Grove, Gray, and Burns (2015) have defined reliability as the displayed consistency of the methods used to measure collected data of a research project. A critique of Chevillon et al. (2015) article’s reliability, the researchers stated they used the “State-Trait Anxiety Inventory” which is comprised of 20 items used to measure anxiety, and it assess a patient’s level of apprehension and concern that is felt at the time of the assessment using a four point Likert scale. A second anxiety assessment as complete by the patient’s called the “…the 20-item trait anxiety scale…” is utilizes a four point Likert scale to measure lasting anxiety on patients undergoing the surgical procedure (Chevillon et al., 2015). To determine the reliability of …show more content…
In order to measure a patient’s education level regarding the procedure, outcomes and after surgical care all study participants were give a “10- item Knowledge Test” that was developed by the researchers and reviewed by an independent panel of seven experts in the field of critical care (Chevillon et al., 2015). The reliability of the “10- item Knowledge Test” was not discussed by the authors; therefore, the reliability of this test is low and should be question. Further, Chevillon and researchers assess delirium by implementing ed a two part assessment of delirium by first using the “Confusion Assessment Method for Intensive Care Units” which is comprised four components that measure: (1) onset, fluctuation or changes in mental status, (2) lack of attention, (3) unorganized mental processing, and (4) changes in consciousness which was measured by using the “Richmond Agitation and Sedation Scale (Chevillon et al., 2015). As with the “10- item Knowledge Test”, the “Confusion Assessment Method for Intensive Care Units” reliability was not discussed by the authors of the study and the reliability cannot be established; however, in one study found the “Confusion Assessment Method for Intensive Care Units is an excellent diagnostic tool in critically ill ICU patients”, (Gusmao-Flores, Salluh, J. I. F., Chalhub, and
Patients were assessed at admission and discharge of ICU and assessed using Braden Score and APACHE II score.
While there was a policy in place for conscious sedation, even good policies rely on the vigilance of staff to adhere to them. Often times, working conditions allow for distractions, and even the best of practitioners, with the best of intentions, make errors. There were several areas presented in this scenario that require examination and improvement.
Southerners would harass them by saying that they don’t want their “filth” to spread everywhere. They used this term to refer to their dark color as “dirt”. Earlier before the fight for and against poll taxes another form of disenfranchisement was used, literacy test. These tests were given to the blacks before they voted, and if they failed the test then they would not get to vote. The literacy test started in Louisiana a former Confederate state, and it became known and practiced around the 1890’s.
An A to E assessment is the approach to access a deteriorating and critically I’ll patients, each letter stands for an assessment nurses will undertake A- airway B- breathing C- circulation D- disability and E- exposure (Thim, Krarup, Grove, Rohde, & Lofgren, 2012). This essay will look at disability in the A to E assessment of a critically ill patient which will focus on the Glasgow coma scale. The essay will discuss what is the Glasgow coma scale?, Glasgow coma scale is the most common source in monitoring and assessing the neurological statues of a critically ill patient, despite the fact the Glasgow coma scale has limitations on execution it remains the main standard in comprehensive neurological assessment of patients. It
This is a mix of qualitative and quantitative research that uses descriptive and cross-sectional survey design methods to evaluate the patient’s anxiety level and discomfort preoperatively and postoperatively. The level of evidence in this study is III, with controlled trial without randomization (LoBiondo-Wood, 2013). Methods used to collect data are logical, as it corresponds to the phenomenon of interest in this research as listed in the critiquing guideline table in appendix A. This study was conducted in the general surgery unit of a university hospital in 2011 with a sample size of ninety-nine patients. Definitive features, visual analogue scale (VAS) and State and Trait Anxiety Inventory (STAI) tools were used to collect data, refer to appendix A for details. The fasting protocol reported by the nurses in the surgical unit was no solid food on the day before surgery after 10:00 p.m. and no liquid after 12:00 a.m. In the meantime, the patients were on isotonic sodium chloride from beginning of anaesthesia until the 24th hour postoperatively. The result shows that patients who fasted for more than twelve hours has significant increase in anxiety level according to the STAI score, and higher hunger, thirst, nausea, and pain as shown in VAS scores compared to the patients whom fasted for less than twelve
Enhanced assessment and nursing implementations to better prevent and detect ICU delirium will bring improved outcomes for this particular patient population. There are many ways to assess for ICU delirium. Two of the most reliable and easiest methods are basic observations from the bedside nurse and The Confusion Assessment Method (CAM). The CAM includes nine different criteria for delirium (1) acute onset and fluctuation, (2) inattention, (3) disorganized thinking, (4) altered level of consciousness, (5) disorientation, (6) memory impairment, (7) perceptual disturbances, (8) psychomotor agitation or retardation, and (9) altered sleep-wake cycle. A delirium diagnosis is given when criteria one and two and either three or four are present. The second assessment tool for delirium detection is made from nursing observations. The nurse observes the patient throughout their
How I think my culture affected my results of my Keirsey assessment test. To start this off when I took the test, I took the online sorter two version. My results were that I was an idealist. An Idealist is a person that is passionately concerned with personal growth and development, self-knowledge and self-improvement. An idealist is a person that is naturally attracted to working with people. But to break the idealist down even more my four letters are ENFP. Those letters represent and Idealist Champion.
The issue of anxiety was chosen as a topic because anxiety has become a significant subject in health care. According to Social anxiety association (SAA) anxiety disorder become the third largest mental problem in health care, which affects about 7% of the population. In social health in particular clinical care, hospitalization and surgery are a critical negative life occasions that chief to the experience of significant anxiety in patients (Karanci and Dirik 2003). This project will be focussing on preoperative anxiety in children, because, children are more defenceless against the anxiety of surgery because of their cognitive impediment, reliance on others, absence of self-control, and also restricted individual life background and information of the medicinal health care service (Li
The nurse anesthesiologist showed me a way to support the patient’s neck so that she could receive adequate air. She then allowed me to support the patient’s neck to keep her airway from being obstructed until she awakes from the anesthesia. While monitoring the patient’s vitals we must also score our patients using a post-anesthesia care unit score which consist of the patient’s pain, level of consciousness, respirations, blood pressure, heart rate, and activity. Each criteria can receive up to 2 points allowing to patient to receive a maximum of 12 points. In order for the patient to move on to the second stage of recovery he or she must receive a score of at least 10.
Harvard professor Chris Argyris promoted the concepts of espoused theories of action and theories-of-use. Espoused theories of actions reflect what people say governs their behavior, while theories-of-use reflects how they actually behave.
Generally, the risk factors for delirium affecting individual ICU patients are different from patient to patient and therefore an individualized delirium prevention strategy is an ideal approach. Nevertheless, three risk factors in particular, including sedatives,
Operative procedures which have pain-generating capacity provoke high levels of anxiety compared to non-operative procedures. Highest anxiety in a dental setting is common on procedures such as injection, tooth extraction, and drilling. (Bhola and Malhotra, 2014) According to some patients especially for children and adolescents, the following contributes to their anxiety in seeking dental treatment: personal experience such as influence of parents or peers, bad manner of lack of clinical skills, and improper work ethic of the dentists and dental auxiliaries, dental clinic settings such as the arrangement of the dental chair and other equipment, and also the overall ambiance and sounds inside the dental clinic.
Why is internal consistency such an easy way to assess reliability from a methodological perspective?
Being a dependable organizational citizen includes being honest and fair. Therefore, it is important for employees to demonstrate these values by treating coworkers and customers fairly and keeping their word when working with these individuals.
Reliability is defined, within psychometric testing, as the stability of a research study or measure(s). Reliability can be examined externally, Inter-rater and Test-Retest, as well as internally; which is seen in internal consistency reliability methods.