Introduction A qualitative study focuses on natural settings that are associated in everyday life. Typically, qualitative researchers often do their study on smaller sample sizes as they are not looking to establish a statistical generalization in their findings. Qualitative research does not involve statistical measures or quantity of any kind, instead it is the study that involves lived human experiences. A lived human experience can be interpreted as gaining personal knowledge in everyday life by living through something or being involved in life events. The purpose of this paper is to analyze and critique the study if R.C. Stenhouse and his attempt to understand patient experiences in a acute psychiatric ward Statement of Phenomenon …show more content…
Stenhouse ' study is to examine the lived experience of a patient on a psychiatric ward and what their expectations were. For us to truly gain insight into patient experiences, it is imperative to get some patient perspective. The study goes on to showcase how the lack of nurse-patient relationships on the ward can lead to negative effects such as neglect and hopelessness. Such neglect from nurses resulted in patient to patient counselling. Where patients would seek comfort and consolation with each other. However, this too brought on negative affects, as it made patients vulnerable. The act of taking on other patients issues created immense stress for the patients, thus contributing to their already sensitive state. This is significant to psychiatric nursing because nurses will have relevant information to combat these negative effects and improve the quality of a patients being. The benefits of addressing this research problem to nurses are that the nurses will understand the importance of building a good rapport with a patient, thus improving their …show more content…
This meant that a change needed to be implemented within the facility, so that the nurses can do their job as caretakers. The study reported that the nurses had occupied themselves with the work of others, such as housekeeping and paper work. The patients who sought nurse-patient relationships argued that they did not have the time to sit and talk with them but they were too busy doing other hospital work. The findings also indicate that nurse need to be made aware of the patients expectations so they may deliver exceptional care. This can be achieved by interacting with the patients more and taking the time to understand them. Gaining insight into the patients perspective can provide a plan of how to treat the
Qualitative Critique Discussion I will be comparing and contrasting two qualitative studies: (1) an ethnographic study that examined the care and management of women experiencing early miscarriage in a hospital (Murphy & Philpin, 2010); and (2) a phenomenological study focused on the emotional needs of dying patients (Law, 2009). Ethnographers describe and interpret cultural behavior. They collect, describe, categorize, and analyze data. Their goal is to identify patterns in the behavior and thoughts of participants.
In Peplau’s theory (1952) focuses on the interpersonal relationship between nurse and the patient and the patient’s family. the patient is the one with the need while nursing is a therapeutic process and this relationship is affected by both nurse’s and the patient’s perception and his notion ( George,2011) this kind of collaboration builds relationship and trust, both the nurse and patient mutually define and understand the problems and find solution. this theory could be applied only when there is enough time for nurse to build that trust, with the gross understaffed nurses, it becomes even harder to establish such relationship. the communication between individual patient and the nurses on the floor is reduced when the nurses has so many patients to look after. interpersonal relationship is harder to build when the ration between nurse and patient is
In 1920, Major General Jennings wrote to the Secretary of Bombay that the “daily average sick was 580 as compared with 614 in the previous years. ”8 In addition, he reported that “the chief causes of deaths at the several Mental Hospitals were Tuberculosis 17, Diarrhea 14, Anemia 9, Diseases of the Heart 13, Dysentery 10, and Pneumonia 11.”8 These records reveal important information about the conditions of mental asylums. First, Major General Jennings word choice implies that the term lunatic asylums has been changed to “Mental Hospitals. ”8
This can only be done through support from senior management and nursing leaders (Carman et al., 2012). In turn, nurses would be able to cater care to their patients. Nurses play an essential role to nurture patient’s motivation for participation. Nurses need to encourage confidence for patients to become more involved in their care, especially during medical rounds, updates and allow them not to be coerced into their treatment by giving holistic information to make an informed decisions. Nurses spend the most amount of time with patients and that time can be used to build rapport and share knowledge with their patients.
It’s about us being gentle and caring in the way we give care and also about us not only looking after their physical needs but looking after them holistically. Nurses should especially have this quality since they are dealing with patients and family so closely. Heijkenskjold et al (2010) and Lindwall et al (2012) agree that patients’ voices being listened to, heard, valued and understood is essential to ensure respect and dignity for patients. Furthermore Heijkenskjold et al (2010) had found that nurses that treated patients as human beings and interacted ‘preserved’ their
The idea of shift work is a common one, but for nurses this is not a simple changing of staff during a certain time, change of shift signifies a time of purposeful communication between nurses and patients, in order to promote patient safety and best practices (Caruso, 2007). During this time, there is the possibility for this critical opportunity to relay important information to become disorganized by extraneous information, rather than concentrating on the needs of the patient (Sullivan, 2010). Often the patient is left out of the conversation, and is not a part of the process. Patients and families can play an important role in making sure these transitions in care are safe and effective (AHRQ, 2013).
There are many boundaries we must face in life. Most of them are in our field of work, called professional boundaries. “Having professional boundaries, or limitations, means always treating a patient as a client and not becoming involved in issues of his or her private life that do not directly relate to healthcare” (Booth, Whicker, Terri p.33). “Throughout the course of their professional lives, nurses interact with a variety of people in a variety of contexts, and for a variety of reasons. During these social interactions they need to be able to effectively communicate with and relate to other people” (Jane Stein-Parbury p.3).
It is the person and their physical, emotional, and psychological needs that are the basic focus of nursing’s attention. In order to care for a patient, the nurse must incorporate all these needs. For example, providing reassurance with an anxious patient who just finished hip surgery. Care also plays a major part when taking care of a unique patient. Caring influences my personal philosophy because it is the most important aspect of nursing.
Of the limited literature available, recent valuable insight is offered by an ethnographic study which explored the nurse’s role on an acute medical unit (Griffiths, 2010). The study highlighted the nurse’s focus on rapid assessment and management with the need to maintain a flow of patients from A&E through the AMU, whilst managing patients who were potentially unstable and often critically ill. In terms of the levels of patient acuity, dependency and activity, nursing patients in the AMU is very different to nursing practice in a general ward. Griffiths (2010) identified that the level of demand for acute medical hospital beds and the weight of clinical work in the AMU resulted in ‘superficial and short lived relationships between patients
3. QUALITATIVE RESEARCH THEORY 3.1 QUALITATIVE RESEARCH Qualitative research is a form of research in which the researcher collects and interprets data, meaning the researcher is as important in the research process as the participants and the data they provide. Reason and Rowan (2004) have argued that the core element of a qualitative research approach is to connect meanings to the experiences of respondents and their lives. According to Clissett (2008) qualitative research involves a variety of research methods that can be used to explore human experience, perceptions, motivations and behaviours. Qualitative research is characterised by collection and analysis of words in the form of speech or writing.
According to Austin and Sutton (2014), qualitative research engages in inquiring participants about their experiences of things that occurs in their lives. It allows researchers to gain insights into the feeling of being another person and to recognize the world in a different experience. The qualitative research methods focus on how individual behavior can be explained, within the groundwork of the social system in which that behavior occurs. Austin and Sutton (2014) also stated that there are different types of qualitative research methodologies; the commonly used method includes Ethnography, Grounded theory and Phenomenology. For this research project, the Phenomenology method will be adopted.
It is very easy to get wrapped up in the day to day tasks that we complete as nurses. But in order to give our patients the best possible care, we must look at our day through a holistic lens. The following essay will outline the theory as created by the “lady with the lamp” Florence Nightingale. We will look at the different components that are important to a patient’s health and outline on to incorporate these components into current practice.
Qualitative methods ask open-ended questions, which are not fixed, therefore the participants are allowed to respond in their own words. Further, the relationship between the researcher and the participant is usually more informal than the researcher conducting quantitative research. Participants in a qualitative research project are allowed to respond at length and in great detail as opposed to questions being responded to in a quantitative research