Nursing Research Utilization Project Proposal - Essay Example

Download file to see previous pages 5). ESRD and ESRF is diagnosed when the patient loses 85% to 90% of kidney function, which necessitates dialysis, because kidneys can no longer remove toxins from the blood. Dialysis circulates blood on one side of a semipermeable membrane, while the other side circulates dialysis fluid. (Answers.com). Patients on dialysis have to spend four hours, three times a week, which makes dialysis treatment very demanding for the patient (Sonnier, 2000, p. 5). ...
Information reinforcement techniques worked in the Barnett (2007) study - after 26 weeks, this group reduced their average IDWG from 2.64 kg to 2.21 kg, and the rate of fluid adherence increased from 47% to 71.5% (Barnett et al. pp. 304-305). Cognitive behavioral therapy has proven effective in the research – for instance, a study conducted by Christensen et al. (2002). In this study the intervention group received a protocol of 9 steps. In this protocol, the patients were taught about self-monitoring, setting goals, coping, reinforcement, and evaluation (Christensen et al., 2002, p. 393).  Their study proved to be effective after 8 weeks – the control group gained around 3.3 pounds, while the intervention group lost around 3 pounds (Christensen, et al., 2002, p. 396).   Behavioural modification is another model that has been studied with regards to dialysis patients and compliance with protocols and regimens. For instance, a study by Hegel et al. (1992) found that the reinforcement produced the greatest drop in IDWG, and that this drop in IDWG was persistent over time – the IDWG continued to be lowered two months after the intervention, even though, during this period of time, the patients only received information about graphing and monitoring (Hegel et al., 1992, p. 326). It is feasible to implement into a work setting, as there is not a need for special equipment. There is a need for special training, but the methods are easy to learn and implement. Because of this, it would be consistent with community culture and resources, because it would not be overly taxing for resources. Introduction When patients have certain diseases, such as hypertension or diabetes, they ...Download file to see next pages Read More