This study investigated how patients with intestinal failure experience their hospital surroundings in relation to patient participation. Eight patients were interviewed using a semi-structured method, and the interviews were analyzed using systematic text condensation. The results showed that the surroundings enabled patients to participate in their treatment and care by providing opportunities to seek information and participate in daily activities. This led patients to feel independent, reassured, in control, and confident. The study concluded that hospital surroundings are essential for supporting patient participation in their own care and that the relationship between surroundings and participation should be considered in nursing care planning.
Course 2 the need for a careful and thorough historyNelson Hendler
The medical literature reports that 40%-80% of chronic pain patients are misdiagnosed. Clearly, misdiagnosis leads to ordering the wrong tests, and thereby obtaining an incorrect diagnosis, or overlooking a diagnosis totally, which results in mistreatment. Many reports in the medical literature indicate the best way to get an accurate diagnosis, is to obtain a complete and thorough history. However, this is a time consuming process, and most physicians don’t spend the needed time with a patient. Therefore, a team of doctors from Johns Hopkins Hospital developed a 72 question test, with 2008 possible answers, available over the Internet. When a patient completes the questionnaire, diagnoses are returned within 5 minutes. These diagnoses have a 96% correlation with diagnoses of Johns Hopkins Hospital doctors. This is the highest level of accuracy of any expert system available. The efficacy of this approach is proven by outcome studies, which prove that this approach results in a far higher return to work rate and reduced use of medication and doctors visits, when compared to other techniques. This is similar to the techniques used by Johns Hopkins Hospital to reduce their workers compensation payments by 54%.
Objective: To evaluate the utility of a targeted lecture in improving FP awareness amongst clinicians.
Design: This is a dual institution, prospective survey-based study assessing if an educational lecture can increase the likelihood of FP consideration, discussion, and referral.
Shelagh Morris, Allied Health Professions Officer of the Department of Health, talks about supplementary prescription. COT Annual Conference 2010 (22-25 June 2010)
Prescribing, administration and supply of medicines by allied health professi...MS Trust
This presentation by Helen Marriott, AHP Medicines Project Lead, looks at prescribing and medicines supply mechanisms and the AHP Medicines Project.
It was presented at the MS Trust Annual Conference in November 2014.
A better journey for patients seven days a week and better deal for the NHS
Progress review (2012/13) and level of ambition (2014/15)
Given the current national focus on delivering quality clinical pathways seven days a week, integrated across the whole health care system, and the Royal Colleges' commitment to drive the delivery of enhanced recovery as standard practice, this publication sets out the levels of ambition to extend the principles of enhanced recovery beyond elective care. - See more at: http://www.nhsiq.nhs.uk/resource-search/publications/enhanced-recovery-care-pathway-review.aspx#sthash.393XLcYF.dpuf
Making a difference - the benefits and challenges of non-medical prescribingMS Trust
This presentation by Nikki Embrey from the North Midland MS Service looks at the benefits of and barriers to nurse prescribing, and whether it can make a difference to patient outcomes.
It was presented at the MS Trust Annual Conference in November 2014.
NHS England National Perspective – Enhanced Recovery Care Pathways: a better journey for patients seven days a week and better deal for the NHS
Dr Celia Ingham Clark,
National Clinical Director for Enhanced Recovery and Acute Surgery, NHS England
Presentation from Shaping the Future Direction of Enhanced Recovery Care Pathway Seven Days a Week workshop held in London on 5 December 2013
PausraCeMaAna Deb Dec Insd DeInternati.docxssuser562afc1
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International Journal of Nursing Studies 50 (2013) 1537–1549
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tient preference and satisfaction in hospital-at-home and
ual hospital care for COPD exacerbations: Results of a
ndomised controlled trial§,§§
cile M.A. Utens a,b,*, Lucas M.A. Goossens c, Onno C.P. van Schayck b,
ureen P.M.H. Rutten-van Mölken c, Walter van Litsenburg a, Annet Janssen a,
ouschka van der Pouw d, Frank W.J.M. Smeenk a
partment of Respiratory Medicine, Catharina Hospital, Eindhoven, The Netherlands
partment of General Practice, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands
titute for Medical Technology Assessment, Erasmus University, Rotterdam, The Netherlands
partment of Respiratory Medicine, Rijnstate Hospital, Arnhem, The Netherlands
What is already known about the topic?
� Patient satisfaction with hospital-at-home schemes is
high, but most schemes admit patients with various
conditions.
� Effectiveness and cost-effectiveness of hospital-at-home
and usual hospital care for COPD patients are not
T I C L E I N F O
le history:
ived 27 September 2012
ived in revised form 15 March 2013
pted 15 March 2013
ords:
pital-at-home
y assisted discharge
nic Obstructive Pulmonary Disease
ent preference
ent satisfaction
A B S T R A C T
Background: In the absence of clear differences in effectiveness and cost-effectiveness
between hospital-at-home schemes and usual hospital care, patient preference plays an
important role. This study investigates patient preference for treatment place, associated
factors and patient satisfaction with a community-based hospital-at-home scheme for
COPD exacerbations.
Methods: The study is part of a larger randomised controlled trial. Patients were
randomised to usual hospital care or early assisted discharge which incorporated
discharge at day 4 and visits by a home care nurse until day 7 of treatment (T + 4 days). The
hospital care group received care as usual and was discharged from hospital at day 7.
Patients were followed for 90 days (T + 90 days). Patient preference for treatment place
and patient satisfaction (overall and per item) were assessed quantitatively and
qualitatively using questionnaires at T + 4 days and T + 90 days. Factors associated with
patient preference were analysed in the early assisted discharge group.
Results: 139 patients were randomised. No difference was found in overall satisfaction. At
T + 4 days, patients in the early assisted discharge group were less satisfied with care at
night and were less able to resume normal daily activities. At T + 90 days there were no
differences for the separate items. Patient preference for home treatment at T + 4 days was
42% in the hospital care group and 86% in the early assisted discharge group and 35% and
59% at T + 90 days. Patients’ mental state was.
PausraCeMaAna Deb Dec Insd DeInternati.docxkarlhennesey
Pa
us
ra
Ce
Ma
An
a De
b De
c Ins
d De
International Journal of Nursing Studies 50 (2013) 1537–1549
A R
Artic
Rece
Rece
Acce
Keyw
Hos
Earl
Chro
Pati
Pati
§
dist
§§
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Cath
002
http
tient preference and satisfaction in hospital-at-home and
ual hospital care for COPD exacerbations: Results of a
ndomised controlled trial§,§§
cile M.A. Utens a,b,*, Lucas M.A. Goossens c, Onno C.P. van Schayck b,
ureen P.M.H. Rutten-van Mölken c, Walter van Litsenburg a, Annet Janssen a,
ouschka van der Pouw d, Frank W.J.M. Smeenk a
partment of Respiratory Medicine, Catharina Hospital, Eindhoven, The Netherlands
partment of General Practice, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands
titute for Medical Technology Assessment, Erasmus University, Rotterdam, The Netherlands
partment of Respiratory Medicine, Rijnstate Hospital, Arnhem, The Netherlands
What is already known about the topic?
� Patient satisfaction with hospital-at-home schemes is
high, but most schemes admit patients with various
conditions.
� Effectiveness and cost-effectiveness of hospital-at-home
and usual hospital care for COPD patients are not
T I C L E I N F O
le history:
ived 27 September 2012
ived in revised form 15 March 2013
pted 15 March 2013
ords:
pital-at-home
y assisted discharge
nic Obstructive Pulmonary Disease
ent preference
ent satisfaction
A B S T R A C T
Background: In the absence of clear differences in effectiveness and cost-effectiveness
between hospital-at-home schemes and usual hospital care, patient preference plays an
important role. This study investigates patient preference for treatment place, associated
factors and patient satisfaction with a community-based hospital-at-home scheme for
COPD exacerbations.
Methods: The study is part of a larger randomised controlled trial. Patients were
randomised to usual hospital care or early assisted discharge which incorporated
discharge at day 4 and visits by a home care nurse until day 7 of treatment (T + 4 days). The
hospital care group received care as usual and was discharged from hospital at day 7.
Patients were followed for 90 days (T + 90 days). Patient preference for treatment place
and patient satisfaction (overall and per item) were assessed quantitatively and
qualitatively using questionnaires at T + 4 days and T + 90 days. Factors associated with
patient preference were analysed in the early assisted discharge group.
Results: 139 patients were randomised. No difference was found in overall satisfaction. At
T + 4 days, patients in the early assisted discharge group were less satisfied with care at
night and were less able to resume normal daily activities. At T + 90 days there were no
differences for the separate items. Patient preference for home treatment at T + 4 days was
42% in the hospital care group and 86% in the early assisted discharge group and 35% and
59% at T + 90 days. Patients’ mental state was ...
Course 2 the need for a careful and thorough historyNelson Hendler
The medical literature reports that 40%-80% of chronic pain patients are misdiagnosed. Clearly, misdiagnosis leads to ordering the wrong tests, and thereby obtaining an incorrect diagnosis, or overlooking a diagnosis totally, which results in mistreatment. Many reports in the medical literature indicate the best way to get an accurate diagnosis, is to obtain a complete and thorough history. However, this is a time consuming process, and most physicians don’t spend the needed time with a patient. Therefore, a team of doctors from Johns Hopkins Hospital developed a 72 question test, with 2008 possible answers, available over the Internet. When a patient completes the questionnaire, diagnoses are returned within 5 minutes. These diagnoses have a 96% correlation with diagnoses of Johns Hopkins Hospital doctors. This is the highest level of accuracy of any expert system available. The efficacy of this approach is proven by outcome studies, which prove that this approach results in a far higher return to work rate and reduced use of medication and doctors visits, when compared to other techniques. This is similar to the techniques used by Johns Hopkins Hospital to reduce their workers compensation payments by 54%.
Objective: To evaluate the utility of a targeted lecture in improving FP awareness amongst clinicians.
Design: This is a dual institution, prospective survey-based study assessing if an educational lecture can increase the likelihood of FP consideration, discussion, and referral.
Shelagh Morris, Allied Health Professions Officer of the Department of Health, talks about supplementary prescription. COT Annual Conference 2010 (22-25 June 2010)
Prescribing, administration and supply of medicines by allied health professi...MS Trust
This presentation by Helen Marriott, AHP Medicines Project Lead, looks at prescribing and medicines supply mechanisms and the AHP Medicines Project.
It was presented at the MS Trust Annual Conference in November 2014.
A better journey for patients seven days a week and better deal for the NHS
Progress review (2012/13) and level of ambition (2014/15)
Given the current national focus on delivering quality clinical pathways seven days a week, integrated across the whole health care system, and the Royal Colleges' commitment to drive the delivery of enhanced recovery as standard practice, this publication sets out the levels of ambition to extend the principles of enhanced recovery beyond elective care. - See more at: http://www.nhsiq.nhs.uk/resource-search/publications/enhanced-recovery-care-pathway-review.aspx#sthash.393XLcYF.dpuf
Making a difference - the benefits and challenges of non-medical prescribingMS Trust
This presentation by Nikki Embrey from the North Midland MS Service looks at the benefits of and barriers to nurse prescribing, and whether it can make a difference to patient outcomes.
It was presented at the MS Trust Annual Conference in November 2014.
NHS England National Perspective – Enhanced Recovery Care Pathways: a better journey for patients seven days a week and better deal for the NHS
Dr Celia Ingham Clark,
National Clinical Director for Enhanced Recovery and Acute Surgery, NHS England
Presentation from Shaping the Future Direction of Enhanced Recovery Care Pathway Seven Days a Week workshop held in London on 5 December 2013
PausraCeMaAna Deb Dec Insd DeInternati.docxssuser562afc1
Pa
us
ra
Ce
Ma
An
a De
b De
c Ins
d De
International Journal of Nursing Studies 50 (2013) 1537–1549
A R
Artic
Rece
Rece
Acce
Keyw
Hos
Earl
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Pati
§
dist
§§
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Cath
002
http
tient preference and satisfaction in hospital-at-home and
ual hospital care for COPD exacerbations: Results of a
ndomised controlled trial§,§§
cile M.A. Utens a,b,*, Lucas M.A. Goossens c, Onno C.P. van Schayck b,
ureen P.M.H. Rutten-van Mölken c, Walter van Litsenburg a, Annet Janssen a,
ouschka van der Pouw d, Frank W.J.M. Smeenk a
partment of Respiratory Medicine, Catharina Hospital, Eindhoven, The Netherlands
partment of General Practice, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands
titute for Medical Technology Assessment, Erasmus University, Rotterdam, The Netherlands
partment of Respiratory Medicine, Rijnstate Hospital, Arnhem, The Netherlands
What is already known about the topic?
� Patient satisfaction with hospital-at-home schemes is
high, but most schemes admit patients with various
conditions.
� Effectiveness and cost-effectiveness of hospital-at-home
and usual hospital care for COPD patients are not
T I C L E I N F O
le history:
ived 27 September 2012
ived in revised form 15 March 2013
pted 15 March 2013
ords:
pital-at-home
y assisted discharge
nic Obstructive Pulmonary Disease
ent preference
ent satisfaction
A B S T R A C T
Background: In the absence of clear differences in effectiveness and cost-effectiveness
between hospital-at-home schemes and usual hospital care, patient preference plays an
important role. This study investigates patient preference for treatment place, associated
factors and patient satisfaction with a community-based hospital-at-home scheme for
COPD exacerbations.
Methods: The study is part of a larger randomised controlled trial. Patients were
randomised to usual hospital care or early assisted discharge which incorporated
discharge at day 4 and visits by a home care nurse until day 7 of treatment (T + 4 days). The
hospital care group received care as usual and was discharged from hospital at day 7.
Patients were followed for 90 days (T + 90 days). Patient preference for treatment place
and patient satisfaction (overall and per item) were assessed quantitatively and
qualitatively using questionnaires at T + 4 days and T + 90 days. Factors associated with
patient preference were analysed in the early assisted discharge group.
Results: 139 patients were randomised. No difference was found in overall satisfaction. At
T + 4 days, patients in the early assisted discharge group were less satisfied with care at
night and were less able to resume normal daily activities. At T + 90 days there were no
differences for the separate items. Patient preference for home treatment at T + 4 days was
42% in the hospital care group and 86% in the early assisted discharge group and 35% and
59% at T + 90 days. Patients’ mental state was.
PausraCeMaAna Deb Dec Insd DeInternati.docxkarlhennesey
Pa
us
ra
Ce
Ma
An
a De
b De
c Ins
d De
International Journal of Nursing Studies 50 (2013) 1537–1549
A R
Artic
Rece
Rece
Acce
Keyw
Hos
Earl
Chro
Pati
Pati
§
dist
§§
*
Cath
002
http
tient preference and satisfaction in hospital-at-home and
ual hospital care for COPD exacerbations: Results of a
ndomised controlled trial§,§§
cile M.A. Utens a,b,*, Lucas M.A. Goossens c, Onno C.P. van Schayck b,
ureen P.M.H. Rutten-van Mölken c, Walter van Litsenburg a, Annet Janssen a,
ouschka van der Pouw d, Frank W.J.M. Smeenk a
partment of Respiratory Medicine, Catharina Hospital, Eindhoven, The Netherlands
partment of General Practice, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands
titute for Medical Technology Assessment, Erasmus University, Rotterdam, The Netherlands
partment of Respiratory Medicine, Rijnstate Hospital, Arnhem, The Netherlands
What is already known about the topic?
� Patient satisfaction with hospital-at-home schemes is
high, but most schemes admit patients with various
conditions.
� Effectiveness and cost-effectiveness of hospital-at-home
and usual hospital care for COPD patients are not
T I C L E I N F O
le history:
ived 27 September 2012
ived in revised form 15 March 2013
pted 15 March 2013
ords:
pital-at-home
y assisted discharge
nic Obstructive Pulmonary Disease
ent preference
ent satisfaction
A B S T R A C T
Background: In the absence of clear differences in effectiveness and cost-effectiveness
between hospital-at-home schemes and usual hospital care, patient preference plays an
important role. This study investigates patient preference for treatment place, associated
factors and patient satisfaction with a community-based hospital-at-home scheme for
COPD exacerbations.
Methods: The study is part of a larger randomised controlled trial. Patients were
randomised to usual hospital care or early assisted discharge which incorporated
discharge at day 4 and visits by a home care nurse until day 7 of treatment (T + 4 days). The
hospital care group received care as usual and was discharged from hospital at day 7.
Patients were followed for 90 days (T + 90 days). Patient preference for treatment place
and patient satisfaction (overall and per item) were assessed quantitatively and
qualitatively using questionnaires at T + 4 days and T + 90 days. Factors associated with
patient preference were analysed in the early assisted discharge group.
Results: 139 patients were randomised. No difference was found in overall satisfaction. At
T + 4 days, patients in the early assisted discharge group were less satisfied with care at
night and were less able to resume normal daily activities. At T + 90 days there were no
differences for the separate items. Patient preference for home treatment at T + 4 days was
42% in the hospital care group and 86% in the early assisted discharge group and 35% and
59% at T + 90 days. Patients’ mental state was ...
Chyssoula Karlou, PhD
Constantina Papadopoulou, PhD, MSc, RN
Elizabeth Papathanassoglou, PhD, MSc, RN
Chryssoula Lemonidou, PhD, MSc, RN
Fotini Vouzavali, PhD, MSc, RN
Anna Zafiropoulou-Koutroubas, MSc
Stelios Katsaragakis, PhD, MSc, RN
Elisabeth Patiraki, PhD, RN
Nurses’ Caring Behaviors Toward Patients
Undergoing Chemotherapy in Greece
A Mixed-Methods Study
K E Y W O R D S
Cancer
Caring behaviors
Chemotherapy
Focus group
Greece
Nursing
Mixed methods
Survey
Background: Nurses’ caring behaviors are central in the quality of care of
patients undergoing sophisticated chemotherapy protocols. However, there is a
scarcity of research regarding these behaviors in nonYAnglo-Saxon countries.
Objective: The aim of this study was to explore caring behaviors that nurses
perceive as important in caring for patients in Greece receiving chemotherapy.
Methods: We used a mixed-methods design, including a survey in 7 oncology
wards in 3 cancer hospitals in Attica, Greece, and a subsequent qualitative focus
group investigation. Caring behaviors were explored through the Caring Behavior
Inventory 24 and content analysis of 3 focus group interviews. Results: A sample of
72 nurses (response rate, 68.5%) were surveyed, and 18 nurses participated in the
focus groups. ‘‘Knowledge/skills’’ (5 [SD, 0.7]) was the most important caring
behaviors. No significant associations with nurses’ characteristics were noted, except
for higher scores in caring behaviors in participants who were married (PG.02). Six
caring-related categories emerged from the qualitative analysis: ‘‘the concept of
care,’’ ‘‘respect,’’ ‘‘nurse-patients’ connection,’’ ‘‘empathy,’’ ‘‘fear of cancer,’’ and
‘‘nurses’ professional role.’’ Moreover, they stressed barriers they faced in each
category. Conclusions: Integrated quantitative and qualitative data concur that
operational tasks are central in Greek nurses’ caring behaviors. In addition,
qualitative findings highlighted those skills equipping nurses to provide holistic
Nurses’ Behaviors Toward Chemotherapy Patients Cancer NursingA, Vol. 00, No. 0, 2018 n 1
Copyright B 2018 Wolters Kluwer Health, Inc. All rights reserved.
Authors Affiliations: Oncology Nursing Department, 251 Hellenic Air Force
General Hospital (Dr Karlou); School of Health, Nursing and Midwifery,
University of the West of Scotland, Paisley (Dr Papadopoulou); Faculty of
Nursing, University of Alberta, Edmonton, Canada (Dr Papathanassoglou);
Section of Internal MedicineYNursing and Nursing Laboratory, Faculty of
Nursing, National and Kapodistrian University of Athens (Dr Lemonidou and
Dr Patiraki); Technological Educational Institute of Athens, Holargos (Dr
Vouzavali); and Children’s Hospital ‘‘A & P Kyriakou’’ Oncology Department,
Athens (Mrs Zafiropoulou-Koutroubas); and Department of Nursing, National
University of Peloponisos Faculty of Human Movement and Quality of Life
Sciences in Sparta (Dr Katsaragakis), Greece.
The authors have no fund ...
Enhancing the quality of life for palliative care cancer patients in Indonesi...UniversitasGadjahMada
Palliative care in Indonesia is problematic because of cultural and socio-economic factors. Family in Indonesia is an integral part of caregiving process in inpatient and outpatient settings. However, most families are not adequately prepared to deliver basic care for their sick family member. This research is a pilot project aiming to evaluate how basic skills training (BST) given to family caregivers could enhance the quality of life (QoL) of palliative care cancer patients in Indonesia. The study is a prospective quantitative with pre and post-test design. Thirty family caregivers of cancer patients were trained in basic skills including showering, washing hair, assisting for fecal and urinary elimination and oral care, as well as feeding at bedside. Patients’ QoL were measured at baseline and 4 weeks after training using EORTC QLQ C30. Hypothesis testing was done using related samples Wilcoxon Signed Rank. A paired t-test and one-way ANOVA were used to check in which subgroups was the intervention more significant. The intervention showed a significant change in patients’ global health status/QoL, emotional and social functioning, pain, fatigue, dyspnea, insomnia, appetite loss, constipation and financial hardship of the patients. Male patient’s had a significant effect on global health status (qol) (p = 0.030); female patients had a significant effect on dyspnea (p = 0.050) and constipation (p = 0.038). Younger patients had a significant effect in global health status/ QoL (p = 0.002). Patients between 45 and 54 years old had significant effect on financial issue (p = 0.039). Caregivers between 45 and 54 years old had significant effect on patients’ dyspnea (p = 0.031). Thus, it is concluded that basic skills training for family caregivers provided some changes in some aspects of QoL of palliative cancer patients. The intervention showed promises in maintaining the QoL of cancer patients considering socioeconomic
and cultural challenges in the provision of palliative care in Indonesia.
NR505 Advanced Research Methods Evidence-Based Pract.docxvannagoforth
NR505 Advanced Research Methods: Evidence-Based Practice
Evidence-Based Practice Change Project Proposal Template
Nursing Practice Concern/Problem
PICOT Question
Key Stakeholders
Theoretical Framework
Literature Review
Data Collection Methods
Analysis
Expected Outcomes
NR 505 Week 7 Assignment _7/24/2019JPTS
1
Chamberlain College of Nursing NR 505 ADVANCED RESEARCH METHODS – EVIDENCE-BASED PRACTICE
Research Summary Assignment
Chamberlain College of Nursing
NR 505: Advanced Research Methods: Evidence-Based Practice
Dr. Hellem
Sept. 2019
NR 505: Research Summary Template
PICOT QUESTION: In patients, what is the effect of bedside report in comparison to phone report on patient outcomes in a period of six weeks?
Full reference for article (APA Format)
Purpose
Research Method
Participants
Data Collection
Study Findings
Limitations
Relevance to PICOT
Rush, S. (2014). Bedside reporting: Dynamic dialogue. Nursing Management,43(1), 40-40. doi:10.1097/01.NUMA.0000409923.61966.ac
The study focused on increasing patient satisfaction and safety
through bedside reporting at Catholic Healthare West (CHW).
Qualitative Research
Participants included hospital staff, leaders, and patients.
Nurse supervisors observed bedside reporting at change of shift. They then filled out a questionnaire that had to be checked off to ensure bedside reporting was done correctly.
Bedside reporting made a positive impact in the hospital. Its success was witnessed by nurse leadership rounding on patients in the hospital.
The sample of participants was small and only one department of the hospital was used.
The findings conclude the positive outcomes on patient satisfaction with bedside reporting.
Lu, S., Kerr, D., & McKinlay, L. (2014). Bedside nursing handover: Patients' opinions. International Journal of Nursing Practice,20(5), 451-459. doi:10.1111/ijn.12158
Evidence proves bedside reporting is beneficial. This study tries to develop a protocol for nurses to follow when shift report is given at bedside.
Qualitative research.
A sample of 30 admitted, consenting patients were used. The patients were admitted to one of the three departments where the process of bedside report had been implemented for at least one year.
All data was collected from the answers from the patients through audio-recorded interviews. A research assistant and a registered nurse were present in the interview.
Four essential components came out of the study. Some regarded patient feelings and some regarded possible changes. Patients felt bedside reporting was ‘effective and personalized’ (1). They felt empowered in their care (2). Some felt their privacy was at jeopardy (3), thus allowing for training (4) in this sensitive matter.
The study was limited to three departments in the hospital and no clear generalizability came out of it. Sample collected was small.
Patients ...
Running head CRITIQUE QUANTITATIVE, QUALITATIVE, OR MIXED METHODS.docxtodd271
Running head: CRITIQUE QUANTITATIVE, QUALITATIVE, OR MIXED METHODS DESIGN
5
CRITIQUE OF QUANTITATIVE, QUALITATIVE, OR MIXED METHODS DESIGN
Critiquing Quantitative, Qualitative, or Mixed Methods Studies
Adenike George
Walden University
NURS 6052: Essentials of Evidence-Based Practice
April 11, 2019
Critique of Quantitative, Qualitative, or Mixed Method Design
Both quantitative and qualitative methods play a pivotal role in nursing research. Qualitative research helps nurses and other healthcare workers to understand the experiences of the patients on health and illness. Quantitative data allows researchers to use an accurate approach in data collection and analysis. When using quantitative techniques, data can be analyzed using either descriptive statistics or inferential statistics which allows the researchers to derive important facts like demographics, preference trends, and differences between the groups. The paper comprehensively critiques quantitative and quantitative techniques of research. Furthermore, the author will also give reasons as to why qualitative methods should be regarded as scientific.
The overall value of quantitative and Qualitative Research
Quantitative studies allow the researchers to present data in terms of numbers. Since data is in numeric form, researchers can apply statistical techniques in analyzing it. These include descriptive statistics like mean, mode, median, standard deviation and inferential statistics such as ANOVA, t-tests, correlation and regression analysis. Statistical analysis allows us to derive important facts from data such as preference trends, demographics, and differences between groups. For instance, by conducting a mixed methods study to determine the feeding experiences of infants among teen mothers in North Carolina, Tucker and colleagues were able to compare breastfeeding trends among various population groups. The multiple groups compared were likely to initiate breastfeeding as follows: Hispanic teens 89%, Black American teens 41%, and White teens 52% (Tucker et al., 2011).
The high strength of quantitative analysis lies in providing data that is descriptive. The descriptive statistics helps us to capture a snapshot of the population. When analyzed appropriate, the descriptive data enables us to make general conclusions concerning the population. For instance, through detailed data analysis, Tucker and co-researchers were able to observe that there were a large number of adolescents who ceased breastfeeding within the first month drawing the need for nurses to conduct individualized follow-ups the early days after hospital discharge. These follow-ups would significantly assist in addressing the conventional technical problems and offer support in managing back to school transition (Tucker et al., 2011).
Qualitative research allows researchers to determine the client’s perspective on healthcare. It enables researchers to observe certain behaviors and experiences amo.
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5th edition of the Diagnostic and Statistical Manual of Mental Disorders
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Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Patientinddragende omgivelser - Fra outsider til insider
1. Tarmsvigtsenheden
Medicinsk Hepatologisk Gastroenterologisk Afdeling V
Patientinddragende omgivelser
- Fra outsider til insider
Sygeplejerske, stud.cand.cur Gunvor Dichmann Thyssen
2. Patientinddragende omgivelser
- Fra outsider til insider
Tarmsvigtsenheden
Medicinsk Hepatologisk Gastroenterologisk Afdeling V
3. Definition – intestinal failure
Inability to maintain protein-energi, fluid, electrolyte, or
micronutrient balance due to obstruction, dysmotility, surgical
resection, congenital defect, or disease-related loss of
absorption
O’Keefe S et al, clin Gastreoenterol hepatol 2006: 4: 6-10 Tarmsvigtsenheden
Medicinsk Hepatologisk Gastroenterologisk Afdeling V
4. Patientinddragende omgivelser
- Fra outsider til insider
Tarmsvigtsenheden
Medicinsk Hepatologisk Gastroenterologisk Afdeling V
5. Patientinddragende omgivelser
Inddragende rum og den inddragende patientstue
!
Patienternes oplevelse af omgivelserne i relation
til patientinddragelse
Tarmsvigtsenheden
Medicinsk Hepatologisk Gastroenterologisk Afdeling V
6. Patientinddragende rum
–Køkken
–Vaskerum
–Skyllerum
–Dagligstue
Tarmsvigtsenheden
Medicinsk Hepatologisk Gastroenterologisk Afdeling V
15. Patient Preference and Adherence Dovepress
open access to scientific and medical research
Stor interesse for patientinddragelse
Patient: Passiv modtager ! aktiv deltager
Systematisk litteratursøgning !
–Manglende viden om IF-patienter og patientinddragelse
–Manglende viden om patientinddragelse i forhold til
omgivelserne
ORI G INA L R E S E ARCH
Open Access Full Text Article
How patients experience the surroundings
in relation to patient participation: a qualitative
study of inpatients with intestinal failure
Gunvor Dichmann Thyssen
Anne Beck
Department of Hepatology and
Gastroenterology, Aarhus University
Hospital, Aarhus, Denmark
Introduction: Patient participation is known to improve patients’ motivation, compliance,
treatment results, and satisfaction with the received care. It is well known that the physical
environment is of great importance in supporting patient involvement. A systematic literature
search has shown a lack of articles on the subject of “surroundings” in relation to patient par-ticipation,
for all patient groups.
Aim: We aimed to investigate how patients with intestinal failure experience their hospital
surroundings in relation to patient participation.
Methods: The study included eight patients admitted for at least 2 weeks at the Intestinal
Failure Unit, H8, Salford Royal NHS Foundation Trust, Manchester, United Kingdom. Included
patients had a good level of consciousness with no confusion. The included patients participated
in a semistructured interview. The interviews were analyzed using Malterud’s principles of
systematic text condensation.
Results: The patients described that the surroundings enabled them to participate in their treat-ment
and care. The surroundings made it possible for them and encouraged them to participate
through: the possibility to seek and get information and the possibility to participate in daily
activities. This led to a feeling of independence, reassurance, normality, control, responsibility,
and confidence.
Conclusion: The findings in this study indicate that the hospital surroundings are essential for
the patients with respect to their ability to participate in their own care and treatment. The sur-roundings,
in relation to patient participation, should be considered when planning and organizing
nursing care. Further research is needed to increase the understanding of the surroundings in
relation to patient participation
this research could, for eg, include the nurse’s perspective.
Keyword: patient perspective, patient involvement, patient environment, emotional consequences
Tarmsvigtsenheden
Medicinsk Hepatologisk Gastroenterologisk Afdeling V
16. Patient Preference and Adherence Dovepress
open access to scientific and medical research
ORI G INA L R E S E ARCH
Open Access Full Text Article
How patients experience the surroundings
in relation to patient participation: a qualitative
study of inpatients with intestinal failure
Kvalitativt studie
Informanter: otte indlagte patienter (plus et testinterview)
Interviewmetode: Semistruktureret interview
Analysemetode: Maleruds tekstkondenseringsprincip
Gunvor Dichmann Thyssen
Anne Beck
Department of Hepatology and
Gastroenterology, Aarhus University
Hospital, Aarhus, Denmark
Introduction: Patient participation is known to improve patients’ motivation, compliance,
treatment results, and satisfaction with the received care. It is well known that the physical
environment is of great importance in supporting patient involvement. A systematic literature
search has shown a lack of articles on the subject of “surroundings” in relation to patient par-ticipation,
for all patient groups.
Aim: We aimed to investigate how patients with intestinal failure experience their hospital
surroundings in relation to patient participation.
Methods: The study included eight patients admitted for at least 2 weeks at the Intestinal
Failure Unit, H8, Salford Royal NHS Foundation Trust, Manchester, United Kingdom. Included
patients had a good level of consciousness with no confusion. The included patients participated
in a semistructured interview. The interviews were analyzed using Malterud’s principles of
systematic text condensation.
Results: The patients described that the surroundings enabled them to participate in their treat-ment
and care. The surroundings made it possible for them and encouraged them to participate
through: the possibility to seek and get information and the possibility to participate in daily
activities. This led to a feeling of independence, reassurance, normality, control, responsibility,
and confidence.
Conclusion: The findings in this study indicate that the hospital surroundings are essential for
the patients with respect to their ability to participate in their own care and treatment. The sur-roundings,
in relation to patient participation, should be considered when planning and organizing
nursing care. Further research is needed to increase the understanding of the surroundings in
relation to patient participation
this research could, for eg, include the nurse’s perspective.
Keyword: patient perspective, patient involvement, patient environment, emotional consequences
Tarmsvigtsenheden
Medicinsk Hepatologisk Gastroenterologisk Afdeling V
17. Patient Preference and Adherence Dovepress
open access to scientific and medical research
ORI G INA L R E S E ARCH
Open Access Full Text Article
How patients experience the surroundings
in relation to patient participation: a qualitative
study of inpatients with intestinal failure
Gunvor Dichmann Thyssen
Anne Beck
Department of Hepatology and
Gastroenterology, Aarhus University
Hospital, Aarhus, Denmark
Introduction: Patient participation is known to improve patients’ motivation, compliance,
treatment results, and satisfaction with the received care. It is well known that the physical
environment is of great importance in supporting patient involvement. A systematic literature
search has shown a lack of articles on the subject of “surroundings” in relation to patient par-ticipation,
for all patient groups.
Aim: We aimed to investigate how patients with intestinal failure experience their hospital
surroundings in relation to patient participation.
Methods: The study included eight patients admitted for at least 2 weeks at the Intestinal
Failure Unit, H8, Salford Royal NHS Foundation Trust, Manchester, United Kingdom. Included
patients had a good level of consciousness with no confusion. The included patients participated
in a semistructured interview. The interviews were analyzed using Malterud’s principles of
systematic text condensation.
Results: The patients described that the surroundings enabled them to participate in their treat-ment
and care. The surroundings made it possible for them and encouraged them to participate
through: the possibility to seek and get information and the possibility to participate in daily
activities. This led to a feeling of independence, reassurance, normality, control, responsibility,
and confidence.
Conclusion: The findings in this study indicate that the hospital surroundings are essential for
the patients with respect to their ability to participate in their own care and treatment. The sur-roundings,
Patient Preference and Adherence 2014:8 submit your manuscript | www.dovepress.com
in relation to patient participation, should be considered when planning and organizing
nursing care. Further research is needed to increase the understanding of the surroundings in
relation to patient participation
this research could, for eg, include the nurse’s perspective.
Keyword: patient perspective, patient involvement, patient environment, emotional consequences
587
Tarmsvigtsenheden
Dovepress
Medicinsk Hepatologisk Gastroenterologisk Afdeling V
These statements, descriptions, and opinions were selected
to describe the surroundings as a phenomenon and the
extent to which it was important to the patients in relation
to patient participation. Furthermore, the investigators paid
special attention to the aspects of surroundings in relation
to patient participation that were repeated throughout the
different interviews.
The investigators collaborated throughout the whole
analysis process and completed all steps together.
activity room, the day room, and we encourage you to go
and take part in things and get involved.”
When talking about the surroundings, space was men-tioned
as being important in relation to participation. By
having ample space to move around and thereby, being able
to carry out daily activities, increased participation:
But just having the space to move around and make your
bed and sit and … that makes a huge difference.
Table 2 Analysis process
Temporary theme Meaning unit Artificial quote Final theme/subtheme
Peace of mind, reassurance,
independence, to be able to
“You just know that it is there [the
medicine]. So, you do not get that
anxious feeling when you are waiting
to get your tablets from the nurses”
The patients explained that the fact that
they had a medicine cabinet next to their
bed and that they had the opportunity to
self-medicate reduced their anxiousness
Reassurance
19. Emotional experiences
Confidence
”… and I thought: ”Well, I am quite capable of doing this” and it was a
test for me, how did I cope making my own bed, and I know now if I
go home, I am quite confident I can do that..”
Tarmsvigtsenheden
Medicinsk Hepatologisk Gastroenterologisk Afdeling V
20. Emotional experiences
Control
”You could see exactly what you have got to come, you could plan
your days because they try to balance it…. That I knew exactly what
I was having when and where, and times and that… and that
really… it is just knowing… It is back to being in control… You are
not really in control, but you have that illusion of being in control,
because you know what is happening…”
Tarmsvigtsenheden
Medicinsk Hepatologisk Gastroenterologisk Afdeling V
21. Emotional experiences
Reassurance
”You just know that they are there (the medicine red.). So, you
have not got that anxious feeling when you are waiting for your
tablets of the nurses.”
!
”It makes me feel happy that I can get it done (the laundry red.).
Not anxious that it is going to be lying around smelling, you
know… Makes me feel a lot more relaxed.”
Tarmsvigtsenheden
Medicinsk Hepatologisk Gastroenterologisk Afdeling V
22. Konklusion
Omgivelserne kan fremme evnen til at deltage i egen pleje og behandling
Fokus på omgivelser i relation til patientinddragelse
Fremtidig forskning
Tarmsvigtsenheden
Medicinsk Hepatologisk Gastroenterologisk Afdeling V
