Critique of the attitudes towards disability in an undergraduate nursing curriculum.
The literature search on the topic of the nursing problem that has been chosen is the people with disabilities and their care in the current nursing system. The emphasis on the special care for the patients with disabilities and the inclusion of the topic in the nursing curriculum is done in the research. The different databases like pubmed, cinahl and Cochran library has been used for the research resources as these are known sources on the medical and nursing field.
Care for the patients with disabilities needs special training of the staff and the special approach to health care delivery. This is a point of contention between specialists on the sector as they are the ones who determine the care delivery models and develop them as such that they can be applicable for the patient population with as little change as possible. So the care for the patients with disabilities needs special and different approach to that which is employed in the case of the normal patients. So by this literature presented in the website it is clear that the patients with disabilities need special care model for optimum care delivery (Dörscheln I, 2013).
The second literature concentrates on the care of the children with disabilities and proper way to care for them which is not present in the nursing curricula. So the literature presents the option of changing the curriculum for the nurses to include the care of the children with disabilities as a special part of the course (Ilkhani M, 2015).
This website presents the literature that is concerned with the attitude of the student nurses in New Zealand toward patients with disabilities. It has been established from the previous literatures that the patients with disabilities need special attention from the nurses caring for them. So the care for the patients and the inclusion of the care for disabled in the curriculum is dependent on the attitude of the nurses so the need to change the outlook to change the attitude is the topic of the research (Seccombe, 2007).
Research problem
The research problem in this topic is the centred on the patients with disabilities. The problem that is concern of the researcher is the specific care model development suitable for the disables patients and the attitude of the students and their acceptability to the new care model that should be proposed.
The primary sources are the sources where the research has been conducted firsthand and data has been collected from the sources and analysed and a conclusion drawn. Empirical sources are the sources where the empirical data has been collected and analysed and the data collected research and observation has used the empirical data to come to the conclusion of the research. The different articles analysed in the first chapter are empirical sources and the other empirical sources are marked in the references section of the research.
The secondary data uses the information collected by some other researchers in the research so the data used in the research to come to a definite conclusion or decision is second hand. Some books that have been used in the research are full of secondary data. They are also marked in the references section. Some of the journal articles that are cited in the research are the sources where the data collected is firsthand but the collected data is not empirical but numerical. So these sources can be marked as primary sources but not empirical ones.
The references that are used in the researches are current compared to the literature although some of them are old but they are original researches which point out the different problems in the care model employed in the hospitals. So they are treated as important resources in the literature. Usually the articles and books that are based on researches based on the years between 1991n and the present are considered as current.
The relevant studies are identified and described in the literature review and the studies are all on the topic of nursing education and the attitude of the care givers and the caregivers in training towards the patients who have disabilities that require a different approach from the normal one that is usually taught in the nursing curriculum. So the studies that have been used in the literature are appropriate in the case and they are all relevant to the research problems that have been described in the first chapter of the critique. The articles and the books that have been used in the study are based on the nursing education and the research revolves around the changes in the current system which might change the attitude of the student nurses in the region and abroad towards the [patients with disabilities and can be used in the future give better healthcare service to the patients with disabilities.
No relevant theory has been used in the literature that is being critiqued and the criteria used to find it out is to analyse the literature critically and see if any reference to any theories has been used in the literature review. The articles that have been used as primary sources in the literature might contain some useful and relevant theories that can be used in the study but they have definitely been not used in the literature review. References of some statements that would have been better explained with the help of the relevant theories that have definitely been part of the original literature used as source but they have not been used in the review to make sense of the problem at hand. So in this case the literature is sorely lacking and there is no way to demonstrate the necessary theories in the literature. So the article is able to explain the problem and refer to the different literature which is relevant but it could have been better and more understandable with the help of a few theories.
The word landmark means noticeable geographical feature of an area but in this case the word land mark means some important study that is noticeable. In some specific field that is diverse some study that addresses some academic feature of the area that has never been explored before is called landmark studies.
There is one land mark study that is used in the literature which is the following Bishop, J., Caygill, D., Mace, Cl, Ross, R., Taylor, S., Tuczemskyi, E., Richardson, M. 1990. Disabled for a day. Nursing Times 23. This study is done on the basis of personal experience of the researcher and the disability and the disabled people and their care in the normal day has been described. Here the first person perspective of the problems that are faced by the disabled people. It is a study that looks into the daily lives of the disabled people and points out the problems they face to the people who are not disabled and without this study would have been unable to see things from the perspective of the disabled. This is why the study is a landmark study.
The relevant studies have been critiqued in many instances and the study itself revolves around the statements made which critique the relevant literature.
Some of the instances where the relevant literature have been critiqued are
Students’ previous experiences, expectations, the contact and nature of the contact along with staff support were all elements which contributed to changing attitudes (Murray & Chambers 1991)
Positive attitudes to disabled people develop through a combination of education,information and supported contact (Chan & Cheng 2001; Eichinger et al 1991; Happell,2000; Procter & Hafner, 1991).
Utilizing the knowledge and experiences of disabled people or parents of disabled children in the educational process is also recommended (Heaton, 2002; Scullion 1999a).
The number of quotations in the literature is minimum and most of the statements that are taken from the other sources of literature are in almost all of the cases paraphrased to conform to the flow of the literature review. So the result is one flowing literature which is not disjointed in any way and the information gleaned from the other sources is incorporated seamlessly in the review. The result is a complete piece of literature so paraphrasing has been used in the literature to make the flow of words smoother.
The current knowledge is used in the literature review as the sources that have been cited are of recent years and the articles which has been the primary source of the information in this literature goes up to the date of publication so, it is clear that the sources that has been used are current. So it can be guessed that the older literatures that are used in the literature are used when some information has not been used in the current ones. There is also the assurance of the researcher that the current similar sources if found would have been used in the literature.
The gaps in knowledge has been addressed by the researcher as the researcher concentrated on filling in the gaps in the literatures by suggesting ways of the changes in the curricula=um to make the knowledge of the student nurses more complete. So it can be assumed that all of the gaps in the literature have been addressed by the researcher in the same way and the resultant research is one of the most complete pieces of literature in the subject.
The structure of the literature review is controlled and segmented in different parts based on the topic and the proper introduction and conclusion part is also added. the result of the effort given by the researcher is one complete piece of literature that has the concise structure and the information is presented in a systematic way.
The study is based on the logic that the current curriculum for the nurse students is incomplete as they do not propose as different care model for the patients with disabilities. So the study revolves around the fact that the case that is concerned with implementing the necessary changes in the nursing student’s curriculum so that the care of the disabled patients are included specifically in the study. So it is clear that the logic of the study is based on the case that is built on the foundations of the researches on the topic. So there is logic behind the structure of the literature and the conclusion.
References
Cristian, A. (2009). Medical management of adults with neurologic disabilities. New York: Demos Medical.
Dörscheln I, e. (2013). [Nursing patients with learning and physical disabilities in hospitals – a systematic literature review]. – PubMed – NCBI. [online] Ncbi.nlm.nih.gov. Available at: https://www.ncbi.nlm.nih.gov/pubmed/23384844 [Accessed 27 Jun. 2016].
Embregts, P. (2009). Residential treatment following outpatient treatment for children with mild to borderline intellectual disabilities: A study of child and family characteristics. Research in Developmental Disabilities, 30(5), pp.1062-1067.
Farrar-Schneider, D. (1991). Pain in children: Nature, assessment, and treatment. Research in Developmental Disabilities, 12(1), pp.106-107.
Ilkhani M, e. (2015). Nursing curricula relating to care for disabled children: literature review. – PubMed – NCBI. [online] Ncbi.nlm.nih.gov. Available at: https://www.ncbi.nlm.nih.gov/pubmed/26190753 [Accessed 27 Jun. 2016].
Patients with physical and mental disabilities. (1993). Chicago, Ill.: American Dental Association, Council on Community Health, Hospital, Institutional and Medical Affairs.
Perel, I. (1992). Deinstitutionalization at a large facility: A focus on treatment. Research in Developmental Disabilities, 13(1), pp.81-86.
Seccombe, J. (2007). Attitudes towards disability in an undergraduate nursing curriculum: A literature review. Nurse Education Today, 27(5), pp.459-465.
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