...(birth trauma and what it means to women) was clearly identified in the report. In the introduction the authors stated that women’s perception of birth trauma is quite different from the perception of the same phenomenon by health care providers. She also uses a term “in the eyes of the beholder” to emphasize that for every woman this phenomenon is unique. It is stated that PTSD after childbirth is quite prevalent and several studies support this fact. However, research is regarding the understanding of the birth trauma phenomenon from the woman’s experience lacking. The problem statement was worded clearly and directly and I wasn’t ambivalent about what problem will be discussed in the remainder of the article. Due to a lack of current literature on the subject and prevalence of PTSD after childbirth one can see the value in conducting such a study and the potential benefit to the profession of nursing. By understanding the perception of birth trauma to women, we as nurses will be able to facilitate better care, improve patients’ experience with childbirth, and prevent PTSD associated with childbirth. The methods used are not mentioned in the first paragraph but in a separate section following the research question where they are outlined clearly. The method of interviewing participants in focus groups is consistent with the naturalistic paradigm of qualitative research. The researcher clearly explained the reason behind choosing a qualitative design and the philosophical...
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...knowledge b. Uses a number of alternative solutions on a trial and error basis c. Is based on tradition and passed to us from previous generations d. Relies on experts to provide us with information Which of the following reasoning processes would be used in research? Select one: a. Primary and secondary patterns of thinking b. Deductive and inductive thought patterns c. Hunches and gut feelings about a situation d. Personal and first hand experiences Nursing research uses the research process to search for, develop, refine and expand a body of knowledge that: Select one: a. Increases the image and autonomy of nurses b. Defines nursing responsibility in the health care system c. Shapes and enhances the practice of nursing d. Decreases the nurses ability to practice in clinical settings Which of the following is a primary source of knowledge? Select one: a. Opinion piece b. Literature review c. Newspaper article d. Research article Which of the following general characteristics defines qualitative research? Select one: a. Small sample sizes and rich descriptive data b. Holistic understanding of people c. Making meaning from life experiences d. All of the above Which of the following have been established to ensure individual researchers adhere to ethical standards? Select one: a. Study procedure protocols b. Ethical journal editing boards c. Institutional ethics committees d. Student representative council The process of informed consent...
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...and perhaps global nursing shortage is clearly understood and continues to threaten healthcare practice, policy, and patient outcomes. A fundamental and largely misunderstood hemorrhage within the professional nursing pipeline is the significant student nurse retention and attrition rates reported by associate and baccalaureate schools of nursing. In a 2005 study by the Academic Senate for California Community Colleges, attrition from associate degree nursing programs is approximately 22%. A Canadian study of baccalaureate nursing programs finds and reports an alarming attrition rate of between 20% and 40% (Bolan and Grainger, 2005). The retention of students in nursing programs continues to be a major challenge for nurse educators and deans of nursing programs (Wells, 2003). Taylor (2005) reports the issue of student attrition is maintaining a high profile across the higher education sector and is a key concern for those delivering nurse education. In as much as it is impossible to bear quality fruit without plentiful and quality seeds, it is impossible to cultivate and educate student nurses if attrition and retention are not checked. If the desire for American healthcare is to remain the strongest and most competent in the world we must understand, explore and remedy the mitigating factors driving the student nurse attrition rate. Purpose Statement The purpose of this research study is to determine the relationship between undergraduate nursing school attrition,...
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...The Role of Nursing Advocacy Across all Healthcare Settings Nursing is an autonomous profession where lives are saved every day. Nursing advocacy can affect patient outcomes. As the nursing profession evolves and responsibilities increase, it is necessary to better understand the concept of nursing advocacy. The role of advocacy is not new for the nursing profession, but the nature of advocacy in the nursing practice remains ambiguous. Nurses are obligated to act as an advocate for their patients, but there is lack of clarity on how to perform this role. The purpose of this paper is to better understand nursing advocacy and to explore ways it is practiced across all fields of nursing in order to promote improved patient care. Advocacy is an essential role for the nursing profession; however, it can be affected by many factors. The goal of advocacy is to balance the relationship between the healthcare system and the patients who are served by evaluating patient/family needs, providing information and education, ensuring access to proper care and supporting the patient and family’s decision within the structure of a multidisciplinary team. This paper will explore the following research question: What are the variables that affect the role of nursing advocacy and in what ways is it practiced across all fields of nursing? Review of Literature Introduction The general topic of the review of literature is nursing advocacy. We are examining and exploring a clearer definition...
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...Running Head: ANALYSIS AND IMPLICATIONS Analysis and Implications of Practice: Quantitative Research Analysis and Implications of Practice: Quantitative Research Why are Nurses Leaving? Findings From an Initial Qualitative Study on Nursing Attrition Carol Isaac MacKusic and Ptlene Minick Introduction/Purpose As the population ages and chronic disease runs rampant, the need for bedside nurses grows. MacKusick and Minic (2010) further tackle the nursing shortage in Why are Nurses Leaving? Findings from an Initial Qualitative Study on Nurse Attrition. The purpose of this study is clearly stated, “to understand the factors influencing the decision of registered nurses (RN’s) to leave clinical nursing” (p. 335). This purpose statement clearly states and highlights its importance to the nursing practice. Interviews were conducted to find out what factors influenced the decisions of the RN’s to leave clinical nursing. The introduction of this study gave a great summation of the entire article which pulled the reader in. Review of Literature In reviewing the article, it was discovered that the authors did a thorough search of bedside RN’s leaving the nursing practice and found that very limited data was available regarding nursing attrition. Their search began with “GoogleScholar and was narrowed to include CINAHL, Medline, PsychINFO, and LexisNexis MacKusic and Minic” (2010 p.335). MacKusic and Minic (2010) found the data search for this topic ended in 2007 when the...
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...Quantitative Research Article Critique Frances Vitek Winston-Salem State University NUR 3303 Nursing Research Introduction Nurse residency programs are important in the desire for nursing recruitment and retention. New graduate hires face many stressful challenges transitioning from student to professional RN in the workforce. Loss of a new graduate nurse leads to a great financial loss and ultimately increase in the shortage that in turn can lead to patient safety issues. The leaders of the nurse residency programs need to be vested and continue to follow and mentor these new professionals well into their second or third year of hire. The purpose if this paper is to critique the research article “Are rural and urban newly licensed nurses different? A longitudinal study of a nurse residency programme” by Marilyn Meyer Bratt, Marianne Baernholdt, and Jessica Pruszynski. My examination focuses on specific aspects of the article in terms of process and validity of research methods and results. According to Burns and Grove (2012) the purpose of reviewing literature provides us with evidence in theory and science about a specific problem, alloying is to decipher information about what is known to us and not. The key concept covered in Bratt, Baernholdt and Pruszynski’s article is to determine if there is a difference among rural and urban nurse residency programs that lead to a higher retention rate? The key points of this review is to assess the two different...
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...GOFF, ANNE-MARIE, Ph.D. Stressors, Academic Performance, and Learned Resourcefulness in Baccalaureate Nursing Students. (2009) Directed by Dr. David F. Ayers. 135 pp. Despite extensive research establishing that stress affects problem-solving ability and coping, and leads to decreased learning, academic performance, and retention in nursing students, a paucity of research explores specific factors that could enhance these learning processes and outcomes. This explanatory correlational study examines the mediating effect of learned resourcefulness, the ability to regulate emotions and cognitions, on the relationships of stressors—both personal and academic—to academic performance in baccalaureate nursing students. Gadzella’s Student-life Stress Inventory (SSI) and Rosenbaum’s Self-Control Scale (SCS), a measure of learned resourcefulness, were administered to 53 junior level baccalaureate nursing students (92.5% female; 84.9% Caucasian; 9.4% African-American or Black) at a large urban university in North Carolina. High levels of both personal and academic stressors were revealed, but were not significant predictors of academic performance (p = .90). Age was a significant predictor of academic performance (p < .01) and both males and African-American/ Black participants had higher learned resourcefulness scores on the SCS than females and Caucasians. Total stress scores on the Student-life Stress Inventory showed that male participants perceived less stress (N = 4, M = 116.5)...
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...having differing & possibility complementary strengths & weaknesses. While questionnaires are usually views as a more objective research tool that can produce generalizable results because of large sample sizes, results can be threatened by many factors including: faulty questionnaire design; sampling and non – responses errors; biased, questionnaire design & wording; respondent unreliability; ignorance, misunderstanding, or bias, errors in coding, processing & statistical analysis; and faulty interpretation of results. Questionnaire research can be seen as over-reliant on instruments & thus, disconnected from everyday life, with measurement processes creating a spurious /artificial sense of accuracy. Neither are interviews neutral tools; here data are based on personal interactions which lead to negotiated & contextually based results. While interviews provide context where participants can ask for clarification, elaborate in ideas, & explain perspectives in their own words, the interview can use questioning to lead or manipulate, interviewee responses. Due to the interpersonal nature of the interview context, participants may be more likely to respond in ways they deem socially desirable. Since most qualitative studies name relatively sample size, the results can be difficult to replicate or generalize. Further differences between the two methods can occur through the coding & analysis of the data. Quantitative data are numeric; more objective...
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...Qualitative Nursing Research Critique Cherie L. Ben Melanie McKnight, Annie Williams NUR 515 Nursing Research August 15, 2015 Professor Susan Steele- Moses Qualitative Nursing Research Critique Qualitative nursing research, has been building momentum in the health care arena for some time now. Qualitative nursing research is valuable to knowledge related to evidenced based practice. For instance, human responses are studied and questions related to potential or actual health problems or diseases are answered. Concepts and Phenomenon are studied and the results are interpretive. Qualitative nursing research is valuable but because outcomes and data aren’t precisely measured, as in quantitative research, critiques are more frequent. “There is a growing body of research to support the view that health care providers are biased in their approach to caring for obese patients” (Creel, 2012). I am providing a qualitative nursing research critique on the article, “Stigmatization of Overweight Patients by Nurses”. Purpose and Problem Identification The focus and purpose of this qualitative nursing research study is to investigate and explore the phenomenon of the stigmatization of overweight patients by their nurses or the nursing staff. The purpose of this qualitative nursing research study is clearly stated in the abstract and under the purpose subheading within the article. The problems that lead to the production of this article was that the increasing number...
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...ELDER ABUSE IN NURSING HOMES: THE IMPACT OF DEMENTIA/SPECIAL CARE UNITS BY CHRISTINA KAY FALK THESIS Submitted in partial fulfillment of the requirements for the degree of Master of Science in Community Health in the Graduate College of the University of Illinois at Urbana-Champaign, 2013 Urbana, Illinois Adviser: Stephen J. Notaro, Ph.D. ii ELDER ABUSE IN NURSING HOMES: THE IMPACT OF DEMENTIA/SPECIAL CARE UNITS By: Christina K. Falk Elder abuse is a topic that impacts everyone in America at some point in their life. Special care units also called dementia units are protected areas in a nursing home that are specially designed for dementia/Alzheimer patients. This thesis reviewed how a special care unit in a nursing home affect the number and severity of deficiencies reported to Medicare. The data was collected from Medicare’s Nursing Home Compare system and the Illinois Public Health Department. This study reviewed 770 nursing homes in Illinois were reviewed, 141 had special care units during the time of data collection. The facilities had a range of total deficiencies from one to 74 with Level of Harm ratings ranging from one to four on a four-point scale. The results showed that residents in a nursing facility that has a special care unit are at a greater risk of a higher Level of Harm but no difference in the number of deficiencies. Possible causes of this greater risk are due to the intrinsic nature of the population in special care units, the need for policy and procedural...
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...the main causes if HCAIs, and discusses the relationship between compliance with hand hygiene guidelines and stress among nursing professionals in one German hospital (Knoll, Lautenschlaeger, & Borneff-Lipp, 2010). This paper explores the factors associated with hand hygiene compliance of nurses during routine clinical practice. The purpose of this research was to clarify whether external factors such as ward capacity, or level of nursing intensity had an influence on nursing staff compliance with hand hygiene guidelines. The research questions in this study are; does hand hygiene between healthcare workers decrease healthcare associated infections (HCAIs)? Does exterior factors influence on nurses compliance with hand hygiene guidelines? The hypothesis of this study is; workload factors like maximum ward capacity, severity of patient cases, have an influence on nurse’s compliance with proper hand hygiene guidelines. Study Variables A total of nine variants were used in this paper. Records from the descriptive interviews were used as dependent variables. The ward-specific workloads considered on one side as the rate of used ward capacity, and on the other as the degree of nursing intensity which were distinct as independent variables. Conceptual Model\Theoretical Framework Acquiescence with good hygiene practice, depend on the nursing intensity and used ward capacity were evaluated. These two threat factors were checked for their connection to ‘objectionable...
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...NCLEX-RN® DETAILED TEST PLAN 2010 NCLEX-RN Detailed Test Plan ® Effective | April 2010 Item Writer/Item Reviewer/Nurse Educator Version Mission Statement The National Council of State Boards of Nursing, composed of member boards, provides leadership to advance regulatory excellence for public protection. Purpose and Functions The purpose of the National Council of State Boards of Nursing (NCSBN ) is to provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing examinations in nursing. ® The major functions of NCSBN include developing the NCLEX-RN and NCLEX-PN examinations, performing policy analysis and promoting uniformity in relationship to the regulation of nursing practice, disseminating data related to NCSBN’s purpose and serving as a forum for information exchange for NCSBN members. ® ® Copyright© 2010 National Council of State Boards of Nursing, Inc. (NCSBN) All rights reserved. NCSBN , NCLEX , NCLEX-RN and NCLEX-PN are registered trademarks of NCSBN and this document may not be used, reproduced or disseminated to any third party without written permission from NCSBN. ® ® ® ® Permission is granted to boards of nursing to use or reproduce all or parts of this document for licensure related purposes only. Nonprofit education programs have permission to use or reproduce all or parts of this document...
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...Stage III or Stage IV PUs as “never events” (considered avoidable health care incidents) (Agency for Healthcare Research and Quality [AHRQ], 2012). Since 2008, the Centers for Medicare & Medicaid Services no longer reimburse providers for treatment of facility acquired Stage III or Stage IV PUs. Populations at risk for PU development include older adults, patients with dementia, and any person with conditions of immobility (Ratliff, Tomaselli, & The Guideline Task Force, 2010). Because an older adult is more likely than a younger person to have impaired mobility and co-morbid health conditions, elders are especially vulnerable for PU development. This is of particular concern given the large population of these individuals in our nursing home facilities. In 1992, the AHRQ developed early guidelines for preventing pressure ulcers. In general, prevention guidelines focus on reducing the amount and time of pressure and shear through pressure-redistribution surfaces and frequent repositioning while providing nutritional support when needed, and protecting the skin from dryness and moisture (NPUAP/ EPUAP, 2009). With clear guidelines available, why do some nurses provide adequate PU prevention while other nurses do not? Why are interventions not performed...
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...M5A1: Critical Analysis of “Spirituality as a Predictive Factor for Signing an Organ Donor Card” a Quantitative Research Study NUR 430 Excelsior College Abstract This paper is a critical analysis of the article “Spirituality as a Predictive Factor for Signing an Organ Donor Card”. The research was preformed by Anat Peles Bortz, RN, PhD, Tamar Ashkenazi, RN,PhD, and Semyon Melnikov, RN, PhD. The research was accepted for publication in 2014. The research was presented at the 25th International Nursing Research Congress Symposium in 2014 in Hong Kong. The research appears in Sigma Theta Tau International, Journal of Nursing Scholarship 2015. The research looked at two groups of people in Israel, those who signed an organ donor card and those who did not. The research examined differences of spirituality, purpose in life, and attitudes toward organ donation and explored the effects on signing an organ donation card. The article contains the research purpose, design, methodology, statistical findings, conclusions, clinical relevance, and references. Analysis of the article is from the perspective of its contents and it relative quantitative research methods. The article/research is broadly based on spirituality and organ donor procurement. Keywords: spirituality, purpose in life, attitudes toward organ donation, organ donor card “Spirituality as a Predictive Factor for Signing an Organ Donor Card” A Quantitative Research Study Quantitative Research ...
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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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