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Clinical Nursing Research
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Methodological Issues Encountered in a Study of Hospitalized COPD Patients

Janice Bissonnette

Queensway Carleton Hospital

Jo Logan

Barbara Davies

Ian D. Graham

University of Ottawa

A study with hospitalized chronic obstructive pulmonary disease (COPD) patients determined the feasibility of providing and evaluating a tailored education program. This article describes two methodological issues encountered. Issues included recruitment and retention, and selection of outcome measures. The COPD Self-Efficacy Scale (CSES) and Dartmouth Functional Health Status (FHS) charts provided data on evaluation and outcome measurements. Of 67 patients, 55% met eligibility criteria, 73% (n = 27) agreed to participate, and 74% (n = 20) completed the study. Results revealed acceptance and satisfaction with the educational intervention. The median CSES score, significantly (z = 3.51,p = .004) improved from 53% to 82%. In FHS, a 20% improvement occurred in all except social support. Methodological concerns with the CSES reinforced the need for further investigation of the reliability and validity for hospitalized COPD patients. Researchers’ observations may assist in planning educational interventions and program evaluations with hospitalized COPD patients.

Key Words: COPD • patient education • self-efficacy • functional health status • recruitment • methodology with chronic illness

Clinical Nursing Research, Vol. 14, No. 1, 81-97 (2005)
DOI: 10.1177/1054773804268175
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[Abstract] [PDF]