Assignments

Paper one: Critiquing Data Collection Methodologies

Critique five research studies that focused on care of the patient population that you choose in microsystems. You will need to read five studies and provide a critique of the validity of the psychometric instrument that was used for data collection, the method that was used to deliver the instrument, and the measures that were taken to ensure accuracy, reliability, and freedom from bias. This paper should be 2-4 pages in length. Refer to this guide on how to prepare an annotated bibliography.

Case Study: Ladder of Influence

Mia is the oldest of six children from a two-parent family. She was diagnosed with osteosarcoma of the left leg and was experiencing intractable pain. She received her diagnosis at 15 years of age under the care of a pediatric oncologist at a local hospital. Mia underwent months of radiation and intensive chemotherapy. Mia's community nursing team was struggling to meet her needs and referred her for palliative care services through a local home care agency.

Her parents had a complex history of substance abuse and domestic violence, and Mia had a difficult relationship with both, although recently she has become close to her mother who has attended most of her chemotherapy treatments.

During one episode of severe uncontrolled pain which required that Mia be transferred by ambulance to the emergency department, she noticed all of the nurses except for one being attentive and kind. Mia overheard the nurse saying:

"I don't know why her parents bring her here... We can't meet her needs and we are short-staffed..."

The conversation Mia overheard was incomplete, which left her to draw her own conclusions. The whispering nurse was actually the charge nurse who was in the midst of planning staffing for a pending snowstorm. Her complete statement is as follows:

"I don't know why her parents bring her here. The home care nurses should be addressing pain management issues with her oncologist in a more timely manner so that Mia can remain in her home for treatment. If we had available resources to address Mia's pain, we could plan to make her stays in the emergency room more comfortable. I wish that we could meet her needs better and in a timelier manner. I feel frustrated that once again we can't meet her needs more effectively. We are short-staffed, and that shortchanges Mia."

Upon Mia's mother's return to the bedside, Mia begs her to take her home, even though the pain medication has had little effect in relieving her pain. Throughout the ride home, Mia becomes increasingly sullen and tells her mother she doesn't ever want to go back to the emergency room for care.

Using the Ladder of Inference Worksheet (Nelson text, page 300), fill in the information on Mia's Ladder of Inference. Here is the login to access the worksheet above (the link- https://mbsdirect.vitalsource.com/#/books/9780470385340/cfi/338!/4/[email protected]:0.00)

This should be at least 2-4 pages long not including the title or reference page using the Ladder of Inference Worksheet