EBP Literature Search/Appraisal of Evidence

EBP Literature Search/Appraisal of Evidence

Methodologic Matrix

Authors

Pub Yr.

Country

Dep. Variables

Ind.

Variables

Study

Design

Sample

Size

Sample

Method

Data

Collection

Article 1

2004

U.S

Patients' disease

Patients' age and gender

Meta-analysis

569 empirical studies

Quantitative

Review of 50 years of research

Article 2

2001

U.S

Quality of care

Patient satisfaction

Descriptive

199 hospitalized adult patients

Qualitative

Evaluation Matrix

Authors

Pub. Year

Major Strengths

Major Weaknesses

Article 1

2004

The major strength of this research is that the article has conducted a vast research from the past 50 years. This ensures that the results and findings of the research are authentic.

There are no major weaknesses of the research though the research article should have provided more recommendations for further research.

Article 2

2001

The major strength of the article is that it has determined separate themes and has discussed them in detail. The article has provided with the interviews of the patients as well as literature research of different journal articles.

The major weakness of the article it should have utilized a mixed research method approach to yield more appropriate and authentic results.

Literature Review Protocols

Article 1:

Citation:

Oxford

Type of Study:

Meta-analysis

Location/Setting:

California

Key Concepts/ Variables:

To determine the Variations in Patients' Adherence to Medical

Recommendations in the past 50years of research

Framework/Theory:

To retrieve, compile and averaging the rates adherence in the studies from 1948 to 1998

Design Type:

Quantitative

Sample:

569 empirical studies

Data Sources:

The data sources was collected from PsychLit and Medline

Statistical Tests:

SPSS 10.0 was used to analyze the data

Findings/Themes:

The results show that a higher level of adherence is attained through more circumscribed regimens and in certain situations in which the patients have resources but it is not merely due to the functions of severity of illness or characteristics of demographics of gender and age.

Article 2:

Citation:

Chicago

Type of Study:

Descriptive

Location/Setting:

South Central United States

Key Concepts/ Variables:

Determining the concept of good nursing care from the perspectives of the patients

Framework/Theory:

To determine the patient satisfaction with the health care

Design Type:

Qualitative

Sample:

A convenience sample of 199 hospitalized adult patients in a public hospital

Data Sources:

Data was collected through interviews conducted from the patients and furthermore, a literature search was conducted from PubMed and CINAHL databases

Findings/Themes:

The analysis of the content yielded five different themes. Differences and similarities were determined in these themes and themes which were identified in other studies along with the instruments used.

Thematic Analysis

Article 1

The article, “Variations in Patients' Adherence to Medical Recommendations,” written by Robin DiMatteo retrieves and compiles the different studies from the past 50 years regarding the patient adherence to the medical recommendations. This article is a meta-analysis of 569 studies reporting adherence to medical treatment. According to the results and findings of the article the average nonadherence rate is 24.8%. Adherence is highest in HIV disease, arthritis, gastrointestinal disorders, and cancer and lowest in pulmonary disease, diabetes, and sleep. According to the article, the medical adherence is defined as active and appropriate behavior from the patient working to achieve therapeutic goals defined jointly between the patient and the professional. It underlies the treatment was negotiated between the doctor and the patient and he was prescribed at the right time (the notion of consistency to readiness and treatment) and then the patient continued satisfactory long-term (notion of persistence). The adherence in treatment in chronic disease is defined as a continuum ...