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- NURS FPX 5005 Assessment 2 Quantitative and Qualitative Research Publication Critique.
Introduction
Research is a scholarly, detailed study of a particular problem, concern or issue using a logical strategy to arrive at an answer (Bauce and Fitzpatrick, 2018). There are two main sorts of research: quantitative and qualitative research. A quantitative study uses a measurable gadget to determine the problem with numerical data or statistics, while qualitative purposes analyzation and the assortment of non-numerical data like ideas, experiences, and a generalized result from a larger sample population (Parahoo, 2016).
It is paramount for advanced practice medical caretakers to have the choice to critique and differentiate articles’ areas of solidarity for proof-based practice in the workplace. In this research publication critique, I analyze a qualitative and quantitative research study’s strengths and weaknesses, appropriateness, significance, and ethical considerations.
In any case, I will begin by evaluating the qualitative study “Nursing Staff Participation in Finish of Life Sustenance and Hydration Dynamic in a Nursing Home: A Qualitative Study (Firnhaber et al., 2020).” Next, I will analyze the companion watched for the article “Association of Self-Leadership and Planning with Performing a Practice in Patients with Colorectal Cancer: Cross-Sectional Study (Lee et al., 2018).” Explore our assessment NURS FPX 5005 Assessment 1 Protecting Human Research Participants for more information.
Strengths and Weaknesses of a Qualitative Study
The study’s strength is identifying the goal in the abstract. The summary included the research problem being investigated, the sample, the framework, findings, and recommendations (Bauce and Fitzpatrick, 2018). The title was also clearly stated and intelligent: Understanding the Participation of Nursing Staff in the Finish of Life Sustenance and Hydration Navigation (Firnhaber et al., 2020). This study fills a need to discover ways to deal with the finish of life mental and emotional state of the dying patient.
Another strength is the strategy used: action research with an ethnographic concentration (Bauce and Fitzpatrick, 2018).
Participant Selection Analysis
According to the work, face-to-face interviews were conducted with nineteen nursing staff individuals in a nursing home in the eastern part of the US (Firnhaber et al., 2020). Information was gathered through participant observation during interviews and outlines. A weakness in this approach is that it just rotated around medical caretakers in the nursing homes. Yet, if other medical caretakers from various facilities participated, it would have more validity than creating a chance of bias (Bauce and Fitzpatrick, 2018).
Also, this addresses an area of uncertainty and gaps in information from other attendants from varying facilities in getting the full picture. Retrieving such information would deal with the analysis rather than fuel biases. Using a solace sample of respondents from a single, self-picked facility is also a weakness because of the limitation in the generalizability of findings (Bauce and Fitzpatrick, 2018). An alternate gathering of respondents from other facilities would have eliminated such biases.
Also, the selection strategy was weak in being confined as the participants were from the same facility. Including respondents from other workplaces would have been beneficial (“What Are Qualitative Research Strategies in Qualitative Client Psychological Research?,” 2019). This establishes further believability to the results. A strength is how the transcripts were coded and analyzed after the meetings.
Strengths of Research Methodology
The research helped explore the respondents’ personal’ experiences. Notwithstanding, it failed to legitimize how they chose the study strategy (Firnhaber et al., 2020). In the sampling part, the setting was adequately portrayed as having nineteen participants. Nineteen individual interviews were driven face to face, each lasting 10-45 minutes, audio recorded, and then transcribed verbatim for analysis (Firnhaber et al., 2020). The primary inquiry introduced to them was to relate a period or situation in which you cared for an inhabitant nearing the finish of life who was, as of now, unable to eat or drink to the point of staying alive (Firnhaber et al., 2020).
Additional inquiries were introduced in an alternate way to reach the same reaction from the respondents. This is a strength as it mitigates the idea of the researcher luring anyone to answer in a favoured way (“What Are Qualitative Research Strategies in Qualitative Client Psychological Research?” 2019). Refining questions were utilized to get more information about what they did to determine the inhabitant’ eating issues and how their actions added to these decisions.
As you can see, this is a major strength of this study as it gives an array of information gathered through one-on-one interviews with participants (“What Are Qualitative Research Strategies in Qualitative Client Psychological Research?” 2019). This allowed them to offer their viewpoints and opinions straightforwardly to the researcher. Additionally, the researchers’ lack of related information in the facility also created believability to the results by eliminating biased impressions (Bauce and Fitzpatrick, 2018).
Ethical Implications
After obtaining informed assent, one researcher performed one-on-one interviews with each participant in a private area of the facility. This aligns with the principle of regard for individuals in providing privacy (Bauce and Fitzpatrick, 2018). The Institutional Audit Board approved the, and participants were enrolled, notifying them that participation was voluntary and that they could refrain at any time (inhaler et al., 2020). This voluntary approach satisfies the ethical principle of autonomy. Additionally, both verbal and written assent were obtained from each participant preceding the initiation of each interview (Firnhaber et al., 2020).
Assents were kept in an alternate location from interview transcripts, distinguished by aliases of the participants. This is exemplary of the right to confidentiality and privacy. Each got a $25 gift voucher to show appreciation for their time and effort. This approach can be indirectly coercive as it addresses a chance of the participant being influenced to participate solely based on the reward (Bauce and Fitzpatrick, 2018). It is assumed that the respondent’s answers could be influenced based on their viewpoint or current financial situation.
The Significance of a Research Problem in a Qualitative Study
Based on the findings, it was determined that 90% of the nursing staff saw themselves as a valuable asset to the improvement of patient outcomes, yet lacked the legitimate information expected in supporting the maddening sustenance and hydration decisions often anticipated near the finish of life (Firnhaber et al., 2020). The findings support the requirement for programs that will give the training to guarantee nursing staff are knowledgeable of the ongoing proof-based best care practices and, along these lines, play a greater work in the finish of life heading. The researcher used inductive reasoning to make a feeling for their data by identifying grounded theory, which looks for relationships in data (Bauce and Fitzpatrick, 2018).
Significance of Findings in End-of-Life Care
The similarity in the answers to the interview questions emphasized the requirement for advancement in adequate finish of-life patient care. Also, the significance lies in the data analysis, which determined that finish-of-life sustenance and hydration dynamics in nursing homes contrast with the dynamics in other care settings as of late assumed (Firnhaber et al., 2020).
For example, medical attendants are trained to adhere to the physician’s instructions, so they were obliged to execute rather than present their alternative approach that could be much greater in the patient’s sustenance care plan. Subsequently, it is determined to be a localized issue and a global challenge (Firnhaber et al., 2020). This suggests that the findings in this research have significance in nursing home care, yet in other disciplines, nations and social orders at large.
A Qualitative Research Study as an Appropriate Source of Information for Informing Patient Care Decision Making
Sustenance and hydration decisions near the finish of life are vital and challenging to address (Firnhaber et al., 2020). In several cultural practices, offering food and fluids is essential in all-encompassing-encompassing care. The study refers to the findings providing insight into this nursing staff’s exceptional perceptions and contemplations regarding their participation in finish-of-life sustenance and hydration decision-making for occupants in their care (Firnhaber et al., 2020).
In utilizing a qualitative research approach, these findings are appropriate in paving another way to assist with caring practice, staff training, and data for future research (Firnhaber et al., 2020). Data analysis in qualitative examinations involves an inductive cycle using portrayals, examining words and cycles (“What Are Qualitative Research Frameworks in Qualitative Purchaser Psychological Research?” 2019). Qualitative analysis following the assortment of data is also vital to patient-centred care decision-making and, as affirmed in this research, offers insight into a particular population, for example, the nursing home medical caretakers in this case (Bauce and Fitzpatrick, 2018).
NURS FPX 5005 Assessment 2 Quantitative and Qualitative Research Publication Critique
I propose to improve this acceptance by identifying saturation in the data, that is, finding similarities in the participant reactions. This approach presents an answer to the problem of a requirement for programs that are more likely to prepare medical caretakers for end-of-life sustenance (“What Are Qualitative Research Frameworks in Qualitative Client Psychological Research?” 2019). Furthermore, using ethnography in this qualitative research is the appropriate way of thinking for reaching this progress aim among medical caretakers as it interviewed the right audience: attendants who work in the field.
Strengths and Weaknesses of a Quantitative Study
This quantitative research study investigated the association of self-leadership and planning with practice by patients with colorectal cancer (Lee et al., 2018). The title introduced a clear and accurate viewpoint on what the study entails. Another strength is that the authors were qualified in this area, as they hold doctorates in medicine, with some specializing in oncology (Bauce and Fitzpatrick, 2018). This article is peer-investigated and can be assumed to maintain much validity, as another scholar has investigated and confirmed it as sound to be disseminated. The writing structure is succinct and free of distracting grammatical mistakes.
Strengths and Weaknesses in Study Design
The initial part of the research opens with an abstract that gives a clear outline of the details of the work. The reason and aim are conveyed in the introduction. Yet, there is a weakness as it fails to state specifically the relationship between the population of interest (colorectal cancer patients) and the reliant variable: work out. In the literature outline part, there is a major strength as it sees the problems with colorectal cancer being that many cancer survivors are inactive, don’t engage in physical activity, yet want to live healthier (Lee et al., 2018).
It further proposes a Constant Care Model as a gadget to assist patients with being liable for their management (Lee et al., 2018). A limitation of this approach is that there is no notification of the importance of activity and the activity level that is beneficial to achieving self-efficacy (Bauce and Fitzpatrick, 2018). Reviewing the references, I found that sources from 1998 to 2009 are outdated, too. This is a weakness, and a recommendation is to include later works that meet the new guidelines of proof-based work to deal with the believability of the work.
(Parahoo, 2016). The variables are clearly stated as self-leadership and planning, with the reliant variable being the ability to maintain physical activity for at least 150 minutes out of each and reliably (Lee et al., 2018). The researchers worked successfully in the data assortment with brief instruments involving questionnaires and obtaining medical records of individual patients (Parahoo, 2016). A self-leadership questionnaire was used to assess scores on how capable the patients can achieve this.
A seven-day practice diary in minutes of the seven days of at least moderate aerobic activity with a metabolic equivalent of 4 is the stated aim (Lee et al., 2018). There was a gap in this information regarding how the patients would realize that they are performing at this particular metabolic level of physical activity, which was not stated. This is an uncertainty that the researcher could address in the study: how this data was gathered, assuming the participants were knowledgeable about their metabolic level, and what standards it was evaluated (Bauce and Fitzpatrick, 2018).
NURS FPX 5005 Assessment 2 Quantitative and Qualitative Research Publication Critique
The sample size was adequate, with innumerable 251 patients picked by the following moderate patients (non-probability) upon their visits (Parahoo, 2016). A major strength of this study was that it gave the inclusion criteria of the patients with colorectal cancer ought to be more established than 19 years old and have a diagnosis of colorectal cancer as their primary cancer within the last two years (Lee et al., 2018). A recommendation for this limitation is to include the reason behind the age decision of nineteen. T.’s forbiddance criteria were clearly stated as individuals not thinking accurately now diagnosed or finished cancer therapy cannot participate (Lee et al., 2018).
Ethical Implications
In the research, informed assent was obtained, and the course of the study was voiced in both made and verbal form. The specialists identified participation as voluntary and could choose to eliminate themselves from the study at any point (Lee et al., 2018). A clear portion conveys approval by the hospital panel and institutional study boards (IRB). Patient names were hindered on the questionnaires to eliminate harm or shame and to give confidentiality.
There were no variables that could cause damage to the participants, such as taking any dark medications or engaging in dangerous activities (Lee et al., 2018). This demonstrates the ethical ideas of help and maleficence. It lacked a clear statement of the strategies by which confidentiality will be guaranteed. Therefore, an assumption can be made that there could be a plausible breach of privacy (Bauce and Fitzpatrick, 2018). I propose using passcodes to give extra security and attain respondent confidentiality.
The Significance of a Research Problem in a Quantitative Study
This study is a significant source for informing patient care decision-making as it introduces an effective theoretical framework based on measurable data assortment that can be reciprocated. From the consequences of the data, the researchers formulated a model known as the Ongoing Care Model (CCM) as a self-management gadget by which the patient, provider, and various interventions are incorporated to chip away at the care of cancer patients with colorectal cancer (Lee et al., 2018).
Impact of Self-Management in Cancer Care
The Ongoing Care Model (CCM) advances self-management support as it emphasizes the idea that the care of patients with colorectal cancer ought to include conversations and inclusion of the patient’s personal goals into their care plan ((Lee et al., 2018). Based on the findings, it was determined that self-management makes patients considerably more likely to manage secondary impacts and increases their tolerance to continue through the treatments (Lee et al., 2018).
This study was significant in acknowledging the value of Self-Management for cancer patients, and following a six-month evaluation, saw healthy behaviours established in the patients taking care of themselves. The researchers stated that their study revealed that self-leadership is a fundamental ability that allows improvement of self-management (Lee et al., 2018).
A Quantitative Research Study as an Appropriate Source of Information for Informing Patient Care Decision Making
This study involved a cross-sectional cycle in the quantitative research to recuperate vital information, which aligns with the focus of NURS FPX 5005 Assessment 2 Quantitative and Qualitative Research Publication Critique. This study is appropriate for evaluating the relationship between practice activity and its impact on colorectal cancer. Based on the data, the survivors who were followed for the half-year duration of the activity program showed an increase in their quality of life (Lee et al., 2018).
In the ensuing evaluation questionnaires, 90% of the respondents announced being able to take care of themselves, not needing the assistance of medical attendants as much, and also returning to engaging in activities they had previously eliminated (Lee et al., 2018). The 251 participants decided to live past their earlier forecast of under a half year (Lee et al., 2018).
The measurable nature of quantitative research was appropriate for this study, as the researchers decided to attain the exact numerical data by recording it in a log and transcribing it into a chart to evaluate the advancement (Parahoo, 2016). This aligns well with the evaluation criteria in NURS FPX 5005 Assessment 2 Quantitative and Qualitative Research Publication Critique, emphasizing the importance of numerical precision and data validity.
This beneficial statistical data conveys that the study achieved a ninety per cent viability. The statistics showed that 180 of the 251 patients were satisfied with the framework and viewed the Constant Care Model as viable and sound (Bauce & Fitzpatrick, 2018). The remaining respondents voiced limitations, such as outrageous fatigue, that kept them from participating.
An improvement to the study could involve interviewing the patients to assess their level of physical activity preceding the survey. This could address one of the critical aspects highlighted in NURS FPX 5005 Assessment 2 Quantitative and Qualitative Research Publication Critique: improving study accuracy by considering prior variables. I recommend the evaluation of a patient who has been a previous exercise person versus a patient who has never exercised. These variables can improve the accuracy of the study results (Bauce & Fitzpatrick, 2018).
References
Bauce, K., & Fitzpatrick, J. J. (Eds.). (2018). Nursing research critique. Springer Publishing Company.
https://doi.org/10.1891/9780826175410
Firnhaber, G. C., Roberson, D. W., & Kolasa, K. M. (2020). Nursing staff participation in end‐of‐ life nutrition and hydration decision‐making in a nursing home: A qualitative study.
Journal of Advanced Nursing, 76(11), 3059–3068.
https://doi.org/10.1111/jan.14491
Lee, M., Park, S., & Choi, G.-S. (2018). Association of self-leadership and planning with performing an exercise in patients with colorectal cancer. Cancer Nursing, 43(1), E1–E9.
https://doi.org/10.1097/ncc.0000000000000673
Parahoo, K. (2016). Quantitative research. In Nursing research (pp. 42–54). Macmillan Education UK.
https://doi.org/10.1007/978-1-137-28127-2_4
What are qualitative research methods in qualitative consumer psychological research? (2019).
In Consumer psychology: A study guide to qualitative research methods (pp. 17–26). Verlag Barbara Budrich.
