Dashiff, Riley, Abdullatif & Moreland (2011) goal in this article was to describe the experiences of parents of 16 to 18 years old adolescent with type 1 diabetes Mellitus (TIDM). Information gained from this research can be use to develop education program that will help parents with TIDM adolescent self-management efforts.
In support of the research, a thorough discussion of the difficulty parents have in letting go when their children reaches the age to take over the management of their diabetes because as parents they have always been the one to provide this serve for their children. Parents as they stated have always been the core in making sure their children achieve a good glycemic control (Dashiff, Riley, Abdullatif & Moreland 2011). The researches made an additional argument in support of their study by stating that there were numerous literatures from the prospective of the adolescent about their parents but that knowledge about parents’ feeling and their behavior is lacking (Dashiff, Riley, Abdullatif & Moreland p.304). The significance of this study, to nursing or health care lies in our nursing code of ethics. The code of ethics 2.1 Primacy of the patient’s interest states ‘The nurse’ primary commitment is to the recipient of nursing and health care services-the parent-whether the recipient is an individual, a family a group, or a community. Nursing holds a fundamental commitment to the uniqueness of the individual patient; therefore, any plan of care must reflect the uniqueness” (2001) American nurses association. As nurses and health care providers, our sole responsibilities are to those we serve, our patients such as the cohort in this study, families and the community.
One of the most important aspects of conducting a research study is to clearly state the purpose of the study. In this study on P 304 the authors clearly stated that the purpose of the study was to describe the experiences of parents of 16-18 years –old adolescents with TIDM in transitioning diabetes self-management to their adolescent.
The research question as noted in the topic was stated broadly enough for a qualitative study. It involved asking the subjects various questions via audio taped interviews in “semi-structured one – hour interviews”. There was initial broad open ended questions/general question as noted in qualitative research and then the questions became specific. One of the initial general question was “ what has it been like for you as a parent(s) of a teenage with diabetes now that he/she is _ years old” and one of the specific question was “what do you find yourself (yourselves) doing or saying that does not seem to support your adolescent taking care of his or her diabetes?” I feel that both questions were broad enough for a qualitative study. They applied to all of the subjects and were still detailed enough for each individual to give a specific answer-P. 305.
The study design supports the qualitative approach the authors used Sandelowski 2000 model in gathering the information from the parents. The used of this qualitative model enable the researchers to gather information from the parents without them having a predetermine idea of the variables P 305. This method allowed the investigators to report their findings in the participants own language. The subjects that participated were recruited from a larger pilot study that assessed parental autonomy support and adolescent self-management of TIDM. The method used to recruit the participants was consistent with qualitative methodology with the used of letters from the endocrinologist and the principal investigator and through personal contacts through clinic visit...
The recruitment of the participants from the children’s hospital endocrinology clinic was appropriate.
The data collection method was appropriate for a qualitative study. In a qualitative study data that are collected in a narrative form during the course of the study such transcription of a structure interview is appropriate for a qualitative study.
Conducting a research study in human subjects requires that an inform consent that includes a thorough explanation of the nature of the study, risk and benefits and the participants ‘ right to with draw from the study at any time be observed. The inform consent must be approved by an institutional review board (IRB)... In this study, that procedure was implemented and stated in the article.
Evidence of data saturation presented in the study by the authors in that throughout the data collection and interview process, each parent was offered the opportunity to provide their prospective, and when possible they conducted second interviews for clarification P.305
In analyzing qualitative data, the researcher organizes the narrative information from the data collected to assist him in understanding the important meaning of the story being told from the information gathered. The authors in this article in analyzing the data first coded the data so that a systematic understanding could be made from the study. The data analysis procedures were appropriate for the type of data collected and followed the qualitative method. The data was analyzed to ensure there were no biases. Interviews were conducted by an investigator and two doctoral students. After the interview, coding on the transcripts was done independently. During the coding process, key words and phrases reflecting key points of the parent’s answer to the interview questions were records in the transcript margin. After the coding, the group met and collectively reviews the coding together. A final set of coding was agreed upon if there was consistency among the coders. If there were differences, it was rectified via discussions. The final step to the data analysis was to have similar codes grouped together according to themes and organized into a matrix from each interview question. Further, the themes and codes were organized where a grid was produces. The grid displayed all quotes from families within each of the codes. The independent coding, the matrix, and the grid all identify qualitative methodology.
Scientific rigors include the manner in which the research conducts and interprets his data. In a qualitative research the center theme of the data collection is dependent on interviews, questionnaire and observations. In this study, the researchers documented a depth of data collection and used Sandelowski 2000 qualitative content analysis tool in analyzing the data.
The conclusion of the study was appropriate based on the data collected. The parent’s description of negative experiences such as struggles, frustration and worry about adolescent self-management. In addition they also concluded that the parents supported their adolescent’s self-management primarily by reminding them and recognizing positive aspects of the management of their diabetes P.304. The outcome and implications are appropriate and clearly stated. The study found the concerns for teens to be able to self- management their T1MD as they prepare to leave home can be off high importance to parents. Also that the transition of care is a balancing act for a parent and involves promoting the self-management without competing with a teen’s need to be independent as if parent does not learn how to balance the transition, he/she may end up alienating the teen.

The researchers made a case for clinicians to be active participants in educating and helping parents share their experiences, coping with their emotions and to help motivate adolescents in the transitions of TIDM self-management p304. The researchers also identify some aspects the study did not take into account. For example, the sample consisted only of parents who were willing to participate and therefore, may be biased toward families who were unwilling to verbalize their experiences. They also identified the fact that parental strategies might differ with a different sample and with different A1C values. These comments lead me to believe that there is room for future research.

Reference

Code of Ethics for nurses with Interpretive Statements, ANA Silver Springs, MD 2001