Write A Critical Appraisal That Demonstrates Comprehe 192824

Write A Critical Appraisal That Demonstrates Comprehension Of Two Qual

Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the practice problem (Hypertension) and the two qualitative, peer-reviewed research articles: 1) Min Jung Kim & Nam Hee Park (2018) and 2) Ashoorkhani et al. (2018). In a 1,250-word essay, summarize the studies, explain how their findings might be used in nursing practice, and address ethical considerations related to the studies. Follow APA Style guidelines.

Paper For Above instruction

Hypertension remains a leading cause of morbidity and mortality worldwide, necessitating deep understanding of its social determinants and patient adherence behaviors in order to improve nursing interventions and health outcomes. Qualitative research provides rich, contextual insights into these aspects, essential for developing patient-centered care strategies. This paper critically appraises two qualitative studies focusing on hypertension, analyzing their findings, implications for nursing practice, and ethical considerations, offering a comprehensive understanding relevant to clinical settings.

Summary of the Qualitative Studies

The first study by Min Jung Kim and Nam Hee Park (2018) investigates the spatial distribution of hypertension prevalence based on social determinants of health in Korea. Utilizing qualitative methods, the authors explore the social, environmental, and economic factors influencing hypertension rates in various communities. Data collection involved semi-structured interviews and focus groups with residents, healthcare providers, and community leaders across diverse regions. The study revealed that socioeconomic status, access to healthcare, dietary habits, and environmental factors such as urbanization and pollution significantly impact hypertension prevalence. For instance, lower-income neighborhoods showed higher prevalence rates, attributed to limited healthcare access, unhealthy dietary options, and increased stress levels from environmental pollution. The study emphasizes the importance of considering social contexts in public health planning and interventions to effectively address hypertension disparities.

The second qualitative study by Ashoorkhani et al. (2018) focuses on understanding non-adherence to hypertension treatment from patients' perspectives. Employing thematic analysis of in-depth interviews with hypertensive patients, the researchers identify various barriers to adherence. Common themes include lack of knowledge about hypertension and its management, medication side effects, economic hardships, cultural beliefs, and perceived severity of the condition. Patients expressed that complex medication regimens and side effects often led to intentional non-compliance, while economic constraints prevented consistent medication procurement. The study highlights that non-adherence is multifaceted, influenced by personal, social, and systemic factors, calling for tailored interventions that address individual patient needs and barriers.

Implications for Nursing Practice

The findings from Kim and Park’s (2018) study underscore the necessity for nurses to adopt a holistic approach that considers social determinants when caring for hypertensive patients. Nurses can advocate for community-specific interventions, such as health education programs targeting vulnerable populations, and collaborate with public health agencies to improve environmental conditions. Recognizing the social and environmental context of patients enables nurses to develop culturally sensitive education and support systems that promote lifestyle modifications and medication adherence. Additionally, understanding community-level disparities allows nurses to identify at-risk populations proactively, tailoring interventions to reduce health inequities.

Ashoorkhani et al.’s (2018) research sheds light on barriers to medication adherence, guiding nurses in personalized patient education and counseling. Nurses can utilize this understanding to develop communication strategies that enhance patients’ health literacy, clarify misconceptions about hypertension, and address concerns about medication side effects. Implementing motivational interviewing techniques can encourage patients to adhere to their treatment plans. Furthermore, nurses can collaborate with pharmacists and social workers to address economic barriers, such as connecting patients with assistance programs. The recognition of cultural beliefs influencing health behaviors also facilitates culturally competent care, essential for improving adherence and health outcomes.

Ethical Considerations

Both studies exhibit adherence to ethical principles fundamental to qualitative research. Kim and Park (2018) obtained approval from relevant institutional review boards (IRBs), ensuring participants understood the study's purpose and consented voluntarily. Confidentiality was maintained by anonymizing data, and participants’ rights to withdraw were respected. The study’s emphasis on social factors aligns with respecting community dignity and avoiding stigmatization.

Ashoorkhani et al. (2018) also secured IRB approval and ensured informed consent, emphasizing voluntary participation and confidentiality. The researchers demonstrated sensitivity to cultural contexts, avoiding potential harm or discomfort during interviews. Ethical challenges in these studies included ensuring participants’ privacy when discussing personal health behaviors and avoiding bias in interpreting subjective narratives. Both studies exhibit transparency in reporting ethical procedures, strengthening the validity and credibility of their findings.

Conclusion

The qualitative studies by Kim and Park (2018) and Ashoorkhani et al. (2018) provide valuable insights into the social and behavioral aspects of hypertension management. Their findings inform nursing practices by emphasizing the importance of social context and individualized care approaches in improving hypertension outcomes. Ethical conduct in qualitative research, as exemplified by these studies, underpins the trustworthiness and applicability of their findings. For nurses, integrating such evidence into practice involves not only addressing biomedical factors but also considering social determinants and patient perspectives to foster comprehensive, culturally sensitive, and ethically sound care.

References

• Kim, M. J., & Park, N. H. (2018). Analysis of spatial distribution of hypertension prevalence and its related factors based on the social determinants of health. Journal of Korean Academy of Community Health Nursing/ Jiyeog Sahoe Ganho Hakoeji, 29(4), 1–9.
• Ashoorkhani, M., Majdzadeh, R., Gholami, J., Eftekhar, H., & Bozorgi, A. (2018). Understanding non-adherence to treatment in hypertension: A qualitative study. International Journal of Community-based Nursing & Midwifery, 6(4), 314–324.
• Schneider, Z., & Whitehead, D. (2013). Nursing and Midwifery Research: Methods and Critical Appraisal for Evidence-Based Practice. Elsevier Australia.
• Polit, D. F., & Beck, C. T. (2020). Nursing Research: Generating and Assessing Evidence for Nursing Practice. Wolters Kluwer.
• Corbin, J. & Strauss, A. (2015). Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. Sage Publications.
• Creswell, J. W., & Poth, C. N. (2018). Qualitative Inquiry and Research Design: Choosing Among Five Approaches. Sage Publications.
• World Health Organization. (2013). A global brief on hypertension: Silent killer, global public health crisis. WHO Press.
• Grol, R., & Wensing, M. (2004). Enhancing the effectiveness of clinical guidelines. Quality in Health Care, 13(3), 77–82.
• Silverman, D. (2016). Qualitative Research. Sage Publications.
• Patton, M. Q. (2015). Qualitative Research & Evaluation Methods. Sage Publications.