Individual due today

nbeuittouo

ResearchStudyProposalPartVFinalResearchPresentation.ppt

Home >Government homework help >Individual due today

Community Health Nursing

Research Study Proposal–Part V: Final Research Presentation

Name

HCS/542

October 9, 2017

Lane Baggett

Introduction

Nurses face challenges in practice.
They have inadequate support, equipment, time, and funds.
It becomes hard for them to cater for patients with emotional, behavioral, and cognitive problems.
These patients require participatory care delivery
This includes the help of nurses and friends, or family members.
Also, nurses lack appropriate skills, education, and knowledge to help such patients.
Through the appropriate interventions they can approach the patients and initiate participatory care delivery
This project offers a way through which the nurses can get help to overcome those limitations.

Nurses in today’s world face numerous challenges in their work. They strive to deliver excellent care with inadequate support, equipment, time, and funds. They also face moral and ethical residue, fatigue, emotional exhaustion, and burnout. It therefore becomes hard for them to cater for patients with emotional, behavioral, and cognitive problems. These patients require participatory care delivery with the help of nurses and friends, or family members. Moreover, there is a problem as nurses lack appropriate skills, education, and knowledge to help such patients (Johnson et al., 2010).

Through the appropriate interventions, such as the introduction of learning programs that can train nurses on how they can approach the patients and initiate participatory care delivery into the curriculum at nursing schools can help them deal with such situations. This project offers a way through which the nurses can get help to overcome those limitations that make them ill-prepared to handle patients with emotional, behavioral, and cognitive problems that need participatory care giving process.

Problem Statement

Most nurses lack appropriate skills, education, and knowledge to deal provide participatory healthcare.
They feel unprepared, uncomfortable, and unsure of how they should proceed
This happens when assessing patients with emotional, behavioral, and cognitive problems.
They also do not how to approach such related issues
They lack courage to discuss their effects and health improvement outcomes.
Absence of proper training and education is the main problem
Societal attitudes also pose another problem for nurses in participatory health promotion and prevention.

The evolving role of nurses has led to a significant shift and focus on community participatory health promotion and prevention. Unfortunately, many nurses are unequipped with appropriate skills, education, and knowledge to deal with healthcare in community settings. According to Nolli Bittencourt and de Vargas (2015), nurses usually feel unprepared, uncomfortable, and unsure of how they should proceed when they are assessing the patients with emotional, behavioral, and cognitive problems on at the health facility. They also do not how to approach such related issues to discuss their effects and health improvement outcomes. Because of the absence of proper training and education combined with societal attitudes, these nurses cannot possess the required skills in the community care giving, especially in participatory health promotion and prevention.

Relevance of the Problem

In healthcare sector, nursing is one of the most important parts in care giving.
It caters for those critical health matters
It can help to prevent cases that can lead to hospitalization.
Nurses need to apply participatory community healthcare to better practice.
Without skills and knowledge, it is impossible to help patients with the underlying issues.
They can get treatment, then on discharge fail to adhere to doctor’s requirements.
Without the knowledge the situation is bound to worsen, and more deaths will be reported in the categories of patients stated.
This is because the community will not be able to act appropriately help them.

In healthcare sector, community health nursing is one of the most important parts in care giving. This is because it caters for those critical health matters that can help to prevent cases that can lead to hospitalization. When it comes to patients with emotional, behavioral, and cognitive problems, nurses play a significant role to ensure their well-being through participatory community healthcare. When delivering healthcare to treat ailments of those patients with such underlying issues, there is need for the nurse to include the participatory health promotion program to that includes the family or close relatives to help in promoting the health of the patient, and avoid future hospitalization. Addressing the gap, which exists between the knowledge and skills of the nurse to offer excellent care through participatory community programs, and the care offered to the patients with emotional, behavioral, and cognitive issues, can help the nurses overcome barriers and obstacles they face when caring for such patients. Without the knowledge, the situation is bound to worsen, and more deaths will be reported in the categories of patients stated. This is because the community will not be able to act appropriately to help them when they get sick. Such patients will be treated for a particular disease, then lose fail to follow doctor's instructions due to underlying issues. This means that they may get worse. When the nurse helps the community understand participatory care, this is prevented.

The Goal of this Project

This project aims at developing an informational resource for the nurses.
This will give them:
1. critical reflection and
2.an all-inclusive approach
It offers information to be applied at hospital care units help nurses overcome barriers and obstacles
The research offers material that will improve the skills and knowledge of nurses in brief interventions.
It aims at helping them get more skills in understanding the social, physical, physiological, and psychological effects associated with participatory care delivery to such patients.
It aims at boosting confidence and comfort level of nurses in participatory care.

This project aims at developing an informational resource for the nurses. This will give them critical reflection and an all-inclusive approach when caring for those patients with underlying conditions relating to emotional, behavioral, and cognitive problems, which require management, and their families or support peoples. The project also offers information that can be applied at hospital care units to help nurses overcome barriers and obstacles they face when dealing with such patients. The research offers material that will improve the skills and knowledge of nurses in brief interventions. It also aims at helping them get more skills in understanding the social, physical, physiological, and psychological effects associated with participatory care delivery to such patients. Another objective is to boost their confidence and comfort level when approaching and dealing with patients and families and discussion of participatory care to prevent the illnesses that may be contributed by their underlying issue and improve health.

Research Questions

To be able to conduct the research, it is important to use questions as the guiding principles.
The following are the questions that the research sought to address;
How important is the community participatory in health promotion and prevention of illness?
What is the role of the nurses in promoting community participatory care giving?
How can the nurses help in the improvement of participatory nursing program?

Brief Literature Review

Lock et al. (2002): established that nurses play a very important role in caring for, advocating, and intervening to improve outcomes patients
Personal opinions, beliefs, attitudes, and views of the nurse relating to the patient’s underlying disorders harmfully affect nursing care to such patients.
Lock et al. (2002): nurses agreed that they usually approach such patients with a great deal of caution, reservation, and discomfort, especially when talking about consumption of their conditions.
Nolli Bittencourt & de Vargas (2015): the negative attitude transforms to failure in detecting or addressing the problem that led to hospitalization of the patient.
This in turn compromises the comprehensive care, making the professionals to lack the motivation to help these patients.

According to the research that was conducted on the impact of the nursing practice to overall healthcare delivery, and incorporation of management practices to the patients with underlying behavior and mental issues by Lock et al. (2002), it was established that nurses play a very important role in caring for, advocating, and intervening so as to improve outcomes for clients hospitalized with but have underlying emotional, behavioral, and cognitive problems. However, the personal opinions, beliefs, attitudes, and views of the nurse relating to the issues associated with the patient’s behavioral disorders, or activity leading to hospitalization can harmfully affect nursing care to such patients. In the study, Lock et al. (2002) found that nurses agreed that they usually approach such patients with a great deal of caution, reservation, and discomfort, especially when talking about their disorders. They believe that the clinical psychologists should handle such matters. Another material is provided by the study by Nolli Bittencourt & de Vargas (2015), who established that negative attitude of the nurses, can lead to failure in detecting or addressing the problem that led to hospitalization of the patient. Therefore, the comprehensive care is compromised, making the professionals to lack the motivation to help these patients.

Literature Review Continued

Emergency department Nurses lack critical skills in nursing.
Nurses need more training to enhance the participatory care.

Indig, Copeland, Conigrave & Rotenko (2009) established that the nurses and physicians, especially in the emergency department, do not have adequate skills in “confidence, knowledge, skills, and sense of responsibility to appropriately manage patients” with behavioral and drug-related issues (p. 29) . These medical practitioners lack adequate resources, time, and skills to care for these patients. Indig et al., (2009) realized that nurses are not the only group that need more training, but doctors also do.

Methodology Used

The initial research methodology is based on the personal experience as a nurse.
I was learning at a county healthcare organization as a volunteer caregiver
A guest speaker was invited to share her experiences with the nurses that worked in my unit.
She had been brought in for low blood sugar levels and hospitalized.
She also showed alcohol withdrawal symptoms, and had PTSD
She had felt that nurses avoided and ignored her underlying issues,
Nobody had asked her how she was feeling or coping.
Every nurse was astonished when she said that she was a professor at a University.
She thanked nurses for treating her symptoms.

The first part of my research methodology is based on the personal experience as a nurse.

When I was learning at a county healthcare organization as a volunteer caregiver, a guest speaker was invited to share her experiences with the nurses that worked in my unit. Mrs. Jean (not her real name), had been brought in the hospital for low blood sugar. She was hospitalized, and then nurses realized that she had symptoms of alcohol withdrawal and PTSD. The nurses were astonished to realize that she was a university professor, as they had realized that she was an alcoholic and suffered PTSD from her past relationship. However nobody raised these issues throughout her treatment or how they affected her blood sugar condition. She felt that nurses avoided and ignored alcohol consumption and her mental issues, and also, nobody asked her how she was feeling or coping. She thanked them for the treatment of her symptoms.

Methodology Continued

She asked nurses to go beyond the visible signs
They need to discuss with their patients the impact of the underlying behavioral and mental disorders
The disorders could possibly contribute to their hospitalization.
Then, I formulated the need for research
It will provide information necessary to enhance nurses’ support and intervention skills to help patients through participatory care giving.
I generated questionnaire and that I will distribute to the nurses in my unit and other units addressing
I will also interview the nurses in the clinical context regarding their opinions, attitudes, and beliefs about patients in the category I research on.
I will combine with the secondary sources in the nursing research field.
The materials will give the processes that can be applied to make the situation better in the nursing practice.

However, she asked them to go beyond the visible signs and discuss with their patients the impact of the underlying behavioral and mental disorders that could possibly contribute to their hospitalization, like alcohol or drug use. From here, I formulated the need for research that will provide information necessary to enhance nurses’ support and intervention skills to help patients through participatory care giving. I generated questionnaire and that I will distribute to the nurses in my unit and other units addressing their experience with such patients, and what they feel should be done about the problem. I will also interview the nurses in the clinical context regarding their opinions, attitudes, and beliefs about patients in the category I research on. I will combine with the secondary sources in the nursing research field. The materials will give the processes that can be applied to make the situation better in the nursing practice.

Implications of the expected findings

Research will enhance the knowledge of nurses about underlying behavior and mental issues, and its effect on treatment.
Recommendations will advance facilitators and minimize the obstacles to intervention associated with community nursing.
Brief intervention tools and screening among other elements would be introduced to nursing career as a result of the research.
The tools help nurses to understand how to approach the patient family, and help them understand the problem they face at hand.
Education programs could also be introduced in the care units at hospitals
Nurses would gain skills and confidence to take part in delivery of brief interventions.
Nurses would also initiate interaction, connection and communication with all aspects of patients to commence the participatory care giving.

The main impact of the research findings will be in the nursing education the curriculum used in nursing school would be changed to incorporate the methods that would help nurses promote participatory care delivery in community healthcare. This is because it will enhance the knowledge of nurses about various issues like behavioral and mental disorders, and their effect on treatment. Also, the findings and recommendations will increase the facilitators and minimize the obstacles to intervention associated with community nursing. Brief intervention tools like screening, among other elements would be introduced to nursing career to help nurses to understand how to approach the patient, and their family or friends, to help them understand the problem they face at hand. Education programs could also be introduced in the care units to help in identification and management of such patients. Most importantly, nurses would gain skills and confidence to take part in care delivery involving brief interventions. They would also initiate interaction, connection and communication with all aspects of patients to commence the participatory care giving.

Significance to Nursing Practice

When we closely look at the interactions between patients and nurses, it is unfortunate to see that in many occasions, nurses lack an all-inclusive approach to care.
The approach would help in inspiring nurses to consider their misconceptions, beliefs, and attitudes about patients with certain underlying problematic behavior.
The nursing research articles located in the study will be important
They will make the institutions that teach nursing and the healthcare organization change
They will know the importance of including the training on approach to patients with behavior and mental disorders to curriculum.
The nursing practice will have a long-lasting impact on the behavior of patients.
It will also lead to reduced mortality, enhanced health for manageable conditions, both at home and hospital.

When we closely look at the interactions between patients and nurses, it is unfortunate to see that in many occasions, nurses lack an all-inclusive approach to care. The approach would also help in inspiring nurses to consider their misconceptions, beliefs, and attitudes about patients with certain underlying behavior or emotional issues. The nursing research articles located in the study would make the institutions teaching nursing and the healthcare organization realize the importance of including the training on how best to approach such patients, to their curriculum. The nursing practice will have a long-lasting impact on the behavior of patients as it will help them manage better their underlying conditions. It will also lead to reduced mortality rates, and enhanced health for manageable conditions, both at home and hospital.

References

Indig, D., Copeland, J., Conigrave, & Rotenko, I. (2009). Attitudes and beliefs of emergency department staff regarding alcohol-related presentations. International Emergency Nursing, 17, 23-30.
Johnson, M., Jackson, R., Guillaume, L., Meier, P., & Goyder, E. (2010). Barriers and facilitators to implementing screening and brief intervention for alcohol misuse: a systematic review of qualitative evidence. Journal of Public Health, 1-10.
Lock, C. A., Kaner, E., Lamont, S., & Bond, S. (2002). A qualitative study of nurses’ attitudes and practices regarding brief alcohol intervention in primary health care. Journal of Advanced Nursing, 39, 333-342.
Nolli Bittencourt, M., & de Vargas, D. (2015). Attitudes towards alcohol and alcohol-related problems: Comparison among nurses from different Brazilian health care settings. Journal of Nursing Education and Practice, 5, 45-51.