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Understanding research methods
Understanding research methods
Understanding research methods
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The research process is a series of phases that helps enable a researcher to go from asking a question, to formulating an answer. This essay will outline the five phases of the quantitative research process, and provide an example for each of these phases based a research article written by authors: S. Odencrants, M. Ehnfors and A. Ehrenberg on the topic of malnutrition in coronary obstructive pulmonary disorder (COPD) inpatients. This essay will conclude with an example of how COPD patient care is managed in the hospital ward I am currently located in.
Before research can be carried out the researcher must first make a decision on what the study will be about. This first phase in the research process is known as the conception phase. During this phase the researcher will not only decide on what the research will be based on, but also involve reading, thinking and theorising that particular area of interest. This includes the researcher identifying a problem, searching for relevant information relating to the problem, and then defining theoretical or conceptual framework. Carrying out these steps will enable the researcher to identify a problem, and then discover the focus, or intent
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Subjects are selected by using a sampling process. Probability and non-probability sampling are the two main categories for determining subjects in the research process. Probability sampling includes obtaining subjects based on a random sample, whereas non-probability sampling uses subjects that are handpicked by the researcher, based on specific criteria. Data collected from non-probability sampling is specific to the particular criteria they are sampling and cannot be applied to the general public. Whereas data collected from probability sampling is less specific and can be applied to the general population (Borbasi, et al.,
The presented case is of a patient named R.S. who has a smoking history of many years, which can be directly tied to his development of chronic bronchitis, a chronic obstructive pulmonary disease (COPD) specified as Type B. It is estimated that in 90% of chronic bronchitis or “blue bloaters”, cigarette smoking is the major cause. Chronic bronchitis involves persistent and irreversible airway obstruction, due to the constant inflammation of the bronchial mucosa, leading to hypertrophy and hyperplasia of bronchial glands. The latter exposes the individual to higher risks of bacterial infections; often colonization of organisms such as Streptococcus or Staphyloccocus pneumoniae can be exhibited. This is due to the lost or impaired function of mucociliary clearance action which results from the replacement of certain sections of ciliated columnar epithelium by squamous cells in the bronchi. (Copstead &Banasik, 546-547)
Two sampling methods include mail surveys and convenience sampling, a variation of a nonprobability sample. Mail surveys, inexpensive way to contact individuals over a large geographical area, provide anonymity to the respondent, and eliminate interview bias. Convenience sampling, a nonprobability sample, the only criteria is the convenience of the unit to the researcher, fast and uncomplicated, but the sampling error not determined.
R.S. has chronic bronchitis. According to the UC San Francisco Medical Center “Chronic bronchitis is a common type of chronic obstructive pulmonary disease (COPD) in which the air passages in the lungs — the bronchi — are repeatedly inflamed, leading to scarring of the bronchi walls. As a result, excessive amounts of sticky mucus are produced and fill the bronchial tubes, which become thickened, impeding normal airflow through the lungs.” (Chronic Bronchitis 2015) There are many things that can be observed as clinical findings. R.S. will have a chronic cough that has lasted from 3 months to two years or more, and a lot of sputum. The sputum is due to
65year old male Bill Mc Donald a current smoker, presents from home with a chronic productive cough, increase shortness of breath at rest, wheezing and increase in lethargy. Bill has a past medical history of chronic obstructed airway disease, recurrent bronchial infections and current pack a day smoker.
Mrs. Jones, An elderly woman, presented severely short of breath. She required two rest periods in order to ambulate across the room, but refused the use of a wheel chair. She was alert and oriented, but was unable to speak in full sentences. Her skin was pale and dry. Her vital signs were as follows: Temperature 97.3°F, pulse 83, respirations 27, blood pressure 142/86, O2 saturation was 84% on room air. Auscultation of the lungs revealed crackles in the lower lobes and expiratory wheezing. Use of accessory muscles was present. She was put on 2 liters of oxygen via nasal canal. With the oxygen, her O2 saturation increased to 90%. With exertion her O2 saturation dropped to the 80's. Mrs. Jones began coughing and she produced large amounts of milky sputum.
Introduction BiPAP is a form of noninvasive mechanical ventilation used in patients with acute respiratory failure. Many of these patients go on noninvasive ventilation due to COPD exacerbations that are infectious, with congestive heart failure, and ventilator parameters based on their clinical assessment and changes in arterial blood gases. Two different studies were conducted on COPD patients, using a BiPAP machine to improve exacerbations and their activities of daily living. There are many positive outcomes for using these noninvasive ventilators, however when used incorrectly, negative outcomes or no changes at all are always possible. Positive Use for COPD Exacerbations
The purpose of this essay is to explore nursing care priorities for a patient with a common health condition. A common health condition is a disease or condition which occurs most often within a population. The author has chosen scenario 3 for this essay and will describe the nursing assessment and care planning provided to a patient with Chronic Obstructive Pulmonary Disease (COPD). The WHO definition of COPD is a lung disease which has a chronic obstruction of the airways that impedes normal breathing and is not fully reversible (). According to), there are estimated to be over 3 million people in the UK with COPD. It is common in later life and there are approximately 25,000 deaths each year, with 15% of COPD being work related (The identity of the patient will remain anonymous in adherence with the Nursing and Midwifery Council, Code of Conduct on patient confidentiality (). However, the patient will be referred to as Mr B in this essay. The author has chosen the priority of eating and drinking for Mr B. Patients with COPD are at increased risk of malnutrition and nurses must make certain they screen patients and offer advice or refer as necessary (). If this priority is managed well it will have a positive effect on the other priorities (, 2012). In accordance with NICE Guideline 101 (), the treatment and care provided should consider each persons’ individual requirements and preference. Care and treatment should take into account people’s individual needs and choices. To allow people to reach informed decisions there must be good communication, supported by evidence-based practice (). This essay will provide an evidence based discussion on how care will be implemented in relation to Mr B and his eating and drin...
Breathing in and out is an innate behavior that we are born with; also, it is a behavior that people take for granted. Let’s say, people who smoke think a cough, or a cough with phlegm is a sign that they are about to get a cold, but then again it can be a sign of a potential health problem like emphysema, asthma, or tuberculosis. People smoke for different reasons; nevertheless, it is an addiction that they can recover from. It may take them several tries to quit smoking, but they can quit. People don’t think about the harm that they are putting on their lungs and alveoli when they put a cigarette to their mouth. For example, many long time smokers are diagnose with emphysema every minute. Emphysema is an example of a chronic obstructive pulmonary diseases (COPD) that has causes numerous deaths and disabilities in the United States of America. Also, smoking is the number one causes of death in developed countries.
So there are four stages to this cycle: 1. Concrete Experience - (CE) 2. Reflective Observation - (RO) 3. Abstract Conceptualization - (AC) 4. Active Experimentation - (AE)
The development of knowledge requires a number of processes in order to establish credible data to ensure the validity and appropriateness of how it can be used in the future. For the healthcare industry, this has provided the ability to create and form new types of interventions in order to give adequate care across a of number of fields within the system. Research then, has been an essential part in providing definitive data, either by disproving previous beliefs or confirming newly found data and methods. Moreover, research in itself contains its own process with a methodological approach. Of the notable methods, quantitative research is often used for its systemic approach (Polit & Beck, 2006). Thus, the use of the scientific method is used, which also utilizes the use of numerical data (Polit & Beck). Here, researches make use of creating surveys, scales, or placing a numerical value on it subjects (Polit & Beck). In the end the resulting data is neutral and statistical. However, like all things its approach is not perfect, yet, it has the ability to yield valuable data.
An important part of an experiment is random assignment. If the participants for the study are randomly assigned to create two groups, and the researcher has enough participants in the study to have the desired “probabilistic equivalence” (Trochim & Donnelly, 2008, p. 187) then the researcher will feel a sense of confidence that the study will have internal validity in order to assess whether or not the treatment caused the outcome hypothesized. Well-c...
The study consisted of a significant number of females compared to males, which makes it invalid to conclude that the findings support the general population. A strength was that participants were selected at random. By doing so, the study remained unbiased, thus making the results more credible.
The father of quantitative analysis, Rene Descartes, thought that in order to know and understand something, you have to measure it (Kover, 2008). Quantitative research has two main types of sampling used, probabilistic and purposive. Probabilistic sampling is when there is equal chance of anyone within the studied population to be included. Purposive sampling is used when some benchmarks are used to replace the discrepancy among errors. The primary collection of data is from tests or standardized questionnaires, structured interviews, and closed-ended observational protocols. The secondary means for data collection includes official documents. In this study, the data is analyzed to test one or more expressed hypotheses. Descriptive and inferential analyses are the two types of data analysis used and advance from descriptive to inferential. The next step in the process is data interpretation, and the goal is to give meaning to the results in regards to the hypothesis the theory was derived from. Data interpretation techniques used are generalization, theory-driven, and interpretation of theory (Gelo, Braakmann, Benetka, 2008). The discussion should bring together findings and put them into context of the framework, guiding the study (Black, Gray, Airasain, Hector, Hopkins, Nenty, Ouyang, n.d.). The discussion should include an interpretation of the results; descriptions of themes, trends, and relationships; meanings of the results, and the limitations of the study. In the conclusion, one wants to end the study by providing a synopsis and final comments. It should include a summary of findings, recommendations, and future research (Black, Gray, Airasain, Hector, Hopkins, Nenty, Ouyang, n.d.). Deductive reasoning is used in studies...
In the analysis phase, the designer will determine and define the instructional problem to be solved and
Striating from the research idea to the culmination of the findings, the research process entails many segments, all of which are imperative. By choosing the research methodology, the researchers can formulate the path to be used in conducting the study and reporting the findings. The methodology helps in the search of literature, development of research questions and the creation of the most suitable study design. It also assists in the interpretation of the results and the publication of the findings in journals.