question archive Importance of Nursing Care for Bedridden Patients Name Institution NUR4100: Research and Evidence Based Practice Professor’s Name Assignment Due Date Importance of Nursing Care for Bedridden Patients Background Nurses assume a significant role in caring for bedridden patients and preventing the complications that arise from the condition
Importance of Nursing Care for Bedridden Patients Name Institution NUR4100: Research and Evidence Based Practice Professor’s Name Assignment Due Date Importance of Nursing Care for Bedridden Patients Background Nurses assume a significant role in caring for bedridden patients and preventing the complications that arise from the condition
Subject:NursingPrice: Bought3
Importance of Nursing Care for Bedridden Patients
Name
Institution
NUR4100: Research and Evidence Based Practice
Professor’s Name
Assignment Due Date
Importance of Nursing Care for Bedridden Patients
Background
Nurses assume a significant role in caring for bedridden patients and preventing the complications that arise from the condition. Bedridden patients require full-time care that is achieved through teamwork between health providers and the patient’s family and friends. These patients include patients using walkers, those with dementia and require assistance getting in and out of bed, patients who need to be repositioned in bed frequently, and patients receiving hospice care (Li et al., 2019). Nurses require a caring plan of operation that outlines how to deliver care. The plan of operation outlines the training procedure for new staff, the patient’s meal and fluid intake, the procedure for operating assistive devices, and staff schedules. The bedridden status among patients is becoming a common phenomenon leading to diverse complications.
Some common complications arising from being bedridden are caused by organ degeneration. These include constipation, pressure ulcer, pneumonia, and deep vein thrombosis. These conditions are cumulatively referred to as immobility complications (Li et al., 2019). According to research studies, the incidence of the conditions occurring conjointly is high. Statistics indicate the prevalence of pneumonia among bedridden patients was 14.4% compared to 1.3% for other patients (Li et al., 2019). These complications occur frequently among patients who have been bedridden for more than 7 months. Immobility complications have negative consequences such as reducing the patient’s quality of life and imposing a burden on society. Nurses are important because they can use their knowledge and skills to manage complications.
Nurses are required to have positive attitudes and patience to effectively care for bedridden patients. Knowledge also allows nurses to identify complications early, assess the impact of the complications, and suggest intervention methods. Li et al. (2018) found that inadequate knowledge among nurses was related to an increased incidence of immobility complications. Further, nonadherence to evidence-based guidelines also increased various complications. Nurses with negative attitudes towards caring for bedridden patients were not equipped to assume important roles.
Research questions
The research study sought to address the following question: In bedridden patients, is there evidence that suggests nursing care has a favorable influence on avoiding the complications that usually appear in them for this condition? The research question addressed the impact nurses have on preventing complications that arise among bedridden patients. Further, the study sought to explore the relationship between nurse’s knowledge and cognition and the incidences of complications among patients. The researchers also investigated the correlation between resources available for quality nursing care and bedridden issues in different healthcare settings.
Theoretical Framework
The theoretical framework that applies to the research study is Watson’s Philosophy of Science and Caring. Watson’s main idea was the human being, health, environment, and nursing are the main concepts in nursing (Brandão et al., 2019). The nursing practice should promote health, reduce illness, care for ailing people and renew health. The theory prioritizes the promotion of health and management of disease and illness. It assumes that care should result in the satisfaction of a human need, nursing care should promote the health of an individual and the family, a nurse should accept the patient’s present and future state and the nurse should allow the patient to choose interventions they’re comfortable with (Brandão et al., 2019). The study incorporated the theory’s assumptions by demonstrating the importance of nurses in reducing immobility complications among bedridden patients. The research study revealed that nurses are instrumental in meeting the patient’s needs and promoting the health of the bedridden patient and their family. Evidence-based research affirms that the incidence of complications is low and quality care is delivered when the nurse establishes a relationship with the patient. Compassion and warmth are also vital factors during the provision of care.
Research Design
The research study adopted the cross-sectional study design whereby data was gathered nationwide to examine the prevalence of bedridden complications and a nurse’s role in managing the complications. The cross-sectional study design is observational and requires a researcher to measure the exposure to phenomena and the results. The advantage of the study design is its cheap nature and the ability to conduct research faster (Kesmodel, 2018). The researchers observed the relationship between different variables identified in the study. An inclusion and exclusion criteria were used to recruit participants and study outcomes were examined at the same time. The research was conducted in various geographical regions for credibility and reliability. During the research study, the investigators collected data from nurses in different departments such as general medicine, neurosurgery, intensive care, and orthopedics.
Sampling Techniques
The sample selected for research was diverse and consisted of hospitals in different regions. Every hospital selected for the study had different numbers of nurses working in the departments. Sampling was carried out in different stages whereby participants were grouped based on the criteria they met. The investigators chose wards with a significant number of patients for the study. The inclusion criteria for the participants were bedridden patients over 18 years, patients who were bedridden for more than 24 hours and understood the purpose of the research study (Li et al., 2018). Nurses selected to participate in the research were required to be registered professional nurses with at least one year of experience, working in hospital wards with bedridden patients, and aware of the purpose of research. Before data collection, consent forms were signed by nurses and patients.
Data Collection
Data collection tools used by the researchers included surveys and questionnaires. Nurses were administered with self-report questionnaires and asked to fill them out separately. To ensure they did not discuss among themselves, invigilators were employed to supervise and ascertain the responses were not similar (Li et al., 2018). The results from the survey did not affect the nurse's performance appraisal. Data from the patients were collected after the nurse’s survey. Patient surveys were performed by nurses selected by the investigators. Information was gathered using a case report form. Before data was collected, the researchers were trained on completing the case report form to guide patients and grantee accurate results. Further, patients were observed throughout the process but eliminated from the study if they died or when treatment was interrupted.
The researchers collected data on available nursing resources, the prevalence of immobility complications in different wards, and patient attributes (Wu et al., 2018). The questionnaires were used to measure nurse's knowledge and attitude towards caring for a bedridden patient. Socio-demographic data such as gender, education, and employment status were gathered. The main themes examined were causes and development, risk assessment, and the prevention of complications. Similarly, patient's medical information and demographic characteristics were collected. Immobility complications such as pneumonia and pressure ulcers were measured using available medical records.
Research Findings
Findings indicated there was a correlation between nurse education and experience, quality of care provided, and the presence of bedridden complications. The study found that hospitals with enough staff and experienced nurses had reduced incidences. A positive attitude towards patients and sufficient knowledge ensured that nurses provided quality care thereby reducing the presence of complications (Li et al., 2018). Nurses were assessed through an examination of the causes and development of immobility complications, evaluating a patient, and strategies implemented to prevent them from occurring. Nurses with bachelor’s degrees had little knowledge and did not provide quality care. Incidences of complications were high in hospital wards managed by nurses with bachelor’s degrees. Although the nursing curriculum was focused on training nurses extensively about caring for bedridden patients, it was not enough to equip nurses with skills to reduce the incidence of pneumonia, pressure ulcers, and deep vein thrombosis.
The research studies examined attitudes such as competency, prevention precedence, responsibility to the patient, and confidence in the strategies employed in the care environment. Many nurses had positive attitudes while caring for the patients that balanced the lack of knowledge. Nurses were keen to look out for pressure ulcers and maintained a positive attitude while treating the patients (Li et al., 2018). Positive attitudes were attributed to nursing school’s focus on identifying and preventing pressure ulcers.
The investigator's goal was to address gaps in research concerning the relationship between resources, nursing care, and the frequency of immobility complications in hospital wards. The study was also focused on comprehending the role of knowledge and attitude on the care provided. The desired health outcome of the findings was reduced complications arising among patients. The findings should be used by nursing managers to increase nursing knowledge, guide future evidence-based research and improve the patient's quality of life during the hospitalization period.
