Research Paper

Topics: Venous ulcer, Qualitative research, Venous insufficiency ulceration Pages: 10 (1715 words) Published: April 23, 2014


Nursing Research Critique
The purpose of this paper is to bring forth a greater understanding of the need to adhere to guidelines and instructions when dealing with venous leg ulcers. Venous leg ulcers are a result of chronic venous insufficiency (Heck, Grypdonck, Beele, Vanderwee, & Defloor, 2011, p. 430). These ulcers can often develop quickly and be hard to heal without intensive therapy and treatments. These ulcers can lead to decreased mobility, pain, a source of infection. Having an ulcer may lead to emotional and/or psychological problems due to the odors, appearance and pain caused by the site. This article reflects on the measures that can be taken at home to decrease the chances of developing ulcers and to help improve the outcomes of those that do already have venous ulcers. Abstract

This abstract has a very clear, concise summary of the article. It includes the aim and objectives, background information, design, methods and results. The article (Burns & Grove, 2011) addressed the area of concern being that many patients with venous leg ulcers did not adhere to the recommended guidelines for treatment and prevention. This research article provided interventions that the patients could perform in their own home on a daily basis and the results were presented in a table. The information for evaluation was gathered at the baseline (one week before the start of intervention), the end of the intervention (within one week after the last visit) and three months after. The sample was a select group of patients with variety of common issues. The results showed that with adherence to the interventions provided did in fact decrease some of the common issues associated with venous leg ulcers. Research Problem and Purpose

The problem in this research study is clean and concise, being that patients are often non-compliant with routine care of venous leg ulcers. It was noted that only 52% of patients wore compression stockings daily for the first six months after leg ulcer healing, about 22% had not worn compression stocking at all (Heck et al., 2011, p. 430). Some studies examined the adherence to leg elevations and reported that only 22% elevate their legs while sitting and walk for 1.7 hours a day. The results of physical activity showed that 56% of the 150 participants were physically active less than 2.5 hours per week (Heck et al., 2011, p. 430). Many reasons for non-adherence included difficulties applying the compression stockings, skin problems, uncomfortable footwear, poor cosmetic appearance of compression bandages and financial restrictions (Heck et al., 2011, p. 430). The research purpose is to examine the changes associated with the nursing intervention ‘Adherence to leg ulcer lifestyle advice’ (1) to identify outcomes sensitive to leg ulcer patients’ experience and more specific to the nursing intervention and (2) to explore the quantitative effects of the intervention (Heck et al., 2011, p. 431). Research questions/hypotheses

The objectives and aim of the study are to “examine the experienced changes associated with a nursing intervention to enhance the adherence to leg ulcer lifestyle advice” (Heck et al., 2011, p. 429). No questions or hypotheses were found in this study. Design

The study used has subjects and has a bearing on educational practice for nursing, this makes this particular study an applied research. This study used a subjective approach to describe life experiences and situations, making it a qualitative evaluation. The design was a pre-posttest qualitative evaluation because evaluations were done before the study began and again after it was completed. Framework

No specific framework was stated to be the basis of this study. This study revolves around the possible outcomes of adhering to the nursing interventions listed, but does not provide mapping of any kind. Variables

The independent variables in this study are the...
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