Rough Draft Qualitative Research Critique and Ethical Considerations

Rough Draft Qualitative Research Critique and Ethical Considerations: Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay…

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Rough Draft Qualitative Research Critique and Ethical Considerations

Paper details

Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses.

Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment. In a 1,000–1,250 word essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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Solution

Rough Draft Qualitative Research Critique and Ethical Considerations

Introduction

Healthcare brings together professions ranging from medical doctors, nurses, social workers, technicians, and many others. It requires all these professions to engage with the clients and with one another to improve patient outcomes. Interprofessional communication and collaboration involve the efficient sharing of data and communication among the various professions in a health facility.

In patients with chronic conditions (diabetes care), how effective is interprofessional communication and collaboration compared to tightly knit collective professional identity and autonomy in improving patient outcome during diagnosis and recovery time with a period of three months?

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Background of Study

Article 1: The aim of the study was to investigate the physician and nursing perceptions regarding communication and collaboration as well as the factors that may influence these activities. A self-administered questionnaire survey was sent to a random sample of physicians and nurses based in two large public hospitals in Athens, these findings suggest that nurses and physicians do not share the same views concerning the effectiveness of their communication and nurses’ role in the decision-making process of the patients’ care.

The most important barrier for the establishment of good relations between these professions, according to the physicians, was that they did not recognize the nurses’ professional role. The study also indicated that the absence of interprofessional collaboration may result in a higher possibility of errors and omissions in patients’ care.

Therefore, in everyday practice, both nurses and physicians should acknowledge the importance of their effective communication and they should develop and implement interprofessional teamwork interventions to improve collaboration (Matziou &Vlahioti, 2014).

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Moreover, nurses have to constantly consolidate their role in the decision process and patients’ care, especially in countries with limited interprofessional collaboration culture. In addition, factors that improve physicians’ attitudes toward collaboration and effective communication should be further explored.

Article 3: Given both the increase of nursing home residents forecast and challenges of current interprofessional interactions, developed and tested measures to improve collaboration and communication between nurses and general practitioners (GPs) in this setting. Our multicentre study has been funded by the German Federal Ministry of Education and Research (FK 01GY1124).

The measures were developed iteratively in a continuous process, which is the focus of this article. In part 1 “exploration of the situation”, interviews were conducted with GPs, nurses, nursing home residents and their relatives focusing on interprofessional interactions and medical care. They were analysed qualitatively. The purpose statement was to develop and teste measures to improve collaboration and communication between nurses and general practitioners (GPs) in this setting.

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PICOT Question: 

In patients with chronic conditions (diabetes care), how effective is interprofessional communication and collaboration compared to tightly knit collective professional identity and autonomy in improving patient outcomes during diagnosis and recovery time with a period of three months?

  • Population = Patients with chronic conditions
  • Intervention = Effective interprofessional communication
  • Comparison = tightly-knit collective professional identity and autonomy
  • Outcome = Improved patient results
  • Time = three months

Article 1: This article examines various perceptions of health practitioners on communication in clinical settings. Improving the knowledge of nurses and physicians regarding their different approaches and perceptions about nurse–physician communication and collaboration may lead to a better mutual understanding and a more effectively collaborative relationship.

The majority of the current literature has been focused on the level of collaboration and less to the variables that determine communication and collaboration, and even less to the physicians’ or/and nurses’ contribution to communication in the nurse– physician collaboration.

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Article 3: The article offers discussion on measures to improve communication in clinical settings. The research question and proposal for this study had been developed based on the national and international literature about the topic. Interview guidelines according to the research questions were developed by the research group.

The study intended to capture hidden, implicit assumptions of the participants. In addition to the exploration of the respective perspectives on medical care in the nursing home setting, were interested in the interprofessional interactions. 

Methods of Study

Article 1: This descriptive study was designed to investigate nurses’ and physicians’ perceptions about their collaboration and the factors that influence it. Study was conducted on a convenience sample of nurses and physicians from two public hospitals in Greece and data were collected with the ‘‘Communication and Collaboration among physicians and nurses’’ questionnaire.

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Therefore, this paper included a range of terms in the search strategy to describe the review objective and capture relevant literature. The terms searched include interprofessional collaboration, interdisciplinary collaboration, multidisciplinary collaboration, inter-professional communication, interdisciplinary communication, multidisciplinary communication, teamwork, healthcare workers, healthcare members and healthcare professionals.

Article 3: Comparatively from article 1, this article measures were developed iteratively in a continuous process, which is the focus of this article. In part 1 “exploration of the situation”, interviews were conducted with GPs, nurses, nursing home residents and their relatives focusing on interprofessional interactions and medical care. They were analyzed qualitatively. Based on these results, in part 2 “development of measures to improve collaboration”, ideas for improvement were developed in nine focus groups with GPs and nurses. These ideas were revisited in a final expert workshop.

The study analyzed the focus groups and expert workshop using mind mapping methods, and finally drew up the compilation of measures. In an exploratory pilot study “study part 3” four nursing homes chose the measures they wanted to adopt. These were tested for three months. Feasibility and acceptance of the measures were evaluated via guideline interviews with the stakeholders which were analyzed by content analyses.

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Results of Study

Article 1: Effective and active communication is extremely required by all professionals, especially while working as a team because, the component is crucial for conflict resolution . Professionals with good interprofessional communication therefore tend to enhance the competence, and confident to respond to conflict arise.

However, not everybody committed. Among all professions, physicians have less interprofessional communication skill and not surprisingly, they also have less positive attitudes towards IPC compared to other professions. Physicians did not recognize other professionals’ role around them (Matziou, et al., 2014).

Article 3: Six measures were generated: meetings to establish common goals, main contact person, standardized pro re nata medication, introduction of name badges, improved availability of nurse/GP and standardised scheduling/ procedure for nursing home visits.

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In the pilot study, the measures were implemented in four nursing homes. GPs and nurses reviewed five measures as feasible and acceptable, only the designation of a “main contact person” was not considered as an improvement. Five measures were feasible and acceptable, only “main contact person” was not considered as an improvement.

Conclusion

Medical errors are among the leading causes of death in the United States. Most of the mistakes are attributed to communication failures that are also the primary causes of sentinel events. These medical errors can be reduced by increasing the effectiveness of interprofessional education (IPE) in nurses’ school. The inclusion of IPE in the curriculum would significantly strengthen students’ interpersonal skills vital to nursing practice. Enabling teamwork and collaboration among various professions creates an atmosphere that precludes fair and open interactions essential in our healthcare delivery.

References

  • Busari, J. O., Moll, F. M., & Duits, A. J. (2017). Understanding the impact of interprofessional collaboration on the quality of care: a case report from a small-scale resource limited health care environment. Journal of multidisciplinary healthcare, 10, 227.
  • Verhaegh, K. J., Seller-Boersma, A., Simons, R., Steenbruggen, J., Geerlings, S. E., de Rooij, S. E., & Buurman, B. M. (2017). An exploratory study of healthcare professionals’ perceptions of interprofessional communication and collaboration. Journal of interprofessional care, 31(3), 397-400.

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