Keys to Success in BSN Programs - Essay Example

RESEARCH QUESTION

By developing a three–part twenty-nine item questionnaire, the research question was well applied. Questions were classified into three parts a move aimed at exhausting any important research material. With part one carrying questions with items related to agency size and respondents, 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 the 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 is no known study that has used the 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 of 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 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 the 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 setups. To ensure the quality of collected data questions were first sent to two experts who specialized in pressure ulcers and three home health care agencies; this was for the verifications of content and the relevance of questions for the health care agency. Revisions based on expert and agency feedback were made to the questionnaires and the response to these was generally good as collected in both the rural and urban regions.

ETHICAL CONSIDERATIONS

By seeking expert approval the research adhered to clinical ethics together with this human subject approval was also obtained which was very much in consideration of 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, the use of reliable computer windows and, the application of the Pearson or Fishers tests which provided which provided the researcher with an accurate and exact figure 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 the use of self-explanatory tables, and a random sample of certified home health agencies that provide 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 that seeks easy readability and understanding from the learners.

THEORETICAL CORRECTNESS

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