NURS 513: Critique of Exercise Participation Article Analysis

This report provides a critical analysis of the article "Exercise participation decisions of Jordanian myocardial infarction patients: application of the decisional conflict theory" by Al-Hassan and Wierenga (2000). The critique examines the study's application of Janis and Mann's decisional conflict theory to understand exercise decisions in post-myocardial infarction patients. The report reviews the article's methodology, including the use of structured interviews and questionnaires in Jordanian military hospitals. It assesses the findings related to stress, benefits, and barriers to exercise, and how they influence the decision-making process. The report also discusses the study's limitations, such as the lack of intensity indicators in exercise machines and the potential impact of the cross-sectional design and convenient sample. The report concludes by highlighting the study's recommendations, including the need for a national campaign to promote exercise behavior among middle-aged and elderly individuals, particularly focusing on women. The critique evaluates the literature review, theoretical framework, and overall contribution of the study to nursing research and healthcare practices.

Running head: CRITIQUE
CRITIQUE
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1CRITIQUE
The aim of this paper is to critique an article named Exercise participation decisions of Jordanian
myocardial infarction patients: application of the decisional conflict theory by Al-Hassana and
Wierenga (2000). This Particular article is focused on the utility of decisional conflict theory of
Janis and Mann in 1977 in explaining the decisions for participating in the exercise to follow a
myocardial infraction. Which material study has examined the stress of the patients suffering
from myocardial infraction is the indicator of additional conflicts to interactions between the
percent advantages or barriers to exercise. In addition to this the article finds out the ability of the
theory to predict the decisions of patients suffering from myocardial infraction to exercise daily
basis. Here the authors have given more attention to the theories of effective decision making to
explain the participation of the patients in the exercise. According to the authors, exercise in a
regular basis has a great impact on the physical and psychological functions in a normal person
along with the patients suffering from myocardial infraction. The participation of this patients in
this particular program has been recorded and the authors have retail these by showing
percentage of participants.
In addition to showing the participation rate of the patients suffering from myocardial infraction
in Jordan the authors have pointed out various barriers of exercise and perceived benefits of such
actions. These barriers stress has been one of the most important factor which is worsening the
situation of the patients. These authors have analysed how the concepts of daily exercise decision
has become a determinants and they are overlooking their interactions on the decision making
process. there is a stress regarding decisional conflict where some of the investigators as pointed
out in this article have reported that the decisional conflicts take place as the individual patient
for receive benefits and barriers to do health actions.

2CRITIQUE
This particular article is well formatted where Al-Hassan and Wierenga (2000), have included
literature review with hypothesis, method of sample collection, measures and procedures. The
results of these survey methods are discussed along with the limitation of the study. Towards the
end also mentioned about recommendation that must be taken by the patients suffering from
myocardial infraction in Jordon and how the health care experts can take initiatives to solve
division conflicts.
In the literature review part, the authors have mentioned about objective belief and psychological
stress into the decision conflict theory by Janis and Mann. In this they have mentioned about the
decision making behaviour of the individuals that they used to manage any risky situation. Many
of the researchers on whom this article has detailed the points of view. Depending upon the
theory of decision making conflict it has been identified that there are four decision making
behaviour which include Vigilance, delaying, Procrastination and buck passing. This notes that
as the decision conflict increases the psychological stress depending upon decisional conflict can
influence the behaviour of the decision makers. The decision making behaviour also includes
tendency to rely on the others for decision and hyper vigilance which refers to inadequate search
for the information above consequences of any decision.b vigilant decision making is adaptive
while the other three are non-adaptive behaviours. Now to the researchers Vigilance as adaptive
decision making behaviour is associated with a low level stress whereas the non adaptive
decision making behaviour is associated with higher level of stress. Stress conceptualization is
one defining feature of internal conflicts and is found to be related significantly to find out the
benefits as well as barriers of the health action. Some of the authors have found that more profit
and loss that the individuals had anticipated from the upcoming events the more they experience

3CRITIQUE
stress. On the contrary, the high level of stress of found to be related having cognitive judgment,
non visual in decision making behaviour and emotion coping patterns.
In this article the authors have collected data from different participants in two military hospitals
of Jordon. This participants are mainly the patients suffering from myocardial infraction and
been hospitalised for the first time or been discharged from hospital prior to data collection.
Patients with issues like unstable dysrhythmias, neuromuscular disorder, psychiatric problems
and chronic renal failure have taken part. In this method questionnaires were developed and a
panel of to doctoral nurse students and common person having competence in both aerobic as
well as English languages were arranged. Now the persons were translating the questions to the
patients and collected their answers to understand and analyse effectively. Hindi article force
discriminant function analysis has been used to examine both the hypothesis and variables had
been added into the analysis according to the theoretical orders. the significant contribution true
interaction variables for understanding stress for exercise indicate that the stress level in the
patients who avoided and delayed exercise had interest chances of danger these findings about
the interaction between the costs and benefits contributed to the stress for decision making has
been connected with the delayed health actions. the contribution of benefits to the stress should
be integrated with the question as contribution of percept benefit was trivial before adding the
benefit various interactions.
However this study has also detailed the limitations of the measure and methods. the exercise
machine could not include intensity indicators which is necessary for determining whether the
exercises perform any physical activities in the intensity level which will be beneficial for their
health. The scale could be more sensitive to understand stress produced why the feeling of
overloading live event and lack of control then to the decisional conflict produce stresses. these

4CRITIQUE
limitations along with cross sectional designs as well as convenient sample maybe having impact
on the external and internal validity of the study findings.
This study has concluded with the recommendation that there is a necessity of national campaign
which will into increase exercise behaviour of the middle aged as well as elderly people in the
society. it will be giving more intention to motivate people for developing exercise behaviour
among the females this can encounter different barrier to exercise in comparison to the male
patients.

5CRITIQUE
References:
Al-Hassan, M., & Wierenga, M. (2000). Exercise participation decisions of Jordanian
myocardial infarction patients: application of the decisional conflict theory. International
journal of nursing studies, 37(2), 119-126.