The study design was appropriate to solve the research questions. The sample size was sufficient. However, eleven percent of cases (36,839) were removed due to missing data on one or multiple factors, which was a threat to the generalizability of the findings. I think the method used to deal with the missing data was not appropriate. An analysis of the pattern of the missing data was necessary and methods of managing the missing data should be based on an overall consideration of the pattern of missing data, how much was missing, and why it was missing. I am interested in the conceptual framework developed in this study. This conceptual framework can be used to guide my research after modifications. Overall it is a good, well-written article …show more content…
Survey and administrative data were used to include 4,540 NH residents in 290 NYS NHs who died in 2007. The hospice use rate was 18.0% with an average length of stay of 93 days. NH residents’ hospice utilization was not only correlated with individual and facility characteristics but also with NHs’ self-reported EOL care practices styles. A thorough review of the literature was done, which provided direction for the formation of the two research questions. The clearly defined covariates were identified based on literature review and opinions from clinical experts. The rationale of the choice of the statistical analysis method was clearly described. Implications of the findings for future study were discussed at length. However, the findings were not quite consistent with the research questions. The research questions for this study were too narrow and ignored the value of individual factors and facility …show more content…
The sample size was large. Study facilities and all NHs in NYS were compared to evaluate possible selection bias. This study was conducted by the same researchers as the last article (Zheng, Mukamel, Caprio, Cai, & Temkin-Greener, 2011). Some issues I found in the last article were addressed by this article, for example, the data screening before the analysis and the use of prior available full assessment. The data linkage the researchers used to examine the effect of EOL care practices is of interest to me in relation to my research question because some factors I am interested in examining are not included in the MDS assessment and can be obtained by data linkage. Overall, it is a well-written and thought-provoking study. It would be interesting and important to know whether the facility self-reported EOL care practices affect residents’ hospice
Gawande’s book is very pertinent to the present day and has by many accounts sparked a national discussion on end-of-life care and how we treat our elderly. With elderly people accounting for a greater proportion of the American populace and as people start living even longer than they do now, end-of-life care will become and remain a major issue faced by doctors, patients, their families, and the healthcare system. Additionally, with our greater focus on improving patient outcomes while getting the most value for our healthcare dollars, end-of-life care is a major area that healthcare systems and hospitals will focus on, as it accounts for a large portion of their budget. As a response to the need to take care of our aging population, hospice care and palliative medicine are some of the newer specialties in the medical field that have been increasing in popularity and more research needs to be focused in these areas to better understand how to improve patient outcomes.
This is a credible article; it seems that it is researched thoroughly and thoughtfully. Overall this article highlights my topic fairly well, and did meet my expectations; the author’s conclusion ended strong and summarizes the article greatly. Still, this article is not much different than my other twelve articles with the exclusion of one. In this article and others not all sources have different points of view and only one has done that.
(3)Publication Date: 2008-03-18Medicare Benefit Policy Manual Chapter 9 - Coverage of Hospice (4) JOURNAL OF PALLIATIVE MEDICINE
In response to the question set, I will go into detail of the study, consisting of the background, main hypotheses, as well the aims, procedure and results gathered from the study; explaining the four research methods chosen to investigate, furthering into the three methods actually tested.
In the future, more care could be taken in discussing the research framework and design; however, overall, this was a well-designed, qualitative research study. Despite a few potential limitations, the study findings were reasonable, consistent with one another, and compatible with similar studies, leaving the research consumer satisfied with the soundness of the study.
Collected data were subjected to analysis of variance using the SAS (9.1, SAS institute, 2004) statistical software package. Statistical assessments of differences between mean values were performed by the LSD test at P = 0.05.
The history and name hospice got its name from hospitality. In 1967, Dr. Cecily Saunders evented the first hospice was which was used for people who were terminally ill. However, the Hasting center Report, shows that in 1973, hospice emerges in the United State, and was used as a concept of care and not a place of care. Hospice upholds life and neither speeds nor postpones death. They offer palliative care to people with end of stage of life regardless of their age, gender, nationality, race, sexual orientation, etc. Hospice believes that proper care to the community will help patients and their families to be mentally and spiritually prepared for the death of their love ones. They provide 24/7 care in either home or facility base setting. The care of hospice is for patients who have chronic illness and have six month or less to live (NHPCO, 2012). Opiates mediation is used to treat pain. Hospice offer palliative care service to their patients to improve the quality of life. The primary goal is to control patient’s pain, symptoms management, and improve the quality of life (NHPCO, 2012). Hospice also provides bereavement services for families who have lost their love one. This is to help the family to cope with death. The bereavement services last for about a year or thirteen months after patients die. Families are offered individual counseling or support group (NHPCO, 2012).
According to Shi and Singh (2015), end-of-life care deals with preventing pain and stress for terminally ill patients and their families. The focus of this type of care is patient dignity and comfort, which
End of life pain management is an important function of hospice organizations. Families and patients alike are comforted by the fact that, at the end, there are resources which allow for a comfortable death. Much of the quality of hospice care is determined by patient family members. In 2005, the Brown Medical school conducted research with regard to t...
Death is a universal truth. Hospice reduces the suffering associated with death. Hospice is considered the philosophy and model for quality, compassionate care to terminally ill patients. Patients accepted into a hospice program usually have a prognosis of less than six months to live (Potter, Perry, Stockert & Hall, 2017, p. 761). Hospice provides skilled medical care, pain management, emotional, and spiritual support tailored to the patient’s needs and wishes. The goal of hospice is to focus on the quality of life during the end of life. It gives patients a sense of dignity, provides patients and families with support, and it is cost effective. Today, seven out of ten Americans die from chronic disease. By 2020, the number of people living with a chronic illness will increase to 157 million (Hogan 2012). As the elderly population in the U.S. continues to increase, the importance of hospice will only continue to grow.
The authors of this article have outlined the purpose, aims, and objectives of the study. It also provides the methods used which is quantitative approach to collect the data, the results, conclusion of the study. It is important that the author should present the essential components of the study in the abstract because the abstract may be the only section that is read by readers to decide if the study is useful or not or to continue reading (Coughlan, Cronin, and Ryan, 2007; Ingham-Broomfield, 2008 p.104; Stockhausen and Conrick, 2002; Nieswiadomy, 2008 p.380).
Candidate Handbook. (2013). National Board for Certificate for hospice and palliative care nurses. Retrieved November 23, 2013, from http://www.nbchpn.org/
The type of research study, sample size, variables, intervention, measurement method, findings, and conclusion are all mentioned in the abstract. Statement of the Problem The problem explored in the article was stated as a problem statement. In this article, the authors explain the stressful situations of families having loved ones die in the intensive care unit. They also state that this problem is very important because there is poor communication between staff, physicians, and surrogates in the plan of care for end-of-life measures (Lautrette et al., 2007).
Now within the rest of this paper you will be finding a few different things getting discussed. Staring it off we will be discussing the articles that we have found to make our arguments and hypotheses. After wrapping up the literature reviews we will be discussing the hypotheses thus continuing onto our variables and indicators. Once we discuss our hypotheses we will be moving onto the research design. The research design will have our general issues, sampling, and methods.
A two-phase sequential explanatory strategy was used for the study. The two- phases are ordered in the sequence that was proposed as priority was placed on quantitative data collection and analysis. In the second phase, qualitative data was collected and used to refine the results of the quantitative data presented in the first phase.