discussion forum

Learning Goal: I’m working on a nursing discussion question and need an explanation and answer to help me learn.

As a researcher, you have to consider multiple factors when formulating a

research question or hypothesis. Through your clinical rotation, you

have been able to observe current interventions or procedures that may

differ from what you have read in your textbooks or are being taught in

this program. This is a dilemma because of the time it takes to

translate research into practice. In pratcie, you might have likely

developed clinical questions comparing the effectiveness or usefulness

of certain interventions/treatments to another or the gold standard.

Think of a time during your most recent clinical and your knowledge

about research question and hypothesis from the assigned chapters.

Respond to both by answering the questions that follow:

  • Formulate a research question on (for example) handwashing, patient turning or prevention of the spread of COVID-19.
  • Identify how a researcher will test these questions
  • State the research question as a hypothesis
  • As a researcher, what testable criteria will you consider for this hypotheses?
  • use citation from your book. For part 2 of this assignment you should provide a substantive response to 2 of your peers’ post.
  • first person to respond to ……………..
  • 1) Sample PICOT research question.
    For immobilized patients, does turning the patient in an average hospital bed decrease pressure ulcers when compared to using an air fluidized therapy bed in a span of 30 days? 2) A researcher, according to LoBiondo-Wood & Haber, 2018, could test this PICOT question by having the right equipment, participants, time, and evaluators. The researcher would need to have at a minimum an average hospital bed, an air fluidized therapy bed, around 30 patients in total with pressure ulcers, some evaluators to check on the size of the pressure ulcers and 30 days. The researcher would also need to make sure the pressure ulcers were measured accurately before the experiment started. The data could be altered if the patients had different medications and therapies (LoBiondo-Wood & Haber, 2018). 3) Research question as a hypothesis If patients use an air fluidized therapy bed instead of using an average hospital bed, then that would decrease pressure ulcers for them. 4) As a researcher, there are some testable criteria I would consider for this hypothesis. According to LoBiondo-Wood & Haber, 2018, one is to make sure that the results can either be proved to be true or false. It is ok if the hypothesis is not right, or the results are not favorable. The hypothesis and/or the study can change at a different time. Another testable criteria would be to make sure that someone else can repeat the study and get the same results. The study is like a recipe. If one ingredient is changed, then the dish is changed. Same idea applies here. If one step is changed, then the data will also be changed. Also, the study should be ethical and be consistent with current data and research of that topic
  • (LoBiondo-Wood & Haber, 2018). References LoBiondo-Wood, G., & Haber, J. (2018). Nursing research: Methods and critical appraisal for evidence-based practice (9th ed.). Elsevier.
  • second person to respond to……………..
  • Formulate a research question on (for example) handwashing, patient turning or prevention of the spread of COVID-19.

Research question:

What is the most effective way of preventing an immobile patient from skin break down?

Patient turning and repositioning- Pressure injuries continues to impact and estimated 2.5 million patient each year in the United States. While some of these pressure injures are avoidable, most can be prevented and an effective way to prevent a pressure injury is by moving , turning and changing position frequently. The current accepted guide line for care is to turn patients every two hours. The frequency of turns should be individualized by patients. (shield healthcare, 2015).

  • Identify how a researcher will test these questions

Resent research has describe cueing innovations to ensure consistent care delivery in turning and reposition of patients. (Roberts et al., 2016)

  • State the research question as a hypothesis

Turning our patients every 2hours or every so often to avoid skin breakdown.

  • As a researcher, what testable criteria will you consider for this hypotheses?

researchers found that older adults turned every 2 to 3 hours had fewer ulcers. This landmark nursing study created the gold standard of turning patients at least every 2 hours. Some researchers would suggest that critically ill patients should be turned more often. (Lyder,2020)

References:

 

Roberts, S., McInnes, E., Wallis, M., Bucknall, T., Banks, M., & Chaboyer, W. (2016, November 21). Nurses’ perceptions of a pressure ulcer prevention care bundle: a qualitative descriptive study. BMC nursing. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5117662/.

 

Repositioning Patients to Prevent Pressure Injuries. Shield HealthCare. (2020, March 6). https://www.shieldhealthcare.com/community/popular/2015/11/18/move-every-two-repositioning-patients-to-prevent-pressure-ulcers/.

Lyder, C. H. (July, 2020.). Pressure Ulcers: A Patient Safety Issue. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. https://www.ncbi.nlm.nih.gov/books/NBK2650/#ch12.r59.

(UK), N. C. G. C. (August, 2016.). Repositioning. The Prevention and Management of Pressure Ulcers in Primary and Secondary Care. https://www.ncbi.nlm.nih.gov/books/NBK333122/.

 

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