Qualitative Research Critique and Ethical Consideration in Patients with Indwelling Catheter

Vanessa Noa

Grand Canyon University



1. Introduction

a. Summary of the clinical problem

2. Background study

a. Type of the study and area of study

b. Involved researchers

3. Methods of study

a. Type of methods used in research

4. Results of the study

a. Deductions made after the analysis of the study

5. Ethical consideration

a. Ethical condition considered during the qualitative study

6. Conclusion

a. Restatement of the theses


Research literature in nursing encompasses identification of a clinical problem and ultimate ratification of programs to curb it. Clinical problem identified in this research critique is the negative effects associated with the patients with dementia. People with dementia has been a prevalent clinical problem in the contemporary world. The number has been escalating from day to day with people wondering on the cause and the methods of treatment that should be applied in to help curb this overarching clinical problem. It is due to the escalation of people with dementia that has led to interest by scholars to conduct an investigation on the causes, effects and treatment criteria of the problem (Arevalo-Rodriguez et al., 2015). After the realization of the problem, several qualitative studies have been conducted and deductions made on dementia among people. Houghton and his colleagues conducted a qualitative synthesis for staffs’ familiarities in caring dementia patients in acute settings.

The author of this paper made a research on patients with dementia, and how this disease has increased with the pass of time.

Background of the study

The study was conducted in acute settings by Houghton and other colleagues. The study was researching on the reason for the global increase of the people with dementia. This clinical problem is increasing rapidly impacting the health services internationally. It is clear that the people with dementia are admitted to hospitals frequently and this environment is not suitable for their needs. Many initiatives have been developed for the improvement of the care in the acute backgrounds but inadequate support on how healthcare providers perceive acute setting people with dementia is a limiting factor (Arevalo-Rodriguez et al., 2015). During the qualitative synthesis, screening process by use of inclusion and exclusion criteria had an identification of the qualitative studies focusing on healthcare staff trying to provide upkeep to people with dementia in acute sets. Two researchers participated in data extraction from twelve reports of nine studies that were included in the synthesis (Houghton et al., 2016). Therefore, health care needs to overlook patients with dementia and set the correct strategies to lower the cases of dementia. The research questions investigated in the qualitative study include

i. What are the health care ways to help in minimizing the spread of people with dementia?

ii. What are personal centered approaches to care for the people with dementia?

iii. How the patients with dementia interact with other patients and the environment?

iv. What are the barriers associated with caring people with dementia?

Methods of the study

The study involved two researchers extracting information from twelve reports of nine studies. The methods involved framework synthesis employed using VIPS frameworks by use of perspective, values, and individualized, psychological and social concepts in the provision of guidelines in the synthesis process. VIPS is an abbreviation used in data analysis. V- Valuing. I- individualized, P-perspective, S- social and psychological (Houghton et al., 2016). This method was effective in providing results thorough analysis of the reports was conducted providing in-depth results. After evaluation of the synthesis of the data collected, the authors deduced that people with dementia should be taken care of and a lot of family support is required. Framework synthesis is appropriate as it describes and interprets what happens in the acute setting.

Results of the study

From the VIPS frameworks, several themes were deduced including a number of specific subthemes (Houghton et al., 2016). The results showed both care pathways and infrastructure, approaches centered to care to major on the individual ideas, barriers in handling people with dementia. The barriers focus on the ineffective pathways, insufficient resources and unsuitable environment and inadequate knowledge in educating staffs to attention for individuals with dementia in the critical situation.

Ethical considerations

The research was undertaken in acute hospitals with the ethical consideration approved by healthcare providers. In evaluating data collected from the reports and the analysis of the two researchers, it is clear that the privacy protection of the patients is ensured. This is because the results were obtained from a deep analysis of the twelve reports from nine studies by two researchers. Patience privacy was ensured through the information collected by specific researchers who had an essence to rally towards ensuring the provision of a suitable environment, identifying the appropriate techniques for staffs in handling the patients with dementia (Houghton et al., 2016). Therefore, it is clear that with proper analysis of the data, people with dementia should be handled and taken care of in each background. They should be placed in suitable environments that should be free from unethical health interferences.


In conclusion, people with dementia should be taken care in acute settings. The best methods for this clinical problem effects are only through improving care pathways, suitability of the environment and provision of education focusing on the creation of awareness to people with dementia. Therefore, there is a need to implement these policies so that people with dementia are taken care of as inappropriate handling of these patients has negative repercussion. The family should take part in ensuring these strategies are implemented.

PICOT statement in dementia patients

1) Rita is a 56 years old woman who asks you for nurse advise on natural ways of alleviate her depression felling. She’s particularly interested in whether she’d gain any benefits to her mental health from exercising.

P – 40 plus year old woman with depression (but also ask whether you need to know the severity of her depression, and whether she has any other health conditions that may suffer or benefit from exercise)

I – Exercise (but what type and how strenuous?)

C – Antidepressants (what strength and for how long?)

O – Reduced or eradicated depression.


Arevalo-Rodriguez, I., Smailagic, N., Roqué, I. F. M., Ciapponi, A., Sanchez-Perez, E., Giannakou, A., … & Cullum, S. (2015). Mini-Mental State Examination (MMSE) for the detection of Alzheimer’s disease and other dementias in people with mild cognitive impairment (MCI). Cochrane Database Syst Rev, 3(1).

Houghton, C., Murphy, K., Brooker, D., & Casey, D. (2016). Healthcare staffs’ experiences and perceptions of caring for people with dementia in the acute setting: Qualitative evidence synthesis. International Journal of Nursing Studies, 61, 104-116.


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