Nursing Research two peer response with 75 to 100 world each

1. Silvia

Hi Dr. Hirigoyen and class,             Most researchable population are patients suffering from CHF which is a chronic condition that affects about 5 million people in US.Patients with Congestive Heart Failure have frequent visits to Emergency Department and hospital re-admissions. There are many challenges in this research. One challenge is educating the patients to avoid re-admission. Patients’ education focuses on management of CHF, medication management, and non-pharmacological strategies. Also, we will need access to medical records where we will need authorization in order to avoid HIPPA violation, where if we do, our research will not be considered viable. Additionally, we will would need access to patients with CHF and get authorization from these patients for interview purpose. We will address their other chronic condition leading to CHF, genetic, family history, lifestyle, drinking, smoking illicit drug habits all of which contribute to CHF, and eating habits. As mentioned above we can overcome these challenges by having proper documentation.

Accessing records of deceased patients with CHF if we get authorization or that we can have the live expectancy of a patient with CHF as the chart will reflect when the patient was diagnosed and when the patient expired. While they suffered from CHF what where the changes they made or did not make that prolonged their lives or shorten their lives. I have a patient with CHF that continued smoking 1 pack of cigarettes a day, drank 4 beers and had a high fat and carbohydrate diet that patient shorted their life expectancy although he was receiving pharmacological treatment. Many CHF patients change their lifestyle and adhere to pharmacological treatment and doctor visits and their lives are prolonged.

                                                         Reference:

Bardhan, Indranil, Jeong-ha Oh, Zhiqiang Zheng, and Kirk Kirksey. "Predictive analytics for readmission of patients with congestive heart failure."  Information Systems Research 26.1 (2014): 19-39.

Black, J. T., Romano, P. S., Sadeghi, B., Auerbach, A. D., Ganiats, T. G., Greenfield, S., & Ong, M. K. (2014). A remote monitoring and telephone nurse coaching intervention to reduce readmissions among patients with heart failure: study protocol for the Better Effectiveness after Transition-Heart Failure (BEAT-HF) randomized controlled trial.  Trials,  15(1), 124.

1. Lisette:

My research project dealt with prevention of postpartum smoking relapse. Women who quit smoking during pregnancy are more likely to go back to their previous behavior. The most researchable population is pregnant women who quit smoking before and during pregnancy. The population should comprise women from all races and all backgrounds, both poor and rich. The idea is to have a population which is a representative of the whole population.

In doing this research, there are some challenges that will be encountered. There is an under-representation of minorities in the national data and hospitals’ data given that they are also likely to be the marginalized and poor group. This under-representation of some groups would mean that the findings would be generalized (Neelotpol et al, 2016). Recruiting participants from minority groups is a challenge worth considering in this research. Recruiting of minority participants requires researchers to be culturally sensitive.

Another challenge is that of obtaining data from women from different backgrounds. It would be easier if one group was being investigated since they would have a similar behavior. For example, the social activities they engage in would be similar. Some of the groups will have some requirements that they will require the researcher to fulfill. For example, be courteous such as drinking tea when offered while others will require researchers to provide identifications and assurance that they won’t share their personal data. Such a wide range of problems wouldn’t be there if one was investigating a single group which has people with a lot of things in common.

Application of mixed methods can help counter some challenges. This is because it allows researchers to obtain information for comparison of participants. By use of qualitative interviews and engaging with participants from all backgrounds, the researcher will be able to obtain data which is a better representative of the population (Neelotpol et al, 2016). This calls for application of essential V which focuses on informatics and healthcare technologies. Researchers can make use of information technology to profile minorities and come up with a way of maintaining a good relationships with the participants.

References

Neelotpol, S., Hay, A. W., Jolly, A. J., & Woolridge, M. W. (2016). Challenges in collecting clinical samples for research from pregnant women of South Asian origin: evidence from a UK study.  BMJ open,  6(8), e010554.