NURSING RESEARCH ARTICLE CRITIQUE

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NURSING RESEARCH ARTICLE CRITIQUE

Nursingresearch article critique

Nursingresearch article critique

Thearticle “Transition Needs of Adolescent with Sickle Cell Disease”by Regina Abel and others aims at describing how sickle cell diseaseaffects the transition of adolescent to adult health care andindependent living. This is due to their perceived abilities toindependently perform daily tasks and routines. The study involvedthe administration of Adolescent Autonomy Checklist (ACC) toadolescent suffering from sickle cell disease during clinic visit.The participants were expected to indicate “can do already” or“need practice” for each of the listed activity. Some of thelisted activities showed significant number of participants (over athird) required more practice. While age and cerebrovascular injuriesamong sickle cell disease were major factors that influencedperceived abilities, hemoglobin phenotype and gender had no impactson perceived skills.

Thestudy identifies the variables as well as the targeted population.The identified population includes hematology patients in the St.Louis Children’s Hospital aged between the age of thirteen andtwenty one years. All the patients within the age blanket, except nonEnglish speaking patients were involved in the study. The variablesin the study included age, gender, sickle cell disease status,infarct, and presence of cerebrovascular accident. The study settingwas in the hospital here participants were required to complete theAdolescent Autonomy Checklist during regular clinic visits. Althoughthe study collected both “can do already” and “needs practice”data on each of the task or skill, the article reports data on the“need practice” response.

Thereis evidence that the researchers conducted adequate literature reviewon the topic. This provided an essential background on the study aswell as emphasizing the significance of the study. The researchersreviewed past studies that illustrate the prevalence of sickle celldisease in the Americans society and how it affects the lives ofyoung individuals. They also reviewed about nine articles thatillustrate the negative impacts of sickle cell disease on thepatient’s life. For example, they site studies that establishedthat over thirty five percent of sickle cell diseases havecerebrovascular accidents by the age of fourteen years. Also, theliterature review refers to studies that demonstrate the effects ofsickle cell disease and the resultant cerebrovascular accidents oncognitive development and IQ as well as emotional and physicalfactors that disrupt the lives of sickle cell disease patients. Thearticle also reviews literature that is directly related to thehypothesis of the study. This includes the use and efficacy ofAdolescent Autonomy Checklist and other self reported checklists inscientific studies.

Thehypothesis of the study is clearly identified in the article. Thehypothesis is deduced from the findings of Anie and Telfair (2005)who established that sickle cell disease among adolescent hasnegative effects on the ability of the patient to transit to adulthealth care and independent living. Additionally, sickle cell diseaseaffects everyday activities, as well as academic lives due tomorbidities associated with the disease.

Theresearch design in the study was clearly identified. The researchdesign was quantitative the number of participant who needed furtherpractice in the respective task or skill was established. Theresearch used self reported Adolescent Autonomy Checklist where theparticipant was expected to indicate whether they “can do already”or “needs practice”. The health care providers were expected torequest the participant to place a mark one of the column for tasksand skills in twelve categories.

Thereare several variables that were analyzed in the study. However, asmentioned earlier, this study focused on the “need practice”data. The principle method of data analysis was calculating thepercentage of the participants who needed practice in each of theskill or task. For example, the data analysis looked at thepercentage of participant who needs practice in knowing theirhemoglobin type or making an appointment with the doctor. Importantvariables include the status of sickle cell disease, age andcerebrovacular injuries. The study specified the range as well as themean age of the participant and how age influenced whether theparticipant required further practice in a particular task. One ofthe variables which were extensively analyzed in the study is how theage of the participants influenced the ‘needs practice’ responsein each of the twelve categories of skills and tasks. Theparticipants were divided into three age groups of 13 to 15 years, 16to 18 years and 19 to 21 years. In each subgroup, the percentage andstandard deviation was calculated in respect to each of the items inthe twelve categories. The statistics suggested that the need forpractice in most of the items reduced with age. This means that moremature participants required less practice in activities incategories such as kitchen, money management, vocational skills,sexual development and health care skills. Another important variablethat was measured is cerebrovascular accident. The percentage ofparticipants without infarct, with silent infarct and overt weredetermined. Statistical analysis using percentage and standarddeviation established that cerebrovascular accident has a significantimpact on majority of the skills categories, mainly housekeeping,health care skills and personal skills. However, silent and normalinfarcts were found to have similar impacts on the extent of skillsdevelopment.

Thearticle does not mention informed consent from the participants. Thisis probably because this is because the study did not have any healthimpact on the participants or they were children. However, the studyand methods used were approved by the institutional review board ofthe hospital. In addition, the study was guided by basic ethicalprinciples such as the privacy of the participants. For example, theidentity of the participant was not known. The article only reportgeneral information about the client, omitting personal informationsuch as names and residence. This ensures that the participantsremain anonymous.

Theprinciple researchers who authored the article are qualified toconduct the study. The research competence of the researchers can bededuced from the brief profiles of the researchers. The groupincludes a scientist staff in a medical and education laboratory,occupational therapy student, occupational therapist, post doctorateresearch associate and an assistant professor, all affiliated to theWashington University of Medicine, assisted by a research assistantin St. Louis Children Hospital in the hematology department. Thus,there is no doubt that the researchers had adequate knowledge andskills to conduct the research. The principle researchers wereassisted by staff from the facility, which included “board-certifiedpediatric hematologist, nurse practitioners, registered nurses,respiratory therapist, occupational therapist, psychologist, andsocial worker”. The staff had adequate knowledge and experiencewith sickle cell disease patients in the hospital and played acritical role in data collection.

References

Abel,R. A., Cho, E., Chadwick-Mansker, K. R., D’Souza, N., Housten, A.J., &amp King, A. A. (2015). Brief Report—Transition needs ofadolescents with sickle cell disease. AmericanJournal of Occupational Therapy,69, 6902350030. http://dx.doi.org/10.5014/ajot.2015.013730

Anie,K. A., &amp Telfair, J. Sickle Cell Disease Transition StudyWorking Group. (2005). Multi-site study of transition in adolescentswith sickle cell disease in the United Kingdom and the United States.InternationalJournal of Adolescent Medicine and Health,17, 169–178. http://dx.doi.org/10.1515/IJAMH.2005.17.2.169

Yeong,F. (2014). Howto read and critique a scientific research article.New Jersey: World Scientific.