Finding referances for my Nursing intervention rationals.

Streamline2010 · Mar 22, 2012

This is the lind of stuff that sent me into orbit before I quit RN school. If the school wants students to ref books pub'd only within the past 5 years, then buy those books and put them in the library as Reference so that they are available to students. Quit WASTING STUDENTS' TIME! by making them do the school's job. If you supply me with only outdated books, that is what I will reference, b/c it's not my job as student to go out and buy the library that the school should be providing if the school is doing its job.

It's rationale, with an e on the end. Correct your spelling.

Okay, for one possible solution:

Go (very meekly and politely, not guns-blazing like I'd do, hehe) to the nursing instructor who assigned this, and ask for clarification about sources for these references that must be books pub'd with the past 5 years.

The way I see it, it's either they let you students use the current / newest books that the instructors keep on the shelves in their offices (plus the required textbooks and care plan book that your school told you to buy), or you students will simply use your required textbook list plus whatever books have been supplied in the school's library, outdated or not.

"Lazy" is what the school is, for making yet another rule that dumps more time-consuming carp and wild-goose-chase on students. You do need to justify your choice of interventions as appropriate, and who said they are appropriate, because you just can't make up stuff and do it because you think it's a good idea. And even though the instructor gave you instructions and rationales and interventions in class, those came out of some book, and you must cite books, not heresay, for rationales.

nrsmela · Mar 22, 2012

Try accessing online journal articles related to your topic, I am sure your school has a database that you can access (pubmed, cinhal etc). Read the articles and see what these articles say about interventions related to pain for example (what has been successful or proven and what hasn't). This will help you with your rational for the interventions as well as provide a reference. I would suggest doing a literature search and review and then picking your diagnoses based on what you find (in the past that has been more helpful to me). Also all of your diagnoses are 'risks', I would go for two actual diagnoses and maybe one risk. I think you are just looking in the wrong spots as a starting point, start with the scholarly articles then when you have all the info/resources you need move on to your nursing books.

Goodluck!

nurseprnRN, BSN, RN · Mar 22, 2012

are you familiar with the cumulative index of nursing and allied health literature (cinahl)? your school library should have it in hard copy, or have a subscription for an online version. look in there for whatever topic you want, say, "nausea" (i agree, you seriously have to work on your spelling*), "postoperative care," "total hip replacement (or whatever it was-- there are many ways to cut on a hip)," and so forth. you should find plenty of nursing journal articles.

as to the "five year rule," this may not help you but you should share it with your faculty. (nursing's journalism is not what it ought to be.

diana j. mason phd rn faan, editor emerita, american journal of nursing

ajn, april 2009 vol 209, no. 4 -- somehow the "attach file" link isn't here today. "students and nurses engaged in evidence-based practice projects are incorrectly being told to search the literature for the last three to five years.(emphasis in original) one paper we received took such an approach and missed a significant body of writing on the topic published 20 years ago. we rejected the paper. limiting literature reviews to an arbitrary number of years sometimes wrongly suggests that the best work on the issue occurred recently.")

as to the difficulty of the assignment, part of learning to be a nurse is preparing for a lifetime of professional learning, and that will include frequently referring to current or past literature on unfamiliar topics. this is how they teach you to begin to do literature searches. you will be better at it later, and you will be much better at it by the time you graduate.

*i really am trying to be helpful: references, nausea, rationale, prioritize, surgical, upon, you. you're welcome.

Esme12, ASN, BSN, RN · Mar 23, 2012

I agree Greta.......and I recognize those misspellings as auto-correct I phone. I get them from my kids all the time and it corrects it after you send.

Steve Jobs might have been a visionary but he forgot to teach the phone to spell.. :lol2: (too soon?)

guest042302019, BSN, RN · Apr 16, 2012

My book has all rationales and cited sources after each rationale. Check out "Nursing Diagnosis Handbook: An Evidence Based Guide to Planning Care, By: Betty J. Ackley and Gail B. Ladwig, 9th Edition." Also, you may want to review your google searching techniques. I'm sure you can find an article out there that will help you narrow down searches. You've got to with the WWW being so immense. It may save you time in the long run learning how to find what you are looking for. Even putting quotes around an exact phrase makes a huge difference in search results on google, databases, or otherwise. Good luck.