Topic 1: History and Process of Nursing Research, Evidence-Based Nursing Practice, and Quantitative and Qualitative Research Process Tasks

NRS 433 Topic 1: History and Process of Nursing Research, Evidence-Based Nursing Practice, and Quantitative and Qualitative Research Process

Topic 1 History and Process of Nursing Research, Evidence-Based Nursing Practice, and Quantitative and Qualitative Research Process Tasks

The Contrast Between a Nursing Practice Problem and a Medical Practice Problem.

A nursing practice problem is recognized during the nursing assessments conducted on a patient’s condition. It is a clinical diagnostic assessment of actual or potential health problems. Clinical diagnoses or assessments are developed based on data obtained during the nursing assessment. Specifically, a nursing practice problem assesses the human response to health conditions. Nursing practice problems foster the nurse’s independent practice as opposed to dependent interventions driven by the physician’s medication administration. Besides, the medical practice problem focuses on the pathology of the patient. It deals with disease or medical conditions. The physician majors on the defect, or dysfunction, within the patient, using a problem-solving approach (Milner & Cosme, 2017) .One example of the nursing practice problem is infection control. Nurses undertake a significant role in helping to prevent illness before it happens by adhering to evidence-based infection-control policies. Similarly, one example of a medical practice problem would be when a patient manifests multiple and vague symptoms of a specific disease or a manifestation of numerous illnesses that obscure detected diagnosis and very hard to define by the physician.

Importance of   Ensuring PICOT is Based on a Nursing Practice Problem

PICOT is a method for developing research questions that focus on searching the existing evidence-based nursing practice problem.

Topic 1 History and Process of Nursing Research, Evidence-Based Nursing Practice, and Quantitative and Qualitative Research Process Tasks
Topic 1 History and Process of Nursing Research, Evidence-Based Nursing Practice, and Quantitative and Qualitative Research Process Tasks

Similarly, a clinical question needs to be directly relevant to the evidence-based nursing problem so it could be figured in such a way as to facilitate the search for an answer (Patterson et al., 2017).  It is essential to have a PICOT that is directly relevant to the evidence-based nursing practice problem so it can be framed in such a way to facilitate the search for an answer.

References

Milner, K. A., & Cosme, S. (2017). The PICO Game: An Innovative Strategy for Teaching Step 1 in Evidence‐Based Practice. Worldviews on EvidenceBased Nursing, 14(6), 514-516. https://doi.org/10.1111/wvn.12255

Patterson, P. D., Higgins, J. S., Lang, E. S., Runyon, M. S., Barger, L. K., Studnek, J. R., & Martin-Gill, C. (2017). Evidence-based guidelines for fatigue risk management in EMS: formulating research questions and selecting outcomes. Prehospital Emergency Care, 21(2), 149-156. https://doi.org/10.1080/10903127.2016.1241329

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Topic 1 DQ 2

Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Provide an overview of the problem and discuss why the problem should be studied. Provide rational and support for your answer.

Re: Topic 1 DQ 2
Nurses face ethical dilemmas on a daily basis regardless of where they practice. No matter where nurses function in their varied roles, they are faced with ethical decisions that can impact them and their patients. There is no “right” solution to an ethical dilemma. Changes in health care and society have led to new and increased awareness of the ethical dimension of nursing and its impact on the delivery of high-quality care.Nursing-to-patient ratio has been a problem in the world of nurses on the floor (AHRQ, 2013). As a surgical floor nurse, there have been numerous times where I’ve had five patients max with no CNA or help on the floor. Yes, our max patient per nurse is five in our unit, but no one considers the fact that those five can all be high acuity and require lots of attention. Our main priority as a nurse is to keep our patients safe and satisfied. If safety for the patient is the key, our safety as the healthcare worker is important as well. Help on the floor would be a great deal. Research have shown that nursing rounding if there’s time and help can reduce call lights, falls, nurse burn outs and increase patient satisfaction (Nelson & Staffileno, 2017).This issue should be carefully studied to reduce stress in nursing, keep the patients as well as the nurses safe, reduce medical errors such as medication errors, and prevent infection from occurring such as; UTIs, bed sores. It will save lives, improve the quality of care and help to address the nursing shortage by creating a work environment that encourages nurses to remain in the hospital workforce.

References:

Agency for healthcare research and quality. (2013). Hospital Nurse Staffing and Quality of Care.

Nelson, J. J., & Staffileno, B. A. (2017). Improving the patient experience: Call light intervention bundle. Journal of Pediatric Nursing, 3637-43. doi:10.1016/j.pedn.2017.04.015