Nursing Research Develop a Nursing Research Question

Nursing Research Develop a nursing research question Does participation in an online community enhance compliance for type II diabetics? Describe how the nursing research question addresses evidence-based practice. Evidence-based practice requires treatment to be based upon rigorous, scientifically-validated tests. It also requires nursing treatment to be administered in a clinically appropriate, cost-effective manner (Pollit & Beck 2008: 4). This study would divide a study sample of recently-diagnosed type II diabetes into two groups, one of which would participate in a supportive online community for diabetics, the other of which would not.

Glucose management, weight loss, and compliance with dietary modifications would be assessed at the end of the study. If the experimental group exhibited better outcomes, encouraging participation in such communities would be warranted. Describe the differences between world-view paradigms and naturalistic paradigms. Nursing paradigms are designed to improve the treatment for patients in the real world. For much of nursing research positivist paradigms have dominated. Positivism assumes a concrete, material reality that can be accessed.

Naturalistic paradigms, in contrast, do not attempt to take an objective distance from the objects of study and elide the barriers between subject and researcher (Pollit & Beck 2008: 14-16). Naturalistic paradigms assume that there are multiple interpretations of reality: for example, a positivist paradigm may assume that health (such as weight loss) is the ultimate goal of the patient whose weight should be reduced, while naturalistic paradigms might take into consideration how perceptions of culture and other issues affect how weight is experienced and viewed by patients.

Naturalistic researchers tend to adopt a qualitative methodology in evidence-gathering, versus the scientific method favored by naturalistic researchers, who usually emphasize quantitative evidence accumulation. Discuss the role of the evidence hierarchy Evidence hierarchies rank evidence based upon the quality of evidence provided -- not all evidence is created equal. Data from research-based, evidence-based practice which is the result of random clinical trials is deemed superior to nonrandomized trials or anecdotal evidence.

It should be noted that the evidence hierarchy does not totally discount evidence from smaller, nonrandomized studies or even qualitative research, but it views these sources with greater caution and does not use them exclusively to draw conclusions about a larger medical phenomenon (Pollit & Beck 2008: 32). Evidenced-based practice vs. non-evidence-based practice The fact that nursing uses both evidence-based practice and non-evidence-based practice in its methodology highlights the fact that nursing is both an art and a science.

On one hand, when treating patients for specific conditions, the nurse relies upon the scientific guidelines of her profession. On the other hand, when dealing with emotional issues of life and death, or assessing the patient's psychological needs, the nurse may also rely upon intuition and past, personal experiences. An effective nurse will rely upon her knowledge of qualitative research that is not scientific,.