What is the problem statement & significance to nursing practice?

What is the problem statement & significance to nursing practice?

What is the problem statement & significance to nursing practice? 150 150 Nyagu

nursing journal article critique example
nursing journal article critique example

1. Address the essential parts of the study addressed within the abstract. 2. What is the problem statement & significance to nursing practice? 3. What is the purpose of the study? 4. What type of research method was used? 5. Detail applications to practice & how you can incorporate this into your own practice. 6. What future studies would you recommend? I have my own research article. It is found in the Journal of Emergency Nursing,vol-46(1),51-58. Ttitle: Experiences of care in the Emergency Department among a sample of homeless male veterans: A qualitative study. nursing journal article critique example.
All sources need to be within the last 5 years. Sources should be journals or medical organization websites, no books.

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Critique a Scholarly Peer-Reviewed Nursing Journal Article

Weber, J. J., Lee, R. C., & Martsolf, D. (2020). Experiences of care in the emergency department among a sample of homeless male veterans: a qualitative study. Journal of Emergency Nursing, 46(1), 51-58.

Parts of the Study Addressed in the Abstract

An abstract should be succinct and clear. Similarly, the abstract of the article is brief, concise and clear and summarizes the content of the article. An abstract should include the introduction, purpose, methodology, results, and conclusions. The abstract of this article has the introduction, method, results, and discussion part. The introduction part concisely introduces the study and stipulates that the purpose of the study is to present the experiences of homeless male veterans during their visits to the emergency department. The methods part indicates the study framework as grounded theory methodology while structured interviews were used to collect the data. The results section is however extremely brief and ambiguous nursing journal article critique example. The discussion part briefly discusses the findings of the study.

The Problem Statement & Significance to Nursing Practice

The problem statement is about the homeless populations who have been a tendency of using the emergency department even for the low-acuity health issues that can be treated within other settings such as primary care settings (Weber, Lee & Martsolf, 2020). According to Chrystal et al (2015), homeless populations often face social, medical, and environmental challenges to their health. A significant number of the homeless population includes the veterans who are often visiting the community (Weber et al., 2020). This issue is important to nursing practice because homeless populations disproportionately experience medical illnesses, substance abuse, as well as mental disorders. Also, the challenges experienced by the homeless populations are further aggravated by the fact that the homeless underutilize health services with problems in accessing specialty and primary care, as well as the high number of unmet health needs. This leads to unnecessary increased utilization of visits to the emergency department (ED). Therefore, this study sought to explore the experience of homeless male veterans when they try to access care in the ED.

The Purpose of the Study

The purpose of the study was to explore the experience of homeless male veterans when they try to access care in the ED (Weber et al., 2020). The purpose of the study specifies the nature of the population under study. The population being studied is homeless male veterans. Therefore, the study seeks to identify the experiences of the population under the study when they try to seek healthcare in the emergency department.

Type of Research Method

The study adopted a grounded theory methodology as the framework for the study. Grounded theory methodology includes systematic inductive techniques for carrying out qualitative researches to develop a theory (Rahman, 2017). Grounded theory methodology was suitable because it is suitable for exploring the experiences of the study participants to come up with a theory. In this study, the grounded theory methodology depended on the experiences of male homeless veterans about access to healthcare. An unstructured interview does not involve any predetermined questions even though it covers the study topic. Additionally, in unstructured interviews, open-ended questions are used and this allows in-depth exploration of the answers (Rahman, 2017). The unstructured interview was suitable for a qualitative study because the questions are very flexible and produce qualitative data using open questions. This allows collection of in-depth data and assists the researcher to get the reality of the study participant’s understanding of a situation. Additionally, unstructured interviews have higher validity because the interviewer can probe for more understanding, make inquiries, ask for clarification, and also allow study participants to steer to the interview’s direction. This indicates the suitability of using unstructured interviews to collect data (Rahman, 2017). The information from the interviews was audio-recorded and transcription was done for analysis. The grounded theory methods were further used to identify emerging codes. Data analysis for the emerging themes and codes was then performed.

The main strength of the qualitative phenomenological research design that was used in this study is that the method is flexible and therefore ensures flexibility and freedom during the interviews when investigating and exploring experiences and insights from the participants of the study. Moreover, a qualitative research design ensures that there is an in-depth collection of data on the insights, experiences, feelings, and opinions of the study subjects. Accordingly, the research design used in this article ensured that there was a deeper exploration of the experiences and insights from the male homeless veterans (Rahman, 2017).

However, there are a few limitations associated with the study methodology used in the selected article. The unstructured interviews used in phenomenological research design does not cover contextual sensitivities but only focuses on the experiences and meanings. Finally, the sample size in this study was 35; the size of the sample is relatively small and thus may limit the generalization of the findings to the general population or limit application of the findings to practice (Rahman, 2017). nursing journal article critique example

Applications to Practice & how to Incorporate Findings into Practice

The findings of this study showed that homeless populations highly seek care in the emergency department. Findings further indicate that the homeless populations often feel unrecognized and they are not shown compassion when they visit ED. The findings show that the homeless highly seek care in the ED, but that their medical needs may not be met in other healthcare settings such as primary care settings. Services provided in the EDs such as accessibility 24/7, care provision without an appointment, and treatment of acute injuries encourage higher utilization of emergency services (Moulin, et al., 2018) nursing journal article critique example. Acute injuries are common among the homeless and thus a big predictor of ED use by the homeless. However, homeless populations under-utilize health services, especially when it comes to accessing specialty and primary care. The population also has a high number of unmet health needs (Gable et al., 2018). Therefore, there is a need to implement interventions that increase awareness among the homeless populations regarding the need to seek treatment in other settings such as primary care, specialty, and ambulatory care settings. The nursing staff working in the ED need to be actively involved in educating the homeless populations regarding their health problems and alternatives to emergency department care. Besides, there is a need to address the needs of the homeless people who demonstrate repeated utilization of the emergency department. For example, the housing and nutrition needs of the homeless need to be addressed to reduce their vulnerability to illnesses and injuries (Field et al., 2019). In this regard, nurses need to act as the patient advocates and advocate for the implementation of the policies that support the provision of housing and nutrition needs of the homeless populations. nursing journal article critique example.

Recommendations for Future Studies

Homelessness significantly impacts the use of the emergency department. Homeless populations depict a high number of visits to the ED and hospitalizations, and particularly after discharge to shelters or streets.

However, there are few numbers of studies that examine the health needs and health outcomes of the homeless populations. Additionally, there are minimal clinical guidelines that cover the provision of care for homeless populations. Therefore, further research is required to comprehend the health needs of the homeless populations and to guide the care of the homeless within acute care settings nursing journal article critique example.

Moreover, the provision of care to the homeless populations in the emergency departments is complex. Moreover, it is important for the nursing staff working in the ED to be conversant with the social determinants of health as well as the special features of homelessness in their community. Therefore, further research is required to better understand the aspects and needs of the homeless population, to provide care better to this vulnerable population.

References

Chrystal JG, Glover DL, Young AS, Whelan F, Austin EL, Johnson NK, et al. (2015) Experience of Primary Care among Homeless Individuals with Mental Health Conditions. PLoS ONE, 10(2): e0117395. https://doi.org/10.1371/journal.pone.0117395.

Field, H., Hudson, B., Hewett, N. et al. (2019). Secondary care usage and characteristics of hospital inpatients referred to a UK homeless health team: a retrospective service evaluation. BMC Health Serv Res, 19(857).

Gable, A. R., Der-Martirosian, C., & Dobalian, A. (2018). Access to Care for Homeless Veterans During Disasters. Journal of Primary Care & Community Health, 9, 2150132718815382. https://doi.org/10.1177/2150132718815382.

Moulin, A., Evans, E. J., Xing, G., & Melnikow, J. (2018). Substance use, homelessness, mental illness, and Medicaid coverage: a set-up for high emergency department utilization. Western Journal of Emergency Medicine, 19(6), 902.

Rahman S. (2017). The Advantages and Disadvantages of Using Qualitative and Quantitative Approaches and Methods in Language “Testing and Assessment” Research: A Literature Review. Journal of Education and Learning, 6(1).

Weber, J. J., Lee, R. C., & Martsolf, D. (2020). Experiences of care in the emergency department among a sample of homeless male veterans: a qualitative study. Journal of Emergency Nursing, 46(1), 51-58. nursing journal article critique example