Preview

The Livedqualitative Research : Critique . Experience of Having a Chronic Wound

Powerful Essays
Open Document
Open Document
2092 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
The Livedqualitative Research : Critique . Experience of Having a Chronic Wound
Running head: QUALITATIVE RESEARCH CRITIQUE

Qualitative Research Critique
The Lived Experience of Having a Chronic Wound: A Phenomenologic Study
Katelyn Adams
Nursing Theory and Research 390
October 12, 2006

Running head: QUALITATIVE RESEARCH CRITIQUE
Problem Statement: In my qualitative evaluation of The Lived Experience of Having a Chronic Wound: A Phenomenologic Study, written by Janice Beitz and Earl Goldberg (2005), I found that the need or rationale for this particular study, as do most qualitative research papers, focused on how or what, as opposed to quantitative studies that focus on asking why? The problem statement is: “Approximately 2 million people have venous ulcers. In addition, between 1 and 2 million diabetics have neuropathic foot ulcers. In total, venous, arterial and neuropathic ulcers may affect as many as 5 million older Americans. Consequently, the need to investigate the chronic wound experience has become even more compelling. Given the projected increase in the number of elders, and individuals with diabetes health care provider need to understand the chronic wound experience” (p.51-52). Purpose: The primary purpose of this phenomenologic study is to explore and describe the patient’s experience of living with a chronic nonhealing wound. The secondary purpose is to provide knowledge and understanding of the experience for health care providers (Beitz & Goldberg, 2005). Both purposes of the study were clearly articulated. Research Question(s): The research questions that were explored and investigated by Beitz and Goldberg’s study (2005) included: “What is the experience living with a chronic, nonhealing wound like?” and “What are the meanings and essences of the phenomenon” (p.52)? Study Framework: “Phenomenology has been described as the study of essences, a philosophy that puts essences back into existence (Bruns & Grove, 2001). It is also



References: Beitz, J. & Goldberg, E. (2005). The lived experience of having a chronic wound: A phenomenologic study.  Medsurg Nursing, 14 (1), 51-60. Burns, N. & Grove, S. (2001).  The practice of nursing research (4th ed.). Philadelphia: Saunders. Burns, N. & Grove, S. (2003).  Understanding nursing research (3rd ed.). Philadelphia: Saunders. Colaizzi, P. (1978). Existential phenomenological alternatives for psychology. New York: Oxford University Press. Melnyk, B. & Fineout-Overholt, E. (2005). Evidence-based practice in nursing and healthcare. Philadelphia: Lippincott Williams & Wilkins.

You May Also Find These Documents Helpful

  • Powerful Essays

    It is very much important to measure the length, width, and depth of the wound once in every 24 hours. It is important to assess for presence of odor, signs of excessive wound drainage, and number of gauzes saturated (Potter & Perry, 2013, p. 1204) 2. A head-to-toe skin assessment is done per institutional policy on a daily basis. At the most recent assessment of Mrs. Stein's skin, redness was noted over the sacral area; on direct examination, a small area of denuded tissue was noted. The area was assessed and was found to have minimal depth and a red, moist base.…

    • 1271 Words
    • 6 Pages
    Powerful Essays
  • Better Essays

    Inclusion criteria were addressed by a physician or resident that included assessing for complexity of laceration, location on the body, and if it had occurred within 3 hours from patient’s arrival. A signed a consent was obtained and data was collected through completion of a checklist noting the patient’s age, sex, site of laceration, type of injury, time of injury, time of injury from the time of repair, and technique of repair. The patient was given a self-addressed, pre-stamped envelope that was to be completed by the physician who took the sutures out. This physician filled out an explicit questionnaire using specific guidelines on wound assessment (pus, erythema, fever,) their clinical impressions (infection vs. no infection), and their management plan (topical/oral/IV antibiotic use, or need for referral to wound specialist). The follow up physician was unaware of which gloves were used in initial repair of the wound. The returned questionnaires where coded to collate with the initial assessment…

    • 1070 Words
    • 5 Pages
    Better Essays
  • Best Essays

    Holistic Practitioner 2

    • 3345 Words
    • 14 Pages

    Byrne, O. and Kelly, M. (2010), Living with a Chronic Leg Ulcer Journal of community nursing, Vol. 24, No. 5, pp. 46-54…

    • 3345 Words
    • 14 Pages
    Best Essays
  • Good Essays

    For healing to occur there have to be fours processes active to see through that the process is met. Hemostasis, inflammation, proliferation, and remodeling have to happen at a specific way following each other in a time sequence. These are the factors that might prevent the proper process of wound healing oxygenation, infection, age and sex hormones, stress, diabetes, obesity, medications, alcoholism, smoking, and nutrition. Studies have been done and are still being done on how to improve and prevent these factors from interfering with the normal healing process. The best way scientists have discovered is to use therapeutics to help promote the healing process in these conditions. I work as a CAN as a behavioral unit, which mostly consist of senior with behavior difficulties as well as a medical condition. Most of these patients are bed and wheelchair bound, so prevent pressure sore or ulcers, wounds is a hung part of my job as well. Some of the things we do to prevent these wounds are applying skin protectant ointment on the bottom every time they get changed, making sure all soiled brief and clothing are removed from them every two hours, repositioning every two hour, and transferring from their bed to wheelchair and to the couch to prevent pressure. I believe other healthcare settings use the same or perhaps slightly different approach on preventing the cost of trying to heal a…

    • 644 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    The answer I chose for this question is “secondary healing”. I chose this answer because secondary because the wound is left open. The correct answer…

    • 382 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Diabetic Foot Ulcers

    • 695 Words
    • 3 Pages

    Nursing practice is always changing with new research findings. Nurses have to use current evidence-based practice methods available to ensure that the patients receive quality care through best practices. This research paper will review a growing problem in today’s healthcare field that needs to be addressed: Diabetic foot ulcers. To ensure quality patient care, current evidence based research has to be an important part of this process. With every new research proposal, a solid foundation has to be the basis for that specific research. This paper will discuss why diabetic foot ulcers are a growing problem in healthcare, methods used to improve outcomes (negative pressure wound therapy versus moist wound therapy),…

    • 695 Words
    • 3 Pages
    Good Essays
  • Good Essays

    The NPUAP website has the ability to be a good start for clinicians in the battle of the bedsore. Sullivan & Schoells, (2013) further credit the information given by the NPUAP by stating, “guidance provided by such organizations as the Institute for Healthcare Improvement, National Pressure Ulcer Advisory Panel, and AHRQ has resulted in successful implementation of bundled evidence-based practices throughout the United States.” It is clear that the information on the NPUAP website is not only valid, but it is based on best practice and is evidence based. Nurses dealing with patients that are susceptible to pressure ulcers are doing themselves and their patients an injustice by not utilizing the tools that the site has to offer. Nurse educators, and wound nurses will find this site especially valuable and would be able to change practices and policies if needed based on the information the site provides. Another nice feature of the site (especially for the busy consumer researching medical information) is the link to Medline and the description it gives of the usefulness of evidence based…

    • 957 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Pain can be a deep scrape in the knee on the gravel, or a growing black rose at the base of the heart. In a sense, however, they differ by a lifetime; a wound eventually closes and smoothes out, whereas as time goes on, the depression tears the body from inside out, darkening the senses,…

    • 905 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Evaluating dressings

    • 1565 Words
    • 5 Pages

    Chronic wounds, such as pressure ulcers, diabetic foot ulcers and venous leg ulcers, constitute an internationally recognised medical condition, affecting millions annually (Keogh, Nelson, Webster, Jolly, Ullman, & Chaboyer, 2013). Currently, healthcare systems are seeking out effective treatment options, such as hydrocolloid dressings, to promote healing of chronic wounds. The application of hydrocolloid dressing has been compared with other dressing types in recent literature to determine the most effective treatment for chronic wounds .Recent literature has indicated to an extent hydrocolloid dressing promotes wound area reduction however; its cost effectiveness remains unknown due to conflicting evidence. Therefore, this essay will discuss five relevant literatures to evaluate clinical effectiveness of hydrocolloid dressings in comparison to other treatments for chronic wounds. Parameters including wound healing effectiveness, dressing performance and cost effectiveness of five multicentre, randomised controlled and comparative studies will be analysed in reference to wound area reduction.…

    • 1565 Words
    • 5 Pages
    Better Essays
  • Better Essays

    Mrs. MH is a 72 year old woman who has a primary diagnosis of Diabetes Mellitus Type II. Her secondary diagnosis and the reason why she was referred to Hackensack home health agency was a non-healing wound on the second toe of her right foot. Upon assessment of the patient, current health needs which were identified pertain to wound care, nutrition, and proper management of Diabetes through compliance with insulin treatment, and knowledge on prevention of hypoglycemic and hyperglycemic episodes. The current plan of care for Mrs. MH and the visit skill relate to wound care and Diabetes self-management.…

    • 1660 Words
    • 7 Pages
    Better Essays
  • Powerful Essays

    Chronic Care Assignment

    • 1005 Words
    • 5 Pages

    There are instances where an acute condition can become a chronic condition an example of this would be a skin tear on the foot of a diabetic patient. Due to a patient’s co-morbidity of diabetes and the associated issues, healing time is lengthened, therefore it becomes a chronic condition that can involve treating a possible infection, and complex wound management, diabetic management, and review of nutrition…

    • 1005 Words
    • 5 Pages
    Powerful Essays
  • Good Essays

    The results of Kiecolt-Glaser’s research showed that the carer’s wounds took 9 days longer to heal than the volunteers matched to them. Their Cytokine levels were lower and the stress scales showed they were the most stressed.…

    • 510 Words
    • 3 Pages
    Good Essays
  • Better Essays

    4) U.S. National Library of Medicine. National Institutes of Health. Binding Wounds Pushing Boundaries. 2010. Print.…

    • 1962 Words
    • 8 Pages
    Better Essays
  • Best Essays

    research paper - critique

    • 2714 Words
    • 11 Pages

    Holloway, I, Wheeler, S (2010) qualitative research in nursing and healthcare 3rd ed. Blackwell publishing: Oxford…

    • 2714 Words
    • 11 Pages
    Best Essays
  • Best Essays

    References: Adler, Patricia and Peter Adler (2011) The tender cut: inside the hidden world of self-injury. New York: New York University Press.…

    • 2709 Words
    • 11 Pages
    Best Essays