Nursing Reasearch Paper

Based on your course reading assignments and your pending research problem, what type of study do you believe you are conducting, and please explain why?

This are the types of research but like some did it for me I do not know the type of research he used, see atached

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  • Quantitative Research
  • Qualitative Research
  • Research Design
  • Literature Review
  • Running Head: OBSTACLES TO EFFECTIVE DISCHARGE PLANNING
    Factors that Limit Effective Discharge Planning for Chronically ill Patients in ICU
    Student’s Name: Yaniel Lopez
    Curse: NGR 5110 Nursing Research
    Date: 02/302020
    1
    OBSTACLES TO EFFECTIVE DISCHARGE PLANNING
    Table of Contents
    Introduction ……………………………………………………………………………………………………………….. 3
    Statement of the Problem …………………………………………………………………………………………….. 4
    Purpose of the Study …………………………………………………………………………………………………… 4
    Approach …………………………………………………………………………………………………………………… 4
    Research Question ……………………………………………………………………………………………………… 5
    Expected Outcomes ……………………………………………………………………………………………………. 5
    Significance of the Study …………………………………………………………………………………………….. 5
    Methodology ……………………………………………………………………………………………………………… 6
    Research Design……………………………………………………………………………………………………… 6
    Sample Population and Sampling Method ………………………………………………………………….. 6
    Data Collection ………………………………………………………………………………………………………. 6
    Data Analysis …………………………………………………………………………………………………………. 6
    References …………………………………………………………………………………………………………………. 8
    2
    OBSTACLES TO EFFECTIVE DISCHARGE PLANNING
    Introduction
    According to Naylor et al. (2011), the goal of transitional care is to prevent
    hospitalizations and health complications of chronically ill patients when they leave hospital
    settings. It is a process that requires a comprehensive home-follow-up and discharge
    planning. Effective discharge planning is meant to link the treatment that a patient receives at
    the hospital and the post-discharge care that the patient receives from the community
    (Shepperd et al., 2013). When patients arrive at the hospital, nurses should: i)
    comprehensively assess the health status of the patient, ii) develop comprehensive care plans
    for every patient using evidence-based guidelines, and in collaboration with other health
    professionals and the families of the patients, and iii) daily visit and asses the patient and start
    working on a care plan upon discharge. When a patient gets discharged from the hospital, a
    nurse should visit the patient periodically at home or schedule phone calls with the patient.
    Numerous studies such as Behzadian and Kapelan (2015), Mazloum et al. (2016), and
    Kisely et al. (2017) .indicate that patient satisfaction and health outcomes increase with
    effective discharge planning, while other studies indicate that it reduces readmission rates and
    the length of stay at the hospital. Discharge nursing is an essential component in nursing
    because it has significant impacts on how the family copes when chronically ill patients leave
    the hospital. Discharge planning follows the following steps: i) identifying patients that will
    need help with discharge planning, ii) working together with the patient’s family and other
    healthcare professionals in planning the discharge, iii) recommending continued care options,
    or referring the patient to services or programs that meet their preferences and needs, and iv)
    encouraging and supporting the patients and their families during the care periods. But
    despite the importance of discharge planning, Wong et al. (2011) argues that most hospitals
    discharge their patients without proper panning. This research will explore the experiences
    3
    OBSTACLES TO EFFECTIVE DISCHARGE PLANNING
    that nurses face during discharge planning with the aim of identifying the obstacles to
    effective and comprehensive discharge planning.
    Statement of the Problem
    Many studies have revealed that most hospitals discharge their patients with
    inadequate information, poor instruction, poor communication, insufficient planning, and
    poor coordination between and among healthcare teams. Whenever discharging patients,
    hospitals should ensure that comprehensive discharge plans are developed for each and every
    patient, depending on the uniqueness of their cases (Raven et al., (2011). And since nurses
    are always in contact with the patients and their families, they have a role to play in ensuring
    that each patient and a comprehensive discharge plan before leaving the hospital. But as
    many studies indicate, most healthcare providers do not release their patients from hospitals
    with comprehensive discharge plans.
    Purpose of the Study
    The purpose of the study will be to explore the factors that hinder nurses’ ability to
    develop comprehensive discharge plans for chronically ill patients effectively. The researcher
    hopes that the findings of the study will be used by nurses and other health professionals in
    overcoming the challenges to effective discharge planning of patients in ICU.
    Approach
    The researcher will approach the research both bibliographically and empirically.
    Bibliographic research will involve a review of the literature on similar topics in order to
    understand the investigations of other experts as contained in the relevant literature.
    Empirical research will allow the researcher to challenge, extend, and verify the hypothesis.
    Empirical research will involve the collection of data from selected participants; collected
    data will then be analyzed and conclusions made.
    4
    OBSTACLES TO EFFECTIVE DISCHARGE PLANNING
    Research Question
    This study will aim at answering the following research question:
    1. What are the Factors that Limit Effective Discharge Planning for Chronically ill
    Patients in ICU
    Expected Outcomes
    Through this research, the research expects to gain insight and identify the factors that
    hinder nurses’ abilities to develop an effective discharge plan for chronically ill patients in
    ICU. The researcher will explore the experiences and views of different nurses and hopes that
    the participants will help identify those factors and how they can be controlled. The
    researcher envisions that the findings of the research will be used as the basis for
    improvements in regard to patient discharge planning, thus relaxing heightened anxiety levels
    of families related to their patients being discharged from hospital. Evidence-based discharge
    planning could also be used to manage time and to improve job satisfaction on nurses
    working in ICU.
    Significance of the Study
    With the right information, healthcare professions – nurses included – can be able to
    develop comprehensive discharge plans tailored towards the needs of individual patients. It is
    expected that this research will reveal the factors that hinder effective discharge planning and
    propose strategies that can be employed by a health professional in overcoming those
    obstacles. If nurses and other health professions can arm themselves with the right
    information, skills, and attitude, their efficiency also increases, eventually translating to
    increased health outcomes and satisfied patients.
    5
    OBSTACLES TO EFFECTIVE DISCHARGE PLANNING
    Methodology
    Research Design
    The findings of this study will be based on the views of nurses in ICU, and on
    information obtained from relevant literature reviews. Therefore, the researcher will use a
    qualitative design because of its suitability in exploring the behaviors and thoughts of people
    individually and when in groups.
    Sample Population and Sampling Method
    The participants in this study will be 15 INC nurses within the XYZ area. A small
    sample population will be chosen for this study due to time and financial constraints.
    Purposive sampling will be used in selecting participants because it is the only way the
    researcher will be sure that the chosen participants (nurses) have knowledge of the topic
    under investigation (Etikan et. al., 2016). Only registered nurses with at least two years of
    experience will be used in the study. Student nurses of nurses with less than two years of
    experience will be excluded.
    Data Collection
    The researcher will collect data using in-depth interviews, which will be guided by
    prompts and opening questions from the researcher. This will allow the researcher to develop
    his own views. As opposed to structured questions, Prompts prevent the research from
    forcing participants into certain lines of thought; they allow participants to speak of their
    experiences using their own words (Pietkiewicz et al., 2014).
    Data Analysis
    Thematic content analysis will be used because it will allow the researcher to identify
    main elements and recurring themes from collected data. Recorded interviews will first be
    transcribed by the researcher. Transcription is a time-consuming exercise, but it will allow
    the researcher to be immersed in the collected data. Transcribed data will be stored
    6
    OBSTACLES TO EFFECTIVE DISCHARGE PLANNING
    electronically as word documents, followed by transcripts coding. To maintain the anonymity
    of participants, pseudonyms will be used instead of their names. The researcher will then
    analyze the data using SPSS and then summaries and conclusions made. To guarantee the
    authenticity of the findings, an independent researcher will be asked to review the data and
    validate it.
    7
    OBSTACLES TO EFFECTIVE DISCHARGE PLANNING
    References
    Behzadian, K., & Kapelan, Z. (2015). Advantages of integrated and sustainability-based
    assessment for metabolism based strategic planning of urban water systems. Science
    of the total environment, 527, 220-231.
    Etikan, I., Musa, S. A., & Alkassim, R. S. (2016). Comparison of convenience sampling and
    purposive sampling. American journal of theoretical and applied statistics, 5(1), 1-4.
    Kisely, S., Wyder, M., Dietrich, J., Robinson, G., Siskind, D., & Crompton, D. (2017).
    Motivational aftercare planning to better care: applying the principles of advanced
    directives and motivational interviewing to discharge planning for people with mental
    illness. International journal of mental health nursing, 26(1), 41-48.
    Mazloum, S. R., Heidari-Gorji, M. A., Bidgoli-Gholkhatmi, M., & Agayei, N. (2016).
    Effectiveness of discharge-planning on physical quality of life of patients with
    ischemic heart disease. International Journal of Applied and Basic Medical Research,
    6(2), 129.
    Naylor, M. D., Aiken, L. H., Kurtzman, E. T., Olds, D. M., & Hirschman, K. B. (2011). The
    importance of transitional care in achieving health reform. Health affairs, 30(4), 746754.
    Pietkiewicz, I., & Smith, J. A. (2014). A practical guide to using interpretative
    phenomenological analysis in qualitative research psychology. Psychological journal,
    20(1), 7-14.
    Raven, M. C., Doran, K. M., Kostrowski, S., Gillespie, C. C., & Elbel, B. D. (2011). An
    intervention to improve care and reduce costs for high-risk patients with frequent
    hospital admissions: a pilot study. BMC health services research, 11(1), 270.
    8
    OBSTACLES TO EFFECTIVE DISCHARGE PLANNING
    Shepperd, S., Lannin, N. A., Clemson, L. M., McCluskey, A., Cameron, I. D., & Barras, S. L.
    (2013). Discharge planning from hospital to home. Cochrane database of systematic
    reviews, (1).
    Wong, E. L., Yam, C. H., Cheung, A. W., Leung, M. C., Chan, F. W., Wong, F. Y., & Yeoh,
    E. K. (2011). Barriers to effective discharge planning: a qualitative study investigating
    the perspectives of frontline healthcare professionals. BMC health services research,
    11(1), 242.
    9

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