NURS 8201 Using Qualitative Research to Inform Evidence-Based Practice

NURS 8201 Using Qualitative Research to Inform Evidence-Based Practice

NURS 8201 Using Qualitative Research to Inform Evidence-Based Practice

Using Qualitative Research to Inform Evidence-based Practice

The topic of interest that I would want to explore using the qualitative approach involves the following research question: Between Patient Health Questionnaire (PHQ-9) and the Beck Depression Inventory (BDI), which is more effective in identifying depression? Just as Gray and Grove (2020) posit, there is a need to unearth up-to-date evidence from previous studies to answer any research question to inform and improve nursing practice. Based on the type of data aimed to be collected from the study participants, the qualitative research design, specifically a case study, is the best suited approach. A case study, which is a thorough examination of people or groups of people, helps collect specific qualitative information to research experiences, perspectives, and meanings (Korstjens & Moser, 2017). Since it is possible to examine depression in terms of the experiences of the affected people and their caregivers, a case study involving patients with or suspected of depression is the most suitable qualitative design for a researcher to compare the effectiveness of PHQ-9 and BDI in identifying this mental condition. Many scholars rely on qualitative research to assess the validity and reliability of PHQ-9 and BDI in nursing practice (Ford et al., 2020; García-Batista et al., 2018). Therefore, the case study qualitative design will allow collecting first-hand data, which is crucial in comparing the effectiveness of these two diagnostic tools in identifying people with depression.

Depression is a highly sensitive research topic and hence, it is important to tackle potential ethical issues. One of the potential challenges with this kind of research is withdrawal by some participants before the study is over. According to Cypress (2019), study participants may opt to get out of a study due to such factors as feeling uncomfortable providing some information they consider confidential to a researcher. Since the topic is sensitive, it will be ethically challenging to frame some questions without infringing upon the privacy of the respondents. According to Serrander et al., (2020), it is possible to overcome the ethical challenges surrounding privacy when investigating people with depression by educating the participants about the study, having them sign informed consent, and most importantly, guaranteeing them of the safety and confidentiality of the information they provide. Moreover, since the case study will involve participants with or suspected of depression, it is important to earn their trust and confidence to avoid issues such as refusal to cooperate or aggressive behavior.

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References

Cypress, B. S. (2019). Qualitative research: Challenges and dilemmas. Dimensions of Critical Care Nursing38(5), 264-270. https://doi.org/10.1097/DCC.0000000000000374

Ford, J., Thomas, F., Byng, R., & McCabe, R. (2020). Use of the Patient Health Questionnaire (PHQ-9) in practice: Interactions between patients and physicians. Qualitative Health Research30(13), 2146-2159. https://doi.org/10.1177/1049732320924625

García-Batista, Z. E., Guerra-Peña, K., Cano-Vindel, A., Herrera-Martínez, S. X., & Medrano, L. A. (2018). Validity and reliability of the Beck Depression Inventory (BDI-II) in general and hospital population of Dominican Republic. PLoS ONE13(6), e0199750. https://dx.doi.org/10.1371/journal.pone.0199750

Gray, J. R., & Grove, S. K. (2020). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (9th ed.). Elsevier.

Korstjens, I., & Moser, A. (2017). Series: Practical guidance to qualitative research. Part 2: Context, research questions and designs. European Journal of General Practice23(1), 274-279. https://doi.org/10.1080/13814788.2017.1375090

Serrander, M., Bremander, A., Jarbin, H., & Larsson, I. (2021). Joy of living through exercise – a qualitative study of clinically referred adolescents’ experiences of moderate to vigorous exercise as treatment for depression. Nordic Journal of Psychiatry, 75(8), 1-8. https://doi.org/10.1080/08039488.2021.1909128

Topic: Quality of life with participants with musculoskeletal diseases and chronic pain

Research Question: How does chronic pain in musculoskeletal diseases affect the quality of life?

Qualitative research is an erudite approach applied to elaborate on life experiences, traditions, and ways of life

NURS 8201 Using Qualitative Research to Inform Evidence-Based Practice
NURS 8201 Using Qualitative Research to Inform Evidence-Based Practice

in the eyes of the participants included in the study. Qualitative researchers gain insights without measuring concepts or analyzing statistical relationships as they improve our comprehension of a phenomenon from the viewpoint of the people experiencing it (Gray, Grove, & Sutherland, 2017). This research topic aims to discover chronic pain and the encounters of patients with musculoskeletal disorders and their interpretation of quality of life. The methodology best suited for this qualitative research study is the phenomenology method. This methodology for this type of method is to depict experiences from the client’s viewpoint and lived experience.

An ethical issue that can arise in conducting this study is protecting the identity and privacy of the participants involved in the study. With this as a posing issue, it is imperative voluntarily for the participants to sign a protocol of informed consensus on the agreement to the further evaluation and potential publication of the results of the study ( Savvakis & Kolokouras, 2019)

A noted strength of the phenomenology method is its foundational approach in listening and evaluating all modes of communication to attain a more thorough understanding of experiences. A weakness of the phenomenology method is the difficulty in adequately analyzing and interpreting the research results and findings.

Another qualitative method applied to this research topic is grounded theory research. Grounded theory research is an inductive research technique with this method’s name. The findings are grounded in the concrete world experienced by participants and grounded in the actual data (Gray, Grove, & Sutherland, 2017). In terms of this research study, the symbolic interaction and perception seen in grounded theory research regarding a patient’s experience with chronic pain from a musculoskeletal disorder and the quality of life can be explored.

 

References

 

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burn’s and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.), St. Louis, MO: Saunders Elsevier

Savvakis, M. & Kolokouras, N. (2019). Quality of Life and Chronic Pain: Coping Practices and Experiences of Patients with Musculoskeletal Diseases. International Journal of Caring Sciences. 12(3). 1423-1429.

Great topic! Thank you for sharing your insightful discussion. Chronic pain is a debilitating condition that negatively affects an individual’s well-being (Rodriguez et al., 2019). Chronic pain causes reduced and limited physical activity, the ability to interact socially, and decreased energy levels (Rodriguez et al., 2019). Chronic pain management requires a holistic approach due to its multifactorial nature and effects. I dealt with numerous patients suffering from chronic pain and observed adverse effects in their physical, mental, social, and behavioral states. Researchers utilizing qualitative methods aim to explore a participant’s more profound understanding of the practice issue (Tenny et al., 2020). Qualitative research is an effective method in investigating chronic pain experiences because patients can provide information based on their lived experiences and provide factual information. Do you have a specific type of chronic pain in mind that you would like to focus on this topic issue? If so, what is it, and who are your prospective participants or target population?

Reference

Rodríguez, I., Abarca, E., Herskovic, V., & Campos, M. (2019). Living with Chronic Pain: A Qualitative Study of the Daily Life of Older People with Chronic Pain in Chile. Pain research & management2019, 8148652. https://doi.org/10.1155/2019/8148652

Tenny S, Brannan GD, Brannan JM, et al. Qualitative Study. [Updated 2021 May 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470395/