Preview

Quantitative Critique

Good Essays
Open Document
Open Document
2123 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Quantitative Critique
A Quantitative Research Critical Appraisal
Georgetown University
Research Methods and Biostatistics for Health Care Providers
NURO 530
Dr. Maureen McLaughlin
September 26, 2013

A Quantitative Research Critical Appraisal
This paper is a quantitative research critical appraisal on the research study titled “Improving Hospice Outcomes Through Systematic Assessment”. The authors of the study are Susan C. McMillan, PhD, ARNP, FAAN, Brent J. Small, PhD, and William E. Haley PhD. The study was published in the journal Cancer Nursing 2011, volume number 34, issue 2, pages 89-97. The URL for the article is http://www.medscape.com/viewarticle/737818_2.
Population
The target population for the research study was newly admitted hospice patients with a diagnosis of cancer who have family caregivers. The accessible population for the research study was 709 newly admitted patients to hospice. The setting was a multi-site study “conducted at 2 large private, not-for-profit hospices” (McMillan, Small, & Haley, 2011, p. 89). Both hospices offered interdisciplinary teams (IDT) with various qualifications.
Sample
The sample selection process began with the identification of home teams with equivalent makeup and patient type at each hospice. The teams were then randomly assigned to receive either standard care or standard care with the systematic assessment. Eligible patient-caregiver dyads were identified at the beginning of each day by research assistances that were experienced hospice staff. The eligible patient and caregivers were then approached for the study within 24 to 72 hours of hospice admission. Each patient and caregiver was then screened using the Short Portable Mental Status Questionnaire. If the patient and caregiver were found eligible for the study, they were recruited and signed consent forms. Sample inclusion criteria included patients with a “cancer diagnosis and an identified family caregiver and were 18 years old or older,



References: McMillan, PhD, ARNP, FAAN, S. C., Small, PhD, B. J., & Haley, PhD, W. E. (2011). Improving Hospice Outcomes Through Systematic Assessment. Cancer Nursing, 34(2), 89-97. Retrieved from http://www.medscape.com/viewarticle/737818_print

You May Also Find These Documents Helpful

  • Better Essays

    EBT1 Task 1 Sample 12

    • 4976 Words
    • 21 Pages

    Palliative care programs, education, and the End-of-Life NursingEducation-Consortium (ELNEC) were also reviewed. In the final…

    • 4976 Words
    • 21 Pages
    Better Essays
  • Good Essays

    The focus on a patient's quality of life has increased greatly during the past twenty years. In the United States today, 55% of hospitals with more than 100 beds offer a palliative-care program,[2] and nearly one-fifth of community hospitals have palliative-care programs.[3] A relatively recent development is the palliative-care team, a dedicated health care team that is entirely geared toward palliative treatment.…

    • 592 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Rather than seeking a cure as with traditional western medical practices, hospice and palliative care puts an emphasis on the quality of life by concentrating on symptom, pain, and stress reduction to alleviate patient suffering through the use of a multidisciplinary approach. This medical approach to patient care is deemed appropriate for patients with acute and chronic diseases, as well as for patients at the end of their life. While the palliative care treatment methodology seeks to relieve symptoms without providing a curative effect on the underlying disease or cause, hospice care addresses only those who are considered terminal, that is, with a life expectancy of less than six months. With respect to advanced disease progression, concerns pertaining to physical, emotional, spiritual, and social issues are addressed with regard to the patient and their loved ones.…

    • 293 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Hat2 Task 1

    • 1520 Words
    • 7 Pages

    |CancerUnrelieved painPatients lay in bed crying.Increased signs of depression by her husband.Mrs. Thomas does not want to burden family and friends. Mrs. Thomas’s children find it too painful to visit her.No long-term health insurance. Difficulty making ends meet. |Patient will be able to express her grief and understand the stages of grief.Patient will identify and engage support systems as needed.Patient will be able to participate in care as tolerated by alleviating pain and increasing tolerance to activities of daily living. Patient will adopt “one day at a time” living. Patient will be able to set realistic personal goals. |Pastoral care to address patient’s spiritual needs and provide grief counseling due to terminal illness. Encourage patient to verbalize feelings, fears and worries. Assist patient to set realistic goals. Assist with identification of solutions to current problems. Social Worker to assess family dynamics, barriers to care and community resources to assist patient and family financially and socially. Family teaching and counseling to patient’s sons regarding the importance of visiting their mother. Social Worker to arrange family meeting to identify family goals and responsibilities. Psychiatry referral for counseling, assessing barriers to taking…

    • 1520 Words
    • 7 Pages
    Good Essays
  • Powerful Essays

    Nurse Practitioner Model

    • 1818 Words
    • 8 Pages

    Hospice can be described as a philosophy of care that focuses on the palliation of a terminally ill patient’s symptoms while providing emotional and spiritual support for them and their family (Meirer, McCormick, & Lagman, 2015). The hospice model of care focuses on improving quality of life rather than prolonging it, and holistically embraces the principles of dying with comfort and dignity. This model uses an interdisciplinary team to develop an individualized plan of care that addresses all aspects of care and is based on the patient’s goals and cultural values (Meirer, McCormick, & Lagman,…

    • 1818 Words
    • 8 Pages
    Powerful Essays
  • Better Essays

    Hat Task 2

    • 1875 Words
    • 8 Pages

    Chronic, terminally ill patients are often cared for in their own homes and the personal perceptions of the health care team can affect the care provided. My perceptions may vary from my patients however I would try to ensure I do not impose my beliefs unto them. Mrs. Thomas a 56 year old woman with recurrent metastasized cancer has a poor prognosis for recovery and is recommended for palliative care. Improvement in the quality of life for Mrs. Thomas can be achieved by determining her perception of quality of life, achieving pain management and assisting with coping mechanisms. It is necessary to develop a holistic nursing action plan, one that will meet her functional ability and provide care when she is no longer able to self care. Mr. Thomas suffers from depression with noticeable change due to the stressors of his wife’s illness and forgetting to take his medications. As a community health nurse intervention is necessary to facilitate his participation in Mrs. Thomas care.…

    • 1875 Words
    • 8 Pages
    Better Essays
  • Better Essays

    To aid in Jack’s end of life care, his interdisciplinary team includes a hospice specialist to help focus on the quality of remaining life rather than extending his life (Eliopoulos, 2014). According to Kobayashi and McAllister (2016), “Hospice services are designed to provide comprehensive, holistic, palliative care to individuals and their families when the individual has an advanced terminal medical condition” (pg. 214). Since the hospice specialist works side by side with the patient and their family, they are better able to relay information about the physical, emotional, and spiritual needs of the patient to the rest of the team (Eliopoulos, 2014). Hospice can also assist his wife with the acceptance of his passing and provide counseling to help with her grieving. Hospice is an extremely big part in a patient's end of life…

    • 1125 Words
    • 5 Pages
    Better Essays
  • Good Essays

    An important theory used in nursing practice is health-related quality of life. Each individual has a different idea of what might be considered a “good” quality of life, and this individual opinion needs to be taken into account when planning care for patients throughout their lifetime. One of the most important times in which this theory can be applied is when planning end of life care. Each patient needs to decide for themselves what they want in their final weeks, days, and hours, and healthcare providers need to help fulfill these wishes for every patient. Quality of life is also important when managing chronic disease, and patients need to be able to reach their optimal balance between living their lives and treating their disease.…

    • 1248 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Quantitative research is used when trying to determine the meaning of life experiences and situations. This is done by using a systematic and subjective approach to study. The goal of quantitative research is to determine the relationship between one thing, an independent variable, and another, the dependent variable (Burns & Grove, 2011). The purpose of the study was to examine whether external factors such as ward capacity and level of nursing intensity had any effect on compliance of hand hygiene guidelines by the nursing staff (Knoll, Lautenschlaeger, & Borneff-Lipp, 2010).…

    • 829 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Sengupta, M., Caffrey, C., & Moss, A. (n.d.). Home health care and discharged hospice care patients: United states, 2000 and 2007. (2011). U.S. DEPARTMENT OFHEALTH AND HUMAN SERVICES, Retrieved from http://www.cdc.gov/nchs/data/nhsr/nhsr038.pdf…

    • 1677 Words
    • 7 Pages
    Better Essays
  • Powerful Essays

    Compassion Fatigue

    • 1480 Words
    • 6 Pages

    Compassion fatigue is most frequently reported amongst nurses, doctors and other frontline care providers in direct interaction with patients. This condition significantly effects these professionals’ interaction with patients, with families of patients and even with other health workers. In extreme cases, problems in interaction with own family has been reported according to Reese (2009). Reese (2009) further states there is an increasingly awareness of the profound emotional disturbances that occur in health care providers when they witness the pain and suffering of the patients in the face of an incurable disease such as cancer. Care providers are often partners in the journey of the patients they are attending. At present, an understanding of the effects of the treatment of terminally ill on the caregiver is limited.…

    • 1480 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    Palliative nursing is specialized care given to people with serious illnesses so as to improve their quality of life. It requires special kinds of nurses and doctors like the state tested nursing aides and the certified nursing aides. In order for a nurse to provide special care, one has to have special biomedical knowledge, be kind, patient and patient because the sight of dying elderly men and women is heartbreaking. It is also very testing because an aide might bond with a patient only for him or her to die, and it gets hard to adapt to seeing people they cared for dying so often. Improvement in quality of life for patients is the key mission of the palliative care which should be the driving force for all nurses (Hanson, Henderson, & Menon,…

    • 571 Words
    • 3 Pages
    Good Essays
  • Good Essays

    End of Life Care

    • 15224 Words
    • 61 Pages

    Haley, W.E., LaMonde, L.A., Han, B., Narramore, S., & Schonwetter, R. (2001). Family caregiving in hospice: Effects on psychological and health functioning in spousal caregivers for patients with lung cancer or dementia. The Hospice Journal, 15, 1-18.…

    • 15224 Words
    • 61 Pages
    Good Essays
  • Good Essays

    Dementia Care Challenges

    • 968 Words
    • 4 Pages

    The sample was non-random, interviewing 13 participants that were recruited from staff of 10 residential aged care facilities. There was a total of 20 in-depth interviews. Within the sample, five of them large high care facilities, two medium-sized high care (51-74 beds), one small high care (< 50 beds), one medium sized low care (hostel) facility and one small low care facility. The Director of Nurses nominated the the staff for the interviews. “The sampling was purposive, with expertise in palliative dementia care of the selection criterion”. (Chang et al., 2009, p.…

    • 968 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Elements Of Hospice Care

    • 345 Words
    • 2 Pages

    Three elements of hospice care include: the hospice social worker, financial counseling, and a chaplain. “The hospice social worker constitutes a pivotal part of the team. The social worker spends considerable amount of time working with families, thus enabling family members to communicate with each other” (Leming & Dickinson, 2011, p. 209). Financial counseling is an element of hospice care because, “patients and families have often exhausted their financial resources at the time of care, so attention is given to seeking other forms of third-party reimbursement” (Leming & Dickinson, 2011, p. 209). A chaplain is an element of hospice care because they “direct pastoral care to patients and their families, counsel other members of the care-giving…

    • 345 Words
    • 2 Pages
    Good Essays