Advance Nursing Research

Reply to the following two posts. In your replies, discuss what surprised you about the theory your peers wrote about, and how it’s integrated into the study? What other type of research might this theory be useful in? 

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Reply to the following two posts. In your replies, discuss what surprised you about the theory your peers wrote about, and how it’s integrated into the study? What other type of research might this theory be useful in?

There is not an amount of words required. Just reply to post 1, and post 2.

FREE OF PLAGIARISM.

Post # 1: Michelle

 The article I chose to analyze was “Making a connection: Family experiences with bedside rounds in the intensive care unit. The article examined the experience of families with a loved one in the intensive care unit and whether or not the families’ participation in daily rounds decreased their anxiety and increased their overall positive perspective. The theoretical framework utilized by the authors Cody, Sullivan-Bolyai, and Reid-Ponte was the Family Management Style Framework. 
      The Family Management Style Framework was developed by Knafl and Deatrick in 1990 in order to better understand the coping style of families with children who had chronic health conditions (Knafl & Deatrick, 2003). The FMSF looked at the management behaviors and patterns of response to childhood chronic illness (Knafl & Deatrick, 2003). There are three major components in the FMSF, Definition of the situation, Management behaviors, and Sociocultural context (Knafl & Deatrick, 2003). The framework also describes five family management styles, thriving, accommodating, enduring, struggling and floundering (Knafl & Deatrick, 2003). The relationship between the family members, healthcare professionals, and their coping strategies is the basis for the framework. 
      The research study used the FMSF to look at which families participated in bedside rounds and which opted not to and the overall result. The framework looks specifically at the intersection of the management of chronic illness and the impact on family life (Knafl, et al., 2012). The finding was that the inclusion and willingness of families to participate in bedside rounds ultimately reduced their fear of the unknown and distrust in the healthcare providers. In the end, the families that attended the bedside rounds were better prepared for their loved one’s discharge. The concept of the FMSF was woven throughout the study. The targeted areas of familial response to chronic illness were based on the three identified components of the definition of the situation or illness, management and coping behaviors of the individuals, and the perceived outcomes. The overarching finding of the study was that clear, consistent communication by the healthcare team to the families significantly decreased anxiety, and fear and increased trust in the healthcare professionals. The end result was an improved experience for the family. 
      King’s theory of Goal Attainment cis another framework that would be effective in this study. King’s theory examines individuals as they relate to personal, interpersonal and social systems (Petiprin, 2016). King noted that human beings function as dynamic systems interacting with other environments (Petiprin, 2016). Goals are attained when each system is in congruence with one another (Petiprin, 2016) . The focus of nursing is the care of the individual and the ultimate goal is to provide care for both the patient and his or her family (Petiprin, 2016). The inclusion of the patient’s families in daily bedside rounds is a holistic approach to providing complete nursing care. This practice ensures that the goals of the healthcare team are in harmony with those goals of the patient and the patient’s family. These tools foster trust and interdependence of the systems and lead to a more thorough understanding of the illness and effective coping strategies. 
Knafl, K. A., & Deatrick, J. A. (2003). Further refinement of the family management style framework. Journal of Family Nursing, 9(3), 232–256. 

https://doi.org/10.1177/1074840703255435

Knafl, K. A., Deatrick, J. A., & Havill, N. L. (2012). Continued Development of the Family Management Style Framework. Journal of Family Nursing, 18(1), 11–34.
Petiprin, A. (2016). King’s theory of goal attainment. Nursing Theory. Retrieved from 

https://nursing-theory.org/theories-and-models/king-theory-of-goal-attainment.ph

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POST #2: Charmaine

In the article “Hardwiring Bedside Shift Report” by Sandra Scheidenhelm, the author utilized a theoretical framework integrating numerous logical components to enhance the effective construction of the research project. The article made use of two theories; Lewin’s theory of planned change and Peplau’s theory of interpersonal relations. The two theories which are both from the nursing discipline are used as the framework to reveal the importance of the bedside shift report as the driver of improving patient outcome and enhancing high-quality delivery of care services (Scheidenhelm & Reitz, 2017).  
The framework that was used to inform the research study as the bedside report utilized components from both theories to drive change. For instance, Peplau’s theory emphasized the purpose of the nurses establishing a therapeutic relationship based on trust while interacting with the patients. In this case, the bedside report instructed the nurses to not only identify the patient’s needs but also review the patient’s progress and incorporate the gathered information into the patient plan of care to improve trust in the relationship between the nurses and the patients (Scheidenhelm & Reitz, 2017). On the other hand, Lewin’s theory, which comprises three phases that are unfreezing, moving and refreezing, was found to be of great importance in informing the bedside report process. For instance, the investigators addressed existing barriers of the report and informed nurses the impact that the bedside report holds on the allocation of financial resources in the hospital as well as the level of patient satisfaction categorized as the unfreezing stage. The concept of the theories was weaved all through the article revealing its importance in informing the research (Curtis, 2017). Henderson’s nursing need theory could be used for the research study as it emphasizes the importance of meeting patients’ needs as a key component of health. 
References
Cope, D. G. (2015, November). Case study research methodology in nursing research.  
In Oncology Nursing Forum (Vol. 42, No. 6, pp. 681-682). Oncology Nursing Society.
Curtis, K., Fry, M., Shaban, R. Z., & Considine, J. (2017). Translating research findings to  
clinical nursing practice. Journal of clinical nursing, 26(5-6), 862-872.
Scheidenhelm, S., & Reitz, O. E. (2017). Hardwiring bedside shift report. Journal of Nursing 
Administration, 47(3), 147-153.

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