Research & Bio statistics for Nurses
Unit 14 Discussion: Mixed Method Research
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Complete a literature search and find a mixed method research study on the advanced practice topic that you have chosen for your critical literature review. Complete a critical appraisal of the mixed method study according to Gray, Grove and Sutherland, Chapter 14, pages 323-326.
Be sure to attach the PDF of your article.
Summary of the Study
Bläuer et al. (2015) explores the effects of nurse-led education program on care outcomes for chronic heart failure (CHF) patients. It assesses the value of person-centered education to improve patient care. The intention is to change nursing culture by recommending the inclusion of nurses in multidisciplinary teams providing education to patients. The study applies a mixed-method research design that makes use of a questionnaire and the European Heart Failure Self-Care Behavior Scale to collect quantitative data and semi-structured telephone interviews to collect qualitative data. The quantitative data was evaluated using descriptive statistics, while the qualitative data was evaluated using deductive content analysis.Research & Bio statistics for Nurses
Significance
The study explores the potential for leveraging the capabilities of nurses to improve patient care outcomes for CHF patients by offering patient educations targeting behavior change. In applying a mixed-method research design, it becomes possible to explore and understand any existing contradictions between the qualitative findings and quantitative results. In addition, it ensures that the research results are grounded on the experiences of nurses thus fostering scholarly interaction.
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Expertise
The researchers are comprised of eight individuals, all nursing academicians and practitioners. Although the researchers’ information on their academic qualifications are not provided, their academics and practicing experiences show that they have the expertise to present the research.
Appropriateness
The study purposed to explore that possibility of changing nursing practice by advocating for their involvement in patient education. The research was guided by grounded theory to explain the position of nurses and the education they provide in benefiting or hindering self-management among CHF patients. Both the quantitative and qualitative data was expected to explain nurse-led patient education in acting as an intrinsic motivation for the patients’ self-management.
Sampling
The participants were identified using a purposive sampling approach that targeted CHF patients during hospitalization. The participants who consented to being included in the study were evaluated for satisfaction with the nurse-led education program and self-care behavior after discharge.
Method
The study applied a mixed method design based on grounded theory. The education program was developed using the ‘look’, ‘think’, and ‘act’ approach. The ‘look’ aspect analyzed current literature and practice. The ‘think’ aspect synthesized the literature. The ‘act’ aspect implemented the change in practice. The quantitative data was collected using a questionnaire and the European Heart Failure Self-Care Behavior Scale, while the qualitative data was collected using semi-structured telephone interviews. The quantitative data was evaluated using descriptive statistics, while the qualitative data was evaluated using deductive content analysis.Research & Bio statistics for Nurses
Findings
14 patients were included as participants in the study. The findings were evaluated for the major elements showing that the nurse-led education prepared patients for hospital discharge, although the living situation needs were not well considered in the education.
Conclusions and Implications
The article relies on other publications to make it clear that although patient-centered approach to nurse-led education improves care outcomes of CHF patients, it is work intensive and time consuming. In addition, the approach results in high satisfaction levels among the patients.
Contributions to Knowledge
The mixed-methodology approach applied by Bläuer et al. (2015) indicates that nurses’ knowledge should be broadened to enable them provide patient-centered nurse-led education. A critical appraisal of the study supports its rigor and contribution to the use of patient education as part of standard practice to reduce hospital readmission for CHF patients.
Reference
Bläuer, C., Frei, I., Schnepp, W., & Spirig, R. (2015). Implementation of a nurse-led education programme for chronic heart failure patients during hospitalisation, and strategies supporting their self-management at home: a practice development project in the context of the Swiss healthcare system. International Practice Development Journal, 5(1), 1-15. https://doi.org/10.19043/ipdj.51.005
Research & Bio statistics for Nurses