Complete Your Literature Review Matrix
You began your literature review matrix 4 weeks ago, where you completed two articles for the matrix. Using the same document you submitted for the Week 4 Assignment (See attachment), complete the matrix by adding six more articles and filling in each of the rows for each article that are directly related to your study that you are writing about in your Review of the Literature Section of your EBP Project Proposal. (see attachment for my EBP project)
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Running Head: LITERATURE REVIEW MATRIX
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LITERATURE REVIEW MATRIX
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Advance Nursing Research (Literature Review Matrix)
Week # 4 Assignment 1
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APA Reference
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Research Question
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Type of Study
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Research Design
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Sample, Sample Size, and How Selected
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Instruments Used, Reliability and Validity, Data Collection Methods
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Results (including statistical analysis
Consistent with other Literature)
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Limitations
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(Olausson, Lindale & Ekberg, 2013)
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“What is the impact of care and treatment in ICUs on the patient recovery process and wellbeing?”
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Cross-sectional
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Survey
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The study focused on a sample of twelve (12) patients – six men and six women.
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The data collection is standardized by the use of open-ended questionnaires that provided the patients with the freedom to answer questions to the best of their ability. The instrument use is highly valid since it measures what was intended to do – to evaluate the impact of patient room in recovery process of patients admitted to the ICU. Also, the instrument is reliable since it acknowledges the involvement of the researchers which gives the confidence the method used to collect the data.
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The study results revealed that the natural environment and source of light in the room enhanced patient’s positive thought and emotions in a critical care setting (Olausson et al., 2013). This is line with what Florence Nightingale conceived the idea of perceiving patient room, as an essential part in patient’s relief as well as health outcomes. According to Nightingale, patient’s room plays is key element in aesthetic sensory perceptions. Also, she asserts that a room is not a place for just a sleep, but somewhere where a patient’s well-being is promoted. Such may include decorations, flowers, and ambient music that may promote healing in an ICU setting.
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The study was limited by the low number of the study subjects. Also, the existence of uncertainty concerning ICU delirium prevalence. However, other research reveals that revealing delirium in ICU patients may offset the uncertainty. Also, the low number of participants may result in trivial variations, which according to the researchers can be balanced by a dense description of interview questions of real-world experiences.
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(Timmermann, Uhrenfeldt & Birkelund, 2014).
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“How seriously ill hospitalized patients’ experience and assign meaning to their patient room?”
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Cross-sectional
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Survey
The study focused on a sample size of nine (9) patients is three Swedish hospitals.
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The instrument used- questionnaire – is standardizes the data collection process, which in turn validates the process by measuring what was purported to measure. Also, the instrument is highly reliable because it incorporates researcher participation, thus giving it the confidence, it deserves as a data collection instrument.
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The study findings showed that viewing natural light in patient’s room promotes positive thought for critically ill patients (Timmermann et al., 2014). Other literature has identified other related themes such as enhancing positive thought by overriding negative ones, promoting hope and a positive mood, and helps in bringing good memories. Essentially, being admitted in the ICU deprives patients of the freedom to go outside and experience the natural environment. However, there are different other methods of experiencing this when hospitalized. This could be an ambient light from a glass windows, and doors that let in fresh air. Also, the chair can be placed strategically next to the window so that the patient can have an unhindered view of the outside environment.
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The study was limited by the insufficient amount of empirical research, hence inadequate literature to aid in carrying out the research, such as the role of aesthetic environment in patient’s well-being, which provides better knowledge about the relevance of patient’s room in healing. Also, the limited number of participants affects the ecological generalizability of the findings, especially in larger sample sizes.
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References
Olausson, S., Lindale, B., & Ekberg, M. (2013). A phenomenological study of experiences of being cared for in a critical care setting: The meanings of the patient room as a place of care. Intensive and Critical Care Nursing, 29(4), 234–243. doi: 10.1016/j.iccn.2013.02.002
Timmermann, C., Uhrenfeldt, L., & Birkelund, R. (2014). Room for caring: patients’ experiences of well-being, relief and hope during serious illness. Scandinavian Journal of Caring Sciences, 29(3), 426–434. doi:10.1111/scs.12145
Running Head: EVIDENCE-BASED PRACTICE PROJECT
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RESEARCH 2
Advance Nursing Research
Week 4 Assignment # 2
Mental Health
Mental health is crucial in every stage of life. It is defined as the state of psychological well-being whereby the individual realizes a satisfactory integration instinctual drive acceptable to both oneself and his or her social setting (Ritchie & Roser, 2018). The status of mental health influences physical health, relationships, and most importantly day-to-day life. Mental health problems arise when there is a disruption in mental well-being.
The risk factors to mental health problems are not limited and therefore everyone is entitled to the problem irrespective of gender, economic status, and ethnic group. For example, data shows that in America one out of five individuals experience mental health problems annually, with mental disorders being recognized as the leading cause of disability not only in the United States but also globally (Ritchie & Roser, 2018). Mental health disorders are seen to be complex and of many forms such as anxiety, mood, and schizophrenia, among others.
Data shows that in 2017 about seven hundred and ninety-two million people lived with a mental disorder. Challenges have been identified with data presentation since mental health disorders are under-reported worldwide (Ritchie & Roser, 2018). World health organization data shows that mental health disorders are not only determined by one’s ability to manage their thoughts, behavior and interaction with others but also economic, environmental and social factors. For example, the on-going global financial crisis creates a macroeconomic phenomenon that provides a significant opportunity for mental health consequences with an increased rate of suicide and harmful substance use.
Most research studies have shown that there exist many gaps in relation to mental health problems. The gap ranges from treatment interventions and effective use of the available tools to reduce the issues of mental health. For example, there exists a research gap on the interventions meant to reduce and eradicate stigma which has been recognized as a determinant of mental health problems and this spiked my interest.
Therefore, in order to fill this gap such question as a) What is the association between stigma towards mental health patients and help-seeking? b) To what extent does stigma constitute a barrier to the search for help among mental health patients? And c) Are there populations that are more deterred from seeking help due to stigma? Have to be answered through research to get the intended purpose.
References
Ritchie, H., & Roser, M. (2018, April). Mental Health. Retrieved from https://ourworldindata.org/mental-health
W.H.O. (2020). Mental Health. Retrieved from https://www.who.int/mental_health/en/
Running Head: ADVANCE NURSING RESEARCH
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ADVANCE NURSING RESEARCH 2
Week #6 Assignment 1: The Details of Your EBP Project.
EBP Project Proposal Draft
Research topic
To assess the role of stigma towards mental health patients in help seeking.
Research problem
Most studies have shown that stigmatization towards mental health patients have been present throughout history and even despite the evolution in modern medicine and advanced treatment. Stigmatization have resulted from the belief that those with mental problem are aggressive and dangerous creating a social distance (Szeto et al., 2017). Also, mental health-related stigma has become of major concern as it creates crucial barriers to access treatment and quality care since it not only influences the behaviour of the patients but also the attitude of the providers hence impacting help-seeking. Most studies have identified stigma as a barrier that is of significance to care or help seeking while the extent to which it still remains a barrier have not been reviewed deeply. Therefore, this study will assess the role contributed by stigma in help seeking in depth.
Research purpose
The intention of the research study is to review the association between stigma, mental illness and help seeking in order to assess in depth the role that mental-health stigma contribute in help seeking.
Research objectives
a) To review the background history of mental-health related stigma and mental problem or illness
b) To explore the impacts of stigma
c) To assess an association between the contributing factors of stigma to help seeking
d) To assess the extent in which these factors of stigma contribute to help seeking.
e) To assess the risk factors influencing help seeking with regard to stigma
Research questions
a) What is the association between stigma towards mental health patients and help-seeking?
b) To what degree does stigma constitute a barrier to the search for help among mental health patients?
c) Are there populations that are more deterred from seeking help due to stigma?
Research Hypothesis
Ho: stigma towards mental health patients have a significant role in influencing help seeking
Ha: the extent to which stigma influences help seeking is not significant
Theoretical framework
Stigma has been described as a negative effect of a label and the product of disgrace that makes a person to be apart from others (Henderson et al., 2013). It is built upon distinct constructs prejudice, discrimination, and stereotypes (Henderson et al., 2013). For example, believing that those people diagnosed with mental illness is stereotype. Also, agreeing with the fact that those with mental problem are indeed dangerous with a resultant fear or anger is prejudice while discrimination is the total avoidance to those with mental conditions as a result of prejudice and stereotype. Mental problem or illness is a condition that distorts an individual’s capability to relate to others, thinking, mood feeling and also daily functioning (Szeto et al., 2017).
Many studies have reported an existence of negative attitudes with regard to mental health problem and social distance (Henderson et al., 2013). This is because those persons with mental problem are regarded as dangerous, a public nuisance and aggressive. Some of the contributing factors include the media which influences the society’s view, public perception which is influenced by the level of understanding towards mental health problems and the illness itself and also reluctance to seek help which contribute to further stigmatization. Stigma is therefore seen as barrier since it inhibits a person from seeking help hence resulting to a treatment gap and advancement in medical programs meant to reduce cases of medical care (Szeto et al., 2017). Therefore, mental health-related stigma is seen to influence help seeking by creating a general pattern of behavior and attitudes.
References
Henderson, C., Evans-Lacko, S., & Thornicroft, G. (2013). Mental Illness Stigma, Help Seeking, and Public Health Programs. American Journal of Public Health, 103(5), 777-780. doi:10.2105/ajph.2012.301056
Knaak, S., Mantler, E., & Szeto, A. (2017). Mental illness-related stigma in healthcare. Healthcare Management Forum, 30(2), 111-116. doi:10.1177/0840470416679413
