[Sharon]

Theory and Framework Reflection (Maximum 250 words)

Pick a framework or theory discussed in this course. Write a discussion post on how your research problem fits into that framework? Why did you pick this framework or theory? How might this framework help answer your research problem?

Part 2: Comment on one of your peer’s posts. (Maximum 250 words) • Ask a clarifying question • Offer a different perspective • Share your reflections or describe how your experiences relate to the theory or framework.

[Jennifer]

I feel like our research could fall under any of these categories, I ultimately decided on
Mixed Theory – Registered Practical Nurses’ Knowledge and experience with post stroke Spasticity in long term care
I feel we fit this theory because our research is exploratory, we are not sure what kind of end results we will have.

Why did you pick this framework or theory?
Determination Theory- R/t understanding the relationship between stroke and spasticity, Novice to Expert Theory is a systematic way of understanding how a learner whether a student, new or seasoned nurse develops skills and understanding of a practice situation/event over time, making this a relevant theory to our research project.
Process theory – Knowlege to action framework, understanding the experience and knowledge that RPN have in this field of research
Evaluation theory – used to assess and evaluate RPN’s Knowledge and experience with post stroke spasticity in long term care.

How might this framework help answer your research problem?
Making and implementing a plan to advance this knowledge skill and judgment in regards to spasticity post stroke in long term care. Being able to understand and explore the options on how many people are affected with spasticity, Misinformation of contractures/spasticity being “normal” in the elderly and giving people a better understanding of options and treatments,

[Jennifer]

Hi Jennifer,

I like how you embedded your research fellowship into your learning module. Of these theories which ONE is most suited to help address your research question? You can reflect on either your fellowship research or the research question you developed in module 1.

Jen C.

[Jennifer]

Determination Theory
The Novice to Expert Model
This theory is a practical way to look at how RPNs’ skills and knowledge advance over time. By using this theory it can help in identify training needs, additionally supporting RPNs at different stages. Furthermore improve patient care by ensuring that each nurse has the right resources and support as they grow in their role.

[Oghenefegor]

Research Question: How Can Short Periods of Compassion-based Responsive Behaviors by Caregivers help Mitigate Depression Rates Among Older Adults?
My research question focuses on mitigating depression rates among older adults. The Coming Back to Existence Model by Lotfi et al., (2020) best fits my research problem. According to Lotfi et al., 2020, the coming back to existence model seeks to improve the level of inner satisfaction of the individual in all dimensions. Hence, my reason for choosing this framework. Depression is a deep-rooted problem that can impact an older adult multi-dimensionally including mentally, emotionally, psychologically, spiritually and physically. Research shows this clearly. I have also seen this multi-dimensonal impact of depression on older adults as a bedside nurse.
The Coming Back to Existence Caring Model might help answer my research problem because of its vector approach that addresses all aspects of my research question by drawing upon the foundational principle of the nursing process.
Reference
Lotfi, M., Zamanzadeh, V., Khodayari‐Zarnaq, R., & Mobasseri, K. (2021). Nursing process from theory to practice: Evidence from the implementation of “Coming back to existence caring model” in burn wards. Nursing Open, 8(5), 2794–2800. https://doi.org/10.1002/nop2.856

[Jennifer]

It might be useful to compare the Coming Back to Existence Model with other frameworks, such as the Biopsychosocial Model or the Person-Centered Care Model, to explore if and how different models complement each other.

[Attila]

Oghenefegor,

The focus on compassion-based responsive behaviors by caregivers to mitigate depression rates among older adults is both timely and relevant. You selected The Coming Back to Existence Model by Lotfi is a good fit for your research problem. Your choice to use this framework is well-justified, because it is comprehensive. It is always great to hear from someone who has firsthand experience, because it adds a valuable perspective to this research, highlighting the real-world implications of the problem. With that you close the gap I see between research and daily nursing practice.

Your discussion post is clearly articulates the rationale behind your research question and chosen framework.

[Attila]

To find an answer to my research question, “In people with dementia, do specialized nurse training programs compared to standard care improve pain management?” I selected the human factors research framework.
This framework focuses on understanding the interactions between humans and other elements of a system. Using this framework, I can analyze how the healthcare environment affects the ability of nurses to manage pain in dementia patients. I will include relevant factors like workflow, communication, and the physical layout of the care setting. I also need to evaluate the effectiveness of specialized training programs by examining how well these programs prepare nurses to recognize and manage pain in dementia patients compared to standard care. This framework can also include how nurses interact with tools and technologies designed for pain management and how these interactions impact patient outcomes. When comparing the standard and specialized training programs, I will look into how those programs are designed with the needs of dementia patients in mind, considering their unique challenges in communicating pain.

[Oghenefegor]

Hello Attila,
It is indeed insightful as to how the human factors research framework sheds light on such an important topic. Although most often overlooked, it is crucial to understand how subtle factors like workflow, communication, and the physical layout of the care setting in a healthcare environment can impact the ability of nurses to manage pain in patients living with dementia. This is as these factors could directly or indirectly affect the quality, timeliness, efficacy and effectiveness of pain management in these patients.

Oghenefegor U.

[Author]

Posts