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Distinguish between Qualitative and Quantitative research
Distinguish between Qualitative and Quantitative research
Distinguish between Qualitative and Quantitative research
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Post-Operative Pain Management Ani Navasarkian Mount Saint Mary’s University NUR 138: Research in Nursing May 30, 2016 Post-Operative Pain Management Ineffective postoperative pain relief among both children and adults is frequently reported. Health care personnel, including nurses, have a duty to do all they can in order to avoid preventable pain among their patients. Pain is included in the vital signs; it is also the most common sign reported in the clinical setting. When pain management is successful, patients’ length of stay is reduced, patient satisfaction is increased, and readmission is less likely. Nurses assess this individual/subjective experience by asking the patient to rate their pan level using the Numeric Rating Scale (Samuels & Manworren, 2014). The following quantitative and qualitative research studies will more deeply examine the pain management experience in postoperative patients. Synopsis: Qualitative Research Study “Postoperative pain management experiences among school-aged children: A qualitative study” (Sng, et al., 2013) is a qualitative study. Its specific design is a descriptive phenomenology. The researchers collected data from December 2010 to January 2011 by conducting semi-structured interviews. The research question was: How do school-aged children experience postoperative pain management? The sample was 15 school-aged children, 10 males (66.7 %) and 5 females (33.3%). Sixty percent (n=9) of the children were Chinese, 26.7% (n=4) were Malay, 0.07% was Indian (n=1), and 0.07% was Pilipino (n=1). The average age was 10.2 years old. The study took place at pediatric surgical units of a Singapore hospital. Findings showed that children experienced several pain management methods ... ... middle of paper ... ...tween all cognitive-behavioral approaches, children most often used distraction to deal with their postoperative pain. 19 patients had 7+ co-existing conditions; average pain scale was 3.25; patients in Hospital B had higher pain levels; nurses in Hospital A had more interventions than Hospitals B and C; and assessment frequencies stay consistent, despite patient characteristics. Appraisal/Worth to Practice This study shows the impact that health care professionals and parents have on the postoperative child in dealing with his/her pain. Children in the postoperative condition should be provided with non-pharmacological methods before the pharmacological ones. Nurses play a big role in children’s pain relief and should build a trusting relationship with them. Nurses can calculate and use the pain management value index to examine and enhance the worth of nursing.
Physical pain is more easily addressed by the administration of medication or a non-pharmaceutical intervention like repositioning, or the application of heat or cold. Nursing care on a general medical unit is about patient and family centered care which is in alignment with Kolcaba’s Theory of Comfort. A large portion of the patients seen on this type of unit have multiple comorbidities and challenging social situations that require assessment of their past health history, their support system, and their current living situation. All of this is taken into consideration in multidisciplinary rounds where data that is collected is communicated to all disciplines and a plan of care developed for each patient. The unit which I currently manage assembles our multidisciplinary unit daily. Needs are identified and assigned to the team members who include social work, care management and therapies in addition to the nurses and the providers. Since the team meets daily there is an opportunity to evaluate the effectiveness of the interventions prescribed. Nursing care management is integral in this work as part of the assessment, planning, and coordination of care in the hospital
Hinkle, J., Cheever, K., & , (2012). Textbook of medical-surgical nursing. (13 ed., pp. 586-588). Philadelphia: Wolters Kluwer Health
Institute of Medicine Report from the Committee on Advancing Pain Research, Care and Education. (2011). Relieving Pain in America A Blueprint for Transforming Prevention, Care, Education and Research. Retrieved from http://books.nap.edu/openbook.php?records_13172
Assessing and managing pain is an inevitable part of nursing and the care of patients. Incomplete relief of pain remains prevalent despite years of research due to barriers such as lack of kn...
Nurses assess patients’ perineal swelling, lacerations, and monitor signs of infection. In conjunction, nurses also assess patient’s pain levels from perineal trauma and can provide pharmacologic and non-pharmacologic pain relief (Steen et al., 2007). Based on the centrality of their role, it is important that nurses have access to evidence based best practices on perineal pain management. Yet, nursing does not exist in a vacuum and there are many factors that may influence the translation of research evidence into a clinical setting. As stated by the Canadian Nursing Association, “Decision-making in nursing practice is influenced by evidence and also by individual values, client choice, theories, clinical judgment, ethics, legislation, regulation, health-care resources and practice environments” (CAN, 2010, p. 3). With this at the forefront, I will explore some of the organizational challenges to implementing Steen et al.,(2007) findings, such as, cost effectiveness, practice environment, standardization and time constraints. I will then explore the application of the evidence to my clinical example by addressing how Steen et al., (2007) evidence might have changed the care I provided to my
Ignatavicius, D. D., & Workman, M. L. (2013). Care of Intraoperative Patients. Medical-surgical nursing: patient-centered collaborative care (7th ed.). St. Louis: Elsevier.
Pain is a universal element of the human experience. Everyone, at some point in their lives, experiences pain in one form or another. Pain has numerous causes, effects, and is itself a highly complex biological phenomenon. It also carries with it important emotional and social concerns. Pain cannot be entirely understood within the context of any one field of scientific inquiry. Indeed, it must be examined across a range of disciplines, and furthermore considered in relation to important non-scientific influences, such as emotional responses and social determinants. I conducted my explorations regarding pain with the following question in mind: to what degree is pain subjective? I found several avenues of inquiry to be useful in my explorations: they are (1) the expanding specialty in the medical profession of pain management; (2) pain in individuals with spinal cord injuries (SCIs) and (3) pain experiences of children. Examining these issues led to the conclusion that pain is in fact a highly subjective phenomenon.
Hinkle, Janice L, Cheever, Kerry H. (2014). Brunner &Suddarth’s textbook of Medical-Surgical Nursing. Philadelphia: Wolters Kuwer/Lippincott Williams &Wilkins.
...c regimen, prolonged hospitalization, cost, workload on medical team, mortality rate. Moreover, unproductive assessment tool existence leads us to look for other evaluation criteria for pain. This study will aid in adding original information about the presented pain assessment tools and will demonstrate their effectiveness and ability to assess the level of pain in non-communicative patients comparing to The Critical-Care Pain Observation Tool (CPOT)
Conclusions. An adequate and clear understanding of the concept of pain and implementing interventions of pain treatment and management is essential in the clinical settings. Understanding the concept of pain is necessary for its relationships with other concepts that are related and similar to the pain experience for theory building. The in the end, understanding the concept of pain will ultimately benefit the patient and lead to better and approp...
Pain is universal and personal to those who are experiencing it. It is subjectively measured on a scale of 0-10 with zero being no pain and 10 being the worst pain ever. This can be problematic for patients and doctors because this score can be understated or overstated. Doctors will make quick decisions based on this score. Patients might feel not believed because only they can feel the pain. However, untreated pain symptoms may be associated with impaired activities of daily life and decreased quality of life. Pain is defined in our textbook, “as an unpleasant sensory and emotional experience associated with actual or potential tissue damage” (Ignatavicius & Workman, 2016, p 25). Actual pain is understood by most because there is an
...newicht and Dunford (2004), physiotherapists, occupational therapists, Doctors, nurses, specialist pain teams and dieticians all care for the patient at once.
Smeltzer, S. C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2010). Brunner & Suddarth’s textbook of medical-surgical nursing (12th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
...amount of pain) is a great teaching tool for the patient who is able to self-report (Nevius & D’Arcy, 2008). This will put the patient and nurse on the same level of understanding regarding the patient’s pain. The patient should also be aware of the added information included with the pain scale: quality, duration, and location of the pain. During patient teaching, it should be noted that obtaining a zero out of ten on the pain scale is not always attainable after a painful procedure. A realistic pain management goal can be set by the patient for his pain level each day.
In the context of the caring relationship, nurses perform a primary role in the assessment and management of pain and other