A. (2017). Evaluation  of health care quality in for DNPs (2nd  ed.). New York, NY: Springer Publishing Company.Review Chapter 3, “Conceptual Models for Evaluation in Advanced Nursing Practice” (pp. 61-86) (assigned in Week 3)Sadeghi, S., Barzi, A., Mikhail, O., & Shabot, M. M. (2013). Integrating quality and strategy in health care organizations, Burlington, MA: Jones & Bartlett Publishers.Review Chapter 8, “Quantifying the Quality Performance Gaps” (pp. 161–177) (assigned in Week 6)                  The authors focus on performance measures with particular focus on the relationship between financial and quality performance.                  Review Chapter 9, “Closing the Gaps” (pp. 179–194) (assigned in Week 7)                  This chapter explains how to utilize data collected during the evaluation stage in order to improve the quality of health care.                 Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.Retrieved from https://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2001/Crossing-the-Quality-Chasm/Quality%20Chasm%202001%20%20report%20brief.pdf This report outlines the Institute of Medicine’s (IOM’s) six aims to improve the quality of health care. Review this information through the lens of evaluation. (Assigned in a previous week.)

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