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Research and Ethical Consideration in Nursing

Identification of the article

Townend, E., Tinson, D., Kwan, J., & Sharpe, M. (2010). ‘Feeling sad and useless’: An investigation into the personal acceptance of disability and its association with depression following stroke. Clinical Rehabilitation, 24, 555–564.

Introduction

In conducting the study, the researchers aimed at examining the relationship between psychological depression and the degree of acceptance of disability in patients affected by stroke. They noted that most studies have found a positive correlation between the two factors (Hackett & Anderson, 2005). Nevertheless, the relationship between the severity of a disability and the occurrence of depression has not been identified. They hypothesized that lower levels of acceptance of disability are associated with depression and would remain the same when the factors of stroke severity, demographic factors, and disability and controlled (Townend, Tinson, Kwan & Sharpe, 2010).

Summary

Problem statement

The researchers noted that most studies agree that people with disabilities tend to have depression. It was also noted that personal beliefs and values during depression might exist because people with positive personal evaluations, the ability to accept the disability, and positive beliefs tend to control depression (Hackett, Yapa, Parag & Anderson, 2005). Nevertheless, the researchers noted that the severity of the disability is not the cause of depression. They also noted that the role of personal beliefs, values, and the level of acceptance of disability caused by stroke has not been studied. These discrepancies in the existing knowledge created a gap, which was identified as the study problem.

Purpose of the study

The purpose of the study was to determine whether there is a relationship between depression and acceptance of disability in patients affected by disability-causing stroke.

Study objective

The study’s objective was to show that there is an actual and a positive association between lower acceptance of disability and depression in patients who suffer from stroke, even when demographic, severity of the condition (stroke), and level of disability are controlled.

Significance of the study

The study topic and field are important in nursing because modern nurses are required to provide both physical and psychological support to their clients. The realization that depression in patients suffering from stroke has a positive association with acceptance of the disability is important to the field of nursing because it will provide the practitioners with background knowledge to develop the appropriate psychological support for their stroke clients. In particular, the nurses will realize that supporting and encouraging the patients to accept their condition will improve their ability to control depression, thus improving the quality of life.

Phenomena/concept

The researchers worked specifically with patients who suffer a stroke that causes disability, which is likely to cause depression after the patients realize that their future and quality of life are compromised by the condition.

Methods of the study

Nature of the study

A mixed-method was used in the study, which included both quantitative and qualitative approaches. The two approaches were used in the cohort (following each other). A quantitative study derives statistical information from the participants while a qualitative study derives information in form of descriptive figures and statements to describe the phenomenon. The information was presented in statistical form such as percentages with participants’ aspects such as age, gender, the severity of stroke presented in this form. In addition, statistical measures such as the level of confidence were used to determine the relationship between depression and the level of acceptance of the disability.

Study design

A structured clinical interview was used as the study design, where open-ended interviews were used to measure disability in stroke patients and their ability to accept the facts.

Sample

The study worked with patients with definite strokes who were able to understand and respond to the questions. The study targeted 129 participants. However, only 89 participants were used as the study sample. Random sampling was involved when selecting the initial number of participants.

Procedure

The researchers conducted a structured clinical interview to assess the presence of depressive disorder in the 81 participants used in the study. In addition, the researchers interviewed some 60 participants using open-ended interviews one month after the onset of stroke. The aim was to explore the patients’ concerns about their problems.

Results

The study found that about a third of the participants had developed depression at one month and about 30% at nine months after suffering the condition. The study further indicates that non-acceptance of the condition had a significant association with depression when the factors of age, gender, and original severity of the condition were controlled. Patients who developed depression were mainly those who reported positive signs of non-acceptance while those who accepted the condition had low risks of developing depression.

Implications

The study shows the importance of involving nurses to encourage their patients to accept their disability by showing them that they have a good future and quality life despite the condition. It is a call for nurses to consider this information when using an evidence-based approach to their practice.

Ethical considerations

The study was submitted to the clinical rehabilitation journal for review on September 1, 2009, revised, and finally accepted on the 28th of the same month.

Conclusion

This study indicates that there is a positive relationship between depression occurrence and a patient’s acceptance of disability. Nevertheless, there is a need for further studies using other conditions apart from a stroke. For instance, patients with terminal diseases such as cancer should be investigated to clarify the findings.

References

Hackett, M. L., & Anderson, C. S. (2005). Predictors of depression after stroke: a systematic review of observational studies. Stroke, 36, 2296–301.

Hackett, M. L., Yapa, C., Parag, V., & Anderson, C. S. (2005). Frequency of depression after stroke: a systematic review of observational studies. Stroke, 36, 1330–40.

Townend, E., Tinson, D., Kwan, J., & Sharpe, M. (2010). ‘Feeling sad and useless’: An investigation into the personal acceptance of disability and its association with depression following stroke. Clinical Rehabilitation, 24, 555–564.

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StudyKraken. (2022, April 11). Research and Ethical Consideration in Nursing. Retrieved from https://studykraken.com/research-and-ethical-consideration-in-nursing/

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StudyKraken. (2022, April 11). Research and Ethical Consideration in Nursing. https://studykraken.com/research-and-ethical-consideration-in-nursing/

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1. StudyKraken. "Research and Ethical Consideration in Nursing." April 11, 2022. https://studykraken.com/research-and-ethical-consideration-in-nursing/.


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StudyKraken. "Research and Ethical Consideration in Nursing." April 11, 2022. https://studykraken.com/research-and-ethical-consideration-in-nursing/.

References

StudyKraken. 2022. "Research and Ethical Consideration in Nursing." April 11, 2022. https://studykraken.com/research-and-ethical-consideration-in-nursing/.

References

StudyKraken. (2022) 'Research and Ethical Consideration in Nursing'. 11 April.

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