Distress In Patients With Gynecologic Cancers Homework Essay Sample

Chamberlain College of Nursing NR439: Evidence-Based Practice

Purpose of the Study

Using information from the required article and your own words, summarizethe purpose of the study. Describe what the study is about.

Cancer is a devastating disease for patients, including mentally and emotionally, leading to common demonstrations of distress, which can be hindering to treatment and outcomes. Therefore, it is necessary to identify and provide help for distressed patients early on. The primary purpose of the study is to determine how prevalent distress occurs in patients with gynecologic cancers, the context and consequences of it, as well as introducing an intervention of routine distress screening by staff (O’Connor et al., 2017).

Research & Design

Using information from the required article and your own words, summarizethe description of the type of research and the design of the study. Include how it supports the purpose (aim or intent) of the study.

The study follows a mixed-methods design. Patients were asked for consent and directed to complete a specific survey test known as the Distress Thermometer (uses a Likert-type scale) along with a problem list (yes/no answers). The oncology nurse on duty would evaluate the results and consult with the patient, referring women to specific interventions which were appropriate based on their distress levels or psychological health. Healthcare professionals were then interviewed by a research officer. This design offers both a quantitative and a qualitative approach in supporting the study purpose, by using an objective method to identify distress while using interviews to help determine context and signs that healthcare workers should look for.


Using information from the required article and your own words, summarizethe population (sample) for the study; include key characteristics, sample size, sampling technique.

A sample size of 62 patients with gynecologic cancer in a pre-admission clinic. The sample requirements included being at least 18 years old, having a gynecologic cancer diagnosis, and be able to comprehend and complete the tests. The median age was 58 years old. No direct sampling technique was included.

Data Collection

Using information from the required article and your own words, summarizeonedata that was collected and how the data was collected from the study.

The DT and PL tests were conducted, allowing to collect quantitative data in a cross-sectional study. The tests had either quantitative or binary answers which allowed to identify the level of distress and specific problems which were either a cause or consequence of this distress level, helping to objectively describe the patient’s psychological state.

Data Analysis

Using information from the required article and your own words, summarizeone of the data analysis/ tests performed or onemethod of data analysis from the study; include what you know/learned about the descriptive or statistical test or data analysis method.

Quantitative data was analyzed using SPSS with descriptive statistics used to describe DT and PL scores. Additionally, Pearson chi-square test for independence evaluation and an ANOVA were utilized. Furthermore, the Pearson product-moment correlation coefficient was applied to determine any correlation between DT and PL scores. It was interesting to learn that the latter statistical test could be used to draw correlations. Considering the purpose of the study, it is a critical statistical measure which can then be compared with qualitative data.


Using information from the required article and your own words, summarizeonelimitation reported in the study.

The researchers note that they did not conduct follow-ups to determine if the women followed referrals of healthcare professionals. This is a limitation that should be avoided in the future since the objective of the study was to ensure that healthcare professionals are able to address the distress in patients and improve outcomes.


Using information from the required article and your own words, summarizeoneof the authors’ findings/discussion reported in the study. Include one interesting detail you learned from reading the study.

One finding that the researchers found that there is a correlation between certain types of gynecological cancers and distress levels. For example, patients with cervical cancer tended to score highly on the DT test in comparison to others. This may be related to the seriousness and successes of treatment. One interesting detail is that such distress screenings have little impact and disruption to healthcare service, thus suggesting that they should be utilized more commonly to achieve early detection.

Reading Research Literature

Summarize why it is important for you to read and understand research literature. Summarize what you learned from completing the reading research literature activity worksheet.

The research literature is vital in healthcare and important reading material for medical professionals as it contributes to the professional knowledge and competencies in the field. The research literature is the basis of evidence-based practice and promotes a scientific approach to all aspects of healthcare delivery. From completing this activity, it was learned that a research study follows a structured methodology that ensures proper context and a level of validity. It is generally accepted that studies must follow this structure as it promotes a high level of research competency.


O’Connor, M., Tanner, P., Miller, L., Watts, K., & Musiello, T. (2017). Detecting distress: Introducing routine screening in a gynecologic cancer setting. Clinical Journal of Oncology Nursing, 21(1), 79-85. Web.

NR439_Reading_Research_Literature_Worksheet 3/2019 ST.

Scholarly Research Methods For Persuasion

Concrete Experience and Reflective Observation

My 13-year-old working experience at Bridgestone required the identification and development of multiple skills and knowledge in the field of leadership, cooperation, and management. To be persuasive means to be ready to present credible information and clear facts and explain how to use the material. Therefore, a part of this course was focused on the utilization of multiple scholarly research methods found online and in libraries. Firstly, I planned to visit a local library and read several articles and books about communication between a leader and the staff. However, it turned out to be difficult to combine my leadership duties and research activities. Therefore, I decided to continue my investigation online and involve as many employees as possible, not at the expense of their time and the quality of tasks.

I divided my scholarly research experience into several sections. In the beginning, I set the goal to understand the worth of this activity for my leadership practice and its possible effects on communication. It was not always easy for me to persuade many people to choose the same job at the same time. Therefore, I had to strengthen my persuasion by means of new methods and the already approved basics. For example, a source is one of the major elements of persuasion in communication and the message, public, medium, and effect. I tried to find several databases, compare the findings and results of different researchers, and underline the major points interesting to my people. My personal interest in texts was not the only criteria for a final choice. I also paid attention to such factors as illustrations, references, and the use of the same material in other projects.

Communication was an effective way for me to influence someone’s mind. I tried to gather many facts, compare the results in different findings, and choose what information can be helpful in different situations. It was the process that I called a successful combination of a critical analysis of information and the identification of new scholarly methods. I surfed the web, read the experiences of different leaders, and paid attention to the theories and frameworks that, as I believed, could help in persuading, communicating, and discussing organizational goals and outcomes. My persuasion was also based on recent findings and numbers. Therefore, I developed charts and graphs as a part of quantitative research methods and tables with conceptual maps as a part of qualitative research methods.

Theories and Principles/Abstract Conceptualization

Any organization is responsible for providing the best services, offering appropriate products, and establishing effective cultures and standards. There are many ways to achieve improvements in different fields, and the leader has to make final decisions. In this course, my learning and practice were developed around three theories with different goals and contributors – attribution theory, coordinated management of meaning (CMM) theory, and social learning theory.

Theory 1

In persuasive communication, attribution statements determine the quality of work and the possibilities for people to cope with their tasks. In the middle of the 20th century, Heider offered the idea that human behaviors could be determined by internal or external factors and proposed to understand better interpersonal relationships (Shrestha, 2017). The essence of this theory is to examine the information and combine it in the way a casual judgment is formed.

Theory 2

Another significant contribution to scholarly research is introduced in the CMM theory. In 1980, Pearce and Cronen developed the theory according to which meaning is created and social reality is managed (“Coordinated management of meaning,” n.d.). The authors said the necessity to develop several prepositions on a specific situation can result in a reaction, action, or another significant outcome. According to this theory, social realities provoke new constructive or regulative rules in communication.

Theory 3

The third theory, social learning theory, was developed by a well-known researcher and psychologist, Albert Bandura. It included several new ways to improve a learning process and social behaviors, including observations and imitations (McLeod, 2016). It is a well-known fact from childhood that people find it effective and necessary to look at each other and decide if to follow the observed examples or not.


In all three cases, new research methods can be taken from the theories and applied in different fields of leadership, management, or corporate culture. Leaders must support their employees, and the more new methods and already-approved tactics are used, the better and less predicted outcomes could be achieved. In the course where persuasion in communication has to be indicated and practiced, the idea to use different theories from learning, communication, and management fields seems to a good and rational decision.

Testing and Application/Active Experimentation

My practical application of the learning experience that was developed to achieve the goal of utilization scholarly research methods showed how different theories might be helpful in different activities. For example, the first theory was a great chance for me to demonstrate my respect to the team and underline the worth of new methods and information. I got to know what my people think about my ideas and training importance and then combined different sources of information in order to persuade the rest of the team and plan new training techniques. The second theory of coordinated management and meaning was also connected to my leadership experience because I used different situations and chose methods according to which I could achieve the most profitable results. Finally, Bandura’s theory contributed to my understanding of leadership and communication in the form of how children memorize new information and develop their skills. Employees are in need of illustrative examples, and I am the creator of these examples to be observed and imitated with time.


Coordinated management of meaning. (n.d.). Web.

McLeod, S. (2016). Bandura – Social learning theory. Web.

Shrestha, P. (2017). Attribution theory. Web.

Promoting Professional Accountability In Nurses


The topic discussed in this paper is promoting professional accountability and ownership. The purpose of this report is to summarize and apply the findings of the assigned journal article. The information and findings of the article will be discussed in the context of future practice as a nurse. Professional accountability is an important aspect in modern nursing practice and should be a competency greatly emphasized in academic preparation.

Assigned Article Summary

The article begins with anecdotal evidence suggesting that the current status quo in nursing practice does not promote accountability for patient outcomes due to the structure of care delivery models and long shifts. Many nurses feel that accountability means compliance but it is simply an aspect of their professional role which also expects to use new evidence to guide practice in accordance with policies. Therefore, professional accountability is a mindset, which encourages nurses to grow and adapt, applying skills to improve patient outcomes. Nursing actions to ignore evidence or deviate from the procedure due to personal belief could have significant ramifications (Sherman, & Cohn, 2019).

Nurses are part of a bigger complex healthcare system. Solo functioning and a perception that one’s job is simply to fulfill certain tasks within a shift is incorrect. It is important to create a culture of accountability and set proper expectations. Maintaining a culture of accountability may be difficult for nursing leaders, but a culture of ownership is sustainable since nurses expect to fulfill certain objectives from themselves, not because they are being forced. This type of mindset in the job leads to greater professional accountability and positive patient outcomes (Sherman, & Cohn, 2019).

Impact of Assigned Article Content on Future Practice

This article had a profound impact, providing me with an opportunity to examine the process of evidence-based practice from a perspective which nurses may not often consider. It is possible that routine and fatigue may impact my future practice to an extent similar to the nurse in the article that focused on fulfilling the daily tasks and rejecting a possibility that actions may be negatively impacting patients.

I hope to implement these principles of accountability in my future practice by actively participating in the process of improving healthcare through evidence-based practice. This includes both personal learning and participating in such investigative committees described in the article. Furthermore, I hope to adopt the culture of ownership, holding myself accountable, as this would drive me to continuously grow and take responsibility for my actions, improving quality and dedication of my approach to care.


One may not always agree with new policies and procedures, but it is important to remember that nursing is a commitment to continuous learning and self-development for the benefit of healthcare outcomes. This is the basis to professional accountability which was the focus of this article summary. Incorporating this knowledge into future practice will be beneficial to creating a culture of accountability and ownership, understanding the value of evidence-based changes to the overall outcomes of patients and healthcare quality. Accountability should be an aspect which is greatly promoted in nursing education and organizations to facilitate acceptance of evidence-based practice implementation.


Sherman, R. O., & Cohn, T. M. (2019). Promoting professional accountability and ownership. American Nurse Today, 14(2), 24-26.

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