Discussion: Trends in Maternal Mortality Article Essay

Discussion: Trends in Maternal Mortality Article Essay ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Discussion: Trends in Maternal Mortality Article Essay I’m studying for my Nursing class and don’t understand how to answer this. Can you help me study? Discussion: Trends in Maternal Mortality Article Essay use the article link provide below to answer questions on Article Critique Assignment(in uploaded file)I uploaded rubrics and I also uploaded a sample of what I want. Look at the simple qualitative article I uploaded then you will know how to write yours. 8pages or 9.APA format https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5400697/ critique_assignment_for_doris.pdf qualitative_literature_review__rubrics.docx sample_qualitative_article_critique___paper_1.docx understanding_nursing_re Qualitative Article Critique Introduction There is a significant increase in the nursing shortage here in America and the number is only getting higher. The qualitative research study that was critiqued for the purpose of this paper discussed the reasons for this issue. A phenomenological research method was used to investigate the factors that had an impact on the registered nurses’ decisions to leave the practice, therefore causing a larger nursing shortage in the healthcare field. The investigation yielded results that were consistent with the conceptualizations of the researchers. Discussion: Trends in Maternal Mortality Article Essay Phenomenon of Interest The phenomenon of interest is clearly identified throughout the article as the registered nurses’ decisions to either leave the clinical setting or to leave the field of nursing in general. The underlying problem and reason for the study to be conducted was due to the continuous increase in the shortage of nurses in the clinical field. This shortage is partly because not enough people are going in to the profession in the first place and partly because those that do enter the profession, end up leaving shortly after for whatever reason. The researcher has identified that this phenomenon of interest requires a qualitative format due to the method that was required in order for them to collect their desired data accurately. ” Because the focus of the research is related to the perceptions of the RNs, and because no definitive research exists about this phenomenon, an interpretive, qualitative study was deemed appropriate” ( MacKusik & Minick, 2010). The qualitative format was the best format to approach this topic with because of the nature of the desired information. The philosophical underpinnings of the research was not identified but the reader can infer that the researchers’ philosophy is based on improving the factors identified that cause nurses to leave clinical practice so that the nursing shortage can be reduced and more competent nurses are available on hospital units to provide quality care. Purpose The researcher has defined the purpose of conducting the research clearly in the beginning of the article. They began by stating statistics regarding the future of nursing and how the shortage of nurses at the bedside is projected to increase in just 10 years. The researchers went on to describe how the shortage of nurses is attributed things such as job dissatisfaction, difference in salaries to other professions and uncomfortable working environments. They stated that although research has been done to figure out what possible factors could contribute to the shortage, none of them have been directed towards nurses that have been through it and left the field because of it. The purpose of the study is ” to identify the factors or reasons that influenced the decision of the registered nurses to leave clinical nursing practice (MacKusik & Minick, 2010). This study is significant to nursing because investigating the reasons that nurses leave the clinical setting will help nursing leaders and supervisors know what to look out for when bringing new nurses to the unit and how to help them adjust to the job. It will allow for them to increase their retention rate by preventing the problems described by former nurses from happening again. Method The method used to collect the data and the approach that guided the inquiry was semi-structured interviews done with former nurses in the setting of their choice. Burns and Grove define a semi-structured interview as a fixed set of questions with no fixed responses ( Burns & Grove, 2011). There were a list of questions that were asked during the interview and the former nurses were to answer based on their perspective of their experience. This method is compatible with the purpose of the research because it accurately determines the perceptions of the former nurses’ experiences through their responses to the listed questions. This method is also adequate enough to address the phenomenon of interest because through interviews, the researchers are able to understand the reasons why the participants felt that leaving the clinical practice was the only solution. It allows for the correct data to be obtained in order to further investigate the phenomenon of interest and assess for possible solutions. Discussion: Trends in Maternal Mortality Article Essay Sampling Sampling is defined as the process of selecting subjects who are representative of the population being studied (Burns & Grove, 2011). The researcher identifies the target and accessible population to be nurses working in the clinical setting or ” directly working with the patient” (MacKusik & Minick, 2010). Although it is not clearly stated that this is the target population, the researcher shows that the nursing shortage is the phenomenon of interest and that through this study, nurses will obtain improved strategies for retaining their nurses on their unit. This infers to the reader that the target population is indeed nurses, specifically being nurses that work on units in clinical settings in which there is a shortage. The sampling method used in this study was purposive sampling. Purposive sampling is when the researcher consciously selects certain participants, elements, events, or incidents to include in the study. The ultimate goal in this method is to choose the information rich participants from which they can obtain in-depth information needed for their studies (Burns & Grove, 2011). In this article, the researchers described how they contacted current nurses to help them to find nurses that were once in practice but not anymore. This displays the purposive sampling method because they selectively chose their participants based on their employment status and history. Recruitment was done through the snowballing technique where currently practicing RNs at various hospitals were contacted and asked if they knew nurses who were no longer in clinical practice (MacKusik & Minick, 2010). The inclusion criteria for the sample included that the nurse had to be licensed and have had no less than 1 year of clinical practice experience. They also had to have had no clinical practice in the 6 months prior to the study ( MacKusik & Minick, 2010). The researcher also included that the nurses that participated in the study could not be in a supervisor or education position, and they had to be RNs not LPNs or anything else other than a registered nurse. They also had to have an active license and not have had it revoked by the board or let it expire without renewal ( MacKusik & Minick, 2010). Data Collection The data collection for this article focuses specifically on the human experience. The researcher describes in the methods section of the article that the data collection strategies used included interviews and field notes. Ten semi-structured interviews were conducted in 2007. All interviews were audiotaped and field notes were made during the interview process (MacKusik & Minick, 2010). The researcher had the entire interview process written down and following the interview, went over it with the participants in order to ensure accuracy. The study was approved before anything took place and the researcher had the participants sign a consent form before the interview process to ensure that they adequately understood everything that would take place and that they had the right to bow out at any time. The study participants were recruited after the institutional review board from Georgia State University approved the process. Written informed consent assured the nurses that their participation was voluntary, that they would remain anonymous and that they could end the interview process at any time they wished (MacKusik & Minick, 2010). The participants of this study were well protected and everything they did throughout the process was voluntary. The procedures for collecting the data were explicitly listed as the interview process and the field notes taken during. Discussion: Trends in Maternal Mortality Article Essay Data Analysis The strategies used to analyze the data were clearly identified in the article. The researchers used the written material that described the interview process word for word accurately to interpret the deeper meanings of the responses. They also shared the written notes with research colleagues to ensure that they were adequately interpreting the information without bias or misjudgment ( MacKusik & Minick, 2010). They analyzed the data to determine if there were any reoccurring themes that appeared. Identifying these reoccurring themes will allow for the researchers to make the connection between the answers and the reasons why the participants left clinical practice. The researcher has remained true to the data provided in this article. All of the data provided and the procedures used to collect said data are geared towards the purpose and the phenomenon of interest identified at the beginning of the article. The reader understands that the procedure used to analyze the data is hermeneutics. This procedure is defined as a type of interpretive phenomenological research method that uses textual analysis through emphasizing the social and historic influences in quantitative interpretation and exposing the deeper meanings ( Burns & Grove, 2011). The researchers consulted with their colleagues in order to ensure that the responses were interpreted accurately and used this procedure to evaluate the written conversations. The participants recognize the experience as their own. During the interview process, they give their personal stories and their reasons why they left the clinical practice. They help to contribute to the future of nursing by sharing their experiences and participating in this study. Being open with the researchers and explaining what happened to them shows that they recognize this experience as their own. The reader can follow the researcher’s thinking throughout the study. The article in its entirety was clearly explained and each part of the study was accurately identified for the reader’s understanding. The researchers went through the process of the study from the beginning when they provided the purpose of the study and background history to the end where the researchers provided the results of the data collection and analysis along with the conclusion. The researcher does document the research process from start to finish so that the readers can adequately understand the procedures. The article is divided into sections with heading to identify which part of the research process is being discussed and when. The findings evaluated in this article can be applicable outside the study situation. The results included that the former nurses’ primary reasons for leaving the clinical practice or the field of nursing in general are because of things such as emotional distress, fatigue/exhaustion, an unfriendly workplace and lack of support from colleagues. These findings can be applied not only to nursing but in most other professions as well as many various aspects of life. Factors such as emotional distress and lack of support from peers are things that could discourage anyone from something they once desired. The results are meaningful to nurses but also to individuals that aren’t nurses. These results can be applied to anyone that has a profession or has something they desire in life. Things like fatigue and exhaustion as well as unfriendly colleagues and peers could affect anyone, not just nurses. The strategy used for analysis, hermeneutics, is compatible with the purpose of the data because hermeneutics explores the hidden meanings of the text that is being analyzed. It is used to increase understanding of human nature (Burns & Grove, 2011). The purpose of the study is to explore the deeper meanings of the reasons that the former nurses left their professions and hermeneutics helps the researchers to do just that. Findings The findings are presented in sections according to the sample, analysis of the data and the top three themes identified as the reasons why nurses have left their profession. The section identified as sample presented the participants according to things such as their age, level of nursing education and the clinical experience setting in which they worked. The data analysis section reported the negative and positive responses given by the subjects and then the researchers went in depth to explain the three themes that seemed to reoccur in their answers. The reader is able to grasp the essence of the experience from the report of the findings. The way the researchers presented the findings in the article gave an adequate picture to how the participants perceived their nursing experience and why they no longer want to return to the clinical setting. The researchers’ concepts are consistent with the data. They described how there was so much research done on nurses that stay at the bedside and that issues concerning the nursing shortage were investigated but in terms of those that had left the profession, more in depth investigation was necessary (MacKusik & Minick, 2010). The researcher’s concept that nurses were leaving the profession after only a short time and that the reasoning for this could be because of less than appropriate working conditions, stressors and low benefits ( MacKusik & Minick, 2010) was consistent and true to the data. These ideas were similar to the findings. The researcher does not place the report in the context of what is already known about the phenomenon. They simply list the findings based on the demographics of their participants and the analysis of the data after the interview process but no information about prior knowledge was included in the context of the findings. Discussion: Trends in Maternal Mortality Article Essay Conclusions, Implications and Recommendations The conclusions, implications and recommendations so give the reader a context in which to use the findings. It allows for the reader to use these findings in the context of nursing or healthcare in reference to the nursing shortage and it also allows for them to use the findings in any other profession or aspects of life in regards to the reasons why the participants felt the need to leave the profession in order to solve their problems. They discuss previous knowledge as to the reasons for the nursing shortage and nurses leaving the clinical practice. It also uses the findings to make suggestions for how the problem can be managed. The conclusions do reflect to study findings because they adequately summarize the responses given by the participants and how nursing managers in clinical nursing can improve their retention strategy by looking at these findings. The researcher suggests that further research is needed to explore the power differential among RNs, its relation to the perception of horizontal hostility and indifference from superiors, and the impact on the nursing turnover (MacKusik & Minick, 2010). The researcher has stated in the nursing implications that the significance of this study is to help the nurses in the clinical setting to be better at recognizing the signs that the nurses are having difficulty and allowing for smooth transition for new nurses. It is also indicated that this study will help the nursing supervisors and leader to establish effective methods for retaining the nurses that they already have. Discussion: Trends in Maternal Mortality Article Essay References Burns, N., & Grove, S. (2011). Understanding nursing research: Building an evidence-based practice . (5th ed.). Maryland Heights, MO: Elsevier Saunders. MacKusik, C., & Minick, P. (2010). Why are nurses leaving? findings from an initial qualitative study on nursing attrition. MEDSURG Nursing , 19 (6), Retrieved from http://www.amsn.org/sites/default/files/documents/practice-resources/healthy-work environment/resources/MSNJ_MacKusick_19_06.pdf Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10