November 14, 2011
Qualitative Nursing Research Critique
Qualitative Research Article
This article is written by Janey Peterson et al. (2010) entitled: Living with Heart Disease after Angioplasty: A Qualitative Study of Patients Who has Been Successful or Unsuccessful in Multiple Behavior Change. Peterson presents a 12 month study where she observed and interviewed 61 patients three years post angioplasty. Problem
According to Peterson, Allegratnte, Pirraglia, et al (2010) coronary artery disease affects 16 million American in 2008. More than 650,000 patients undergo percutaneous transluminal coronary angioplasty (PTCA) or stent procedures annually representing a 324% increase in PTCA procedures between 1987 and 2002. A World Health Organization expert committee recommends that cardiac rehabilitation be provided for all patients undergoing PTCA. Despite of the recommendation, patients often fail to adopt a healthier lifestyle after angioplasty. More than 45% of African Americans have cardiovascular disease which is the leading cause of death among African American and women (Mosca, Benjamin& Berrak, 2004). Some studies have reported that knowledge deficit regarding health behavior contributes to the lack behavior change among patients with cardiovascular disease. Purpose of study
Witt, Jacobsen, and Weston (2004) stated that women are 55% less likely than men to participate in a cardiac rehabilitation program and that patients aged more than 70 years are 77% less likely to engage in cardiac rehabilitation program than younger patients. Therefore, the purpose of this qualitative study was to document the values, attitudes and belief among a demographically and culturally diverse group of patients post PTCA who had been successful or unsuccessful at multiple behavior change three years after angioplasty.
In her article Living with Heart Disease after Angioplasty: A Qualitative Study of Patients Who have Been Successful or Unsuccessful in Multiple Behavior Change, Janey Peterson (2010) documents the attitude, beliefs and values of a cultural and demographically diverse group of patients. This study focused on how healthy behavior changes can change patient outcomes. This area of nursing is important, relevant and of interest to making improvements in patients outcome after a heart disease diagnosis. In 2008, over 16 million people are diagnosed with coronary heart disease at an estimated cost of $156 billion (Peterson, 2010). Nurses must continue to develop strategies to bring these numbers down. Several studies have indicated that knowledge defect is the culprit of the lack of behavior change with heart disease patients (Peterson, 2010). Several themes surface from data that was collected from subjects. These themes are discussed during the interviews. The themes are evolving and allow the researcher to create a hypothesis. The grounded theory was used to show that positive patient outcomes can be achieved with education. What can nurses do to enhance the education process for heart disease patients? Review of the Literature
As a qualitative study, this study involved a wealth of background information from a previous research study entitled: The Parent Study: Healthy Behavior Trial. This study involved 660 patients who underwent urgent stinting. After signing a written informed consent the subjects enrolled within one month of having a stent and were followed over a two year period by phone. There have not been many studies on patients post angioplasty. From the parent trial emerged the current qualitative study. The background literature used for this study was obtained from The World Health Organization. Their committee has recommended that all patients undergoing angioplasty have cardiac rehabilitation. The American Heart Association recommends that patients deal with modifiable risk factors. Although both...