新西兰奥克兰assignment代写:现象学和实验方法

2018-10-14 23:46

现象学和实验方法在临床实践中都有重要作用。然而，每种方法对于相同的医学难题可能提供非常不同的观点，或者可能更适合某些问题而不是其他问题。考虑护士引导的溶栓对出现心脏症状的急诊病人的有效性。现象学方法适用于对护士在实施过程中的有效性、自信、怀疑、焦虑、怀疑、怨恨以及其他可能解释其临床能力或其他方面的感觉和信念的感受进行详细的洞察。这可能为管理人员和顾问提供关于如何支持护士的宝贵意见，从而改进服务提供。相比之下，实验方法将更有助于确定护士启动溶栓的临床效果，例如死亡百分比和到针时间。A & E单元可以随机分配到护士实施溶栓程序的情况，或由忙碌的顾问进行干预的控制情况。然后，可以使用统计程序比较两种情况下患者的满意率和医院延误率。虽然现象学和实验研究的方法不同，但如果服务的提供最终得到改善，这两种范式的发现将会有一些临床益处。
新西兰奥克兰assignment代写:现象学和实验方法
 Phenomenological and experimental approaches both have an important role to play in clinical practice. Nevertheless, each method may offer very different perspectives on the same medical quandary, or may be more suited to certain problems rather than others. Consider the effectiveness of nurse-led thrombolysis on patients present at an Accidence & Emergency unit with cardiac symptoms. A phenomenological approach would be suitable for obtaining detailed insights into nurses feelings about their effectiveness in administering the procedure, their confidence, doubts, anxieties, suspicions, resentments, and other feelings and beliefs that may explain their clinical competence or otherwise. This may provide managers and consultants with valued ideas about how to support nurses, hence improving service delivery. By contrast the experimental approach will be more amenable to establishing the clinical effectiveness of nurse-initiated thrombolysis, for example in terms of the percentage of fatalities and door-to-needle times. A & E units could be randomly assigned to a condition in which nurses implement thrombolytic procedures, or a control condition in which the intervention is performed by busy consultants. Patient satisfaction rates and hospital delays could then be compared across both conditions using statistical procedures. Although phenomenology and experimentation approach the problem differently, findings from both paradigms will have some clinical benefit if service delivery is ultimately improved.

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