Advance Care Planning In Palliative Care

3531 words - 15 pages

Introduction
The purpose of this report is to compare and contrast two different nursing research articles. The report will critique and evaluate two qualitative studies, one being an original research report and the second being a review paper. The scope of comparison and contrast will include research design, theories or conceptual models, how the research was conducted, analysis and reporting of research data, usefulness of the research, and a conclusion.
Selection of Research Interest Area
The first journal article is about advance care planning (ACP) in palliative care. This is of interest due to several clinical experiences and the realization that many families either ignore the ...view middle of the document...

There are multiple authors of this review paper including Wendy Duggleby PhD, RN, AOCN, nursing research chairperson at the University of Alberta, Deborah Hicks MA, doctoral student, Cheryl Nekolaichuk PhD, RPsych, Lorraine Holtsldander PhD, RN, Allison Williams PhD, scientist, Thane Chambers, research librarian, and Jeannette Eby, BA, MA candidate. The subject matter is pertinent according to Duggleby et al., (2012) as The World Health Organization (WHO) believes “that chronic disease has a major impact on the quality of life of individuals” (p.1212). The study is important in order to understand the concept of hope and how patients cope with chronic illness. The research question chosen for the analysis of this article is: What is the definition of hope in a chronically ill adult as defined by the meta-analysis findings of multiple qualitative studies?
Overview of Research Design
The original research entitled “Is an advance care planning model feasible in community palliative care? A mult-site action research approach is a qualitative study. This is evidenced by the sample selection being a “purposeful selection to achieve maximum information about the topic of interest” (Houser, 2012, p. 423) and by the choice of clinical sites to be analyzed. In addition, the data collection was done through interactions with staff and document review. According to Blackford & Street (2011), data collection analyzes documents such admission forms, care plans, case reviews, policies and procedures, staff appraisals, and ACP education. The report took three institutional cultures into consideration as the participants were “three Victorian-based community palliative care services” (p. 2023). The ACP model research was critically appraised by the authors prior to beginning the study and each site also had their own research group that took the local community needs into consideration. The multi-site approach was taken to analyze the different community organizational differences.
The review paper entitled “Hope, older adults, and chronic illness: a metasynthesis of qualitative research” is a qualitative meta-synthesis and integrative review according to Houser (2012). It is “based on a [sic] pre-established set of selection criteria and a systematic appraisal of study quality” (p.421). This is evidenced by the Duggleby et al. ( 2012) search method in which nine databases revealed research articles on “hope, hopeless, and dispair” (p. 1213) and included studies of chronic illness in people over 60 years of age, peer reviewed studies, hope experiences of families, patients and healthcare workers, along with qualitative thematic analysis of cancer patients. The quality appraisal of the research was done through a 10 question screening process and three point rating system in order to calculate a score to rate the quality of studies. All of the data was then synthesized by “taxonomical analysis, a constant comparison grounded theory approach and reciprocal...

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