Populationin South East Asia is aging rapidly and is prone to risks of falls.However, despite the rapid aging population, the acknowledgment offall interventions in this region has remained variable. Very limitedstudies have been conducted on fall prevention in the region.Loganathan,Ng, and Low (2016) haveset out to carry out a study to investigate the perceptions andexperiences towards falls and interventions among the olderpopulations who are vulnerable to falls.
Thispaper seeks to critique a qualitative article, “Viewsand experiences of Malaysian older persons about falls and theirprevention.”
1)Identifying Ways, the researcher addresses the five following areasof the selected journal article,
Thearticle has provided a clear statement about the purpose of thestudy. The study seeks to identify and investigate the perceptionsand experiences of older individuals regarding falls in the SouthEast Asia region.
Reviewof the literature
Theliterature reviewed shows consistency with the research method usedin the study. It has provided an overview of literature from varioussources that surrounds the issue being investigated thus it is broadand focused on the research problem. The evidence provided supportsthe assertions being made regarding the topic of study.
Themethodology for the study was discussed clearly and adequately. Thequalitative methodology used for the study including focus-groupdiscussions and individual in-depth interviews are appropriatebecause they adequately address the aim of the research. Theresearchers’ provided an ample description of participants and thecontext of the methods. The study employed appropriate datacollection methods for the research.
Thedata analysis was adequately rigorous and time-consuming. The datacollected has been analyzed systematically and provided accurateresults. The researchers’ used a coding framework for analysis,which was designed for creating themes of the data. They alsodiscussed and challenged one another to ensure that data accuratelyreflect the experiences and views of participants. The researchers`also debated on the way data should be interpreted for the purpose ofidentifying and resolving any possible biases to improve thecredibility of the results (Loganathan,Ng & Low, 2016).
Theresearchers’ conclusion is sound. They concluded that the deliveryof multifaceted interventions for complex conditions such as fallsamong older individuals in the South East Asia are impeded bydifferent perceptions towards falls, cultural constraints andlogistic challenges. Therefore, to create a multidisciplinaryintervention to prevent falls among the older people requiresincorporation of strategies such as evidence-based fallsinterventions that would contribute towards eliminating thesebarriers (Loganathan,Ng & Low, 2016).
2)Critique of Evidence presented and the Supports the ResearchersConclusion
Theevidence presented in each section of the article supports theresearchers’ conclusion. The evidence indicated that many olderindividuals did not identify falls as a serious problem, some statedthat the grace of God had helped them by preventing them sustainsevere injuries while some reported of the stigmathat comes with falls. Most of them use traditional medicine andother treatments to treat fall-related systems including pain(Loganathan,Ng & Low, 2016).
3)The protection of human subjects and cultural considerations of thejournal article
Theethical issues of the research have been taken into considerationthroughout the research process. The researchers’ obtained theethical approval for the research from the University Malaya MedicalCentre (UMMC) Medical Ethics Committee and also protected the rightsof the participants by maintaining their anonymity andconfidentiality. Cultural considerations were accounted for wherebythe researchers involved participants from diverse ethnic groups inthe populations in South East (Loganathan,Ng & Low, 2016).
4)Strengths and limitations of the study
Thestrengths of the study include it provided vital informationconcerning factors that can affect the effective implementation ofcomplex interventions in the cultural settings of a society. Thesefactors include accessibility challenges for obtaining modern medicaltreatment and the distinct cultural views towards the use oftraditional medicine as an alternative treatment (Loganathan,Ng & Low, 2016).
Thelimitations of the study include the participants of the study wereselected from one healthcare facility, and thus the barriers ofhospitals as a major barrier to effective implementation of fallprevention inventions could not be investigated further. The datafrom the socio-economic section was not included in the study to showthe participation of the participants in the activities of fallprevention. The study did not carry out a follow-up in order toacquire feedback from participants regarding the findings of theresearch (Loganathan,Ng & Low, 2016).
5)Description of Ways that the evidence informs nursing practice
Theresearch is valuable because it has provided evidence that informsthe nursing practice about the effective prevention strategies forfalls among older populations such as evidence-based fallsinterventions. Also, it informs nurses of the barriers to effectiveimplementation of fall interventions among older populations such aslogistic difficulties and cultural barriers. This information has thepotential for making significant contributions to the improvement ofnursing knowledge. Therefore, the evidence provides nursing practicewith insights on the implantation of operative falls preventionstrategies particular for multifactorial conditions among olderpopulation (Loganathan,Ng & Low, 2016).
Overall,the study was high quality and it met the requirements of aqualitative study. The background information, data collection andanalysis, discussions, and conclusion were all appropriate.
Loganathan,A., Ng, C. J., & Low, W. Y. (2016). Views and experiences ofMalaysian older persons about falls and their prevention—Aqualitative study. BMCgeriatrics, 16(1),97.
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