fathima critique
TRANSCRIPT
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RESEARCHCRITIQUE
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Statement of the problem
A study to evaluate the effectivenessof training programme on home caremanagement of neurologically
debilitated clients on the self efficacyof their caregivers in selected wardsof AIMS Kochi
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Critique• Statement is clear• Target population mentioned• Word strength appropriate• Setting mentioned
• Design not mentioned• Variables-
dependent-self efficacy of care
giversIndependent-training programme
on home caremanagement
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Objective
• Compare the self efficacy of caregivers of neurologically deblitatedclients before and after training on
home care management
• Assess the occurance of complications among neurologically
deblitated clients after training onhome care management for theircare givers
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• Identify the association between self efficacy and selected demographicvariables
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Critique
• Measurable ,achievable and clear
• Starts with action verb
• Conveys only one message• Logical link
• Variables are identified
• Tool is not mentioned
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hypothesis
• There will be a significantimprovement in self efficacy of caregivers after training on home care
management
• The hypothesis is tested at 0.05 levelof significance
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critique
• Testable
• Level of significance mentioned
• Directional• Study population not mentioned
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Conceptual frame work
• Orem’s self care deficit theory
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Critique
• suitable
• It is based on the theory
• It guides the research study• Concepts are linked
• Concepts are defined
• Presents the relation amongconcepts
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variables
• Independent variables
Training programme on home caremanagement
• Dependent variables
The self efficacy of care givers and
the occurrence of complications inneurologically debilitated patients
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• Extraneous variables
Age,sex,educationalstatus,income,occupation,relationship with client and previous experienceof the caregiver
• Knowledge gained by the care giversthrough observation of the nursingcare given by the nurses
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• Age ,medical diagnosis,level of consciousness and functional statusof the client
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critique
• Variables are clear,defined well
• Measures to control extraneousvariables were not described
• Variables reflects the concepts of frame work
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Review of literature
The literature reviewed of the study isclassified following sub headings
1.Complications of neurologically
debilitated clients2.Care giver burden
3.Caregiver training
4.Effect of training on self efficacy of caregivers
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critique
• There is a logical sequence
• Relationship of the study to previousresearch is clear
• Literature review has supported thepresent study
• The literature is critiqued by theresearcher
• gaps in literature are described
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• Uptodate
• Year is not mentioned in some studies
• Name of the auther is not present in some
studies
• Setting is mentioned
• Design not mentioned in few
• Study results are given but statisticalreference are not given
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Ethical consideration
• Consent
• Clearence certificate
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Research design
• Quasi experimental one grouppretest post test design
• Longitudinal study
• Duration of data collection-2wks
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critique
• Interventions included
• Operational definitions are given
• Not cenceptually defined• Randomisation not done
• Timing of data collection appropriate
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Population and sampling
• Target population-Care givers of neurologically debilitated clientsbetween the age group of20-60 yrs
• Accessible population-Care givers of neurologically debilitated clients whowere admitted during the study
period in neuro - medical andsurgical ward
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Sampling design
• Convenience sampling
Sample size -30
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Inclusion criteria• Primary care givers of neurologically
debilitated clients• Care givers between 20 -60 yrs of age• Care givers of neurologically debilitated
clients who were admitted in the neuromedical surgical wards of AIMS
• Care givers of neurologically debilitatedclients who were unable to meet their
activities of daily living such as mouthcare,bathing feeding ,exercise.
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• Care givers of neurologicallydebilitated clients who were free of complication related to poor oral
hygiene poor skin hygiene andnasogastric tube feeding
• Primary care givers who were willing
to participate in the study.
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Exclusion criteria
• Health , social or voluntary healthcare providers
• Care givers other than primary caregivers
• Care givers who couldn't understandEnglish or Malayalam.
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critique
• Population identified and described
• Adequate sample size
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DATA COLLECTION
• For 2 weeks
• Structured questionnaire andobservation check list
Telephonic interview
• Setting –neurological ward-42 and55
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Critique
• Triangulation present
• Setting was appropriate
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Instruments• Standard questionnaire
• Check list
• Self reported questionnaire
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• Tool-1
Section A: Demographic data of
care givers.Section B: Knowledgequestionnaire
Tool-2
Observation check list on backcare , bed bath , nasogastric tubefeeding and range of motion
exerciseTool-3
Self report questionnaire on
occurrence of complication
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• Tools prepared with modification by
suggestion of experts.• Tool 1 &2 transalated in Malayalamwith help of laguage experts andback to English to validate language
• For conent validity submitted to 10experts
• Validity index Tool 1 -0.934
• Tool 2 -0.896• Tool 3 -0.941
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• Reliability- Split half method(knoledge questionnaire)
• Inter ratereliability tested for checklist and self reported questionnaire
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critique
• Appropriate instruments used
• Reliability and validity adequate
• Instructions are clear• Section wise categorization of tool
was done.
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data analysis
• Descriptive and inferential statistics
DISCRIPTIVE STATISTICS
Demographic data analyzed using
frequencies and percentagePretest post test score on self efficacy was
computed by calculating mean andstandard deviation
Occurrence of complication of clientsassessed by frequency distribution andpercentage
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Inferential
• Significance of difference betweenpre test and post test score tested bypaired t test
• Association between self efficacywith selected demographic variablesdone by ANOVA test
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• Mean standard deviation meandeference and t value of skill scorebefore and after training programme
was done – The post test score morethan pretest t value found to besignificant at 0.001 level
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critique
• Parametric tests were used
• Level of significance were identified
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Data analysis- Distribution of subjects according to
demographic variables were done.-The deference in self efficacy of subjects
before and after training programme.for this mean standard deviation mean
deference and t value of knowledge forwere found. The paired t test value of knowledge score computed before andafter training
-Mean post tests are higher than meanpre test score
• Deference in mean is highly significantat 0.001 level
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• ANOVA test computed betweenknowledge and skill of care giverswith age , sex, education and
occupation.
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result
• Result of each hypothesis clearly andobjectively presented
• Graph and bar diagrams were used
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Conclusion And discussion
• Based on results, based onhypothesis
• Results mentioned under objectives
• Study limitations identified
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Limitations
• As the study was limited to 30patients the genaralisations of thefindings are limited
• Only knowledge and skill were takeninto considerations leaving outattitude due to time constraints and
the fact that it was out of the scopethe study
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• The clients with different neurologicalproblems were included in the study.
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implications
• Discussed under heading
• Nursing practice, nursing education,nursing administration and nursingresearch
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Recommendations
• Same study can conducted on a largegroup to generalise findings
• A similar study can be conducted with
control group• A study can be replicated in community
settings
• A study can be conducted to develop aSIM based on the needs of the caregiver
•
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• Similar study can be undertaken onknowledge attitude and skill of caregivers on home care management
• Long term study can be planned tounderstand the effectiveness of training programme on occurrence of
complications
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critique
• Application of conceptual frame workwas not given
• Other studies which are contradictoywas not given
• The study is relevant to practice
• Benefit outweigh the risk