QUALITATIVE RESEARCH 1 QUALITATIVE RESEARCH 2 Qualitative Research Critique Valorie Brown University of Mary Qualitative Research Article Prepared for Critique Ellis, L., Gergen, J., Wohlegemuth, L., Nolan, M.T., & Aslakson, R. (2016). Empowering the “cheerers”: role of surgical intensive care unit nurses in enhancing family resilience. AJCC, 25 (1), 39-45. Overview of Selected Study The qualitative article that was chosen to be critiqued is titled, “Empowering the ‘Cheerers’: Role of Surgical Intensive Care Unit Nurses in Enhancing Family Resilience.” This study was conducted to determine the best practice for nurses to assist family members of patients who are receiving care in an intensive care unit to remain resilient. The negative psychological and physical distress that patients and their families experience during an intensive care unit admission may last for months to years following discharge. This research study is important because it allows nurses to express what they feel is most effective in assisting their patients and their patients’ families overcome the obstacles that a long term intensive care admission creates that may interfere with the recovery process. Nurses spend an incredible amount of time with patients and their families during intensive care admissions and often supply direct support and education during this process. While the care received in the intensive care unit is critical and often detrimental, all nurses who
According to Erlingsson and Brysiewicz (2015), family is considered a core, social institution and is our first interaction with human beings. When viewing the family as a context, the nurse assesses the patient that is in need of care while in the background, there are the family members of the patient. According to Kaakinen, Coehlo, Steel, Tabacco & Hanson (2015), the source of support to the patient is his or her family members. Usually family members are in attendance with the patient. This approach is used when a mother is admitted to the intensive care unit after falling and sustaining head trauma. The patient is the mother. The nurse is focused on the mother and care was directed
Having to deal with difficult situations and people is a daily task in the nursing profession. As Crystal said, never let them know that you are affected (Noah). Hospitalization is not normally a shining moment in someone’s life, it is normally a low point. Because of this, having compassion for the people that you are serving on a daily basis is a key factor in being successful as a nurse, as well as being rewarded from the people that you are treating.
Restricting family presence contradicts patient- and family-centered care (PFCC). Within the PFCC paradigm, the patient and family relationship is recognized as an inseparable entity. Encouraging unrestrictive family presence through an open visitation policy can ensure patients and family members are provided with the opportunity to remain connected during a hospitalization experience.1 Despite professional organizations for critical care nursing and patient- and family-centered care advocating for unrestrictive family presence, many critical care units have not adopted an open visitation policy. According to the American Association of Critical-Care Nurses (AACCN),
Discuss the nursing interventions to be utilized with a family member who is in crisis in the care setting and interfering with the healthcare team’s performance.
Including the client as an expert member of the team creates an enhanced quality of care (Coad, Patel & Murray, 2014). In pediatrics, parents are often at the center of the child’s care. When asked to define what made the client care experience positive, parents stated that sensitivity, empathy and honesty were key factors (Coad, Patel & Murray, 2014). Working in healthcare, nurses can become desensitized to difficult experiences because they deal with them daily. Integrating the client and family as part of the healthcare team, allows the nurse to see the patient and family as a people first. By avoiding using illness as context, and instead using person as context, care will be more holistic (Coad, Patel & Murray, 2014). A family-focused approach helps to ensure that the whole family feels a part of the experience and is valued. In the case of bereavement, family centered care is particularly important. If the family is not included in the care from the start, it can provide barriers for grieving and impact how the family deals with loss (Jones, Contro & Koch, 2014). Nurses have an opportunity to help support the family through the grief process (Jones, Contro & Koch, 2014). Families have a significant impact on how the client heals, so by caring for the family’s needs, the nurse is indirectly caring for the patient. It is in the client’s best interest for the care to be holistic for the patient as well as the family (Jones, Contro & Koch, 2014). All
In order for a healthcare system to run effectively, research is essential when patents are involved. According to Jones (2016), research involves a structured, planned and logical approach to discovering new information, while aiming to extend understanding on a topic or problem area within the healthcare profession. To achieve this, research is divided into two methodologies, qualitative and quantitative. Qualitative research involves methods that are concerned with human perceptions and understanding of their social reality, adopted under complex research topics (Washer, Salloch, Ritter, Vollmann, Schildmann, 2017). These are usually adapted when the exploration topic involves patient experiences, perceptions, meanings, intentions and behaviours (Jones, 2016). Whereas quantitative approaches aim to produce and control social phenomena, through measurement, evaluation and generalisation of findings of a population and encouraging the reproduction of the results obtained. These studies are based around testing hypotheses utilising patients to achieve research goals in controlled environments (Park & Park, 2016). This paper will explore the features of qualitative and quantitative research through papers involving patients in order to highlight the differences in their features, via the aim, data collection methods and results obtained. The quantitative paper explores the effect of muscle energy technique and passive stretching on patients with functional disability with
My nursing philosophy is influenced by ten years as a critical care nurse while caring for patients and their families during vulnerable and difficult points in their lives. In critical care, patients vary on the wellness-illness spectrum. A young trauma victim with no health history, now has a life altering diagnosis of spinal cord injury. A chronically ill patient requires dialysis and limb amputation due to complications from diabetes and hypertension. I try to assess each patient’s situation independently to decide the best approach during my care. Nurses can easily become focused on the mechanics of the Intensive Care Unit and forget a human is connected to the machines and medications.
Helpful in times of stress, such as acute or long-term illness, nursing can engage the family in focusing on their
Data was collected over two years in a level one trauma center with trauma patients that had one family member present and were admitted to the surgical intensive care unit after resuscitation. The family member was interviewed two days later for an average of ten to thirty minutes in a quiet room away from the patient. The sample size of the study was twenty eight and the majority of the sample was female. The results showed that the majority of family members that were present felt that there role was to be supportive and protect the patient during the trauma. They felt that being present was comforting to them and the patient, regardless of the outcome. Another common theme was that the family felt comforted knowing that everything possible was done for their family member.
Having a family member unexpectedly in ICU can be a painful and difficult time. Evidence based practice demonstrates that when a member of their social system is compromised, the entire family is disrupted. The unfamiliar environment leaves family members in severe stress and in a state of shock. Family members also require attention and needs to help cope with the stress of a family member in intensive care unit. These needs are grouped into five categories: receiving assurance, remaining near the patient, receiving information, being comfortable, and having support available. There should be
Analysis of data related to assessment the coping strategies used by staff nurses working in critical care unit
Nursing research has been a part of nursing practice for many years, consisting of both qualitative and quantitative research; it is essential in guiding nursing practice. Many nurses have a baseline understanding of research in general, but it is important for the researcher to understand their own values and beliefs when determining the type of research they will be performing. By understanding the differences between epistemology, methodology, and methods, the researcher can confidently conduct a valid research project.
Target population was pregnant women less than fourteen weeks gestation that had a sedentary lifestyle. The researcher used two data collection instruments to complete this study. The first is The Cornell Protocol Fitness Tool that measured cardiovascular fitness level and peak oxygen consumption. The second data collection instrument used was The Minnesota Leisure Time Physical Activity Questionnaire assessed energy expenditure and daily physical activity. Candidates were excluded if they had chronic hypertension, gestational diabetes, and any medical condition that will prohibit daily exercise, communication problems, or recommendation of primary care provider not to participate (Yeo 2009).
Critical reflection is vital to develop evidence based practice for safe and quality approaches to professional nursing practice. Nursing professionals should critically reflect on events to identify what health professionals might do to improve their practice and reduce the risk of a similar error. Reflective practice can help to learn from their mistakes, be empowered and most importantly to deliver best possible care to patient as nurses must work closely with their patients to develop a therapeutic relationship. Critical reflection is a valuable skill to ensure patient centred care. This practice promotes personal development by enhancing students’ self-awareness, their sense of community, and their sense of their own capacities for
This article provides information about the generic qualitative research studies which is used in studying the health services. This approach rejects the use of single method or established methodologies. It is a significant controversial approach among qualitative researchers because of ill-defined and less-established structures.