Synergistic Professional Nursing for Tubercular Meningitis Patients

This document discusses the effectiveness of synergistic professional nursing in improving the quality of life for patients with tubercular meningitis. The study conducted at Hebei Chest Hospital involved 120 adult patients and compared the outcomes of those receiving synergistic nursing care to those receiving normal nursing care. The results showed a significantly higher overall effective rate in the group receiving synergistic nursing care. The document also discusses the methodological rigor of the study and its implications for nursing practice.

Running head: NURSING ASSIGNMENT
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Name of the Student
Name of the university
Author’s note

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Clinical question: Does synergistic professional nursing improves the quality of the life of the
tubercular meningitis patients.
PICO Question
P (Population) Patients with tubercular meningitis
I (Intervention) Synergistic professional nursing
C (Comparison) Normal conventional hospital.
O (Outcome) Improvement in the quality of life
Search strategy
Online sources and the electronic provides a huge amount of resources. Initially the
search was conducted in the Google to find out the maximum number of articles. Later on, the
electronic databases like Medline, CINAHL and Google scholar. Some of the key words used for
the conduction of the literary search are – “ Tubercular meningitis” , “ synergistic professional
nursing, “quality of life”. Boolean operators like AND, OR.
Tubercular meningitis AND
synergistic professional nursing
`quality of life

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Inclusion and exclusion criteria
Proper exclusion and inclusion criteria are necessary to set boundaries in a literature review and
thus narrow down the available resources online.
Initial Inclusion and Exclusion Criteria
Inclusion Exclusion
Primary research Systematic reviews
Language: English
Country Australia
Year of publication: 2017 to 2018 Older than 2017
Quantitative research
Sources: created by the author
Article:
Jiangyan, G., Hongtao, C., Fan, Y., Guangpan, R., Pei, L., & Yongjun, W. (2017). Impact of
synergistic professional nursing on clinical efficacy and quality of life of tubercular meningitis
patients. BIOMEDICAL RESEARCH-INDIA, 28(17), 7434-7437.
Abstract
Currently tubercular meningitis is manifested by a prolonged treatment that shows a very slow
recovery stage. It is now determined by the analysis of the cerebrospinal fluid by performing a
lumber puncture (Chin 2014).

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However, presently, the conventional method of nursing has failed to address the clinical
requirements of the patients who had been diagnosed with tubular meningitis. However, 1992, a
synergistic mode of professional nursing has evolved.
The aim of the study is to evaluate the effectiveness of the synergistic mode of nursing in
the acceleration of the early rehabilitation and improve the quality of life of the patient. This is a
quantitative study that 120 adult patients suffering from tubercular meningitis admitted in the
hospital of Hebei Chest hospital has been considered and chosen randomly for the study
(Jiangyan et al.,2017). They had been assigned randomly in to observation and control groups.
The clinical data were then matched and were analysed retrospectively. In the intervention
group, the patient received the normal nursing care and their counterparts were given a
synergistic mode of professional nursing care. A follow up for one year was conducted and
clinical efficiency and the quality of life was observed and compared statistically between the
groups. After the statistical analysis it was found that the overall effective rate in the control
groups was found to be 66.7 % which is significantly less when compared to the group that
received synergistic mode of professional treatment study (Jiangyan et al., 2017). The scoring of
the multiple parameters related to the quality of life, when it is compared to the control group.
As per the findings it can be stated that synergistic mode of nursing service integrates
health education, diet guidance, psychological consultations, guidance of diet and the other
nursing follow up.
Critique of the study
The method chosen for this study is a quantitative research. One of importance of the
quantitative research is that is difficult to argue over the results of the quantitative study (Hoe &

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Hoare, 2012). This is because the quantitative study is based upon the observations and not any
theoretical frameworks. Furthermore the outcome of the quantitative study is easy to measure the
results can be clearly shown by the help of the objective data. It is again easier to make
predictions relates the quantitative data due its numerical basis (Jiangyan et al, 2017|). However,
the ability to expand the data in to predictions in an important advantages. Again one of the
important disadvantages of the quantitative data is that it cannot be used to explain the social
phenomena.
A random sampling had been taking place while recruiting the participants.
Randomisation in research helps in the prevention of the bias (Walliman, 2017). Blinded trials
are more important to minimise the risk of bias.
The potential risk of this research is the small sample size. Small sample size tends to
decrease validity and the reliability of the research (Creswell & Creswell, 2017). It affects the
reliability of the survey due to the fact that it might lead to higher variability leading to bias. One
of the common type of bias that can occur is the non-response bias. Another bias that might
occur is voluntary response bias, where the result of the survey can be skewed for reflecting the
opinion. Now one questions that arises in the context is that is this specialist synergistic training,
feasible option in all the clinical settings. In such the cases the nurses should be have specialist
training before engaging with the patient. The evidence is rigorous as the findings of the paper
has been supported several other research articles (Billups, 2014). Methodological rigor can be
referred to as the thoroughness and the accuracy with which the research had is being conducted
(Bryman, 2017). It involves elements like empirical validity, statistical significance and the
generalizability of the results. The findings of the paper is support by several valuable research
findings. The results in the quantitative study can only be considered to be useful and trustworthy

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(Punch, 2013). There are many key issues that should be considered and me as a part of the
experimental analysis and design. The conclusion validity has clearly observed the relationship
between the variable and observed outcomes (Treiman, 2014). The internal validity considers
whether the relationships are casual in nature or not SPSS.
No adverse events have been reported in the study.
One of the important aspect of quantitative research is the chosen inclusion and the
exclusion criteria. Those patients who had complied with the clinical diagnostic criteria of the
tubercular meningitis, having tubercle bacilli in the cerebrospinal fluid were included in the
study. Those patients who had other comorbidities like virus meningitis, cerebral hernia, purulent
meningitis, those with the complex vital organ dysfunction, consciousness disorder, nervous
system disease and hypertension were excluded from the study. Pregnant women were also
excluded from the study (Zohrabi, 2013). On the basis of the inclusion and the exclusion criteria,
judgement can be made regarding their impact on the external validity of the results. It requires
in-depth knowledge of the area of research (Patino & Ferreira, 2018). The paper has provided a
detailed account of the nursing intervention provided, the synergistic nursing care. The
synergistic nursing care intervention involved patients education, especially information
regarding tubercular meningitis. The patients were encouraged to raise questions and confusions
that could be resolved by the nurses and the physicians (Zohrabi, 2013). After being conscious
the psychological health of the patients was assessed. It is necessary that the nurses should hold
regular meetings with the patient and the family members. After the discharge a proper follow up
would be required to support the psychological needs of the patients. The paper had also clearly
mentioned about the various evaluation parameters. One is the assessment criteria of the clinical
efficiency, assessment of the quality of life. While assessing the quality of life eight sections

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were the vitality, functioning of the physical role functioning, emotional role finding, vitality
pain, general perception of the health.
Statistical calculations re conducted by the help of SPSS. The enumeration of the data
were analyse directly by chis square taste. Mean standard deviation was used by enumeration. t –
test was also use for the comparison between the groups. Statistical significant was considered to
be P<0.05. Finally the result of the study was written in a clear manner. The results has been
provided with the help of graphs. The comparison of the efficacious rate in the observation group
was found to be 86.67 %, that is significantly higher than 66.7 % which is in must completion.
The paper had has provided with a vivid account of the discussion. A discussions
continues a briefs overview about the conditions of the patient. The discussion part helps to
modify (Zohrabi, 2013). The paper has rightfully understand about the limitations. Conventional
role of the learning, fail to satisfy the needs of the patient.
The strength of this paper is that it had addressed the knowledge gap related to nursing
intervention in this field. The paper has helped to understand how the synergy model of patients
care is important in the care and the decision making of the critically ill patients. Through the
adaptation of the model the exact needs of the patient can be understood (Swickard, Swickard,
Reimer, Lindell & Winkelman, 2014). Advanced practice nurses are involved in the care of the
meningitis patients with the prescriptive authority and judgement. Thus this paper gives an idea
of the synergistic model of health care in the care of the patients.
Ethical consideration is an important factor in quantitative studies involving human
subjects. The main ethical issue involved in a quantitative research is the obtaining of consent.
Informed consent seeks to incorporate rights of the patients by self-determination (Gajjar, 2013).

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It also prevents the exploitation of the patients or any intentional harm to the patient. The trial
has been approved by the ethics committee of the Hebei chest hospital and written consent were
obtained from all the patients.
The main nursing implication for this research is that application of this novel mode of
nursing helps in the prevention of the risk assessment and deliver quality services that can
seriously reduce the heath conditions. It can be recommended that the nurses might use the
synergistic model to include multiple perspectives on health and more.

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Jiangyan, G., Hongtao, C., Fan, Y., Guangpan, R., Pei, L., & Yongjun, W. (2017). Impact of
synergistic professional nursing on clinical efficacy and quality of life of tubercular
meningitis patients. BIOMEDICAL RESEARCH-INDIA, 28(17), 7434-7437.
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