Nursing Research and Evidence based practice

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Title Comment by Evelyn Bowman: Need a working title and your name does not belong here

FUNMILOLA OMO-OLAOYE

Capstone Project

Submitted to Grantham University

Graduate Faculty of the School of Nursing

in Partial Fulfillment of the

Requirements for the Degree of

Master of Nursing

(Management and Organizational Leadership Track)

by

FUNMILOLA OMO-OLAOYE

Lenexa, Kansas

November,2021.

ii

Title

The role of Nurse Leaders in resolving conflict/bullying in the workplace.

APPROVAL PAGE

Title

by

FUNMILOLA OMO-OLAOYE

Approved by:

_______________________________________________ ________________

Faculty: Name, degree and credentials Date

Certified by:

_______________________________________________ ________________

School Dean: Name, degree and credentials Date

Rev 4/27/2017, 6/17/18

Abstract

Table of Contents

List of Tables xii

List of Figures xiv

Chapter 1: Introduction 1

Background 5

Problem Statement 7

Purpose 12

Theoretical Framework 17

Nature of the Project 31

Significance of the Project 32

Definitions 33

Summary 34

Chapter 2: Literature Review 36

Theme/Subtopic [repeat as needed] 36

Summary 49

Chapter 3: Project Design 52

Project Design 52

Participants 57

Materials/Instruments 58

Imple me ntation 66

Assumptions and Limitations 68

Ethical Assurances 70

Summary 71

Chapter 4: Evaluation 72

Evaluation of Project Design 72

Evaluation of Project Implementation……………………………….………….……76

Summary 81

Chapter 5: Implications, Recommendations, and Conclusions 82

Implications 82

Recommendations 84

Conclusions 86

Appendixes 88

Oral Presentation………………………………………………………..……………89

Programmatic Outcomes Self -Assessment……………………………………….…90

Appendix A: Title 89

Appendix B: Title 90

Chapter 1: Introduction Comment by Darcy Nelson: I am sending you a sample copy of chapter 1

The role of Nurse Leaders has become very multitasking in our current age, one very important area nurse leaders need to focus on is on problem solving, change and conflict resolution in the workplace. Also, Nurse leaders need to be able to tackle issues that have to do with bullying in the workplace as this has been in existence for many years now in various workplaces. Nursing Leaders need to be able to handle conflict and other work-related issues effectively. Comment by Darcy Nelson: The role of the nurse leader has changed overtime and has increased in complexity of tasks in our current healthcare climate. Comment by Darcy Nelson: I would take out very multitasking no one can actually multitask. You need to be able to give 100% to what you are doing. Comment by Darcy Nelson: Place a citation reference here. How do you know this a problem Comment by Darcy Nelson: Place a citation reference here. How do you know this is a problem Comment by Darcy Nelson: This introduction should tell me about what is to follow in the chapter. Is your project topic about bullying? If that is the case you need to develop the introduction so people know what they are going to read.

1. Begin with a careful analysis. Note the following points.

(a) The length range for this section is from a few paragraphs to two pages.

(b) The focus of the introduction is to be the “Project topic” That may seem

obvious, but it is easy to include material that is irrelevant or inappropriate for this

or any other section of a Project. You should look at each piece of information to

determine what it contributes to a discussion of your Project. Use the guidance in

this document as an editing checklist to insure you have included all material that

is required to frame your project and eliminated all material that is not. Providing

extraneous material is a particular problem for both emerging and established

scholars. Careful editing and rewriting is the best approach to dealing with this

challenge.

(c) The content offered must establish the main ideas and context of the project.

(d) Each assertion is to be backed by scholarly sources.

(e) The introduction section is to wrap up with an overview of what is contained

in chapter one.

Background Comment by Evelyn Bowman: Without really identifying what you plan to do in your intro, writing your background is difficult. Are you going to focus on conflict in the work place and what kind of conflict or are you more interested in how leadership can resolve whatever kind of conflict you are addressing. In any case you need to give background on your project—what has been done nationwide to address whatever your project will be focused on; has anything been done in your work place?

The problem/issue that I am concerned about writing is on the roles of Nursing Leadership in problem solving, change and conflict resolution in the workplace. Nurse bullying is a systemic, pervasive problem that begins well before nursing school and continues throughout a nurse's career (Nurse Adm, 2019). Comment by Darcy Nelson: This is not a paper/project that will be written in 1st person. Comment by Darcy Nelson: What is your project? What will you be developing? Your problem is about systemic bullying. The background needs more information.

Statement of the Problem Comment by Darcy Nelson: The problem statement is about bullying are you developing a protocol? You want to bring in literature to support what the project is about within the problem statement.

The problem is….. I am interested in this topic because where I currently work which is long-term care/retirement living setting, there is a lot of conflicts amongst staff members, and this is a very critical and sensitive issue, in that if the nurse manager does not manage the situation properly or in the proper way it will lead to a lot of chaos in the healthcare setting. Comment by Darcy Nelson: Again not an I paper.

Purpose examine role of nurse manager: develop policy guidelines to help nurse leaders to become better at conflict resolution or dealing with workplace violence. Comment by Evelyn Bowman: Identify common workplace issues; bullying; roles of the nurse leader; performance; retention and from your problem statement conflict.. First and foremost your capstone project demands you do something and you have noted 5 different issues so what are you going to focus on. The reason you cannot write a purpose statement is because you have not written a strong problem statement that is supported by evidence.

Nurse leader ways to resolve ongoing issue: disciplinary action regardless of loss of staff.

The purpose of this project is to identify common workplace issues mainly the issue of bullying in the workplace, and possible roles the nurse leader can use to correct this issue in the workplace. If issues like these are not addressed, it affects the performance of Nurses and will cause a situation of constant shortage of nurses in most workplaces as most nurses facing theses situations tend to quit their jobs in pursuit of a more therapeutical environment to work. Comment by Darcy Nelson: What are you going to do to help solve the issue? This should be more than 1 paragraph and needs further development with supporting evidence.

Theoretical Framework

The Donabedian model will guide the study. Its process, structure, and outcome are used to evaluate and inform efforts made to ensure improved care among patients. The model proposes using various categories, incorporating process, structure, and outcome to assess healthcare quality effectively. For example, bullying in the workplace is caused by multiple factors, including targets on skilled workers due to increases positive attention from managers and supervisors (Akella, 2016). Others may be bullied due to being popular and well-liked by the majority of the organization's members. Finally, others hold the stereotype that bullying in any organization must take place. For this study, the independent and dependent variables will be participants and the effects of bullying that affect the process and the outcome. This theory will assume that the causes of bullying affect all nurses in the various health care facilities. However, the findings will not be generalized to avoid bias. Comment by Darcy Nelson: Remember this is a project not research. So what are you developing?

Nature of the Project

The overall project will comprise a set of interrelated activities intended as a permanent endeavor. The study will employ a qualitative, descriptive approach, which is effective in necessitating effective exploration. Similarly, the selected sample of nurses will be required to have faced workforce bullying for at least nine months and be bullied by a colleague or any healthcare worker. Data collection will be collected using open-ended questionnaires, which will allow nurses to explain everything from their own perception and experience. The sampling and sample size will involve selecting approximately twenty-five nurses to avoid the biases associated with selecting too small or big (Meires, 2018). Therefore, it controls the internal and external threats. Essentially, the researcher will aim at collecting detailed descriptions and quotes from the selected sample during the study to provide detailed information to ensure a successful project. Comment by Darcy Nelson: This is not a research it is a project.

Significance of the Study

Workplace bullying affects the emotional well-being and productivity of nurses, increasing their desire to leave the job. This leads to poor health among patients in the affected health care centers. This project will assist in mitigating bullying among nurses by crossing the gap between nurses or nurses and other health care workers. Also, it will give nurses a chance to address their widespread problems, where they will do so using open-ended questionnaires that covers all the affected areas. The project will assist in deepening and consolidating the practical skills and theoretical knowledge acquired in class.

Similarly, the collected data will assist in solving problems in practice and make an outstanding contribution to the nursing field (Polit, 2017). This is by adding knowledge and materials that align with other researchers' previously done works in the field. The work will also include the limitations that may be faced during the study and provide recommendations that future researchers can utilize to make perfect studies. Finally, reviewing literature by other scholars within the field assists in recognizing and appreciating their outstanding contributions to nursing research.

Definitions

There are various terms that the research paper will incorporate throughout. Such terms include but are not limited to bullying, workplace, process, outcome, and structure. Bullying, in this case, refers to repeated and unwanted harmful actions that the doers intend to humiliate, cause distress, and offend their recipients (Meires, 2018). The model that guides the study entails process, structure, and outcome. Structure refers to the qualifications of the provider and the workplace in which the care services occurs. The process will refer to the components that make up the efforts to give and receive care among nurses and patients. Moreover, outcomes focus on the overall patients' recovery, survival, and functions restoration. Finally, the Healthcare workplace will refer to where healthcare workers such as doctors and nurses gather to share skills, experiences, and goals to work hard towards community health. The terms will be used interchangeably, where outcomes will be used when exploring bullying, its effects on nurses' operations, and the patients' health.

Summary

The nursing practice is dedicated to helping patients who require health care services. Over the years, nurses have been facing bullying, which originates from nurses to nurses, healthcare workers, or nurses to leaders. With the adverse environment that bullying causes, the paper addresses in detail the problems associated with bullying. The researcher selects a sample of nurses to make the study successful on the effects of bullying and later finds strategies to overcome them. The research utilizes a conceptual framework that the Donabedian model guides. This model focuses on improved healthcare among the people- reducing bullying will ensure that nurses do not leave their jobs, which will increase health status among patients. The study utilizes a qualitative, descriptive approach that provides a successful project. Ultimately, the sample size is selected while maintaining internal and external validity control for the data to be collected. Utilizing the highlighted tactics will make the project successful.

Programmatic Outcomes required to be addressed in Chapter 1

Programmatic Outcomes are to be infused throughout the Capstone Project. There is not a specific heading for it, but it must be visible where the outcome is being addressed. As you write, you will be citing where you believe you have achieved these outcomes. You will use the “MSN Programmatic Outcomes with Citation Codes” document to identify the Outcomes by letter and number (ex. E1) for both the Core and Specialty Track Outcomes. Core Outcomes will be found for each chapter and identified as “C1-6”. Each of the four specialization tracks Case Management (M1-5), Nursing Informatics (I1-5), Education (E1-5), Management and Leadership (L1-5) may have specific competencies under different sections. The student will highlight the sentences/paragraphs where the numbers are placed for grading by the faculty during the early phases of the writing. Later the student will transfer the best examples of the outcomes to the PO ID table attached at the end. This will be specified in the assignment. In the 600 level courses where the paper is nearing completion it gets rather long. The instructor may request the student to begin using the Change Matrix for easier identification on new content as well as verification of requested changes. The Change Matrix is attached to this document. The student is encouraged to create a final copy without highlighting for publication and the presentation.

Core Outcomes (C)

· Patient Centered Care (C3)- Design nursing care for a clinical or community-based population with respect to cultural diversity, biophysical, psychosocial, and organizational needs

· Evidence Based Practice (C5)- Combine theory and research-based knowledge from nursing and the sciences as they relate to the interdisciplinary team when designing, coordinating and evaluating quality patient care.

Management and Organizational Leadership (MOL) Specialization Outcomes

· Evidence Based Practice (L1)- Utilize management principles to coordinate health care activities with regard to human, capital, system and community resources

Chapter 2: Literature Review

[Begin with a summary of the purpose statement that leads to a brief explanation of the logical organization of the literature review. Include a paragraph that explains the literature search strategy and describes the sources.]

Theme/Subtopic [repeat as needed]

[Present the theoretical or conceptual framework(s) related to the study.]

Theme/Subtopic [repeat as needed]

Theme/Subtopic [repeat as needed]

Summary

[ Summarize key points presented in chapter 2 and include supporting citations.]

Programmatic Outcomes required to be addressed in Chapter 2

Core Outcomes (C)

· Evidence Based Practice (C5)- Combine theory and research-based knowledge from nursing and the sciences as they relate to the interdisciplinary team with designing, coordinating and evaluating quality patient care

Management & Organizational Leadership Specialization (L)

· Collaboration & Teamwork (L3)- Apply the theories of leadership to provide a supportive work environment that encourages staff development and promotes a quality health care environment.

Chapter 3: Project Design

[Begin with an introduction and/or restatement of the research problem and purpose. Conclude the introduction with a brief overview of the chapter.]

Project Plan

[Accurately describe the plan for the applied project. This section should be very detailed with every step fully described and supported by the literature. Substantiate the appropriateness of the plan; the strategy for developing the project, engaging stakeholders, providing education, implementing changes, etc. Each step toward researching, designing, and implementing the applied project should be fully elucidated here.]

Participants

[Describe the participants in your project and the role they will play in it]

Materials/Instruments

[In this section, include a description of the materials (order sets, teaching plans, windshield surveys, etc.]

Evaluation

[Describe the planned evaluation of the efficacy of the project in detail. Actual evaluation will be presented in Chapter 4. Here, describe what will be done.]

Assumptions and Limitations

[Thoroughly discuss the assumptions about the design and process and what problems may be anticipated to arise given your project and implementation.]

Ethical Assurances

[While applied projects do not involve human subjects thoroughly explore any ethical considerations here.]

Summary

[Summarize key points presented in chapter 3 and provide supporting citations for key points.]

Programmatic Outcomes required to be addressed in Chapter 3

Core Outcomes (C)

· Diversity (C1)- Integrate nursing and related sciences into the delivery of advanced nursing care to diverse populations

· Critical Thinking (C2)- Incorporate concepts of advanced practice nursing when making nursing diagnoses and critical thinking decisions about educational and therapeutic interventions

· Collaboration and Teamwork (C4-) Demonstrate high-level communication skills when involved with patients and professionals both within and outside the healthcare field.

Management & Organizational Leadership Specialization Outcomes (L)

· Evidence Based Practice (L1)- Utilize management principles to coordinate health care activities with regard to human, capital, system and community resources.

· Quality Improvement (L2)- Design strategic plans for the development and maintenance of health care environments to insure quality improvement and provide for innovation and change

· Safety (L4)- Demonstrate commitment to adhere to current standards and regulatory agency requirements in the provision of nursing care

Chapter 4: Evaluation

[Begin the discussion with a brief overview of the purpose of the applied project and provide a brief overview of the chapter. Organize the chapter around the actual implementation of the project. Describe each step of the implementation in detail.]

Results

[Once implemented, describe (without analysis) the change.]

Evaluation of Findings

[This section is used to analyze the process change that has been implemented. The discussion will be expanded in Chapter 5. Interpret results in light of the theory (or theories) and/or the conceptual framework(s) you have identified. Describe whether the analysis of the process change was expected given the literature and provide potential explanations for unexpected or conflicting responses.]

Summary

[Discussion summarizes key points presented in Chapter 4.]

Programmatic Outcomes required to be addressed in Chapter 4

Core Outcomes (C)

· Evidence Based Practice (C5)- Combine theory and research-based knowledge from nursing and the sciences as they relate to the interdisciplinary team when designing, coordinating and evaluating quality patient care.

Management & Organizational Leadership Specialization Outcomes

· Quality Improvement (L2)- Design strategic plans for the development and maintenance of health care environments to insure quality improvement and provide for innovation and change.

Chapter 5: Implications, Recommendations, and Conclusions

[Begin the discussion with a brief review of the problem statement, purpose, process, and ethical dimensions, and conclude the introduction with a brief overview of the chapter.]

Implications

Recommendations

[Present all recommendations for practical applications of the study. Note: support all recommendations with the analysis of the project. Present recommendations for any future changes.]

Conclusions

[In this section, summarize all key points in Chapter 5.]

Programmatic Outcomes required to be addressed in Chapter 5

Core Outcomes (C)

· Professionalism (C6)- Formulate career management strategies, including self-advocacy, to enhance professional growth.

Management & Organizational Leadership Specialization Outcome (L)

· Quality Improvement (L5) - Provide leadership in the delivery of professional nursing practice that is safe, cost-effective and promotes continuity of care across the health care continuum

References

Reference 1

Reference 2

Reference n…

Instructions: All resources cited in the dissertation must be included in the list of references.

List all references in APA format with the exception noted below. For each reference listed, there must be at least one corresponding citation within the body of the text, and vice-versa.

Formatting: Single space each reference citation, along with a .5 inch hanging indent; double space between consecutive references in the reference list (See the Doctoral Candidacy Resource Guide located in the Dissertation Center for NCU exceptions to APA format).

Tips: Sort in alpha surname/title order. Only capitalize the first word of the title and of the subtitle, if any. Do not bold the title. Know when to italicize and when not to (i.e., periodical/non-periodical/publication versus book/report/paper). Italicize volume (i.e., Journal Name 4, pp. 12-22.). Please refer to the APA Manual, 6th edition and the Writing Center for additional APA guidance.

Note: APA6 requires a Digital Object Identifier (DOI) be provided, if one has been assigned (see page 187-192).

Example (note single-space references, with double-spacing in-between):

Ahn, J. (2004). Electronic portfolios: Blending technology, accountability and assessment. T.H.E. Journal, 31(9), 12-18.

U.S. Government Printing Office. (2006). Catalog of U.S. Government publications: New electronic titles.

Winslade, J., & Monk, G. (2001). Narrative mediation: A new approach to conflict resolution. San Francisco, CA: Jossey-Bass.

Appendixes

[Each Appendix referenced in the text should appear in this section at the end of the manuscript. Appendixes should be listed in the order in which they are referenced in the text. ]

Appendix A: Title (then B and so on)

[Insert/type Appendix A content here]

NUR602 MOL Student Program Outcome Identification Table

For Grading Only

The MSN Program Core Outcomes and the Specialty Outcomes must be identified throughout your Capstone Project. At the end of each chapter, the outcomes are detailed that pertain to the Core Courses and your MSN specialty courses. You must identify EVERY MSN Concept that relates to the Program Outcomes.

These Concepts must be linked to the sentences you wrote showing you included the Concept.

In this column, place the page number where this concept can be found

In this column, cut and paste several sentences that provide evidence from your written work that you addressed the Concept.

MSN Core Program Outcomes

MSN Concept

Page #

(one best example) Cut and Paste Sentences

C3

Design nursing care for a clinical or community-based population with respect to cultural diversity, biophysical, psychosocial, and organizational needs

Patient-Centered Care

C5

Combine theory and research-based knowledge from nursing and the sciences as they relate to the interdisciplinary team with designing, coordinating and evaluating quality patient care (Found in Chapter 1, 2, 3)

Evidence-Based Practice

C1

Integrate nursing and related sciences into the delivery of advanced nursing care to diverse populations

Diversity

C2

Incorporate concepts of advanced practice nursing when making nursing diagnoses, and critical thinking about educational and therapeutic interventions

Critical Thinking

C4

Demonstrate high-level communication skills when involved with patients and professionals both within and outside the healthcare field

Collaboration and Teamwork

C6

Formulate career management strategies, including self-advocacy, to enhance professional growth.

Professionalism

Management and Organizational Leadership Program Outcomes

MSN Concept

L1

Utilize management principles to coordinate health care activities with regard to human, capital, system and community resources. (L1)

Evidence-based Practice

L3

Apply the theories of leadership to provide a supportive work environment that encourages staff development and promotes a quality health care environment. (L3)

Collaboration & Teamwork

L2

Design strategic plans for the development and maintenance of health care environments to ensure quality improvement and provide for innovation and change. (L2)

Quality Improvement

L4

Demonstrate commitment to adhere to current standards and regulatory agency requirements in the provision of nursing care. (L4)

Safety

L5

Provide leadership in the delivery of professional nursing practice that is safe, cost-effective and promotes continuity of care across the health care continuum. (L5)

Quality Improvement

Grantham University CHANGE MATRIX FORM

A change matrix is required with every resubmission.

A detailed change matrix simplifies the review process and indicates to the instructor that the student has demonstrated a clear and thorough response to the requested edit comments.

Instructor comments are not intended as an exhaustive list. It is the student’s responsibility to correct any additional errors that are not specifically noted throughout the manuscript. For instance, a comment that there needs to be two spaces between sentences should result in proofing of the entire paper and all instances should be revised.

If the student is uncertain how to revise a requested edit, please email the instructor for further assistance and clarification.

If, after discussion with the instructor, the student chooses not to make a requested change, the student must provide a brief rationale, and describe how they addressed the concerns/requests.

Resubmissions will not be accepted without a completed change matrix.

Title of Research Paper:

Student:

Date:

Instructor’s recommendation

How addressed

Page numbers where change appears

please add rows as needed and highlight new revisions