Qualitative Research Critique Essay
Qualitative research Critique on Effectiveness of Nurse Practitioner-Led Programs in Preventing Readmissions in Patients with Congestive Heart Failure (CHF)
This study examined the effectiveness of an evidence-based nurse practitioner-led program on the reduction of the 25% rate of readmission within 30 days of discharge for heart failure (HF) patients. The study informs and addresses the PICO statement in that the statement seeks to find out whether a nurse practitioner-led educational initiative is superior to standard practice teaching in reducing readmission rates for HF patients. The study is a doctoral dissertation by Clarke (2020).Qualitative Research Critique Essay
The purpose of the study was to find an evidence-based intervention (through clinical inquiry) that is effective in lowering readmission rates within 30 days of discharge for HF patients recently discharged from hospital. The purpose is indeed a logical approach to addressing the research problem of the study. The purpose also definitely has an intuitive fit with stated problem. The research problem is a high rate of readmission for HF patients discharged within 30 days from hospital (Clarke, 2020). Some of the research questions the study was designed to answer are:
- Is readmission within 30 days of discharge for HF patients a quality improvement issue?
- Is a nurse practitioner-led educational program effective in reducing the 30-day readmission rates for HF patients?Qualitative Research Critique Essay
The above research questions are related to the stated research purpose and problem. Qualitative methods as used are appropriate in answering the research questions.
This study by Clarke (2020) was however not original research and depended on secondary data from other studies. This means that any errors in the original studies will be replicated in this study. However, the study produced a large enough evidence base to warrant the recommendation of a nurse practitioner-led educational bundle in the reduction of the high readmission rate for HF patients currently standing at 25% (Clarke, 2020).
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References
Clarke, S.F. (2020). Nurse practitioner-led education program for heart failure patients [Dissertation]. Walden Dissertations and Doctoral Studies Collection. https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=9541&context=dissertations
These are the missing pieces for revision
Guidelines for Evaluating a Qualitative Study
- Transparency
Transparency is the extent to which the researcher provided details about the study processes such as decisions made during data collection and analysis, ethical concerns that were noted, and personal perspectives that may bias the findings The researcher may indicate that field notes were written immediately after each interview. For examples, such field notes may include thoughts on what worked or did not work in getting participants to talk freely as well as insights from the researcher’s self-reflection of his or her response to the data.Qualitative Research Critique Essay
- II. Truth
Truth as a characteristic of qualitative studies is not absolute. Your evaluation is influenced by your confidence that the findings can be confirmed by reviewing the audit trail, field notes, or transcripts (note the overlap with transparency). Strategies implemented to increase rigor, such as comparing transcripts to audio recordings, sharing the findings with participants and writing memos, also increase your confidence in the truth of the findings. Truth also includes the conceptual and experiential fit of the findings with your view of the phenomenon. Your view of the phenomenon also may expand as you empathize with the thoughts, feelings, and experiences of the participants. Some describe this as intuition or new insights that emerge as you read the article. - III. Time
In qualitative research, the researcher is the instrument (Marshall & Rossman, 2016). Time must be spent in gathering data, developing relationships with participants and key informants, interviewing additional participants based on initial data analysis, and being immersed in the data during analysis and interpretation. These activities take time. Some qualitative experts have described this study characteristic as “prolonged engagement” and “persistent observation” (Roller & Lavrakas, 2015, p. 21). As a researcher, you need time to reflect and analyze your own responses to the data as well as thoroughly analyze the data. One indication of the amount of time spent engaged in the study is the depth and comprehensiveness of the descriptions (note the overlap with transparency).
- Transformation
- Do the findings go beyond reporting facts and words to describing experiences with depth and insight?
- Are there other possible interpretations of the data?
- How do the meaning and interpretation of the data match or contrast with previous research findings?
- What contributions do the findings of the study make to what is known about the phenomenon?
- Has the researcher taken the time to hone the writing—to transform the stories of the participants to a narrative that exhibits both thoroughness and eloquence?Qualitative Research Critique Essay
- Transferability
Trustworthiness V. is a necessary, but not sufficient, condition for transferability. Transferability is the applicability of the findings to another population or phenomenon, or stated another way the “ability to do something of value with the outcomes” (Roller & Lavrakas, 2015, p. 23). To be transferable, the findings must have meaning for similar groups or settings. The reader or user of the findings is the one who makes the determination of transferability (Streubert & Carpenter, 2011). If you have answered the previous questions and concluded the study is trustworthy, proceed with answering the following questions to determine the transferability of the findings to your practice.- How similar were the study participants to the persons or groups with whom you interact? Are there general truths that emerged from the research that might be used with similar populations, or with people in similar circumstances?
- What implications may the findings have for your practice?
- What actions could be taken that are consistent with the findings?
- How does the study move research, theory, knowledge, education, and practice forward?
Qualitative Research Critique Essay