9 pages/≈2475 words
Health, Medicine, Nursing
Mental Health Care (Research Paper Sample)
The main aim of the research is to critically assess mental health service users’ knowledges of diabetes care. source..
MENTAL HEALTH CARE By (NAME) Course Professors Name Institution Location of Institution Date Mental Health Care Introduction One of the rising clinical concern within mental healthcare is Diabetes. Mental health nurses have frequently come across diabetes within their clinical work practice. NICE (2015) states that patients with mental health problems have comorbid physical health problems brought about by lifestyle habits, effects of antipsychotic medication and lack of physical activity. Trough critiquing a paper, this will look at possible ways by which mental health nurses in my current clinical placement could be equipped with knowledge and skills to care for patients who are suffering from diabetes in mental health hospital. To do this effectively, formal critiquing framework by “Holland & Ree: nursing: Evidence-Based Practice Skills, 2010” will be used. This framework gives a clear guide of how a qualitative research can be appraised. The framework for critique by Holland & Ree, (2010) helps nurses appraises the quality of interpretative research paper by focusing on aspects of the paper how it is presented by looking at the styles of background, the papers aim, research methodology and methods, tools of data collection, sample, main findings and also recommendations and conclusion. The framework helped nurses describe whether the article critically evaluates the aim of the research or not. Main Focus Therefore the primary objective of this report is to critically assess mental health nurses knowledge of diabetes care with close reference to my present place of placement. In accordance with data protection act 1998 and NMC code of conduct 2015 all names will be anonymized. Main Body Background World Health Organization (2011), states that the prevalence of the type- 2 diabetes has dramatically increased and about three hundred and forty-six million people globally have diabetes. The research also indicates that the general health issues are more pronounced within the minor population subgroups. For instance, within the MHSUs, the occurrence of type-2 diabetes is estimated at two to four times greater within individuals suffering from schizophrenia. Nash (2010) echoes this by stating that diabetes is more prevalent in patients suffering from mental health problems than in the general population and contributes to shortened lifespan and morbidity. Furthermore, the researchers argue that the group of people who are more vulnerable to developing diabetes are MHSUs. Researchers such as Bushe and Holt (2004) argues that about 15% of the patient with the schizophrenia have decreased glucose tolerance and according to the (Disability Rights Commission 2006), they indicate that people who have schizophrenia cultivate it at a very young age than the general population Similarly, Taylor et al. (2004) argues that diabetes increases in MHSUs due to lack of effective screening .Citrome and Vreeland (2009, p.39) argues that obesity is one of the most public factor for physical health issues within mental health and increases the occurrence of diabetes within the MHSUs and the total population. The article also noted that metabolic disorder like diabetes is connected to psychotropic medication and carries an advanced risk of diabetes (Healy 2005, p.32). To critically evaluate the main aim of the research, a descriptive qualitative method was used for the study. According to (Holloway and Wheeler 2012), they suggest that qualitative methods gives insights from ‘participant’s perspectives, allowing researchers to view items as their informants do and gain an “insiders” opinion.’ Since MHSUs experience of diabetes is an area that is under-researched in healthcare, the study therefore contributes to the viewpoint of MHSU to the environmental health literature which is usually deserted in favor of clinical and professional based research. Also, Denscombe (2007) recommends that when the researchers found too difficult to choose sample by chance, they practiced the non-probability sampling. The researchers chose their participants from MHSUs with diabetes and they were recruited from the support group and MHSU advocacy in London. Information regarding the study was placed in a newsletter and posters advertisement including researchers contact details to allow people that would be interested in participating in the research and also those who met the criteria to contact the author where the author will then arrange an interview with them. This method was vital for transparency as it gave a clear indication to the reader that the study was accurate and valid and did not involve bias of participants Aim of the Research The main aim of the research is to critically assess mental health service users’ knowledges of diabetes care. Methodology To critically evaluate the main aim of the research, a descriptive qualitative method was used for the study. According to (Holloway and Wheeler 2012), they suggest that the qualitative techniques gives insights from ‘participant’s perspectives, allowing the researchers to view items as their informants to do and gain an “insiders” opinion.’ Since the MHSUs experience of the physical disease like diabetes is an area that is under-researched of the mental healthcare, the study contributes to the exclusive perspective of the MHSU to the environmental health literature which is usually deserted in favor of clinically and professionally full agenda. Also, Denscombe (2007) recommends that when the researchers find too difficult to choose sample by chance, they can practice the non-probability sampling. For the researchers to obtain their participants, they had a purposive sample of the MHSUs with diabetes, and they were recruited from the support group and the MHSU advocacy in London. Information, regarding the study, was placed in a newsletter and posters advertisement including researchers contact details to allow people who will be interested in participating on the research and also those who met the criteria to contact the author where the author will then arrange an interview with them. It was vital for transparency, and it gives a clear indication to the reader that the study was accurate and valid and did not involve biases of participants. Inclusion Criteria for Sample According to the article inclusion criteria, the author indicated that he needed samples that included MHSU with diabetes and that each participant should be above 18 years and staying within the community. He or she should also be mentally well to be able to participate in the interview. Moreover, population size of people with diabetes was not known so they decided to make it a matter of experience and judgment. With regards to the study, the author chose to use a small sample that is appropriate for the exploratory study. The researchers were aiming at exploring MHSUs experiences of diabetes care. According to (Nash 2009, p.627) their choice of semi-structured interviews was used from outcomes of previous study of MHNs exercise needs within the diabetes care. The interview consisted of fifteen closed and opened questions which explores factors like general information, the opinion of MHNs training needs, experiences of the diabetes care, micro-examination of diabetes care received and also the feeling the patients received from being diagnosed with diabetes. Additionally, the researchers did not pilot the interview but ensured that quality assurance measures were implemented like the Flesch-Kincaid read-ability internal validity and measured were used by having the meetings being reviewed by more than two of the diabetes nurse specialist. Tools for Data Collection To explore the main aim of the research, a semi-structured telephone interview was conducted that took place between Junes to October 2011. To ensure that there was consistency, the author conducted meetings where the participants were mailed the interview questions before the interview. The interview lasted about 50 minutes. To increase the quality of the output, a password for each participant was provided. All the participants who agreed to be part of the study were sent a copy of the transcript for further clarification and comments. Method for Data Analysis and Presentation To explore the main aim of the research, a semi-structured telephone interview was conducted that took place between Junes to October 2011. To ensure that there was consistency, the author conducted meetings where the participants were mailed the interview questions before the interview. The interview lasted about 50 minutes. To increase the quality of the output, a password for each participant was provided. All the participants who agreed to be part of the study were sent a copy of the transcript for further clarification and comments. Ethical Consideration In addition, the study was conducted ethically since the University Ethics Committee provided ethical approval. In other words, the study allowed informed consent to be taken from all the participants through recording and also to be transcribed by the professional transcription services. The researchers also allowed the participants to freely withdraw from participating in the study at any time making the study to be on the ethical ground. According to Morse et al. (2002, p.4), they suggest that any review that has no rigor is worthless and the research and loses its usefulness. Due to that, Lincoln and Cuba’s (1985) concluded that this study had ethical rigor as the criteria for establishing “trustworthiness” within the qualitative study was used. He also confirmed that there was moral rigor by indicating that the survey enhanced credibility by allowing member checking with others suggesting that it is the most reliable research study. There was also transferability within the survey according to Malterude (2001, p. 486) who suggested that no review can ...
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