NR 505 Data Collection

NR 505 Data Collection

NR 505 Data Collection

My refined PICOT question is, how can we better pain management of rural adults with chronic/acute pain care needs, and the alternative medications compared to narcotic medications to improve pain management? I decided to use the qualitative research approach for this specific research topic. I chose this research approach because “qualitative research is primarily exploratory research. It is used to gain an understanding of underlying reasons, opinions, and motivations” (Simply Psychology, 2017). Since pain management is in abstract and immeasurable nursing assessment, it makes it hard for health professionals to gauge pain levels and treatment options based solely off the patient’s opinion of the pain level. I believe qualitative its better tailored to this type of research because quantitative research is based more off of mathematical data and numerical measurements to analyze the data collected. Data will then be collected in a few different ways. One way will be through face to face interaction through interviews and focus groups. Another way to collect data will be through ” impressions, environmental contexts, behaviors, and nonverbal cues” (US National Library of Medicine National Institutes of Health, 2015) on pain levels and pain management techniques. Lastly, data can be collected through readings of transcripts or other written articles. The quality data they may be produced by my EBP project is better pain management techniques for rural areas to implement for their chronic and acute pain patients. Ideally this will cut back on the narcotic epidemic and over prescribing of narcotics to those whose pain can be controlled in a more therapeutic way. We will evaluate patients pain and listen to what has worked and not worked, and create a personalized pain management plan based off the needs of the patient. This will better control their pain and allow them to have an improved quality of life on a daily basis.

Simply Psychology. (2017). Qualitative vs. Quantitative. Retrieved from                                           to an external site.

US National Library of Medicine National Institutes of Health. (2015). Qualitative Research: Data  Collection, Analysis, and Management. Retrieved                                                                                 from to an external site.

I really enjoyed your post this week.  Pain management and the use of narcotics is a large problem these days.  I like

NR 505 Data Collection
NR 505 Data Collection

that you are looking into using alternative therapies for pain management.  Have you heard of pain contracts?  My understanding is that when a patient goes to a pain management clinic or even to their regular general practitioner, he or she must sign a contract saying they will not sell their narcotics to others.  The practitioner will also take a urine or blood sample every month to make sure the drug is in the patients system.  Also, the patient promises not to doctor shop while they are receiving prescriptions from their current practitioner.  Is this the correct interpretation of pain contract?  I currently date someone who has a lot of chronic pain.  He has costochondritis.  He was using various medications, OTC’s, to help him with his pain.  He did a lot of research online and found a device which has helped him a lot with his pain.  It is called a ‘back pod’ .  The theory behind this device is that with costochondritis, there is a build up of scar tissue, which causes the pain.  So, when he lays on this device every evening, he is breaking up the scar tissue.  He told me that his pain has gone from 80% of the time down to 15%.  And he has only been using this device for one month.  My point to sharing this selection, is that there is a lot of alternatives out there for pain management, not just medications.  And, you are correct, peoples ideas of pain and the management of it varies.  A lot of people would just like to take a pill and get rid of the pain; however, that may not be the best alternative for them.

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I am very interested in how your project turns out as compared to mine. We are both doing pain management and are both interested in finding alternative/ non-narcotic pain regimens. Instead of going the qualitative route, I am choosing the quantitative route. True, pain is difficult to measure and that everyone has their own definition of pain. Working in the ER, it is difficult for me to believe that someone has 10/10 pain while they are laughing and conversing with friends, sleeping or asking for a turkey sandwich. Unfortunately, there are people out there that are in search of anything narcotic for their own fix or to sell. Because of the unfortunate loss of faith in people’s honesty, I need solid proof. There are, in fact, ways to measure pain. I have seen many times a person come in with complaints of severe pain and a high blood pressure and after the pain is taken care of, per patient reporting on the pain scale, the blood pressure often returns to normal range. Though it is not an absolute, physical signs such as these are good indicators of level of pain. I am very interested in how both of our projects compare with two different designs aiming to reach the same goal. Good luck to you.

The PICo question for my evidenced based practice research project is: Are post war veterans (P) at a greater risk for suicide (I) as they reintegrate into society (Co)? I have chosen the qualitative research design approach because I want to better understand how the post war veteran is feeling and understand their lived experiences as they return from combat. A qualitative study allows the researcher to understand the participants characteristics and lived experiences when the participant is allowed to speak freely (Polit & Beck, 2017). I feel the qualitative study has the potential to create further avenues of researcher as themes develop throughout the interview process.
In-depth interviews are my data collection method of choice with permission received to audio tape the session and take notes in the anticipation that themes and commonalities emerge from the data. Clark and Veale (2018), discussed how images or words will consistently emerge during in-depth interviews showing a connection with individual participants and the research being accomplished. The collection of data retrieved from the in-depth interview process will provide adequate information to answer my PICo question and is considered a strength in my research process. A weakness to this type of data collection would be allowing my own personal feelings, bias, or opinions interfere with the appropriate interpretation of data. Often, we see things through the lens of our own personal experiences and that could inhibit the subjective nature of the data.
The actions I plan to incorporate into my qualitative study is to ensure my sample size is appropriate to gather appropriate information but not too large so that the information becomes diluted or deters from the main objective outlined in the PICo statement. Secondly, I plan to write out a personal belief statement and establish a baseline of personal opinion and bias and ensure my interpretation of data is not being occluded or misrepresented through my own experience. My objective is to ensure the data is in its most raw and authentic form in the hopes that further studies will emerge as a result of the information provided.

Clark, K. R., & Vealé, B. L. (2018). Strategies to Enhance Data Collection and Analysis in Qualitative Research. Radiologic Technology, 89(5), 482CT-485CT.
Polit, D. & Beck, C. (2017). Essentials of nursing research: Appraising evidence for nursing practice (9th ed.). Philadelphia, PA: Wolters Kluwer.