...Running head: DELAYED TPA ADMINISTRATION FOR ACUTE ISCHEMIC Delayed tPA Administration for Acute Ischemic Stroke Grand Canyon University Introduction to Nursing Research NRS-433V Chris Thompson-Sanxter July 22, 2012 Delayed tPA Administration for Acute Ischemic Stroke According to a qualitative study regarding barriers to treatment, "Only 1-3% of ischemic stroke patients receive thrombolytic therapy" (Meurer et al., 2011, p. 1). The American Heart Association (AHA) has recommended guidelines for the treatment of acute stroke with intravenous administration of tissue plasminogen activator (tPA), yet only half of those eligible actually do receive the drug. This low rate indicates that "barriers do exist both at the provider and institutional level" (Meurer et al., 2011, p. 1). Education to emergency room physicians, nurses, radiologists and post-treatment nurses regarding the AHA guidelines may increase the number of patients who receive tPA which may improve their quality of life and decrease their level of disability. "Ischemic stroke is a devastating disease, affecting approximately 600,000 adults in the U.S. every year, leaving many survivors with significant functional limitations" (Meurer et al., p. 1). Purpose and Research Questions The main objective of this study was to describe barriers to thrombolytic use in acute stroke care (Meurer et al., 2011, p. 1). This study asked if education of emergency room doctors, nurses, radiologists, pharmacists and other...
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...Effects of Nursing Rounds on Patients’ Call light Use, Satisfaction, and Safety Introduction to Nursing Research Effects of Nursing Rounds This is a critique study on “effects of nursing rounds on patients’ call light use, satisfaction, and safety by Christine Meade, PHD, Amy Bursell, PHD and Lyn Ketelsen MBA,RN(2006)”outline as quasi-experimental research design. The author states in this article about patient’s frequent usage of call light in the hospital. Frequent call light usage seems to be an ongoing problem in the hospital setting. This study was to determine how to reduce the call light use and burn out staff, also increase patient satisfaction and safety. Protection of Human Participants. The Benefits of the study was to increase patient’s level of satisfaction in nursing care, improve patient safety, and reduce fall rate and reducing call light. Researcher assessed “humanistic” and “concrete” behaviors. Author found every one or two hour nursing rounds can reduce call light usage, reduce fall rate and improve patient satisfaction and safety. There wasn’t any informed consent used in this study. This was a nonrandom assignment of the hospital units. One and two hour rounding was approved by chief nursing officer and nurse manager. Researcher used a quasi-experimental nonequivalent group’s design study. Because of this design researchers need help from the nursing officers. Nursing units were asked several times to change the rounding...
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...NRS-433V Week 3 Research Critique, Part 1 To purchase this tutorial visit here: http://mindsblow.us/question_des/NRS-433VWeek3ResearchCritiquePart1/2854 contact us at: help@mindblows.us NRS-433V Week 3 Research Critique, Part 1 Introduction to Nursing Research – Theory, Design, and Sampling Prepare a critical analysis of a qualitative study focusing on the problem statement, study purpose, research question, literature review, and theoretical framework. This can be one of the selected articles from your previous literature review or a new peer-reviewed article. The completed analysis should be 1,000-1,250 words and should connect to your identified practice problem of interest. Refer to "Research Critique Part 1." Questions under each heading should be addressed as a narrative, in the structure of a formal paper. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. NRS-433V Week 3 Research Critique, Part 1 To purchase this tutorial visit here: http://mindsblow.us/question_des/NRS-433VWeek3ResearchCritiquePart1/2854 contact us at: help@mindblows.us NRS-433V Week 3 Research Critique, Part 1 Introduction to Nursing Research – Theory, Design, and Sampling Prepare a critical analysis of a qualitative study focusing on the problem statement, study purpose, research question, literature review, and theoretical framework. This can be one of the selected articles from...
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...Benchmark - Research Critique Part 2 View Rubric Due Date: Apr 19, 2015 23:59:59 Max Points: 150 Details: Prepare a critical analysis of a quantitative study focusing on protection of human participants, data collection, data management and analysis, problem statement, and interpretation of findings. The quantitative research article can be from your previous literature review or a new peer-reviewed article. Each study analysis will be 1,000-1,250 words and submitted in one document. As with the assignments in Topics 1-3, this should connect to your identified practice problem of interest. Refer to the resource entitled “Research Critique Part 2.” Questions under each heading should be addressed as a narrative, in the structure of a formal paper. You are also required to include an Introduction and Conclusion. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to Turnitin. Submit the assignment along with an electronic version of the article used for the analysis. If an electronic version is not available, submit a clean unmarked copy of the article. NRS433V.v10R.ResearchCritiquePart2Guidelines_student.docx ------------------------------------------------- ...
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...While writing a Nursing critique paper, attention should be paid to the qualitative and quantitative figures in the findings, in order to analyze the context of such findings. This aspect of critiquing nursing research is crucial, in that it enables nurses to provide the highest quality care to their patients. There are various approaches used in the critique of a nursing article. For instance, the best approach requires an individual to begin with an introduction where the purpose of critiquing such an article is stated. They then state the job together with other details of the author of the nursing study. This is done in order to prove whether, or not, the given author has credibility in the nursing world. The next step followed in writing a nursing critique paper is commenting on the title of the article. This gives a clear outline of the topic, depending on whether it properly characterizes and covers the presented content, together with the subject matter. This step could also include details on whether the presented research is supporting a particular need in the health sector. If such an article is able to meet the key points stated above, then it will make a high quality nursing document. The third step followed, in order to write a good nursing critique paper, is ensuring that all the stated case studies have participants with great records and achievements in the medical sector. The other step that is followed, in this case, includes judging the abstract on the basis...
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...Qualitative Research Report Grand Canyon University NRS 433V: Introduction to Nursing Research February 27 2011 Critique of Qualitative Research Introduction Restraints are methods used in the medical field in an effort to restrict the movement of a patient in order to protect the safety of the patient, other patients, and caregivers. Since the onset of the use of restraints, this practice has been an ethical issue and topic for discussion. Further, it continues to be a concern in the health care industry because of the physical, emotional and psychological freedom involved. A study conducted by Hantikainen and Kappeli (2000) interviewed 20 skilled and untrained nursing staff from two nursing homes in a German speaking area in Switzerland. The authors concluded that there is no clear agreement on the definition of restraints and, as such, this lack of clarity translates to the nursing staff inconsistency and corresponding defensive behavior. Further, they felt the crucial component of establishing “restraint-free care” is nursing staff’s understanding of the impact of their personal perceptions of their thinking on their application of restraint policy. The intent of this qualitative research study was to discover nursing staff member’s perceptions on the use of restraints and how these insights affect their decisions at bedside (Hantikainen and Kappeli, 2000). This paper will review the above research article to critically analyze: the introduction and...
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...and Applied Nursing Research The nursing topic of interest is bedside handover, which is the concept of conducting shift handover at the patient’s bed instead of doing it at the front desk. Part A The article being analysed is: Tobiano, G., Chaboyer, W. & Murray, A. (2012). Family Members’ Perceptions of the Nursing Bedside Handover. Journal of Clinical Nursing, 22, 192-200. The analysis of the primary research report is done in the form of a graph (figure 1). Each of the four analysis areas is rated within a scale of 1-10; 1 denotes extremely weak while 10 denotes very strong. Table 1 then gives justifications for the rating by explaining why each area of analysis was rated that way in the analysis chart. [pic] Figure 1 Table 1 |A1 Article: Tobiano, G., Chaboyer, W. & Murray, A. (2012). Family Members’ Perceptions of the Nursing Bedside Handover. Journal | |of Clinical Nursing, 22, 192-200. | |A2 Background or introduction |The researchers provided an in depth introduction of the research topic outlining | | |important issues, previous research on the topic and their findings. The introduction | | |and background sections lead to the identification of the research gap, which...
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...In: Other Topics Qualitative Research Study Running head: Qualitative Research Study Qualitative Research Study Grand Canyon University NRS433V 5/30/10 Qualitative Research Study Introduction The qualitative research study that I chose to critique is on infections related to Nursing home-acquired pneumonia. Pneumonia care and the nursing home: a qualitative descriptive study of resident and family member perspectives. Soo Chan Carusone,1 Mark Loeb,1,2 and Lynne Lohfeld1,3 1Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada2Department of Pathology and Molecular Medicine, McMaster University, Canada 3Program for Educational Research and Development, McMaster University, Canada Corresponding author. Soo Chan Carusone: chansy@mcmaster.ca; Mark Loeb: loebm@mcmaster.ca; Lynne Lohfeld: lohfeld@mcmaster.ca Received September 19, 2005; Accepted January 23, 2006. Pneumonia is the inflammation of the lung parenchyma, build up fluid in the tissue of the lungs and then this infection spread in to whole body. The causes are mainly by Viruses, Bacteria, often caused by parasites or fungi. Pneumonia is the 5th leading cause of death in elderly. It may be unrecognized due to many factors such as it may be asymptomatic, or may be confused with other medical Pneumonia and other lower respiratory infections occur frequently among older adults residing in long-term care facilities...
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...Hek et al (1996) suggested Research is imperative in healthcare today and is part of the evidence-based practice that underpins nursing. Burns & Grove (1999) further proclaimed critiquing research involves careful examination of all aspects of a study, to judge strengths, limitations, meaning and significance. Research is critiqued to provide knowledge, improve practice and provide essential data for conducting further studies. The aim of this assignment is to critique a chosen piece of nursing research, to analyse the rigor and validity using a critical framework as guidelines. Although, many critical frameworks exist, the one to be utilised in this assignment shall be Benton and Cormack's framework (1996). Using the systematic headings within the chosen frameworks will help to facilitate the understanding and preparation for the journal article to be critiqued (see appendix 1). The article to be critiqued is located in the Journal of Advanced Nursing (2007) which evaluates the valuing of altruism in nursing students (Johnson, Haigh and Yates-Bolton (2007). Benton and Cormack's framework is initiated by looking at the following; Title The details or the vagueness within the title alone can decide whether the research report is read or not suggested Parahoo (1997). When the author examines the subject matter which shall be appraised in this instance, it is evident that the title is informative with the first part explaining the research which has been conducted...
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...Critique of Research Studies Name Institution Date Critique of Research Studies The critique of research articles serves as a balanced and objective analysis of the research to evaluate the study’s credibility and bias (Polit & Beck, 2012, p. 111). With this regard, the current paper presents a critique of two research articles from both quantitative and qualitative viewpoints, to offer an in-depth examination of each stage of the research process, Quantitative article critique: Testing a Model of Post‐Stroke Exercise Behavior Title This article was authored by Shaughnessy, Resnick and Macko, and published in the Rehabilitation Nursing journal in 2006. The title of the research article is clear, accurate and unambiguous and also includes the authors’ information to qualify their creativity and integrity to publish the article. The title is of appropriate length, and identifies to the readers the purpose of the study. Besides, the researchers’ Shaughnessy, Resnick and Macko (2006) have high education qualifications, although the article lacks substantial information on their qualification for their degree of knowledge and experience to conduct such research. Abstract The abstract of the article offers a succinct overview of the study problem, to feature the high incidence of disability resulting from stroke among older Americans (Shaughnessy et al., 2006). In addition, the abstract incorporates the key elements...
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...CHAPTER 1 INTRODUCTION 1.0 INTRODUCTION A handover is defined as “the act of moving power or responsibility from one person or group to another (Oxford Advanced Learner’s Dictionary of Current English 2005)”. In healthcare and clinical context, the term “handover” applies to the transferring of a patient’s information between two health care providers, when the patient receives care in a different location, or when another healthcare provider is responsible of the patient (ACSQHC 2005). The American word “handoff” also signifies the same meaning. Nursing handovers are often being described as a ritual, which stemmed from the medical concept preliminarily in the 1880s, whereby the nursing sister would direct the nurses on duty after hearing reports from the night shift nurses and the doctors’ rounds (Walsh and Ford 1989). The repetitive characteristic of the traditional handover does not encourage nurses to think critically or share different views, therefore depicted as a “ritual” (Kerr et al 2011). 1.1 BACKGROUND OFTHE STUDY The aim of a nursing shift handover is to precisely inform the patient’s general condition, care plan, treatment and expectations in a timely manner (Runy 2008). The process, if made without a systematic standardized method, would lead to errors and jeopardizes patient’s safety (ACSQHC 2010). Reported adverse events from handovers include unnecessary procedure and investigations, delayed diagnosis or treatments, prolonged hospitalization...
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...Formal Writing Assignment Final Draft: Nursing Case Study SITUATION: You have a very sick patient. You are using this patient for your case study. The patient has a sister who is a nurse- Lori. Lori has been a nurse for many years, and because your patient is her sister, she is very concerned and even a bit suspicious about the illness and hospital care. She writes a letter to you, expressing concerns about her sister. She copies the letter to the Director of Student Nurses. AUDIENCE: You are writing Lori’s letter to you (a student nurse) with a copy to the Director of student nurses. You are writing your response letter to Lori and copying it as a report to the Director of student Nurses. MAIN POINT AND PURPOSE: In this assignment you will demonstrate your ability to: • identify the correct priority problem and nursing diagnosis for a patient • reflect on a patient’s perspective to accurately assess and analyze a condition or problem • use nursing research to identify a priority nursing problem for a case study • utilize research to formulate a nursing diagnosis and plan of care • apply APA format to the writing of a research paper TASK: 1. Write Lori’s letter (1 page). In the letter: • Describe Lori’s biggest concern/issue with the hospitalization or illness of her sister. • Explain why she thinks this is a big problem. • Include a brief description of the events that led to the hospitalization of her sister and information...
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...Critical appraisal of research article Medicinal services proficient ought to have capacity to assess and execute research to make it as a guide in practice which requires sound hypothetical establishment. As per Ingham-Broomfield, (2015) a desire of medical caretakers graduating is that they will get to be basic consumers of research. The reason for this paper is to fundamentally appraised a qualitative research article by Burhans and Alligod, (2010), which incorporates assessing each structures of exploration procedure beginning from title, author/s, abstract, introduction, methodology, findings, discussions and lastly conclusion. Basically evaluating articles permits one to sift through the low quality studies and recognize deceiving data (Gerrish & Lacey, 2006). Title: The title of this article is Quality of nursing care in the words of nurses. Here the title represents that the research is about the study of meaning of quality nursing care in the expressions of medical caretakers. Author/s: The writers of article ought to have the essential aptitudes to do the concentrate so their capabilities are leaned to guarantee their capacity for the study. In this article both the authors are from the university and have achieved their PHD. Linda Mass Burhans had done Phd RN CPHQ and she is a research expert. Martha Raile Alligood has done Phd RN ANEF and she is a content expert. Their qualification and professions relevant to the research study which will help to improve...
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...Critique of Research Studies – Part 1 Grand Canyon University Health Care Research Analysis and Utilization Nur-504 February 1st, 2013 Critique of Research Studies – Part 1 Title – Backrest Angle and Cardiac Output Measurement in Critically Ill Patients (Quantitative) An effective title of a quantitative research article should include the dependent variables, the independent variables, and the population studied. Ideally, this should be accomplished in 15 words or less while attracting the reader to the research article (Polit & Beck, 2008). The article “Backrest Angle and Cardiac Output Measurement in Critically Ill Patients” by Guiliano, Scott, Brown, & Olson (2003), does include a dependent variable, independent variable, and the population being studied while generating interest from the reader. However, the title of the article does not include each dependent variable or all of the independent variables. Although the article has a fairly strong title, all of the above information should be listed to provide the reader with a clear sense of the research study. Abstract An abstract is a brief overview of the research article that may be in paragraph form or structured in to specific subheadings. The abstract should provide a clear summary of the main features of the research article including the background, objective, method, results, and conclusion (Polit & Beck, 2008). The abstract for the article by Guiliano...
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...Safe Lifting and Movement of Nursing Home Residents 1 Safe Lifting and Movement of Nursing Home Residents 2 Safe Lifting and Movement of Nursing Home Residents Safe Lifting and Movement of Nursing Home Residents by: James W. Collins, PhD, MSME Associate Director for Science Division of Safety Research National Institute for Occupational Safety and Health Centers for Disease Control and Prevention Morgantown, West Virginia Audrey Nelson, PhD, RN, FAAN Director Patient Safety Center for Inquiry James A. Haley Veteran’s Administration Hospital Tampa, Florida Virginia Sublet, PhD, RPh Senior Toxicologist Oak Ridge Institute for Science and Education Windermere, Florida DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Institute for Occupational Safety and Health i 3 Safe Lifting and Movement of Nursing Home Residents This document is in the public domain and may be freely copied or reprinted. Disclaimer Mention of any company or product does not constitute endorsement by the National Institute for Occupational Safety and Health (NIOSH). In addition, citations to Web sites external to NIOSH do not constitute NIOSH endorsement of the sponsoring organizations or their programs or products. Furthermore, NIOSH is not responsible for the content of these Web sites. Ordering Information To receive documents or other information about occupational safety and health topics, contact NIOSH at: NIOSH-Publications Dissemination...
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