When using the mixed-methods, it is also difficult for the researcher to learn multiple methods and be able to use both effectively. The interpretation of conflicting results is also difficult and analysis of quantitative data qualitatively is also difficult (Ponterotto, Matthew, & Raughley, 2013)
In history, evidence-based practice was done only through research utilization only until Archie Cochrane, Prof. Guyatt and Sackett conducted further research and explained that evidence-based practice needs to combine with clinical expertise and patient's preference for it to be optimal (Satterfield et al
The type II error represents the case of a false negative and would lead to showing no effect when there one exists. In the comparison of two means, when the researcher concludes that the means are different when they really are not is a type I error while a conclusion that the means are similar when they are really different is a type II error (Sheskin, 2003)
The implications may be development of methods, theory, new efficacy results or content or topic areas that need further research to be conducted. For clinical studies, it describes the implications of the study findings in clinical practice (Wikman, 2006)
"The seemingly cultural acceptance of poor nutrition and physical inactivity are leading to an epidemic of obesity in America that is affecting African-American children at disproportionate rates. Public health policies aimed at decreasing the incidence of childhood obesity, particularly in minority populations, are needed to change the poor outlook for health for this nation's children" (Reed 2013:86)
Without success in these plans, the hospital will have to change the plans and determine what to try as an alternate plan. Solution Description Staff education and new employee orientation will mandate staff awareness of managing noise, including use of personal phones, overall noise levels, and IV pumps, as sound control needs to be regarded with accountability in maintaining an appropriate sound environment (Mazer, 2006)
The proposed solution is also consistent with current research knowledge, making it a logical choice for the unit. Research Support "Unnecessary noise is the most cruel abuse of care which can be inflicted on either the sick or the well," Florence Nightingale wrote in her 1859 book, Notes on Nursing (Miller, 2006)
National healthcare quality surveys have found that noise in hospitals is an urgent concern. Noise level is among the physical environment factors that influence the "healing environment" of any healthcare setting (Reiling, Huges, & Murphy, 2008)
Solution Description Staff education and new employee orientation will mandate staff awareness of managing noise, including use of personal phones, overall noise levels, and IV pumps, as sound control needs to be regarded with accountability in maintaining an appropriate sound environment (Mazer, 2006). Reducing staff conversation and overhead voice paging by introducing electronic documentation and collaboration via emails, electronic messaging, and electronic orders will improve the quality of noise levels in the unit and improve the comfort of patients (Solet, Buxton, Ellenbogen, Wang, & Carballiera, 2010)
That will help to provide solid feedback as to whether the noise reduction plans have been appropriate or whether other changes still need to be made. Evidence from past studies shows that there are several areas of noise that can be reduced in a hospital (Xie, Kang, and Mills, 2009)
The transcultural paradigm allows a nurse to uncover the client's particular cultural beliefs and values, take that information to provide sensitive, compassionate, and competent care that is beneficial and satisfying to the client. The transcultural nurse focuses more on uncovering insights about cultural backgrounds in order to improve service within their healthcare organization, and, as a side benefit, often uncover numerous insights about their own specific culture (Upvall and Bost, 2007)
Role of Nurse in Research and Evidence-Based Practice Evidence-based practice is a term that is used to define the "conscientious use of current best evidence in making decisions about patient care." (Bauer, 2010, p
This is particularly frustrating in the post-surgical wards in which patients have a rather large continuum of procedures and resultant pain. Nursing research continues to look for non-invasive ways to improve or even augment pain management techniques, particularly if they can be put into place and require no pharmaceutical support (Bresler, 2010)
The use of GI, though, may help in all types of situations; from discomfort from a mild headache to the intense pain of cancer, and everything in between. These techniques work well with patients of all ages -- even the elderly report an increase in quality of life and well-being (Ferrell, B
, 2006) Using GI techniques at home 1-2 times per day for weeks shows a marked improvement in the ability to relax, manage pain, and perceive ways to work through the pain. Further, patients reported cutting back on pain medication, and feeling more empowered in managing their own pain control (Menzies, V
Further, the technique can easily be adapted to children even as young as five. Using breathing exercises and GI techniques, children had a significantly lower amount of days with pain and less missed activities (Weydert, J
, 2005) and other areas of frontline combat (Kang & Hyams, 2005). It is usually characterized by one or more elements of mild depressive symptoms, anxiety symptoms and traumatic stress syndrome (Bisson, 2006)
According to this model, expectations of a positive outcome are the elements which are mostly associated with moderation of the coping mechanism. This would therefore indicate that receiving support which increases these positive expectations would reduce the stress effect, and therefore prevent the psycho-biological impacts which may be associated with a prolonged stress response (Brosschot et al
, 2005). Certain types of crime have also been shown to be associated with diagnosis of AD (Elonheimo et al
S. military has conducted population-level screening on all service members returning from deployment, with a particular focus on those returning from Iraq and Afghanistan (Hoge et al