NR 505 Identification of Area of Interest

NR 505 Identification of Area of Interest

NR 505 Identification of Area of Interest

Evidence-Based Practice Interest from NR500

In NR 500 the Evidence-Based Practice (EBP) interest that was chosen was research of healthcare interventions and how it can lower the rates of unplanned healthcare in the rural population.  The use of emergency and unplanned care in rural communities have long been increasing.  Unplanned care is defined as the use of healthcare to include all care sought without an advance appointment, such as visits to emergency rooms, unscheduled hospital admissions, and drop-in clinics (Brainard, et, al., 2016).  Patients in the rural areas seek unplanned healthcare due to their decreased involvement with health prevention programs, low socioeconomic statuses, decreased health education, delayed diagnosis of diseases, and decreased support from caregivers who assist with chronic illnesses (Brainard, et. al., 2016).

Specialty Track and Evidence-Based Interest from NR500

The FNP specialty track will assist with obtaining advance knowledge that can be used to educate patients in the rural population about ways to improve their health. The quality of health in rural areas suffers due to the lack of exposure to proper healthcare, which includes health education, preventative programs, and confusion about the proper healthcare regimen (Brainard, et, al., 2016). This area of specialty will allow research of evidence-based practices that will be the driving force for many quality improvement initiatives, creation of standardized practices, and development of new or improved healthcare policies (Brainard, et. al, 2016).  Compared to the urban population, patients in the rural population seek care that is in the chronic states instead of the initial occurrence of symptoms.  This is due in part to their low socioeconomic status and less health education.  As a FNP who plans to provide care in rural areas, the opportunity to initiate care, education, and provide preventative measures is great.  Evidence-based information can be given to patients in the rural population in order to prevent unplanned healthcare.  The use of interventions to improve the populations’ health status can be the main focus of healthcare.  For example, the encouragement of self-care, compliance, symptom management, and the adoption of health related behaviors can be key to the prevention of unplanned healthcare.

NR500 Evidence-Based Interest

My area of EBP interest will remain the same.  As a FNP, the focus will be to utilize advance studies and guidelines into practice.  These interventions will decrease health disparities and reduce the incidence of unplanned healthcare for the rural population, along with the improvement of healthcare cost.  With the planned format of health education and preventative measures, patients can become more familiar with their required medical regimen, thus a reduction of unplanned healthcare can occur.

Evidence-Based Interest Importance to Specialty Track

The research of EBP interest is of importance to the FNP specialty track because new approaches and interventions

NR 505 Identification of Area of Interest
NR 505 Identification of Area of Interest

to reduce unplanned healthcare due to chronic disease and illnesses is needed.  The FNP specialty track will promote an advancement in advance knowledge, allowing the future FNP to use evidence- based practices to guide decisions in the practice setting.  As a FNP, advance knowledge can be used to create interventions that can introduce ways to improve health and ensure consistency in treatment within the rural communities.  For example, encouraging patients to use technology to gain increase education about diagnoses and interventions to prevent further health complications. The recipe for moving toward health in rural, underserved areas will need to include a focus of innovation and outcomes using evidence-based practice and technology (Brainard, et, al., 2016).  This will assist the rural communities with an improved state of health, decreasing mortality, morbidity, improving healthcare cost, and lowering the rates of unplanned healthcare.

PICO

In the rural population (P) does health education, early diagnosis, and health care programs (I) compared to deploying health resources geographically (C) reduce the incidence of unplanned healthcare (O)?

 

Reference

Brainard, J.S., Ford, J.A., Steel, N. & Jones, A.P. (2016).  A systemic review of health service interventions to reduce use of unplanned healthcare in rural areas.  Journal of Evaluations in Clinical practice, 22(2), 145-155.  doi: 10.111/jep.12470

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The use of both qualitative and quantitative inquiries are important when it comes to research. I think that for my project, the use of qualitative research will be more suitable. The way questions guide selection of research methods and how to analyze the collected data can be challenging (Park & Park, 2016).  My project is focused on a particular population and gaining opinions about the topic will be beneficial with group discussions. The use of a semi-structured, smaller groups will allow group discussions and a chance to gather accurate data.  The qualitative research will also allow a deeper discussion on the topic and deeper insight into the problems.  From the gathered information, collected data can begin the formulation of a hypotheses. This method will allow an hypothese to be formed that is more geared toward the issue and may potentially lead to quantitative research.  The integration of both qualitative and quantitative research will allow a better statistical analysis framework and a greater chance for resolution.  Even though, both qualitative and quantitative research are different, both play an crucial role in healthcare and in improving evidence-based practices.  Dr.  L, thanks again for your response.

Reference

Park, J., & Park, M. (2016).  Qualitative versus Quantitative Research Methods: Discovery or Justification? Journal Of Marketing Thought, 3(1), 1-7, doi: 10.15577/jet.2016.03.01.1

The issues with unplanned health care and health disparities among the rural population has been ongoing.  I know that many before myself, have attempted to combat these issues.  In the rural areas for which I work, there are home health services, where patients who have chronic illnesses or are at risk for developing a chronic illness are given the opportunity to receive the services. As a home health nurse, there are challenges with patients who have a lack of knowledge and resources to improve their health.  This gives me the opportunity to provide the needed imformation and resources to patients that are in need.  The patients that are willing to participate in the home health services, are provided nursing and therapy, both who work together to improve the patients’ health through education, promotion of self-care, and the encouragement of lifestyle changes.  Home health offers social work services as well for those who are experiencing a lack of needed health and other resources.  Some  of the patients have mobile devices, instead of home phones and if they are willing, I educate them on ways to utilize the web on their devices, for search of healthier choices and usually, on the next visit there are questions from which they did not know to ask unless a web search was made.  This allows an opportunity to provide further education.  I realize that the chance of eliminating unplanned healthcare and health disparities are challenging,  but as a FNP, hopefully I can assist with lowering the rates.  Again, thanks for your response.

As mentioned in our reading this week, quantitative and qualitative research are the most popular methods being used. For my project, I decided to do it on patients with chronic pain and how pharmacological or nonpharmacological interventions may affect them in their long-term management. I’m hoping to determine which interventions are more effective and render superior outcomes. As mentioned by Rutberg and Bouikidis (2018), quantitative and qualitative research differ in the sense that quantitative focuses on “quantities” such as numbers and qualitative focuses on observations and experiences. For my project, using the quantitative method, I can focus on the number of patients using a specific method. I would be able to provide statistics for patients using pharmacological methods such as opioids and analgesics, although for this project we are not supposed to focus on specific medications. When using quantitative research, I can ask patients about their personal experience and which intervention they feel has been more effective to them. Given the current rise in opioid abuse, this method may be more challenging.

 

Rutberg, S., & Bouikidis, C. D. (2018). Exploring the Evidence. Focusing on the Fundamentals: A Simplistic Differentiation Between Qualitative and Quantitative Research. Nephrology Nursing Journal, 45(2), 209-213.

It is interesting to see how research changes based on what types of data are being gathered.  For my query, understanding if the use of prophylactic antibiotics reduces the risk of developing surgical site infections, the best type of research would be quantitative.  This type of research involves examining different variables and data relationships and “testing the effects of a treatment or intervention on an outcome” (Yates & Leggett, 2016).  Quantitative data is based more on measurable facts, has a “higher degree of precision in research”, and removes much of the subjective human matter (Yates & Leggett, 2016).  Qualitative research, conversely, is more reflective and subjective.  Contexts are taken into consideration including the setting of the research, who the participants are, and what type of data is being gathered. This type of research may be referred to as “central phenomenon” because it looks at the whole picture more so and seeks to gain a better understanding of the subject matter from different angles (Yates & Leggett, 2016). Further, for qualitative data, opinions and reflections of the subjects would be considered which would then be considered more subjective.

Yates, J., & Leggett, T. (2016). Qualitative Research: An Introduction. Radiologic Technology88(2), 225-231.