Please respond to question. Department is Emergency Room.
When you critically evaluate a study, you must decide whether you agree or disagree with the researcher’s theoretical framework (the underlying assumption or theory that supported the formation of the hypothesis and the development of the research design). The following scenarios have two possible hypotheses, each driven by a different theory.
Choose one scenario and one hypothesis from that scenario. Identify your personal assumptions about this hypothesis and choose a nursing theory to support your assumptions. You may use information from http://www.nursing-theory.org/theories-and-models/ (Links to an external site.) to help you. Defend your answer.
Scenario 1: A patient with chronic back pain requests a narcotic prescription.
1. Hypothesis: In patients with chronic back pain not caused by injury, what is the effect of eight weeks of physical therapy compared to oral narcotic medication on the patients’ perception of pain?
2. Hypothesis: Are patients with chronic back pain who are denied narcotic pain medications at increased risk of depression as compared to patients on a prescribed pain regimen using oral narcotics?
Scenario 2: A diabetic patient misses several follow-up appointments.
1. Hypothesis: In patients with type 2 diabetes, does the use of an educational diabetic phone app improve compliance with appointments, diet, and medication regimens?
2. Hypothesis: Do patients with type 2 diabetes with a low economic status miss more follow-up appointments than patients with type 2 diabetes with a high economic status?
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My main assumptions related to the first hypothesis in the second scenario is that diabetes patients and their families can play a significant role in the management of the condition and ensuring that such patients comply with appointments, medication, and diet regimens. Another personal assumption is that the use of educational, diabetic phone applications can play a significant role in helping type 2 diabetes patients to comply effectively with their diet, appointments, and medication regimens.
The nursing theory that supports my assumptions that individual patients and their family members have a significant role to play in the management of chronic conditions such as type 2 diabetes and that technological tools such as education, diabetes, phone applications can help improve the compliance of patients to appointment, diet, and medication regimen is Orem’s self-care deficit nursing theory. Orem’s self-care deficit theory, therefore, highlights that a patient should be responsible and self-reliant for their care while their family members should also contribute towards self-care. The role of nurses is, therefore, to intervene in situations where individuals are not able to effectively meet their self-care requisites. According to Orem, to promote self-care behaviors, a patient will need adequate knowledge related to their potential health problems (Khademian et al., 2020).
In the first hypothesis presented in the second scenario, the use of an educational diabetic phone application can therefore play a significant role in improving compliance with the appointment and medication regimens among type 2 diabetes patients in cases where the nurses have taken adequate time to promote self-care behaviors in patients by providing them with adequate knowledge of their health problems and how to manage them effectively.
Khademian, Z., Kazemi Ara, F., & Gholamzadeh, S. (2020). The Effect of Self Care Education
Based on Orem’s Nursing Theory on Quality of Life and Self-Efficacy in Patients with Hypertension: A Quasi-Experimental Study. International journal of community based nursing and midwifery, 8(2), 140–149. https://doi.org/10.30476/IJCBNM.2020.81690.0