The following questions pertain to: George, S., & Thomas, S. (2010). Lived exper
ID: 283935 • Letter: T
Question
The following questions pertain to:
George, S., & Thomas, S. (2010). Lived experience of diabetes among older, rural people. Journal of Advanced Nursing, 66(5), 1092-1100.
1. What is the purpose of this research?
2. What is the research question (or questions)? This may be implicit or explicit.
3.Did the authors describe the research design of this study? If so, give a description.
4. Describe the population (sample) for this study.
5. Was the sample adequate for the research design that was selected?
6. Describe the data collection procedure.
7. How were the data analyzed after collection?
8. Discuss the limitations found in the study.
9.Discuss the authors' conclusions. Do you feel these conclusions are based on the data that they collected?
10. How does this advance knowledge in the field?
Explanation / Answer
Answer 1- Aim- it is to elucidate experiences and perceptions of self-management of diabetes as narrated by older people diagnosed with insulin-dependent diabetes living in a rural area
answer- 2
research question is what are the experiences faced by the patients of diabetes.
answer 3
Auther describe the design of the research study, he provided proper procedure of the study taken from data collection to the methods .
Answer-4 sample size is 6-12 person
answer-5 Yes
answer -6 All interviews were conducted face-to-face in the participants’ homes, at a date and time of their choosing. Nospecific directions were supplied to participants. They were free to discuss any life experience they perceived as representing their diabetes, and their experiences with diabetes self-management issues. Each participant was told that they could take as long as they needed to talk about their diabetes. Interviews lasted from 1 to 2 hours and began with the prompt: ‘Please tell me what it is like for you living with diabetes’. From this point, participants could discuss the topic in any way they chose, and all started with an account of how terrible diabetes is to them. Comments and questions were followed-up with prompts such as ‘Tell me more about that’ and ‘Tell me what that is like’. Following the interviews, a short survey was used to assess issues of self-management, such as frequency of testing blood glucose levels.
answer-7 All interviews were audiotaped and transcribed verbatim. All transcripts were read and re-read while listening to the audiotape. This was done to ensure accuracy of the transcription. The transcripts were then read and re-read again to gain insight and a sense of the lived experience as described by the participants. To determine emerging themes, the data from selected transcripts was reviewed and read aloud by members of an interpretive, interdisciplinary, phenomenology research group. Group members have extensive experience using the Thomas and Pollio (2002) method of analysing phenomenological research data, and many have participated in the group for more than a decade. The group comprises phenomenological research students from a doctoral programme and doctorally prepared university staff member. Thomas and Pollio’s (2002) interpretation procedures were used for data analysis. Existential-phenomenological interpretation is a process of relating parts (known as meaning units) to the whole narrative. Analysis is a constant process of seeking to grasp the meaning of the whole while also scrutinizing words and phrases line by line. Meaning units and themes (patterns observed across interviews) were identified and related to one another until a final thematic structure was delineated and presented to the research group.
answer-8 small sample size
environmental location (rural, southern USA), absence of men and absence of other minority groups such as Hispanic Americans, Asian Americans and Native Americans,
answer- 9 The international community of nurses has been educating people about diabetes using guidelines designed from a medical perspective. Diabetes self-management education should be based on a nursing model incorporating clients’ insights and experiences. Nurses should consider a client’s pattern if any adaptations or modifications are required, rather than continuing to force diabetes care into an intellectual, financial and psychological system that will continue to frustrate clients and providers and may not improve blood glucose levels, complications, or escalating costs associated with diabetes. When managing diabetes is viewed from a participant perspective, the focus becomes solving the problems that arise in self-regulation of the person’s own regimen rather than complying with (or not complying with) a doctor’s orders. Noone had worked collaboratively with the participants in this study to reduce the frequency of the hypoglycaemia that was the figural problem in their day-to-day existence. Perhaps participants did not realize that hypoglycemic episodes could be reduced with better control of their disease.
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