PEER RESPONSE: please respond to the following discussion post

Ethnography

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Julie Meixsell posted May 2, 2023 3:21 AM

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Ethnographic analysis is research designed to improve understanding of other cultures. It was originally used by anthropologists to study isolated tribes and locations but now is used in many different subcultures of society, such as LGBTQ+, minorities, or the homeless. Interviews are used as the main source of information in ethnography, but observation, art, and language are studied as well. The goal is to increase understanding of the culture and its fundamental rules and relationships (Tappen, 2022).

            Ethnography can be macro or micro in scale. Macro ethnography is extensive research in the field and may span several years, whereas micro is more focused and may study a single unit or small group. Most focused ethnographies involve a single researcher and limit participants to those with specific knowledge, context, or community. It is practical for nurses as it involves episodic observations over a short time period of time (Crawford, 2019).

            As the goal of ethnography is understanding through observation, it is inherently subjective. Researchers aspire to be as objective as possible, but they may enter the study with preconceived notions or biases. Confirmation bias is the analysis of data in a way to support the hypothesis. In interviews, avoid asking leading questions such as “I bet this is what happened next, is that correct?” All of the data obtained should be evaluated, and the researcher should remain open to results that may not be in line with the initial hypothesis. Selection bias is when the group studied does not adequately represent the larger population it represents. An example of selection bias would be to collect evaluation sheets about a teacher’s performance only from the students that scored well in the class as it is assumed they would be more likely to give the teacher a favorable evaluation. Observer bias is the difference in results from different observers. It can be limited by collecting data several times or by different people and comparing the results. It is also important to conduct a thoughtful and honest self-analysis prior to any study to attempt to uncover any inherent biases that may exist (Raad, 2022). Biases that are uncovered during a research study should be documented in the field notes (Crawford, 2019).

 

References

Crawford, R. (2019). Using focused ethnography in nursing research. Kai Tiaki Nursing Research, 10(1).

Raad, D. (2022). Objectivity in scientific research. Study.com. https://study.com/learn/lesson/objectivity-scientific-research.html

Tappen, R. M. (2021). Advanced nursing research : From theory to practice. (3rd Edition). Jones & Bartlett Learning.

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Module 8 Assignment: Application of Theory in Nursing Practice, Research, Management, and Education

Assignment Description: FINAL POWERPOINT

Signature Assignment: Presentation

A nurse on the research and practice committee is preparing for an update on evidence-based practice (EBP). There is a need to address the potential changes with several EBP policies. This presentation will examine the EBP policies as well as reasoning and rationale as to why changes may be needed.

• Choose an EBP topic and two scholarly peer-reviewed journal articles• Compare the difference between theory, research, and practice in nursing• Choose a theory that best correlates with the EBP practice change that you would like to make• Compare and contrast the quantitative and qualitative research article that you choose for the EBP topic• What technology did you use to locate the articles? Databases? Search terms?• What are the philosophical, theoretical, and methodological perspectives in the research articles that were chosen?• What are the ethical and scientific integrity issues related to the research?• How did your nursing knowledge advance through the utilization of research?

This PowerPoint® (Microsoft Office) or Impress® (Open Office) presentation should be a minimum of 20 slides, including a title, introduction, conclusion and reference slide, with detailed speaker notes and recorded audio comments for all content slides. Use at least four scholarly sources and make certain to review the module’s Signature Assignment Rubric before starting your presentation. This presentation is worth 400 points for quality content and presentation.

Total Point Value of Signature Assignment: 400 points

The following specifications are required for this assignment:

  • Length: 20+ slides; title slide and reference slides do not count towards the minimum, answers must thoroughly address the questions in a clear, concise manner.
  • Structure: Additionally, because a good presentation has few words on the slides include a script with the verbiage you would say when presenting; script should be a minimum of 50 words per slide.
  • References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least four (4) scholarly sources to support your claims.

Module 8 Discussion Post: Application of Theory in Nursing Practice, Research, Management, and Education

Module 8 Overview: 

This module will examine several issues related to the application of theory in nursing practice, research, management, and education. The relationship between theory and practice and the concept of theory-based practice will be described, and the perceived theory-practice gap will be explored. Practice theories will be presented, as well as the concept of evidence-based practice.

This module will also examine a number of issues related to the interface of research and theory in the discipline of nursing. Topics covered include the relationship between research and theory, types of theory and corresponding research, how theory is used in the research process, and the issue of borrowed versus unique theory for nursing. How theory should be addressed in a research report and in the discipline’s research agenda will also be detailed.

Specific applications of administration and management theories, models, and frameworks in nursing and health care will also be explored. These concepts include organizational design, shared governance, transformational leadership, patient care delivery models, case management, disease/chronic illness management, quality management/performance improvement process tools and techniques, and evidence-based practice. Finally, this module will detail how theory influences and is influenced by nursing education—both to determine the content and structure of a program’s curriculum, and to determine the instructional processes and strategies used by faculty to teach students.

To improve the practice of nursing, nurses need to search the literature, critically appraise research findings, and synthesize empirically and contextually relevant theoretical information to be applied in practice. Theory and practice are intertwined and symbiotic: practice is the basis for nursing theory development, and nursing theory must be validated in practice. Despite this reciprocal relationship, many purport that a theory-practice gap exists, and the interaction remains fragmented or unrecognized. Several strategies to close the theory practice gap were presented. Practice theories, which are clinically specific and reflect a particular context, are easily applied in nursing research and practice. Evidence-based practice, defined as the conscientious, explicit, and judicious use of the current best evidence in making decisions about the care of individual patients, is often used by nurses in their delivery of care and exemplifies the union of theory and practice.

Theory is also integral to the process of research. It is paramount to use theory as a framework to provide direction regarding selection of the research design, identify approaches to measurement and methods of data analysis, and specify criteria for acceptability of findings as valid. The types of theory (descriptive, explanatory, and predictive) were summarized, with examples provided from nursing literature. Lastly, the three ways that theory is used in research were introduced: theory-generating, theory-testing, and theory as a conceptual framework. Nursing’s research agenda was identified, which respond to important issues from nursing practice, administration and management, and education.

Nursing practice is shaped and influenced by models and principles of leadership, management, and administration. It is important for advanced practice nurses to recognize and adapt to the specific organizational characteristics that define the organization in which they practice. The structure of an organization provides a framework in which management processes occur. Management strategists have formulated six elements of organizational structure: work specialization, chain of command, span of control, authority and responsibility, centralization, and departmentalization. Shared governance and transformational leadership were also discussed. Patient care delivery models adapt in response to changing needs of patients, society, and nurses. The patient care delivery models discussed in this module include functional nursing, team nursing, primary nursing, and patient-focused care. Case management, quality management, and disease/chronic illness management were also addressed with illustrative nursing applications.

Theoretical principles, concepts, and models are used in two ways in nursing. First, they are used to determine the content and structure of a program’s curriculum. Second, they are used to determine the instructional processes and strategies used by faculty to teach students. Technology plays an increasingly important role in nursing education, and incorporates distance learning methodologies and virtual reality simulation.

Discussion Question:

Visit an Internet resource devoted to evidence-based practice (Cochrane Collaboration, AHRQ’s National Guideline Clearinghouse, or Bandolier Evidence Based Journal). Review a summary systematic review on a topic of interest. Present your findings to your classmates, and illustrate how this may or may not be used in practice.

Your initial posting should be 250 to 350 words in length and utilize at least one scholarly source other than the textbook.

Evidence based practice is essential to effective social work practice. For this assignment, you are required to (a) identify a current practice problem relevant in your current agency (i.e., working with resistant clients, engaging clients when they don’t talk much, having negative perceptions about your client, counter transference, etc.), (b) after identifying your practice problem, conduct an extensive literature search as it relates to your practice problem that provides you with a complete understanding of the practice problem.

Paper details

Evidence based practice is essential to effective social work practice. For this assignment, you are required to (a) identify a current practice problem relevant in your current agency (i.e., working with resistant clients, engaging clients when they don’t talk much, having negative perceptions about your client, counter transference, etc.), (b) after identifying your practice problem, conduct an extensive literature search as it relates to your practice problem that provides you with a complete understanding of the practice problem.

Based on your findings in the literature, what did you discover that will help you address your practice problem? How might your research guide your work in your field agency?  After reviewing the literature/research and comparing it to the practice problem, the student is expected to do the following:

Submit a 2 page reflection paper that:

  1. Briefly discusses the literature
  2. Briefly identifies the practice problem
  3. Briefly explains how the literature will be used to address the practice problem while engaging in the agency.

 

Use references:

References

Working with Resistant Clients in Career Counseling. (1999). ERIC Digest, 435949, 1–6. https://doi-org.ezp.waldenulibrary.org/10.1037/e586442011-001

Thyer, B. A. (2013). Evidence-based practice or evidence-guided practice: A rose by any other name would smell as sweet [Invited response to Gitterman & Knight’s “evidence-guided practice”]. Families in Society, 94(2), 79–84.

Wharton, T. C., & Bolland, K. A. (2012). Practitioner perspectives of evidence-based practice. Families in Society, 93(3), 157–164.

Solution

Evidence Based Practice to solve a current Problem

Evidence based practice is essential to effective social work practice. It ensures that social workers offer high quality care, achieve improved outcomes from clients and better solve any practice problems they may encounter. During my practice at my current agency, I have encountered a problem working with resistant clients. This article seeks to solve this problem through the conducting of an extensive literature search as it relates to my practice problem. This will enable me to best understand the problem.

According to Thyer (2013), Evidence based practice is holistic as it involves integrating research evidence, literature, a social worker’s expertise and the patient’s unique circumstances. Literature helps the social worker to identify the methods of assessment and intervention that have been applied and the ones with the greatest scientific support. Seeking out available evidence is essential for effective applications in handling problems. However, according to Wharton & Bolland (2012), social workers determine how and when to use the evidence gained from their research.

Practice Problem

In my current practice with the agency I have encountered the problem of resistant clients. One of my clients is mostly silent and passive during our sessions. They rarely volunteer information and it has become extremely hard to get through to them. In most instances, the client shows up late for the sessions while other times they do not show up. On enquiry, the client makes excuses that they forgot or had another urgent matter to attend to. While I understand that every client has their unique experiences, it has become challenging to develop an intervention plan. Literature will help in dealing with resistance for effective social work practice.

Literature

The article by Eric Digest (1999), indicates that it is crucial to recognize that change has different implications on different clients. While in some clients there is no resistance, others respond to change through conscious or unconscious resistance. Therefore, a social worker should understand resistance to prevent misunderstanding the client or misleading their actions. A client may resist due to the fear of counselling, or taking responsibility (“Working with Resistant Clients in Career Counseling”, 1999). They may make excuses or have overt physical behavior like acting uninterested and sometimes even cancelling sessions prematurely.

Dealing with resistance comes with understanding that clients are different and resistance is their pattern of survival. Some of the strategies identifies to help in dealing with resistance include using metaphors to talk to the client and joining the client by appreciating their life struggles and showing willingness to work with them. Labelling and reframing their expressions helps the client see themselves in a different light which is likely to motivate them towards change (“Working with Resistant Clients in Career Counseling”, 1999). Striving to form a working alliance has also been found to be an effective strategy that social workers can implement to deal with resistance.

Literature application to address the practice problem

Applying the information acquired from literature, I am better informed of tested strategies I can implement to deal with resistance from my client. I have also realized that identifying resistance is important as it will ensure on utilizes strategies to ensure effective social work practice. Using the literature, I have learned that I should strive to form a working alliance with the client by being on their side. This will enable offering of client-centred service through the agency. It will also let the client feel that I am aware of their struggles, I appreciate them and willing to work with them (“Working with Resistant Clients in Career Counseling”, 1999). Using metaphors, relatable to the client, will enable communication and eventual reframing.

 

References

Thyer, B. A. (2013). Evidence-based practice or evidence-guided practice: A rose by any other name would smell as sweet [Invited response to Gitterman & Knight’s “evidence-guided practice”]. Families in Society, 94(2), 79–84.

Wharton, T. C., & Bolland, K. A. (2012). Practitioner perspectives of evidence-based practice. Families in Society, 93(3), 157–164.

Working with Resistant Clients in Career Counseling. (1999). ERIC Digest, 435949, 1–6. https://doi-org.ezp.waldenulibrary.org/10.1037/e586442011-001