This is critique of the article Supporting Families through Discharge from PICU to the Ward: the Development and Evaluation of a Discharge Information Brochure for Families by Sophie Linton, Chelsea Grant, and Juliet Pellegrini, published in Intensive and Critical Care Nursing (2008, vol. 24). The critiquing framework used is the Qualitative Appraisal Tool in Critical Appraisal Skills Programme because it has several questions relating to assumptions or principles which characterize qualitative research (Nursing Times 2006). Critical Analysis of the Article
The article discusses the problems related to the discharge of patients from a paediatric Intensive Care Unit, the process of identifying the information requirements of the families, the development of a written brochure to help in supporting the families during discharge, and the assessment of the brochure in practice. A review of the nursing literature shows that the discharge of a patient from paediatric ICU and the subsequent transfer to the wards induces anxiety and fear. The relocation anxiety can be reduced through strategies such as using a liaison nurse and providing written information to the patient and their families.
The most significant phase in the research process is the choice of the research design to be used because it influences all the other phases of the research process. The researchers in the study used a qualitative research design. Qualitative research study uses qualitative methods of collecting and analysing data with the aim of examining any data patterns and relations (Moule and Hek 2011). This was the case because the research generated relations and patterns in the ICU and the issue of brochures to the families affected.
The research questions addressed in this article were more appropriate for an in-depth ethnographic study as presented by the researchers. Ethnographic studies are research studies used to examine relations and roles within social and health care, with the researchers taking ‘insider’ researcher roles. The study in the article is considered ethnographic because the researchers took an ‘insider’ researcher role and they used observations and in-depth questioning through the questionnaires (Moule and Hek, 2011). The overall research approach of the study made by the researchers is determined by the explicit conceptual framework within which they are working (LoBiondo-Wood and Haber, 2009). The sampling technique used was criterion sampling because it was appropriate for selecting cases that met the criterion of importance (Moule and Hek, 2011).
The conceptual frameworks are important because that they make the perception of the researchers (that is, their preconceptions and the assumptions).The researchers had a conceptual framework which emphasized the role of families in discharge of patients from paediatric ICU. The research study was concerned with gathering the experiences and the feelings of the families on the patients being discharged from the PICU, instead of purely reviewed nursing literature on transfer anxiety and discharge from the PICU. The research managed to draw a positive conclusion, which would be essential for reviewing the present practice policies to improve on the ICU discharge services offered.
Although the research study was focused on a paediatric setting, several papers from the adult settings have been included in the research because there were limited research papers on the paediatric setting. In addition, the response rate of the families discharged from the PICU was poor and therefore, the researchers were not able to make significant deductions from the research study. Moreover, the use of questionnaires to collect information from the families of the children discharged from the PICU was not all-inclusive because of the language barrier and limited time frame to accommodate translations and cultural adaptations. The findings and...
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