fathima critique

8/2/2019 Fathima Critique

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RESEARCHCRITIQUE

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

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

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

• Identify the association between self efficacy and selected demographicvariables

Critique

• Measurable ,achievable and clear

• Starts with action verb

• Conveys only one message• Logical link

• Variables are identified

• Tool is not mentioned

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

critique

• Testable

• Level of significance mentioned

• Directional• Study population not mentioned

Conceptual frame work

• Orem’s self care deficit theory

Critique

• suitable

• It is based on the theory

• It guides the research study• Concepts are linked

• Concepts are defined

• Presents the relation amongconcepts

variables

• Independent variables

Training programme on home caremanagement

• Dependent variables

The self efficacy of care givers and

the occurrence of complications inneurologically debilitated patients

• 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

• Age ,medical diagnosis,level of consciousness and functional statusof the client

critique

• Variables are clear,defined well

• Measures to control extraneousvariables were not described

• Variables reflects the concepts of frame work

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

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

• 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

Ethical consideration

• Consent

• Clearence certificate

Research design

• Quasi experimental one grouppretest post test design

• Longitudinal study

• Duration of data collection-2wks

critique

• Interventions included

• Operational definitions are given

• Not cenceptually defined• Randomisation not done

• Timing of data collection appropriate

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

Sampling design

• Convenience sampling

Sample size -30

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.

• 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.

Exclusion criteria

• Health , social or voluntary healthcare providers

• Care givers other than primary caregivers

• Care givers who couldn't understandEnglish or Malayalam.

critique

• Population identified and described

• Adequate sample size

DATA COLLECTION

• For 2 weeks

• Structured questionnaire andobservation check list

Telephonic interview

• Setting –neurological ward-42 and55

Critique

• Triangulation present

• Setting was appropriate

Instruments• Standard questionnaire

• Check list

• Self reported questionnaire

• 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

• 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

• Reliability- Split half method(knoledge questionnaire)

• Inter ratereliability tested for checklist and self reported questionnaire

critique

• Appropriate instruments used

• Reliability and validity adequate

• Instructions are clear• Section wise categorization of tool

was done.

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

Inferential

• Significance of difference betweenpre test and post test score tested bypaired t test

• Association between self efficacywith selected demographic variablesdone by ANOVA test

• 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

critique

• Parametric tests were used

• Level of significance were identified

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

• ANOVA test computed betweenknowledge and skill of care giverswith age , sex, education and

occupation.

result

• Result of each hypothesis clearly andobjectively presented

• Graph and bar diagrams were used

Conclusion And discussion

• Based on results, based onhypothesis

• Results mentioned under objectives

• Study limitations identified

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

• The clients with different neurologicalproblems were included in the study.

implications

• Discussed under heading

• Nursing practice, nursing education,nursing administration and nursingresearch

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

• 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

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

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