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- Subject Code : SNUG202
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- Subject Name : Nursing
Self-Management of Asthma
Table of Contents
Introduction
Critiques of research articles
Article 1
Article 2
Discussion
Conclusion
Reference list
Introduction
Self-management of asthma is considered to be useful as it helps the individual to treat themselves at the time of crisis. It is also effective in managing the disease at general times. The current study has dealt with the analysis and critique of two articles regarding the self-management of asthma. Additionally, recommendations from both articles will also be discussed to establish a stable way of controlling and self-managing the disease of asthma.
Critiques of Research Articles
Article 1
Paasche-Orlow, M. K., Riekert, K. A., Bilderback, A., Chanmugam, A., Hill, P., Rand, C. S., ... & Krishnan, J. A. (2005). Tailored education may reduce health literacy disparities in asthma self-management. American journal of respiratory and critical care medicine, 172(8), 980-986. Retrieved from: https://www.atsjournals.org/doi/pdf/10.1164/rccm.200409-1291OC
The above article provides a clear and accurate title that depicts the criteria that tailor education can be effective in self-managing the aspects of asthma. As depicted by Capanoglu et al.(2015), the authors of the article are from the medical department from Boston University and hence are compatible and qualified for undertaking the research. In the current article, it can be seen that the article provides a clear overview of the report along with the objectives, rationale, main results and conclusion (Paasche-Orlow et al. 2005). However, as argued by Salo et al. (2019), recommendation, one of the major sections in the research is not provided in the abstract. Hence, the abstract is not well framed in this research.
The current article deals with the analysis of the results that have been derived from the research. As argued by Holley et al. (2018), there has been a lack of literature review in the current article that fails to support the research with the value of the scholars. However, the research findings have been logically supported that helped the article gain an in-depth analysis. The main purpose of the research involves an analysis of the relationship between the inadequacy literacy of health along with the retaining and learning instruction regarding the appropriate metered-dose inhalers (MDIs).
This indicates a clear statement of the purpose stated in the article. This also indicates the main objective of the research. Contrary as argued by Simpson et al. (2017), the research lacks in stating a clear aim of the research along with clear identification of the research hypothesis along with a clear research question. Besides, this, there has been a clear identification of the research issue that indicates inadequate health literacy along with low knowledge of the asthma medication that further presents the individual from self-management of the disease.
The research mainly included a quantitative method. However, as pointed by Davis et al. (2018), the research was design as a coherent study and the samples were collected at the hospital discharge through approaching eligible candidates based on the research criteria. 73 candidates were chosen from hospital discharge with the help of secret conversation based on verbal and on paper coaching (Paasche-Orlow et al. 2005). Nonetheless, counter-argued by Morrow et al. (2017), no such discussion was presented regarding the ethical aspects and the researchers aimed to treat all the participants equally by interacting with them. The data were collected through standardising text and questionnaire and statistical analysis were used in this research for having an accurate idea of the population involved with health inadequacy.
The outcome of the study indicates, inadequate literacy in health among 16 of the participants out of 73 participants indicating 22% of the participants. Nonetheless, as pointed by Erickson, Juncaj & Buckley (2018), the inadequate literacy of health is related to the low knowledge of the asthma medication along with worse techniques of MDI (Paasche-Orlow et al. 2005). Besides, the outcomes also reveal that learning or retaining knowledge is not associated with these criteria. The results were provided in the forms of tables and charts. Therefore, the conclusion indicates that implementation of tailor education can help with the ineffective MDI and health knowledge among the populations.
Article 2
Adams, R. J., Appleton, S. L., Hill, C. L., Dodd, M., Findlay, C., & Wilson, D. H. (2009). Risks associated with low functional health literacy in an Australian population. Medical Journal of Australia, 191(10), 530-534. Retrieved from: https://staging.mja.com.au/system/files/issues/191_10_161109/ada10529_fm.pdf
A clear title has been depicted in this article indicating research regarding the risk in the low literacy among the Australian populations. As stated by Horner, Timmerman & McWilliams (2018), the authors belong from the medical department in the University of Adelaide and practitioners of Queen Elizabeth Hospital. Hence, the authors are eligible for conducting the research. The abstract of the article is clear in stating the main objective of the research along with the settings and main findings. However, as argued by Hui et al.(2019), recommendations seem to be a major gap in the abstract section of this article. Besides, the research also lacks critical discussion and a section of the literature review. Nonetheless, supporters by Salo et al. (2019), the article has presented a clear and logical discussion of the mentioned topic. Hence, the research seems to be having an in-depth analysis of the selected criteria with a clear identification of the research purpose.
The main aim of the research involves measuring Functional health literacy (FHL) level in the adult residents of Australian through the exploration of the associates of health and its status. As depicted by Davis et al. (2018), the research mainly involves quantitative methods involving the South Australian Health Omnibus Survey (SAHOS). The sampling procedure involves simple random sampling from 10 households using fixed skip intervals. However, as pointed by Capanoglu et al. (2015), the issues of the research involve increasing health demands along with the critical issue of policy of health within the domain.
As the method indicates survey along with a random selection of the participants, therefore, all the participants were treated equally and the participants were asked to complete the Newest Vital Sign (NVS) survey questionnaires. In addition to this, the research also consists of health interviewers to interpret selected participants based on the sage category. Therefore, it depicts that some of the research participants were treated differently than others based on age and other factors.
The examination was further permitted by the South Australian Department of Health Human Research Ethics Committee (Adams et al. 2009). Hence, the survey was bound by the ethical policies that include valid consent and privacy of the participants. As argued by Holley et al. (2018), the researcher mainly used a single interview and survey technique to analyse the thought process of the selected participants. Nonetheless, the researchers used the statistical analysis techniques and the data that were collected were represented with the help of tables and charts. Hence, it indicates clear and concise research indicating the necessary components.
The results of the research indicate 24% of the candidates with the risk of limited knowledge of FHL. Besides, 21% of the candidates indicate high chances of inadequate FHL (Adams et al. 2009). Additionally, the outcomes also state that there is a high chance of increasing the factor with the increase in age. Other than that, as argued by Morrow et al. (2017), high inadequate FHL is more common in low educated populations. However, conscience discussion seems to be a limitation of this research. Hence, the conclusion seems to be aligned with the topic indicating a high risk of effective health care in terms of limited literacy of health it also increasing the ineffectiveness in self-management.
Discussion
The adobe two articles deal with the ways of self-managing the aspects of asthma along with the main causes preventing the populations from doing so. In addition to this, the risk associated with the cause has also been discussed in the article. Both the article states inadequate health literacy as the main cause of failure in terms of self-management of asthma. In this respect, as commented by Simpson et al. (2017), inadequate health literacy leads to ineffective knowledge that further prevents the population from understanding the critical aspects in terms of health imparities. As mentioned in both the articles, proper health information can help the population in terms of self-management of any types of disease including asthma. Besides, as opined by Davis et al. (2018), proper health literacy can also be effective in managing diseases at critical times.
The first article provides the recommendation of tailored education. As per Paasche-Orlow et al. (2005), tailored education will be further effective in mitigating the health disparities and contribute to the self administration of asthma. On the other hand, the second article depicts high functioning health literacy can be effective in self-management of asthma. Therefore, both the articles have been largely focused on the aspects of health literacy that will further be effective in self supervision of asthma. In this respect, it can be stated that change in the practice of health literacy can contribute to the aspects of coping with asthma. As a result of this, training must be implemented for all the population to cope with asthma. In addition to this, implementing a course of study regarding the self administration of asthma can also be an effective practice. Besides, as per the National Asthma Council guidelines, education plays a vital role in the self supervision of asthma (National Asthma Council, 2020). Hence, proper demonstration of the techniques regarding the intake of inhalers and other aspects related to asthma can be beneficial in self supervision of the disease.
Conclusion
The overall study depicts health literacy is an imperative aspect of the self administration of asthma. Besides, the National Asthma Council guidelines also suggest providing education to the populations regarding the different techniques of taking inhalers and other aspects related to the disease. Both the articles also suggested adequate health literacy in self-managing the disease because, with proper knowledge, populations will be effective in understanding the depth of the situation and will also be effective in taking the right step that will help in managing the disease at crucial times.
Reference list
Adams, R. J., Appleton, S. L., Hill, C. L., Dodd, M., Findlay, C., & Wilson, D. H. (2009). Risks associated with low functional health literacy in an Australian population. Medical Journal of Australia, 191(10), 530-534. Retrieved from: https://staging.mja.com.au/system/files/issues/191_10_161109/ada10529_fm.pdf
Capanoglu, M., Dibek Misirlioglu, E., Toyran, M., Civelek, E., & Kocabas, C. N. (2015). Evaluation of inhaler technique, adherence to therapy and their effect on disease control among children with asthma using metered dose or dry powder inhalers. Journal of Asthma, 52(8), 838-845. Retrieved from: https://www.tandfonline.com/doi/abs/10.3109/02770903.2015.1028075
Davis, S. R., Peters, D., Calvo, R. A., Sawyer, S. M., Foster, J. M., & Smith, L. (2018). “Kiss myAsthma”: Using a participatory design approach to develop a self-management app with young people with asthma. Journal of Asthma, 55(9), 1018-1027.
Erickson, S. R., Juncaj, S., & Buckley, C. (2018). Family caregivers of people who have intellectual/developmental disabilities and asthma: Caregiver knowledge of asthma self‐management concepts—A pilot study. British Journal of Learning Disabilities, 46(3), 172-181. Retrieved from: https://deepblue.lib.umich.edu/bitstream/handle/2027.42/146473/bld12223_am.pdf?sequence=2
Holley, S., Walker, D., Knibb, R., Latter, S., Liossi, C., Mitchell, F., ... & Roberts, G. (2018). Barriers and facilitators to self‐management of asthma in adolescents: An interview study to inform development of a novel intervention. Clinical & Experimental Allergy, 48(8), 944-956. Retrieved from: https://onlinelibrary.wiley.com/doi/pdf/10.1111/cea.13141
Horner, S. D., Timmerman, G. M., & McWilliams, B. C. (2018). Feasibility study of a combined lifestyle behaviors and asthma self‐management intervention for school‐aged children. Journal for Specialists in Pediatric Nursing, 23(3), e12224. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202196/
Hui, C. Y., McKinstry, B., Walton, R., & Pinnock, H. (2019). A mixed method observational study of strategies to promote adoption and usage of an application to support asthma self-management. Journal of innovation in health informatics, 25(4), 243-253. Retrieved from: http://hijournal.bcs.org/index.php/jhi/article/view/1056
Morrow, S., Daines, L., Wiener-Ogilvie, S., Steed, L., McKee, L., Caress, A. L., ... & Pinnock, H. (2017). Exploring the perspectives of clinical professionals and support staff on implementing supported self-management for asthma in UK general practice: an IMP 2 ART qualitative study. NPJ primary care respiratory medicine, 27(1), 1-7.
National Asthma Council, (2020). Providing information, skills and tools for asthma self-management for adults, National Asthma Council. Retrieved from: https://www.asthmahandbook.org.au/management/adults/self-management/self-management
Paasche-Orlow, M. K., Riekert, K. A., Bilderback, A., Chanmugam, A., Hill, P., Rand, C. S., ... & Krishnan, J. A. (2005). Tailored education may reduce health literacy disparities in asthma self-management. American journal of respiratory and critical care medicine, 172(8), 980-986. Retrieved from: https://www.atsjournals.org/doi/pdf/10.1164/rccm.200409-1291OC
Salo, P. M., Akinbami, L. J., Cloutier, M. M., Wilkerson, J. C., Feinstein, L., Elward, K. S., ... & Zeldin, D. C. (2019). Environmental Management of Asthma in Clinical Practice: Results from the National Ambulatory Medical Care Survey. Journal of Allergy and Clinical Immunology, 143(2), AB210. Retrieved from: https://www.jacionline.org/article/S0091-6749(18)32383-2/pdf
Simpson, A. J., Honkoop, P. J., Kennington, E., Snoeck-Stroband, J. B., Smith, I., East, J., ... & Usmani, O. (2017). Perspectives of patients and healthcare professionals on mHealth for asthma self-management. European Respiratory Journal, 49(5). Retrieved from: https://erj.ersjournals.com/content/erj/49/5/1601966.full.pdf
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