Anorexia Nervosa: Treatment Expectations – a Qualitative Study This article was authored by Paulson-Karlsson and Nevonen in 2012 by Journal of Multidisciplinary Healthcare. This article was single blind peer reviewed, stating the reviewers were anyomous to the authors and were not influenced by the authors. The setting of the research was at Queen Silvia Children's Hospital in Göteborg, Sweden. Fifteen women between the ages of nineteen and twenty-four while on the waiting list in the specialized unit were picked consecutively. Eight of the participates contacted the hospital themselves to be interviewed. A qualitative content analysis approach was used, this involved the interview text was reviewed multiple times and the main context …show more content…
Study Methods Graneheim and Lundman’s content analysis approach was used for this research. It is a research tool used to analysis content meanings and is widely used in quantative research models. Certain words, themes, phrases or sentences are dissected and categized according to certain characteristics. The initial question in the study was asked, “What do you expect, now that you are on the waiting list for a specialized eating-disorder unit?” The responses were then categorized into themes and content. In this study, fifteen women between the ages of nineteen and twenty-four with a mean body mass index of 17.2. Out of the fifteen participants, four had previous Anorexia Nervosa treatment experience. During the interview process, the answers were analyzed and put into three main categories; Treatment content, Treatment Professionals and Treatment focus. In each of these main categories, subcategories were added to further separate the interview answers. In Treatment content, five subcategories were submitted; information, therapy, therapeutic conversation, support and advice, and goals. Treatment professions has two subcategories; professional qualities and personal qualities. Treatment focus …show more content…
The interviewees came to the interview with positive thoughts of getting treatment. They expressed hope in treatment, striving towards recovery with positive experiences with an empathetic staff.
Citation
Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24:105–112. [PubMed]
Paulson-Karlsson, G., & Nevonen, L. (2012). Anorexia nervosa: treatment expectations – a qualitative study. Journal of Multidisciplinary Healthcare, 5, 169–177.
Thesis Statement: It is important to understand eating disorders and the types of eating disorders to overcome them and seek the proper treatment.
Sampling methods and data collection were clear. The sample is thoroughly described, as well as the researchers approach and why the purposive and snowball sampling method was appropriate for the ethnographic study. Milburn (2017) referenced sources to validate why these methods were appropriate. If the researcher fails to adequately describe the sample, it can lead to questioning if the strategy can be applied to clinical practice (Polit & Beck, 2017). The data collection and analysis were described, with the process for each. Important points were made to show the credibility of the study. The points made by Milburn (2017), such as consent was obtained, the study being approved by the Education/Nursing Research Board for ethical consideration, and an expert qualitative researcher overseeing two research assistants, all exemplified the quality of the study. Milburn
‘A psychiatric disorder characterized by an unrealistic fear of weight gain, self-starvation, and conspicuous distortion of body image. The individual is obsessed with becoming increasingly thinner and limits food intake to the point where health is compromised. The disorder may be fatal. The name comes from two Latin words that mean nervous inability to eat.’ Therefore due the physical and medical implications that anorexia nervosa presents, for an individual who experiences the condition, compulsory treatment is often deemed necessary. However this is often grounds for serious ethical debate between many, including medical professionals, those who experience anorexia nervosa and indeed social work practitioners. Thus the following essay will seek to explore the ethical issues that may pertain should the compulsory treatment of anorexia nervosa be utilised. By discussing the principles of ethical treatment, including the rights of the individual and also considering the benefits of allowing the individual to choose their course of treatment, view on the compulsory treatment of anorexia nervosa.
Thomas, E., & Magilvy, J. (2011). Qualitive Rigor or Research Validity in Qualitative Research. Journal of Specialists in Pediatric Nursing , 151 - 155.
Qualitative research can often be labelled as biased and anecdotal however Anderson (2010) argues that when carried out rigorously it can be unbiased, in-depth and creditable, in fact becoming a leading research method for evidence based nursing. White (2006) explains that when the research is based on people’s perceptions then qualitative research is appropriate, it aids in developing an understanding for peoples understanding, feelings values and opinions. Qualitative research seeks to develop explanations for social trends/events, thus encouraging detail and depth whilst creating openness (Bamberger, 2000). In addition IVONNE (2004) reasons that qualitative research gives brand new insights by providing differing ideas on current practices. On the other hand, Abawl (2008) highlights that data collection can be very time consuming, open to interpretation and consequently influenced by researcher bias.
Power point slide Qualitative research is a difficult term to define…. Nevertheless, it is important to be familiar with some definitions in the field. The definition provided by Creswell 2009 is enlightening because it incorporates ……….. most important part of definition for me were reports detailed views of informants and natural setting.
It was very interesting to find that those with anorexia nervosa find more positives about their disorder rather than more negatives. Serpell (1999) states that, “One of the most interesting features of anorexia nervosas which sets it apart from many other conditions is the highly valued nature of anorexic symptoms. This is expressed in patients’ generally positive beliefs about their condition and contributes to their ambivalence about treatment (pg. 177). I think that with this article, it makes it more difficult for researchers to really find an effective treatment plan for those with anorexia nervosa partly because they find so many positive beliefs about their disorder and partly because maybe those with the disorder may not take treatment seriously or it may be more difficult to treat because they think so highly of their
Anorexia nervosa is an eating disorder that consists of self-regulated food restriction in which the person strives for thinness and also involves distortion of the way the person sees his or her own body. An anorexic person weighs less than 85% of their ideal body weight. The prevalence of eating disorders is between .5-1% of women aged 15-40 and about 1/20 of this number occurs in men. Anorexia affects all aspects of an affected person's life including emotional health, physical health, and relationships with others (Shekter-Wolfson et al 5-6). A study completed in 1996 showed that anorexics also tend to possess traits that are obsessive in nature and carry heavy emotional
Anorexia nervosa and bulimia are eating disorders that severely affect both men and women around the world. The cause of the eating disorder usually derives from psychological, biological and social forces. Eating disorders have become an epidemic in American society, twenty-four million people of all ages and genders suffer from an eating disorder in the U.S. (National Association of Anorexia Nervosa and Associated Disorders.\, 2011). There are many ways to address and treat an eating disorder. There have been multiple studies conducted to test the effectiveness of different types of treatment. My central research question analyzes the relationship between the continuation of the eating disorder with the presence of intervention or some
Qualitative research methodology is a communal approach in evidence based practice and nursing practice. Methodological rigor in appraising a qualitative research approach is an inevitable piece, it makes qualitative evidence reliable, honest and believable or in other words trustworthy. In qualitative research where rigor is used one can clearly note consistency, credibility and in-depth quality (Mcbrien, 2008). Methodological rigor is a necessary backbone for qualitative research, it should not be ignored or omitted during critically appraising qualitative evidence. Four major criteria used in appraising the methodological rigor include Member-checking, peer debriefing, reflexivity and audit trails (Mcbrien, 2008).
The design of our research was qualitative seeking to obtain opinions, experiences, and situations nurses are presented with along with particular influences affecting their actions.
The average age was 16.6 years. All women had a diagnosis of Anorexia Nervosa as indicated by DSM-IV and never received FT prior to the study. Patients and family were informed of the study when admitted to impatient care. Unfortunately, the sample size is quite small and there is a gender bias. This study only generalizes its results to females in their teens and early twenties who are hospitalized in inpatient care. Randomization does not occur in the sample selection.
Fairborn (2005) points out that there is a range of treatment options and a variety of treatment settings for anorexia nervosa, however there is inadequate empirical support for this abundance of options as what minimal research on the treatment has been inconclusive. One reasoning behind this is that anorexia nervosa has been an uncommon disorder and sample sizes for studies have been low. Furthermore, the lack of evidence based treatment research can be attributed to the individual’s avoidance of treatment and dropping out of treatment. Many individuals with anorexia nervosa are unwilling to change as their identity and self-worth are intertwined with their distorted body image; they tend to deny that anything is wrong with their weight and are ambivalent on changing (Abbate-Daga, Amianto, Delsedime, De-Bacco & Fassino,
Content analysis is the major approach to analyzing qualitative data it is “a systematic research method for analyzing textual information in a standardized way that allows evaluators to make inferences about that information. (Weber, 1990) “A central idea in content analysis is that the many words of the text are classified into much fewer content categories.” (Weber 1990) the essential result is an attempt at harvesting important themes without losing the richness of meaning by way of numeric analysis. It is clear therefore that qualitative research has the means with which results can be achieved without lost to structure.
Qualitative research methods have become increasingly important as ways of developing nursing knowledge for evidence-based nursing practice. Qualitative research answers a wide variety of questions related to nursing's concern with human responses to actual or potential health problems. (Ploeg J, 1999)