Discussion of Post on National Institute of Nursing Research

Running head: HEALTHCARE
Topic: HEALTHCARE
Name of the Student:
Name of the University:
Author Note:

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Part 1: Discussion of Post
National Institute of Nursing research includes an organization for nurses and their
upcoming endeavors which mainly aims at building the stable as well as scientific clinical
practice (Griffiths et al., 2016). It also involves the prevention of diseases as well as
disabilities. Thus the four areas termed as critical for nursing by this institution involve the
problems arising due to wellness, self-management symptoms science as well as end of life
palliative care (Burrel, 2014). Symptom science is an importance issue which is highlighted
as critical area in nursing theories. It is involved with symptom management among persons
with age especially suffering from acute disorder along with the care provided by their
caregivers (Lee et al., 2014). Depressive symptomatology along with depression have
significantly affected almost 7-25 percent of the population increasing the rates of
comorbidities and mortality. Self-management is also considered as an important factor of the
nursing strategies and has a pivotal role in nursing as it acts as a promising strategy inclusive
of the treatment of chronic illnesses. Self-management is considered as an effective as well as
potential paradigm for the solution of problems associated with various illnesses (Grady &
Gough, 2014). Wellness is defined as state of a being. The common perception of wellness
usually generates from the current circumstances and is supposed to change continuously. It
is a common nursing strategy as it revolves around the state of well-being and togetherness.
People experiencing enhanced wellness usually are self-aware and often have the opportunity
to learn about various additional experiences which would ultimately promote wellness. End
of life is an important part of nursing strategy as it encompasses various aspects of care like
symptom management along with effective pain management and the implementation of
sensitive practices and assisting of various patients during the process of death (Fosse et al.,
2014). Thus the nurse usually plays a pivotal role in considering the patient as human and
approaching a holistic plan of care and incorporate advocacy regarding the concepts of

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dependency, helplessness and vulnerability. NINR accepts the issue of palliative care as an
important nursing priority as it believes in the provision of high quality as well as evidence
based palliative care which is a critical component for the maintenance of the quality of life
along with the various stages of illness. All the priorities are justified and there is no
suggestion of any other nursing priority as it helps in identifying and focusing on the various
aspects of care given to the patients.
Critical appraisal
Paper chosen for critical appraisal: Selman, L., Young, T., Vermandere, M., Stirling, I., &
Leget, C. (2014). Research priorities in spiritual care: An international survey of palliative
care researchers and clinicians. Journal of Pain and Symptom Management, 48(4), 518-531.
The given paper selected for critical appraisal have been a cross sectional online as
well as mixed methods for the survey which was conducted (Clement et al., 2016). The main
research thesis has been directed at determining the various research priorities of the
researchers and clinicians which would be useful in information regarding the future research
inclusive of the concept of spiritual care which involves as a pivotal component of he
concept of palliative care. Regarding the hierarchy of evidence presented in the paper by the
author, no such reliability or validity tests had been conducted for the data which has been
presented in the survey. However the author has been successful identifying the biasness in
the cases in the study (Smith & Noble, 2014). The findings of the study has been biased
towards the people who had shown interest in various theories of spiritual care and had often
wished to usually shown participation in the survey. Spiritual distress is often inclusive of
hopelessness and meaninglessness. Spiritual distress have been highly prevalent in the areas
of advanced diseases and has been often associated with decline in the quality of life,
increased rates of the suicides due to dissatisfaction among patients. End of life despair,