Research Critique Guidelines Assignment Paper

Research Critique Guidelines Assignment Paper

Research Critique Guidelines Assignment Paper

Introduction

            A heart failure condition, sometimes known as congestive heart failure, occurs when a patient experiences a condition where the heart muscles fail to pump blood effectively. In case of such a condition, the blood would back up, and the fluid could fill the lungs leading to shortness of breath (Li et al., 2019). The prevalence of heart failure conditions has risen recently, resulting in adverse outcomes in the healthcare system. The need to reverse this condition and improve the health of patients suffering from heart failure has resulted in various evidence-based programs to address this healthcare problem. Effective management of heart failure reduces the disease’s effect on patients and results in an improved quality of life (Nordfonn et al., 2019). Therefore, the purpose of this paper is to critallicaly appraise two quantitative research studies used in addressing heart failure.

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PICOT question: For patients diagnosed with heart failure (P), does education on medication adherence and dietary restrictions (I) as compared to no education (C) reduce the incidences of rehospitalization (O) with exacerbation of their heart failure over a 6-month (T) period?

Background of Studies

            Chew et al. (2021) did a study to examine the effectiveness of a nurse-led temporal self-regulation theory-based program on heart failure self-care in Singapore. This quantitative study adopted a randomized controlled trial carried out among 144 patients between September 2018 and July 2019. The results on the generally estimating equations showed an improvement in the heart failure condition in the intervention group compared to the control group. The program enrolled in this study was found to be effective in improving heart failure self-care and can be generalized to other chronic illnesses.

            On the other hand, Seid et al., (2019) also carried out a relevant study addressing adherence to self-care recommendations and associated factors among adult heart failure patients attending Gondar University referral hospital from Feb to May 2017. This study was a cross-sectional quantitative study done on 310 adults with a heart failure condition. The study found that out of the 310 participants, only 22.2% of HF patients reported good adherence to their self-care recommendations. Again, the adherence to self-care recommendations was linked to the male gender. The study further ascertained that the overall heart failure patient adherence to the self-care options is poor and selective among the selected population.

How Do These Two Articles Support the Nursing Practice Problem You Chose?

            Chew et al. (2021) address one of the recent directions nursing has been taking to solve some of the healthcare problems that have affected the quality of healthcare services. Self-management intervention is one of the recent approaches that many healthcare professionals give to chronic infections within the healthcare setting. While these self-care programs do not conflict with the clinical approach to treatment, they have effectively reduced the adverse effect of chronic diseases like heart failure on patients. Besides, a self-management program meant to treat a condition has a positive outcome on patients that affect their quality of life. Therefore, this article supports the nursing problem by proving that a nurse-led temporal self-regulation theory-based program on heart failure self-care is effective.

            Seid et al. (2019) also commented that adhering to self-management programs in addressing heart failure condition impacts reducing the severity of the condition. The study focuses on making the self-care practice a routine among heart failure patients as it positively impacts the condition. The study’s findings show that adherence to self-care management practices among heart failure patients is low, calling for effective measures to correct this practice. While the study has outlined that adherence to self-care management practices is low among heart failure patients, it has provided a gap in nursing practice that should be addressed to increase the awareness of the self-care management practices among patients.

            Chew et al. (2021) considered two groups in which the control group and the intervention group gave varying results. The intervention was important in improving heart failure conditions. The study addresses the role of nurse-led education programs on heart failure self-care, which is the central focus of the PICOT question. Conversely, Seid et al. (2019) found that adherence to self-care management practices is low among the patients leading to infective control of the heart failure condition. This article assesses how heart failure patients adhere to self-care recommendations, and the PICOT question also focuses on medical adherence and dietary restrictions in managing heart failure conditions.

Method of Studies

            Chew et al. (2021) carried out a random controlled trial study on selected heart failure patients, while the second article used a cross-sectional study. While the RCTs compare an intervention between two distinct groups, the cross-sectional study method focuses on determining the prevalence. One of the benefits of RCTs is that it provides the most reliable evidence of the effectiveness of a program. However, it has the problem of generalizability as it cannot be generalized to other populations. On the other hand, a cross-sectional study allows data collection from a wide range of participants. However, it cannot analyze behavior of a population over time.

Results of Studies

            Chew et al. (2021) reported poor heart failure self-care, and the program was effective in improving heart failure self-care, while Seid et al. (2019) found a low population of patients adheres to their self-care recommendations. The first article implies that self-management practices are significant in addressing heart failure. Besides, longer follow-up studies are in need to uncover the long-term benefits of the clinical outcomes. The second article implies that the self-care recommendations are poor among the studied population calling for a need to educate heart failure patients on the significant self-care recommendations. 

Ethical Considerations

            Various ethical considerations guide studies to ensure that the study does not violate the rights of the selected sampled respondents. Despite the varying ethical considerations, one of the common ethical issues is gaining the respondents’ consent. The researcher has to gain the respondents’ informed consent to ascertain that all the participants are willing to participate in the study. Confidentiality is also a common ethical issue that all research studies consider as it approves the safety of the data collected from the respondents. The selected articles were studied within the ethical framework by gaining informed consent from the respondents and adhering to the effective confidentiality measures in the collected data.

Conclusion

            Drawing conclusions from the above analysis of the articles, it suffices to agree that these articles significantly impact the PICOT question. The studies’ results effectively understand the effectiveness of an intervention and an outcome that would be seen without the intervention. Therefore, the two quantitative studies form an essential part of addressing the heart failure self-care interventions in patients.

References

Chew, H. S. J., Sim, K. L. D., Choi, K. C., & Chair, S. Y. (2021). Effectiveness of a nurse-led temporal self-regulation theory-based program on heart failure self-care: A randomized controlled trial. International Journal of Nursing Studies, 115, 103872. https://doi.org/10.1016/j.ijnurstu.2021.103872

Seid, M. A., Abdela, O. A., & Zeleke, E. G. (2019). Adherence to self-care recommendations and associated factors among adult heart failure patients. From the patients’ point of view. PLoS One, 14(2), e0211768. https://doi.org/10.1371/journal.pone.0211768

Li, C. C., Chang, S. R., & Shun, S. C. (2019). The self‐care coping process in patients with chronic heart failure: A qualitative study. Journal of Clinical Nursing, 28(3-4), 509-519. https://doi.org/10.1111/jocn.14640

Nordfonn, O. K., Morken, I. M., Bru, L. E., & Husebø, A. M. L. (2019). Patients’ experience with heart failure treatment and self‐care—a qualitative study exploring the burden of treatment. Journal of Clinical Nursing, 28(9-10), 1782-1793. https://doi.org/10.1111/jocn.14799

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Assessment Description
In this assignment, you will write a critical appraisal that demonstrates comprehension of two quantitative research studies.

Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment (or two new articles based on instructor feedback in Topic 1) to complete this assignment.

In a 1,000–1,250-word essay, summarize two quantitative studies.

Use the “Research Critique Guidelines – Part II” document to organize your essay.

You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.