WE WRITE CUSTOM ACADEMIC PAPERS

100% Original, Plagiarism Free, Tailored to your instructions

Order Now!

APPRAISAL OF EVIDENCE FROM QUALITATIVE STUDY

Introduction
Clinicians and patients have different views in regard to medication schedules. The difference in perspectives has resulted to substandard compliance with the therapeutic evidence-based directives. When anti-platelets are stopped prematurely, it is likely to cause lethal effects for patients suffering from myocardial infarction, who have been given antiplatelet therapy. You need to have a statement for the purpose of your paper but not used the purpose of the article that you selected. This article intends to evaluate the similarities between clinicians and patients supposed reasons for clopidogrel discontinuance by patients (Linda, et al., 2011).
Clinical question
Critical Appraisal of the article
1: Validity of the study
 
The study was qualitative and used descriptive method to gather information for analysis. A total of 22 patients and 22 clinicians from different cities of the U.S. were interviewed. For patients who withdrew medication (clopidogrel) prematurely, the first 11 patients in the register and were prescribed medication at the hospital acquit at one month proceedings were interviewed. Moreover, 11 patients of analogous demographic background and who continued with medication at one month proceedings were interviewed.
Data collection was done using semi-structured interviews with clinicians and MI patients. Data analysis was done through coding of transcriptions where texts and codes were inserted into the electronic program for data analysis (Beck & Polit, 2011). The validity of the study was established to ensure that the obtained data met the methodological rigour benchmarks (Dowling, 2007).
2: Findings of the study
Sample patients
There was no demographic or clinical characteristics distinction between patients who withdrew clopidogrel and those who continued. Both groups ranged from age 45 to 77 years with the mean age being 53 years old. 55% comprised the continuers while 64% comprised discontinuers. The majority of the patients were Caucasians (82%) for both groups and all patients reported being provided with medication directive at discharge. 82% of the patients had high got education up to high school or more. 73% of patients who continued with prescribed medication had “health insurance cover”.
Sample clinicians
Of all clinicians that were interviewed, 53% of doctors composed of cardiologists, 33% interior medicine and 13% in the cardiology of intervention. 80% of physician was male, Caucasian and had an average of 13.8 years experience in the field. 2 nurses specialized in cardiovascular therapy were also interviewed. Both were women and were Caucasian. They had been into the field for an average of 17 years.
Major topics in the discussion of premature clopidogrel withdrawal include patients’ lack of awareness of diagnostic specifics, poor communication between clinicians and patients, cost of medication and the discrepancy in the shifts of care (clinicians). The findings of the study are credible and have clearly identified human response and encounters. The proposed connection between cost, awareness and communication error and premature withdrawal from medication is consistent with the findings of the study (Larrabee, 2009).
3: Application of the results to patient care
These findings may also be useful and applicable in patients of HIV/AIDS because, withdrawal from ARVs may be lethal to them. Since I work with HIV/AIDS patients, the findings would be applicable in the situation. These findings may help physicians and clinicians modify their patients’ assessments in order to improve health conditions. This is possible through improvement of communication between clinicians and patients, reducing medical costs and raising awareness on medication guidelines. The results of the study may be used to educate and counsel patients on the importance of complying with medication directives (Lehane, et al., 2008).
The finding can help understand the social-cultural and ethical factor that influence decision making by patients. This is because the study has pointed out such factors as awareness (social-cultural), cost of medication (social-cultural), communication error (ethical) and discrepancy in the shifts of care (ethical) and shown their connection to withdrawal from medication.

Our Service Charter

  1. Excellent Quality / 100% Plagiarism-Free

    We employ a number of measures to ensure top quality essays. The papers go through a system of quality control prior to delivery. We run plagiarism checks on each paper to ensure that they will be 100% plagiarism-free. So, only clean copies hit customers’ emails. We also never resell the papers completed by our writers. So, once it is checked using a plagiarism checker, the paper will be unique. Speaking of the academic writing standards, we will stick to the assignment brief given by the customer and assign the perfect writer. By saying “the perfect writer” we mean the one having an academic degree in the customer’s study field and positive feedback from other customers.
  2. Free Revisions

    We keep the quality bar of all papers high. But in case you need some extra brilliance to the paper, here’s what to do. First of all, you can choose a top writer. It means that we will assign an expert with a degree in your subject. And secondly, you can rely on our editing services. Our editors will revise your papers, checking whether or not they comply with high standards of academic writing. In addition, editing entails adjusting content if it’s off the topic, adding more sources, refining the language style, and making sure the referencing style is followed.
  3. Confidentiality / 100% No Disclosure

    We make sure that clients’ personal data remains confidential and is not exploited for any purposes beyond those related to our services. We only ask you to provide us with the information that is required to produce the paper according to your writing needs. Please note that the payment info is protected as well. Feel free to refer to the support team for more information about our payment methods. The fact that you used our service is kept secret due to the advanced security standards. So, you can be sure that no one will find out that you got a paper from our writing service.
  4. Money Back Guarantee

    If the writer doesn’t address all the questions on your assignment brief or the delivered paper appears to be off the topic, you can ask for a refund. Or, if it is applicable, you can opt in for free revision within 14-30 days, depending on your paper’s length. The revision or refund request should be sent within 14 days after delivery. The customer gets 100% money-back in case they haven't downloaded the paper. All approved refunds will be returned to the customer’s credit card or Bonus Balance in a form of store credit. Take a note that we will send an extra compensation if the customers goes with a store credit.
  5. 24/7 Customer Support

    We have a support team working 24/7 ready to give your issue concerning the order their immediate attention. If you have any questions about the ordering process, communication with the writer, payment options, feel free to join live chat. Be sure to get a fast response. They can also give you the exact price quote, taking into account the timing, desired academic level of the paper, and the number of pages.

Excellent Quality
Zero Plagiarism
Expert Writers

Instant Quote

Subject:
Type:
Pages/Words:
Single spaced
approx 275 words per page
Urgency (Less urgent, less costly):
Level:
Currency:
Total Cost: NaN

Get 10% Off on your 1st order!