Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses.Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.In a 1,000–1,250 word essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.
Research Critique Guidelines – Part I
Use this document to organize your essay. Successful completion of this assignment requires that
you provide a rationale, include examples, and reference content from the studies in your
responses.
Qualitative Studies
Background of Study
1. Summary of studies. Include problem, significance to nursing, purpose, objective, and
research question.
How do these two articles support the nurse practice issue you chose?
1. Discuss how these two articles will be used to answer your PICOT question.
2. Describe how the interventions and comparison groups in the articles compare to those
identified in your PICOT question.
Method of Study:
1. State the methods of the two articles you are comparing and describe how they are
different.
2. Consider the methods you identified in your chosen articles and state one benefit and one
limitation of each method.
Results of Study
1. Summarize the key findings of each study in one or two comprehensive paragraphs.
2. What are the implications of the two studies in nursing practice?
Ethical Considerations
1. Discuss two ethical consideration in conducting research.
2. Describe how the researchers in the two articles you choose took these ethical
considerations into account while performing their research.
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Medication adherence is a key concept in nursing practice and impacts the care of
patients throughout the healthcare system. The population for the evidence-based practice (EBP)
change project will be African American adults with positive HIV status. Adult African
AmericanÂ’s with HIV infection suffer from a decreased quality of life along with multiple
hospitalizations and readmissions related to HIV medication non-adherence. The PICO question
guiding this topic will be: “For HIV positive African American adults, does an educational
program regarding medication adherence lead to increased knowledge through the use of an
education program followed by telephone follow-up, increase adherence to using HIV
medications?”.
Population. The population for the project will be African American adults (18 years of
age or older) of both genders with positive HIV status. Participants in the project will be Englishspeaking individuals and will able to read English to complete survey tools. Individuals with
cognitive impairment will not be eligible to participate in the project.
The Project Manager (PM-myself) will administer the pre-HIV Knowledge Questionnaire
and a pre-Morisky Medication Adherence Scale tool to participants. Each participant will be
given approximately 5-10 minutes to complete both tools and a Demographic Information Sheet.
Outcomes. This project will be designed to measure and evaluate two outcomes. The
first outcome will be an increased knowledge associated with HIV medication adherence. The
second outcome will be an increased adherence to using HIV medications.
Time Frame: The project will be expected to run for six weeks.
Literature Review Findings
A cross-sectional observational study by Hegazi et al. (2010) examined the relationship
of patientÂ’s literacy and education to ART adherence in an urban treatment center in the Gambia.
Another pre-post interventional nonrandomized pilot trial was undertaken by
Vigneshwaran, Padmanabha, and Devanna, (2013), on enhancing quality of life and medication
adherence through patient education and counseling among HIV patients in resource limited
settings.
In addition, Kunutsor et al., (2012) also conducted a study on improving adherence to
ART in sub-Saharan African HIV positive populations.
A systematic review of 11 randomized controlled trials was conducted by Yang (2014)
on the efficacy of a multi-component intervention for ART adherence among people living with
HIV.
More so, Colbert, Sereika, and Erlen (2013) used a secondary analysis cross-sectional
study, on functional health literacy, medication taking self-efficacy, and adherence to ART and
found that functional health literacy was not significantly related to medication adherence.
Kalichman et al. (2013) conducted a retrospective, cross sectional study on requesting
help to understand medical information among people living with HIV and poor health literacy.
References
Colbert, A. M., Sereika, S. M., & Erlen, J. A. (2013). Functional health literacy,
medication-taking self-efficacy and adherence to antiretroviral therapy. Journal of Advanced
Nursing, 69(2), 295-304.
Kalichman, S., Pellowski, J., & Chen, Y. (2013). Requesting help to understand medical
information among people living with HIV and poor health literacy. AIDS Patient Care and
STDs, 27(6), 326-332.
Kunutsor, S., Walley, J., Muchuro, S., Katabira, E., Balidawa, H., Namagala, E., &
Ikoona, E. (2012). Improving adherence to antiretroviral therapy in sub-Saharan Africa HIV
positive population. An enhanced adherence package. AIDS Care, 24(10), 1308-1315.
Yang, Y. (2014). State of the science: The efficacy of a multicomponent intervention for
ART adherence among people living with HIV. Journal of the Association of Nurses in AIDS
Care, 25(4), 297-308.
Vigneshwaran, E., Padmanabha, R., & Devanna, N. (2013). Enhancing quality of life and
medication adherence through patient education and counseling among HIV/AIDS patients in
resource-limited setting- Pre and post interventional pilot trial. British Journal of Pharmaceutical
Research, 3(3), 1340-1345.
Hegazi, A., Bailey, R. L., Ahadzie, B., Alabi, A., & Peterson, K. (2010). Literacy,
education and adherence to antiretroviral therapy in the Gambia. AIDS Patient Care and STDs,
22(11), 1340-1345.
