Table of Contents
Prelate vii
Unit I Preparing for Your Capstone Project 1
Chapter 1 The Importance of Research in the Doctor of Nursing Practice Degree 3
Introduction to the Doctor of Nursing Practice Degree 4
The DNP-Prepared Nurse in Academia 8
The DNP Graduate as an Agent for Quality Improvement 9
The DNP Graduate as an Advocate for Health Care Through Use of Healthcare Policy 10
The DNP Graduate as an Advanced Practice Nurse 11
The DNP Graduate as a User of Information Systems and Technology 12
The DNP Graduate with an Aggregate Focus 12
The DNP Graduate's Clinical Scholarship and Evidence-Based Practice 13
The DNP Graduates Participation in Evidence-Based Decision Making 16
The Process of Translating Evidence into Clinical Practice 16
Learning Enhancement Tools 18
Chapter 2 Developing the Researchable Problem 21
Selection of the Research Problem and Development of the Research Question 21
Appropriate Use of a Research Question 23
Appropriate Use of a Hypothesis 24
Developing a Testable Hypothesis 25
Use of a Theoretical or Conceptual Framework 27
Selecting a Theoretical Framework 29
Learning Enhancement Tools 30
Chapter 3 Conducting a Literature Review 37
Purpose of the Literature Review 37
Structuring the Literature Review 38
Critical Appraisal of the Literature 39
Collecting Data Sources 40
Steps to include in the Critique of a Research Article 40
Critical Appraisal of References 45
Learning Enhancement Tools 46
Chapter 4 Ethics in Clinical Research 47
Ethical Principles 47
Rights of Participants in a Research Study 49
Confidentiality 50
Health Insurance Portability and Accountability Act Compliance 50
Institutional Review Boards 52
Learning Enhancement Tools 57
Unit II Choosing a Design for Your Capstone Project 59
Chapter 5 Selecting a Methodology for Your Capstone Project 61
Secondary Data Analysis 61
Systematic Reviews 62
Health Policy Development 63
Gap Analysis 65
Development of a Curriculum 67
Designing a Quality Improvement Project 68
Comparison of Models of Care Delivery 69
Learning Enhancement Tools 70
Chapter 6 Designing a Clinically Based Quantitative Capstone Research Project 73
Basic Types of Quantitative Research 74
Advantages and Limitations of Quantitative Research 74
Experimental Research Designs 75
Nonexperimental Research Designs 77
Quasi-Experimental Research Designs 79
Learning Enhancement Tools 83
Chapter 7 Designing a Clinically Based Qualitative Capstone Research Project 87
Basic Types of Qualitative Research 87
Advantages and Limitations of Qualitative Research 89
Qualitative Research Designs 91
Selecting a Qualitative Research Design 97
Learning Enhancement Tools 98
Chapter 8 Designing a Clinically Based Mixed Method Capstone Research Project 101
Introduction to Mixed Method Research 102
Advantages and Limitations of Mixed Method Research 102
Deciding to Utilize a Mixed Method Approach 103
Mixed Research Approaches 103
Specific Mixed Research Designs 104
Selecting a Type of Mixed Research Design 108
Stages of the Mixed Research Process 109
Learning Enhancement Tools 110
Unit III Implementing Your Capstone Project 115
Chapter 9 Sampling 117
Introduction to the Process of Sampling 118
Quantitative Sampling Designs 118
Random Selection and Random Assignment 122
Determining Sample Size 122
Qualitative Sampling Designs 123
Qualitative Sampling Strategy 124
Learning Enhancement Tools 126
Chapter 10 Data Collection 129
Introduction to the Process of Data Collection 130
Updates to HIPAA Legislation 130
Types of Data Collection Methods 131
Data Collection in Mixed Method Research 139
Learning Enhancement Tools 140
Chapter 11 Issues Related to Survey Data Collection 143
Introduction to Survey Data Collection 143
Recruiting the Sample for Survey Research 146
Planning the Content of a Survey Instrument 146
Sampling During Survey Research 147
Learning Enhancement Tools 154
Chapter 12 Data Analysis 159
Introduction to the Process of Data Analysis 159
Quantitative Research 160
Qualitative Research 162
Learning Enhancement Tools 166
Chapter 13 Writing the Research Report for Potential Publication 169
Initiating the Writing Process 169
Steps to Developing the Research Proposal 171
Choosing a Journal for Manuscript Submission 172
Guide to Reviewing a Manuscript for Potential Publication 173
Formatting the Manuscript 174
Appendix 13A Critique of Clinically Based Research 176
Abstract 176
Introduction 177
Conceptual Framework 177
Literature Review 178
Methodology 178
Limitations 179
Implications 179
Conclusion 180
Model for the Enhancement of Job Satisfaction of LPNs in Rural Alabama Counties 181
Unit IV Examples of Studies and Projects 183
Chapter 14 Reducing 30-Day Hospital Readmission of the Patient with Heart Failure: An Evidence-Based Quality Improvement Project 185
Institute of Medicine Six Aims 187
Needs Assessment 187
Quality improvement 189
Evidence-Based Model 190
Review of the Evidence 190
Phases of the Project 191
Plan for Evaluation 192
Identification of Performance Measures 193
Retrieval of Data 194
Data Analysis 194
Appendix 14A SWOT Analysis 197
Appendix 14B Gap Analysis 198
Appendix 14C Protocol for Quality Project 199
Appendix 14D Plan, Do, Study, Act Model 200
Plan 200
Do 201
Study 201
Act 201
Appendix 14E Project Planning Model 202
Appendix 14F Review of the Literature 203
Appendix 14G Grading System Used by New Zealand Guideline Group in Cardiac Rehabilitation Guideline 212
Levels of Evidence 212
Grades of Recommendations 213
Appendix 14H Heart Failure Education Packet 214
Table of Contents 214
Section 1 What Is Heart Failure? 214
Section 2 Warning Signs and Symptoms and Whom to Contact 216
Section 3 Weighing Every Day 216
Section 4 Your Medication 217
Section 5 Diet 218
Section 6 Activity 218
Section 7 Questions for My Healthcare Provider 219
Appendix 14I Telephone Survey 221
Appendix 14J Balance Scorecard 223
Appendix 14K Evaluation Grid 224
Chapter 15 A Community-Academic Collaboration to Have an Impact on Childhood Obesity 227
Introduction 227
Background 228
Project Overview 231
Method 232
Data Collection 233
Data Analysis 234
Results 234
Value Propositions 235
Limitations 236
Conclusion and Implications 237
Appendix 15A Pretest/Posttest 241
Appendix 15B Collaboration Survey 243
Chapter 16 The Impact of Evidence-Based Design 247
Introduction 247
The Impact of Evidence-Based Design 248
Background and Significance 249
A Proposed Project 249
Theoretical Framework 250
Catalyst 250
Assessing 251
Asking 251
Acquiring 251
Appraising 252
Applying 256
Needs Assessment 256
Implementation 258
Analyzing 262
Adopting and Advancing 267
Discussion 267
Findings 268
Conclusion 270
Appendix 16A Evidence Analysis Grid 273
Appendix 16B Small Test of Change Timeline 282
Appendix 16C Assessment for Quality Improvement Project 284
Appendix 16D Evidence-Based Design Project Budget 285
Appendix 16E The Timeline for the Red Zone Project 286
Appendix 16F Outline of Needs Assessment, Implementation, and Process Outcomes 288
Chapter 17 The Lived Experience of Chronic Pain in Nurse Educators 291
Introduction 291
Review of the Literature 302
Research Design and Methodology 314
Research Findings 322
Discussion, Limitations, and Recommendations 341
Glossary 363
Index 371
