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a critique of qualitative study regarding diabetes treatment

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Introduction

INTRODUCTION The purpose of this essay is to critically analyse the article "Obstacles to adherence in living with type-2 diabetes: An international qualiatative study using meta-ethnography". Firstly in order to begin a critique, a rationale for choosing the article must be confirmed. The rationale for choosing this study is that after working in the hospitals it has been noted that many people find it hard to adhere with the "rules" of living with diabetes. Critical evaluation allows an individual to assess the worth of a research article by looking carefully at all parts of the study (Walsh & Wigens 2003). The aim therefore, is to critique and evaluate the chosen article in terms of strengths and weaknesses, to demonstrate an understanding of the research process and to relate this to professional practice. METHODOLOGY The article chosen is a qualitative research piece. Qualitative researchers argue that qualitative research gives you access to the nitty-gritty reality of everyday life viewed through a new analytic lens (Silverman 2005). METHOD USED IN THE ARTICLE The research method used in the article is a meta-ethnography approach. In order to begin analysis on the method, we must first understand the meaning of meta-ethnography. ...read more.

Middle

If a controlled group is being used, bias can be a major factor. Bias can be introduced if the sample is unrepresentative (Stewart & Parmar 1996) However, the sample used in this article is vast and can be argued that it is representative of the population. Samples from seven different countries were taken and 246 people took part in the study. Gaulter and Buchanan (2000) argue that most sampling methods are likely to produce biased samples. Data Collection 5. Were the data collected in a way that addressed the research issue? The focus groups were asked a series of questions and were asked to describe their experiences living with diabetes. This unstructured interview method is used primarily in descriptive and qualitative studies (Burns & Grove 2001). The unstructured interview provides the opportunity for the participants to fully explain their experiences and provides a greater depth in the answers provided (Streubert & Carpenter 1999). Turnstone (2005) suggests that in-depth interviews last for about an hour and are ideal for exploring detailed processes, individual cases, and confidential or sensitive topics. However, this article does not explain how much time was spent on each interview. ...read more.

Conclusion

By accessing the internet and going to www.sciencedirect.com and typing in a topic I found interesting, I found this article. Interpreting and understanding research is a fundamental part of the process involved in working towards evidence-based nursing. It is essential that nurses are able to make judgements about the value of research, before altering their practice. Critiquing allows the assessment and identification of valid research, highlighting both its strengths and weaknesses. It can tempting to take published statements at face value, however the reader should remember that authors may misrepresent what they actually did, and can overestimate its originality and potential importance. The results found that the major factors in non-adherence were the course of diabetes, the information given to the patient was insufficient, and also body awareness and relationship with the healthcare provider was poor. This shows that more attention is needed in practice focusing on these main areas that patients found they had a problem with. CONCLUSION On reflection, in doing the critique I have found that patients need to be educated in their conditions in order to adhere to treatment. As a student nurse I understand that education is a major factor in patients refusing treatment. Patients need to be aware of what will happen if they do not adhere to treatment and this will hopefully make patients become more adherent. ...read more.

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