Nursing Evidence Base Practice: Euthanasia as Clinical Issue
Required Readings
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 2, “Asking Compelling Clinical Questions” (pp. 33–54)
Chapter 21, “Generating Evidence Through Quantitative and Qualitative Research” (pp. 607–653)
Grant, M. J., & Booth, A. (2009). A typology of reviews: An analysis of 14 review types and associated methodologies. Health Information and Libraries Journal, 26, 91–108. doi:10.1111/j.1471-1842.2009.00848.x. Retrieved from https://onlinelibrary(dot)wiley(dot)com/doi/pdf/10.1111/j.1471-1842.2009.00848.x
Note: You will access this article from the Walden Library databases.
Hoare, Z., & Hoe, J. (2013). Understanding quantitative research: Part 2. Nursing Standard, 27(18), 48–55. doi:10.7748/ns2013.01.27.18.48.c9488. Retrieved from https://www(dot)researchgate(dot)net/publication/239615585_Understanding_quantitative_research_part_2
Note: You will access this article from the Walden Library databases.
Hoe, J., & Hoare, Z. (2012). Understanding quantitative research: Part 1. Nursing Standard, 27(15), 52–57. doi:10.7748/ns2012.12.27.15.52.c9485. Retrieved from https://www(dot)researchgate(dot)net/profile/Juanita_Hoe/publication/235369193_Understanding_quantitative_research_part_1/links/00b7d5152ea97eef23000000/Understanding-quantitative-research-part-1.pdf
Note: You will access this article from the Walden Library databases.
Walden University Library. (n.d.-a). Databases A-Z: Find the best library databases for your research. Retrieved September 19, 2018, from https://academicguides(dot)waldenu(dot)edu/az.php
Walden University Library. (n.d.-b). Keyword searching: Finding articles on your topic: Boolean terms. Retrieved September 19, 2018, from http://academicguides(dot)waldenu(dot)edu/library/keyword/boolean
Walden University Library. (n.d.-c). Keyword searching: Finding articles on your topic: Introduction to keyword searching. Retrieved September 19, 2018, from http://academicguides(dot)waldenu(dot)edu/library/keyword/searching-basics
Document: Matrix Worksheet Template (Word document)
Required Media
Centers for Research Quality. (2015a, August 13). Overview of qualitative research methods [Video file]. Retrieved from https://youtu(dot)be/IsAUNs-IoSQ
Centers for Research Quality. (2015b, August 13). Overview of quantitative research methods [Video file]. Retrieved from https://youtu(dot)be/cwU8as9ZNlA
Laureate Education (Producer). (2018). Review of research: Anatomy of a research study [Mutlimedia file]. Baltimore, MD: Author.
Schulich Library McGill. (2017, June 6). Types of reviews [Video file]. Retrieved from https://youtu(dot)be/5Rv9z7Mp4kg
Assignment: Evidence-Based Project
Is there a difference between “common practice” and “best practice”?
When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.
Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.
Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?
In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.
To Prepare:
Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest.
Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.
Part 1: An Introduction to Clinical Inquiry
Create a 4- to 5-slide PowerPoint presentation in which you do the following:
Identify and briefly describe your chosen clinical issue of interest.
Describe how you used keywords to search on your chosen clinical issue of interest.
Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
Provide APA citations of the four peer-reviewed articles you selected.
Part 2: Identifying Research Methodologies
After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:
The full citation of each peer-reviewed article in APA format.
A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.
Nursing Evidence Base Practice: Euthanasia as Clinical Issue
Name
Institutional Affiliation
Nursing Evidence Base Practice: Euthanasia as Clinical Issue
B. Part 2: Identifying Research Methodologies
Berghs, M., de Casterlé, D., & Gastmans, C. (2005). The complexity of nurses' attitudes toward euthanasia: a review of the literature. Journal of Medical Ethics, 31(8), 441-446.
The reason for choosing this peer-reviewed article is because it is published in a reputable journal, and the authors examine the attitude of nurses towards euthanasia. It is evident that numerous ethical issues arise in regards to the reality of euthanasia as well as the complexities associated with the decisions that are made by nurses (Berghs, de Casterle, & Gastmans, 2005). The complexities are associated with the opposing views of euthanasia, with proponents seeking respect for the patient's autonomy while opponents propose the sanctity of life and non-maleficence.
Berghs, de Casterle, and Gastmans (2005), aimed to determine the attitude of nurses towards euthanasia. The authors analyzed different ethical arguments towards euthanasia, and differentiated the reasons given by those who support and oppose this medical procedure. The aim was to identify the needs of different nurses under different circumstances when they are faced with patients who request euthanasia. The article also sought to determine the reasons given by nurses to justify their attitude, the contextual factors influencing their attitudes, and their position on this medical procedure.
The authors of the study used mixed-methods research and the article consisted of thorough and careful analysis of all articles. The authors selected thirty articles and out of these articles, nine were qualitative studies, eighteen were quantitative studies, two literature reviews, and one consisted of anthropological analysis of euthanasia (Berghs, de Casterle, & Gastmans, 2005). The first stage involved quantitative analysis, and the qualitative analysis stage followed it. The third stage involved analyzing factors influencing the formation of opinion in qualitative and quantitative research. The fourth stage involved analysis of comments during the conclusion of quantitative questionnaires and qualitative interviews, and the various needs of nurses that arose (Berghs, de Casterle, & Gastmans, 2005).
The mixed-methods research methodologies were effective in determining the attitude of nurses towards euthanasia (Hoare & Hoe, 2013). The information collected during quantitative questionnaires was later compared with qualitative interviews, and this was essential in clarifying the information that had been presented in the questionnaires (Centers for Research Quality, 2015). Furthermore, analysis of the literature review was essential in determining the collected information resembled already published works.
Norwooda, F., Kimsma, G., & Battin, M. P. (2009). Vulnerability and the ‘slippery slope' at the end-of-life: a qualitative study of euthanasia, general practice and home death in The Netherlands. Family Practice, 26, 472–480.
This peer-reviewed article was selected since it has been published in a credible journal known as the “Journal of Family Practice” by the Oxford University Press. The journal relates to the issue of euthanasia since it examines how the legalization of the euthanasia policy in the Netherlands would result in physicians killing patients against their will (Norwooda, Kimsma, & Battin, 2009). Euthanasia has raised ethical concerns since medical professionals are required to uphold non-maleficence, respect sanctity of life, and abide by the medical code of conduct. Therefore, killing a patient or withholding medication is unethical according to medical standards.
The aim of the study is to analyze the issues surrounding euthanasia practice. Since the Dutch policy has legalized this medical procedure, the scholars sought to examine the risks of this practice against the will of the patient (Norwooda, Kimsma, & Battin, 2009). The aim of the researchers was to focus on vulnerable patients and determine if they are at risk of being unable to decide on end-of-life decisions.
The researchers used a qualitative research method where they observed death cases at home and in general practice across Netherland. In addition to the observations, interviews were conducted on 15 physicians and 650 patients, of whom 192 patients were suffering from life-threatening or terminal diseases (Norwooda, Kimsma, & Battin, 2009).
The research methodology was significant since it enabled the researchers to directly observe and record the prevalence of euthanasia in the country (Hoare & Hoe, 2013). The qualitative method was effective in the collection of data since interviews were conducted on a large sample size that involved both physicians and their patients (Centers for Research Quality, 2...
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