Thesis Sounding Board

Nurses General Nursing

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Well, the dreaded semester has begun: Intro to the Thesis Project. :eek:

I'm early in the stages here and was hoping to bounce off some ideas related to my possible thesis topic.

First, I am most likely headed into the qualitative direction. Why? Well for starters, math was not my strong suit and secondly, it seems the nature of my problem statements all seem to have a qualitative approach.

Second, I'm struggling on whether or not I should peform a lit review before deciding on a final problem statement. I've read that sometimes that contributes to bias, especially in a qualitative design.

Here's what I was thinking of, so far. If anyone has any experience in these topic areas or, knows that there already is an abundance of research out there related to it, I'd like to hear it.

First one: The nature/meaning of relapse in recovering alcoholics. This hits close to home for me because of my father, so the problem itself is quite interesting. I'd like to do a qualitative design with this one to determine any patterns of responses, possibly leading to a theory.

Second one: Minority groups perception of research involvement. This thought came to me because, as a research nurse, I observe barriers between the African Americans I am to enroll in my study and myself. There seems to be a mistrust. I'd like to explore that further. Again, qualitative design.

Third one: Arresting Pre Term Labor: The Nurse's Influence on Preventing Readmission. PTL is very near and dear to me clinically, as this was my area of expertise, if you will, in L&D. This problem seems to lend itself towards quantitative, but I'm not so sure. In this problem I'd like to explore how adequately educated and trained nurses can assist patients in managing their PTL (when discharged to home on oral terbutaline, for example) so that readmissions are less likely to occur once terb has been DC'd.

Thoughts?

I appreciate it. Thanks! :)

relatively few studies have examined why alcoholics themselves feel the need to return to alcohol use.

since alcholism is an addiction, and the physiological addiction is one factor that causes relapse, you might reword this statement. Perhaps something like, "relatively few studies have described the experience of relapse as it is lived by the alcoholic", or something like that giving more indication that it's a phenomenological study.

In terms of financial impact, is there more recent data than 1992 since health care costs have risen in the last decade?

Linda

Specializes in LDRP; Education.

Linda,

Uh, good point. I didn't really notice that.

Hmm. My only problem with that sentence is that I seem to lose the point that I am asking the alcoholics why they relapsed, addiction aside. If I said: "...relatively few studies have examined the perceptions of alcoholics related to their own relapse experience" it almost seems to me like I am just asking them to reflect on it, rather than directly asking them why they felt they relapsed.

As far as the data, for the love of Pete I could hardly find the data I did. I went to nih.gov as well as alot of other sources that Hoolahan pointed me too, and it seems the most recent studies are from 1998, that look at earlier year's data. I could conclude that costs are even higher than that estimate, seeing as health care costs are higher. Would it appropriate to put that in there?

how about, "relatively few studies have examined the reasons for relapse from the point of view of the alcoholic". Still asking the same question as your first draft, just different wording, I suppose. In the latter part of your section you mention the "meaning of relapse", which, to me, seems like a separate issue from the "reasons for relapse". For example, a reason for relapse might be that one felt stressed and needed a drink to relax. The meaning of relapse might be that the person disappointed themselves or family. You can research both aspects, I just see them as different phenomena (why did you do that AND how did you feel when that happened?).

Linda

Edited to say, "who the hell is Pete?"

Susyk...regarding your problem statement.. I think it is a wonderful problem statement appropriately backed up with facts and references. However, I am curious about your target population. Are you including all alcholics? Or just ones who think alcoholism is a physical issue; emotional issue; etc? What about alcoholics who haven't relapsed? Will their thoughts/feelings/opinions be included? If they will be included, will the type of program (if any) be included? Such as AA, private facility, etc?

I too am a grad student working on the first 3 chapters of my thesis. What started as (what I thought) was a simple problem had more potential variables than I could have realized!

Isn't research fun!?

p/s..i love the picture of your dog~!

Specializes in LDRP; Education.

np2b04

Well, my target population will be people diagnosed as alcoholics who have relapsed, as evidenced by a second or more inpatient program admission.

Should that be more identifed in my problem?

Arghh, these first three chapters are hard. This is actually an exercise for my 526 class, but we can use it to start on our thesis if we want to.

I think you identify your target population with this:

Alcoholic relapse is a significant health concern affecting recovering alcoholics and their families, and little is known about what may cause relapse from the alcoholic's perspective, therefore it is essential that the meaning of relapse and the alcoholic's perception of the experience is explored.

When is this due? Our resident doctorate will hopefully be back on Monday and she always has great constructive input.

Linda

Specializes in LDRP; Education.

It's due Monday.

Hi Suzy,

I personally like starts with lit. reviews, to get "warmed up" to the theme so to say.

Again, you and I both know why, the alcoholic thesis, is a close homecall isn't it? objectivity..............?

I like the second thesis best, but (probably) a stupid question from me here, are African-Americans really a minority?

Anyhow, good luck to you, Renee

Specializes in LDRP; Education.

Actually, AAs are a minority. Hispanics are not simply by virtue of population numbers.

I think I can be objective with this topic, though. I really do.

I just wanted to add that you've done a nice job writing this. You touched upon the social, financial, and medical implications related to relapse, and this substantiates why relapse is a problem and important topic for study. I'd not stress over it for your class as it is a learning process. You can tweak it as you progress through the research process if you need to. It really looks good to me.

Linda

Specializes in LDRP; Education.

Thanks Linda. I've actually tweeked it quite a bit since our exchange. And even tho Stargazer accuses me of being a big geek with glasses and an overbite, she's going to help me with a few grammatical errors she's found.

(gotta make her feel useful, ya know) ;)

Susy, reading all this makes me want a beer. Better you than me. Good luck, Gary

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