The researchers described how rigor was maintained in the procedures of the study, and how integrity of the data was preserved through the maintenance of constant responsiveness during both data collection and analysis for the study. It is also described how the researchers maintained objective and critical by maintaining some distance from the data periodically. Therefore, the researchers were aware of potential biases and used these approaches in order to effectively deal with them. The amount of data collected by the researchers was sufficient. It allowed for accurate analysis that yielded meaningful results. Other research studies have utilized qualitative designs for investigations involving asthma (Lyte et al., 2007; Pontin & Lewis, 2009) as well medication adherence, but these did not explore behavioral factors involved in medication adherence in asthma patients. Results - the results allowed the researchers to devise a theoretical model illustrating medication adherence behavior in young adults with asthma divided into three subtypes. The three different focus types associated with medication adherence are promotive focus, preventive focus, and permissive focus, which all result in differing adherence behaviors and thus differing expressions of asthma (Axelsson et al., 2011). The questions used in the interview specifically addressed the participants' experiences with regard to asthma and their own medication adherence behaviors. Therefore, it may be concluded that the researchers did successfully tap the participants' experiences through the interview questioning, and the researchers also maintained detailed and specific notes and observations with regard to the interview data.

Ethical Rigor - it is described how the researchers obtained informed consent from the participants. Beyond informed consent, ethical considerations were described in the report. The participants were informed about the aim and utility of the study both verbally and through writing, and they were also informed that the results would be kept confidential. Furthermore, the participants were reminded that their participation in the study was voluntary and that they could withdraw at any time for any reason. Researchers remained respectful of and protected the participants' rights throughout the study.

These conclusions were arrived at through logical decision-making based in the responses from the qualitative interviews. However, the evidence rules regarding the arrival at conclusions in the study could have been presented with more clarity. Therefore, it may be difficult for other researchers to arrive at similar conclusions. The data collection process was described somewhat adequately in the report, but it could have included more details regarding actual questioning used in the interviews.
Heuristic Relevance - Since the nursing profession often involves ensuring patient well-being through the maintenance of treatments, the findings of the study are certainly relevant to the discipline of nursing. The three behavior types identified in the study could help nurses in assessing how to effectively promote medication adherence to people displaying varying behavior characteristics.

Future studies - it was suggested that future studies could test the model devised in this study in samples designed more for statistical methods (Axelsson et al., 2011).

Reference

Axelsson, M., Lotvall, J., Lundgren, J., Brink, E. (2011). Motivational foci and asthma medication tactics towards a functional day. BMC Public Health, 11:809.

Axelsson, M., Milsson, M., Brink, E., Lundgren, J., Toren, K., Lotvall, J. (2012). Personality, adherence, asthma control and health-related quality of life in young adult asthmatics. Respiratory Medicine, 103(70, 1033-40.

Laakso, L.J. (2012). Motivational interviewing: addressing ambivalence to improve medication adherence in patients with bipolar disorder. Issues in Mental Health Nursing, 33(1), 8-14.

Lyte, G., Milnes, L., Keating, P., Finke, a. (2007). Review management for children with asthma in primary care: a qualitative case study. Journal of Clinical Nursing, 16(7B), 123-32.

Pontin, D., Lewis, M. (2009). Maintaining the continuity of care in community children's nursing caseloads in a service for children with life-limiting, life-threatening or chronic health conditions: a qualitative analysis. Journal of…