Critique Part A Research is an essential component in the healthcare setting, as a result of new knowledge constantly being discovered and put forth by professionals. The ability to examine, and critique research such as published scholarly articles is a necessary skill for healthcare professionals to have in order to apply the research to their practice, theory or education. The following paper is a critique of “The Effect of Hand Massage on Preoperative Anxiety in Ambulatory Surgery Patients” (Brand, Munroe, & Gavin, 2013). Through critical thinking, the writer will effectively analyze the steps of the research process with the purpose of critiquing the overall study.
Critique
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A creditable research article title must follow specific
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As a result of the acknowledged problem, the study was conducted with the purpose to contribute to the growing knowledge on nurse management of preoperative patient anxiety in the ambulatory surgical setting. The purpose of the study can be easily identified by the reader under the heading titled “Purpose and Research Questions” by including this heading the researchers made their purpose clear and concise to the reader. However, the research problem wasn’t clearly stated for the reader. It would have been beneficial to the reader had the author used phrases such as “little is known about...” and “there is a paucity of research...” to allow the reader to quickly determine the key problem (Macdonald, 2017). The research problem has significance to the nursing profession as nurses provide care, compassion, and reassurance to patients; therefore nurses understand the importance of minimizing preoperative anxiety for patients (Brand et al., 2013). Introducing new and innovative techniques within the scope of practice such as hand massage to nursing staff will improve the care of patients, and achieve an overall goal to decrease preoperative patient …show more content…
Informed consent is a necessary step researchers must take to ensure their study remains ethical. It requires the researcher to inform individuals about the potential benefits and risks of a study before the individuals can volunteer to participate (LoBiondo-Wood & Haber, 2013). The study was explained, and discussed with potential patients whom met all requirements for the study via telephone; those interested in participating then signed an informed consent form. Participants in this study were protected from physical and emotional harm, as there were no great risks associated with participating. Researchers only selected patients physically suitable for the study and ensured nurses were properly trained in massage techniques to avoid patient physical pain. Although it is possible that some patients may have been at risk for emotional harm as patients were advised to not take any antianxiety medication on the day of the surgery (Brand et al., 2013). It can be assumed due to the nature of the study that the risks involved were presumably low there was no indication that researchers verbally informed participants of possible risks. These risks may have been specified on the consent form, but there was no mention of it in the article. Because there was no award or incentive for
Nurses’ ability to provide interpersonal and comforting touch could be impaired by the current fast-paced, high-acuity and understaffed hospital-centred setting (Connor & Howett, 2009). Nursing is one of the few roles in contemporary society in which physical contact, even with intimate parts of the body, is accepted (Green, 2013). The frequent touch nurses encounter in patient care, however, is not always deliberate and with the intention of enhancing care (Connor & Howett, 2009). A stressful environment hinders nurses from achieving a state of therapists’ inner balance to perform tactile touch in hospitals (Henricson et al. 2006). In the absence of a quiet, independent environment, the positive outcomes of tactile touch are unlikely to be achieved and may even contribute to nurses’ fatigue (Homayouni et al. 2012).
It is not uncommon for a patient to experience pain and anxiety before or after a major procedure or breathing treatment. Imagining the myriad of complications that might occur during an operation can send one into multiple panic attacks. Coping with the loss of mobility and independence joined by the pain that accompanies recovery are only a few examples of the complex and traumatic experiences awaiting pre/post-operation patients. Fortunately, a medication was synthesized by Armin Walser and Rodney I. Fryer in 1975 to aid patients by easing anxiety and promoting sleepiness before an operation. An added benefit was that the events experienced during the operation were also forgotten while the medication was still in effect.
LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-surgical nursing: Critical thinking in patient care (5th ed.). Upper Saddle River, NJ: Pearson Education, Inc.
Stomberg, M., Sjöström, B., & Haljamäe, H. (2003). The Role of the Nurse Anesthetist in the Planning of Postoperative Pain Management. AANA Journal, 71(3), 197.
538) Kolcaba’s Comfort theory is a patient/family-centered theory that aides in the morale of nurses as well as impacts the overall patient satisfaction. Comfort is a human experience that is more than just a negative physical sensation, which is why it is so important in the healthcare setting. The not-for profit hospital that used Kolcaba’s Comfort Theory states, “…the adoption of [the] Comfort Theory significantly contributed to promoting excellence in our professional practice environment.” (Kolcaba, Tilton, & Drouin, Comfort Theory: A Unifying Framework to Enhance the Practice Environment, 2006, p. 542) The hospital’s turnover rate decreased and satisfaction scores increased as they began to implement Kolcaba’s Comfort Theory into their hospital protocol. (Kolcaba, Tilton, & Drouin, Comfort Theory: A Unifying Framework to Enhance the Practice Environment, 2006, p. 542) This shows that the Comfort Theory not only benefits the patient, but also the institution and the staff
American Association of Nurse Anesthetists. Professional Aspects of Nurse Anesthesia Practice. Philadelphia: F. A. Davis Company, 1994. Print.
When I see a patient before they go into an operation, I like to speak to them to make sure they have an understanding of what surgery will be performed and what the process will be in regards to transporting them from the pre-operative area, to the operating room, and then to the recovery area. The environment of the operating room can be a scary place for patients, it is a cold, bright room with lots of equipment in it that patients have probably never seen before. I like to explain to my patients what the room will be like and let them know I will be with them the whole time if they need anything. The main topic is usually the temperature of the room, approximately 65 degrees, so I like to make sure the patients know we will have warm blankets waiting for them. Whether the surgery being performed is diagnostic or therapeutic, I like to be sure the patient has an understanding of what is being done for their health. I am very proud of being a nurse and do my best to be sure my actions prove it. I strive to do the best for my patients since one of the many responsibilities of being a nurse is to be their advocate, which I take very seriously as my patients cannot usually speak for themselves as they are under
Ignatavicius, D. D., & Workman, M. L. (2013). Care of Intraoperative Patients. Medical-surgical nursing: patient-centered collaborative care (7th ed.). St. Louis: Elsevier.
Saint John’s One Day Surgery (ODS) offers patients a convenient and efficient same day surgical procedure that allows most patients to return home on the same day to recover. The objectives of this paper is to describe the physical environment of the ODS unit and explain the unit’s criteria so that the patient’s surgery may proceed as planned. It will also discuss some of the many roles of the ODS nurse and list one actual diagnosis and two potential nursing diagnoses, with associated supporting evidence, for a patient in the ODS on this particular day. This paper will conclude with my personal experience, both positive and negative, during
Emotional touch can only be achieved when trust and understanding is reached during nursing care. The concept where a nurse’s patient becomes more than just a task that needs to be done, but becomes a person that needs to be cared for. Providing presence is another caring action that encompasses emotional touch. Potter and Perry describe that how providing presence includes more than “physical presence, it includes communication and understanding. Nursing presence is the connectedness between the nurse and the patient.” (Potter 2017). When a nurse cares for a patient whether it is administering medication, bathing, or assessing there should be a notion that the time being spent doing these actions is important to the nurse. A sense of rushing could indicate that the task at hand is not important and that nonverbal communication could have an adverse effect on the patient’s mood, understanding, and attitude toward the intervention. The consequences of those adverse effects could include lack of communication between the nurse and patient. The patient may not inform their nurse that they feel pain or need lotion to feel more comfortable because they do not believe their nurse has the time to care. Active listening is the act of listening to hear a patient rather than to respond. It
Westhead, C. (2007). Perioperative Nursing Management of the Elderly Patient. Canadian Operating Room Nursing Journal, 25(3), 34-41. Retrieved from http://gateway.library.qut.edu.au/login?url=http://search.proquest.com.ezp01.library.qut.edu.au/docview/274594603?accountid=13380.
As a medical surgical nurse you work with your patients before, during, and after surgery. Before surgery you want to explain the procedure to them and help prepare...
As nurses frequently interact with the patients, they are the ones exploring evidence-based practice to identify ways to modify the hospital environment and use more nonpharmacological methods to promote sleep to help the body repair itself (Robinson et al., 2005). Florence Nightingale noted patients require proper nutrition, sleep, quiet, and “unnecessary noise harms the patient” (Robinson et al., 2005, p. 263). Nurses have identified many ways to help patients get rest, including relaxation techniques, music, warm blankets, warm drinks, massage, and aromatherapy (Robinson et al., 2005).
Informed consent is a very serious decision a patient has to make when it comes to their health and consenting to procedures that are believed to cure or treat their current health status. It is important to address the effectiveness of the role a physician play in the informed consent process assuring that the patient has given truly informed consent and what safeguards can be put in place to assure the patient is exercising informed consent. Informed consent is based on the fact that the person consenting is a rational individual that is aware of the action to which he/she is consenting. Allen and McNamara (2011) notes that "On the standard understanding, the important elements of informed consent are the provision of information, the voluntariness of the choice and the competence of the chooser to make the choice— so the potential research participant should be provided with information relevant to the decision to participate, they should be able to choose freely about their participation and they should be competent to decide.
Although students were not allowed in the recovery unit, I was able to talk to one of the recovery nurses. I learned that a nurse’s duty of care includes monitoring the patient’s vital signs and level of consciousness, and maintaining airway patency. Assessing pain and the effectiveness of pain management is also necessary. Once patients are transferred to the surgical ward, the goal is to assist in the recovery process, as well as providing referral details and education on care required when the patient returns home (Hamlin, 2010).