Hi. my name is Cindy Walters. I am showing a qualitative research review on a survey conducted in 2011 on people with bipolar upset with comorbid substance usage. The survey is entitled “The lived experience of grownups with bipolar upset and comorbid substance usage disorder” written by Terry Ward. MSN. PhD. RN. Bipolar upset involves alterations in knowledge. behaviour. and temper. The episodes of bipolar upset rhythm through passion and depression. Mania is described as an elevated. cranky. or expansive temper. whereas depression is the opposite or hypomania. In the frenzied stage people present as euphoric. enthusiastic. and optimistic with an infective personality. The euphoric province may all of a sudden may be replaced by utmost crossness if the individuals demands are non met. In a frenzied stage the person’s address may be rapid. loud. intrusive. and difficult to follow or disrupt. If person tries to disrupt a frenzied individual he or she can merely as rapidly become. endangering. cranky or attacking ( Ebert. Loosen. Nurcombe & A ; Leckman. 2008 ) .

Substance maltreatment is the extra usage of drugs such as intoxicant. illicit drugs. and prescription medicines. The figure of people mistreating drugs and intoxicant is about 3. 4 million. Those persons mistreating have a greater alteration of geting a mental upset at a rate of 2. 7 times more likely than a non-abuser. harmonizing to the National Survey on Drug Use and Health persons with a psychiatric diagnosing such as bipolar upset have 28. 8 % opportunity of substance maltreatment or usage of drugs. Persons utilizing drugs with a mental upset. within a twelvemonth are diagnosed as dependant on them ( Ebert. Loosen. Nurcombe & A ; Leckman. 2008 ) . If bipolar upset and substance usage upset are combined. they have a annihilating consequence with negative results for those persons. Understanding the job with the ability to pull off bipolar upset with the proper intervention. wellness attention suppliers can better patient results and his or her mentality on life. The job is clearly stated in the abstract and first paragraph of the survey.

Several statistics of drug usage are quoted to give the reader an estimation and prevalence of this dependence with an unknown cause. The writer addressed four hypotheses to explicate this phenomenon. The negative results in the usage of substances and bipolar upset affect a individual mentally. physically. and functionally. The writer stated the prevalence was high and does non have adequate attending in research surveies. With increased cognition. wellness attention suppliers will be able to present new avenues for research. instruction. and nursing pattern. The intent of the survey is to see how the persons perceive their day- to- twenty-four hours experience of life with the upsets. A survey done by Cassidy et Al. ( 2001 ) addressed back uping and keeping the patient’s stableness and quality of life with effectual intervention. Other surveies focused on pharmacotherapy. psychosocial factors. and intercessions as countries of research. Small research has been done on the phenomena.

The research worker provided the wide platform for a qualitative survey for persons to portion and talk freely of their experience with the hope the patients will be heard. acquire support. and have better results. The method of this survey was a descriptive and phenomenological design. “Phenomenology accepts that the truth can be revealed through the words of those that live the experience and that those words can depict the kernel of that lived experience” ( Thomas & A ; Pollio. 2002. pg. 184 ) . “Descriptive phenomenology has its accent on depicting cosmopolitan kernels through direct interaction between the research worker and the objects of study” ( Wojnar & A ; Swanson. 2007. pg. 22 ) . Decisions could be drawn from the research worker of the topic experiences. The method adequately addressed the subject and gave acceptance to the capable experiences of life with a double diagnosing. The design was consistent with qualitative surveies and proved to be as descriptive and true as the research worker intended. Sampling was obtained over a four month period with the usage of flyers.

Fliers contained inclusion standards and were validated by expert research workers for content. dependability. and readability. Besides in the flyers contents were the research worker contact information. hazards. and benefits of the survey. Mental wellness attention centres were the beginning for the distribution of the flyers for topics of the survey. Snowballing and referrals came from doctor’s offices and recovery centres for maltreatment that were besides included in the distribution of flyer for topics. The credibleness came from phone calls made by possible topics naming the research worker and were given reiterated instructions of the account for the survey. inclusion standards. exclusion standards. hazards. and benefits. The sample consisted of 12 stable topics non utilizing drugs with a self-reported bipolar upsets. and non presently manic or depressed. The demographics pulled out male. female. average age. and nationality. The description of the inclusion standard showed the participants inferred for the sample were familiar and knowing about the topic.

The participants were chosen for the intent of depicting their experience of life with the double diagnosing for this survey. The standards and descriptions were consistent for qualitative survey. The sample size was little and consisted of merely one male. Although facts indicate that more females have a double diagnosing of bipolar upset with substance usage upset ( Ebert. Loosen. Nurcombe & A ; Leckman. 2008 ) . Data aggregation began with IRB blessing and a written and verbal informed consent. Written consent was obtained for audiotaping of interviews with the apprehension that at any clip should the participant chose. the recording equipment could be turned off or the interview stopped. During emotional times of the participants they were asked by the research worker if they wanted the tape turned off or wish to halt the interview.

Probe inquiries were used by the research worker to acquire the participant to spread out on their accounts and ideas. Wards probe inquiries were “describe for me a typical twenty-four hours that would assist me understand what your life is like” or “how did you experience when you were told you had both bipolar upset and a substance usage upset? ” seemed to motivate the participant to talk ( pg. 21 ) . During the inquiries the research worker jotted notes on the temper. emotion. and look of the participant the sound would non capture. Participants besides shared concerns of ridicule. wellness jobs that complicated their lives. and the deficiency of credence from society. There was no impregnation of the informations described. The scheme used by the research worker obtained the information she needed for the survey. There were two interviews conducted the first was a face –to-face and the second was a follow up phone interview for lucidity of the findings. The information aggregation was obtained in a qualitative and purposeful mode. although the research worker ne’er stated where the interview was conducted.

There was no theoretical account or model for proof of the survey except for the informations reading of the information analysis. Data analysis was studied over and over until the subjects of the participants were identified by the research worker. Analytic cryptography was used to depict significance to experiences lived by the participant. When a individual reflects on their experience it becomes of import to the procedure of understanding the phenomena. Qualitative methodological analysis was proved with peer debriefing of the analysis and techniques used in this survey. Audit trails comprised the information for the participants to see and verify that the disclosed information in his or her interview was captured as they intended that proved the cogency and dependability of the research. Ward ( pg. 22 ) found six subjects that defined experiences of the participants. The six subjects were life is difficult. experiencing the consequence. seeking to get away. religious support. being pushed beyond the bounds. and a negative intension. The participants responses were elaborated on in each subject giving the reader the deductions of the perceptual experiences of the participants.

Each subject was explained and defined for easier reading and apprehension. Subjects indicated condemnable actions. loss of occupations. homelessness. and losing the regard of others. Scientific asperity was non mentioned it could hold been a utile tool. The participants lived and survived the experience they felt described as a sense of stigma. negative reactions from others. a sense of ineptitude. and a religious support that would assist he or she feel as if there was person they could speak to and every bit good as person who would listen. The descriptions of the subjects provided by the research worker gave one a visual of the feelings and emotions that a individual with bipolar upset with substance usage upset are seeking to get the better of on a day- to -day footing. The findings were coincident with the manner the participant felt about losing his or her ability to map in society. The diagnosing of bipolar upset with substance usage upset kept challenges of header and going productive in society at bay. Get the better ofing these obstructions proved to be a changeless challenge.

Without credence and forgiveness from society the demand to get the better of became more ambitious and nonexistent. The participants had large dreams that were diminished by the upsets of bipolar and substance usage making mayhem in their day-to-day lives that he or she could non get by with. Health attention workers can use specific programs of attention for mental wellness patients with individualised attention programs on medicine usage and symptom direction. Alternate programs can assist patients happen other ways of covering with mundane jobs than utilizing drugs. Patients need instruction on medicine conformity and showing for self-destructive ideation. Concepts found in the subjects of the survey aid form the descriptions of the participants to cut down hazard degrees and incidence of injury. The type of informations used is appropriate for a qualitative method of survey. The decision of the survey revealed and suggested being heard by others affected the participant’s feelings of self- worth and the demand for aid and support.

Sharing with the reader the research worker makes society cognizant of the demand for the voices of the participants to be heard. The persons want to be heard. forgiven. and accepted by society. Increasing the consciousness of mental wellness with nurses and the consciousness of a higher power was a major achievement of this survey. Indications for farther research surveies could supply healthcare workers with the tools needed to interrupt the stigma of mental unwellness and acknowledge when patients need aid. Had the research worker given the benefits of this survey to bettering the effects of mental unwellness and the manner society perceives it would hold more benefit to the reader. This survey was a good illustration of a qualitative survey. Future surveies require replies to more inquiries and a better and knowing apprehension of mental unwellness and substance usage.