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Find this article and answer the following questions: A process of decision making by caregivers of family members with heart failure. Research & Theory for Nursing Practice, 25(1), 55-70 by Sanford, J., Horigan, A.,&Hall, P. (2011) - Essay Example

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The number of people who suffer from this condition continues to rise. During the illness continuum, patients, their families and caregivers encounter numerous situations that call for informed decision…
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Find this article and answer the following questions: A process of decision making by caregivers of family members with heart failure. Research & Theory for Nursing Practice, 25(1), 55-70 by Sanford, J., Horigan, A.,&Hall, P. (2011)
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Sanford, J. Horigan, A., Hall, P. and Townsend, J. . A process of Desicion Making by Caregivers of Family Members with Heart Failure. Researchand Theory Nursing Practice, 25(1), 55-70.
Article Critique
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Article Critique
Heart failure is one of the most challenging cardiovascular problems. The number of people who suffer from this condition continues to rise. During the illness continuum, patients, their families and caregivers encounter numerous situations that call for informed decision making. Normally, when the patients’ situations worsen, decision making becomes a prerogative of the caregivers. However, some of the care givers may have little preparation for this role. Besides, patients sometimes change their wishes regarding care during various stages of the end of life. Thus, caregivers should use the available prognosticators to identify patients who are approaching the end of life stage. Such patients have short lived clinical improvements but can be understood by examining their natural disease trajectory. Sanford et al. (2011) study aimed at examining how caregivers of family members with heart failure make decisions.
Data Collection Methodology
The researchers employed a qualitative design that utilized grounded theory methods to examine the process of decision making among caregivers among patients with heart failure. After getting approval from the review board, the researchers recruited 20 participants from cardiology departments, inpatient hospital units and adult care facilities for the duration of 12 months. Each participant was supposed to be related to a patient with heart failure and provide one activity of daily living as participation requirements. The researchers conducted unstructured, open ended interviews in distinct locations (participant’s home, place of work or library).The researchers recorded their interviews with participants. The interviews took 45 minutes to two hours. Interviewees gave the required demographic information and their experiences during decision making encounters with their patients.
The demographic information that was reported
The authors sought to know the caregivers’ gender, marital status, ethnicity, employment status, income, living arrangement and caregivers’ relationship with their patients.
Limitations that the authors faced during data collection
Possible limitations would have been the lack of variation in the data collected. However, the researchers ensured that the data was varied by interviewing at least four caregivers from the four stages of heart failure classification. Besides, each caregiver was supposed to be affiliated to a patient with heart failure. Thus, a limitation that would arise from a non care giver participant was ruled out. Another limitation would be an interruption to the interview process. The researchers skillfully chose distinct locations for conducting their interviews. Another limitation would have been a misrepresentation of information from the interviewees. However, the researchers recoded the interviews to avoid misinterpretation of the information provided by the participants.
Authors comments about the validity and reliability of their instruments
The authors stated that they used triangulation to determine the validity of their work. Qualitative researchers usually employ triangulation in determining the validity of a study. The technique uses multiple theoretical perspectives to draw conclusions from a set of data so as to validate data findings. The authors supported their data collection methodology and thus confirmed the reliability and validity of their instruments.
Variable under study
The variable under study was the process of decision making by family caregivers of patients with heart failure. The authors intended to elucidate how the process is approached by the participants, and determine factors that influence the process.
Use of inferential tests
The authors inferred their findings to a previous study that explored decision making by wives of patients with heart failure at the end of life. The researchers also compared their findings to current literature.
Use of graphs, figures and tables
The authors used a figure to clarify their results and findings. The figure was essential in illustrating their findings. On the other hand, they used a table to elucidate the questions on their questionnaires. The table informed the readers the type of questions asked during the interview. The information there in is helpful in understanding the scope of the interview. The authors did not use graphs in their study.
Reference
Sanford, J. Horigan, A., Hall, P. and Townsend, J. (2011). A process of Desicion Making by Caregivers of Family Members with Heart Failure. Research and Theory Nursing Practice, 25(1), 55-70. Read More
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