Li et al (2012) rigorous design minimized biases and threats to internal validity by use of randomization, comparable treatment groups and consistency. According to Li et al (2012) the nurses who provided care for the patients in the study were blind to and not involved in the administration of the interventions. They also sought study participants who lived within an hour of the hospital. However, the attrition rate over the period of the study was approximately thirty percent for both groups. The reasons were due to discharge and death, lack of time of the FCG to finish the study, travel limitations and the patients concerns of the time FCG were devoting to the study. “Oversampling, monetary incentives and home delivery of questionnaires …show more content…
538). The preparedness for follow up care was measured using the Family Preparedness Scale (FPS) and the FCG emotional coping outcomes were measured using the Stait-Trait Anxiety Inventory (STAI). Patient outcomes were measured by post-discharge chart review and FCG report. Functional status was measured utilizing the National Health Interview Survey (NHIS). Depression level and cognitive status were measured using a scale adapted from Perlin, Mullan, Semple, and Skaff. Lastly FCG coping process was measured using the Family Belief Scale. Li et al (2012) described each measuring tool including the number of items used, the point scaled used, and what higher summed scores indicate (p. 538-540). There was no documentation of the instruments being used in other studies and the validity and reliability of the instruments addressed in Table …show more content…
It must be hard to have results that do not prove your hypotheses and I think the fact that Li et al admitted that shows trustworthiness. Li et al (2012) also was very honest about their limitations. The study contributes the fact that there is a need for further research in this area. They spark more questions than they really answer but that is reasonable. I do not think the fact that there was no significant evidence that there was a difference with the CARE program takes away the fact that programs like these are beneficial and the researchers make that clear by stating “ CARE may not work as a one-size-fits-all intervention” but “It may be more beneficial for subgroups of FCGs’ and “While not rising to the level of significance, some small difference in outcomes are intriguing” and “worthy of continued examination” (Li
With these changes, we as nurses are able to provide the best care possible for our patients. In the BSN program, I learned the importance of having peer reviewed research for validity. Also, I would like to one day take part in a research study at my facility in order to contribute to the advancement of the nursing field. Sound peer reviewed research is very important in the nursing field.
Throughout this paper, I will explore both the pros and cons of mandated nurse-to-patient ratios in order to resolve the question, does nurse to
Outcomes demonstrated that patient access to care improved and there was high quality of care provided. Edmunds, M. (1978). Evaluation of nurse practitioner effectiveness: An overview of the literature. Evaluation and the Health Professions. 1, 69-82 (E, A, I P/A) This article provides an overview of published literature that focuses on the effectiveness of the NP.
Nurses have to work with the health care team to develop and implement the best-individualized, evidenced-based plan of care for the patient. Nursing practice is informed and modified in response to systematic evidence based decision making. Nurses use research to provide evidence-based care that promotes quality health outcomes for individuals, families, communities and health care systems as well as to shape health policy in direct care, within an organization, and at the local, state and federal levels (Quigley, 2017). Nurses communicate to patients to help them with their needs including physical, emotional, cognitive, social, and spiritual. They communicate with the client, support persons, other health professionals, and people in the community.
The nurse’s ability to comprehensively assess the needs of patients and provide evidenced based practice benefits patients by improving outcomes. The use of evidenced based practices assists facilities with achieving accreditation requirements (Grove, Burns, Gray, 2013). Most importantly, nurses receive self-gratification for their
Each morning patients came in for assessment and the treatment team developed or altered existing treatment protocols. I longed to be part of this team, working to stabilize each patient so they could return home to pursue their goals. The nurses stood out to me as the team members at ground zero in the unit, working directly with patients, and advocating for them in meetings. As a Nurse Practitioner, I will provide this same standard of holistic care to my patients, taking into consideration their biological, social, psychological and cultural needs while developing and implementing treatment decisions.
This shows how even after a treatment was found, the doctors still refused treatment to most of the patients. In conclusion, the study was unethical and the doctors didn’t care about the health of their
The profession of nursing has embraced evidence based practice (EBP) as evidence based care combines evidence from research, clinical experience, and patient preferences that help us to ensure that patient care is effective, considerate, and cost effective for facilities and the population served, while meeting the specific needs of each patient Research that leads to EBP tells nurses and health care providers what practices/treatments that work, what does not work, and with whom and where they work best. An example of EBP is that the Affordable Car Act requires that all reimbursable treatments follow the guidelines and recommendations made by the U.S. Preventative Services Task Force (USPSTF). The USPSTF recommendations are derived from
In the clinical setting, the nurses’ expertise can be used to make clinical assessments and recommendations for routine care at a lower cost than a physician visit. This would increase the number of patients seen and increase the quality of the care provided. The advance practice nurse would be able to hone in on preventative measures and increase patient education. The advance practice nurse can also make recommendations about practice changes needed to facilitate better health outcomes through the use of evidence-based practice. Nursing leaders are aware of how important nursing science is to provide needed evidence to transform practice, even though, finding the time and resources to support any research activity is often challenging (Stone, 2017).
For this Audit the author took the following steps in developing questions for the Audit tool as guided by The National Institute for Clinical Excellence
The individual and the family as a whole can monitor things such as vulnerability factors, emotions, and responses to emotions, which all can be tracked. It can also lead to an increased awareness of the internal experiences that one may have. Self-monitoring even serves as a monitoring agent for family members as well as therapists by providing all parties about how much progress is being made. The self-monitoring method can be useful after treatment by helping clients to gain an increased understanding and self-awareness of different patterns of behavior which may be
If possible, the patient’s medical social worker or the discharge liaison officer should make a follow-up call to enquire on the recommended modification and to find out how patient is coping at home
It puts emphasis on designing and developing interventions specifying social and health problems to inform practice activities. (Fraser et al., 2010). To relate with this, intervention research method is appropriate for the study since the problem being dealt with concerns the usual factors interrupting and distracting nurses during medication administration thus directly affecting medication error incidences. Testing the wearing of sash or “statement vest” as an intervention initially proposed by a foreign study (Nelms et al., 2011) locally would determine the
The sample size provided in the original study was sufficient in size and diverse in age, but the knowledge of how the subjects were chosen was not disclosed. Also, we do not know if the volunteers are all from the same area of living. Are they from a rural or an urban location? What is their socioeconomic situation? Did they work and/or live in healthy or unhealthy environments?
For purposes of this literature search, the database that is available through the internet was utilized. The focus of the research was chronic illness and psychology, the relationship between the chronic illness and depression and Coping skills. For this reason, the following three search terms were used: Chronic illness and psychology, depression, and coping skills. As a result of using these 3 search terms, hundreds of articles were found. The following provides a brief summary of information contained in some of those articles.