National Library of Medicine Essay

National Library of Medicine Essay

Please provide a 1 page response elaborating on DOAC therapy vs warfarin for anticoagulation. Include cost considerations as well.

The article reviewed sought out patients who have atrial fibrillation and on anticoagulants. The purpose of the study is to clarify the knowledge of direct oral anticoagulant versus warfarin in patients with atrial fibrillation. The analysis of patient perspectives on direct oral anticoagulants prescribing practice and preference was reviewed. National Library of Medicine Essay


A convenience sampling was performed to conduct this study in which participants were interviewed via telephone or interviewed online. The most conveniently available participants are used in these samples. Qualitative researchers commonly use this convenience sampling or volunteers (Polit & Beck, 2021)The results of the 19 participants varied in their experience with direct oral anticoagulants. The main saturation of the theme focused on drug characteristics, costs, balance of risks and benefits and bleeding (Jarrar, 108) Based on the results of the study, not all participants were knowledgeable about various options for anticoagulation (Jarrar, 108) More qualitative studies need to be conducted to gather more information on the patient and clinician perspectives on this subject of prescribing direct oral anticoagulants for atrial fibrillation condition. The results of this study could encourage a change in practice by giving patients with atrial fibrillation options on their medication. Warfarin is a common medication and has received competition in recent years with direct oral anticoagulant medications. Practices should explore other options for patients that can be cost-effective and conducive to the patients safety and lifestyle. National Library of Medicine Essay

Direct oral anticoagulants’ have an advantage over the warfarin treatment because of the short half life, fixed dosing and no monitoring requirement (Sikorska, 2017)Some disadvantages accompany these direct oral anticoagulants such as no reversal medication and those precautions in renal patients (Sikorska, 2017)

Jarrar, R. (108). 79 Qualitative study on influences on anticoagulant prescribing for stroke prevention in atrial fibrillation. Heart, 1.
Polit, D. F., & Beck, C. T. (2021). Nursing research generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer. National Library of Medicine Essay