Research purposes describe clearly why the study is being done, unlike the problem statement which identifies a gap in knowledge and a need for additional research (Houser, 2018). Objective and concise words like aim, goal, explore, intent, and purpose are used in purpose statements (Houser, 2018). The purpose statement checklist is a valuable aid for determining the purpose statement’s qualities by utilizing defined standards (Purpose, n.d.).
This qualitative study of increasing violence in nurse-patient encounters in home health care (2017) describes the goal of the study, which is to find ways to improve the interactions between nurses and patients (Falkenstrom, 2017). The study introduction begins with a clear statement of the purpose of the work, as stated in the first sentence (Purpose, n.d). This sample is identified as being made up of registered nurses from the three states of Connecticut, Massachusetts, and Rhode Island, and the study’s purpose statement is provided (Falkenstrom, 2018). This is a qualitative research design approach that specifically addresses the challenging aspects of nurse-patient interactions and focuses on the issues of violence, anger, and frustration (Falkenstrom, 2017).
Alignment of theory, research problem and statement.
A theoretical structure for the research purpose is provided by Travelbee’s framework, according to Falkenstrom (2017). Kierkegaard’s philosophy of existentialism and Viktor Frankel’s Logotherapy (Biography, n.d.) were used to develop the Human to Human Relationship Model (Psychiatric, n.d.). Kierkegaard held that people made a choice between living in an aesthetically pleasing or a meaningfully fulfilling way, and only when they chose to live a meaningful life did they realize their potential (Psychiatric, n.d.). According to logotherapy, meaningfulness is the best defense against emotional stability (Psychiatric n.d.).
Human-to-Human Relationship is a building block used to connect with other people. It is a process for interacting that supports patient, family, and community progress (Shelton, 2016). Falkenstrom’s research is in line with the Human to Human Relationship model, which aids in outlining the framework for challenging interactions between nurses and patients (Falkenstrom, 2017).
Position on the relationship and social change
The findings from Falkenstrom (2017) show how long this problem has persisted across various settings for nurses. The practice of treating patients in an inferior way because it is accepted as “just part of the job” is a major social issue and, until very recently, has been unknown to the public. a practice of nurse safety, as well as an end to violence against nurses was only written in 2016 by the American Nurses Association (ANA) (American Nurses Association, 2016). and acknowledged that nurses and other health care professionals should not tolerate any kind of injury in the course of their work (ANA, 2016). The American College of Healthcare Executives (ACHE) has recently published the book, Leading a Culture of Safety: A Blueprint for Success, which endeavors to develop a culture of safety throughout the healthcare industry (ANA, 2016).
Explain your position on the relationship between research and social change.
Research has influenced changing the idea that violent behavior is “just part of the job” as proven by Falkenstrom (2017), the ANA policy brief (2016) and numerous studies about violence against nurses, my academic research states that medical research has had a positive effect on altering that perception. In all of my 35 years of nursing, I have found that nurses fail to report incidents of violence toward them because they say it is simply the behavior of a patient as a result of some sort of mental illness, irritation over a diagnosis, or frustration over the lack of well-coordinated healthcare. More research is needed to fully comprehend the barriers that keep nurses from reporting incidents of violence. There is no agreement on what constitutes an episode of violent behavior, but the primary barrier still lies with nurses (ANA, 2016).
A fantastic research project would be one that examines new nurses’ difficult interactions with patients in order to determine why they are leaving the nursing profession. Do graduate nurses know how to socialize in a way that motivates them to call attention to bad behavior? Do they have a positive attitude about being abused by patients physically or verbally? How does the multigenerational workforce hold up against age differences? A study that focused on directional influences found that new graduates estimated that they intend to leave the nursing profession due to aggressive patients to be between 30% and 57% by the first year after graduation, and it is even higher (55% to 73%) by the second year (Twibell & St. Pierre, 2012).
American Nurses Association. (2019) . Reporting incidents of workplace violence. Retrieved from https://www.nursingworld.org/~4a4076/globalassets/practiceandpolicy/work- environment/endnurseabuse/endabuse-issue-brief-final.pdf
Falkenstrom, M.K. (2017). A qualitative study of difficult nurse-patient encounters in home health care. Advances in Nursing Science, 40(2),168-183.doi: 10.1097/ANS.0000000000000156
Frankl, V. (1959). Man’s Search for Meaning. Boston, Massachusetts: Beacon Press. Retrieved from http://www.currentnursing.com/pn/logo_therapy.html
Houser, J. (2018). Nursing Research: Reading, using, and creating evidence (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Psychiatric Nursing (n.d.). Retrieved from http://www.currentnursing.com/pn/logo_therapy.html
Shelton, G. (2016). Appraising Travelbees human-to-human relationship model. Journal of Advanced Oncology, 7, 657-661.
Start of Kierkegaard biography: Philosophy of existentialism. (n.d.). Retrieved from https://www.age-of-the-sage.org/philosophy/kierkegaard.htmlNA
Twibell, R. & St. Pierre, J. (2012). Tripping over the mat: Why new nurses don’t stay and what the evidence says we can do about it. American Nurse Today, 7(6). Retrieved from https://www.americannursetoday.com/tripping-over-the-welcome-mat-why-new-nurses-dont-stay-and-what-the-evidence-says-we-can-do-about-it/