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Health, Medicine, Nursing
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Article Critique
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English (U.S.)
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Research Article Appraisal Representative Population

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Research Article Appraisal
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Research Article Appraisal
The article evaluates the effectiveness of the community-school based program made to conduct a campaign on the ways of preventing and living Asthma free lives. An academic health program is organized to ensure that the targeted population is responsible enough to take care of themselves and fight against the disease. The process would involve counseling sessions including the purpose of the study, Staying Healthy- Asthma Responsible & Prepared (SHARP). The evaluation included school and community participation because the Asthma mortality rate is high among adolescents and older-school students hence carrying out the work in the learning institutions would help to capture the target population (Kintner, Cook, Marti, & Stoddard, 2015). Researchers employed specific designs and methods to ensure efficiency in the learning program. Certain samples of the required population represented the entire group of people needed for the evaluation. Analysis of the representative population takes place in an attempt to acquire sufficient answers. The final results allow the care-givers to improve the practices of effective self-care behaviors to minimize the rate of asthma attacks.
The population of the study involved caregivers of two hundred and five students in their grade four and five at the time of selection. All the scholars had their ages ranging from fourteen to nineteen years whereby the adolescents in this age bracket suffered from inefficient self-care to prevent asthma. Random sampling is contacted whereby only certain representatives of each group of students are chosen to give a part of the whole. Some of the groups include; race, enrollment numbers, math scores, and ethnic ratios. The method of sampling chosen ensured that all the members of the population got represented in the study by covering all the available groups in the demographic required. All the twenty-three selected schools accommodated students from all levels of the population like; minorities, middle-class families and sets found in the inner city. The selection gave the study a sense that people did not suffer from asthma due to poverty. The sample size allocated for the study proves that the sampling technique used had a greater level of bias because only six families without a specific number of students given withdrew from the research (ISixSigma-Editorial, 2018). There exists a high probability, not all the selected students who did not take part in the study had withdrawn for personal reasons as indicated in the text. An eligibility chart showed that the number of victims had reduced to 12% over twenty-four months hence giving the inclusion and exclusion procedure implemented. Random sampling is an accurate method because all the population is represented in the samples selected. The planned sample size is determined by the number of students willing to participate without constraints from their family settings. The selection process for the sample size did not face a great length of refusal because only six families withdrew and the final sample size became two hundred and five. At the end of the study, the sample size had reduced to one hundred and fifty giving an attrition rate of 60%.
Certified elementary school teachers who involved trained and supervised nurses had the duty of delivering the study programs implemented. All deliveries occurred every week with school teachers having a well-known identification in the district by the school nurses. The final approval to run the programs involved audio-recorded and reviewed sessions for each program to ensure fidelity in what the students had to learn. The programmers ensured a follow up in their ethical presentation by ensuring that all caregivers received the required materials and the students got 100% from their specific sessions. Students selected for the programs and their caregivers had an opportunity to attend the community component as well the school component as indicated. The component engaged in learning at school is ten sessions, each taking fifty minutes. All the students received free handouts to take to their caregivers for further understanding of the topic of study. The notes had simple instructions given in bullet form to ensure that the readers understood the notes well. The duration of learning covered a friendly period to ensure that the students understood well. The community set took ninety minutes because it could never come to a boredom stage as the entire participation included a lot of interaction. Members of the social networks received invitations for the community component whereby a specialist nurse could give them the required information through the presentation. The specialist would ensure that all the participants get some useful information from the meeting. All the topics in this component have an important impact on the prevention and self-care for asthma. The caregivers who were not in a position to attend the meetings received the SHARP community component tools and an information booklet to acquire the required guidelines for the campaign. Students and caregivers acquired important information on the prevention, recognition of signs and the correct measures to respond to asthma appropriately.
Measuring the effectiveness used ten instruments for fifty indicators of eight variables needed for the model, an action made possible by the multiple subscales on the instruments. The model involved latent variables that required specific instruments for accurate observations. All the important aspects of the instruments including validity, reliability, and consistency got addressed well to ensure efficiency when using the self-care tools hence caregivers did not face a hard time in their implementation. A 39-item survey instrument is used in the survey of history on the general health of the population. The demographic information collected by this instrument included family structure, age of the students and the grade attained in class. Related information takes into consideration the age at which the symptoms appear first, giving into account the condition, treatment given and the various ways to manage the situation. The family income score and occupation of the caregivers determined their social and economic status. A 34-item, 5-point Likert-type measuring instrument aided in the survey regarding asthma health behaviors. The survey majored on the management of the condition in various ways like using the right medication as prescribed and the implementation of appropriate management of the symptoms. The other aspect of attention by this instrument involved prevention behaviors to ensure safety (Nurs, 2016). People are advised to talk with others and seek help when in need, follow and watch programs on the symptoms and keep in touch with health caregivers. Some of the prescribed safety measures included using a pillow and mattress protector. Some behaviors involved in promoting health include exercising when the symptoms have not occurred to keep fit, acquiring adequate sleep every night, maintaining general cleaning and rinsing one's mouth after using the inhaler. The feeding habits are not captured due to failure in the ...
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