In today ‘s universe, research and it implications to nursing pattern is overriding to positive patient consequences. The undermentioned review of the quantitative research article entitled “ Nurse-Patient Interactions Related to Diabetes Foot Care ” written by Lisa Sue Flood. This is a review of her research survey dated November of 2009 Oakland University, Rochester Michigan.
Problem Statement, Study Purpose, and Research Question
Diabetic pes attention is going an of all time increasing concern as diabetes has reached epidemic proportion. This has increased the associated diabetic jobs such as amputations and non-healing ulcerations. The addition in instruction in this country is of utmost importance in order to command this epidemic from impacting progressively more patients. It is through updated research and instruction of this issue that we as nurses will be able to function our diabetic patients in the manner that is needed so they can keep as near to a normal life as possible. This recent research survey gives diabetic patients this chance. The chief inquiry in this paper is at that place a relationship between nurse variables ( age, gender, degree of nursing instruction, and old ages of nursing experience ) and reported nurse patient interactions related to diabetic pes attention?
Hypothesiss and Study Variables
Although the intended hypothesis was non determined by the research worker in this survey, I would find it to be a void hypothesis as nurse-patient interactions ( independent variable ) have no consequence on diabetes related results ( dependent variable ) . The alternate hypothesis would so reject the void hypothesis by saying that nurse-patient interactions do impact diabetic related results. We use the nurse-patient interaction as the independent variable because the grade of interaction can be manipulated while the diabetic related results is the dependent variable as that is what is being witnessed to estimate the consequences of the interaction.
Conceptual Model
The Interaction Model of Client Health Behavior ( Cox, 1982 ) was used as a model for this survey because of its focal point on placing nurse factors and elements of nursing interactions with possible impact on client wellness results. The origin of the survey indicated an importance of nurse-patient interaction in respects to diabetic pes attention. At each occasion in the survey it reiterates this importance, eventually reasoning by maintaining nurse-patient interactions the centre of nursing pattern ( Shattell, 2004 ) ; nurses may be able to hold a positive impact on pes wellness of patients with diabetes. This was all in maintaining with the wellness theoretical account.
Review of Related Literature
The literature reappraisal as it pertained to this survey was pertinent from the origin of the research all the manner through to the consequences and decision. It was used to maintain the research worker focused toward completion of this quantitative survey. This was seen by her comparing of her survey to several articles that were used for reappraisal.
Study Design
A descriptive correlational design was used during this survey. The correlativity design is proper in this state of affairs as they are seeking to happen the correlativity between nurse-patient interactions to diabetic pes attention. The correlativity between the two is apparent throughout the survey as a direct comparing was continually made between them.
There are possible internal cogency menaces in all research, in this instance the grade of instruction and apprehension of the patient along with the accomplishment of the nurse to learn. Another point of cogency to see is the attitude of the nurse toward diabetic pes attention. There was besides merely 1 male in the research group.
Along with internal cogency you have to watch for external cogency. This could dwell of holding the survey done in an country that has more diverse wellness conditions as opposed to holding a high happening of diabetic wellness issues. Another is the work burden of the nurse ; the nurse that has a feverish agenda will non be able to hold every bit much interaction as the nurse that has a simple assignment.
Sample and Puting
The sample size of this survey was 42 registered nurses was sufficient as there was merely 89 possible giving a 47.2 % engagement rate. This gave a sufficient figure to find a consequence on a local or regional degree. It allowed for ague attention nurses and place wellness nurses aged 28-68, and experience runing from 1 to 36 old ages which increased the variableness therefore take downing internal and external menaces. ( 2 ) The sample is representative of the mark population by embracing a broad assortment of staff RN ‘s while excepting nursing in managerial functions with no patient contact. ( 3 ) The scene for informations aggregation allowed for the nursing profession to find if proper interaction was being made between nursing and patients.
Control of Extraneous Variables
The immaterial variables of this research would include the usage of different installations. One was an acute puting the other was home attention nurses. Other immaterial variables would include old ages of RN experience, age, and figure of diabetic patients on averaged seen per hebdomad amongst others that were found by utilizing a demographic information signifier. Controls were developed such as a Pearson merchandise minute correlativity was used to analyze the relationship among NPIQ entire mark, nurses ‘ age, and old ages of nursing experience. The consequences indicated nurse-patient interactions were non related to age or old ages of nursing experience ( Flood, 2009 ) .
Study Instruments/Tools
The research worker modified the Client Encounter signifier to reflect patients with diabetic pes attention with permission from the signifiers Godhead. A panel of six experts ( advanced pattern nurses and certified diabetes pedagogues ) reviewed points on the Nurse-Patient Interaction Questionnaire ( NPIQ ) to guarantee they were representative. The consequences were analyzed with the Statistical Package for Social Sciences version 15.0.
Data Collection Methods
The attendant research as seen in this survey was apprehensible and thorough in design. The usage of the NPIQ was advantageous to obtaining an indifferent consequence while securing necessary information. All participants signed consent and permission was obtained from the installations disposal.
Data Analysis Procedures
The consequences were analyzed with the Statistical Package for Social Sciences version 15.0 utilizing descriptive statistics, chi-square, t-tests, and Pearson ‘s merchandise minute correlativities. Cronbach ‘s alpha coefficients besides were used to analyze instrument dependability. This was suited and consistent with the consequences.
Strengths/Limitations
Two major strengths of scientific virtue for this survey are blessing by Oakland University Institutional Review Board and the wellness attention system where the survey was conducted and blessing by a panel of 6 experts in this country of pattern. Major restrictions were that Type 1 diabetes was under represented and the sample size was non brooding of a larger geographic country.
The set-up, methodological analysis, and analysis were good done. It was done with no discernible prejudice and suited to the attendant findings of the survey. The concluding consequences are concise and complete the survey inquiry suitably.
Deductions and Decision
The survey shows that despite the nursing appraisals being done on our patients we still do non hold the grade of interaction that is needed to impact a higher grade of successful patient results and nursing demand to set in the excess attempt to achieve this criterion. The survey besides shows that nurses must hold current, evidenced based diabetes knowledge and follow the recommended clinical pattern criterions for diabetic pes attention to obtain positive patient results. Further research should include a larger sample to find regional tendencies and shortages and a survey that concentrates on Type 1 diabetes should besides be done to find differences in interactions for this group. Research into diabetes and associated attention is paramount to relieving one of the quietest epidemics of modern times with 8.3 % of the population and 25.4 % with pre-diabetes.