Reading Research Literature #1 – Week 5

Type your answers to the following questions using complete sentences
and correct grammar, spelling, and syntax. Click Save as and save the
file with your last name and assignment, e.g.,NR439_RRL1_Smith.Submit to
the Reading Research Literature #1 basket in the Dropbox by 11:59 pm MT
Sunday at the end of Week 5. The guidelines and grading rubric for this
assignment may be found in Doc Sharing.
RRL#1
[replace this text with your name]
The following questions pertain to:Sanford, J.,
Townsend-Rocchicciolli,J.,Horigan, A., &Hall, P. (2011). A process of
decision making by caregivers of family members with heart
failure.Research & Theory for Nursing Practice, 25(1), 55–70.
What is the purpose of this research?
The main purpose of the research was to examine how caregivers of family
members with heart failure makes decisions. This meant that the research
was to determine how decision are made in regard to heart filure
patients Sanford et al., (2011).
What is the research question (or questions)? This may be implicit or
explicit.
How often shared decision-making between patient and caregiver occurs
and demonstration of what the theoretical evidence demonstrate about
this process.
Did the authors describe the design of this study? If so, give a
description.
The design described in the study was that, “A qualitative design
using grounded theory methods was used to examine the process of
decision making among caregivers of patients with HF (Charmaz, 2006).
After Institutional Review Board approval,20 participants were recruited
from cardiology offices, inpatient hospital units, or adult day care
facilities over a 12-month period from 2008–2009” (Stanford et al.,
2011).
What characteristics does this study possess that are qualitative in
nature? Review Chapter 2.
The data collected in this study through interviews was qualitative in
nature
What is the evidence that this journal is peer-reviewed? Does the
journal have an editorial board? (Look for the journal’s website to
discover this information)
The journal had a strong editorial board thus evident that the journal
has been peer reviewed th oroughly.
Is there evidence of any conflict of interest? Do the authors have any
potential financial gain from the results of this study?
Looking in the way the study was done and the way the results were
compiled there it is unlikely that there was a conflict of interests and
biasness. In addition there is little evidence that the authors have any
potential gains to stand from the results of the study.
Describe the population for this study.
The caregivers of heart failure patients are the ones that involved
exclusively the population of this study.
How was the sample selected? What are the strengths and weaknesses of
this sampling strategy?
According to Stanford to qualify as a participant as a caregiver, he had
to be related to the patient with heart failure, he had to provide one
activity of daily living and assist the the patient with two instrument
activities of daily living and not be paid for services. The caregivers
were recruited from health care facilities that catered to heart
failure. Demographic data collected included gender marital status,
ethnicity employment status income living arrangement and relationship
to the patient with heart failure Sanford et al., (2011).
Were the subjects in this study vulnerable? Were there any risks for
them as the result of participation in the research study?
The researchers says that their privacy was protected, however the in
the study were not vulnerable as long as theier privacy and
confidentiality were protected.
Are there any HIPAA concerns that are evident in this study?
In the study,there were no immediate or eventual HIPAA concerns evident
The following questions pertain to: Schwarz, K., Mion, P., Hudock, D.,
&Litman, G. (2008). Telemonitoring of heart failure patients and their
caregivers: A pilot randomized controlled study. Progress in
Cardiovascular Nursing, 23(1), 18–26.
What is the purpose of this research?
According to Schwarz, the purpose of the study was to examine whether
telemonitoring by an advanced practice nurse reduced subsequent hospital
readmissions, emergency department visits, costs, and risk of hospital
readmission for patients with heart failure. Thus, this indicated that
the researchers were determined to see if the process of telemonitoring
with the help of an APN could keep discharged patients in better health.
What is the research question (or questions)? This may be implicit or
explicit.
The research questions included
whether telemonitoring make a substantial improvement on patient health
whether telemonitoring Can reduce readmission rates
Whether the surveillance that telemonitoring Can provide or create more
rapid intervention
Did the authors describe the design of this study? If so, give a
description.
The authors described the design of the study and that it took place in
a 537 bed teaching hospital inOhio. The potential participants included
patient or care giver dyads who met the criteria stated and who often
used the participating hospital the criteria was that the patients, aged
65 years or older, had a diagnosis of New York Heart Association (NYHA)
classification II, III, or IV HF25 and were functionally impaired in at
least 1 activity of daily living (ADL) or one instrumental activity of
daily living (IADL), necessitating assistance of a family caregiver”
(Schwarz et al., 2008). Patients were then randomized and then divided
into two group, both which received usual care, but one group which
received usual care plus monitoring.
.
What characteristics does this study possess that are quantitative in
nature? Review Chapter 2.
The study focused on the collection of data and numbers which gives it
the quantitative nature. Examples are demographics data and the data
focused on functionality of the biophysiscal processes of the
participants.
What is the evidence that this journal is peer-reviewed? Does the
journal have an editorial board? (Look for the journal’s website to
discover this information)
The journal has an extensive editorial board thus giving evidence that
the journal has been peer reviewed.
Is there evidence of any conflict of interest? Do the authors have any
potential financial gain from the results of this study?
In the way in which the study is designed or in the way in which the
results have been interpreted there is absolutely no evidence which
indicates that a conflict of interest might be occurring and creating a
certain level of bias
Describe the population for this study.
The population of this study consisted of One hundred two
patient/caregiver dyads were randomized into 2 groups postdischarge 84
dyads completed the study, this is according to Schwarz and his
colleagues.
How was the sample selected? What are the strengths and weaknesses of
this sampling strategy?
The sample was selected using methods like: individuals 65 and older
with a NYHA classification II, II or IV, functionally impaired, using
the assistance of a related caregiver. The eligibility requirements also
revolved around receiving medicare, having a phone line and speaking
English. Participants also had to experience classic symptoms of heart
failure.
Were the subjects in this study vulnerable? Were there any risks for
them as the result of participation in the research study?
The study was safe and well organized and thus there were no risks or
vulnerabilities placed on the participants
Are there any HIPAA concerns that are evident in this study?
There is no presented evident of HIPAA concerns.
Chamberlain College of Nursing NR439 – Evidence-Based Practice
NR439 RRL1 Form.docx Revised 7/31/13 PAGE *
MERGEFORMAT 1

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