Unit 6
Discussion 1 MN504 Research Unit 6 discussion post
Qualitative research is less about the science and physical numbers, it is more of a story
from the perception of the storyteller or the researcher about why things are the way they are,
what are the issues or needs of a community, what are the disparities to change for a specific
group /population. Information is received through field work, firsthand information such as
face to face personal interviews, windshield surveys, and observation to gain an understanding
form another’s view and how it influences their habits, behaviors, etc. Through the information
received the researcher can answer “why” something is occurring or being done a specific way.
“It can provide guidance in deciding whether we can apply findings from quantitative studies to
our patients and help us to understand clinical phenomena (Melnyk, B. & Fineout-Overholt, E.,
2015, p. 141)”.
My PICOT question is: (P)Married couples age 25 to 43 diagnose Hemochromatosis
(I) How does genetic counselling affect their decision to have children after diagnosis of
Hemochromatosis
(C) Lowering the number of effected children born with Hemochromatosis
(O) Decrease new case by 30 %.
(T) 1 year trial
This is a very under researched issue therefor finding exact research that pertains has
been very difficult to attain, however upon review of qualitative research articles two somewhat
acceptable studies are:
Living with constipation- older people’s experiences and strategies with constipation
before and during hospitalization. This was a qualitative exploratory research design that
conducted personal face to face interviews with inpatient adults about their bowel habits, if
constipation was an issue and how it was managed during and prior to hospital admissions.
Patients managed the issue of bowel management privately and did not alert their healthcare staff
to bowel issues. “This study illuminates the need for health-care professionals to be attentive to
this issue and initiate the conversation with patients in order to advise on the management of
constipation (Munch, Tvistholm, Trosborg, & Konradsen, 2016)”.
Constipation and defecation pattern the first 30 days after hip fracture. This was a
prospective descriptive design that was utilized to monitor the defecation patterns of One
hundred six patients with hip fractures. According to the article bowel care and management is
often over looked my healthcare professionals as their primary concerns are with post-surgical
complications such as infection, bleeding, circulation. The fact of the matter is that by not
managing and preventing “constipation can increase financial costs due to increase hospital stay,
and increased nursing care time (Trads & Pedersen, 2015)”. This study also suggested that there
is further need for research in this area of healthcare.
A potential qualitative research study that I feel is important to nursing is the need for
healthcare providers to manage and prevent bowel complications of the hospitalized patient. The
lack of bowel management increases patient pain, decreases mobility, alters nutrition, increases
hospital stay, and overall is poorly managed in the acute and long term care facilities. If
interventions are put into place at admission constipation can both me managed and prevented
with a decreased risk of complications.
I am currently exploring this issue in my current facility for our Magnet project with the
utilization of case study. The metric includes information from the patient’s chart that is
recorded on admission related to last bowel movement, prior to admission medications as well as
defecation pattern during admission and medication ordered and requested and readmission. The
information is picked randomly by EPIC every 30 days and placed into the metric, interventions
are then applied to all patients on the unit with continued monitoring and nurse/patient education,
with evaluation completed every 30 days. This information will be presented to the medical
approval board with a suggestion for a change in physician order sets with a suggested bowel
protocol to be added.
By making nurses and patients more aware of the importance of bowel management for
the promotion of health and being open with “poop” questions decreases the feeling of
embarrassment this improving communication among patients and nurses with true information
about bowel issues thus preventing complications and delayed discharges.
Reference
Schmidt, N.A . & Brown, J.M,. (2009). Evidenced-Based Practice for Nurses : Apprasial and pplication of
Research. Sundbury, MA: World Harold Jones and Bartlett Publishers, LLC.
Hamric, A.B, Hanson, C. M., Tracy, M.F. & O'Grady, E.T. (2014). Advanced practice nursing an
integerative approach (5th ed.). St. Louis, Missouri: Elsevier Saunders.
Melnyk, B. & Fineout-Overholt, E. (2015). Evidenced-based practice in nursing & healthcare: A guide to
best practice (3rd ed.). Philadelphia, PA.: WoltersKluwer. Retrieved 2016
Polit, D.& Tatano Beck, C. (2012). Nursing Research: Generating and assessing evidence for nursing
practice (9th ed.). Philadelphia, PA: Wolters Kluwer/ Lippincott Williams & Wilkins. Retrieved
2016
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