NRS 433V GCU Qualitative Research Critique and Ethical Considerations Paper

Rough Draft Qualitative Research Critique and Ethical Considerations

Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses.

Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.

In a 1,000–1,250 word essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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. Refer to the LopesWrite Technical Support articles for assistance.

Literature Evaluation Table

                                                                             Student Name: Bernadette Tebid

                                                                                            GCU NRS 433V

Summary of Clinical Issue (200-250 words):

The management of chronic diseases is a crucial element of primary healthcare as well as specialty care facilities. People living with chronic diseases face many challenges in society including coping with new conditions, limitation in the activities they can engage in, and medication and care management. The role of the nurse to people living with a chronic disease includes education, providing care in the hospital, and following up with patients for effective care management. The nurse is thus crucial in facilitating continuity of care for patients. Chronic disease management in patients is, therefore, a nursing issue which can be improved through innovative and effective nursing practices. A major challenge that nurses and patients alike may experience is management of the chronic condition remotely. Often, patient may need to go for follow-up checkups and monitoring to determine how well they are responding to the treatment plan and make any adjustments deemed necessary. In rural areas where access to healthcare facilities may be limited, patients may miss follow-up clinics and hence the effectiveness of the management of care may be significantly reduced. Telehealth has been proposed as an effective tool for care continuity and remote monitoring. This research seeks to determine whether patient satisfaction with care is affected by the use of telehealth as compared to standard hospital visits.

PICOT Question:

Among patients living with chronic conditions (P), how does nurse-led use of telehealth (I) as compared to standard hospital visits (C) affect the level of satisfaction with care (O) within 3 months of implementation (T)?

Criteria Article 1 Article 2 Article 3
APA-Formatted Article Citation with Permalink Lee, J. Y., Chan, C. K. Y., Chua, S. S., Paraidathathu, T., Lee, K. K. C., San San Tan, C., … & Lee, S. W. H. (2019). Using telemedicine to support care for people with type 2 diabetes mellitus: a qualitative analysis of patients’ perspectives. BMJ open9(10), e026575.


Powell, R. E., Henstenburg, J. M., Cooper, G., Hollander, J. E., & Rising, K. L. (2017). Patient perceptions of telehealth primary care video visits. The Annals of Family Medicine15(3), 225-229. Knudsen, L. R., De Thurah, A., & Lomborg, K. (2018). Experiences with telehealth follow up in patients with rheumatoid arthritis: A Qualitative Interview Study. Arthritis Care & Research70(9), 1366-1372.
How Does the Article Relate to the PICOT Question? The research studies patients’ perspectives on telemedicine as in the PICOT question. The article discusses patient perceptions of telehealth visits which are the main concern of the PICOT question. The article reviews follow-up experiences for patients with rheumatoid arthritis, a chronic condition hence addresses the PICOT question.
Quantitative, Qualitative (How do you know?) Qualitative- The researchers used focus group interviews and thematic analysis of data. Qualitative- Data was collected using qualitative interviews Qualitative- The study focused on themes emerging from the follow-up using telehealth.
Purpose Statement “To explore the experiences and perspectives of people with type 2 diabetes mellitus that used telemedicine to manage their condition” (Lee et al., 2019) “To describe patient experiences with video visits performed with their established primary care clinicians” (Powell, Henstenburg, Cooper, Hollander, & Rising, 2017). “To explore the experiences of a patient-reported outcome (PRO)–based telehealth follow up from the perspective of patients with rheumatoid arthritis (RA) and their experiences of increasing their active role, and responsibility for disease control “(Knudsen, De Thurah, & Lomborg, 2018)
Research Question What are the perspectives of people with type 2 diabetes mellitus towards the use of telemedicine in managing their condition? What are patients’ experiences with video visits to clinics? How do patients of rheumatoid arthritis experience telehealth as a follow-up technology?
Outcome Opinions of patients on telemedicine Patients’ responses on their experiences with the technology Patient’s experiences with the technology

(Where did the study take place?)

11 primary care clinics in Malaysia Thomas Jefferson University Hospital Aarhus University rheumatology clinic, Denmark
Sample 48 participants selected through non-probabilistic sampling 19 patients who had video visits with the hospital 15 rheumatic arthritis patients
Method Focus groups and semi-structured interviews were used In-depth semi-structured interviews with patients In-depth semi-structured interviews
Key Findings of the Study There were generational differences on technology use but participants felt the system was convenient. Concerns mainly revolved around data privacy. Benefits were convenience and decreased costs. Patients worried about safety and privacy as well as ability of physician to do accurate physical assessment. Participants reported increased responsibility, collaboration with health officials, and self-efficacy
Recommendations of the Researcher Innovation using telemedicine should consider affordability and access to people living in rural areas. Further studies should research which patient cases are best for video visits. Telehealth follow-up should be integrated into routine healthcare


Criteria Article 4 Article 5 Article 6
APA-Formatted Article Citation with Permalink Xu, T., Pujara, S., Sutton, S., & Rhee, M. (2018). Peer reviewed: Telemedicine in the management of type 1 diabetes. Preventing Chronic Disease15. Wilkinson, J. R., Spindler, M., Wood, S. M., Marcus, S. C., Weintraub, D., Morley, J. F., … & Duda, J. E. (2016). High patient satisfaction with telehealth in Parkinson disease: a randomized controlled study. Neurology: Clinical Practice6(3), 241-251. Serrano, C. I., Shah, V., & Abràmoff, M. D. (2018). Use of expectation disconfirmation theory to test patient satisfaction with asynchronous telemedicine for diabetic retinopathy detection. International journal of telemedicine and applications2018.
How Does the Article Relate to the PICOT Question? The study is about telemedicine in diabetes which is a chronic condition. The study analyses patient satisfaction with telemedicine as prompted by the PICOT. The study analyses factors affecting patient satisfaction with telemedicine which is the intervention in the PICOT.
Quantitative, Qualitative (How do you know?) Quantitative- Statistical analysis of data Quantitative- Quantitative questionnaires were used Quantitative- Statistical analyses of results were used.
Purpose Statement “To evaluate telemedicine’s effectiveness in delivering endocrinology care from Atlanta-based endocrinologists” (Xu, Pujara, Sutton, & Rhee, 2018) “To determine whether patients with PD using video telehealth would be as satisfied as those who received face-to-face care and to assess clinical outcomes, travel burden, and health care utilization” (Wilkinson et al., 2016) “To extend research on patient satisfaction with telemedicine services by employing the theoretical framework of Expectation DisconfrmationTeory (EDT) for diabetic retinopathy screenings focusing on rural patients” (Serrano, Shah, & Abràmoff, 2018)
Research Question How effective is telemedicine in endocrinology care? What is the effect of video telehealth on Parkinson’s disease patient satisfaction? How do patients experience the use of telemedicine in diabetic retinopathy treatment?
Outcome Effectiveness of the method Patient satisfaction Patient satisfaction

(Where did the study take place?)

Atlanta Veterans Affairs Medical Center Philadelphia Parkinson’s Disease Research, Education and Clinical Center, Philadelphia, PA Family practice in rural Iowa
Sample 32 patients with type 1 diabetes 100 patients with Parkinson’s disease enrolled in the clinical center 220 patients with diabetes
Method Retrospective chart review of patient records Dual-arm randomized controlled trial Pre-intervention and post-intervention surveys were conducted with patients
Key Findings of the Study Telehealth saved costs, travel time, and had an 88% adherence. All patients recommend telehealth and no adverse effects on patient health were recorded. Satisfaction was high among telehealth patients in convenience and accessibility measures but no significant overall difference in satisfaction Patient satisfaction was affected by expectations and disconfirmation and satisfaction predicted preference for telemedicine
Recommendations of the Researcher Telehealth is an effective alternative for delivering medical care Video telehealth should be used to ease travel burden for patients with Parkinson’s disease The expectation disconfirmation theory (EDT) should be used in studying patient satisfaction.



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