Contents

• 1 NURS761 Leadership and Research for Nursing – Research Methods and Literature Review
  • 1.1 Experts Answer on Above Nursing Questions
    • 1.1.1 Literature review – Introduction
    • 1.1.2 Search strategy
    • 1.1.3 Critical appraisal
    • 1.1.4 Synthesis
    • 1.1.5 Ethical considerations
    • 1.1.6 Research methods essay
    • 1.1.7 Want Detailed Answers with References?
    • 1.1.8 Why Students Choose Us
    • 1.1.9 Need Help With Similar Nursing Assignment?

NURS761 Leadership and Research for Nursing – Research Methods and Literature Review

Part A

What you are doing and why

You will write a focused literature review (approx. 500 words) on one New Zealand relevant nursing question. Your job is to show you can find good evidence, critically appraise it, combine into a coherent argument, and evaluate the ethical considerations that shape rangahau and research in Aotearoa. The literature review is not an annotated bibliography, and it is not a copy and paste parade of quotes. Then, using this literature review, you will write a research methods essay (approx. 1000 words) that critiques qualitative, quantitative, and mixed methods approaches for your chosen nursing question. You are not being asked to write an ethics application here. You are being asked to think like a researcher and justify a design that fits the question, context, and reality of nursing practice in Aotearoa. Both Parts A and B must be attempted. Choose one question

1. How does nurse led triage in NZ emergency departments affect waiting time equity for Māori and Pacific peoples, and what outcomes should services measure?
2. Which nursing interventions best support medication safety and adherence for older adults in community nursing in Aotearoa New Zealand?
3. What are the impacts of nurse led chronic disease education (diabetes or COPD) in primary care on avoidable hospital admissions in NZ?
4. How do staffing ratios and skill mix on NZ medical wards relate to missed care and patient harm, and what nursing measures are most effective at mitigating harm?
5. How does digital health or telehealth nursing in NZ influence access for rural communities, and what barriers and facilitators should nursing leaders consider, address, and or implement?
6. How do culturally safe communication strategies (plain language, teach-back) influence patient health literacy and complaints in NZ nursing contexts?
7. Compare myocardial infarction diagnosis and mortality statistics by gender. What are some of the causes for disparity in care between genders and what interventions have been implemented to address this in Aotearoa?

Task instructions (what to include)

For the literature review:

• A clear introduction that states your chosen question and why it matters in NZ nursing practice.
• A brief search strategy summary: databases used, key terms, limits (for example last 10 years), and inclusion or exclusion criteria.
• Critical appraisal of the key literature: comment on quality, limitations, and relevance to the NZ context (this does not have to be every source just your key ones, Academic, popular and scholarly).
• Synthesis: group findings into themes or patterns and build an argument, not a list. For instance, consider what these themes and patterns suggest for possible future research, or do they already provide a full picture of your identified problem.
• Ethical considerations for rangahau and research in Aotearoa: include culturally responsive practice, Te Tiriti obligations, and relevant ethics principles such as informed consent, privacy, power, and data stewardship.
• A conclusion that answers: what does the evidence suggest, what is uncertain, and what should nursing practice or future research do next?

Leading on from your conclusion of where future research could lead, focus your essay on one of the following:

• Critique a qualitative approach: proposed design (for example kaupapa Māori, phenomenology, grounded theory), sampling, data collection, and what type of knowledge it produces for nursing practice.
• Critique a quantitative approach: proposed design (for example cross-sectional, cohort, RCT, audit), sampling, measurement, and what it can and cannot claim.
• Critique a mixed methods approach: proposed design (for example explanatory sequential), how integration would occur, and why it might add value.
• Then choose the single best approach for your question and defend it with tight reasoning, using evidence from the research-methods literature.
• Include a brief feasibility section: where in NZ the study could occur, who would be recruited, what data you would realistically obtain, and key risks to validity or trustworthiness.

Part B: Research Essay

What you are doing and why

You will write a research methods essay that critiques qualitative, quantitative, and mixed methods options for your chosen nursing question. You are not being asked to write an ethics application here and you are not being asked to redo your literature review. You are being asked to think like a researcher and justify a design that fits the question, context, and reality of nursing practice in Aotearoa.

Task instructions (what to include)

• Restate your chosen research question and define the key variables or concepts.
• Critique a qualitative approach: proposed design (for example kaupapa Māori, phenomenology, grounded theory), sampling, data collection, and what type of knowledge it produces for nursing practice.
• Critique a quantitative approach: proposed design (for example cross-sectional, cohort, RCT, audit), sampling, measurement, and what it can and cannot claim.
• Critique a mixed methods approach: proposed design (for example explanatory sequential), how integration would occur, and why it might add value.
• Choose the single best approach for your question and defend it with tight reasoning, using evidence from the research methods literature.
• Brief feasibility section: where in NZ the study could occur, who would be recruited, what data you would realistically obtain, and key risks to validity or trustworthiness.

Experts Answer on Above Nursing Questions

Literature review – Introduction

The role and implication of culturally safe communication is significant in nursing because it helps in enhancing patient understanding, engagement and health outcomes. In Aotearoa New Zealand, culturally safe communication is highly essential in reducing health in equity experience by Maori and pacific people, and it has a major role to play in supporting equitable nursing care.

Search strategy

The database is considered for the literature search are CINAHL, PubMed, Scopus and google scholar. The keywords that are utilised to source relevant articles are culturally safe communication, health literacy, Maori, pacific, New Zealand nursing. The limits that are considered is to source articles that are published within the last 10 years, and the inclusion criteria is to include New Zealand studies and international research relevant to health literacy. Exclusion criteria is to exclude non healthcare studies, and the ones that were published before 2015.

Critical appraisal

A critical analysis of the recent New Zealand studies indicates that the role and implication of the teach-back method is significant in improving patient understanding and medication compliance. The studies that were used are of good quality but the major issue was with the sample size as it was too small and thereby limits generalisability. The findings from the international studies also revealed similar types of results but it does not mirror the New Zealand cultural context.

Synthesis

There are three important themes identified such as culturally safe communication contributes positively towards patient health literacy, and with the help of teach-back, it is possible to avoid misunderstanding and medication errors. It is also evident that the consideration of respect in communication further enhances trust and patient satisfaction with Maori and pacific communities.

Ethical considerations

The ethical considerations made are to respect Te Tiriti o Waitangi principles, obtain proper prior consent from the participants, maintain privacy and confidentiality, and ensure the Maori participation throughout the research process.

Research methods essay

Research question – what role does culturally safe communication plays in influencing the patient’s health literacy and complaints in New Zealand nursing settings.
Key variables – the independent variable is the culturally safe communication strategies while the dependent variables are health literacy, patient complaints and patient satisfaction.
Qualitative approach – The research design appropriate is Kaupapa Maori or phenomenological study, which includes interviews with Maori and pacific patients in order to explore their experiences and perceptions.
Quantitative approach – The design suitable is a cross sectional survey with the objective of surveys measuring health literacy and patient satisfaction. It includes the application of statistical analysis to identify relationships, and produce measurable evidence.
Mixed method approach – the design suitable is explanatory sequential design which includes carrying out surveys first, followed by interviews to explain the findings from the survey.
Best research approach – the best research approach is the mixed method approach because it takes into consideration the measurable outcomes while the qualitative factor considers patients cultural experiences and supporting evidence based nursing practice in Aotearoa.
Feasibility – the location suitable is Public Hospital across Auckland and Wellington, and the participants appropriate are Maori and Pacific patients receiving nursing care. The data collection is through patient surveys, interviews, and health literacy assessments. The risks are recruitment challenges, participant bias, and maintaining confidentiality.

Want Detailed Answers with References?

The analysis of the nursing research methods including literature review, qualitative, quantitative and mixed methods above reflected the ways in which the research can be carried out. With our nursing research writing experts in New Zealand, you can expect research based nursing essays to be completed with perfection at affordable prices. Also explore the solved answers from Waikato Institute of Technology to understand how your essay is likely to be approached by our NZ nursing experts.