HIV Qualitative Research Critique Paper

There are many different roles and values within the profession of nursing. Each of these roles and values has a different job description and purpose, yet they all contain one common link. The link that connects the different roles in the nursing profession is the fact that they each rely on nursing research, theories, and evidence based practice to provide safe, quality care to patients. Without nursing research, theories, and evidence based practice, nursing care would be based on trial and error methods that often cause more harm than good to the patient.

Nursing education is constantly evolving as new techniques are introduced within the medical profession. Thus, it is imperative nurses are kept updated, and continuously learning new methods to enhance and improve patient care. Over the last 150 years there has been a drastic change in nursing`s participation in research. Nursing research advanced initially from the investigations made by Nightingale in the nineteenth century of nursing education during the 1930`s. This further progressed to the research of nursing roles in 1950s following on to the 1990s where nurses began to focus on clinical problems and finding solutions to these problems which had a major impact within the nursing profession. As of today many health professionals are focusing on clinical research which in turn has helped to establish an evidence informed practice for nurses. (Burns and Grove 2003)

Human Immunodeficiency Virus is HIV that develops into AIDS, which is Acquired immunodeficiency syndrome. This virus starts to break down white blood cells, as a result the immune system starts to deteriorate and our greatest shield cannot fight any longer (Mayo Clinic, 2016). The CDC (2015) states, that over 1.2 million people live with HIV in the United States and most who are infected are oblivious of their disease. Healthy people 2020 has declared HIV a public health crisis in the United States, and continues to sweep the nation with more than 500,000 new cases each year (HealthyPeople2020,2016).

Nursing improves when Evidence Based Research findings can be utilized and implemented by nurses in their daily practice. J. Dracup (2006) stated what some nurses had identified as barriers to Evidence Based Research, namely: “accessibility of research findings, anticipated outcomes of using research, organizational support to use research, and support from others to use research.” Dracup believed that “evidence-based practice must include an assessment of the available resources” since the cost of implementation is yet another barrier and “will not be adopted if resources are insufficient to incorporate them into the daily routine” nursing care. G. Mitchell (1999) raised “ the lack of sufficient meaningful research” as an additional barrier.

The purpose of nursing research is to use the scientific method to prove theories, and from those theories comes the improvement of patient care. It is important to use evidence-based practice because it will help nurses to provide excellent patient care. For example, our unit’s disturbing patient’s fall incidence last year. As nurses our role is to identify the contributing factors, making our own observation, implementing safety practices, and determining the effectiveness of the plan. Nurses must work hand and hand with the interdisciplinary team to be more effective. The performance improvement chairperson is also vital in educating staff and reviewing problems. We must use the recent evidence-based practice to guide our nursing practice in providing care for

It is important to understand why research within the nursing profession is essential. Amongst healthcare workers worldwide nurses are the largest professional group. Within the UK nurses and midwives represent the largest work force within the NHS. They are also the profession that has the most person to person contact with patients. As the decisions and actions that nurses make affect the lives of the whole population, it makes sense that nursing practice should be based on evidence (Parahoo 2006). Nurses are expected to deliver competent, high quality care in a compassionate but also cost effective manner. To accomplish these goals, nurses continually need to access and evaluate new information and incorporate this into their clinical decision making (Polit and Beck 2010).

Sue Fitzsimons, Ph.D., RN, senior vice president of patient services and CNO at Yale-New Haven Hospital during the Yale School of Nursing 2013 commencement address, said: "Rejoice in your work; never lose sight of the nursing leader you are now and the nursing leader you will become."

As a nurses I will rely on research findings to help in my practice decisions, I will use critical thinking to apply research directly to specific patient care situations. The research process allows me as a nurses to ask and answer questions systematically that will ensure that decisions are based on sound science and rigorous inquiry. Research will help me in a variety of settings answer questions about patient care, education, and administration. Research ensures that practices are based on evidence, rather than eloquence or tradition. The call for evidence-based quality improvement and healthcare transformation underscores the need for redesigning care that is effective, safe, and efficient. As a new nurse I believe that evidence contribute to effective care of the patient, I will use evidence to reduce the rate of morbidity and mortality. According to the textbook evidence can help healthcare professionals avoid making errors in decision making relative to patient care. Using research decreases the need for trial and error, which is time consuming and may prove counterproductive.

A research critique is a critical evaluation or appraisal of a research report. It is a systematic, unprejudiced, careful assessment of all aspects of a study to judge the merits, limitations, meaning and significance based on previous research experience and knowledge of the topic and the conclusion is relevant and applicable to the evidence-based practice (Grove, Gray & Barns, 2015). The reason for writing this critique was to assess my analytical skills in critiquing research articles and honing my skills in APA format. The first study by Peltzer, Domain, and Teel, (2014) was to explore the lived experiences, including spiritual and self-care practices of young women of African-American descent infected with HIV. The second study by Swinney

The aim of this paper is to critique an article that is a nursing research paper. Research and nursing go hand in hand because research articles are essential to ensure that nurses remain up to date with evidence-based practice to provide high quality nursing care. The research helps to develop critical appraisal skills and implement the best practice.

Research has a remarkable influence on the existing and future practice of professional nursing, thereby making it an essential component of the education process. Nurses utilize research to provide evidence based care that upholds quality health requirements for families, individuals, healthcare systems, and communities. They also utilize research with an aim of shaping health care policy at the local, organizational, state, and federal level. Nurses conduct research, educate about research, and utilize the research in their daily practice. It is only through experience and exposure that students start to comprehend the notion and importance of nursing research (Fain, 2013).

The purpose of nurses reading and critiquing research about the nursing field is to gain a better understanding of the research topic and to evaluate if this research will be effective in every day practice. Nursing is always evolving and changing, so it is important to keep up to date research on certain methods and practices used in the healthcare field.

The harmony among clinical and research orientation is essential to professional nurses as they dynamically enhance the nursing’s scientific knowledge by way of research. Evidence facilitates advancements in nursing and inhibits the usage of unjustified nursing errors and practices. Finally, evidence-based practice substitutes usage of trial and error and improves development, evaluation, and professional progression. Evidence-based practice is used by professional nurses for the sake of influencing the standard of care and for encouraging a self-directed nursing environment.

Research is extremely important in nursing as it clarifies questions that we do not know the answer to and creates new knowledge which can be the difference between saving a life when it’s involved in the healthcare profession. For example, when I was on my placement I observed my nurse looking after a patient that was rapidly deteriorating. The nurse couldn’t find a reason why this was happening; therefore she had to bleep the doctor. While waiting for the doctor to respond she took on the responsibility to find out what could be happening to this patient. She went into the nurse’s office and began to read from certain folders that were supplied by the hospital for researching information. When the doctor eventually arrived the nurse told him about what she had read and what she assumed it could be. The doctor then had an indication of what could be wrong with the patient which

Furthering nursing research is essential, as it forms the basis for evidence-based practice in healthcare today. With this in mind, developing the skills to critically appraise research articles is of the utmost importance in order to determine the relevance of research findings for clinical practice. As I pursue a doctorate degree in nursing practice, I am reminded of the necessity of these skills. Thus, in the following paragraphs, I will reflect on the research goals I developed at the beginning of the Critique and Design of Nursing Research course, and will discuss my views on the role of the graduate nurse in regard to