Critique of a Qualitative Research Article This paper is a review of a qualitative research article written by Tobiano, Chaboyer, & McMurray (2012) entitled “Family Members’ Perceptions of the Nursing Bedside Handover.” Eleven critiquing criteria are used to analyze the research study. The goal of qualitative research is to discover the nature of a particular situation. The qualitative article being reviewed seeks to understand the perception of family members on nursing bedside shift report. Qualitative research relies on subjective data to provide a deep understanding of the meaning of an event from the point of view of certain individuals (Lobiondo-Wood & Haber, 2014). In contrast, quantitative research uses an objective approach (Lobiondo-Wood
A small sample is used which is a characteristic of a qualitative study. Because the aim of the research is to gain insight into the perspectives of family members on bedside handover, the selection of participants is appropriate as according to Tobiano et al (2012), they were visiting family members who had relatives admitted to the rehabilitation unit, and were willing to be observed while engage in the nursing handover activity (Tobiano et al., 2012). The use of convenience sampling may be the easiest process in recruiting participants, however the voluntary participation associated with convenience sampling may lead to a biased outcome because of the possibility of recruiting volunteers with predisposition about the topic (Lobiondo-Wood & Haber, 2014). The researchers state that prior exposure to bedside handover is not necessary for a participant to meet eligibility for the study. Previous experience may have an impact on the family members’ views on the
Families were observed during bedside handover. The researchers provide rationale for the use of structured interviews to elicit detailed responses, and the use of field notes to account for non-verbal responses and interactions during bedside handover. Observations were carried out prior to conducting interviews. Field notes were used to support observations. Interviews were held in different areas of the rehabilitation ward to adjust to the needs of the staff, participants, and the ward. Protection of human participants is addressed under the ethical issues section of the article. The researchers state that ethics approval was obtained from the University and the Human Research Ethics Committees of the Hospital and all participants were given information about the study and signed informed consents were obtained. The researchers explain that the study ended up with a sample eight family members when no new themes were evolving from the data analysis. This is an implication that data saturation was
...the patient’s family more within the assessment after obtaining the patients consent, but my main aim in this case was to concentrate the assessment, solely on the patient, with little information from the family/loved ones. This is a vital skill to remember as patients family/loved ones can often feel unimportant and distant toward nursing staff, and no one knows the patient better than they do, and can tell you vital information. Therefore involvement of family/ carers or loved ones is sometimes crucial to patient’s further treatment and outcomes.
It reflects trust, intimacy, and responsibility, which are elements essential to any nursing relationship. It is the core of nursing. In the article, “Dimensions of Caring: A Qualitative Analysis of Nurses’ Stories”, an analysis was done on over two hundred stories submitted by nurses around the world, illustrating the point that the practice of nursing encompasses much more than just technical skills. In one of the stories, a nurse stood by the side of a young mother grieving the loss of her baby with nobody else to turn to. This nurse accompanied the 19 year old mother to the cemetery the day after the baby’s death, New Year’s Eve, to bury her baby that had been born at just 22 weeks gestation. She bought her a book on grieving and loss and supported the woman during that difficult time. This nurse did not have to do that—she did not have to go above and beyond for this stranger. But she did. She felt empathy and compassion for this woman and she acted on that. That is what nursing is about, going above and beyond, making emotional investments into the lives of other people. The significance of the actions of this nurse cannot be overstated. We will never know the full impact that this nurse made on that young woman’s life; perhaps she saved her life, or changed the direction of it for the
Identifying the handoff practices currently in use will demonstrate the endeavor to examine options and recommend approaches for the future. Diverse forms of handoffs at different occasions for a large group of physicians, medical residents, nurses, allied health professionals and student clinicians from different disciplines have created inconsistencies. Besides, the bedside shift report has impacted patient and family satisfaction with the continuum of care. Examining a number of models, protocols, tools, standards and trends concerning patient-centered handoffs will highlight implications for the best practice. Recommendation for safer and more effective handoffs to improve practice and reach sustainable outcomes will be discussed to promote multidisciplinary approaches for patient-centered care. The transfer of critical information and accountability for patient care from one clinician to another is an essential component of communication in
The purpose of this report is to compare and contrast two different nursing research articles. The report will critique and evaluate two qualitative studies, one being an original research report and the second being a review paper. The scope of comparison and contrast will include research design, theories or conceptual models, how the research was conducted, analysis and reporting of research data, usefulness of the research, and a conclusion.
Research can be quantitative and qualitative. Quantitative research is objective and involves measuring the phenomena under investigation. Qualitative research is subjective, explores experiences and feelings, and involves the recording of phenomena that cannot easily be quantified (Toates, 2010, pp. 5-6). Both are empirical since they involve data collection (OU, n.d.).
The aim of this essay is to discuss the nature of illness and dependence in relation to the issues that the nurse should take into account when providing evidence-based care. The issues that will be analysed are the nursing process and nursing models, the implications of nursing technology on the nurse, the patient and their family, the psychological issues for the patient and their family, the consequences of disability and chronic illness and the importance of patient-centred nursing. These issues will be discussed, for the most part, in relation to the patient care received by patients admitted to a ‘high tech’ area. The ‘high tech’ area will be, on the whole, focused in a medical high dependency unit in a local general hospital.
Treating the patient and family as one, can have improved outcomes, decrease hospital stays, increased patient satisfaction, and improved reimbursements for the hospital. Developing a relationship with not only the patient, but family as well, can pay off in the long run by providing better communication, better quality of care, and trust. The patient and family can be strong advocates for improved performance improvement efforts. Including family in the treatment of the patient treats the “whole” patient through their hospitalization. Involving the family can enhance the patients care.
The intent of this interview was discussed with the family, namely, how the data would be used to discuss family experiences for an assignment in Family and Societal Nursing for RNs at State University. Most importantly, I mentioned to the family that I hoped to provide them with interventions and support to...
Since the institution of nursing was first established, care has remained the primary component. Being able to provide care to patients on an emotional level is another example of the distinctive power that nurses uphold. Generally, the nurse is the predominant choice of the patient when he/she must determine who best to confer with or share personal thoughts or concerns with, as well as who the patient trusts most with management of their own well-being. This form of day-to-day, intimate patient-nurse relationship is a powerful component of
How data is collected: As for how data was collected, all the quantitative studies were collected using a questionnaire and scales such as the Trust in Provider Scale, Consortium Patient Satisfaction tool, Group- Based Medical Mistrust Scale, Cultural Mistrust Scale Inventory, and Black Racial Identity Attitude Scale. One of the researchers used the Trust Subscale of Patient’ Opinion of Nursing Care to judge the trust of nursing staff. The Caring Behaviors Assessment and Caring Behavior Questionnaire were both used on studies that dealt with the importance of nurse caring behavior. In addition, most of the qualitative studies used part structured or non- structure interviews with patients to collect data with participants. Some of the studi...
Nursing in this theory is described as an art that helps individuals who are in need of health care, and goals are attained threw following a series of steps in a pattern. The nurse and the patient have to work together threw this process to achieve said goals. The Theory of Interpersonal Relations is a process that starts with the roles of the nurse, and those roles began with the nurse as a stranger, teacher, resource person, counselor, surrogate and leader (Nursing Theories, 2012). The theory begins with the role of the stranger, which is defined as the introductory phase and is an environment where about the patient is meeting the nurse and developing a trusting relationship. The nurse as a teacher allows the nurse to provide knowledge and information on a particular interest while the resource person provides specific information to a problem or situation. As counselors the nurses help to make life decisions and provides guidance. The surrogate role acts as an advocate on the patients’ behalf, while the role of the leader has the nurse assuming most of the responsibility to help patients meet treatment
The field of nursing provides one the opportunity to make a difference in the lives of others. Nurses interact directly with patients at times of hardship, vulnerability, and loss. The nursing profession has been around for decades. Due to the contribution from historical leaders in nursing, the nurse’s role has progressed over time. Although the roles of nurses have evolved throughout the years, one thing has remained the same: the purpose in giving the best patient care.
Reflecting on my home visit experience, I have realized that although it was not completely intentional and planned, each phase of the nursing process was present as the interviews progressed. The initial visit mainly consisted of the assessment phase because it was the first contact with my client and there was a lot of information to discover. This time allowed me to determine objective and subjective data, which includes the concerns my client had about falls, as well as additional information that was shared. The assessment phase continued into the second home visit in hopes of collecting additional data that would help to develop a nursing diagnosis (Potter, Boxerman, Wolf, Marshall, Grayson, Sledge & Evanoff, 2004). Near the end of the first home visit, my client and I collaborated on a health goal of fall prevention, which can also be referred to as the nursing diagnosis. The next step, which is planning, took place within part of the first home visit. I observed the client and her available resources, coming up with ideas on how this goal could be achieved, such as registering for some exercise classes (see home visit #2 plan in Appendix A for more specific suggestions). The implementation phase began in the second home visit when I provided my client with the fall prevention pamphlets and presented my suggestions (see Appendix C for pamphlets and all health information provided to client). This phase continued into the final home visit as a follow up on subjects she requested to know more about (see home visit #3 plan in Appendix A). I did not get the opportunity to complete the evaluation phase, as we didn’t have the time for a full-length final visit. A hypothetical situation of my final home visit would be to foll...
In health care, there are many different approaches throughout the field of nursing. When considering the field of family nursing, there are four different approaches to caring for patients. This paper will discuss the different approaches along with a scenario that covers that approach. The approaches that will be discussed include family as a context, family as a client, family as a system, and family as a component to society. Each of these scenarios are approach differently within the field of nursing.
Nurses serve as vital members of hospital resuscitation teams and as such family presence during the process directly impacts nursing. Nurses account for the largest group of health care professionals in the nation (IOM, ***). Therefore, it should not be unexpected that they are thought of as the face of health care. Nurses provide not only direct patient care and education, but also frequently interact with the families of their patients. In a resuscitation situation nurses are called to serve in vital roles. Families are likely to look to a familiar and comforting figure for direction and information during this stressful and critical time. The nursing staff will need to facilitate caring for the patient as well as the family which cou...