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Running head: CRITIQUE OF A QUALITATIVE RESEARCH PAPER Critique of a Qualitative Research Paper Daliana Diaz

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Diaz NRS-433V Instructor: Julie Marshall Nov 11, 2018 1 CRITIQUE OF A QUALITATIVE RESEARCH PAPER 2 Critique of a Qualitative Research Paper Background of the study The clinical problem that leads to the present study is the existence of persistent or chronic pain affecting multiple patients. Specifically, the study focuses on chronic musculoskeletal pain resulting from the deterioration of bones, joints, and tendons as happens in cases of osteoarthritis. In this regard, the researchers justified the significance of the study carried out by highlighting how several patients suffering from osteoarthritis and other musculoskeletal painful diseases, that result in the loss of strength and extreme, persistent pain whenever they attempt to perform any physical activity involving the affected bones and muscles (Robinson et al., 2016). In many cases, the absence of appropriate pain management and coping skills leads these type of patients to a loss of identity and a substantial reduction in their quality of life, being both easily solved through the learning of new, useful, pain coping skills. The purpose of the study carried out by Robinson et al. (2016) was thus that of evaluating whether the implementation of pain neurophysiology education (PNE) of the patients would provide them with the necessary skills to cope better with their pain levels, and help them improve their quality of life. For this purpose, the study attempted to answer the following question: “Did the implemented pain neurophysiology education contribute to alleviating the level of pain experienced by the patient?”. Both the proposed purpose and the research question are closely related to the problem, as they try to evaluate if the proposed solution would be a feasible way to address such an issue. CRITIQUE OF A QUALITATIVE RESEARCH PAPER 3 Methods of study Robinson et al. (2016) used a qualitative research design through which they addressed the previously stated research question. In this regard, they implemented a series of exercises with the patients to increase their level of coping skills, and asked them to evaluate whether they perceived if the pain neurophysiology education carried out had been effective in somehow alleviating their level of pain and improving their quality of life (Robinson et al., 2016). The selection of a qualitative research method to address this problem provides a beneficial approach considering how pain perception is highly variable, which would have difficulted the evaluation of the effectiveness of the pain neurophysiology education implemented using a quantitative method. When evaluating the previous knowledge about the topic, the authors had mainly focused on other qualitative research studies. In this analysis, the researchers assessed how the proposed PNE strategy was effective in reducing the level of fear and increasing the self-esteem of the patients by reconceptualizing the problem of pain and enabling the patients to face their pain with a more positive attitude. However, none of the research papers described seem to assess if these strategies were able to the level of pain experienced by the patient, as indicated by Robinson et al. (2016). This evaluation was thus a necessary step forward towards the evidencebased proposal of PNE strategies as adjuvant treatments in pain management. It is noteworthy how despite being a qualitative research study, most of the references are current in the sense that they had been published in the previous five years. This use of updated literature may result from the fact that the proposed pain neurophysiology education of patients CRITIQUE OF A QUALITATIVE RESEARCH PAPER 4 is a brand-new technique which has only developed in recent years as an approach to decrease the reliance of patients on analgesics. The results obtained from the literature review are still too scarce to be able to build a grounded theory upon them. In this regard, these results do not have sufficient scope to evaluate the effectiveness of PNE strategies nor do they enable the researcher to determine how the different people experience the pain, such that a logical approach towards the evaluation of the clinical efficacy of this technique had so far been impossible (Robinson et al., 2016). Results of the study According to the obtained results, eight out of the ten patients seem to have experienced a substantial improvement in their quality of life after the implementation of the PNE strategy. In this regard, the patients declared how this strategy had shown an unexpected increase in their quality of life since they commented things like “I can’t speak highly enough of what I got out of it” (Robinson et al., 2016) or confessed to being positively surprised by the experienced results. The obtained results have a very high implication to nursing practice, as they open the possibility of using alternative pain management strategies that do not involve or minimize the consumption of potent analgesics. In this regard, I expect that if confirmed in further research studies, the obtained results may contribute to revolutionizing the nursing practice, as nurses would no longer need to supply as much pain medication to patients, but would instead teach them the basics of pain neurophysiology as an effective pain management strategy without any unwanted side effects. Ethical considerations The researchers have considered all the possible ethical issues arising from the research study. In this regard, they informed the participants of the expected outcome and how they would CRITIQUE OF A QUALITATIVE RESEARCH PAPER 5 use their data in the research study and protected these participants identity by coding them throughout the research carried out. Moreover, as stated by Robinson et al. (2016), they had applied for the approval of the Health Research Authority of the National Research and Ethics Service, which granted the compliance with all possible ethical issues. Conclusions The thesis statement of the proposed research study evaluates how the implementation of effective pain management and coping therapy may contribute to decreasing the dependence on analgesics. Taking this thesis statement into account, the research study carried out by Robinson et al. (2016) evaluates the effectiveness of a pain neurophysiology education strategy in improving the quality of life and reducing the pain level of patients by providing them with the necessary pain coping skills. According to the obtained results, the pain neurophysiology education would have been not only effective, but also extraordinarily life-changing as per the comments provided by the patients, that they could hardly believe the obtained result even while experiencing it directly. However, the present study has only been carried out on a very small sample of patients. Much more research is still needed to extend its applicability and propose it as an evidence-based alternative to pain medication. If such additional investigation continues to provide such satisfactory results, the developed pain management strategy will revolutionize the nursing practice in the future. The main takeaway of the research carried out is not to take anything for granted. In this regard, the outstanding results obtained highlight how in multiple cases medical research has refrained itself by erroneously considering that a strategy would not work instead of giving it a try before discarding it. As claimed out by one of the patients that benefited from the current research, “I can’t speak highly enough of what I got out of it.” CRITIQUE OF A QUALITATIVE RESEARCH PAPER 6 Reference Robinson, V., King, R., Ryan, C. G., & Martin, D. J. (2016). A qualitative exploration of people’s experiences of Pain Neurophysiological Education for chronic pain: the importance of relevance for the individual. Manual Therapy, 22, 56–61.
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