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Please Reply to the following 2 Discussion Post

Please Reply to the following 2 Discussion posts:

Requirement

APA format with intext citation

Word count minimum of 150 words per post

References at least one high-level scholarly reference per post within the last 5 years in APA format.

Plagiarism free.

Turnitin receipt.

DISCUSSION POST # 1 Elaine

 There are two types of research methods used in nursing: qualitative and quantitative. Quantitative research involves a systematic approach to data collection and seeks to “minimize bias and maximize validity” (Polit & Beck, 2018, p.41). The goal is to study a particular element, obtain empirical evidence, usually in the form of numerical measurements, and seek to make a generalization of the intervention beyond the study participants to a population as a whole. The quantitative data includes examinations, numerical measurements, and questionnaires, and is objective in nature (Dodd, 2008). An example of a qualitative research study is whether incorporating postpartum depression screening during well-child visits by a pediatrician would increase the detection and treatment of postpartum depression. This study can provide numerical measurements and be generalized to the greater population beyond just the study sample.

            Qualitative research studies are used to examine specific experiences as lived through the eyes of a certain patient or population. Qualitative data is often narrative and involves biased and subjective information with the goal of understanding the human experience (Polit & Beck, 2018). The data is often collected using focus groups, interviews, or observation (Dodd, 2008). Qualitative researchers believe that there is more to experiences than what can be captured quantitatively.  Results are numerical only in study population descriptions, i.e. percentage of males and females in the study, but the specific study results are often narrative and include word tables and descriptions (Polit & Beck, 2018). A qualitative study I would be interested in is women’s opinions on the understanding of hormone replacement therapy and their views of their providers’ understanding, teaching, and readiness to prescribe. Another one would be women’s attitude and understanding of hormone replacement therapy using testosterone. This is a similar area to my PICOT and also something I have struggled to find answers for as a patient as well. It would be interesting to see what other women’s views and experiences are as well.

DISCUSSION POST # 2 Ashlesha

Nursing research is inevitable for advancing the profession and knowledge because it affects patient outcomes. Nursing research is vital to practice evidence-based practice to validate the evidence-based practice outcome.

First, it’s essential to understand the difference between qualitative and quantitative research for research. According to Chuck Miller (May 18, 2020), Qualitative research is primarily exploratory and helps a researcher better understand motivations, needs, processes, and rationale for behaviors (among other things). It provides deep insights into a situation and supports form ideas or hypotheses for potential quantitative research.

Quantitative research, like online surveys, tends to be more numbers-focused and can help to assess hypotheses from qualitative research. Adding a quantitative approach to qualitative research can provide a more holistic (and quantifiable) view of the subject matter you are researching (Chuck Miller, 2020). The goal of both quantitative and qualitative researchers is to discover the truth about the phenomena in which they are interested (Polit & Beck, 2018). 

 In the emergency department, we encounter many terminally ill patients with family members who are their primary caretakers. Regarding qualitative research, I would be interested in the following research question: How do family members of terminally-ill patients experience placing their terminally-ill family members on hospice care?  Regarding quantitative research and the emergency department, I would be interested in the following research question: What relationship is between patient satisfaction scores and emergency department wait times? 

Please reply to the following 2 discussion post

Please Reply to the following 2 Discussion posts:

Requirement

APA format with intext citation

Word count minimum of 150 words per post

References at least one high-level scholarly reference per post within the last 5 years in APA format.

Plagiarism free.

Turnitin receipt.

DISCUSSION POST # 1 Kathryn

Conflict will be encountered by all nurses during their practices, effectively developing strategies to deal with conflict will be an ongoing part of being an advanced practice nurse. Conflict in healthcare is inevitable(Joel, 2018). Some effective strategies for conflict management include: Set ground rules for polite communication before you start talking, Request that everyone engaged put their past ideas about one another aside, Request that all parties participate in uninterrupted active listening, Request that everyone involved write down the issue. Then express theagain openly. This allows for a better understanding and agreement on thethat is creating the disagreement, Solicit a solution from each party, Discuss each solution, as well as the benefits and drawbacks of each option (Ronquillo et al., 2021).

Scenario:

An example of conflict we are seeing more often during this time of a pandemic is often over the goals of care of a patient when visitors are being restricted by their loved ones. Because of this family members often do not have the opportunity to meet with all specialists in order to get the information they desire to make a plan of care for their loved ones. In this instance, it is often up to the nurse to advocate for the patient and family.

Conflict resolution: In this situation, it may be necessary for the collaborative care team to seek permission for the administration to hold care with all important members of the patient’s family and physician team. For this situation, it would be appropriate to utilize Weissman’s 10 step method “family goal and setting conferences”(Joel, 2018 p. 331).

In times of COVID, these large meetings may go against hospital policy, but the nurse must maintain courage and uphold the Code of ethics for nurses. Doing what is right for the patient and their families in these situations is not always popular, but the nurse must understand that conflict is inevitable, and learning to more effectively manage situations will come with time and practice (Joe, 2018)

DISCUSSION POST # 2 Baljeet

In healthcare, conflict is a common occurrence. According to JOEL (2018), conflicts often stem from differences in personality, role assumptions, relationships, and communication styles. Conflict in the nursing workplace is complex. It can be between providers and nurses over the scope to perform specific tasks, orders or it can be across the multidisciplinary team. Nursing requires teamwork for effective patient treatment. Nurses communicate daily with doctors, patients, and other healthcare professionals. Interpersonal conflict can occur at any level and challenge collaboration among teams. With strong resolution skills, a healthcare team can communicate and work together better. Healthcare teams who communicate effectively could reduce patient errors. A common conflict observed on our unit was between nurses and patient care technicians. As both Nurses and Patient Care Technician (PCT) shifts start at the same time, so everyone is doing bedside shift reporting. As with pandemics, there is frequent turnover for staff resulting in understaffed, and increased patient acuity, and a lot of new nurses and PCT training on the unit. The floor was understaffed and increased acuity of difficult patients, request for pain medications, toileting, and other need like blood sugar check. PCT after finishing the of each room, disregard to address incontinent patient, leaving the patient wet for the primary nurse to clean as reported by nurses to the manager. Since that incident, I noted increased tension between the nurses and PCT. The unit meeting was arranged everyone was involved in reviewing the unit protocol and policies. As everyone feels thewas the timing as both Nurses and PCT shifts start together at the same time, leading to conflicts as PCT would prefer to complete the vitals signs and blood sugar check before starting helping the nurses and nurses get busy in the morning in passing the morning meds, rounding with doctors. Unit Policy was reevaluated and a decision was made to start the PCT shift 1 hour early before the RN shift started, so while PCT is in bedside report, nurses at that time can answer call lights and vice-versa. To address conflicts policies should be in place and should clearly define the process to resolve the conflicts. It can worsen the situation if it’s not handled appropriately. Another dysfunctional conflict I witnessed at my job was when a travel nurse approached a surgeon to double-check a medication order before administrating it to the intended patients. The surgeon took the question as a sign of distrust in his own expertise, criticized the nurse, and reported the event to the charge nurse also and want none of his surgical patients to assign to travel nurses. This is clearly a misunderstanding between the nurse and the doctor. A high level of tension and hostility can affect collaboration and teamwork that affect patient care. It is important to address the conflict immediately.

 

Please reply to the following 2 discussion post

    Please Reply to the following 2 Discussion posts:

Requirement

APA format with intext citation

Word count minimum of 150 words per post

References at least one high-level scholarly reference per post within the last 5 years in APA format.

Plagiarism free.

Turnitin receipt.

DISCUSSION POST # 1 Cherry

 

My understanding of holistic care is therapeutic caring and curing not just the body, mind, or spiritual need but the entirety of a person. The nurse needs to interact to earn trust and establish good rapport both with the patient and the responsible party on a personal level. I apply holistic care by recommending substitute forms of medicine like herbal medicines, meditation, and yoga to name a few aside from customary Western medicines so long it does not impede with current therapy.  

          Holistic healing methods are increasing in popularity. Miracle fruits. Herbal teas. In recent decades, these have been the images of holistic medicine. That is no longer the case. With more patients facing limited solutions to their health problems, many nurses, whether certified in holistic care or not, are exploring alternative methods to complement modern solutions to relieve pain or rid a patient’s body of disease. While 
modern medicine
 focuses on the causes of illness and disease and treating symptoms, the root of holistic healing is considering the whole patient. Holistic nurses will evaluate the whole person and direct care individually for the patient that will facilitate the patient’s innate healing abilities. Several popular methods holistic nurses are now using to improve modern care such as herbs like lavender, peppermint, and eucalyptus. It is expanding throughout the nation and beyond. It is clear increased people are embracing the power of essential oils and aromatherapy. Hydrotherapy, a centuries-old method is another holistic nurses’ method that is long being used. From a benefits perspective, Kristoff believes aquatic therapy can impact everything from a patient’s mobility to their activities of daily living. Moreover, the Acupressure holistic method can ease pain, reduce opioid use. The sense of touch is a powerful healing tool and is often used in many holistic therapies (Aiken, 2020). 

          The future already reveals that all health care practitioners will need to work within a shared framework of caring-healing relationships; integral medicine; healing arts, micro, and macro embodied caring-healing practices, and energy models of self-healing. Practitioners’ caring/healing consciousness and knowledgeable skills will be required to engage in the spiritual, non-physical, energetic dimensions of caring/healing (Watson, 2021). 

DISCUSSION POST # 2 Gita

For me, holistic means seeing the patient as a whole rather than just their disease condition and their illness. It focuses on individual care by understanding each patient’s diverse needs.  Holistic nursing is a comprehensive approach to patient care. It is the practice of healing the whole person which means the nurses should consider a patient’s body, mind, spirit, culture, socioeconomic background, and the environment when delivering care. In holistic nursing, nurses foster relationships with their patients to promote healing and wellness. Holistic nursing is based on the principle that a patient’s biological, social, psychological, and spiritual aspects are interconnected. Nurses who practice holistic care in their nursing identify each patient as an individual, acknowledge the whole patient, interact with all patients and colleagues mindfully and respectfully, assess patients holistically through open communication, and find out potential contributing stress factors that impact patients health. As a holistic nurse, I listen to my patient’s preferences and suggestions about how to proceed with treatment options. It is necessary to focus on healing rather than the condition itself (Northeastern State University, 2017). 

For my pregnant patient who comes to my clinic who seems upset and emotional, as a nurse who practices holistic nursing, I would focus on her as a whole person, I see her as a unique individual human being rather than just a regular prenatal visit. What is contributing to her sadness and what can I do as a nurse to make her better or support her will be my priority too. I can support her emotionally and make her feel that she is not the only one by being empathetic to her. 

A nurse who truly practice holistic care, can approach nursing care in different ways like by investigating beyond the physical symptoms of a condition to determine whether the cause is an underlying disease or another factor such as lifestyle, taking proactive measures to prevent disease before it manifests, recommends lifestyle changes to promote overall health and wellbeing, encourage patient to express their preferences for treatment and intervention and inquire about patients current mental and emotional status (Texas Woman’s University, 2021).