The Impact of Self-Management Support on the Progression of Chronic Kidney Disease - Research Paper Example

? Critique of Published Research Critique of Published Research Critique of Quantitative Research “The impact of self-management support on the progression of chronic kidney disease—a prospective randomized controlled trial” Results Data Analysis The researchers of this quantitative study carried out a thorough analysis that sought to address the postulated research questions. The research carried out an analysis that highlighted the potential of self-management services in reducing the rate at which chronic kidney disease progressed. They relied on both primary and secondary ends as the most critical variables in the study. These variables were estimated glomerular filtration rate as the primary end point while the secondary end point used were checking for a decrease of up to 50%, end-stage renal disease, demanding renal replacement therapy and all-cause mortality. The research had two groups, with one on the self-management services program while the other one was Non-SMS. The researchers assumed that the differences between the two groups were the result of the self-management services program. The research used Statistical Package for Social Sciences for Windows (version 16; SPSS Inc., Chicago, IL) as the main statistical analysis tool. Comparison of the two groups in the study relied on the v2 test and variance analysis. In order to estimate the time and ratings of the dialysis process, the researchers opted for the Kaplan–Meier method. These methods successfully helped control for the occurrence of confounding variables. The researchers minimized the occurrence of both type 1 and 2 types of errors by ensuring a careful calculation of a significant p-value that served as a guide in the rejection of either the null and the alternate hypotheses. The nurses charged with the role of data collection and entry did a diligent job because there was no issue of missing data since data was available for the 54 patients. Findings The researchers present comprehensive finding from the two groups with emphasis accorded to the statistical significance. In all cases, the p-value is provided and there is evidence of effect size as the researchers focused on establishing the differences between the two groups of patients suffering from chronic kidney disease. There is good user of tables and figures in the representation results. The confidence intervals seem reasonable in addressing the parameters for an unknown population. Moreover, the presented findings from both groups and variables considered suffice to allow a meta-analysis in comparison to different sets of data obtained from related studies. Discussion Interpretation of Findings It is evident that the researchers embarked on an extensive process of interpreting the presented results. There is an elaboration of the meaning and significance of measuring all the variables highlighted in the report. Apparently, the researchers have discussed the results within the framework described in the introduction. Therefore, the discussion exhibits relevance to the context of chronic kidney disease and the effect of the self-management services. The researchers have made a point of justifying all the causal inferences inherent from their findings. Evidently, all interpretations provided in the discussion section have a good basis contextually, making them well founded. In addition, there is evidence of consistency of the discussions offered and the research limitations. As expected, the research presented its unique limitations especially in definition of the effect size that highlights the difference between the SMS and Non-SMS groups. The researchers also paid attention to the generalizability of the findings to a greater population. Implications/recommendations The researchers highlight the implications of their study in accordance to the presented findings. It becomes apparent that the self-management services program designed to address the issues that the patients consider as critical effective in reducing the rate at which the progression of chronic kidney disease occurs. The discussion highlights what all the findings from both the parameters translate to in the management of chronic kidney disease. It becomes apparent that the SMS programs have the potential of reducing hospitalization events as highlighted in the discussion. The researchers offer a remarkable interpretation of the results and their implications through a coherent and reasonable argument. Global Issues Presentation There is an effective organization of the report from the abstract, the methods through to the findings and the discussion. The researchers offer sufficient details of their research methods and findings permitting a critical analysis. Moreover, the researchers offer a consort flow chart that details how the selection of the sample occurred. In the consort flow chart, the researchers outlined both their inclusion and exclusion criteria. Moreover, it outlines the eligibility requirements, as well as the number of participants that the researchers lost follow-ups. Researcher Credibility All the researchers undertaking the research exhibited a level of knowledge in the nursing field. They are qualified professional in issues related to health, explaining why they are key players in nursing research. Their expertise and experience serve to increase the credibility and reliability of the research findings. The professional profiles of researches are critical aspects in the study that have the potential of affecting the perception of the practicing nurses. Summary Assessment Apparently, the researchers have presented valid and logical findings within the described context and framework. The interpretations of the results appear reasonable enough for both practicing nurses and other readers. The findings impart a reader with a level of truth-value that motivates a practicing nurse to adopt the interpretation as rational. The study provides sufficient evidence concerning the potential of self-management services program in reducing the progression of chronic kidney infection. The study provides information that can inform decisions in the nursing field. Critique of Qualitative Research “Telephone follow-up after treatment for breast cancer: views and Experiences of patients and specialist breast care nurses” Results Data Analysis The researchers of this qualitative study embarked on describing the data management and analysis methods they used. It becomes evident that they carried out an interpretative study that focused on assessing the effect of telephone follow-up to patients with breast cancer. The study concentrated on the analysis of the views of 28 patients and 4 nurses carrying out the interviews. The interpretation of the different perceptions of the efficiency of telephone follow-up programs in imparting confidence and knowledge to the patients compared to hospital visits. It is evident that the authors used both interpretive and semi-structured interviews in the data collection. After collection of the required data, the authors focused on factor analysis in order to determine potential impact of telephone follow-up. Apparently, the authors established a thematic pattern from the data collected from the 28 patients. Findings The researchers have presented a comprehensive summary of the findings in the report with rational arguments to support the findings. The availability of the excerpts from some of the patients interviewed highlighting the critical ideas and perceptions emanating from the patients interviewed to serve as evidence of the findings. Moreover, the excerpts have sufficient elaborations to augment the main ideas highlighted. The themes presented in the article were adequate to bring out coherent meaning of the data presented. It is evident that the researchers conceptualized the thematic patterns inherent in the data collected from the patients interviewed. These thematic patterns received sufficient attention throughout the article. The research yields an authentic picture of the efficiency of telephone follow-ups in providing cancer patients with information and courage to manage their situation. Theoretical Integration There is a coherent flow and connection of the main ideas and themes evident in the article. Through efficient analysis of the themes inherent in the data, the researchers managed to build a connection between ideas, making the essay whole. There is effective summarization of ideas and description of concepts with models fit for interpretative research. Ideas and themes developed in the article conform to the ideology introduced concerning the efficiency of telephone conversations in conferring information to patients with breast cancer. Discussion Interpretation of the Findings The researchers have interpreted the findings and data collected from the interviewed patients in an appropriate social context. The extension of nursing services is of critical significance in the modern societies. Research seeking to outline ways of offering such services is timely, and this explains why the interpretation of the findings from this research serve to shed light on the efficiency of telephone follow-up programs. The major findings from the study serve to augment previous studies that focused on alternative avenues of offering support to patients with breast cancer. The context developed in the article exhibits relevance to the previous studies although it investigated the efficiency, something that other researches had not given attention. In accordance to the expected limitations in the research, the findings exhibit a level of consistency. Implications/recommendations The researchers also embark on describing the implications of their findings in the nursing field. Since the efficiency of telephone follow-ups to breast cancer patients proves effective compared to regular hospital visits, the research serves to introduce new trends in the nursing field. The article highlights the possibilities and benefits that emanate from the use of telephone conversations, outlining a way in which nurses can extend their services to patients with efficiency and convenience. Global Issues Presentation The organization of ideas in the research is coherent and serves to augment the rational arguments and interpretations described in the article. The reader and practicing nurses have an opportunity of getting details from concerning the phenomenon described from the article. There are vivid elaborations and explanations that make ideas flow and connect to each other adding to the consistency of the report. Moreover, the authors of the research article have described their methodologies and data collection tools effectively. Researcher Credibility The researchers carrying out this qualitative research exhibit both experiential and professional expertise in carrying out qualitative research in the nursing field. They portray understanding of the concepts described in the article. Their professional profiles forma basis for the readers to judge the credibility of the research findings. A reader will adopt their findings on realizing the qualifications that give them a command in research. In this case, the authors present an understanding and critical analysis of concepts because of their professional profiles. Summary Assessment Evidently, the coherence with which the authors present ideas in this qualitative study serves to motivate the reader to develop a level of confidence in their findings. The description of the data collection and analysis methods suffices to enhance the confidence of nurses in practice concerning the described findings. The interpretation of results and development of rational arguments makes it possible for a practicing nurse to accept the truth value of the research. The findings serve as reliable information that can inform decisions in the nursing practice. Read More