Assignment on Critical Review PDF
Added on 2021-05-31
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Critical ReviewReview of Qualitative literatureOn Patients’ experience of identifying and managing exacerbations in COPD: a qualitative study1
Critical ReviewReview of Qualitative literature1.Background of the study (Total: 10 marks)a.Briefly describe the issue on which the study is focusedThisresearchstudy focuses on the chronic obstructive pulmonary disease (COPD) that affects at-least one in three patients in United Kingdom, necessitating re-hospitalizations within 28 days ofprevious hospitalization for exacerbations. GOLD (2013) has stated that 33 per 1,000 people areaffected with COPD in UK with 26.2% of them experience at-least one exacerbations in a yearand 25.5% experience more than one exacerbations. According to Linton (2015), appropriate selfmanagement techniques can be used to reduce such re-hospitalizations in COPD patients(Brown, 2017). As, patients are the one who typically notices the early changes in theirconditions, it is highly important for them to clearly understand what does COPD exacerbationsmean, how to find-out the deteriorating features and how to react for it (Hinkle, 2014).Therefore, the current study by Williams (2014) scrutinizes the extent to which the patients withCOPD understands, identifies and also manages the COPD exacerbations. b.Generally, what have been the results of previous studies of this issue?In-regard to this issue, the previous researches indicate that there is no clear consensus as how todefine COPD exacerbations along with poor understanding of how it is identified and understoodby patients with COPD. Certain studies suggest that the COPD patients have difficulty withmedical terminologies and has no clear understanding of the meaning of COPD exacerbationswhile other studies assures that the patients with COPD have knowledge about imminentexacerbations. In 2013, Harrison has conducted a meta-analysis which shows that the previousqualitative researches have analyzed only about the experience of exacerbation by the COPDpatients rather than their understanding and identification of exacerbation features. Yet COPD2
Critical Reviewpatients feel safe with the self management of exacerbations at home setting. According toSundh (2013), though several studies have been published to describe about the assessment ofCOPD exacerbation, no one has clearly explained about the recognition and management ofCOPD exacerbations by the patients (Risor, 2013). c.What is the significance of the study?Research into this area is highly significant because an effective self- management of COPDwhich includes early recognition and prompt management of COPD exacerbations by patientsthemselves; can minimize number of hospital re-admissions and enhance patient outcomes. 2.Overview of the research design (Total: 10 marks) a.What was the aim of the research? According to PoIit (2016), the accomplishments that are specifically framed to achieve what theresearchers have intended to inquire is termed as study aims or objectives. The researchers of thisstudy have given a clear, acceptable and achievable aim that are related to their study problem as‘to explore the COPD patient’s understanding with experience in recognizing as well asmanaging exacerbations of COPD at home’, as suggested by Boswell (2017). b.What research design was used?(Reference required)Williams (2014) has selected a qualitative research design that involves investigating thephenomenon basically in an in-depth and holistic manner by collecting a rich narrative source(Polit, 2016). c.Describe the main characteristics of the research design identified. (Reference required)The main characteristics of qualitative research design identified are as follows: It is highlyflexible as well as elastic with capability to adjust to the phenomenon being learned during datacollection period. It involves a merge of several data collecting strategies and has tendency to3
Critical Reviewunderstand the whole (holistic striving) (Grove, 2015). It also necessitates intense involvementby the researchers for a longer period of time requiring continuous analysis of the collected dataso as to create subsequent strategies (Melnyk, 2014). Moreover, qualitative researches areconducted to evaluate and enhance the understanding of individual’s experiences of difficulties,discomforts, etc. d.How did the research design chosen meet the aim(s) of the study?(Reference required)Polit (2016) has suggested that qualitative studies give sound knowledge than quantitativestudies in evaluating the individual’s emotions and in exploring the individual as a whole.Qualitative research is an interactive and subjective approach that can be used to explore theetiologies, experiences and facts about things (Yin, 2015). Hence, this qualitative design candefinitely aid the researchers to attain their objective as ‘to explore the COPD patient’sexperience in recognizing as well as managing the exacerbations of COPD at home’ and findsolutions.3.Sampling (Total: 15 marks)a.What were the characteristics of the participants in this study?In this study, the patient’s characteristics that are used to collect data are as follows: age (years),sex (male/ female), COPD’s severity (GOLD stage- II, III and IV), time- duration of symptomsof COPD (years), usage of oxygen at home, previous history of attendance to any pulmonaryrehabilitation centers and living set up of patients as living with spouse or family members orliving alone. b.What were the inclusion and exclusion criteria of the sample? Eligibility criteria are the criteria designating the particular attributes of the population (target)by which subjects are included for participating in the study (Gerrish, 2015). In this research4
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