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Submitted by:

Sosa, Carlo

Submitted to:
Dr. Al D. Biag
Purpose
The study is all about, how mothers feelings and experience about how to feed a baby
with cerebral palsy which being stated on the abstract and introduction.
Title
I found the title attracting specially if it is being read by the mothers with the same
condition. The word “Mothers Voice” is a good word that indicates that the study is a
qualitative one in first sight.

Abstract
 Background Around one third of children with cerebral palsy have severe difficulty
eating and drinking and are at risk of undernourishment. A gastrostomy feeding tube
may be offered as a way of providing nourishment as it bypasses the main physical
difficulties. For the families feeding and concerns about the method of feeding affect
many areas of their daily life but we know little about what the experience is actually
like. This study aimed to explore mothers’ experience of feeding children with cerebral
palsy.
 Methods Ten principal carers for children with cerebral palsy and severe eating
difficulty were interviewed. Four of the children, one girl and three boys aged 2.5 to
4.5 years were being fed solely by mouth and six children, three girls and three boys,
aged 4.5 years to 15 years and 10 months, were fed via a gastrostomy feeding tube.
Long, loosely structured tape recorded interviews were transcribed and manually
analysed using a phenomenological approach. This involved extracting and coding each
relevant phrase that contained meaning; then through sequential stages of ordering and
reduction into themes the invariant meanings were uncovered. The transcripts were
analysed in two groups, oral and gastrostomy feeding, in an identical manner.
 Results Phenomenological analysis resulted in two prose accounts that described in
depth the essence of the experience. The accounts were mutually informative. Both
groups treasured feeding by mouth suggesting that support for oral feeding should be
given a higher priority. The accounts explained why some professional encounters
added to families’ stress and why consistency of care is so important. The study gives
insight about the kinds of support families find helpful.
 Conclusions This study should help those involved to understand the families’
predicament better and so make a contribution towards providing more appropriate
support.

Literature
In qualitative research it is important to review pertinent literature on the subject of study
in an effort to provide a logical background for the efforts undertaken by the researcher
in a given context. G.slegh does indeed draw on some relevant literature to
contextualize her research, although no clear description, synthesis, or analysis of that
literature is evident. For example, in the introduction to the article. As background to
her research, this is particularly useful in that it provides evidence which suggests that
an analysis of how such testing affects feeding and learning is needed. While this
particular reference is helpful in providing some background, the lack of a clear
discussion regarding such literature in the introductory section of the article is somewhat
disappointing. In later sections, however, refer to literature which supports her opinions
– though, this is not equivalent to providing a clear background.
Introduction

The abstract is well summarized which is good for the readers to have an idea on
what the study all about. Based on the introduction it is clearly stated that the problem
which is difficulty of feeding children with cerebral palsy and the nutrient insufficiency
when tey get older exist which is good for the readers because they will have an idea on
what would be benefited from the study. It is also a strength of the study is it’s
significance to medical profession which doctors and nurses may also benefited but the
study focuses on the professional works like NGT feeding which loses the aim of the
study the “Mothers Voices on feeding children with CP” It would be nice that the
procedure needs to be done should be prioritized from independent to dependent. I like
also to comment on the sources, it should be at least latest as much as possible
because the latest the source is the more it would be acceptable.

Sample
Subjects are randomly selected from the target population. The population that
being chosen is not that large because The sample size should be as large as possible.
Sampling error decreases as sample size increases. Population from which the sample
is chosen and study findings are generalized. The question made for the interview is not
that informative and persuasive. At least formulate a question that would catch the
attention of the mother to express more about their exp, feelings and insights for the
study to be more effective.
Method
The choice is good, the study gave the participant chance to share their methods
in feeding baby with CP. It is very important to guard to or not to violate the rights and
privacy of the participant. The chosen method maximizes the benefits of the participants
on this study which is important because the study must be beneficial so that the
participants would have more interest and would participate well on the study. Method
of data collection also have bias. Use of interview technique to gather data has the least
bias because the investigator has less influence on the participant's answers.

Results
It Summarizes and describes the data in a logical, understandable format from research
variables. It is fitted the data being collected but the author fails to relate the result from
the previous study being made.

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