Sunday, February 16, 2020

Research Critique of Ostomy patients' perceptions of quality of care Essay

Research Critique of Ostomy patients' perceptions of quality of care - Essay Example The discussions are based on the researchers' ability to demonstrate an understanding of the qualitative paradigm and the particular qualitative method being used, if the problem clearly delineated with an appropriate rationale for using a qualitative approach, if the purpose for the study one of discovery and description, conceptualization (theory building), illusions, or sensitization, if the researcher-respondent relationship is understood and if the role of the researcher as "research tool" is apparent. This research critique carefully assessed the importance of a research paper for the improvement of the quality nursing care given to Ostomy patients. Recommendations would not be effective unless the process before setting up a recommendation is to be found true, correct and free from any bias. Centuries had already passed and compared to the world way back centuries ago, people today are more knowledgeable, and curios about the things going on around us. Compared to the lifestyle of the olden days, there are things which they believe is indescribable and even tuberculosis has no cure. Today, there are many things that science can do. It is no doubt then, that today's technological era has been achieved by the careful research of scientists, engineers and concerned people who aims to improve something which is inline with their forte. Through thorough research, things have been achieved which changes the world, that is why, careful and truthful research is essential. Can you imagine a world being deceived by false research It could not only harm the world and the society, malicious research, especially medical researches could cause death to patients instead of nursing them to make them better. In the research conducted by Persson, Eva PhD RN ETN; Gustavsson, Bengt PhD MD; Hellstrm, Anna-Lena PhD RN; Lappas, George BSc and Hultn, Leif PhD MD entitled Ostomy patients' perceptions of quality of care [ISSUES AND INNOVATIONS IN NURSING PRACTICE], the researchers aim to improve the nursing practices towards Ostomy patients to be able to provide them with quality care. They have fully understood and identified the needs of Ostomy patients, though following the qualitative research, it lacks the identification and thorough explanation of what Stoma is all about. They should have clearly defined Stoma and give a narrative explanation which would enable readers to picture out the severity if this illness. Through this, the reader would understand how and why it is important to focus on issues and innovations in nursing practice with regards to the quality care given to Ostomy patients. Before continuing with the research, the researchers should have also explained in clear, straightforward terms, all aspects of living with a stoma, including ways to feel more comfortable with it, and helps you overcome any embarrassment a patient may feel when talking to doctors and other healthcare professionals, to be able to get the best possible help and support. For those who have stoma, the surgery is life-saving, but they can be hard to adjust to, and even though no-one may know that a person have stoma it can make a patient feel

Sunday, February 2, 2020

How Will Repeated Oral Reading Practice Impact Reading Fluency Case Study

How Will Repeated Oral Reading Practice Impact Reading Fluency - Case Study Example I teach at an elementary school, J.B. Nachman, in Alexandria, Louisiana. The school starts at Pre-K and goes through to fifth grade. There are approximately 700 students in the school. Nachman is the solitary elementary school in the district that is not considered a Title One school. I teach third grade, and we are not currently departmentalized. There are 23 students in my class: eight African American students, thirteen white students and one Asian student. I have one child with an IEP, and he is with a resource teacher for a majority of the day. There are no other adults in my classroom. I have chosen a small group of students (eight children) for my project based on their most recent DIBELS scores. The children, under my watch, have scored well below benchmark and are likely to need intensive support with regard to oral reading fluency. These are children who enjoy reading and are not intimidated to read aloud, as much as they struggle with word recognition and fluency. Review of Literature Clearly, reading serves many purposes in our daily lives. We use it in our work and play. We use it to help us learn more about ourselves and about the world around us in addition to sharing information with others (Martin-Chang & Levy, 2005). The National Reading Panel Report (2000) contained conclusive research that indicated that reading fluency was an essential element of the entire reading process, and that it was crucial that it is taught to developing readers. â€Å"Just as children and adults love to watch favorite movies over and over, readers of all ages have books, or sections of books, that they enjoy reading and re-reading, time and time again† (Dowhower, 1994, p. 354). ... â€Å"Just as children and adults love to watch favorite movies over and over, readers of all ages have books, or sections of books, that they enjoy reading and re-reading, time and time again† (Dowhower, 1994, p. 354). Since the 1970s, researchers and scholars have collected data that supported the concept that multiple readings of connected text enhanced the reading skills of a regular student. Reading stories to young students, besides their personal rereading, at least three times proved to enrich reading development. This procedure of repeated readings was simple, yet extraordinarily powerful (Dowhower, 1994). Using the common round robin approach in the classroom, where students take turns reading a small portion of the story, substantially limited amount of practice each student received because no child was allowed to read for very long. In order for students to establish significant progress in reading, beyond the initial stages, they needed to be given sufficient opp ortunities to practice reading in a variety of text styles (Pikulski & Chard, 2003). Employing repeated reading on a regular basis in a variety of formats could impact word recognition, reading fluency and comprehension (Rasinski, 2003). There is much evidence to support claims that repeating reading instruction influenced fluency in a diverse array of students. The ultimate goal of repeated reading instruction was to then enable students to generalize fluency to new passages that were being read for the first time (Nanda & Frederick, 2007). According to Pikulski and Chard (2003), repeated oral reading is the most frequently documented approach to improving fluency, with improved outcomes for young students