NURS 6010 Clinical Nursing Research
A study was conducted about the cause and effect of classical and country music, and nature sounds which influenced the anxiety levels of women preoperative of gynecological surgeries. In return with reduction of anxiety research evidence supported a reduction in State Trait Anxiety Inventory (STAI) scores and physiologic measures such as blood pressure, pulse, and respiration’s. “The aim of this study was to determine the influence of music on anxiety levels and physiologic parameters in women undergoing gynecologic surgery” (Labrador et al, 2016). NURS 6010 Clinical Nursing Research
I personally found that this research experiment has many strengths. There were many supported findings and resources to show reliable and valid evidence of the positive effect that preoperative music measures had on patient’s undergoing surgery. I believe that the sampling method had supportive experimental research design showing the cause and effect of music played to the experimental group versus no music to the controlled group. It provided quantitative measures that didn’t allow any questions or grey matter to show the true outcomes of the controlled versus experimental measures. They also had supporting quasi experimental design and measured the pre and post test design by offering the same per-testing measures and questions to develop a baseline of anxiety of the patients. They then implemented the intervention to the appropriate test group and then later measured the post test results in the same way measuring the severity of anxiety post pejoratively. All subjects were measured identically which supported a non biased research plan. NURS 6010 Clinical Nursing Research
A weakness that I found in the research was that not each patient was receiving the same exact surgery as each other. Yes, they were all gynecological surgeries, but each surgery participant was undergoing a different type of surgery that could have resulted in different outcomes for each patient. In return the anxiety level could have been unalike. Another idea that should have been questioned is whether each patient had previously been diagnosed with anxiety or anxiety-like manifestations in which could have changed the levels of preoperative anxiety in each patient. I support that the sampling method had supporting reliable and valid results but do believe that the test groups should have been more similar in comparison when it comes to their psychological background and type of surgery they were undergoing. A change in these two factors could have improved the study.
Labrague, L. & McEnroe-Petitte, D. (2016). Influence of music on preoperative anxiety and physiological parameters in women undergoing gynecologic surgery. Clinical Nursing Research, 25(2), 157-173.
Why is it important for nurses at the bedside to engage in nursing research? Clinical nursing research is a very important part of nursing practice and bedside nurses are in the best position to generate those relevant clinical questions that will improve the state of the science of nursing. It is essential for nursing care activities and interventions to be based in science to provide the most safe, effective, and efficient care possible to patients and clients receiving that care. The Institute of Medicine and the American Nurses Credentialing Center’s Magnet® recognition program both recognize that importance and encourage the use of evidence-based practice in the care of patients [1]. The challenge has been in overcoming those traditional barriers to both conducting research and to the integration of results in to the current workflow and culture. The purpose of this article is to describe the process used to overcome these challenges.NURS 6010 Clinical Nursing Research
This process took place in a health care organization with a nursing research council as part of the shared governance structure for approximately 20 years. The council operated primarily at the flagship hospital of the organization’s 14 facilities. During this time, there had been varying levels of interest and activity related to the actual conduct and use of nursing research results. Past research topics included restricted versus open ICUs [2], visitor and nurse satisfaction with visiting hours [3], cough CPR [4], Continual Lateral Rotational Therapy [5], and Family Advocate Programs [6]. At the time of this mentored research study, the research council was chaired by a PhD prepared nurse certified as a Critical Care Clinical Nurse Specialist and as a Nursing Professional Development Specialist with research experience.
The reasons expressed by staff nurses at this organization for the lack of research at this organization were the same as those found in the literature; lack of time, mentors, experience and institutional support [7-9]. Because of these traditional barriers, there were no active nursing research studies in progress at the time of this mentored activity. Those few that had been conducted in the past were completed with the Critical Care Clinical Specialists, Critical Care Educators, and faculty from the local university’s College of Nursing. There was no formal nursing research mentoring program in place, but because the literature suggests that mentoring is very important in moving nursing research forward, the CCNS continued to mentor the nurses in the research study after transferring from the acute care area to the education and training department [10,11].NURS 6010 Clinical Nursing Research
The idea of a mentored research study developed when a recently graduated BSN staff nurse attended a Magnet® conference after her organization became the first in the state to receive that designation. The Magnet® conference presentation involved changing peripheral IV sites based on assessment and nursing judgment rather than hospital policy of every 96 hours [12].
Since she had some research experience in her college of nursing’s honors in discipline (HID) program, she was interested in attempting to replicate a study presented during the conference. The HID concept is just one of many methods school and colleges of nursing are employing to facilitate students’ interest in research [13]. During the student’s HID experience, she had access to faculty, research assistance, a statistician, and a research librarian to facilitate her research study. She brought the idea to the research council, but those historical barriers in her clinical practice environment prevented her from getting started. The staff nurse declined to continue with the project, so the PhD research council chair brought the proposal to the nursing practice council and offered to serve as mentor for the research study. They determined that the concept of the presentation, changing IV sites based on nursing judgement, was relative to the organization’s practice and gave unanimous support to the mentored research study.NURS 6010 Clinical Nursing Research