NR 505 Week 5: Data Collection Discussion

NR 505 Week 5: Data Collection Discussion

NR 505 Week 5: Data Collection Discussion

As we know research studies begin with a theory that someone comes up with. Generally, the theory is revolved around a passion the researcher has. As a future FNP I have hold a great interest in healthcare related phenomenon. My evidence based practice project is revolves around my passion for patient centered care and helping my patients manage chronic conditions.

I have chosen to look at education provided to newly diagnosed diabetics and lifestyle modifications. When I consider the lifestyle modifications that need to be made with those who have chronic conditions I realize it can be difficult. So I wondered to myself if we could incorporate lifestyle modifications while still considering things the patient enjoys. This may decrease the resistance to the modifications. With that being said, my original PICOT question was: In newly diagnosed diabetics, can participation in an Individualized Diabetic Care Model reduce resistance to life style changes as opposed to generalized information about the diagnosis?

As I began to think about this topic on a deeper level and with the recommendation of Dr. L I realized my PICOT question needed some revision. Every patient I treat will have different goals and definitions of healthy lifestyles. As I considered my goal with incorporating the individualized diabetic care model I realized my PICOT question was too general. My revised PICOT question is: Among newly diagnosed diabetics, how does an individualized diabetic care model, compared to sugar free lifestyle, influence modifications in lifestyle changes over 3 months?

As we have been discussing, the goal of a research study aids in determining the type of research design that should be utilized. Based on my goal I have determined that a quantitative design would be best for my evidence based practice project. Quantitative studies are helpful in testing the effects of an intervention or treatment on an outcome (Yates & Leggett, 2016, p. 225). If I utilize a quantitative design I will be able to determine if an individualized diabetic care model is effective in patients making lifestyle modifications.

I will collect data over a three month period to determine if the individualized diabetic care model is more effective than sugar free lifestyle in influencing modifications in lifestyle changes. I will collect this data through lab work and questionnaires filled out by participants. While the lab work will help determine a participants glucose levels, the questionnaires will help researchers gather information on the participant’s perspective. One potential issue with the questionnaires is that we are relying on the participants to be truthful and some may not want to disclose certain things. For example, if they have not made proper lifestyle modifications they may not want to admit to it. In order to produce quality data from my evidence based practice project I will conduct a thorough literature review, follow all principles of research that includes human subjects, collect data through objective methods, and analyze all data the same way.

Reference:

Yates, J., & Leggett, T. (2016). Qualitative research: An introduction. Radiologic Technology, 88(2), 225-231.

Data collection is at the center of research because the facts gathered will contribute new information as well as answer the research question. For this discussion, please respond to each of the following topics.

• Refine your PICOT question.
• Explain your specific research approach (qualitative or quantitative) and how it has the potential to answer your research question.
• Discuss you data collection method, addressing strengths and identifying one potential weakness.
• Identify the actions you are proposing that will help ensure that quality data may be produced by your EBP project.

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For this week’s professor response, I have chosen to discuss the interview questions and whether they are semi-structured or open-ended. I must admit, I had to do some research to better understand what constituted a semi-structured question and interview format. Based on different articles and questionnaires, my understanding of the semi-structured question is best implemented when the researcher has only one opportunity to interview the participant and the pre-formulated questions allow more information to be covered. My understanding of the open-ended interview is more of allowing the participant to respond freely to the initial question and then utilizing their response to lead and guide other questions.

In a research article by Marsilio (2017), participants were involved in a qualitative study where phenomenological methods were utilized, and veterans were asked a series of semi-structured questions regarding social media use. The semi-structured interview process seemed to allow structure and direction to the data collection process and keep the focus of the conversation on a specific topic. My plan is to develop a few semi-structured questions such as, “What has been your biggest challenge since returning home”? Incorporating questions such as, “Tell me about your experience returning home from deployment?” would perhaps open the door for other questions that discuss suicide or thought of self-harm. My goal is to facilitate a discussion but leave room for the participant to openly discuss what they are feeling and how their lived experience in combat has impacted their present reality.

NR 505 Week 5: Data Collection Discussion

Marsilio, K. (2017). Student Veterans’ Shared Experience Using Social Media in Higher Education: A Pilot Study with a Hybrid Phenomenological Data Analysis Method. Information Systems Education Journal, 15(5), 45-59.

My refined PICOT question is, how can we better pain management of rural adults with chronic/acute pain care needs, and the alternative medications compared to narcotic medications to improve pain management? I decided to use the qualitative research approach for this specific research topic. I chose this research approach because “qualitative research is primarily exploratory research. It is used to gain an understanding of underlying reasons, opinions, and motivations” (Simply Psychology, 2017). Since pain management is in abstract and immeasurable nursing assessment, it makes it hard for health professionals to gauge pain levels and treatment options based solely off the patient’s opinion of the pain level. I believe qualitative its better tailored to this type of research because quantitative research is based more off of mathematical data and numerical measurements to analyze the data collected. Data will then be collected in a few different ways. One way will be through face to face interaction through interviews and focus groups. Another way to collect data will be through ” impressions, environmental contexts, behaviors, and nonverbal cues” (US National Library of Medicine National Institutes of Health, 2015) on pain levels and pain management techniques. Lastly, data can be collected through readings of transcripts or other written articles. The quality data they may be produced by my EBP project is better pain management techniques for rural areas to implement for their chronic and acute pain patients. Ideally this will cut back on the narcotic epidemic and over prescribing of narcotics to those whose pain can be controlled in a more therapeutic way. We will evaluate patients pain and listen to what has worked and not worked, and create a personalized pain management plan based off the needs of the patient. This will better control their pain and allow them to have an improved quality of life on a daily basis.

Simply Psychology. (2017). Qualitative vs. Quantitative. Retrieved from                                                    https://www.simplypsychology.org/qualitative-quantitative.htmlLinks to an external site.

US National Library of Medicine National Institutes of Health. (2015). Qualitative Research: Data             Collection, Analysis, and Management. Retrieved                                                                                 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4485510/Links to an external site.

Thank you so much for you input on my qualitative PICo, and I think I will change it to that question. I think it is important to use qualitative research for pain because of how opinionated of a health assessment pain is for patients and healthcare workers. We have all heard a million times “everyone’s pain is different” so I believe if that is how we assess it in the field then that is how we should research it as well. Pain management is still a new healthcare profession, and we are still exploring ways to better ways to management patient’s acute and chronic pain. Thank you so much for helping me reevaluate my PICo research question and how to differ between quantitative and qualitative research methods and which one would work better for pain management. I think this will better compliment my research study the upcoming assignments.

I really enjoyed your post this week.  Pain management and the use of narcotics is a large problem these days.  I like that you are looking into using alternative therapies for pain management.  Have you heard of pain contracts?  My understanding is that when a patient goes to a pain management clinic or even to their regular general practitioner, he or she must sign a contract saying they will not sell their narcotics to others.  The practitioner will also take a urine or blood sample every month to make sure the drug is in the patients system.  Also, the patient promises not to doctor shop while they are receiving prescriptions from their current practitioner.  Is this the correct interpretation of pain contract?  I currently date someone who has a lot of chronic pain.  He has costochondritis.  He was using various medications, OTC’s, to help him with his pain.  He did a lot of research online and found a device which has helped him a lot with his pain.  It is called a ‘back pod’ .  The theory behind this device is that with costochondritis, there is a build up of scar tissue, which causes the pain.  So, when he lays on this device every evening, he is breaking up the scar tissue.  He told me that his pain has gone from 80% of the time down to 15%.  And he has only been using this device for one month.  My point to sharing this selection, is that there is a lot of alternatives out there for pain management, not just medications.  And, you are correct, peoples ideas of pain and the management of it varies.  A lot of people would just like to take a pill and get rid of the pain; however, that may not be the best alternative for.

As we know research studies begin with a theory that someone comes up with. Generally, the theory is revolved around a passion the researcher has. As a future FNP I have hold a great interest in healthcare related phenomenon. My evidence based practice project is revolves around my passion for patient centered care and helping my patients manage chronic conditions.

     I have chosen to look at education provided to newly diagnosed diabetics and lifestyle modifications. When I consider the lifestyle modifications that need to be made with those who have chronic conditions I realize it can be difficult. So I wondered to myself if we could incorporate lifestyle modifications while still considering things the patient enjoys. This may decrease the resistance to the modifications. With that being said, my original PICOT question was: In newly diagnosed diabetics, can participation in an Individualized Diabetic Care Model reduce resistance to life style changes as opposed to generalized information about the diagnosis?

     As I began to think about this topic on a deeper level and with the recommendation of Dr. L I realized my PICOT question needed some revision. Every patient I treat will have different goals and definitions of healthy lifestyles. As I considered my goal with incorporating the individualized diabetic care model I realized my PICOT question was too general. My revised PICOT question is: Among newly diagnosed diabetics, how does an individualized diabetic care model, compared to sugar free lifestyle, influence modifications in lifestyle changes over 3 months?

     As we have been discussing, the goal of a research study aids in determining the type of research design that should be utilized. Based on my goal I have determined that a quantitative design would be best for my evidence based practice project. Quantitative studies are helpful in testing the effects of an intervention or treatment on an outcome (Yates & Leggett, 2016, p. 225). If I utilize a quantitative design I will be able to determine if an individualized diabetic care model is effective in patients making lifestyle modifications.

     I will collect data over a three month period to determine if the individualized diabetic care model is more effective than sugar free lifestyle in influencing modifications in lifestyle changes. I will collect this data through lab work and questionnaires filled out by participants. While the lab work will help determine a participants glucose levels, the questionnaires will help researchers gather information on the participant’s perspective. One potential issue with the questionnaires is that we are relying on the participants to be truthful and some may not want to disclose certain things. For example, if they have not made proper lifestyle modifications they may not want to admit to it. In order to produce quality data from my evidence based practice project I will conduct a thorough literature review, follow all principles of research that includes human subjects, collect data through objective methods, and analyze all data the same way.

Reference:

Yates, J., & Leggett, T. (2016). Qualitative research: An introduction. Radiologic Technology, 88(2), 225-231.