Analysis of a Nursing Research Study

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The article notes that the incidence of individuals withschizophrenia has increased in Taiwan. Most of the individualssuffering from the mental illness require care once they are releasedfrom psychiatric hospitals. Hence, it is not just the sick person whois affected but the caregivers as well. Caregivers include relatives,spouses or families. Because the family members act as the maincaregivers for their loved ones, Hsiao and Tsai (2014) argue that itis important to study how caregivers are affected. The article notesthat while for some, care giving is linked with burden others mightexperience satisfaction, which acts as the basis of the study.


The study addresses the problem of schizophrenia and how it affectsnot just the sick, but caregivers also. The study is important fornursing to explore because it informs on the impact the mentalillness may have on caregivers. Nurses can use the results of thestudy to device ways of enhancing care giving, to reduce the burdenand enhance satisfaction for caregivers.


To explore the attributes of caregiver satisfaction as well asburden among people and relatives providing care for persons withschizophrenia. The purpose is further categorized into three aims.

“To identify the degrees of family demands, SOC (sense ofcoherence), mutuality and caregiver burden and satisfaction atindividual and family levels to investigate the impacts of pile-upof demands, SOC and mutuality on caregiver burden and satisfaction atindividual and family levels and to assess the effect of caregiverburden on caregiver satisfaction (Hsiao &amp Tsai, 2014, p. 262).”

Nursing involves taking care of sick people. Hence, the study issignificant because it informs on what attributes can causecaregivers to feel burdened or satisfied. Since nurses provide carefor schizophrenia patients while they are in hospital, the studycannot only relate to family caregivers, but nurses too.

Research Questions

How do the levels of demands, SOC and mutuality considerably resultin caregiver burden and satisfaction both at the family and personallevels? How does the caregiver’s burden have a significant impacton satisfaction? The questions are broadly stated because they usedomains to address the causal relationship between taking care ofsomeone with schizophrenia and how it leads to satisfaction orburden.

Study Design

The cross-sectional correlational study design has been used. It isan observational research, which involves collecting data from apopulation at a particular period. It does not involve themanipulation of variables (Macnee&amp McCabe, 2008).The study design makes it possible for a researcher to observermultiple factors at once. Also, the design is used when observing theprevalence of something within a specific population (Macnee&amp McCabe, 2008).It is appropriate to the study because it makes it possible for theresearchers to observe the different variables, as well as explainhow they relate. Threats affecting internal validity include:

History – the possibility of important happenings external to theexperimental intervention might occur while observations are takingplace (Bryman,2015).

Maturation – natural changes might take place during observations,which affect the observation measurements (Bryman,2015).

External issues include: reactivity – the possibility of the studyparticipants reacting to the conditions of the experiment (Bryman,2015). Since most ofthe participants are already aware of the study being conducted, itinfluences how they respond to questions asked.

Sample and Setting

The sample is large enough because it comprises of 140 families,whereby 243 individual caregivers were engaged. The sample representsthe target population because it comprises of caregivers. This alignswith the purpose of the study, which is to determine the caregivers’level of burden and satisfaction. The setting is two psychiatrichospitals and is appropriate because it makes it possible to collectdata at a specific period of time, which aligns with thecross-sectional correlational study design employed.

Study Instruments/Tools

The study instruments are questionnaires. The researchers, throughinterviews asked the participants to respond to the questions. Toenhance validity and reliability, all participants consented totaking part in the research. Also a full explanation of the researchand guarantee of confidentiality enhances the validity. Theinstruments used were appropriate because the study participants wereexpected to explain how mutuality, demands and sense of coherenceeither caused burden or satisfaction, responses to which areeffectively attained through questionnaires.

Data Collection Methods

Data was collected via structured interviews. The interviews werealso face-to-face and collected in a period of 50 minutes. Themethods are suitable to the quantitative study because data iscollected within a specified time of 50 minutes, and at one point.The subjects were protected via guaranteed confidentiality. The stepsare adequate since the data is collected during a specific period andinvolves questionnaires. This means that subjects are guarantee thequestions answered during that time will never be disclosed to thirdparties.

Data Analysis Procedures

Data is analyzed through descriptive statistics and linear mixedmodeling. The analysis procedures are appropriate because they makeit possible to collect the caregivers’ characteristics and estimatethe effects of the variables. The analysis significantly answers theresearch questions by making it possible examine the causalrelationship between the variables.

Strengths/ Limitations

Strengths – the study answers the research questions. The findingsindicate that caring for individuals with schizophrenia is linked toboth burden and satisfaction. Also, the researchers successfullyexplain how the variables cause either burden or satisfaction.Limitations – the use of a cross-sectional design on such a largesample size enhances ambiguity. Also, the caregiver may experienceboth burden and satisfaction during the interview, which makes itdifficult to make a conclusion on such a subject. The findings arevalid because they align with other studies that have already beenconducted on the same issue. The findings can be used in nursingpractice as well as education, however the limitations must be putinto consideration.


Bryman, A. (2015).&nbspSocialResearch Methods – 5th Edition.Oxford: Oxford UniversityPress.

Hsiao, C-Y &amp Tsai, Y-F. (2014). Caregiver burden and satisfactionin families of individuals with schizophrenia. Nursing Research,63(4), 260-269.

Macnee, C. L., &amp McCabe, S.(2008).&nbspUnderstandingnursing research: Using research in evidence-basedpractice. Philadelphia,PA: Wolters Kluwer Health/Lippincott Williams &ampWilkins.