Verified Document

Evidence-Based Nursing Assessment Item Critical Questionnaire

Ethical considerations -- All ethical considerations; privacy, etc. followed- professional study.

Relative strengths of each publication -- Peer reviewed strong work and sense of issues surrounding pain, fatigue and emotional disturbances after surgery.

Relative weaknesses of each publication -- Larger sample than previous study, but still limited in scope, demographics, psychographics and geographic extrapolation.

Application of each article in nursing practices -- Using any intervention that helps patient's after a traumatic surgery is helpful; especially if that patient can ventilate their emotions, angst, and stages of healing. Short-term telephone intervention using the AFSMI technique proves quite helpful in most cases. This was also cooborated in other studies (Yarbo, et.al., 2010).

Conclusion of each article -- Statistical analysis showed that AFSMI was effective in reducing emotional distress and enhancing post-operative physical conditioning.

Summation and Conclusions: Same-day surgery is becoming the norm for a number of treatments in the modern medical paradigm. There are several reasons for this: it helps decrease costs to both the hospital and patient; it provides a way for the patient to get home quicker, usually signifying enhanced healing, and frees up needed resources for patients who require more personalized monitoring. However, breast cancer comprises almost 23 per cent of all cancers in women, which resulted in almost 1/2 million global deaths. Regardless of the circumstances of the surgery, though, it is an emotionally draining and highly stressful time for the patient (World Cancer report, 2008).

Outpatient, or same day surgery does not require an overnight hospital stay, and also centers around improved technology. There are a number of commonalities we see when dealing with same-day surgery on breast cancer. Particularly with this type of cancer, women tend to need longer, more robust support just after surgery, often feeling quite vulnerable and particularly emotional after the surgery. These women need to count on their family and friends for support, and often feel at odds with...

Certain psychological conditions do presuppose that women should or should not be candidates for same day surgery of this important of an issue (Greenslade, et.al., 2010).
Further, research shows that emotional distress, anger, and inability to socialize or perform normal function are mitigated by a number of approaches, one being AFSMI (Attentional Focus and Symptom Management Intervention. It does not seem to be particularly relevant whether this is done in person, in a group, or at home (or by telephone), simply that a post-operative patient is able to express individual doubt, anger, frustration, and the like during the mental and emotional healing process after cancer surgery (Allard, 2010). This is quite consistent with other studies, and posits a healing and carative paradigm to the nursing field in which allows for a more generalized emotional introduction back into family, friends, or colleagues (Mulholland, et.al., 2011).

REFERNECES

Allard, N. (2007). Day Surgery for Breast Cancer: Effects of a Psychoeducational Telephone

on Functional Status and Emotional Distress. Oncology Nursing Forum. 34 (1): 133-41.

World Cancer Report. (2008). International Agency Research on Cancer. Retrieved from the World Health Organization, http://www.iarc.fr/en/publications/pdfs-online/wcr/2008/wcr_2008.pdf

Greenslade, M., Elliott, B., Mandville-Anstey, S. (2010). Same Day Breast Cancer Surgery:

A Qualitative Study of Women's Lived Experiences. Oncology Nursing Forum. 37 (2): E92-97.

Harmer, V. (2011). Breast Cancer Nursing Care and Management. Ames, IA: Wiley.

Mulholland, M. And Doherty, G. (2011). Complications in Surgery. Philadelphia, PA:

Lippincott, Wiliamson.

Taghian, A., Smith, B., Erban, J. (2010). Breast Cancer: A Multidisciplinary

Approach to Diagnosis and Management. New York: Demos Medical Publishing.

Yarbo, C., Wujcik, D., Holmes-Gobel, B. (2010). Cancer Nursing: Principles and Practices.

Philadelphia, PA: Jones and Bartlett Learning.

5 | Page

Sources used in this document:
Yarbo, C., Wujcik, D., Holmes-Gobel, B. (2010). Cancer Nursing: Principles and Practices.

Philadelphia, PA: Jones and Bartlett Learning.

5 | Page
Cite this Document:
Copy Bibliography Citation

Related Documents

Nursing: Line-Item Budget Nursing: Magnet
Words: 2444 Length: 9 Document Type: Term Paper

The authors describe findings from a survey designed to gather baseline data about changes organizations experience after implementing the Clinical Practice Model framework, and report how the Clinical Practice Model Resource Center staff used the survey findings to build the capacity of individuals accountable for implementing this integrated, interdisciplinary professional practice framework into the organization's operations." (2002) The following model has been created for monitoring the progress of the

Home-Based Nurse-Coached Inspiratory Muscle Training Intervention...
Words: 3606 Length: 10 Document Type:

Home-based Nurse-Coached Inspiratory Muscle Training Intervention in Heart Failure In order to devise an optimal experimental study, the primary information required and used by the researcher in this study is identification of the specific research issue to be addressed. From this foundation, the best design for this study can be determined. The specific research issue in this study is key to the relevance and importance of any data observations. A

Cost Effectiveness Analysis for Evidence Based Project
Words: 660 Length: 2 Document Type: Capstone Project

10 4 Collaboration on Cost-effectiveness Analysis This evidence-based project has addressed the use of bilingual interpreters in enhancing patient-provider communication during provider visits in comparison to using family members as interpreters. It is common knowledge that Limited English Proficient (LEP) patients face communication challenges when seeking for primary and preventative health care services. Family members are sometimes used as interpreters to help improve communication between patients and health care providers. However, this evidence-based

Nursing Assessment
Words: 1041 Length: 4 Document Type: Essay

Clinical Learning Summary (Nursing Self-Assessment): My experience with nursing enabled me to gain a more complex understanding of the domain and of the medical industry in general. Having come across a great deal of demanding situations meant that I accumulated a great deal of knowledge while having the role of a nurse. While there were a series of conditions where I was required to act rapidly and perform tasks perfectly, from

Nursing What Effect Does Simulation
Words: 4035 Length: 13 Document Type: Literature Review

Learning in adults is most effectual when the environment is both participative and interactive. Another important characteristic is that learners obtain instantaneous feedback. Teaching methods that necessitate a learner to think though data or information and come to a conclusion or forecast an outcome are more valuable than is reading or lecture. "The minute-to-minute care and monitoring of critically ill patients requires nurses to collect, analyze, and react to

Critical Care Nursing Regarding Legal
Words: 9400 Length: 30 Document Type: Dissertation

The questions on legal liability issues were minimal as the field of legal issues is new in nursing. The questions addressed a theoretical part regarding the legal liability issues. They were no need of clarification since the questionnaires were easy and self -- administrative. Although the researcher was there for assistance but telephonically. 1.7. Data analysis In this chapter, the analysis is discussed in detail. Data was collected by means of

Sign Up for Unlimited Study Help

Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.

Get Started Now