Rough Draft Qualitative Research Critique and Ethical Considerations Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the "Research Critique Guideli

Running Head: QUALITATIVE STUDIES 0

Qualitative Studies

Student’s Name

School Affiliation

Background of Study

Two qualitative research articles I chose from the week 1 assignment include Home oxygen therapy in patients with COPD (chronic obstructive pulmonary disease): safety issues for nurse prescribers (Article 2) and the impact of community pharmacy-led medicines management support for people with COPD (Article 3). The first research study explains why chain smokers are mostly affected by COPD than non-smokers. COPD is an inflammatory lung disease that is always characterized by airway obstruction. COPD is a disease that damages the lungs over time, and it affects the way people breathe (López-Campos, Gallego & Hernández, 2019). The COPD condition is caused by long-term exposure to the irritants like cigarette smoke and other irritating gases that can damage the lungs. The PICOT question is on whether adults with COPD use pharmaceutical drugs like bronchodilators and antibiotics to boost their recovery rate compared to oxygen therapy and nutrition.

People with chronic COPD are at the risk of developing other complications like heart problems, high blood pressure, lung cancer, and depression. This research study in article two aims to critically evaluate the issue that poses challenges to RNS (respiratory nurse specialist), an independent prescriber. In article three, the purpose was to determine the effect of pharmaceutical medicine management support on COPD patients in the Sheffield community nursing team. Estimates are that America has at least 30 million people with COPD condition. This condition is always progressive but treatable.

How the Two Articles Support Nurse practice

Article two will be relevant in answering the PICOT question because it discusses how oxygen therapy effectively prescribes it to patients with chronic obstructive pulmonary disease. Oxygen treatment helps raise the amount of oxygen flowing to the lungs and bloodstream of the patient with COPD. If the COPD is chronic, the blood oxygen level is very low. Therefore, getting additional oxygen helps extend the life span of those suffering from the disease because it makes them breathe better. Oxygen therapy is done by using oxygen-gas cylinders, oxygen concentrators, or liquid-oxygen devices.

The article states that oxygen systems are always portable, and there is no need to stay at home or get admitted to the hospital to use oxygen. Patients in this condition can still use oxygen while doing their daily tasks. It is advisable for people who use oxygen not to smoke. Oxygen should also not be used in open flames or around lit cigarettes. Without considering oxygen treatment carefully, there may be a danger of explosion or fire. After oxygen therapy, the treatment may improve the quality of life. It may help the COPD patient live longer since shortness of breath is reduced, and the patient regains energy (Rogliani et al., 2017). Those who have rapid, severe, and sometimes high shortness of breath can get oxygen from the hospitals to make sure that they are under the doctor's care.

Article three relates to the research question by discussing the use of bronchodilators which are usually administered using handheld inhalers. Bronchodilators are used for the treatment of COPD because they relieve bronchial obstruction, hyperinflation, airflow limitation and improves the ability of the lung to empty wastes and perform well (George & Bender, 2019). This article highlights the guidelines for using bronchodilators in the process of managing COPD. It is essential to treat COPD patients with good classes of bronchodilators that are friendly to the patients.

Regular treatment of COPD with long-acting bronchodilators doesn't reduce lung problems. This means that before the treatment of COPD patients with Bronchodilators is ascertained, these devices' improvement is necessary. It is not clear if the difference in these devices has a clinical role in COPD treatment. The symptoms of COPD patients vary from time to time. During morning hours is when the symptoms are considered severe. According to this article's hypothesis, fast-acting agents are effective on the morning symptoms of COPID than those with a slow onset of actions in providing relief after the morning dosing. A prompt symptom relief gives an assurance of the effectiveness and is the key factor behind patient compliance.

The interventions of the two articles are similar to the PICOT question. The question is the use of oxygen therapy to increase the rate of recovery from COPD. Article two answers the first issue about oxygen therapy and factors that would lead a person to use oxygen at home or in the hospital. Article three provides a solution on the importance of bronchodilators in extending the life of a patient who suffers from COPD.

Methods 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.

Article two uses qualitative research techniques. It uses an already filled questionnaire that explains the risk of patients that use oxygen at home. Nurses have supplied this questionnaire, and it is essential in determining the best way to treat COPD. Article three uses a similar research method to article two. It obtains information from the questionnaire handed out by nurses. Also, an observation where pharmacy personnel was sent how inhalers were being used was recorded in the study. The observation was beneficial in knowing the effectiveness of home oxygen therapy.

Study Results

1. Summarize the key findings of each study in one or two comprehensive paragraphs.

2. What are the implications of the two studies in nursing practice?

In article two, the author found that the risks associated with oxygen use at home are very many. The risks were: fire hazards that would cause skin burns and even death to the patients. This is because oxygen is not supposed to be used near the fire. After all, it could cause an explosion. The author of article three found that many patients lack knowledge on how to use inhalers. Patients with cognitive impairment have limited options to get a proper administration of medicine.

The two studies are essential for those in nursing practice. They will be able to use the information provided to offer guidance and counseling to patients with COPD. They will explain to them the disadvantages of smoking while using oxygen. They will also advise them on installing fire safety equipment that would reduce fire accidents. Nurses will be able to use other therapies when a patient has dementia, and it is difficult for them to use inhalers.

Ethical Considerations

While conducting the research study, it is vital to ensure that ethical considerations are maintained. The researcher should maintain a high level of transparency and honesty while collecting data from different official websites (Arifin, 2018). Respect and discipline is another ethical factor that should be considered while analyzing the data and presenting results. Respondents of research mostly react well when the researcher respects them and puts their ideas and values in consideration.

The authors of these two articles maintained a high degree of ethics. They used words of humility while explaining how the use of oxygen therapy and bronchodilators would extend patients' lives with COPD. They were not biased in providing useful information that would save lives when nurses use it appropriately. They were open to providing information about where they researched from. They did not reveal any confidential information from the two places where they sourced their research information. It is by ethics that the researchers were able to interact well with nurses and obtain relevant information for their research study.

References

Arifin, S. R. M. (2018). Ethical considerations in qualitative study. International Journal of Care Scholars, 1(2), 30-33.

George, M., & Bender, B. (2019). New insights to improve treatment adherence in asthma and COPD. Patient preference and adherence, 13, 1325.

López-Campos, J. L., Gallego, E. Q., & Hernández, L. C. (2019). Status of and strategies for improving adherence to COPD treatment. International journal of chronic obstructive pulmonary disease, 14, 1503.

Rogliani, P., Ora, J., Puxeddu, E., Matera, M. G., & Cazzola, M. (2017). Adherence to COPD treatment: myth and reality. Respiratory medicine, 129, 117-123.