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Quantitative Research Critique and Ethical Considerations

Quantitative Research Critique and Ethical Considerations

Sample Answer 

Quantitative Research Critique and Ethical Considerations

Type two diabetes is a chronic disease characterized by high blood sugar levels, determined by the amount of hemoglobin A1C in the blood. Type two diabetes exposes patients to higher risks of obesity, cardiovascular diseases, and obstructive sleep apnoea. To reduce the risks of diabetes, patients should adopt person-centered management approaches to make comorbidity less complex. Persons with type two diabetes apply physical and non-physical activities to manage diabetes and avoid negative health outcomes. Diabetes is a growing world problem, and there is a growing need to identify the best approaches to manage the condition to promote continuous quality improvement. The study by Buelo, Kirk Lindsay & Jepson (2019) seeks to explore the efficacy of physical activity interventions reducing comorbidity of diabetes. The interventions applied are determined greatly by the patients’ attitudes and behaviors to adhere to specific interventions. Besides, Pint, Braz, Nascimento & Gomes (2017) strives to identify and assess barriers to nutritional therapy intervention among type-2 diabetes patients. Nurses play important roles in the management of T2D patients, and therefore, they should have good knowledge of interventions. The information provided in the two articles thus widens nurses’ knowledge and choice of T2D management interventions.

Support for the Nursing

Nurses should be at the forefront of supporting continuous quality improvement for patients with chronic health conditions through research and evidence-based interventions. The two studies support nursing by offering evidence that supports alternative interventions to manage type-2 diabetes. The study by Buelo et al. (2019) documents factors that determine the effectiveness of physical activities in women with gestational diabetes. As Buelo et al. (2019) pointed out, although physical activity interventions are highly regarded, there are factors that bar diabetes patients from fully adopting the intervention. There exist a gap between perceptions and intervention, which healthcare professional should understand to effectively implement the proposed interventions. In support of the clinical question, the study seeks to understand which interventions work for specific patients. Ideally, the study implies that there is no universally effective intervention for managing T2D hence perceptions, factors and situations surrounding a specific case must be interpreted. Although the study does not propose an intervention, it offers guidelines for assessing health status to develop person-centered approaches for managing different conditions. Comparing physical activity interventions in other studies, Buelo et al. (2019) recognize the importance of family contextualization of physical activity to improve effectiveness.

In the study by Pint et al. (2017), the researchers investigate the value that T2DM patients have on national therapy in managing the condition. The research shows that although patients prefer nutritional therapy to physical activity and pharmacologic interventions, adherence to a dietary schedule is difficult. The research supports nurses’ efforts for continuous quality improvement by revealing that T2D management requires coordinated health planning involving multidisciplinary groups. Although the study does not directly connect with the PICOT question, it provides crucial information that gives insight into possible coordinated interventions that support quality improvement. Besides, the article presents adequate evidence to support nutritional therapy in T2D management. Besides, the article calls for future research to address economic, educational, and psychological factors that limit the level of compliance with nutritional interventions. According to Pint et al (2017), future research must also focus on developing tailored patient education strategies and improving risk communication. To support nursing practice in managing T2D, the two articles point to the need to explore barriers and perceptions that influence patients’ compliance with proposed interventions.

Methods of the Studies

The two articles use different research designs and approach to collect and analyze data to answer the research questions posed. The study by Pinto et al. (2017) used the Kolmogorov-Smirnov test and SPSS to analyze and assess anthropometric data collected from non-randomized samples. Quantitative assessments were conducted on T2DM patients receiving healthcare in the Faro clinic. The age below 85 years, at least 12 weeks after T2D diagnosis, and visiting a nutritional consultant once were used as inclusion criteria for the study population. The methods adopted eliminated bias, enhanced the relevance of data, and supported easy comparison of different parameters assessed. The methods used did not show the impact of nutritional intervention in T2D patients; hence not relevant to answering the PICOT question proposed because it does not offer the basis for comparison.

The study by Buelo et al. (2019) used a systematic review of 8101 qualitative, quantitate, and mixed-methods articles following the Cochrane methodology. Twenty-eight evidence-based articles were selected for review using the Critical Appraisal Skills Programme (CASP) checklist, and two independent reviews were conducted on the articles. Microsoft Excel was used to extract data from quantitative studies into the Cochrane Collaboration data extraction forms and then compared. Data from qualitative studies reviews were extracted into QSR International NVivo 10.0 software. The researchers used thematic analysis to identify shared themes that build evidence about the effectiveness of physical activity interventions in T2D management. The methodology used offered room for comparison to assess the effectiveness of different interventions. The research widens researchers’ understanding of factors that bar the adoption of physical activity intervention.

The Study Results

Data analysis from the 62 non-randomly sampled patients showed a negative perception of nutritional therapy, as evidenced by poor dietary intake. Of the 62 patients, 22 were overweight, and 33 were obese, accounting for 36% and 53%, respectively. Comparing the physical activity and pharmacologic interventions showed that pharmacologic treatments were valued more than physical activity in managing T2D (F = 19.6; p < 0.001). The results indicate that holding perceptions and factors that bar implementation of the interventions, T2D patients prefer pharmacologic treatments. However, to account for this outcome using literature reviewed, Pinto et al. (2017) reveal that patients have more value in nutritional therapies but encounter immense challenges sustaining compliance with the dietary recommendations.

On the other hand, the study by Buelo et al. (2019) showed four of the interventions reviewed supported high physical activity, and 14 interventions had no change or insignificant change in physical activity. The research also pointed out key factors that affect the effectiveness of physical activity in the management of GDM. The findings signify that it is difficult to establish the efficacy of managing T2DM without looking at barriers limiting patients’ ability to adopt physical activity interventions. The results from the two studies do not offer direct evidence to answer the PICOT question. However, there is a strong consensus in the two articles that Physical Activity Intervention is more significant in managing T2D. The studies thus offer crucial insight into factors that shape the expected outcomes of the PICOT.

PICOT and Articles Outcomes

The PICOT is designed to help nurses and other healthcare professionals plan and execute Physical Activity interventions to support continuous quality improvement in managing type two diabetes. After the evaluation of the articles, the evidence gathered reveals that physical activity interventions are crucial, but there is a need to assess factors that influence its effectiveness. The research articles recognize the value of physical activity intervention but call for further research to support PICOT outcomes. To assess the effectiveness of physical activity in T2D management, Pinto et al. (2017) recommend patients’ empowerment to sustain compliance with the recommended diet. The article by Buelo et al. (2019) shows that there is a need to assess the factors that should be removed or minimized to increase the effectiveness of physical activity interventions. The PICOT and article outcomes agree that physical activity interventions are offered improved approaches to managing T2D. However, further research is needed to understand patients’ perceptions and the factors determining the quality and effectiveness of interventions. Therefore, evidence-based intervention should strive to assess which intervention best fits a specific case.

References

Buelo, A. K., Kirk, A., Lindsay, R. S., & Jepson, R. G. (2019). Exploring the effectiveness of physical activity interventions in women with previous gestational diabetes: A systematic review of quantitative and qualitative studies. Preventive medicine reports, 100877.

Pinto, E., Braz, N., Nascimento, T., & Gomes, E. (2017). Do patients value nutritional therapy? A quantitative study in type-2 diabetes patients. International Journal of Diabetes and Clinical Research4(2), 1-6.

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Question 


Quantitative Research Critique and Ethical Considerations

Rough Draft Quantitative Research Critique and Ethical Considerations

  • Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the “Research Critique Guidelines – Part II” document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses.

Use the practice problem( PICOT TOPIC” in type 2 diabetes patient, does physical activity reduced hemoglobin A1c COMPARED to no physical activity” and two quantitative, peer-reviewed research articles ( from the literature research) you identified in the Topic 1 assignment to complete this assignment.

2 lit articles to be used

Quantitative Research Critique and Ethical Considerations

Quantitative Research Critique and Ethical Considerations

  • Buelo, A. K., Kirk, A., Lindsay, R. S., & Jepson, R. G. (2019). Exploring the effectiveness of physical activity interventions in women with previous gestational diabetes: A systematic review of quantitative and qualitative studies. Preventive Medicine Reports, 100877.
  • Pinto, E., Braz, N., Nascimento, T., & Gomes, E. (2017). Do patients value nutritional therapy? A quantitative study in type-2 diabetes patients. International Journal of Diabetes and Clinical Research, 4(2), 1-6.

In a 1,000–1,250 word essay, summarize two quantitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

Prepare this assignment according to the guidelines found in the APA Style Guide.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Attachments NRS-433V-RS3-ResearchCritiqueGuidelinesPart II.docx

Research Critique Guidelines – Part II

Use this document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the studies in your responses.

Quantitative Studies

Background

  1. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.
    1. How do these two articles support the nurse practice issue you chose?
  2. Discuss how these two articles will be used to answer your PICOT question.
  3. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.

Method of Study:

  1. State the methods of the two articles you are comparing and describe how they are different.
  2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.

Results of Study

  1. Summarize the key findings of each study in one or two comprehensive paragraphs.
  2. What are the implications of the two studies you chose in nursing practice?

Outcomes Comparison

  1. What are the anticipated outcomes for your PICOT question?
  2. How do the outcomes of your chosen articles compare to your anticipated outcomes?

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