What are the keys to success in BSN programs - Essay Example

Keys to Success Running head: KEYS TO SUCCESS IN BSN PROGRAMS What are the Keys to Success in BSN Programs Nancy Nurse Course Title Current Date RESEARCH CRITIQUE PROBLEM STATEMENT Under this heading the research was well conducted, it clearly explains the cost incurred in the treatment an prevention of pressure ulcers in the general health care .This in itself has been the biggest problem affecting mankind in his effort to curb the disease particularly to the big number of people who cannot cater for their medical expenses, it gives the estimated reported incidences of the diseases in older people which range from three to seventeen percent. It further points out that pressure ulcers has led to a significant morbidity rate, mortality rate and increased health care costs. However the research fails to mention the causative agent of pressure ulcer and only dwells on the prevention measures. PURPOSE The purpose of the research is clearly stated as to assess the quality of disease prediction in home health care. This is done by looking into process and procedure used to assess pressure ulcer risk upon admission to home care, frequency with proper timing f risk reassessment and the various interventions used by home health care agencies to prevent pressure ulcer development. RESEARCH QUESTION By developing a three -part twenty nine item questionnaire, the research question was well applied. Questions were classified in three parts a move aimed at exhausting any important research material. With part one carrying questions with items related to agency size and respondent, part two covering questions on admission on risk appraisal processes and procedures and lastly, part three covering questions on prevention policies and prevention interventions it comes out clearly that the research question heading was well applied. Both provision of fixed responses and open-ended response options were well applied a thing that produced better results. STUDY FRAMEWORK The researcher had a well laid outline where the Agency of Healthcare Research and Quality (AHRQ) published clinical practice guidelines on pressure ulcer prediction and prevention. The contents of the guidelines were specified with practice recommendations for identifying those people at risk, maintaining and improving tissue tolerance to pressure, protecting against pressure friction and also the use of education to reduce pressure ulcer occurrence. However there are no known study that has used process of care indicators to examine the quality of pressure ulcer prediction and prevention in home health care. LITERATURE REVIEW The appraisal was well formulated where health care is evaluated through process of care and outcome indicators. It takes a wider review on the whole efforts undertaken in the prevention of pressure ulcers. (Bergquist, 2004) The two processes above have been developed through literature review, review of clinical guidelines, interviews conducted by experts and through organized panel discussion. VARIABLES The research was consistently undertaken with no changeable techniques, we can therefore say that variables were not applied by the researcher in his work. DESIGN A well planned approach was applied where indicators relevant to the care of vulnerable elderly patients were generated in Assessing Care Of Vulnerable Elders (ACOVE) project. (Bergquist, 2004). The indicators were used in eight homes for the study of pressure ulcer prevention and prediction. DATA COLLECTION The research data was well collected from both the rural and urban setup. To assure quality of collected data questions were first sent to two experts who specialized in pressure ulcer and three home health care agencies; this was for the verifications of content and the relevance of questions for the health care agency. Revision based on expert and agency feedbacks were made to the questionnaires and the response to these was generally good as collected to both the rural and urban regions. ETHICAL CONSIDERATIONS By seeking expert approval the research adhered to clinical ethics together with this a human subject approval was also obtained which was very much in consideration of the nursing and medical ethics in general. Even before the study implementation, most agencies used the clinical nursing judgment as their assessment method ASSUMPTIONS The research did not apply any assumption, this was very much in line with the medical field where assumptions are discouraged and never applied. Throughout the whole research everything was practical with no incidence of assuming data or any of the indicators applied. DATA ANALYSIS Data was properly analyzed with modern methods being applied. For example, use of reliable computer windows, application of the Pearson or fishers tests which provided which provided the researcher with an accurate and exact figures for both rural and urban status. FINDINGS This was relatively satisfactory with the adherence rates for specific care indicators being high and standardized. Assessment of pressure ulcer risk was well performed and the conclusions were positive thus giving more suggestive ideas on how to improve pressure ulcer prediction and overall practice in home health care. (Ayello & Braden, 2002 cited in Bergquist, 2004) DESCRIPTIVE VIVIDNESS This was covered by use of self-explanatory tables, a random sample of certified home health agencies which provides some skilled nursing care. The descriptions were vibrant and easy to comprehend. METHODOLOGICAL CONGRUENCE Methods applied were different because although several health care agencies taught patients and caregivers strategies to prevent pressure ulceration, only 54.3% developed standardized teaching materials for distribution to those at risk. The study covered only the Midwestern CMS regional area which may differ from other regional areas. (Office of Management and Budget, 2000 cited in Bergquist, 2004) ANALYTICAL PRECISENESS The writer uses a precise, concise and diagnostic approach which seeks the easy readability and understanding from the learners. THEORETICAL CORRECTEDNESS The discussed causes, measures, spread and suggested conclusions are highly connected with the given solution being satisfying as per the problem under research. HEURISTIC RELEVANCE The whole research was quite relevant to the question under discussion. It sought to provide related methods in addressing pressure ulcer prediction and prevention in home health care References Sandra, B. (2004): The quality of pressure ulcer prediction and prevention in home health Care, Applied Nursing Research 18 (2005) 148-154 Read More