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Direct and indirect observation in research
Contributions to the hawthorne effect
Components of effective observation in nursing
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In an observational method, data are collected through observation and description of a subject's behavior or an event in their natural setting (Sullivan-Bolyai & Bova, 2018). In effect, the role of the observer is vital in initiating a research that uses this method. Nurses are skilled in observing. As a matter of fact, observation is routinely practiced by nurses in undertaking daily responsibilities. Nurses use direct observation in assessing patients, interacting and understanding conditions holistically; has attention to details, recognizing signs and/or symptoms to which others might remain unnoticeable; actively listens and willing to learn from others; and record "factual, accurate and thorough" descriptions with relevant details (Salmon, 2015). In like manner, these attributes …show more content…
Or "the observer himself, during the course of observation, may be affected by the process itself." Hence, the description of events may be subjective (Preserve Articles, 2012), and the research report may not exhibit accurate attributes of an event. **Vulnerability to Hawthorne effect (reactivity) Subjects may change behavior or performance if they know that they are being observed (Sullivan-Bolyai & Bova, 2018). For example, in a study of health-care associated infection related to maintenance of vascular access devices, nurses would likely change their routine or procedures, which consequently distort the true event and result of the study. **Ethical issues "Occur if subjects are not fully aware that they are being observed" (Sullivan-Bolyai & Bova, 2018). Therefore, "Informed consent is the major ethical issue in conducting research…one of the means by which a patient's right to autonomy is protected" (Fouka & Mantzorou, 2011). ** Can be expensive and
It is encouraged by the nursing process, which is used by nurses in order to diagnose and treat patients. In a way methodology serves a nursing process of researchers and scientist, along with the scientific method. Methodology is also used in organizations and businesses to find and fix problems and make business decisions. In collecting information it is important to collect as much info as possible to support any claim, theory, or experiment. When seeking data, a person should look into the different methods of collecting data, such as: surveys, interviews, focus groups, and observation. In this case study the nurse could effectively use any of those methods to collect a bunch of info pertaining to her topic of interest. Before outlining a methodology, the nurse should know why and how she gathered her info and what it’s supporting. Very similar to the scientific method, the nurse should have an idea or hypothesis that drives her research. She should document her evidence and her methods of collecting the data. These things should happen when using methodology and the nursing process. The nurse in this case study is seeking info that could help nurses understand patient noncompliance and how to handle it. This nurse has a bunch of opportunities to collect the information she needs to form a methodology. She is in constant contact with patients and colleagues who she could interview or survey at any time. Nurse researchers recognize the need to consult other experts and to consider other organizational patterns (Cravens, pg.140). This nurse also has opportunities to validate her findings for her methodology with her peers and colleagues, just as she would for a nursing
Informed consent is the basis for all legal and moral aspects of a patient’s autonomy. Implied consent is when you and your physician interact in which the consent is assumed, such as in a physical exam by your doctor. Written consent is a more extensive form in which it mostly applies when there is testing or experiments involved over a period of time. The long process is making sure the patient properly understands the risk and benefits that could possible happen during and after the treatment. As a physician, he must respect the patient’s autonomy. For a patient to be an autonomous agent, he must have legitimate moral values. The patient has all the rights to his medical health and conditions that arise. When considering informed consent, the patient must be aware and should be able to give a voluntary consent for the treatment and testing without being coerced, even if coercion is very little. Being coerced into giving consent is not voluntary because others people’s opinions account for part of his decision. Prisoners and the poor population are two areas where coercion is found the most when giving consent. Terminally ill patients also give consent in hope of recovering from their illness. Although the possibilities are slim of having a successful recovery, they proceed with the research with the expectation of having a positive outcome. As stated by Raab, “informed consent process flows naturally from the ‘partnership’ between physician and patient” (Raab). Despite the fact that informed consent is supposed to educate the patients, it is now more of an avoidance of liability for physicians (Raab). Although the physician provides adequate information to his patient, how can he ensure that his patient properly ...
...ider, R., Jett, K., Denicke, S., Kunish, K., Sampson, A., & Williams, J. (2011). Evidence-based practice and family presence: paving the path for bedside nurse scientists. JEN: Journal Of Emergency Nursing, 37(1), 9-16. .
An audit of patient records completed in 2005, revealed a low incidence of respiratory rate recording. An initial audit completed revealed that only 7% of 341 patients had a respiratory rate recording (Butler-Williams 2005). Due to this worrying outcome, the priority was to implement appropriate training to raise respiratory rate significance. Due to the audit being completed hospital wide and with no prior warning, it is an accurate indicator of an overall attitude of practice towards the recording of respiratory rate. Various studies have been conducted in order to gain an understanding as to why this precious sign is so often ignored. Jacqueline Hogan explored the paucity of patient monitoring on acute wards, completing qualitative research using focus groups in 2004. Four major themes were identified, firstly the issue of the nursing workload. Many participants acknowledged the expansion of the nurse’s role and with this added responsibility, the need for delegation of activities such as patient observations. Observations are often delegated to junior staff members such as healthcare assistants and student nurses. Although many nurses admitted to delegating this vital activity, 73% of nurses did not consider healthcare assistants possessed the required knowledge to interpret observational results. With this lack of knowledge comes the absence of appreciation for the completion of such vital signs, and
To begin, to those who may wonder what informed consent is, it is a legal and ethical prerequisite for clinical research on humans (Bristol, par 2). The purpose of informed consent is to ensure that patient autonomy is respected in decisions about their healthcare (Susilo, 1). Many people say that the term was first used in 1957. There was a malpractice case with Salgo v Leland Stanford Jr. The California Supreme court stated that no patient can submit to a medical intervention without having given “informed consent”. Even though the courts had said this, inf...
For the location of my naturalistic observational study I chose a public park with a splash pad which I frequently visit with my daughter. Since this site is quite popular with locals at any given time of the day there are at least over a dozen people present. As the park is designed for the entertainment of children the age group of the people varies. There are young children accompanied by their parents and grandparents as well as teenagers in groups. Therefore the above discussed park proved to be the greatest preference for me to observe the behavior of people in a natural setting.
Naturalistic observation involves recording subjects' naturally occurring behavior while they are in their natural environment. This experiment revolves around this type of observation. Specifically, it involves the observation of the various human dyads (male-female, male-male, female-female,) social interaction, within in a public environment. Focal points of observation included conversation space (distance between individuals heads,), and body language.
Unfortunately, many lack tact and dive into things head first without providing a foundation for the reader to stand upon. The excitement to begin imparting all they have learned is endearing but ultimately, it is poor strategy. In order to understand anything regarding naturalistic observation and its research value, one must first understand the practice itself; both humans and animals can be subjected to naturalistic observation. The logistical issues tend to be availability of participants, ensuring that their privacy is respected, and whether the observations will be performed where the observer can be seen. Both approaches are used in animal and human naturalistic observation research. Being hidden, researchers are confident that those observed are not acting differently because they are being observed. This method effectively reduces or removes any chance of reactivity and this is goal, ensuring validity by allowing the subject to act in its most authentic nature without the interference of an outside force. Though this is ideal, there are times when observers cannot hide, and in those instances they must collect data over a long enough period to deduce whether or not their presence is affecting the actions of their research subjects. Privacy concerns greatly limit the use of naturalistic observation to places that are generally accessible to the public in the context of human observation but not chimpanzee, so the subject greatly effects the methodology.
For nursing, research has played a major role in the way clinical practice is done. Research has allowed nurses to provide appropriate care to patients. It allows them to perform their job by providing them the tools and information they need in order to make the decisions on the concerns for caring the patient (Polit & Beck, 2006). Moreover, research can also take focus on the workers themselves in order to improve the practice both on a professional and personal level. An example of a study conducted by King, Vidourek, and Schweibert of University of Cincinnati created a study to determine if there is a correlation between ...
In conclusion, obtaining informed consent is a vital part of respect for the patient and safeguarding of self-determination. The consent to participate in research or treatment should be informed, comprehensible, and free of coercion. There is not a clear black and white answer because no matter what is done to assure informed consent there is always a moment of doubt on the end of the patient as to whether what is going to take place is fully understood and their true wishes honored.
The observational method is when researchers use their senses to observe, examine, and record behaviors in a natural setting. This means there is no interruption or manipulation by the researcher. In order to enhance this type of research,
As was stated earlier, informed consent is an integral part of clinical research. Informed consent is the when participants are educated regarding what will happen during the study and are given the opportunity for voluntary participation (“IRB Training,” n.d.). The people involved in the study should have the autonomy to decide if they will continue on with the study and know the risks and benefits of participation. It is essential to obtain this prior to clinical research because it exhibits a respect for the person involved and allows them to have the ability to make decisions for himself or herself. The essential parts of informed consent are information, comprehension, and voluntary participation (“IRB Training,” n.d.).
Observational learning is a type of learning that is done by observing the actions of others. It describes the process of learning by watching others, retaining what was learned, and
Thought the observation, we can focus on the problems, needs and changes of patients by their behavior, speaking and living environment, in order to analyze the details and to monitor the present and following condition. The importance of observation 303 Observation is a vital skill of psychiatric nurses in caring patients with mental health problems. It is important during the psychiatric nursing care, we use the observation skill to assess the condition of patient cautiously and seriously. During the observation, we are in a process in which we form the history of problem of the disorder, its treatment and following