Tool Validity

validated through research (Monti & Tingen, 1999). This author believes that the basis of a good practice is through the use of evidence based findings. If the procedure or care plan is supported by research, and the findings are reproducible, then this author is more likely to implement it into his practice.

Evidence-based practice is an approach used by health care professionals to continually use current best evidence-based research to make ethical and reliable decisions regarding patient care. “Research to promote evidence-based practice is becoming more and more a part of the regular work of health care leaders” (Grand Canyon University, 2015, p. 1). However, it is important to determine the difference between solid research and flawed research that provides unreliable inferences. Evidence-based research includes focusing on a clinical question; and includes the review and incorporation of several studies to strengthen the results of the new study (Grand Canyon University, 2015). Roddy et al. and Ganz et al. articles will be assessed to determine if the recommended changes were backed by solid research that warrants changes in a hospital.

Data collected provides the health care organization, providers, administrators and the patients with valuable information. Tools assist the organization by measuring the performance data that provide the information to improve the patient experience and improve their care. These tools engage the organization in self-evaluation on an ongoing basis. These tools also provide and effective method of containing costs and provides the means to meet the regulatory requirements to improve quality care. Tools allow organizations to provide a

Pain is one of the most common and feared complications of cancer. It is exacerbated by stress, anxiety, fatigue, and malaise which accompany advanced cancer. Pain is generally absent in the early stages of cancer, but it is a significant factor as the illness progresses to advanced stages. Cancer-associated pain can arise from a variety of direct and indirect mechanisms including direct pressure, obstruction, and invasion of a sensitive structure, stretching of visceral surfaces, tissue destruction, infection, and inflammation (McCance 2010). Pain is generally accepted as whatever the patient says it is, wherever the patient says it is. Treatment of pain and its associated symptoms is a primary responsibility of the healthcare team. Treatment modalities for pain include the use of opioid analgesics, patient-controlled analgesia, psychological interventions, and preventing recurrence of pain. Reinforcing the reporting of pain by the patient is important, as is a respect for the social and cultural differences with respect to pain perception.

In comparison to which tools would best be used in our own facilities, it is relatively simple to determine that Ochiltree General Hospital would gain more knowledge from research in the AACN Levels of Evidence system simply because they function more off research based principles. Ochiltree General Hospital uses websites to gain knowledge to be applied to directing their policies and procedures and this tool uses more research based examples to apply to potential for implementation into practice.

The following principles establish a framework to help ensure government-supported health outcomes research, including research on comparative effectiveness, meets patients’ needs and supports continued improvement in medical care. Research that meets these principles can improve health care decision-making, while research inconsistent with these principles in how it is designed or used will make it more difficult for patients to obtain the best and most efficient medical care.

Evidence-based practice is defined as the “integration of best current evidence with clinical expertise and patient or family preferences and values for the delivery of optimal health care” (Quality and Safety Education for Nurses, 2012). It is “the use of research in clinical decision making” (Brower, 2017).With the tremendous changes in the healthcare landscape, many processes have to be evaluated for its relevance, reliability,

The need for quality evidence based research is essential for all health care professions. As agreed by Stevens (2013), the call for evidence based quality improvements and health care transformation underscores the need for redesigning care that is safe effective and efficient.

Identification of pain has been the most feared and common symptom of cancer (Sloan, et al. 1999). The joint project that includes primary, secondary and tertiary levels of care were successful in breaking down the barriers that crossed traditional boundaries in cancer care. Steering committee member were identified and meetings took place between multi-professional teams and project coordinators to identify their issues and concerns and communication, discharge, pain management and symptom control were identified. Multidisciplinary groups worked were

Pain, which is defined in its widest sense as an emotion which is the opposite of pleasure (White, 2004, p.455), is one of the major symptoms of cancer, affecting a majority of sufferers at some point during their condition (De Conno & Caraceni, 1996, p.8). The World Health Organization (WHO, 2009, online) suggests that relief from pain may be achieved in more than 90 percent of patients;

In their article“Assessment of Distress and Quality of Life of Cancer Patients Over the Course of Chemotherapy”, they hope to inform potential cancer nurses about the pain that different patients of different backgrounds go through. They record the pain and quality of life from before treatment begins, while treatment is going on, and after treatment. The authors do not explain how adolescents thought process help or inhibit them from making the right choice, but it shows that they are taking the what the patients say to heart. This is the reason that I chose this article. Also the range of education varied through the study participants. Some patients only had a level of elementary school. If these people are capable enough to not only understand the consequences of treatment , but they also understood the conditions of the study that they are participating in. This article also seems helpful because it is a part of a peer reviewed academic journal. So it is understood that the two author really know what they are talking about.

Nurses have also reported their desire for further education on cancer pain management so they can better care for their patients (Garcia et al., (2015). Despite the challenges of interpreting patient’s self-reported pain, proper assessments and documentation from the nurse is crucial in cancer pain

Validity and reliability help ascertain the quality of a piece of research by verifying the trustworthiness of a study. Validity verifies the research is measuring what the researchers intended to study. Validity is measured by degree in particular uses. Researchers must show the inference, to the study, is the proper amount. Validity is commonly examined through evidence based on relations to other variables. This occurs when results from one test are compared to similar tests (McMillan, 2012).

The tools used in a study should be valid and reliable to be effective. “The foundation of good research and of good decision making in evidence-based practice (EBP) is the trustworthiness of the data used to make decisions” (Boswell and Cannon, 2014, p. 302). Disher’s et al. (2014) purpose for this study was to monitor nurses during this unit-based simulation and examine if they are able to identify and respond appropriately to a patient having an acute deteriorating event to ensure a positive outcome. “Method – the method section should begin with a description of the aim and objective of the study and the hypothesis (research) question that the study intends to” (Hoe and Hoare, 2012, p. 54).

Validity is the degree to which a research truly measures that which it was intended for. (Golafshani, 2003).