CriticalAnalysis of Two Peer-Reviewed Articles Related to Patient Care
NSG3036 Introduction to Nursing Research
CriticalAnalysis of Two Peer-Reviewed Articles Related to [State your PassionHere]
Introduction,Background and Significance of the Problem
Thepurpose of this paper is to present two research articles related tothe care of patients with heart failure. It is significant becauseimproving patient care is becoming a priority with the objectivebeing the achievement of a high degree of patient care satisfaction,especially when the patients are in critical conditions. Among thepublic, great awareness is encouraged for keener competition andregulation in health care. The passion for concern over patients withheart failure is some of the factors that contribute to significanceand critical analysis of the two articles.
ArticlesReviewed, Methodology, and Purpose of Research
Thearticles reviews are The "Type D Personality Predicts PoorMedication Adherence in Patients with Heart Failure in the USA"written by Jia-Rong Wu and Debra K. Moser on 6th November 2013 (Wu &Moser, 2013). The "Improved Symptom Management throughEnrollment in an Outpatient Congestive Heart Failure Clinic"written by Beth F. Crowder on 1st February 2006 (Crowder, 2006).
Betweenthe two articles, one is qualitative, and the other is quantitative.For example, "Type D Personality Predicts Poor MedicationAdherence in Patients with Heart Failure in the USA" articles isquantitative because it is used to quantify the main problem by themanner in which is generates numerical data or data, which can beused for important statistics (Wu & Moser, 2013). On the otherhand, "Improved Symptom Management through Enrollment in anOutpatient Congestive Heart Failure Clinic" is a qualitativearticle because it is majorly an exploratory research of theoutpatient clinic.
Articleone, which is the "Type D Personality Predicts Poor MedicationAdherence in Patients with Heart Failure in the USA," was aimedat examining the close association between the "type Dpersonality" and "adherence to medication by the patientswith heart failure.` The research was carried out in the UnitedStates on 84 patients with heart failure in a randomized controltrial. From the clinical, demographical, and physiological datacollected, the findings were based on the questionnaires, interviews,and medical records review.
Thefindings were that patients with type D personality were likely toexperience adherence to poor medication. It was also noted thatmedication adherence were influenced by type D personality before andafter the adjustment for covariates (Wu & Moser, 2013). From thefindings, it is evident that as a dimensional construct, personalitycomponents may not be reflected from a type D personality consideringthe personality is in close association with medication adherence.
Thesecond article, which is "Improved Symptom Management throughEnrollment in an Outpatient Congestive Heart Failure Clinic,"was based on qualitative interviews carried out with 15 participantsthat enrolled in a clinic for outpatient congestive heart failure.The findings used in the article were from the interviews, referralpatterns, and attendance influences on the stay and enrollment in theclinic (Crowder, 2006). The findings also revealed recommendationsfrom the patients due to positive results recorded on theirimprovement. From the findings, it is evident that the experiencesrecorded from the patients were as a result of the negativeprogression of their health status and the fear of imminent death.
Findingsfrom the first article showed that all the patients from the total 84that had type D personality had a high chance of having poormedication adherence. Those with type D personality, before andafter, associated with adherence to medication adjusted withcovariates. The adjustment was after the analysis as part of thecategorical variable. However, when it was analyzed with thedimensional construct, type D personality was not related tomedication adherence (Wu & Moser, 2013). Findings from the secondarticle indicated that the 15 participants only enrolled for the OPCHF clinic because of fear and deterioration of their health(Crowder, 2006). Their accounts from the interview showedrecommendations that had been given for to the health care providers.
Article1 and 2 are similar in respect to patients suffering from heartfailure. The two articles involve findings from some participantswho do not adhere to medication. Additionally, both articles sharecommon knowledge of heart failure. One major difference is that onearticle is quantitative, and the other is qualitative. While thefirst article talks about the failure of the patients to adhere tomedication, the second one is the opposite patient enrollment to CHFclinic. The first article draws its findings from 84 patients and thesecond one is from 15 participants.
Thestrengths from "Type D Personality Predicts Poor MedicationAdherence in Patients with Heart Failure in the USA" articleinclude clarity over its findings, a wide range of study, and theright mode of research. However, its weaknesses include the inabilityto monitor close all the patients to ascertain their progression,while adjusting to clinical, demographical, and psychologicalfindings.
Thestrengths of "Improved Symptom Management through Enrollment inan Outpatient Congestive Heart Failure Clinic," include theclose-knit size of the study, which provided efficiency, easyavailability of participants, and the right mode of study. Weaknessesinclude discrepancies that evolved from differences in treatmentmodalities, a lot of time taken to study the effect of outcomes, andthe interviews were only limited to only the patients in the clinic.
Recommendationsfor Future Research
Aftera critical study of both the articles, new knowledge discoveredinclude: (1) The impact of home-based outpatient treatment, (2)telehealth, and (3) the difference between outpatient outcomes fromhome-based or hospital-based OP. The knowledge gap identified fromthe articles came forth as a result of whether the health careprovide can meet the needs of both outpatient and patients with typeD personality. The fact that all the participants involved in thestudies recorded positive results is an interesting finding thatwarrants further research studies.
Fromthe first article, type D personality was closely associated withtheir adherence to medication. It was when the analysis was done asthe categorical variable. However, no association with adherence tomedication was identified when based on dimensional constructanalysis. Medication adherence was associated with negativeaffectivity, more so in patients with heart failure condition.
Participantsin the second study gave firsthand experiences FROM referral,continued visits, and enrollment in OP. The participants wereprompted by their downhill progress and deterioration of their healththat they chose to enrollment for OP. The health care providersbenefited from their recommendations and accounts. It was from theirwish of the need to increase their chances in the OP CHF clinic,which could ultimately provide care for every patient with thediagnosis or symptoms of CHF.
Crowder,B. F. (2006). Improved symptom management through enrollment in anoutpatient congestive heart failure clinic. Medsurg Nursing :Official Journal of the Academy of Medical-Surgical Nurses, 15, 1,27-35.
Wu,J. R., & Moser, D. K. (2013). Type D personality predicts poormedication adherence in patients with heart failure in the USA.International Journal of Behavioral Medicine, 21, 5, 833-42.