The Problem Statement: Nursing

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Modern day management of diseases is a complex task for health care professionals at various clinical settings. However, with the interference of nursing strategies, the job is under control and it is a relief for patients too who are in need of great care of nursing.

Research in nursing involves several aspects right from the stage of entry of patient data to the stage of their discharge from hospitals. This encompasses several settings which can be considered as evidence for nursing practice.

These may be Systematic reviews and meta-analyses, Randomized controlled trials with definitive results, Randomized controlled trials with non-definitive results, Cohort studies, Case control studies, Cross-sectional studies and Case reports (Fitzpatrick, 2007).

Nursing research involves the functional application of scientific queries or investigations to propound ideas, hypotheses, questions through a qualitative or quantitative approach with the objective of exploring a key relationship (Introduction to Nursing Research, 2012).

In contrast, evidence based practice involves the precise and reliable utility of existing evidence accumulated in various observational or analytical studies and make them applicable for deciding the patient care strategies. It is an integration of systemic research of external clinical evidence and clinical expertise (Sacket et al., 1996). Qualitative Research is concerned with the collection of data devoid of numbers.

Its primary focus is on the experiment reliability instead of measuring the quantity of variables. The information obtained is finally subject to interpretation, impression or diagnostic deduction. Quantitative research, as the name, implies focus on numbers or data that can be quantified or transformed numerically (Comparing Quantitative and Qualitative Research, 2009).

The similarities between qualitative and quantitative researches is that both are designed as separate research processes; both obtain to reveal the enormously available data from variety of settings or circumstances; both begin from the keen involvement of researchers on studying a particular field or area (What is the similar in qualitative and quantitative,2012).

In the current scenario, the problem statement is with regard to the type 2 diabetes which is a serious disease, for example, in such a country as Taiwan. Here, the problem that needs identification is that most people are unaware of the strategies developed by health care professionals. The readers need to understand that type 2 diabetes is the fifth major contributor of death.

The consequences are type 2 diabetes in this country is 4.3 times expensive compared to non diabetic people and there is a possibility that incidence could increase. The information lacking about the problem is the awareness on diabetes care.

The proposed study would contribute to the solution of the problem on the grounds that the application of nursing interventions in the form of evidence based practice could become feasible. In this study, a strategy of motivational interviewing was carried out in a randomized controlled trial setting that involved nearly 250 type 2 diabetic individuals (Chen et al., 2011).

The nurse led motivational interview had improved the outcomes positively with regard to glycemic, psychological and self-management outcomes. This approach would serve as an evidence for future diabetic care in clinical practices (Chen et al., 2011).

This has strengthened a previous study where primary care nurses had better orientation in determining the effects of the nurses’ training on patient outcome with regard to type 2 diabetes through the approach of motivational interviewing (Jansink et al., 2009).

This research serves to identification of the clinical problem both in qualitative and quantitative manner. On the qualitative side, parameters related to diabetic outcomes are evaluated or measured.

These may be glycemic outcomes, blood pressure and lipids, glycosylated hemoglobin, life style, patients’ willingness to change behavior etc.

On the other hand, increasing the patient or sample size on large scale in variety of population backgrounds may enhance the reliability of the intervention (Jansink et al., 2009). Thus, nursing research is central for addressing health care related issues like type 2 diabetes which may be otherwise associated with other complications.

References

Chen, S.M., Creedy, D., Lin, H.S., & Wollin, J. (2011). Effects of motivational interviewing intervention on self-management, psychological and glycemic outcomes in type 2 diabetes: A randomized controlled trial. Int J Nurs Stud.

Comparing Quantitative and Qualitative Research. (2009). Web.

Fitzpatrick, J. (2007). Finding the research for evidence-based practice.- Part two: Selecting credible evidence. Nursing Times, 103, 17, 32-33.

Sacket, D.L., Rosenberg, W. M.C., Gray, J.A M., & Richardson, W.S. (1996). Evidence based medicine: what it is and what it isn’t. British Medical Journal 312 (13), 71-72.

Introduction to Nursing Research. (2012). Web.

Jansink, R., Braspenning, J., van der Weijden, T., Niessen, L., Elwyn, G.,& Grol, R. (2009). Nurse-led motivational interviewing to change the lifestyle of patients with type 2 diabetes (MILD-project): protocol for a cluster, randomized, controlled trial on implementing lifestyle recommendations. BMC Health Serv Res, 9, 19.

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The Problem Statement: Nursing

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