Module 3 Assignment
Evidence Based Practice and Nursing Scholarship
Dr. Michelle Nelson
March 21, 2018 Module 3 Assignment Through patient experiences and past studies, the laparoscopic gastric bypass surgery has been beneficial in many obese patients. It has shown to improve self confidence and quality of life. After the gastric sleeve surgery has been done, and the patient typically experiences weight loss, and the majority of the time their overall health improves. Patients tend to have less joint pain and see improvements with their blood sugar and cholesterol levels. Improvements with their blood pressure can be seen as well as improvements with sleep apnea. Those who have successful results after the …show more content…
Therefore, data can be obtained through a written questionnaire or by a personal interview with the participant (LoBiondo-Wood & Haber, 2014, p. 114). For this study, a questionnaire will be developed for the participants who have had the gastric sleeve bypass surgery in the past. Next, a meeting with participant individually will take place for a personal interview in a private room to eliminate any surrounding distractions. I will personally take notes during these one on one sessions. In a phenomenological design, researchers may clarify patient responses received by the participant with both oral and written responses (LoBiondo-Wood & Haber, 2014, p. 114). After the participants’ information is collected, it is important to read the data collected to get a better understanding of the participant. The participants’ data is then organized and meanings are formulated. The data collected is then evaluated and themes are validated by each participant individually to verify the interpretations made by the researcher (LoBiondo-Wood & Haber, 2014, p. 114). After the data analysis has occurred, it is important to meet with the participant again for their opinions on the interpretation of the …show more content…
307). Fittingness, credibility, and auditability will be a better fit and more appropriate for qualitative studies (LoBiondo-Wood & Haber, 2014, p. 125). Fittingness gives a detailed description of the participants’ daily lives to prove the relevance of the research findings and can be used for relatable research and theory development (LoBiondo-Wood & Haber, 2014, p. 126). When adequate information is provided for the evaluation of data analysis, an accurate and in depth description of research findings are made which demonstrates fittingness. Credibility allows the researcher to verify their interpretations and accuracy of their perspective by returning for further interviews with the participants (LoBiondo-Wood & Haber, 2014, p. 126). Credibility also refers to how believable the research findings are or the true value of the study. The additional interviews following the examination of data analysis will broaden the study’s credibility. Auditability is the participant showing accountability of the information provided and the transfer of raw data into research findings (LoBiondo-Wood & Haber, 2014, p. 126). During this study, a detailed description of the participants’ personal experience, environment, and circumstances will be given in a way that others can
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Gawande demonstrates his point through several different stories involving patients who had gastric-bypass surgery. For example, when telling the story of a woman named Carla, Gawande states, “She had slowly found herself to have a profound and unfamiliar sense of willpower over food.” Gawande argues that as a result of this change, “she no longer wanted to eat like she did before. She thought that the surgery was why she no longer ate as much as she used to. Yet she felt as if she were choosing not to do it” (174).
However, like in everything, there are exceptions. Gawande made the acquaintance of a man who regained all his weight after the surgery, exemplifying the problem of uncertainty with the procedure. Magnifying the doubt, gastric bypass is not found to reduce mortality and many of the so called professionals are not properly trained to perform the
Atul Gawande author of the nonfiction novel, Complications: A Surgeon’s Notes on an Imperfect Science, writes in the second section of his book that mystery fills the lives of doctors as the medical world are constantly changing. Doctors are often expected to have answers for questions that they do not yet possess. Gawande illustrates his thesis using a doctor’s experience with a severely obese patient.. A gastric-bypass is a serious operation that significantly restricts the amount a food a person can consume; the underlying outcome is extreme weight loss. However, the question is why a particular person, in this case “Mr. Caselli”, becomes grossly overweight?
According to surgeon and Master of Public Health Atul Gawande, the morbidly obese should consider Roux-en-Y gastric-bypass surgery (Gawande 187). In “The Man Who Couldn’t Stop Eating,” Gawande describes Vincent Caselli’s gastric-bypass operation as well as his complete recovery. He explains what a Roux-en-Y gastric-bypass is, and retells several personal accounts from his experience as a surgeon. Throughout the article, Gawande gives many facts about the surgery, stating that many problems can arise during the recovery phase. Overall, many people lose at least two-thirds of their weight in a year; however, in rare cases, people can regain their weight or even exceed their original weight (194, 196).
If you 'll invest a little more time in reading, you 'll be that much nearer to expert status when it comes to bypass gastric morbid obesity surgery. Yet while gastric bypass surgery has become a burgeoning industry, some fear that as more and more people require the surgery, there are less and less qualified and experienced surgeons to go around. In the gastric bypass procedure, a 15-20cc stomach pouch is constructed (usual stomach approximately 1500cc or greater). The remainder of the stomach is separated from the new stomach pouch and stapled closed.
Congested heart failure (CHF) is one of the leading causes of death in the United States (Centers for Disease Control and Prevention, 2015). There have been research studies conducted to provide evidence-based practice in decreasing the effects of CHF. There is evidence that links exercise, diet, and education as key factors that decreases mortality and morbidity in patients with CHF. All healthcare settings can utilize and implement evidence-based practice when caring for patients with CHF. Nurses should promote education about CHF and the benefits of regular exercise and diet (Smart, 2010).
The National Institute of Nursing Research The National Institute of Nursing conducts research to improve the health and well being of the population at large as they incorporate both clinical and research training on health and illness across all ages to prevent diseases, while they manage and improve the care of each individual. The goal of the research facility is to apply new technologies to promote health while developing scientist of the future ("National Institute of Nursing Research," 2011). There are three current methodologies to research; quantitative, qualitative, and outcome research. Examining all three closely reveals a complex distinction in methods of research. The quantitative method focuses on the formal, objective process
“Evidence-based practice (EBP) is the integration of patient preferences and values, clinical expertise, and rigorous research to make decisions that lead to improved outcomes for patients and families” (Melnyk and Fineout-Overholt, 2015, p. 171). The need for evidence based practice will help ensure the patient will receive the highest level of quality of care. Each member of the health care team, work together with the common goal of identifying the needs of the patient and offering the most safe, efficient, and effective care. Patient and family centeredness is one of the values identified with the decisions that are being made on the behalf of the patient with evidence based practice (Melnyk and Fineout-Overholt, 2015, p. 176). By focusing
Nursing profession is a practice that utilizes findings based on facts and/or evidence. In that, research plays a vital role in building a strong foundation to support the knowledge of nursing. In the profession of nursing field, research and/or evidence provides rationalized, cost-effective, and quality care interventions through validation (Barbara & Susan, 2014). It also assists with existing knowledge in creation of new ideas and innovations. Decisions are made based on research results.
Qualitative research is intimidating to many because it involves talking to people, learning about the culture and language, revising surveys to fit the community’s definitions and views, and revisiting people. With qualitative data, one cannot punch data immediately after the initial interview; this data takes a lot of time to fully gather. Additionally, qualitative data is seen as softer compared to quantitative. Thus when publishing and presenting research, Cropley explains that it is important to be upfront with one’s bias and to be skeptical of one’s own data.
In short stay surgery, I pre-op patients for surgery. Gastric sleeve patients come from home and are admitted to the hospital after their gastric sleeve procedure. There seems to be an increasing number of patients who are having this surgery. There are certain requirements to be met if paid by insurance, but others pay “out of pocket” price to have the procedure done. In my research, I wanted to explore the benefits and effectiveness of obese patients having the gastric sleeve surgery.
If I, was to go to Harper High School, I would use credibility, transferability, dependability, and confirmability to make my findings valid. Credibility, focuses on making sure that the interpretations presented in the study are true to the observed (168-170). The purpose of qualitative research is to describe the perspective from the participant 's eyes, thus, the participants are the only ones who can legitimately judge the credibility of the results. Since, I would be conducting similar research to the radio producers, seeing the daily activities of the students would help establish credibility, since it is direct data. Transferability, is a response to generalization (done by quantitative research), it creates ‘thick description’ which is detailed description of the research and assumptions (168-170).
Evidence based practice and how is it relative to nursing practice Nursing practice is often guided by tradition rather than evidence-based practices. Over the past two decades nursing has gone through vast changes. Patient care has shifted to evidence-based practice which uses current research and historical evidence to implement care and improve patient outcomes. EBP integrates clinical expertise, patient values and preferences, and critical appraisal of relevant evidence to clinical questions (Chrisman, Jordan, Davis, & Williams, 2014).
1. Define research, nursing research, and evidence-based practice, and describe the purposes of research in implementing an evidence-based practice. Research is investigating and studying of materials and sources to establish facts and reach new conclusions or to report knowledge about something. Research can also mean to validate something that already exists based on some kind of theory.