Hypertension Quantitative Research Critique Essay

Posted: November 3rd, 2022

Hypertension Quantitative Research Critique Essay

Use the practice problem and a quantitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment. In a 1000-1,250 word essay, summarize the study, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study. Refer to the resource “Research Critique Guidelines” for suggested headings and content for your paper. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Hypertension Quantitative Research Critique Essay.  You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center. RUBRIC: 1 Unsatisfactory 0.00% 2 Less than Satisfactory 75.00% 3 Satisfactory 83.00% 4 Good 94.00% 5 Excellent 100.00% 75.0 %Content 15.0 %Background of Study Background of study including problem, significance to nursing, purpose, objective, and research questions is incomplete. Background of study including problem, significance to nursing, purpose, objective, and research questions is included but lacks relevant details and explanation. Background of study including problem, significance to nursing, purpose, objective, and research questions is partially complete and includes some relevant details and explanation. Background of study including problem, significance to nursing, purpose, objective, and research questions is complete and includes relevant details and explanation. Background of study including problem, significance to nursing, purpose, objective, and research questions is thorough with substantial relevant details and extensive explanation. 15.0 %Method of Study Discussion of method of study including discussion of conceptual/theoretical framework is incomplete. Discussion of method of study including discussion of conceptual/theoretical framework is included but lacks relevant details and explanation. Discussion of method of study including discussion of conceptual/theoretical framework is partially complete and includes some relevant details and explanation. Hypertension Quantitative Research Critique Essay. Discussion of method of study including discussion of conceptual/theoretical framework is complete and includes relevant details and explanation. Discussion of method of study including discussion of conceptual/theoretical framework is thorough with substantial relevant details and extensive explanation. 15.0 %Results of Study Discussion of study results including findings and implications for nursing practice is incomplete. Discussion of study results including findings and implications for nursing practice is included but lacks relevant details and explanation. Discussion of study results including findings and implications for nursing practice is partially complete and includes some relevant details and explanation. Discussion of study results including findings and implications for nursing practice is complete and includes relevant details and explanation. Discussion of study results including findings and implications for nursing practice is thorough with substantial relevant details and extensive explanation. 15.0 %Ethical Considerations Discussion of ethical considerations associated with the conduct of nursing research is incomplete. Discussion of ethical considerations associated with the conduct of nursing research is included but lacks relevant details and explanation. Discussion of ethical considerations associated with the conduct of nursing research is partially complete and includes some relevant details and explanation. Discussion of ethical considerations associated with the conduct of nursing research is complete and includes relevant details and explanation. Discussion of ethical considerations associated with the conduct of nursing research is thorough with substantial relevant details and extensive explanation. 15.0 %Conclusion Conclusion does not summarize a critical appraisal and applicability of findings. Conclusion is vague and does not discuss importance to nursing. Conclusion summarizes utility of the research and importance to nursing practice. Conclusion summarizes utility of the research from the critical appraisal and the findings importance to nursing practice.Hypertension Quantitative Research Critique Essay.  Conclusion summarizes utility of the research from the critical appraisal, knowledge learned, and the importance of the findings to nursing practice. 15.0 %Organization and Effectiveness 5.0 %Thesis Development and Purpose Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 5.0 %Argument Logic and Construction Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Argument is clear and convincing and presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. Hypertension Quantitative Research Critique Essay. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English. 10.0 %Format 5.0 %Paper Format (use of appropriate style for the major and assignment) Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct. 5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 100 %Total Weightage. Hypertension Quantitative Research Critique Essay

Background of Study

Clinical Problem

The study by Golshahi, et al., (2015) acknowledged hypertension as a public health issue which affected up to 25% of the adult population globally. Among Iranian adults within who were the study population, hypertension was identified as the leading cause of cardiovascular events the led to premature deaths and increased mortalities. The study mentions the adoption of self-care behaviors as a significant approach for the effective control of blood pressure which also helps in reducing the risk of cardiovascular events (Golshahi, et al., 2015). According to the researchers, healthcare providers are recommended to manage patients with hypertension with antihypertensive medications and modifications in lifestyle through a self-care management. However, the effect of self-care interventions on the management of blood pressure and preventing cardiovascular risks is yet to be well known.

Significance of Study

According to Golshahi, et al., (2015), hypertension is among the chronic illnesses of public health importance since it affects up to 25% of the adult population globally. The researchers also approximate the global prevalence of hypertension to range from 5.2% to 55.3% in varied populations. In the study population of Iranian adults, the prevalence of hypertension was noted to be 17.3%. Hypertension was also mentioned as the leading cause of cardiovascular events that leads to premature deaths, increased mortalities, and morbidities. Hypertension Quantitative Research Critique Essay

Purpose of Study

The purpose of the study by Golshahi, et al., (2015) was to examine if self-care behaviors were effective in modulating levels of blood pressure and. The study also sought to compare self-care training methods on hypertension.

Research Questions

The major research question that the study was designed to answer was: how effective are self-care behaviors in modulating blood pressure?

What comparisons exist between self-care training methods of hypertension?

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Methods of Study

Benefits and Risks of Participation

There were several benefits for the participants which the researchers did not identify. These benefits were not necessarily in the form of finances but in the form of improved health. Through the block randomization method that divided the participants into equal groups, those who were educated about self-care behaviors either through self, cardiology residents, SMS or pamphlets benefited greatly from information they obtained to improve their overall health status and quality of life. However, those who only received the usual hypertension care without any further training on self-care management were at a greater risk of cardiovascular events and other complications that arise from hypertension.Hypertension Quantitative Research Critique Essay

Informed Consent

Before taking part in the study, all patients who were willing to participate had to sign a written informed consent

Voluntary Participation

The researchers mention that participation was by choice and that no one was forced or coerced into taking part in the study. This means that subjects voluntarily participated.

Approval from the Institutional Review Board

Before conducting the study, approval was obtained from the Research Council and Ethics Committee of Isfahan University of Medical Sciences, Iran.

Variables

The researchers identify the dependent variables as physical activity, vegetable intake, salt intake, and tobacco smoking. The independent variable was

Method of Data Collection, Rationale, Data Analysis, and Management

The study used a prospective randomized control clinical trial that included 180 patients who were hypertensive. The recruitment of the participants was determined through convenience sampling. Nonprobability methods were done for the recruitment of subjects during the routine clinic visits. These patients were divided eligibly into 4 groups: A, B, C and D through block randomization before being subjected to the necessary education (Golshahi, et al., 2015). The initial data collection was done through detailed/ in-depth interviews by trained resident cardiologists. Structured questionnaires were later administered that addressed patient’s lifestyle behaviors, medical history, demographic characteristics, and medical history. Patients who were placed in group A, B and C were called weekly to inquire about their adherence to the education received (Golshahi, et al., 2015). Data were analyzed through statistical analyses using SPSS. Comparisons were made using paired t=tests between the baseline and monthly mean values. ANOVA was used to compare the mean of quantitative and chi-square tests and to evaluate the effect of interventions between the four groups.Hypertension Quantitative Research Critique Essay

Results of Study

Patients who consumed high salt in food frequently took vegetables and participated in physical activity took hypertensive medications more regularly. Besides, patients who consumed high salt were in group A and those who consumed more vegetables were in Group C and D. After self-care education, in group A, patients increased vegetable intake and adhered more to medications. It was also found that the frequency of patients who consumed a lot of salt also decreased by a huge margin in groups A and B (Golshahi, et al., 2015).

According to the researcher, face-to-face training on self-care is associated with great improvement in BP. Similar results can also be obtained through training over SMS, routine care and the use of pamphlets. Regular adherence to medication, dietary modification, engagement in physical exercise, reduced alcohol intake and tobacco smoking can be achieved through practical self-care interventions and should be initiated by healthcare providers since they are highly effective in achieving blood pressure control and reducing the risks of cardiovascular events (Golshahi, et al., 2015). These findings are an accurate reflection of reality such that, when healthcare providers more so nurses, take time to educate their patients about their illnesses, patients tend to be more responsive and will do as instructed. The management of high blood pressure requires the collaboration of the patient as well as that of the healthcare provider. However, self-care management should be initiated by the healthcare provider through health education for the patient to adequately practice what will be learned (Golshahi, et al., 2015). Hypertension Quantitative Research Critique Essay

In nursing clinical practice, nurses are expected to initiate self-care management approaches in the management of patients with hypertension. Self-care in this context refers to lifestyle modification through reducing salt intake, low fats and sugars, engaging in daily physical exercise, dietary modification to reduce alcohol intake, tobacco smoking, eating lots of vegetables and legumes. Education also helps to improve patient adherence to medication. Collectively, lifestyle modification and adherence to medications help to achieve effective blood pressure control and reduce the risk of cardiovascular events in hypertensive patients (Golshahi, et al., 2015). The major limitation of this study was that it was not applicable to the interventional groups in the study population. Besides, the use of short structured questionnaires contributed to the fact that only the most vital components of self-care were asked thus limiting the information availed.

Ethical Considerations

This study was approved by the Research Council and Ethics Committee of Isfahan University of Medical Sciences, Iran.  To safeguard the privacy of the patients, all patients who were willing to take part in the study signed a written informed consent.Hypertension Quantitative Research Critique Essay

Conclusion

Self-care management has persistently been suggested as a highly effective approach in the secondary management of hypertension and reducing cardiovascular risks among hypertensive patients.        Healthcare providers play a significant role in encouraging and training self-care behaviors with regards to dietary modification, physical activity, adherence to medication and the regulation of blood pressure. It should be understood that printed educational materials and text messaging are not favorable approaches for hypertension control and reducing cardiovascular risks. Therefore, self-care should be integrated into the routine clinics and even at homes through SMS. These approaches will increase the potential of the effectiveness of these interventions in attaining an effective blood pressure control and reducing the risk of cardiovascular events.

Reference

Golshahi, J., Ahmadzadeh, H., Sadeghi, M., Mohammadifard, N., & Pourmoghaddas, A. (2015). Effect of self-care education on lifestyle modification, medication adherence and blood pressure in hypertensive adults: Randomized controlled clinical trial. Advanced biomedical research, 4, 204. doi:10.4103/2277-9175.166140. Hypertension Quantitative Research Critique Essay