Facilitator:
Nursing research critique
Many nurses believe that they offer holistic care to the patients at the hospitals yet the level of holistic care that they offer remains unknown to most of the nurses. No known variable can attach to the relation between the family, friends, nurses and the patients during the medical attention and the holistic care (Geri &Haber, 2003). Nancy baumhover and Linda Hughes undertake a research into the spirituality and support for family presence during invasive procedures and resuscitations in adults with the view of bringing a solution to the existing dilemma in the relationship circus and the treatment mechanisms. Analysing various aspects of the research of the study is essential in identifying some of the anomalies in the research. This paper evaluates the main aspects in the nursing research by examining article with the intention of analysing whether or not the main aspects that characterize the nursing research feature exclusively or inclusively in the entire study.
The purpose of the study indicates clearly that the research aims at finding out how spirituality and support for family presence during invasive procedures and resuscitations in adults helps ease out curative processes and make the medical field easier to handle. The purpose is clear and relevant to the nursing field because it helps the nurses to advice the patients and members of their families on the roles that they need to play in the recovery of the patients. The nurses gain awareness of the patients social lives hence they get the best social care to give to the patients.
The research questions do not appear clearly in the research although the hypothesis of the research indicates clearly, what the research tackles. The hypothesis indicates that the research deals with the perceived benefits of family involvement in the treatment of patients. Examples of the analyzed benefits include helping to meet the emotional and spiritual needs of patients and their families, encouraging professional behaviour and communication at the bedside (Geri & Haber, 2003). The strategy also gives more attention to patients’ dignity and privacy, allows patients’ families to recognize the efforts of staff to save their loved ones, and helps staff provide more holistic care to the patient during a crisis. It also reaffirms the role of the nurse as an advocate for the patient. The study title reflects the research problem because it aims at getting the benefits, which patients derive from the full involvement of their families in the medication process, which emanates well in the hypothesis.
The research problem appears in the context of existing knowledge clearly, because there are some facts about the benefits perceived to accrue to the patients when their families and spiritual friends participate in their treatment processes. The hypothesis indicates all the perceived benefits well. The research does not identify the independent and the dependent variables in the research. The research analyzes an aggregate component without clearly indicating the particulars. The assumptions in the research do not appear in a statement. However, a number of assumptions imply throughout the research. Firstly, the research assumes that all people have some social and religious affiliation. Furthermore, the research assumes that the families to all the patients provide a sense of belonging and care to the patients. Third, the researcher assumes that the benefits accrued from spirituality and family involvement in the treatment procedures of the people ideally propels the nurse or practitioner to align the treatment to the preferred condition for the patients (Geri &Haber, 2003).
The literature reviewed in the research provides adequate information for the analysis of the research topic in the sense that the topics analysed provide the answers to the perceived research questions. The topics include; spiritual comfort and medical care, and family influence in recovery processes. The literature review follows no specific order. The review does not take a logical shape hence most of the literature reviewed appears at its own point. Generally, the literature review follows an undefined format. The references appear clearly and logically, indicating where they were extracted. Most of the information in the research is cited, meaning the references functioned to the advantage of the researcher. Both the primary and the secondary sources of data present logical and clear information for the researcher. Review of the questions supports the procedures and the hypothesis in the sense that it helps answer the main questions in the hypothesis. The hypothesis stated that the researcher aims at getting the best methods through which the families and the social environments for the patients could help deal with the issue of recovery. The question gets appropriate answers in the literature used.
The design for the article appears in a clear statement that summarises all about the methodology of the research. The design for this study was exploratory, descriptive, and correlation. The setting was a 210-bed not-for-profit Christian-based hospital located in the Southwestern United States. Participants were recruited from the emergency department, the adult cardiovascular intensive care unit, and the general intensive care unit. The design is appropriate for answering the research questions about the topic and the research subject because it permits for all the details about the research to come out in an exploratory and well-explained detail. The details concerning the data collection the whole data analysis occurred present the data as genuine and collected from a good range of sources.
The details come out plainly, when the data collection methods and analysis procedures section opens up. Data were collected from 108 participants: 73 nurses, 31 physicians, and 4 physician assistants. Out of these, one hundred fifteen clinicians qualified and became eligible to participate and 108 consented. Seven from the original number of 115 participants withdrew from the study because of time constraints and/ or miscellaneous concerns. Therefore, the overall recruitment in the end was 94%. Two groups formed up for statistical purposes. One group consisted of purely nurses and the other group consisted of a mix of physicians and physician assistants. Because of the low number of physician assistants, the physician assistant data collapsed into the physician group. The data collection mechanism presented a logical and practical process, undertaken and completed during the time stipulated.
The instruments in the research came out sufficiently although in most cases, some of them had more implied sow than the statements made on them. The content of the research satisfied and followed all the stipulated procedures of a research (Dickson et el, 2012). The reliability of the data tested against the tabulation, test, and retest technique, which compared all the information in the research to the initial data that the researcher obtained. The research emerged reliable and easy to follow. All the strategies used for the research matched the provisions and the academic recommendations for the study because they all sowed ultimate relevance to the method used in data analysis. These strategies also concurred with the provisions given for the qualitative research and the requirements for an effective research. The rules used for data analysis are evident in a validated instrument with 17 items measured on a 4-point Likert scale. This indicates that scaling and data analysis method followed a systematic analysis that helped describe all the items in the study. The technique tested the validity of the data and all the information turned out as valid and up to date.
The researcher did not indicate the type of sample used in the research although the sampling process came prudently in the data collection section. Most of the data collection methods remained confidential upon the request of the sponsor. The researcher minimized on the collection of data biased towards one side by ensuring that the participants came from different fields. The research had 73 nurses, 31 physicians, and 4 physician assistants, which improved the reliability of the data. However, the researcher could have used a more lucrative sampling method like the quota sampling, which could give very person the equal chance off participation in the research (Geri &Haber, 2003). The statistical level of measurement was not indicated in the research because the authors stated that the sponsor barred it. However, the accuracy of the probability level matched the required standards, with the level or error permitted standing at 0.3. The statistical procedures used are stated clearly in the text. Test retest techniques were used as well as stratified statistical sampling. Collective data sampling and analysis also presented the answer to the public application of the findings. Compared to the required standards, the test retest technique ensured that the data obtained related to the nursing field appropriately and that no details missed in the whole data.
The findings of the research presented a logical, orderly, and well-organised piece. The findings included the fact that family benefits bring a number of issues in treatment and diagnosis (Baumhover & Hughes, 2009). Other findings about the same were; Maintaining connectedness between patients and their family members, and Making patients feel that they have more emotional support and are not alone. It facilitates the grieving process totally and allows for closure and healing with one last chance to say goodbye, Increases spiritual connectedness felt with the patient, and Reduces any guilt, worry, or anxiety about leaving a loved one in crisis. The tables and graphs clarify the information in the research by presenting logical and figurative information from the theoretic trend throughout the research.
The results discussed link well to the main problem of the research and the figured outlook in the conceptual framework. An example is the case where, the religious affiliation of the patients appeared as a matter of contention in whether or not it helps in recovery in the hypothesis. In the findings, the issue was proved and the tabulated data confirms the extent of the proof. The researcher indicates that the sampled cases participated in the research willingly, knowing the implications and the disadvantages they faced. The researcher also indicates that none of the participants underwent coercion or forces in order to give the information. This implies that the consent of the informants in the research was obtained. The researchers indicate in the methods and sampling section, that relevant IRB was obtained and that the study valued ensuring an informed consent before accessing information from participants. Furthermore, the researchers indicated that for the purpose of the sponsor, all information regarding bracketing remained confidential and private to the researcher and the sponsor.
The implications of the research on the nursing fraternity, together with the limitations appeared clearly in a statement. The research implied that the nursing fraternity should change the diagnosis method and begin to factor in some spirituality. A limitation of this study is the lack of exploration of extraneous variables that may have influenced the support for family presence as well as the lack of differentiation and level of invasiveness of the invasive procedures. The research recommended that future research should focus on family presence especially during invasive procedures and differences between the different levels of invasiveness.
References
Geri LoBiond Wood and Haber Judith. (2003). Methods and Critical Appraisal for evidence based practice: 7th Edition
Baumhover, N., & Hughes, L. (2009). Spirituality and support for family presence during invasive procedures and resuscitations in adults. American Journal of Critical Care, 18(4), 357-367. doi:10.4037/ajcc2009759
Dickson, Victoria Vaughan; Buck, Harleah; Riegel, Barbara. (2012). Multiple Comorbid Conditions Challenge Heart Failure Self-Care by Decreasing Self-Efficacy. PublMed, 62(1):2-9. doi: 10.1097/NNR.0b013e31827337b3.
