Co-Creation of Possibilities: Palliative Care Nurse Practitioner-Led Intervention Method Research Paper

Exclusively available on Available only on IvyPanda® Made by Human No AI

Problem Statement and Research Question

The research is devoted to testing a palliative care (PC) nurse practitioner-led (NP) intervention method “the Co Creation of Possibilities” (CP) described by Bergdahl, Benzein, Ternestedt, Elmberger, and Andershed (2013). CP includes the discussion of the needs and goals (wishes) of the patients that are not connected to healthcare but may be affected by the state of health, approving them or substituting them with more attainable ones, and co-creating a plan for fulfilling them. Bergdahl et al. (2013) have found out that NPs use CP with PC patients suffering from various illnesses instinctively, but they are not always successful. The model of CP proposed by the authors may assist in understanding the intervention and provide a ground for informed CP activities that can fulfill the functions of health-related education and support. Apart from that, the authors expect CP to improve NP-patient relationships. In other words, informed CP is likely to help NPs improve the quality of life (QoL) of patients in palliative care (PC) in several ways, but this method has not been researched yet. The presented study is aimed at changing this fact.

The PICOT research question will be formulated as follows: in PC patients being treated by an NP, does co-creation better meet the end-of-life needs as compared to current standards (Melnyk & Fineout-Overholt, 2011)?

Sampling

The independent variable (CP training) is meant for NPs, and the PICOT question targets an NP intervention, which is why the sampling will be aimed at contacting PC NPs (possibly in a PC clinic). Some NP characteristics (especially experience) will be taken into account, but they will not be used to stratify the sample. The findings, therefore, are intended to be generalized to PC NPs in general, which corresponds to the problem statement. At least 10 NPs would be required for each of the groups (the intervention and control group). The number is explained by feasibility: a smaller sample is unlikely to provide sufficient generalizability, but since each of the NPs is supposed to have a number of patients, the qualitative and quantitative data to be analyzed will increase significantly with every new NP. Tracing the work of NP with multiple patients is needed to define how likely the intervention is to change the practice of each of them. To improve the population representation and sample generalizability, the number of NPs can be increased if it is deemed feasible. The NPs from the final sample will be assigned to the control or intervention group randomly to improve the validity of the experiment (Coryn & Hobson, 2011). Thus, the sample will correspond to the research design as described below.

Research design

Since the sampling is randomized, the research can be considered an experiment (Polit & Beck, 2014). Still, it is a field experiment with a correspondent possibility of contamination (Johnson & Christensen, 2014). The study will be longitudinal (one year) to ensure that there is a “temporal relationship between the exposure and the outcome” (El-Masri, 2014, p. 16). The variables will be assessed before and repeatedly after the NP training (pretest-posttest) to trace the changes in NPs’ work.

To evaluate the proposed intervention as suggested by the research problem, the mixed methods will be used: both quantitative and qualitative data will be gathered. In general, the mixed methods research is believed to be more comprehensive as it is not limited to using only one type of data, which has been leading to its increasing popularity in various fields of study, including nursing, business, and human resources (Cameron & Molina-Azorín, 2014; Polit & Beck, 2014).

The necessity for both types of data in this research is explained by the expected outcomes (the expectations are based on the theoretical framework and literature review). The QoL is going to be assessed with the help of specifically developed questionnaires, and the physical state of the patient will be defined through disease-specific parameters. The educational needs fulfillment and the NP-patient relationship will be assessed with the help of closed and open question questionnaires.

References

Bergdahl, E., Benzein, E., Ternestedt, B., Elmberger, E., & Andershed, B. (2013). Co-Creating Possibilities for Patients in Palliative Care to Reach Vital Goals: A Multiple Case Study of Home-Care Nursing Encounters. Nursing Inquiry, 20(4), 341-351. Web.

Cameron, R., & Molina-Azorin, J. (2014). International Journal of Organizational Analysis,22(1), 14-29. Web.

Coryn, C. L., & Hobson, K. A. (2011). Using nonequivalent dependent variables to reduce internal validity threats in quasi-experiments: Rationale, history, and examples from practice. New Directions For Evaluation, (131), 31-39. Web.

El-Masri, M. M. (2014). Prospective cohort study design. Canadian Nurse, 110(2), 16. Web.

Johnson, B., & Christensen, L. (2014). Educational research. Los Angeles, CA: SAGE.

Melnyk, B., & Fineout-Overholt, E. (2011). Evidence-based practice in nursing & healthcare. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins.

Polit, D., & Beck, C. (2014). Essentials of nursing research. Philadelphia: Lippincott Williams & Wilkins.

More related papers Related Essay Examples
Cite This paper
You're welcome to use this sample in your assignment. Be sure to cite it correctly

Reference

IvyPanda. (2022, April 19). Co-Creation of Possibilities: Palliative Care Nurse Practitioner-Led Intervention Method. https://ivypanda.com/essays/co-creation-of-possibilities-palliative-care-nurse-practitioner-led-intervention-method/

Work Cited

"Co-Creation of Possibilities: Palliative Care Nurse Practitioner-Led Intervention Method." IvyPanda, 19 Apr. 2022, ivypanda.com/essays/co-creation-of-possibilities-palliative-care-nurse-practitioner-led-intervention-method/.

References

IvyPanda. (2022) 'Co-Creation of Possibilities: Palliative Care Nurse Practitioner-Led Intervention Method'. 19 April.

References

IvyPanda. 2022. "Co-Creation of Possibilities: Palliative Care Nurse Practitioner-Led Intervention Method." April 19, 2022. https://ivypanda.com/essays/co-creation-of-possibilities-palliative-care-nurse-practitioner-led-intervention-method/.

1. IvyPanda. "Co-Creation of Possibilities: Palliative Care Nurse Practitioner-Led Intervention Method." April 19, 2022. https://ivypanda.com/essays/co-creation-of-possibilities-palliative-care-nurse-practitioner-led-intervention-method/.


Bibliography


IvyPanda. "Co-Creation of Possibilities: Palliative Care Nurse Practitioner-Led Intervention Method." April 19, 2022. https://ivypanda.com/essays/co-creation-of-possibilities-palliative-care-nurse-practitioner-led-intervention-method/.

If, for any reason, you believe that this content should not be published on our website, please request its removal.
Updated:
This academic paper example has been carefully picked, checked and refined by our editorial team.
No AI was involved: only quilified experts contributed.
You are free to use it for the following purposes:
  • To find inspiration for your paper and overcome writer’s block
  • As a source of information (ensure proper referencing)
  • As a template for you assignment
1 / 1