Critique of the Introduction This paper critiques a nursing research study that evaluated the effects of home-based exercise on patient’s perceived self-efficacy (PSE) who underwent a thoracotomy for non-small cell lung cancer (NSCLC). The title of the paper is “Too Sick Not to Exercise: Using a 6-Week, Home-Based Exercise Intervention for Cancer-Related Fatigue Self-management for Postsurgical Non-Small Cell Lung Cancer Patients”. The authors of the paper are Amy J. Hoffman, PhD, RN, Ruth Ann Brintnall, PhD, AOCN, APRN-BC, Jean K. Brown, PhD, RN, FAAN, Alexander von Eye, PhD, Lee W. Jones, PhD, Gordon Alderink, PhD, PT, Debbie Ritz-Holland, BSN, RN, OCN, Mark Enter, RN, OCN, Lawrence H. Patzelt, MD, & Glenn M. VanOtteren, MD.
Research indicates …show more content…
This framework helps to provide information regarding the individuals’ perceived self-efficacy in relation to fatigue management and severity. The aim of utilizing this theoretical framework was to improve patient’s perceived self-efficacy and ultimately improve their ability to self-manage their exercise which can improve their cancer-related fatigue (Hoffman et al., 2013). In addition to the theoretical framework, an underpinning was also included, the Transitional Care Model. The focus of the Transitional Care Model in relation to this study was to promote continuity of care as patient’s transition from hospital to home. Transitional care includes symptom management, collaboration among patient and providers, and …show more content…
This design is appropriate for the study conducted and research question. There was no control group in this study. The intervention group received 6 weeks of home-exercise utilizing the Wii with treatment beginning with patient’s first home-visit from a healthcare team member. Patient’s began with warm-up exercises and then performed walking and balance exercises for 5 minutes each day for the first 5 days of the first week of the intervention. At the end of each week, patient’s perceived self-efficacy was measured by the nurse. A PSE of 70% or greater would allow the patient to increase their exercise 5 minutes per day each week in order to reach their goal of 30 minutes of exercise per day during the last week of the intervention. The Wii utilizes activities including walking, skiing, golf and soccer (Hoffman et al., 2013). Patients were also required to wear a pedometer to measure their steps each day which were then recorded by the
Research indicates …show more content…
This framework helps to provide information regarding the individuals’ perceived self-efficacy in relation to fatigue management and severity. The aim of utilizing this theoretical framework was to improve patient’s perceived self-efficacy and ultimately improve their ability to self-manage their exercise which can improve their cancer-related fatigue (Hoffman et al., 2013). In addition to the theoretical framework, an underpinning was also included, the Transitional Care Model. The focus of the Transitional Care Model in relation to this study was to promote continuity of care as patient’s transition from hospital to home. Transitional care includes symptom management, collaboration among patient and providers, and …show more content…
This design is appropriate for the study conducted and research question. There was no control group in this study. The intervention group received 6 weeks of home-exercise utilizing the Wii with treatment beginning with patient’s first home-visit from a healthcare team member. Patient’s began with warm-up exercises and then performed walking and balance exercises for 5 minutes each day for the first 5 days of the first week of the intervention. At the end of each week, patient’s perceived self-efficacy was measured by the nurse. A PSE of 70% or greater would allow the patient to increase their exercise 5 minutes per day each week in order to reach their goal of 30 minutes of exercise per day during the last week of the intervention. The Wii utilizes activities including walking, skiing, golf and soccer (Hoffman et al., 2013). Patients were also required to wear a pedometer to measure their steps each day which were then recorded by the