[John-paul]

Welcome to the Week 1 Discussion Post! Here you will submit activities 1 & 2.

Review the PICO Example provided under the resource section. Develop a research question using PICO related to a clinical problem you have experienced. Show your work and provide a brief explanation for why you chose this research question (Maximum 250 words).

Remember to comment on 1-other learner’s post. Examples include, asking a clarifying question, offer a different perspective, share your reflections related to the research question from your nursing experience or learnings from the module.

For activity 2 – you will submit the certificate of completion to the discussion board in week 4

[Jennifer]

Hello everyone,

I hope you enjoyed this weeks readings. Please share your PICO statements followed by your research question and a brief explanation. Example:

P –
I –
C-
O-

Research Question:

Explanation:

Take your time to read and comment on each others posts as each of us bring with us our unique practice experience. The research question you develop today will be revisited at different stages throughout this course. If you have questions, please post them to the discussion board as a fellow learner may be able to answer your question or learn from your question. I will also monitor the discussion board to provide timely feedback.

I hope you enjoyed this week and are ready for Week 2 to learn about the role of theories and frameworks in research.

All the best,

Jen C.

[Linda]

Research F24 – Week 1 – Activity 1
Hello everyone:

I would first like to say how interesting the video presentation and reading materials were. I look forward to diving into this topic and practice!

PICO statement:

P- Diabetic Acute Care Patients (Indigenous group) on a diabetic diet.
I- Restrict food to diabetic patient outside diet parameters.
C- Permit food to diabetic patient outside diet parameters.
O- Stability in overall health and discharge from hospital in shorter timeframe, patient education, cost efficiency.

Research Question:

How can we most assist a diabetic Indigenous person improve/maintain their blood sugar levels in hospital with cultural competence.

Explanation:
I have experienced working in an acute setting with Indigenous peoples diagnosed with post operative conditions complicated by diabetes for example, infection. It is understood that diabetes is predominant in this group and is difficult to regulate. Within the Indigenous cultural practices, food is a means of healing of mind, body and spirit. It abates insecurity and promotes a connection to the earth.
In these experiences, our patients are on a diabetic diet. Portion controlled and low carb. We also provide snacks twice daily.
Our patients are visited by family who out of kindness bring them take out McDonald’s full meal, Tim Hortons ice caps and Timbits, subway, chocolate bars and soda.
As a nurse, I have provided education to my patients and their families about healthy options but without a policy, no can change occurs.

[Maame]

Good evening Linda,

Your research question is a very good question to ask, knowing that you are dealing with a particular demographic of people and how cultural competence maintenance is important. A example of cultural competence from my nursing experience is when a new admission resident who was Muslim family expressed not having a male caregiver take care of her due to religious purposes. As the unit nurse on the floor it was my duty to make any male PSWs aware of the resident’s wishes and respecting that and making the necessary adjustments to the assignments’. It’s always important as a nurse to respect your patients/clients values and beliefs because we all come from diffewrent backgrounds in which should be respected.

[Jennifer]

Hello Linda,

Happy to hear that you found week 1 interesting and helpful. Very well done on your PICO statement and research question.

To strengthen your research question it might be helpful to narrow your question to help solve one area of a larger problem. Below are some examples to consider:

– What nursing interventions or resources best support Indigenous people with diabetes to improve
or maintain the blood glucose levels?
– What are the most effective nursing health teaching strategies for improving and maintaining blood
glucose levels for indigenous people with type 2 diabetes?
– What are the most effective nursing health teaching interventions to assist indigenous peoples
newly diagnosed with type 2 diabetes to manage their blood glucose levels in an acute care hospital
setting.

I look forward to learning more about this area of nursing research and patient care as you continue along your learning journey in research.

Jen C.

[Rachel]

Hi Linda,

This is such an important question to be asking. I am learning about cultural competence and cultural safety as a practical nursing student and it seems to be a fairly nuanced topic. Not only that, but food has many cultural and emotional ties to it. I like that you mentioned food is a means of healing mind, body, and spirit and promotes a connection with the earth. Perhaps considering food in this context and exploring more information about it will help to tailor patient education and potentially create new policies in your setting that benefit the patient and patient families.

I am eager to see how your research develops throughout this course.

Rachel L.

[Maame]

Hello everyone,

Hope all is doing well.

P- older adults in long -term care homes
I- voiding schedule, changes in diet
C-
O- reduction of skin breakdown, reponsive behaviors and falls.

Research question: What interventions can nurses implement in ensuring reduction of incontinence episodes amongst older adults living in long-term care homes?

Explanation: I currently work in LTC with older adults on night shift, as a nurse it’s imperative for me to do my care rounds. Care rounds includes: ensuring resident’s safety , providing care in bed and also tolieting mobile residents. From my experience the residents’ are able to sleep better when voiding scheduled is implemented , and the risk of skin breakdown due to prolong soiled brief is low. When a well- balanced diet is implemented in the resident’s regimen helps with the prevention of contispation. In addition, by completing care rounds can reduce responsive behaviors / falls especially if the resident isn’t able to articulate their needs.

[Jennifer]

Hello Maame,

Very well done with your PICO statement and research question! I look forward to following along your learning journey in research to explore reduction of incontinence episodes amongst older adults in LTC.

A minor note – Research findings may not be able to ‘ensure’ reduction of incontinence episodes. I may suggest using an alternate word such as ‘promote’ reduction …

By reading about your experience – a future research study may to explore the impact of voiding schedules on sleep quality for older adults in long-term care. Something to consider as you continue throughout this course.

Jen C.

[Oghenefegor]

Hello Maame,
Greetings. It was nice reading your post. Like Linda, I can also relate to your PICO and to your research question. While working at a Transition Care Unit some years ago, certain clients expressed dissatisfaction about their sleep being disrupted due to night time incontinence rounds. Some of these clients eventually declined for brief changes and repositioning by the night shift staff. The outcome was the occurrence of skin breakdown and the onset of pressure injuries. Your research question could help to offer some insight as to how the healthcare team can collaborate to find person-centered interventions that could offer a balance between sleep and elimination patterns in older adults in Long-Term Care.

[Linda]

Hello Maame:

I can relate to your PICO and research question. I enjoyed reading your post.
Not only is this relevent to LTC patients/residents but also in all sectors of hands on health care like hospitals and home care.
In my experience in hospitals, LTC and also home care, a consistant routine is essential for overall health maintenance and the patient/client/resident safety and security.
In addition to your question, I feel that getting a good background of the resident’s life lived prior to admission to LTC is essential for accomplishing your research results. For example, if a resdient has a history of working night shifts prior to retirment or is living with alzheimer’s or dementia, they do at times revert to past schedules. That is one factor that can contribute to caregiver burnouts.
We had a resident who worked night shifts as a nurse. She was up most nights and slept mostly in the daytime.
Making accommodations with this resident’s schedule, giving her meanial tasks when she was up and about gave her a sense of acomplishement, feeling part of the team. This made the overall routine goals more acheivable when it came to continence, fall risks and sleep patterns.

[Rachel]

P – people diagnosed with dementia
I – unsure
C –
O – reduce fear of water while conducting personal care

Research Question: What nursing interventions can be implemented to reduce the fear of water while assisting with personal care for people diagnosed with dementia?

Explanation:

Though my clinical experience is limited, I did notice a pattern on a placement that I am curious to know more about. I worked with residents who each had a diagnosis of dementia and I noticed that many if not all of the residents were terrified of any personal care that involved water. The patients would scream and become very scared at the idea of being in the shower or even performing peri-care with a damp cloth. The patients would sometimes kick and punch and become uneasy on their feet when attempting to assist with showering. These individuals seemed very fearful of the water and I would like to know more information about why that is. If I can learn more about why someone with dementia would be so scared of water, then I could possibly provide more successful and peaceful personal care to this population. I may also be able to create a method of assisting with showering that will keep both the resident and the carer/PSW/nurse safer.

[Jennifer]

Hi Rachel,

Your area of research inquiry brings forward a valuable observation and area where nurses can make a different for people living with dementia. This is a big topic, that can be explored in many different ways. It will be helpful to spend a little more time on revising and narrowing your research question on the topic you wish to explore/address during this course.

The PICO framework can help you narrow your ideas into a specific question that you will explore throughout this course. Refer to PICO examples from this weeks reading. Below are some additional items to consider to help you refine your PICO statements and narrow your research question.

P = People with dementia is a wide topic. Is there a particular population or dementia that you would like to know more about? (e.g., older adults with dementia OR people with early onset dementia OR people with frontotemporal dementia)

I = what is the main intervention, factor or exposure you are considering that may lead to a fear of water? (e.g., personal care, nursing intervention, nursing communication, noise)

C – Would it be helpful for your research to compare items such as alternative treatments. (e.g., music therapy, lighting, air temperature)

O = Reduce fear of water is an outcome. Do we know that people are exhibiting fearful behaviour when exposed to water? Could their responsive behaviours indicate pain, discomfort or other factors?

Happy to communicate via email if you have questions or would like to share some of your ideas.

Keep up the good work!

Jen C.

[Oghenefegor]

P – Older adults
I – Short periods of compassion-based responsive behaviors by non-family member caregivers
C – ——
O- Help support mental wellness in older adults residing in LTC.

Research Question: How can short periods of compassion-based responsive behaviors by non-family member caregivers help support mental wellness in older adults residing in LTC?

Explanation: The various life changes associated with older adulthood has a very high likelihood of impacting the mental health and wellness of older adults, especially those living in Long Term Care (LTC). This makes it of utmost importance for non-family member healthcare caregivers to be sensitive and compassionate in how they respond to older adults in the LTC environment. More often than not, the very busy and fast-paced nature of the LTC environment could make this seem impossible. However, research shows that it takes just about 56 seconds to make a connection with another. Taking it a step further, what if this short period is compassion-based? Could this help to support older adults in LTC live happier days? This is the foundation of my research question.

[Author]

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