Module 2 Comment 1 Phil

Critique of a qualitative nursing research study

Research purpose and alignment with design

The study titled A Qualitative Study on the Psychological Experience of Caregivers of COVID-19 Patients explores the psychological impact and emotional reaction of nurses caring for patients suffering from the novel coronavirus or COVID-19 disease. The purpose of this research supports the relevance of this research by mentioning that nurses who are caring for patients with emerging, highly infectious conditions such as SARS, MERS-Cov, Ebola or H1N1, suffer from increased stress, depression and other physical and mental health problems (Sun et al., 2020). In the introduction it is also stated that up to the point of this research, no qualitative studies had been published on the psychological experience of nurses caring for COVID-19 patient which justifies the reason why the researches chose this model.

Sampling strategy and adequacy

The researchers used Colaizzi’s phenomenological method which is appropriate due to the nature and purpose of the study since it enables researchers to put aside their perceptions of a phenomenon and give meaning to a participants experiences (Wirihana et al., 2018). The sample subjects were selected using a purposeful sampling method, corresponding with the design and purpose of this study, but the number of participants was small. The authors of the study are nursing professors in the same healthcare institution of those nurses interviewed and it was not stated if a professional or academic relationship existed between interviewers and the nurses surveyed.

Data collection and analysis methods

The source of data for this study was the one-to-one interviews performed in person or by telephone call, which focused on the psychological experiences of those nurses and the changes their lives and perceptions had undergone while caring for COVID-19 patients. The answers to the questions were collected and analyzed within 24 hours of the interview by two researchers, and relevant statements were collected and grouped according to the identified themes.

Rigor, trustworthiness

The results of this study were presented using 4 main themes categorized according to similar experiences expressed by several nurses. The trustworthiness of this study is backed by the quotations included in the results which is helpful to understand and exemplify the meaning and description of the nurses psychological and emotional reactions. The results are clearly explained and segregated and offered in the context in which the situations develop.

Ethical considerations

This study gained increased relevance amid the pandemic spreading rapidly worldwide in the first quarter of the year 2020 and the high hospitalization rates and death in the general population and even more in the older and sick sector of the population (Gard, 2021).

Critique of a quantitative nursing research study

Critique the quantitative research article, Nursing Care Disparities in Neonatal Intensive Care Units, published in Health Research and Educational Trust in 2022.

Research purpose and alignment with design

The authors used a retrospective crosssectional design to conduct a secondary analysis of linked nurse survey and administrative data in four states. Cross-sectional studies are useful because there is no need to wait for an outcome to occur, making them fast and inexpensive, and there is no loss to follow-up (NCOR, 2015). This study inquired about the impact that missed nursing care could have on the increased rate of mortality for black infants and the factors that might be causing it. The purpose of this study was clearly stated as to describe the variation across neonatal intensive care units (NICUs) in missed nursing care in disproportionately black and non-black-serving hospitals. To analyze the nursing factors associated with missing nursing care (Lake et al., 2022).

Sampling strategy and adequacy

The sample in this research was obtained from four different states using data from the University of Pennsylvania MultiState Nursing Care and Patient Safety Study. Surveys were mailed to the homes of random samples of licensed registered nurses. A total of 272,783 surveys were distributed randomly, and the study had a 91% response rate. The sample hospitals represent 16 percent of NICUs nationally, which is a good representation of the overall situation nationwide.

Data collection and analysis methods

This study focused on hospital concentrations of black infants, nursing factors, and missed nursing care. Descriptive and inferential statistical methods were used for the data analysis, which are appropriate methods for this study design. Results were presented in tables that were correctly identified and labeled. Results were given in numbers and percentages to reflect the proportions and impact of missed nursing care.

Validity and reliability

The authors reviewed and cited relevant sources regarding the statistical background that support the difference in mortality for black infants. Also literature was accurately reviewed regarding the relationship between nurse staffing and poorer outcomes for very low birth weight infants. All the reviewed literature was relevant and pertinent to the area of study and correctly quoted.

Ethical considerations

Nurses in highblack NICUs face inadequate staffing. They are more likely to miss required nursing care. Improving staffing and workloads may improve the quality of care for the infants born in highblack hospitals. No recommendations were made on this study.

Final considerations

Quantitative and qualitative research designs provide tools and perspectives to analyze the different scenarios we find in our practice and are both useful in providing insight. Strong quantitative literacy is necessary to fulfill nurses professional responsibilities across education levels, roles, and settings. Evidence-based practice and systems improvement are not possible if nurses do not understand the statistics employed in generating evidence. (Schroeder et al., 2022). Qualitative research attempts to accept various environmental factors naturally. In quantitative research, importance is placed on the researcher acting as an outsider to take an objective view by keeping a certain distance from the research subject. In contrast, qualitative research encourages looking inside the research subjects to understand them deeply, while also emphasizing the need for researchers to take an intersubjective view that is formed and shared based on a mutual understanding with the research subjects (Pyo et al., 2023).

References

Garg, S. (2021). Hospitalization Rates and Characteristics of Patients Hospitalized with Laboratory-Confirmed Coronavirus Disease 2019COVID-NET, 14 States, March 130, 2020. MMWR. Morbidity and Mortality Weekly Report, 69.

Lake, E. T., Staiger, D., Edwards, E. M., Smith, J. G., & Rogowski, J. A. (2022). Nursing Care Disparities in Neonatal Intensive Care Units. Health services research, 53 Suppl 1(Suppl Suppl 1), 30073026.

Schroeder, K., Dumenci, L., Sarwer, D. B., Wheeler, D. C., & Hayat, M. J. (2022). Increasing quantitative literacy in nursing: A joint nursing-statistician perspective. Journal of advanced nursing, 78(4), e66e68.

Sun, N., Shi, S., Jiao, D., Song, R., Ma, L., Wang, H., Wang, C., Wang, Z., You, Y., Liu, S., & Wang, H. (2021). A Qualitative Study on the Psychological Experience of Caregivers of COVID-19 Patients. American Journal of Infection Control, Advance online publication.

Pyo, J., Lee, W., Choi, E. Y., Jang, S. G., & Ock, M. (2023). Qualitative Research in Healthcare: Necessity and Characteristics. Journal of preventive medicine and public health = Yebang Uihakhoe chi, 56(1), 1220.

Wirihana, L., Welch, A., Williamson, M., Christensen, M., Bakon, S., & Craft, J. (2018). Using Colaizzis method of data analysis to explore the experiences of nurse academics teaching on satellite campuses. Nurse Researcher (2014+), 25(4), 30.

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