Was there a conceptual/theoretical framework, rationale, and/or map, and (if so) was it appropriate? If not, was the absence of one justified?
Jolley et al. (2014) in their research assert the fact that the mobilization of patients who are critically ill in the intensive care unit (ICU) acts to reduce the duration of mechanical ventilation together with improved discharge of patients. The study adopts a conceptual framework given the fact that it establishes the causal relationship between two variables, that is extent of physical therapies performed on patients with the progress from MV. The study therefore focuses on the effect of physical therapy on patients who have been on mechanical ventilation for prolonged periods of time.
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The rationale behind this is given the fact that the study notes that prolonged mechanical ventilation has some rather negative effects on patients even resulting in impaired physical function. The conceptual framework adopted for the study was ideal given the fact that the study manages to make a connection between the administration of physical therapy and PMV. Furthermore, the study establishes the appropriate indicators and variables to be adopted for the study. The rationale of the study is well placed given the fact that an individual is able to deive the negative effects of PMV together with the impact that physical therapy has had on patients in such conditions in the past.
Research design, was the most rigorous design used, given the study purpose?
The objective of the study was to identify the factors that determined the administration of physical therapy to PMV patients. The research design adopted for the study used a retrospective cohort study with the relationship between data collected examined through multivariate logistic regression. Given the fact that the parameters chosen for the study were predominantly discrete, a logistic regression is ideal for the study. Furthermore, the administration of the Wilcoxon rank test ensued validity of the results that were obtained. Given the aforementioned facts, it is safe to conclude that the research design that was chosen was rigorous enough for a study of this nature.
