• Subject Name : Nursing

Effect of Walking Exercises on Quality of Life

The article “Effect of Walking Exercises on Quality of life and Sleep in the Elderly individual's randomized study", provides in-depth insights over how the related effect of a walking exercise program has bought a better quality of life and sleep within the elderly individuals. The research aim uses the randomized controlled trial. The research objective is correlating the walking program positively with a better quality of life and sleep to the elderly individuals. The research methodology is correlating the adequate walking program with a better quality of life and sleeping moderation. The author has evaluated especially on the elders, with the rising walking exercises, which can bring in a better life due to adequate sleeping and bringing better control quality-wise. Further with the effects of the walking exercises, increases the hormones and also helps in the better attainment of quality life, who often complain of the lack of sleep, but with the moderate walking, not only elderly people are able to sleep but also can achieve a better quality of life (Sekerci, 2019). With the increasing rise in the elderly population has bought a better physical, spiritual, including the social, economic, and environmental problems and to be moderately active and overcome the sleeping issue, walking acts as a catalyst.

As per the article “Nurses' experiences of care for patients with the Middle East respiratory syndrome-coronavirus in South Korea”, where the author details on ways to access difficulties and the undefined healthcare providers causing a better command over safe healthcare system during the time of response of national disasters occur. The research aim uses qualitative articles and also considers in-depth interviews. the article also provides an in-depth knowledge of ways to strategize and how to protect healthcare providers that could be due to the physical and psychological stress. The research methodology is to identify effective ways to identify nurses' insets and their response when treating an adequate patient who has acquired the Middle East respiratory syndrome-coronavirus (MERS-CoV). Due to the experiences gained from establishing a safer healthcare system can help in overcoming any sort of infectious disease outbreaks (Kim, 2018).

Sekerci & Bicer (2019). The effect of walking exercise on quality of life and sleep of elderly individuals: Randomized control study

  1. Critique:

The critique is over the section “Implementation” part of the designing of the research studies and identifying a better quality life. As per the implantation method from the research studies, who has identified that there has been a growing participant through the exercise walking group that has completed an eight-week walking program, which was done by the single researcher. As per the research studies indicated in the article Gomeñuka (2018) which states, that in the elderly people, the exercise and the effects have shown the great improvement results within the 6 months, as the elderly people take time to respond to the exercise and the alteration to life. The Sekerci (2018) identified studies that have provided the in-depth program that could be concluded with the adequate research done during the twice a week. To check the feasibility of the studies, it is important to include the compensation session that could take the week for participants that would not attend the program on account of any reason. It is further also understood how there has been a regularly 8-week walk program that could be drawn as a result of exercise walking group along with the two people that would not do any post-test after the control group, and it has allowed the 60 participants to work progressively. During the walking program that has been done at the early morning hours during the warm weather and during the cold weather, where the elderly people were made to conduct nursing home as a result of the walking area. In the article, of the Bullo (2018), it has researched over to find, that elderly person during the warm weather can respond better to the adequate exercising and with the better quality of sleep and while in the weather like the cold, the elderly people have shown the diminished response to the exercising like walking. In the next section, for every session, a 5-minute warm-up exercise there has been a use of 30-minute walking program along with the 5-minute cooling exercise, but elderly people respond less during the very hot and warm weather and also during the cold weather as per the article Amini (2018)

  1. Evidence:

The author Sekerci (2019) has discussed how the Walking activity can even cause a changeable behavioral risk factor that can also allow a better quality of life and health. Through effective walking programs, the better use of the exercise regime can help to aid in a better quality of life and also to improve a better quality of life. The research study has also identified the use of the walking program that could be on account of the increase in the quality of life and further how to use elderly individuals. With the consistent quality of life score, the author has also evaluated how walking can cause better command over the individual developed positive emotions. As per the meta-analysis, the methodology adopted should be correlated over how the exercise can be more beneficial for the higher gait speed, improving balance, and also over the better flexibility within the older adults. The research should have included other light-based exercises to improve the overall positive effects of the quality of life. It is also important to relate the other aspects, like healthy eating, routine medication, family attributes, and the other stretching exercises, which can lead to more improvement in the quality of life, rather than the benefitting only from the walking exercises.

  1. Justification:

Kim (2017) has mentioned the purpose of the study, wherein she has related how the quality of life is more related to the elderly people that have been living alone and not being able to attain a better life, with the better aspects of the health status. It has been advocated from the article, how there has been a periodic elderly living within the defined regions and affected with the health statuses along with the health behavior experiences. To understand the claims, the studies have included the quantifiable studies and have taken the data from the various global countries that have responded. The author has provided a very well noted, analysis of t how the factors that would be causing an influence as a result of the quality of life would be partly due to the elderly living alone that have been living with the families but it would be irrespective of the walking exercise and more would be due to the generic issues like staying with the family, with the problematic concerns over the health screening, and also being able to access the medical services. The other factors over the quality of life are the regions and how to provide improved overall sound conditions for working and the better emotional support that could help to attain a better living.

Bullo (2018) has mentioned walking training can be used as a better way to improve the elderly healthy, but to better improve the quality aspects; it can be done through the aerobic capacity. Further, the Nordic Walking with resistance can be used with the training, effect sizes and also while using the Nordic Walking that can also access the use of dynamic balance, and with the better exercises like muscle strength particularly for the lower body, for the aerobic capacity (that could improve the flexibility) and also use the better flexibility upper body (0cna help attain abettor quality of life (Amini, 2018). The other factors which the author has identified are the life Nordic Walking that could be denoted as the safe and accessible way of using the exercise for the elderly population, for overall cardiovascular outcomes, and to achieve better muscle strength, balance ability along with the better quality of life.

Gomeñuka (2017) has mentioned how through the physiological and biomechanical evidence it is also possible to achieve the advantage and further to use the walking training programs. The elderly people not only show the higher proof-of-concept study but also can show the higher acquaintance to support the hypothesis which can allow to trained elderly training (Gomeñuka, 2017).

Kim, Y. (2018). Nurses' experiences of care for patients with the Middle East respiratory syndrome-coronavirus in South Korea. American journal of infection control46(7), 781-787.

  1. Critique:

The article particularly focuses on the “Middle East respiratory syndrome coronavirus” in South Korea, has used the nurse's experiences in the quantifiable method of the study that could provide the phenomenological method of Colonize. The article could have used the quasi style experiment, where the manipulation of the independent variable which is the Nurse and to choose the random assignment of participants such as the MERS and the other disease, could be suffering as a result of the conditions. It is also important how the nurses can equate the use of the important types like that of the nonequivalent group’s designs and how to use the pretest-posttest, and identify the ways of the time-series designs. The author Kim (2018) has used fewer participants which is 12 and conducted the studies, based on their opinions, experiments, and surveys. The method of data analysis which has been used by the article involves the robust qualitative method which is generally focused on the key findings on how the nurses relate and identify the emotions for the specific ways to find out their experience during the interwoven relationships. The article could have used the larger studies and even provided the higher studies such as more nurse’s evidence (as all the nurses are working within one hospital) can hold the same opinions and can provide the biased opinions. It was important to identify the respondent’s behaviors from the other researched hospitals and for the other areas within the Middle East (Kim, 2018).

  1. Evidence:

While in the article Kim (2018) has mentioned that through the analyzing participant's experiences that without the distortion, that could be related to a better scope of appropriate that can be analyzed meanings and it has been using the nurses' experience that could be involved in the caring for the MERS-CoV patient's Nurses' experiences for the patients during the Middle East respiratory syndrome-coronavirus (MERS-CoV) has been identified as the most crucial and the emergency people that have been admitted. Important to share the care for infectious patients and strategies to use the safer healthcare system involved with the higher care for MERS-CoV patients. Kang (2018) has used the qualitative descriptive study and to further refute the claim, which has been provided by the Kim (2018) and provided the evidence on the three research groups that could be able to explore working experiences and how the nurses would be working within the Middle East respiratory syndrome outbreak which has shown that the nurses had a mediocre experience, as most of the patients are willing to listen, apricot and also work in accordance to the nurse's directions. The research findings also provided that three has been an in-depth study that shows a supportive and safe work environment

Lee (2020) has used the phenomenological qualitative approach and has aimed for the identifying the experiences of Korean nurses that could help in the potential care for patients during the Middle East respiratory syndrome (MERS) and how it has helped to derive the better aspects over the structure and draw a relevant meaning for the experiences. The article has shown better insights over how there has been a holistic understanding and relating to the ways of nurses that could identify the patient's care who can experience the first large‐scale infectious disease. It is also important to use the frightening ways of the harsh environment to handle the uncertainty (Lee, 2020).

  1. Justification:

Kang (2018) has mentioned Middle East shows the higher virus cases, the importance of the nurses of the experiences that could essential structure, and the related human experiences. The article's common methodology was used as how the nurses as the respondents have shown the common attributes for the overall participants and have not taken much over the individual characteristics, that can help to ensure how the adequate nurse staffing, would be able to apply the better‐quality personal protective equipment, along with improving the overall quality of care during infection outbreak. While in the Kim (2018) . it is essential to have the key strength derived and allow to have the key growth over the nurses that could work in accordance to the dangerous field and it is necessary to use the MERS-CoV, that can bring in the strength-based for the better endurance and the higher growth as a nurse and can be involved in the task

References for Nurses' Experiences of Care for Patients

Amini, M., Mirmoezzi, M., Salmanpour, M., & Khorshidi, D. (2018). Eight weeks of aerobic exercises improve the quality of life in healthy aged sedentary men. Int J Sport Stud Health1, e67514.

Bullo, V., Gobbo, S., Vendramin, B., Duregon, F., Cugusi, L., Di Blasio, A., ... & Ermolao, A. (2018). Nordic walking can be incorporated in the exercise prescription to increase aerobic capacity, strength, and quality of life for the elderly: a systematic review and meta-analysis. Rejuvenation Research21(2), 141-161.

Kang, H. S., Son, Y. D., Chae, S. M., & Corte, C. (2018). Working experiences of nurses during the Middle East respiratory syndrome outbreak. International journal of nursing practice24(5), e12664.

Lee, J. Y., Hong, J. H., & Park, E. Y. (2020). Beyond the fear: Nurses' experiences caring for patients with the Middle East respiratory syndrome: a phenomenological study. Journal of Clinical Nursing.

Kim (2018). Nurses’ experiences of care for patients with Middle East respiratory syndrome - coronavirus in South Korea.

Kim, K. S. (2017). Effects of the health status and health behavior on health-related quality of life of the elderly living alone and living with their families: Using data from the 2014 community health survey. Journal of Korean Academy of Community Health Nursing28(1), 78-87.

Gomeñuka, N. A., Oliveira, H. B., Silva, E. S., Costa, R. R., Kanitz, A. C., Liedtke, G. V., ... & Peyré-Tartaruga, L. A. (2019). Effects of Nordic walking training on quality of life, balance, and functional mobility in the elderly: A randomized clinical trial. PloS one14(1), e0211472.

Sekerci & Bicer (2019). The effect of walking exercise on quality of life and sleep of elderly individuals: A randomized control study.

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