Posted: July 25th, 2021

HLT54115 | Diploma of Nursing

Qualitative Article Evaluation

Williams, V., Hardinge, M., Ryan, S., & Farmer, A. (2014). Victims’ Experience of Determining and Managing Exacerbations in COPD: A Qualitative Analysis. NPJ Main Care Respiratory Treatment, 24(1).

1. Background of the look at

a. What is the effectively being problem that provides the primary focus of this look at?

The principle effectively being problem beneath focus inside the look at is the self-management of exacerbations at dwelling that are associated to persistent obstructive pulmonary issues (COPD). The article seeks to research the issue of COPD amongst victims and the best way they deal with it themselves at dwelling.

b. Sometimes, what have been the outcomes of earlier analysis of this problem?

A evaluation of earlier analysis on the topic reveals fairly just a few researches on self-management of persistent obstructive pulmonary issues. Analysis on the administration of exacerbations that finish outcome from persistent obstructive pulmonary issues have yield associated outcomes as these outlined inside the article beneath evaluation. Nici, Bontly, ZuWallack & Gross (2014) revealed that when as compared with regular care, self-management of COPD led to about 49% low cost in frequency of hospitalisations. Warwick, Gallagher, Chenoweth & Stein-Parbury (2010) of their look at moreover found elevated and better outcomes with self-management of COPD. Associated outcomes have moreover been well-known in Labrecque et al. (2011) whose look at found lowered ED visits, frequency of hospitalizations and improved health-related prime quality of life on self-management of COPD.

c. What is the significance of the look at?

Persistent obstructive pulmonary dysfunction is a sickness of the lungs which makes it exhausting for victims to breathe. The environment friendly administration of the diseases is essential for decreasing essential circumstances which could improve conditions of hospitalization. The article provides very important evidence-based apply which will help victims to self-manage and thus improve prime quality of effectively being life.

2. Overview of the evaluation design 

a. What was the objective of the evaluation?

The evaluation was carried out with the objective of analyzing the understanding of the victims, their experiences in administration and identification of persistent obstructive pulmonary issues exacerbations of their homes.

b. What evaluation design was used?

As a solution to meet the objectives and evaluation targets, the researchers employed qualitative evaluation design.

c. Describe the first traits of the evaluation design acknowledged.

Qualitative evaluation design is a evaluation methodology that entails the researcher as instrument of look at and the researcher goes to the state of affairs or pure setting to collect information by way of commentary and recording (Terry, 2017). Consistent with (Suresh, 2014) qualitative evaluation design is explorative in nature whose traits embody the researcher showing as instrument of look at, it is holistic in nature, entails ongoing information analysis, is flexible and elastic, entails quite a few information assortment strategies and emergence of look at design as a result of the look at progresses.

d. How did the evaluation design chosen meet the objective(s) of the look at?

The evaluation look at met the objectives of the look at by way of utilizing interviews to help the researcher purchase an understanding of the experience of victims and their administration of COPD. The look at recruited victims as part of medical trial from using admission information in hospital, the COPD rehabilitation programmes along with the information from respiratory apply nurses (Williams, Hardinge, Ryan & Farmer, 2014). The evaluation eradicated bias in its sample alternative by way of utilizing purposeful sampling strategies.

three. Sampling

a. What have been the traits of members on this look at?

The look at employed human matters that consisted of 27 male and 17 females. The principle attribute of the evaluation members is that they've been victims recognized with persistent obstructive pulmonary dysfunction. The members have been moreover aged 71 and had symptom size of 1 12 months.

b. What are the inclusion and exclusion requirements of the sample?

The choice or exclusion of research members was based totally on a requirements that included victims aged over 41 years, victims with MRC dyspnoea of equal or increased than 2, the absence of various diseases of the lungs, victims with out coronary coronary heart failure, victims categorised beneath (Grade IV) as having excessive sorts of COPD, these having over three months of life expectancy, these able to give educated consent, these with an understanding of written and verbal English, these with smoking of decrease than 10 pack years and folks with respiratory amount and COPD victims registered with fundamental apply nurse with exacerbations.

c. Why is it important to have these requirements acknowledged sooner than recruitment begins?

The inclusion and exclusion requirements is crucial to be acknowledged sooner than the start of recruitment because of it permits the researchers to dispose of inappropriate members and get useful look at members which will help inform the evaluation question.

d. What sampling strategy was used on this look at?

Sampling strategies are generally employed by researchers in recruiting of research members. Sampling strategies fluctuate counting on the evaluation design chosen for a particular look at. Throughout the look at beneath evaluation, the researchers employed purposeful sampling strategies in recruiting members from the trial sample.

e. How was this sample relevant for meeting the evaluation objective?

Consistent with (Houser, 2011) evaluation sample must be advisor and relevant to help strengthen look at credibility. The evaluation employed relevant sample as a result of it met the entire inclusion and exclusion requirements and helped to satisfy the evaluation objectives as a result of it consisted of people that might participate completely on the look at with the traits which have been desired inside the look at.

4. Info assortment

a. How have been the knowledge collected?

The first objective of the evaluation was to take a look at how victims affected by persistent obstructive pulmonary issues deal with the sickness at dwelling. As a solution to purchase data for the look at, the researchers employed interviews with the victims. The interviews have been carried out on the settings of the victims, which was their homes. The evaluation information was collected by the first author carried out the evaluation owing to his large experience the on qualitative evaluation.

b. What notably did the researchers do?

The data assortment course of notably involved utilizing a semi-structured info and the interview questions which have been centered on how the members (victims affected by COPD) expert, acknowledged and managed COPD exacerbations of their homes.

c. How did this data assortment methodology match the objectives of the look at?

The utilization of interviews fitted with the evaluation objectives as a result of it allowed the researchers to ask victims questions that regarded how they expert, acknowledged and managed COPD of their homes. Interviews equipped the researcher with a chance to comprehend first hand notion into the participant experiences and ask questions which can not have been doable to ask with utilizing totally different methods harking back to questionnaires.

d. What may want been some advantages and disadvantages of this system of information assortment?

The utilization of interviews as a approach of information assortment equipped some advantages and limitations. For example the technique ensured a holistic look at of self-management of COPD (detailed data), equipped higher reliability and allowed the researcher and participant to hunt for clarifications on factors that are deemed unclear (Houser, 2011). Nonetheless, it is time consuming, slender responses giving rise to validity factors and can lead to bias that come up from members who is also unwilling to firm with evaluation course of.

e. Out of your understanding of the weekly readings, what if any, are some totally different methods of information assortment that these researchers might have chosen?

From the weekly readings and understanding gained at school, other than interviews, the other methods of accumulating qualitative information that the researchers might have chosen are utilizing focus groups (group dynamics) and telephone interviews.

5. Info Analysis and outcomes

a. How have been the knowledge analysed?

Consistent with (Sargeant, 2012) qualitative analysis is carried out to interpret information and attain an understanding of phenomenon beneath investigation. It permits researchers to draw inferences and make conclusions regarding the evaluation question. Throughout the evaluation look at the researchers analysed the knowledge using NVIVO 10, qualitative information analysis software program program.

b. Was the knowledge analysis methodology relevant for the look at question and the evaluation design?

In making the choice of qualitative information analysis strategy, the researchers ought to assure the technique allows them to entice vital conclusions from the evaluation information. In addition to, the technique ought to the one which is appropriate for the form of information being analyses (Terry, 2017). Throughout the evaluation look at, the chosen methodology of information analysis was relevant given that methodology allowed analysis of information that was collected, which allowed to the researchers to make vital conclusions.

c. What did the researchers say regarding the rigour of their analysis?

The researchers pointed that information analysis was rigorous as this was achieved by way of coding that was completed by an expert researcher from exterior the enterprise. Rigour was moreover attained by way of an in depth dialogue by the enterprise crew, of the analytical course of all by way of the evaluation course of.

d. How did the researchers describe the significance of the outcomes?

The look at recognised that the “skilled affected individual” info could also be employed by clinicians and healthcare professionals to mix such info into the affected individual care plans with a view to encourage early recognition and remedy of COPD exacerbations.

e. Into which totally different settings can these outcomes be generalised?

Although the evaluation look at was carried out amongst victims older that 41 to learn the way they acknowledged, expert and managed exacerbations associated to COPD, the outcomes of the look at could also be generalised in several settings. The outcomes could also be extended inside the look at of self-management of persistent bronchial bronchial asthma in homes amongst victims aged 41 years and older. This may be utilized to learn the way recognition of indicators and their administration can used to cut back hospital admissions amongst victims affected by persistent bronchial bronchial asthma.

References

Houser, J. (2011). Nursing Evaluation: Learning, Using and Creating Proof (2nd ed.). Sudbury, MS: Jones & Bartlett Publishers.

Labrecque, M., Rabhi, Okay., Laurin, C., Favreau, H., Moullec, G., Lavoie, Okay., & Julien, M. (2011). Can a Self-Administration Coaching Program for Victims with Persistent Obstructive Pulmonary Sickness Improve Prime quality of Life?. Canadian Respiratory Journal, 18(5).

Nici, L., Bontly, T., ZuWallack, R., & Gross, N. (2014). Self-Administration in Persistent Obstructive Pulmonary Sickness. Time for a Paradigm Shift?. Annals of the American Thoracic Society, 11(1), 101-107.

Stevens, B., Yamada, J., & Ohlsson, A. (2001). Sucrose for analgesia in new baby infants current course of painful procedures. Cochrane Database Of Systematic Evaluations.

Suresh, S. (2014). Nursing Evaluation and Statistics (2nd ed.). New Delhi: Elsevier Effectively being Sciences.

Terry, A. (2017). Medical Evaluation for the Doctor of Nursing Apply (third ed.). Burlington, MA: Jones & Bartlett Learning.

Warwick, M., Gallagher, R., Chenoweth, L., & Stein-Parbury, J. (2010). Self-management and Symptom Monitoring Amongst Older Adults with Persistent Obstructive Pulmonary Sickness. Journal of Superior Nursing, 66(4), 784-793.

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