Appraisal of Qualitative Study

Study Question

The study by Chan Carusone, Loeb, & Lohfeld (2006) on a family member and resident preference on the best place for care aims at establishing whether nursing home care for pneumonia is what the family and residents prefer. The research question is relevant to what the researchers sought to achieve because it is necessary to understand one’s preferences regarding their care so that quality and satisfactory care could be achieved. This will enhance the cooperation between the residents and healthcare providers on quality care approaches.

Study Design used

The study design used in the research is the qualitative descriptive study design. This kind of design is appropriate for answering the research question because it is suitable for situations where feedback is required directly from people who are experiencing the phenomenon which is under study. Methods of the descriptive study were used to come up with the answer to the question; for example, the researchers conducted in-depth interviews on preferred care.

Approach

Sampling strategy used

The purposeful sampling strategy was used by the researchers for their clinical trial. The sampling technique was appropriate because the inclusion and exclusion criteria were used. The aim of the descriptive study was to get feedback from the participants on their care preferences; therefore, only people who could explain well the experiences under study and the family members who represented the residents on decision making were included in the study. Purposeful sampling is important for qualitative descriptive study because it identifies and selects information-rich participants related to the phenomenon under study.

Data collection

The data collection methods were appropriate and systematic.  The researchers conducted in-depth, taped, and written interviews in selected nursing homes. Family member interview was conducted in a nursing home at coffee shops or through telephone. The aim of the interviews was to identify the participant’s experience with pneumonia, their place of choice of care, and finally, what good care is according to them.  Interviews were conducted by one person in order to minimize biases. The results were then transcripted.

Data analysis

Ways of data analysis was appropriate.  Data collected was transcripted, and the transcribed data was then compared with the written in order to eliminate any errors during transcription. Data analysis was done in five phases. The first phase was the description of the transcripts, phase two and three is where the researchers organize and connect the data, phase four involved comparison of findings in order to establish conclusion and finally phase five which involves interpretation of the finding while comparing with relevant literature.

Results

Based on the answers from the interview questions, the results were that both residents and the family members preferred that care be offered at a nursing home instead of a hospital. The results were thoroughly researched, and it is evidenced by the following reasons. First, the same person conducted all interviews, therefore, minimizing biases. Secondly is that information was collected from family members and residents, which means multiple sources were used. Thirdly is that the findings were analyzed and compared by two researchers, and one researcher peer-reviewed the study.

The relevance of the study for patient care

Proper understanding of patient preference about care is important in increasing quality and satisfactory patient care. In the study, resident and family member preferences of care were captured, and the results were that residents in the nursing homes felt comfortable and achieved personal attention as compared to a hospital. The study is also important for me in understanding patient experience, which is important in achieving patient-centered care.  The study addressed the family member and resident preferences on pneumonia care. From the results of the study, I will be able to understand which care is responsive to the patient’s preferences.

The trustworthiness of the results 

The results of the study are trustworthy. The researchers adhered to the ethical requirements. They asked for informed consent from the participants before they conducted the interviews. The study is externally valid because it is applicable to other nursing homes since the experiences, environments, and the age of residents is similar in all nursing homes, and one can easily replicate the study. The study also utilized other studies done before to support and compare their findings.  Finally is that the study was peer-reviewed.

Applicability to Patients

The study patients are similar to the patients in my clinical setting; therefore, I can apply the findings to my setting.  The participants were sampled in one nursing home and subjected to a randomized clinical trial. Understanding patient preference contributes to quality patient care.

Important outcomes were considered in the study.  In the study, participants talked about the themes raised during the interview. The researchers also talked about the preferred locus of care by the participants.  They also mentioned what good quality care is according to the participants and the reason raised by the participants for their preferences. Finally is that researchers talked about some of the participant’s reasons for choosing nursing home care. The intervention benefits of the study are worth the potential harm and costs because the results can be applied in all nursing homes and therefore achieving quality care.

Implications for Clinical Practice

I will apply this evidence in my clinical practice because the results from the research have important implications on the current and future research concerning pneumonia care in nursing homes.  The research gave some of the ideas for future research, such as sampling a wide range of participants and using more methods of data collection. The researchers also showed a high validity of their work, therefore, making it easy for me to replicate the study. The outcomes of the research also support nursing home care instead of hospital care.

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Reference

Chan Carusone, S., Loeb, M., & Lohfeld, L. (2006). Pneumonia care and the nursing home: a qualitative descriptive study of resident and family member perspectives. BMC Geriatrics6(1). doi:10.1186/1471-2318-6-2