Research Problem, Research Purpose, Research Question
The topic of the research can be formulated in the following way: “The advantages of home dialysis over in-center dialysis”. The interest in the study of home dialysis has increased significantly in recent years. Various surveys have shown that with daily use of home dialysis, survival rates are better than with in-center dialysis (Cunn, 2020). However, ways to prevent the use of in-center dialysis in favor of home use remain insufficiently examined (François & Bargman, 2019). This fact determines the rationale of the research, the purpose of which is to explore the possible ways of preventing in-center dialysis by using home dialysis and the issue of positionality. The question of the work may be reduced to the following: “Why is home dialysis more beneficial than in-center dialysis?”
Information for Topic Development
The article “Home Dialysis in the United States: A Roadmap for Increasing Peritoneal Dialysis Utilization” by Erin et al. was chosen as one of the theoretical works used for the research. The purpose of the study was to understand the perspectives of using home dialysis in the USA. In the research paper, the authors state the question – how can using home dialysis help in increasing peritoneal dialysis utilization? It describes the results of different studies showing how the use of home dialysis contributes to improving kidney care (Flanagin et al., 2020). The research covers social, clinical, and financial factors of the issue that are supported by statistical data. Nevertheless, such components as graphs and diagrams should be added to the work to make calculations more illustrative (Jacobsen, 2020). From the subjective viewpoint, the work obtains positionality, the data presented and analyzed in the research does not arise bias. The authors take into account temporal, spatial, and cultural aspects in order to draw conclusions as close to the objective reality as possible.
As for reflexivity, the essence of the phase is that the researcher, having received the results, should reflect on them and comprehend, compare, evaluate the initial and final states. These are the object of activity – self-assessment of results; and the subject of activity, i.e., self-reflection.
The self-assessment of research results is significantly influenced by their recognition or non-recognition by the scientific community and the community of practitioners. At the same time, qualitative research should be based on the concept of double reflexivity. It implies that the topic which a researcher studies cannot be divided into subject and object. Based on this logic, the work should include interactive observation related to survival in the studied community in-depth interviews using non-structured questionnaires. Double reflexivity is the relation between several elements, which are the observed object by the researcher, the interpretative actions of the researcher, and the subjectivity of the object (Jacobsen, 2020). The article analyzed does not comply with the principles of double reflexivity.
This is since the interpretation of the data was presented in it before the in-depth interview. This could affect the course of the experiment or send the scientist on a false trail. Working according to the principle of two-phase reflexivity allows the researcher to avoid extraneous information background. The questions constructed in this way act as a filter that helps to get the least distorted data. This approach, in my opinion, could be applied in the article under consideration. It can also be concluded that the degree of the researcher’s presentation of the position, reflexivity, and bias is quite well worked out in this work. In addition, the design of the study is presented carefully and thoughtfully, and perhaps more information about the implication of the scientific work should be added.
References
Cunn, R. M. J. (2020). Review of hemodialysis for nurses and dialysis personnel (10th ed.). Mosby.
Flanagin, E. P., Chivate, Y., & Weiner, D. E. (2020). Home dialysis in the United States: A roadmap for increasing peritoneal dialysis utilization. American Journal of Kidney Diseases, 75(3), 413–416. Web.
François, K., & Bargman, J. M. (2019). Peritoneal dialysis. DeckerMed Nephrology, Dialysis, and Transplantation. Web.
Jacobsen, K. H. (2020). Introduction to health research methods: A Practical Guide (3rd ed.). Jones & Bartlett Learning.