Discussion

Discussion

Part One
Questionnaires form a powerful tool in nursing research in gathering standard data
among large groups of people in a structured and efficient way. Their main advantage is that
they obtain a sufficient sample size that is necessary for statistical power and ethical
accountability, because small samples may lead to inconclusive or incorrect findings
(Andrade, 2020). Questionnaires are also effective in consistency and ease of comparison in
heterogeneous groups, which increases reliability, provided that they are well designed. They
have, however, drawbacks of bias in response, a low level of depth, and the possibility of
simplifying complex clinical experiences. Instruments that are not designed well can show
high response rates but still cannot measure the intended construct accurately, undermining
internal validity. I believe that questionnaires can best be used to establish trends and general
correlations, especially at the initial phases of research. Then they should be followed by
qualitative methods that can be used to find out richer contextual implications of the results.
Part Two
Barth et al. (2023) introduce a study where the quantitative scores of satisfaction were
mixed with the qualitative feedback of patients, as a review of mixed methods research on
APRN-led technological solutions. This design was suitable in the sense that it measured
what it intended to measure by obtaining both quantifiable levels of satisfaction and the
subjective evaluation of the quality of care. The presentation was transparent and readable,
and the results could be practically interpreted, which revealed successful data source
triangulation. Nonetheless, the research targeted the HIV patients, as opposed to populations
of heart failure. Redesigning the methodology to meet the needs of APRNs in the context of
heart failure treatment, I would adjust the approach to address the usability issues distinct to this population, including fatigue, dyspnea, and low manual dexterity, which have a
substantial impact on engaging with telehealth devices and following the monitoring regimen.
Part Three
The field of healthcare economics is an integral part of nursing practice since nurses
directly affect the use of resources and the cost-efficiency. Razavi et al. (2020) established
that a lower cost of healthcare, in general, was associated with Medicare beneficiaries
attributed to nurse practitioners than with patients attributed to physicians, which reduced inpatient and emergency care usage. This illustrates that nursing is a
value-creating institution and not just a cost center. The chronic disease initiative (APRN-led)
and telemonitoring of heart failure provides a sustainable model to enhance the outcomes, and
at the same time save financial burden on the healthcare systems.

References

Andrade, C. (2020). Sample size and its importance in research. Indian Journal of
Psychological Medicine, 42(1), 102–103.
https://doi.org/10.4103/ijpsym.ijpsym_504_19
Barth, S. K., Saulters, K. J., Balba, G. P., Monroe, A. K., Horberg, M. A., Kumar, P. N.,
Greenberg, A. E., & Castel, A. D. (2023). Mixed methods analysis of telehealth
experience, satisfaction, and quality of care during the COVID pandemic among
persons with HIV in Washington, DC. AIDS and Behavior, 28(3), 912–923.
https://doi.org/10.1007/s10461-023-04198-7
Razavi, M., O’Reilly-Jacob, M., Perloff, J., & Buerhaus, P. (2020). Drivers of cost
differences between nurse practitioner and physician-attributed Medicare
beneficiaries. Medical Care, 59(2), 177–184.
https://doi.org/10.1097/MLR.0000000000001477

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