Nursing Research

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DeCordova, P. Johansen, M, Miguel E. &amp Cimiotti, J. (2017).Emergency Department Weekend Presentation and Mortality in Patientswith Acute Myocardial Infarction. NursingResearch,66, (1), 20–27

Thearticle’s main goal was to examine if holidays and weekendshealthcare services increases the high mortality rate in theemergency department among patients suffering from Acute MyocardialInfarctions (AIM). The research question revolved around identifyingthe relationship between holidays and weekends’ presentation andthe increased mortality rate in the emergency department in the NewJersey. Researchers present quantitative data that highlight causesof the high cases of deaths in the ED among individuals with chronichealth complications. The quantitative data also helped to generalizeon the causes of the increased mortality rate among AIM in theemergency department in weekends and holidays. Researchers identifieda retrospective cohort that represented the American NursesCredentialing Centre, New Jersey Hospital Association, and the NewJersey Department of Health and Senior Services. Researchers reliedon data presented during working days and weekends among AIM patientsin the retrospective cohorts (De Cordova, Johansen, Miguel, &ampCimiotti, 2017). The study also relied on the regression process tounderstand possible biases in the treatment process during holidaysand weekends. The study findings indicate that the mortality rateamong AIM patients during the weekends and holidays were relativelyhigh as compared to weekdays. The study also indicated that thenumber of nurses in weekends and holidays were relatively low ascompared to weekdays. Therefore, poor staffing during the weekendsand holidays can be the cause of the high mortality rate.Furthermore, most of the hospital equipment and technologies do notfunctional during weekends. Scholars associate the poor use oftechnology during weekends with a limited number of skilledprofessionals (De Cordova, Johansen, Miguel, &amp Cimiotti, 2017).Besides, the number of elderly people who die in holidays andweekends is high as compared to young people. The study concludesthat holidays and weekends’ presentations result to increasedmortality rate among AIM patients. Health professionals associate theproblem with limited human and capital resources. Furthermore,researchers affirm that patients admitted during weekends andholidays have poor outcomes as compared to weekdays’ patients. Thestudy has implications for the entire healthcare systems. The studyhelps healthcare managers to examine potential variations ofresources during weekends and weekdays. Therefore, the study can helpleaders to develop effective guidelines to reduce mortality rateduring weekdays and weekends (De Cordova, Johansen, Miguel, &ampCimiotti, 2017).

Thesource is relatively useful in helping nurses and other healthprofessionals understand factors that result to the high mortalityrate among AIM patients over the weekends and holidays in theemergency department. The study helps health professionals revealsome of the challenges they face in offering services to the highnumber of patients who present themselves during weekends andholidays. The sources also reveal the important of addressingnurse-patient ratio in the modern healthcare facilities. The sourcealso ensures that healthcare department’s leaders understand thesignificant of advancing expertise and education among healthcareproviders. Besides, as compared to other sources in bibliography, thesource gathers credible information from reputable healthcarefacilities in the New Jersey. The article also presents numericalfigures that help to compared mortality rate among AIM patientsduring weekends and weekdays. Therefore, the source is useful inresponding to the research questions. Researchers have also gatheredinformation from different sources. Therefore, the information isinformative and reliable. Some of the participants in the researchprocess include patients, nurses, experts, and healthcare leaders.The source is also objective. The inclusion of all stakeholders inthe data collection process helps to address the possible biases inthe data collection and analysis process. The huge research samplealso affirms the objectivity of the research process. The source hasalso attained its intended goal. Ideally, the research goal was toidentify the association between weekends and holidays presentationsand increased mortality rate among AIM patients in the New Jersey’semergency department (De Cordova, Johansen, Miguel, &amp Cimiotti,2017).

Thesource is relatively helpful to me since it helps to identify some ofthe factors that define nursing success in the modern healthcareservices. Besides, the source is essential to the nursing practicesince it reveals the important of increasing the number of healthprofessionals in the modern healthcare facilities. The mostinteresting thing in the research findings is that there is adifference between the treatment outcomes in weekends and weekdays.Ideally, health professionals are required to provide equal treatmentservices during weekends and weekdays. The main concern in theresearch findings is the limited number of human and capitalresources in the modern healthcare facilities during weekends andholidays (De Cordova, Johansen, Miguel, &amp Cimiotti, 2017).Healthcare leaders need to ensure that the existing facilities haveadequate resources all the time. Therefore, the lack of the requiredtreatment facilities is an issue of concern. The article also affirmsthat there is a consensus that there is a relationship betweenweekends and holidays’ presentations and the high mortality ratesamong AIM patients.


GillisN., Arslanian-Engoren, C., &amp Struble, L, (2014).Acute Coronary Syndromes in Older Adults: A Review of Literature.Journalof Emergency Nursing,40, (3), 270-290

Thearticle examines impacts of the Acute Coronary Syndromes (ACS) amongolder adults. So far, ACS is the leading cause of deaths among olderpeople in developed states. Furthermore, the condition hasregrettable health implications among affected patients. The researchquestion revolves around examining signs of ACS among older people.The study also aims at identifying the existing knowledge gap on theimplications of ACS on older patients. The research type is theexpert opinion. Therefore, the researcher undertook a systematicliterature review to understand some of the factors that result tothe increased mortality rate among older people suffer from ACS. Theresearch results indicate that older people suffering from ACSpresent signs of chest pains (Gillis, Arslanian-Engoren, &ampStruble, 2014). The condition is relatively common in the emergencydepartment. The study also indicates that older people have a highmortality rate as compared to young people. Besides, men are morelikely to presents chest pains as compared to women (Gillis,Arslanian-Engoren, &amp Struble, 2014). However, women have highhospital mortality rate as compared to men. The article concludesthat older adults suffering from ACS have a high mortality rate ascompared to young people. Furthermore, early recognition anddiagnosis can be useful in advancing patients’ outcomes. Theimplications of the study are that there is a need to advance healthprofessionals’ skills to reduce mortality among older peoplesuffering from ACS. The formulation of reliable policies to addresschest pains among patients can also help to address the problem(Gillis, Arslanian-Engoren, &amp Struble, 2014).

Thesource is useful since it helps to identify some of the factors thatresult to the high mortality rate among older people suffering fromACS. The source also examines some of the critical traits presentedby patients suffering from ACS. Besides, the source offersrecommendations to nurses on effective means to address the problemamong older members of the society (Gillis, Arslanian-Engoren, &ampStruble, 2014). As compared to other sources, the article gathersinformation from different sources. Besides, the article addressesdecisive issues that result to the increased mortality rate amongolder people of the society. Therefore, the article’s informationis relevant and reliable. In most instances, literature review helpsto present integrative information from credible sources and authors.The source is also objective. The systematic review helps toeliminate all possible biases in the data collection process. Theobjective of the source is to examine the existing literature tounderstand the ACS’s signs among older people. The source alsoseeks to identify impacts of gender differences and the existingknowledge gap (Gillis, Arslanian-Engoren, &amp Struble, 2014).

Thesource is relatively useful since it helped me to understand some ofthe risk factors and signs that result to the increase in mortalityrate among older people suffering from ACS. The source also helpsnursing professionals to understand the missing knowledge thatresults to deaths among ACS patients. The source also changes themanner in which I think about signs of ACS among older people. Thesource helps nurses to understand that chest pain is the main factorsthat result to deaths among ACS patients (Gillis, Arslanian-Engoren,&amp Struble, 2014). The most interesting thing about the study isthat there is a difference between signs presented by men and womensuffering from ACS. Ideally, men present chest pain while womenpresent nausea. The surprising thing about the topic is that womenhave a high level of in-hospital mortality rate as compared to men.Men are associated with delays in seeking healthcare services(Gillis, Arslanian-Engoren, &amp Struble, 2014). The articlesuggests that there is consensus within the nursing and broaderhealth care community that ACS results to high mortality rate amongolder people. All stakeholders also affirm that there is missingknowledge gap on effective means to address mortality rate amongolder people in the society. Health professionals also agree on theneed to undertake intensive studies to understand impacts of the ACSto the entire community members (Gillis, Arslanian-Engoren, &ampStruble, 2014).


Su,C., Wu, J., Yang, M Liao, C. Hsu, C., Chang, C., Lan, S. Chu, C. &ampLin, Y, (2017). Demographics and Clinical Features ofPostresuscitation Comorbidities in Long-Term Survivors ofOut-of-Hospital Cardiac Arrest: A National Follow-Up

Study.BioMedResearch International,1, (2), 1-12

Thestudy explores post-resuscitation co-morbidities amongout-of-hospital cardiac arrest patients. The study indicates thatoutcomes of patients’ suffering from OHCA are relatively poor.However, the understanding of the post-resuscitation co-morbiditiescan help to increase patients’ survival. The study also affirmsthat effective use of modern technology and innovation can help toaddress suffering among OHCA’s patients (Su, Wu, Yang, Liao, Hsu,Chang, Lan, Chu, &amp Lin, 2017). Therefore, the research questionaims at addressing the new-onset post-resuscitation co-morbiditiesamong OHCA’s patients. The study also examined factors and signspresented by OHCA patients. Researchers use qualitative datacollection method. As a result, the article gathers information fromTaiwan National Health Insurance’s database. The study also createscomparison groups to examine post-resuscitation co-morbidities amongOHCA’s patients. The study results indicate that OHCA’s patientspresent various signs and complications. For instance, pneumoniaaccounts for 15%, urinary tract infections 16%, heart failure 8%, andchronic kidney diseases 4%. Furthermore, epilepsy 7%,gastrointestinal hemorrhages 8%, and septicemia 13 % (Su, Wu, Yang,Liao, Hsu, Chang, Lan, Chu, &amp Lin, 2017). The study concludesthat survivors have high chances of suffering from severe healthcomplications such as epilepsy, heart failure, and gastrointestinalhemorrhage. The study has implications for modern nursing practice.The study affirms that there are limited measures to addresspost-resuscitation co-morbidities among OHCA patients. Therefore,teamwork between key players can provide lasting solutions to thecurrent problem (Su, Wu, Yang, Liao, Hsu, Chang, Lan, Chu, &amp Lin,2017).

Thesource is relatively useful to OHCA’s survivors and healthprofessionals. The study compares information from various sources onpossible health implications among OHCA survivors. Therefore, thesource can support the formulation of an integrative plan to addressthe problem (Su, Wu, Yang, Liao, Hsu, Chang, Lan, Chu, &amp Lin,2017). Furthermore, as compared to the other sources in thebibliography, the article examines all post-resuscitationco-morbidities conditions among OHCA’s patients. The source alsogathers information from a reliable database. Therefore, theinformation in the article is relatively reliable. Modern healthprofessionals can use the gathered information to improve the healthstatus and reduce the mortality rate among OHCA patients. Theresearch information is also objective. The article aims ataddressing health problems among OHCA patients. The study alsointegrates individuals from various social and cultural backgrounds.The study objective is to understand post-resuscitationco-morbidities conditions among OHCA patients. The article alsoprovides reliable recommendations on effective means to addresssuffering and mortality rate among OHCA patients (Su, Wu, Yang, Liao,Hsu, Chang, Lan, Chu, &amp Lin, 2017).

Thesource is helpful since it advances my understanding onpost-resuscitation co-morbidities among OHCA patients. The sourcealso increases sources of information that can support my futurecareer. The article is also helpful to the nursing profession. Thestudy helps nurses to identify integrative means to addressfrustrations and suffering among OHCA patients. For instance, theunderstanding of post-resuscitation co-morbidities among OHCA’spatients ensures that nurses undertake research to understandeffective and sustainable mitigation measures (Su, Wu, Yang, Liao,Hsu, Chang, Lan, Chu, &amp Lin, 2017). The interesting thing in thestudy is that post-resuscitation co-morbidities among OHCA’spatients occur within the first six months. For instance, heartfailure has the reputation of occurring with the initial four to fivemonths. Therefore, health professionals witness the problem inidentifying the most appropriate time to prevent the problem. Thesurprising thing in the article findings is that most of the patientsdo not have the post-resuscitation co-morbidities time-relateddistribution. Therefore, patients are required to undergo consistentexaminations to reduce the possibility of infections (Su, Wu, Yang,Liao, Hsu, Chang, Lan, Chu, &amp Lin, 2017) selected article affirmsthat there is a consensus that post-resuscitation co-morbidities arethe main cause of death among OHCA patients. Nurses and other healthprofessionals also affirm that there is limited information onreliable means to prevent the problem. The health problem is alsocommon among individuals from varying social and culturalbackgrounds. As a result, to address post-resuscitationco-morbidities among OHCA patients, nurses, and other healthprofessionals need to undertake scientific research to understandcauses and effective means to address the problems (Su, Wu, Yang,Liao, Hsu, Chang, Lan, Chu, &amp Lin, 2017).


Theidentified articles are relatively useful in advancing my personaland professional development. The articles provide adequate anddetailed information on effective means to minimize suffering amongpatients and their family members. Besides, the studies have cleargoals and objectives. The assessment also indicates that the threearticles have answered the research questions. Furthermore,researchers have managed to attain the research goals. The datacollection methods used in the three articles also advance theirrelevant and credibility. Therefore, the articles can help in theformulation of reliable mitigation measures to address current andemerging chronic health complications.

Nursescan also use the existing information to offer quality services inthe contemporary healthcare facilities. For instance, recommendationsoffered by the three articles aim at ensuring nurses understand andadopt reliable means to improve their productivity. The articles alsopresent new and interesting issues. In most instances, surprisingconcerns helps to advance nurses and other health professionals’competencies. Besides, information in the research results affirmsthat there is a consensus between healthcare broader care communityand nursing practice. Therefore, the selected articles are essentialand relevant to modern healthcare facilities and the entire nursingprofession.


DeCordova, P. Johansen,M, Miguel E. &amp Cimiotti, J. (2017). Emergency Department

WeekendPresentation and Mortality in Patients with Acute MyocardialInfarction.

NursingResearch,66, (1), 20–27

GillisN., Arslanian-Engoren, C., &amp Struble, L, (2014). Acute CoronarySyndromes in Older

Adults:A Review of Literature. Journalof Emergency Nursing,40, (3), 270-290

Su,C., Wu, J., Yang, M., Liao, C., Hsu, C., Chang, C. Lan, S. Chu, C.and Lin, Y, (2017).

Demographicsand Clinical Features of Postresuscitation Comorbidities in Long-TermSurvivors of Out-of-Hospital Cardiac Arrest: A National Follow-UpStudy. BioMedResearch International,1, (2), 1-12