Instructor Feedback Assignment 2 Grading Criteria Maximum Points Earned Points Background and Significance Section articulates the problem and need for the proposed innovation. 5 5 – NP Statement of the Problem and Purpose of the Study is appropriate and supported with evidence. 5 5 Research question 5 5 Research Hypothesis and Null Hypothesisare appropriate for research question. 15 10 – your research hypothesis is ok but you do not have a null – it should show no relationship between the same variables Variables are Operationally Defined. 15 0 – you have talked about your data collection methods but have not provided any variable definitions How are you defining – Patient satisfaction, improvement in health status, cost containment, availability of medical care Followed APA guidelines for writing style, spelling and grammar, and citation of sources. 5 2 – page 3 had two different font types (look at the in text citation) spelling error – (can) – null hypothesis section – need a conclusion to your paper Total: 50 27 Week 3 Research Proposal Draft Elizabeth Flores South University Running head: WEEK 3 RESEARCH PROPOSAL DRAFT 1 WEEK 3 RESEARCH PROPOSAL DRAFT 2 Week 3 Research Proposal Draft People will often judge others not just on the answer that is provided but also the question that is asked. Since we can't always get the answer right, we should try to at least get the question right!  So in this humbled researcher’s opinion, the most relevant question for a nurse practitioner is very important.  The question is: how can we elevate the level of health care in the United States and potentially the entire world while containing costs and effectively supply the voracious and ever growing need for compassionate, competent, and effective health care workers. This should also be accomplished as we fill the need for elevating the suboptimal work conditions, addressing the lack of respect, increasing the sub optimal remuneration, that advanced nurse practitioners are forced to endure on a daily basis.  The problem: Nurse practitioner are often bright, motivated, and talented individuals who are patient and just wanted to help the infirmed while making a career for themselves, which is barely possible in "todays climate".   The cause: Bright students are often pigeoned hole out of having the opportunity to attend medical schools by an antiquated and unfair school system in the United States. This system unfortunately often weeds out very talented and passionate individuals. I believe that schools from the very early ages are teaching many outdated concepts and use very tricky, sneaky, and unfair testing practices and questions.  These schools waste a lot of time teaching out dated concepts and facts.  Our world and has change so much yet schooling is locked into teaching many of the same concepts it did a hundred years ago while often ignoring more important concepts such health and cancer related topics.

1. Instructor Feedback
Assignment 2 Grading Criteria
Maximum Points
Earned
Points
Background and Significance Section articulates the problem
and need for the proposed innovation.
5
5 – NP
Statement of the Problem and Purpose of the Study is
appropriate and supported with evidence.
5
5
Research question
5
5
Research Hypothesis and Null Hypothesisare appropriate for
research question.
15
10 – your research hypothesis is ok but you do not have a null
– it should show no relationship between the same variables
Variables are Operationally Defined.
15
0 – you have talked about your data collection methods but
have not provided any variable definitions
How are you defining – Patient satisfaction, improvement in
health status, cost containment, availability of medical care
Followed APA guidelines for writing style, spelling and
grammar, and citation of sources.
5
2 – page 3 had two different font types (look at the in text

2. citation) spelling error – (can) – null hypothesis section –
need a conclusion to your paper
Total:
50
27
Week 3 Research Proposal Draft
Elizabeth Flores
South University
Running head: WEEK 3 RESEARCH PROPOSAL DRAFT 1
WEEK 3 RESEARCH PROPOSAL DRAFT 2
Week 3 Research Proposal Draft
People will often judge others not just on the answer that is
provided but also the question that is asked. Since we can't
always get the answer right, we should try to at least get the

3. question right! So in this humbled researcher’s opinion, the
most relevant question for a nurse practitioner is very
important. The question is: how can we elevate the level of
health care in the United States and potentially the entire world
while containing costs and effectively supply the voracious and
ever growing need for compassionate, competent, and effective
health care workers. This should also be accomplished as we fill
the need for elevating the suboptimal work conditions,
addressing the lack of respect, increasing the sub optimal
remuneration, that advanced nurse practitioners are forced to
endure on a daily basis.
The problem: Nurse practitioner are often bright, motivated, and
talented individuals who are patient and just wanted to help the
infirmed while making a career for themselves, which is barely
possible in "todays climate".
The cause: Bright students are often pigeoned hole out of
having the opportunity to attend medical schools by an
antiquated and unfair school system in the United States. This
system unfortunately often weeds out very talented and
passionate individuals. I believe that schools from the very
early ages are teaching many outdated concepts and use very
tricky, sneaky, and unfair testing practices and questions.
These schools waste a lot of time teaching out dated concepts
and facts. Our world and has change so much yet schooling is
locked into teaching many of the same concepts it did a hundred
years ago while often ignoring more important concepts such
health and cancer related topics as well as finances.
Unfortunately, the teachers and their unions resist change and
show no willingness to correct this because they are resistant to
change, challenges, and learning themselves. It reminds me of a
parallel to the auto industry and their reluctance accept electric
vehicles. As a result, many excellent people lose the
opportunity to attend medical school or veterinary
schools. Those who manage to navigate into the medical school
system then are at risk of suffering form human arrogance and
entitlement. As such, others " less fortunate" are at risk of being

4. treated as substandard in terms of pay, respect, decision making
abilities granted, and just about every other right has been
diminished (Consumer Report, March 2018, p. 48-57).
But the question still lingers, can bright, compassionate, and
intelligent, advanced nurse practitioners provide adequate
health care to the masses as well or better than physician and
the current system in place? The answer is yes! In fact, I would
argue that physician to are under paid and over worked as our
politicians and lawyers squander away our national dollars.
Doctors no longer have the time to properly attend the needs of
all of their patients as their salaries are constantly being
lowered and their duties expanded on an almost daily basis.
This gap is perfect for the advanced nurse practitioner to fill as
our population expands. Additionally, it much less time
consuming for our graduate schools to crank out an effective
advanced nurse practitioner than a doctor. Physicians
unfortunate loose so many years in non clinical classrooms
learning antiquated facts and concepts due to a resistance for
change on the behalf of the medical school system and it's
arrogant and self serving teachers associations. I guess maybe
they still haven't realized that the age of Google, electric cars,
led lighting, robotic surgical equipment and advanced space
travel is upon us and change is growth (Consumer Report,
March 2018, p. 48-57).
In The Null Hypothesis a researcher tries to nullify, disprove, or
reject, a hypothesis. The hypothesis the that an advanced nurse
practitioner is inadequate for managing a patent is wrong and ca
not be supported intelligently in this researcher’s humble
opinion (Consumer Report, March 2018, p. 48-57).
The operational variables involved in determining the
effectiveness and appropriateness of having a nurse practitioner,
play an important role on the healthcare team, in decision
making, and in complete having complete autonomy in
managing a patient's care are multiple. Fortunately, studies
have addressed these which can include: Patient satisfaction,

5. improvement in health status, cost containment, availability of
medical care. A recent article from consumers reports and
others have revealed that nurse practitioners as well as
physician's assistants fill a crucial and vital role in the
healthcare system and can adequately replace a physician
especially when working with physician oversight, for many of
the daily health care needs of many individuals in the United
states (Consumer Report, March 2018, p. 48-57)(Ljungbeck &
Sjögren Forss, 2017).
“Success of the MOQI model reinforces decades of research
demonstrating that care provided by APRNs is cost-effective,
safe, and associated with positive health outcomes and patient
satisfaction” (Rantz , Birtley , Flesner , Crecelius , & Murray,
Nov 2017).
References
Consumer Report. (March 2018). The ___ will see you now.
CR.ORG, 48-57.
Ljungbeck , B., & Sjögren Forss , K. (2017). Advanced nurse
practitioners in municipal healthcare as a way to meet the
growing healthcare needs of the frail elderly: a qualitative
interview study with managers, doctors and specialist nurses.
Retrieved from
https://www.ncbi.nlm.nih.gov/pubmed/29176932.
Rantz , M. J., Birtley , N. M., Flesner , M., Crecelius , C., &
Murray , C. (Nov 2017). Call to action: APRNs in U.S. nursing
homes to improve care and reduce costs. Retrieved from
https://www.ncbi.nlm.nih.gov/pubmed/28993075