UC Fatigue Issues in HIV & AIDS Patients in The United States of America Discussion

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HOMEWORK D

Format your answers in the form of a WORD document (No PDF’s) compliant with APA formatting standards, with some exceptions. A title page is required. The body is composed of answers to questions asked in the 3 sections below. A reference page is not required. Use 12-point Times New Roman or 11-point Arial font with APA margins, line-spacing, and paragraph alignment. Use section headings. Your answers should be labeled numerically in an order that is congruent to how the questions are being presented. Therefore, your answers should be labeled with the number for the question you are answering. Your answers are not to be in a short essay format unless indicated. Answers should not exceed one paragraph per question. Use complete sentences (where appropriate), proper grammar, and spell-check the document before submission. Scholarly writing is worth 10% of your grade. Do not exceed 3 pages in length (excluding the title page). Should the body of your paper be more than 3 pages, only the first three pages will be graded and any required content not included in these pages will be marked as not done and the appropriate point deductions will apply. Should you submit your paper in PDF format, you will receive a “0” with resubmission being at the sole discretion of your instructor.

Unit 4: Examining Research Problems, Purposes, and Hypotheses; Identifying Primary and Secondary sources; Searching databases for Systematic Reviews and Clinical Practice Guidelines

Purpose: Identify research topics, problems, and purposes in quantitative and qualitative studies. Differentiate among the types of hypotheses (associative versus causal, simple versus complex, non-directional versus directional, and statistical versus research). Identify a Primary Source and a Secondary Source. Demonstrate how to successfully search for a Clinical Practice Guideline and/or a Systematic Review. ^{MLO 1,2,4,5,6}

Part I – Critical Analysis (44%)

A research topic is a concept or broad issue that is important to nursing, such as acute pain, chronic pain management, coping with illness, or health promotion. The research problem is an area of concern in which there is a gap in the knowledge base needed for nursing practice. The problem includes significance, background, and problem statement. The research purpose is a concise, clear statement of the specific goal or focus of the study.

Analyze this passage and answer the questions in reference to the passage.

In the United States, more than 1 million people are living with HIV infection. Another half million have died from AIDS since the beginning of the HIV epidemic. The prevalence of HIV has increased among women, especially among minority women. A larger proportion of minority women are uninsured compared with nonminority women. Treatment of HIV has increased the life expectancy of patients. Viral suppression, however, requires more than 90% adherence to expensive medications for life. Treatment fatigue has been linked to patients dropping out of care. No studies have been published that explore the experience of treatment fatigue from the perspectives of uninsured minority women with HIV infection. This phenomenological study seeks to explore the lived experience of treatment fatigue in HIV infection among uninsured minority women.

1. What is the research topic?
2. What is the problem statement?
3. What is the significance of the study?
4. What is the purpose of the study?

Part II – Recognition (32%)

A hypothesis is a formal statement of the expected relationship(s) between two or more variables in a specified population. Hypotheses can be described using four categories: (1) associative versus causal, (2) simple versus complex, (3) non-directional versus directional, and (4) statistical versus research.

A. For each of these hypotheses, describe its characteristics: associative or causal, simple or complex, non-directional or directional, and null or research. You should have four answers to each question. (You may simply list the answer; you do not have to re-type the content.)

1. Relaxation therapy is more effective than standard care in decreasing pain perception and use of pain medications in adults with chronic arthritic pain.
2. Age, family support, and health status are related to the self-care abilities of nursing home residents.
3. Heparinized saline is no more effective than normal saline in maintaining the patency and comfort of an intermittent intravenous access lock.
4. Poor health status is related to decreasing self-care abilities in institutionalized elderly.
5. Nurses’ perceived work stress, internal locus of control, and social support are related to their psychological symptoms.

The quality of a source is determined by whether it is a primary, peer-reviewed, relevant publication. Sources should be current (published in the past 5 years) unless they are seminal or landmark studies. Replication studies are studies that are reproduced or repeated based on a previous research report.

B. For the following sources, list whether it is a primary source or a secondary source.

1. Buet A., Cohen B., Marine M., Scully F., Alper P., Simpser E., et al. Hand hygiene opportunities in pediatric extended care facilities. Journal of Pediatric Nursing. 2013;28(1):72–76.
2. Merriam-Webster. (n.d.) Merriam-Webster.com dictionary. Retrieved May 5, 2019, from https://.merriam-webster.com/
3. Chinn P.L., Kramer M.K. (2015). Knowledge development in nursing: Theory and process (9th ed.). St. Louis, MO: Elsevier Mosby.
4. U. S. Securities and Exchange Commission. (2017). Agency financial report: fiscal year 2017. https://www.sec.gov/files/sec-2017-agency-financial-report.pdf
5. Shepley, C., Lane, J. D., & Ault, M. J. (2020). Analysis of differences across two unaffiliated systematic reviews using what works Clearinghouse single-case design standards. Research and Practice for Persons with Severe Disabilities, 45(3), 143-160. https://doi.org/10.1177/1540796920913867
6. Gaiman, N. (2018, March 22). 100,000+ Rohingya refugees could be at serious risk during Bangladesh’s monsoon season. My fellow UNHCR Goodwill Ambassador Cate Blanchett is [Image attached] [Status update]. Facebook. http://bit.ly/2JQxPAD

Part III – Evidence Search (14%)

EBP involves the use of the best research evidence to support clinical decisions in practice. The levels of research evidence are a continuum, with the highest quality of research evidence at the top of the pyramid and the weakest research evidence at its base (see Fig. 1.3). Evidence-based guidelines are rigorous, explicit clinical guidelines that have been developed based on the best research evidence available in that area.

Locate and provide a Clinical Practice Guideline or a Systematic Review on appropriate coping strategies for burnout prevention.

1. List the complete weblink (URL) OR attach the evidence. If you choose to attach the evidence, list your answer as “Please see the attachment”. The link MUST be live/or the evidence must be attached, and the evidence must be published within the last five years.
2. Create the reference for the located piece of evidence in correct APA format.
3. Summarize the major conclusions of the evidence you found in 3-4 sentences.