Percptions And Experiences On Provision †MyAssignmenthelp.com

Question: Discuss about the Examining Nurses Percptions And Experiences On Provision Of Psycholoical Care To Burn Victims On Recovery Phase. Answer: Identifying research question Burn victims psychological needs are a very crucial part in recovery of their burn injuries. Moreover, little has been done on investigating the psychological care to burn patients. According to Bernstein (1976) he explored the idea on patients who had suffered large burn on their body surface area and burn on some body parts which are visible and concluded that those who had survived burns injuries have to agree with their new body shape and appreciate their worthiness following their burn injuries. Therefore, Bernstein proposes what the burn patients should overcome in their daily lives pertaining their new body shapes according to their psychological needs BUT he does not address on how to overcome and offer social and emotional support to we these challenges and burn patients. Thus, there lies a research gap to be undertaken to capture this bit of gap that exists between we and the burn patients. Burns patients need psychological assessment and also need to be provided both psychological support and care in the burns unit areas. According to previous conducted studies and findings it is found that a few patients who suffered burn reported statistically significant psychological matters because of their burn injuries as there is no discussion while being taken to hospital. Therefore, the proposed research topic is an emerging issue in the society and the researcher identifies this research gap in order to address the psychological issues on burn victims and to give a greater attention in-depth to this emerging issue. Past studies show that very little has been researched on relating to psychological issues and much of crucial information and actions have been neglected. And this brings greater suffering to the burn patients who really need mutual support from the society around them. Many studies and findings on the proposed research topic reveal that majority of burn victims are prone to psychological harm before recovery in burns unit. This motivates the researcher to undertake the proposed study so as to identify the research gaps in order to address the issue of psychological care to the burn victims very effectively and take necessary action to curb the vice against burn injuries. The researcher would also want to know the nurses role towards provision of psychological care to the burn victims and gain an opinion and new ideas of the subject. Literature review Many studies related to burn injuries are majorly based on various burns physical implications that concentrate mainly on major burn injuries. This literature review focuses majorly on various social and psychological implications and the nurses beliefs concerning the issues. Most of research studies in this area were found to use qualitative research methods that were effectively used for data collection analysis and interpretation. Some of the relevant topics in this area have been explored and discussed in depth in past studies and therefore this proposed study would only try to discuss in depth the very crucial information that seem to have lag behind. This would give a clear insight of these relevant topics and fill the research gap that seems to be unfilled and even allow for that gap for conducting future study in related areas. This underlying proposed study therefore addresses the following themes under the research topic of study. Psychological indictors/implications There is a very great risk of Burn victims resulting to some psychological effects that may differ from individual to the other. Complexities that may occur to a burn victim include, stress, depression, grief, sleep disturbances and anxiety. Depression is one of the most common side effects among the burn patients, (Lawrence et al, 2006). Moi et al. (2008), acknowledges that some psychological effects are predisposing factors that can cause depression, these include; isolation, stigmatization and social withdrawal. Hulbert-Williams et al. (2008) conducted a series of qualitative studies using qualitative methods to investigate the levels of anxiety related to severe burn in environs of Britain. The findings of the study reported that burn victims needed not just more of physical treatment but also in overcoming the stress and trauma that results from burn and much of therapy was necessary to reduce depression, anxiety and any other psychological issues experienced by burn patients. Psychological assessment and treatment of psychological issues is assigned roles to the nurses who really contribute to greater extend the physical recovery of the patient. Psychological interventions Blakeney et al. (2005) undertook a qualitative research that investigated how shorts term skill can help people to improve on stress and depression. The study composed of two groups that are, the treatment group and the control. The results of the research findings showed that the case (who received interventions workshops) as there were less withdrawal and had fewer parietal complaints and control group recorded no significant change. Muangman et al. (2005). conducted a study that focused on the benefits of psychological and physical variables which could be used to forecast survival in burn patients with serious and large burn injuries. He made some conclusions from his findings that really could be used to draw some inferences of the phenomenon. It concluded that lack of social support from family or friends and the society exposed burn victims to very high complications risks and therefore the nursing workers should take an initiative to support the patients and play their intervention role. This would reduce stress and anxiety levels the burn victims might be undergoing. Following the past studies in this area, it can be concluded that psychological interventions this will promote and increase patient recovery rate following burn injuries. Nursing Role According Greenfield (2010) besides knowledge required in burn care regarding physical effects, some effort is also required in rehabilitation services in burns unit and also psychological skills. Therefore, rehabilitation should take place in the very first day of admission in burns unit with the aim of restoring the whole self-esteem to the burn victims and enhancing psychological skills that may be of benefit to the patient. This would promote social support and psychological care and even improving the well-being of the burn victims who really are under hospitalization. This can be achieved through positive nursing input working in collaboration with patients and families to ensure continuous and efficient communication with both parties (Williams 2009). Finally, severe burn injuries need nursing interventions, therefore, patients who are suffering from these severe burn injuries often depend on nurses and nursing interventions in all areas of burns unit. Nurses should play a key role in their profession in handling all the cases and negative experiences encountered by the patients in the right manner. Nurses do assessment, planning, implementation and evaluation based on psychological care of burn victims (Baker et al. 2007) Research question The researcher intends to investigate the psychological issue in-depth and gain an insight of the same. He would also like to establish the role played by registered nurses Hospitals and hospital staff towards provision of psychological care to the burn victims. This would generally be of benefit to the burn victims and the concerned bodies. Much attention has to be paid towards offering psychological care to burn victims who suffer both acute and major burn injuries in visible body locations. As these burn injuries may bring a discomfort to the burn victims such as stress overload, loneliness, stigmatization, isolation, decreased self -esteem and other vices. Therefore, some improvised methods to improve service provision and burn treatment need to be implemented by the concerned bodies such as hospitals. Therefore, there exists a research gap in this area that will address all the factors that may contribute to the proposed study. This proposed study will therefore try to address the research question what are nurses perceptions and experience of providing psychological care for burn victims. Aims and objectives The underlying proposed study will answer this research question what are nurses perceptions and experiences of providing psychological care for burn victims? Some crucial emphasis on reviewing patients psychological care is necessary especially when the burn victims are under hospitalization. The nurses are entitled to the role of providing optimal psychological care to burn victims and also offering psychological assessment of the burn victims in the burns unit. The researcher therefore undertakes this proposed study to examine the nurses experience and perception in ensuring and providing psychological care to victims of burn Methodology A descriptive qualitative research design will be adopted for this proposed study for it will explore the research question under the proposed study. This research design selected for the research would be suitable to achieve the objective of the study since it is suited to answering the research question under study. Qualitative studies provide researchers with a chance to study behaviors, feelings, perspectives and experiences in depth. It also enlightens the researchers on quality and complexity of certain situations in holistic framework (Halloway and Wheeler 2002). This design facilitates qualitative methods under the proposed study that the researcher will use to justify the findings of the study. Qualitative research makes use of quantitative approach to gain insight necessary in the study. Given that there are mainly four approaches used in qualitative research namely phenomenology, historiography, ethnography and grounded theory, this research adopted none of the approaches, (Burn Groove, 2009). They were not suitable this study due to reliability and validity issues. The design chosen in the research must be the one which is most appropriate to answer and obtain objectives of the research question, (Parahoo, 2006). The descriptive approach help in explaining and describing the necessary and most important findings in a more exclusive way which free from error, biases and distortion, it help to describe, identify and summarize new issues or current position, (Brabury J. et al. 2009). The study chose this approach as researcher want to identify current issues with nurses perception, justify it or describe it. The design is appropriate as it facilitates achievement of research objective and aims. Sample Purposive sampling technique will be used. The sampling frame will be obtained by deploying nursing staff from a recognized regional burns unit established within the Melbourne, Australia. This sampling technique will only involve a small sample due to the complexity of the study and sequential analysis of data that will be required. The researcher would therefore request for permission of data collection from the involved bodies before gaining any consent from the participants. Data collection The researcher will conduct data collection for qualitative study. The data will be gathered through intensive interviews that will entail open -ended and semi-structured questions for clarity through open discussions. Oral interviews will give the researcher an opportunity to gather any additional information and also be able to identify some ambiguities in his research and seek clarification where necessary. In the process of data collection, the researcher will be expected to maintain the anonymity of the participants and their privacy during the interviews. Data analysis From data collection methods, qualitative data would be collected. The researcher will therefore employ the appropriate data analysis techniques for qualitative data. The data analysis process will be based on three activities data reduction, interpretation and reducing data into patterns/stratum for easy analysis. Data cleaning will also take process to remove ambiguous data points before any analysis commences. Statistical software such as SPSS, EXCEL and others will be used in analysis of the qualitative data. Data that will be gathered during the data collection process will reduced to strata and be categorized in order to identify similar themes and also effect the process of data cleaning. The process of data analysis will be accompanied by data interpretation of the findings of the research. Ethical considerations of the study Professionalism: this ensures professional ethics and codes are followed by the researcher. This also helps the researcher to have self respect and respect those who will be in the study. Confidentiality: the researcher is bound to respect confidentiality of participants; the information obtained is supposed to be used only for study and destroyed afterwards. Permission: The participation to this study is supposed to be granted from university. 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