Guided review of Nominated Literature PDF
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Running head: GUIDED REVIEW OF NOMINATED LITERATURE 1Guided Review of Nominated Literature (Qualitative) Name:Institutional Affiliation:
GUIDED REVIEW OF NOMINATED LITERATURE2Guided Review of Nominated Literature (Qualitative)Williams, V., Hardinge, M., Ryan, S., & Farmer, A. (2014). Patients’ experience of identifying and managing exacerbations in COPD: a qualitative study.NPJ primary care respiratorymedicine,24, 14062.Q 1) Background of the Study (10 Marks)a.What is the health issue that provides the focus of this study?Chronic Obstructive Pulmonary Disease (COPD) is responsible for a significant high number of patient admissions in hospitals. In particular, patients with COPD are readmitted for exacerbations within 28 days of hospital admission in the United Kingdom (Healthcare Commission Clearing the Air, 2016). This trend has caused the initiation of research to find out how best COPD patients can carry out effective self-management so that the number of hospital admissions is effectively reduced. The strategies that have been proposed include self, timely detection, and treatment of the exacerbations by the COPD patients away from hospitals (Taylor et al, 2015). More importantly, COPD patients are the first to experience exacerbations and are therefore better placed to react appropriately if they understand the constitution and recognition of exacerbation symptoms (Bischoff et al, 2012). b.Generally, what have been the results of previous studies of this issue?Previous studies have shown that patients lack a precise definition of what exactly exacerbations are or even how they are recognised by the COPD patients (Burge & Wedzicha, 2013). On the contrary, the studies show that the patients are capable of identifying the imminentexacerbations (Kessler et al, 2016). Specifically, exacerbations are identified by the patients based on subjective experiences (Adams et al, 2016). One of the notable shortcomings of the
GUIDED REVIEW OF NOMINATED LITERATURE3previous studies is that they have focused on finding out how the COPD patients experience exacerbations rather than their ability to identify exacerbations (Harrison et al, 2013). Additionally, other studies have revealed reluctance by the patients to seek health care assistanceinstead opt for treating exacerbations at home (Wang, Haugen, Steihaug, & Werner, 2102).c.What is the significance of this study?Since previous studies have shown that COPD patients prefer treating exacerbations at home to consulting healthcare professionals, it is evident that promoting self-management amongthe patients would effectively reduce the number of hospital admissions. On the same note, self- management would improve the treatment outcomes of COPD. However, the fundamental requirement for effective treatment of exacerbations at home relies on the ability of the patients to successfully identify exacerbations following the onset of symptoms. This study is therefore significant in that it sets out to ascertain how the COPD patients identify exacerbations and the management mechanisms employed at home. Q2) Overview of Research Design (10 marks)a.What was the aim of the research?The aim of the research was to explore the current patient’s understanding and experienceof managing and identifying COPD exacerbations at home.b.What research design was used?The research design that was used for this study was grounded theory research. Groundedtheory is a type of research design in which a hypothesis is generated based on the results of the findings as opposed to preconceived concepts. As such the research relies exclusively on the results collected as opposed to previous literature reviews or hypotheses. In this case, the
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