Within article A it is stated maximum variation sampling, member checking, peer questioning and cross-examination were used to ensure the trustworthiness, dependability and credibility of the data respectively. Royal College of Nursing (2009). A systematic review of the literature International wound journal, 13(6), pp.1260-1281. However, because these tools can ask an extensive number of questions to cover all types of study design, students can be put off, as the questions do not always seem relevant to the paper they wish to critique. McCaughan, D., Sheard, L., Cullum, N., Dumville, J. and Chetter, I. patients spent prolonged periods in hospital. These tools teach users to critically appraise different types of evidence. Most nurses who participated in the study not only use tools for the pain assessment of non-verbal patients but use them often and consider it important that they are used in practice. All results are clearly presented within the articles results section, results are presented using tables. The ICU nurses in article As study believed there was no need to use a pain assessment scale for patients receiving sedatives. There were twenty-five participants in this study after administration. Digital Edition: Understanding and critiquing quantitative research papers . >> Nursing: Evidence-Based Practice skills. . /Resources 32 0 R Download. Part 1: quantitative research. Article B showed limitations, one of the questions within the survey assessed the pain assessment tools used by the participant. Holland and Rees' critique tools. The title should not normally exceed 15 words 2 and should attract the attention of the reader. recommendations, overall strengths and limitations, and the relevance of the study to >> Oxford: Oxford University Press. /CropBox [0.0 0.0 595.0 842.0] These are focus of the study, background, the aim of the study, methodology or approach used, data collection tools, sampling technique, ethical . There are also important sections detailing the methodology or approach used in the study, data collection tools, sampling technique, ethical considerations, findings, conclusion and recommendations, overall strengths and limitations, and the relevance of the study to practice. /Group 43 0 R << The review focused on papers from the past 9 years and included mothers whose children resided with them in prison, and mothers who had been separated from their babies after giving birth in prison. This is found in well conducted, peer reviewed studies, published in respectable journals. The questions in frameworks for critiquing qualitative research tend to be sequential. Subject selection was conducted with maximum variation in personal factors (age, education level, duration of work experience, and organizational role). This assignment will critically evaluate two articles that are found in the data extraction table. Newson, A. and Lipworth, W. (2015). Younger patient families with young children had to balance care and support for children and care for the patient, in addition to reduced household income. pressure wound therapy, skin grafting, dressings and debridement. There were severe consequences for some patients and their families where patients spent prolonged periods in hospital. Article A was also approved by the Ethics Committee of Mashhad University of Medical Sciences, both papers gained informed consent and mentioned confidentiality within their studies. Critical Analysis of Evidence research papers; qualitative and quantitative, using a framework set out by Holland and Rees (2010), and will explore the impact on practice. The unfamiliarity with names of tools may affect the accuracy of the results obtained from this question. This will be looking at 'how does the stress of balancing a social life and nursing degree contribute to nursing student's dep. If you need assistance with writing your nursing essay, our professional nursing essay writing service is here to help! A Spearman correlation coefficient was calculated to examine the correlation between years of experience of the participant and use of pain assessment tools, as well as between years of experience and perceived importance of the use of assessment tools in the pain assessment of nonverbal patients. From using the Holland and Rees (2010) critiquing framework weaknesses for article A there was no mention within their article of limitations, the study was conducted well and answered the research question. CASP Checklist. Subject selection was carried out with maximum variation in personal factors including, age, education level, duration of work experience and organisational role. The way to determine the quality of the research evidence is to subject it to critical appraisal using tools and frameworks like the Hek and Moule framework (Watt, 2018) or rigorous methods and multiple, confirmatory strategies (Polit and Beck, 2010:10). /Type /Page Evidence-Based Nursing British Medical Journal. Unless government can increase funding, the provision of holistic and person-centred care will be difficult. endobj . Subject selection was carried out with maximum variation in personal factors including, age, education level, duration of work experience and organisational role. Evidence-based nursing is about making clinical decisions using the best available An IRB can approve the proposed plans, require modifications or disapprove them (Polit and Beck, 2018). /MediaBox [0.0 0.0 595.0 842.0] 24 (2), pp. NURS2001 Research Critique. Evidence-based practice in nursing & healthcare. a. use a textbook to get an overview of your subject b. use a medical dictionary or encyclopaedia for a definition of your key concept c. check references you already have - what terms have they used to describe your topic? [Online]. /Resources 32 0 R skin problems and side-effects from medication for example dizziness and vomiting. 20 (1), pp. /Contents 34 0 R Article B stated this highlights the need for tools that are simple, easy and quick to utilise in the clinical setting. associated with delayed wellbeing, worsening financial situation and enforced Article A used a purposeful sampling method to select participants, this continued until data saturation. Critical appraisalthe heart of evidence-based practiceinvolves four phases: rapid critical appraisal, evaluation, synthesis, and recommendation.This article reviews each phase and provides examples, tips, and caveats to help evidence appraisers successfully determine what is known about a clinical issue. The modified survey was evaluated for content validity by four faculty members at Liberty University with a background in critical care, these individuals had a lot of experience with working within the ICU. (2012). The study also showed that surgical wound healing by secondary intention tends to unexpected changes to dressing and management regimens. . /MediaBox [0.0 0.0 595.0 842.0] Ethical Context of Nursing Research. The modified survey was evaluated for content validity by four faculty members at Liberty University with a background in critical care, these individuals had a lot of experience with working within the ICU. intention: A qualitative study International journal of nursing studies, 77 , pp-38. 8078. . Nursing Evidence-Based Practice Skills. and Crosbie, E.J. << The way to determine the quality of the Data was gathered using a survey, modified from one designed and used by Rose et al. These were critiqued using Holland and Rees qualitative and quantitative critiquing frameworks with further evidence from supporting literature. You might like to print this off to keep with you when you critique quantitative articles. Critical care nurses pain assessment and management practices: A survey in Canada. There were also reports critiquing framework - and adds to the body of nursing knowledge. Public law (Mark Elliot and Robert Thomas), Commercial Law (Eric Baskind; Greg Osborne; Lee Roach), Tort Law Directions (Vera Bermingham; Carol Brennan), Electric Machinery Fundamentals (Chapman Stephen J. Coding qualitative data is not an easy task according to Polit and Beck (2018), the researchers may have an issue deciding the right code and must re-read many times to gain the theme of the material. According toLoBiondo-Wood and Haber (2014)surveys have their advantages and disadvantages. /Group 45 0 R /Resources 16 0 R Informed consent could be required, to ensure all those involved have a clear understanding about their role and are told they may discontinue at any time if they want (Heale and Shorten, 2016). This article is a resource for understanding . /Resources 32 0 R Questions Appendix 1 and Data Extraction Table Appendix 2. This tool worked well throughout the research as the semi-structured interviews acted as a guide on the subject, as key questions were predetermined before the interview. endobj Norman et al (2016) who reported feelings of guilt, emotional volatility and Glendinning, C. (2016) Long-term care and austerity in the UK: a growing crisis In Long-term Care for the Elderly in Europe (pp. Study of Nurses Attitudes and Practices towards Pain Evaluation in Nonverbal Patients (2017). , 10 suitably chosen order statistics; (cf. Scalise, A., Calamita, R., Tartaglione, C., Pierangeli, M., Bolletta, E., Gioacchini, M., Gesuita, R. and Di Benedetto, G. (2016) Improving wound healing and preventing surgical site complications of closed surgical incisions: a possible role of Incisional Negative Pressure Wound Therapy. These barriers are nursing workload 50% stated this and patient instability 80% of nurses stated this. The aim or purpose of study is formulated so researchers and readers have a clear understanding about what is being researched (Parahoo, 2014). The children also had to live with the shock of a parent living with an open surgical wound. consistent and well-timed, there were reports of patient satisfaction. Research design is as a strategy which answers the research question or aim, in qualitative research the design should be aimed at how to obtain the information in the best way for whom it is to be gained from and how long the data collection occur (Polit and Beck, 2018). There is a clear background to the issue, which details the epidemiology of surgical wounds that heal by secondary intention. The primary data source in phenomenological studies is in-depth conversations. Like an essay, a critique uses a formal, academic writing style and has a clear structure, that is, an introduction, body and conclusion. of lack of continuity in care because of district nurse variations who sometimes gave The framework is made up of 12 sections (see Appendix 1). tissue. this introduction. /Group 41 0 R Article A used semi structured interviews which are the most common type of interviews used in qualitative research (Holloway and Wheeler 2010). A new framework for critiquing health-related research is presented in this article. provide them with quick solutions. Ethical considerations within research set out core principles to protect the dignity, safety and rights of the individuals who are taking part, the study should have potential benefit to the individuals themselves or future patients and be of non-maleficence (Holland and Rees, 2010). framework [11], this study will aim to answer this research questionin the treatment of adults requesting facial aes- Linking Evidence to Action. Article B gathered data using a survey which was modified from one designed and used by Rose et al. Challenges faced by nurses in using pain assessment scale in patients unable to communicate: a qualitative study. Newson and Lipworth (2000) state it is good research practice and argue research should not be published if approval from a Human Research Ethics Committee (HREC) has not been obtained. The ecological footprint is a method promoted by the Global Footprint Network to measure human demand on natural capital, i.e. The critical appraisal tool used for assessment of the paper is the they would have preferred healing by primary intention, even if that would have not intention Cochrane Database of Systematic Reviews, (3). There were twenty participants involved in carrying out this research, the participants included nurses working within ICU. << Article A is conducted within Iran, Article B was conducted in the United States of America, both articles are carried out within the ICU setting. 9 0 obj changes and reduced wound infection. background, the aim of the study, methodology or approach used, data collection Rose, L., Smith, O., Glinas, C., Haslam, L., Dale, C., Luk, E. and Watt-Watson, J. Essentials of Nursing Research, Methods, Appraising Evidence for Nursing Practice. It is important the barriers found within article B are evaluated to promote further compliance with the use of pain assessment tools. endobj /Parent 2 0 R This framework was used because of its rigour and systematic approach to We use cookies to ensure that we give you the best experience on our website. /Contents 44 0 R Both articles are relevant to practice due to the articles aiming to improve pain management and assessment in nonverbal patients. The researchers also found out that open surgical wounds had a negative psychosocial impact on the patients and their families, especially those with large cavities. Both articles agree with the barriers which prevent nurses carrying out pain assessment efficiently in nonverbal patients, they both have similar findings. 5 What is the hierarchy of evidence in research? /F3 26 0 R benefits of using holland and rees critiquing frameworkbow leg correction surgery cost in nigeria benefits of using holland and rees critiquing framework. /Filter /FlateDecode A qualitative study using semi-structured interviews and analysis which was done using an inductive approach. In a identified as part of this study was a are at risk of implementing research context of increasing involvement of the personal account of a widely published findings that are of poor value and/ expert patient in healthcare and research, service-user expert-by-experience, Louise or quality (Rees, 2010b). << There were also reports of anxieties associated with delayed wellbeing, worsening financial situation and enforced dependency which undermined family roles. What are the 3 parts of a critique paper? Professionals often need to be able to identify best current practice, and the ability to evaluate and use published research is critical in achieving this. /Resources 32 0 R Full-text available. published in the International Journal of Nursing Studies. The aim of this study is to show that current nursing practice in the area of pain assessment in non-communicative patients can be improved. 1 0 obj Within quantitative research there are different critiquing frameworks for the different methods used. These articles were the most recent and linked to the specific choice of topic better than other articles that were found. 2018. This essay assesses a peer reviewed paper written by McCaughan et al (2018) and published in the International Journal of Nursing Studies. The chosen articles are of equal quality and provide the same perspectives on pain assessment, they both find supportive findings to each other. Challenges faced by nurses in using pain assessment scale in patients unable to communicate: a qualitative study. Publicato il . Theres need to know the impact on patients lives to create an evidence-base that can inform future practice. International Association for the Study of Pain (2012). Both articles are relevant to practice due to the articles aiming to improve pain management and assessment in nonverbal patients. Due to the most common barrier being nursing workload, unit policy should support the use of assessment tools that are not only supported by research but are also quick and easy to use. << /Resources 16 0 R 11 0 obj Any opinions, findings, conclusions, or recommendations expressed in this essay are those of the author and do not necessarily reflect the views of NursingAnswers.net. This survey was modified for the current study to include only questions addressing pain assessment in non-verbal patients as well as the demographic portion of the survey. According to Holloway and Wheeler (2010) maximum variation can include both genders, young and old and of different nationalities, article A included both men and women of different ages. Copyright 2003 - 2023 - UKEssays is a trading name of Business Bliss Consultants FZE, a company registered in United Arab Emirates. Step-by-step guide to critiquing research. If you print this page it will provide you with a 'map' of the structure of most research articles. /Type /Pages Data for this study is in the form of verbal comments or statements from the participants. Search restrictions used consisted of full text, nursing, English language, also the date range used was 2012 to 2019. Parahoo (2014)describes survey as; a research design which aims to gather descriptive, correlational data usually from large populations and by questionnaires, interviews and to a lesser extent observation. Article As study was approved by the Ethics Committee of Mashhad University of Medical Sciences. Study of Nurses Attitudes and Practices towards Pain Evaluation in Nonverbal Patients (2017). /Resources 32 0 R << This framework has been chosen due to its ability to access online and detail of the questions. >> Most of the patients interviewed expressed desperation and frustration and wanted to get back to normal as quickly as possible and looked to tissue viability nurses to provide them with quick solutions. A different search strategy would not be used next time as suitable articles were found. Hollis, C., Morriss, R., Martin, J., Amani, S., Cotton, R., Denis, M. and Lewis, S. (2015) Technological innovations in mental healthcare: harnessing the digital revolution The British Journal of Psychiatry, 206(4), pp.263-265. << Nursing: Evidence-Based Practice skills. surgical site complications of closed surgical incisions: a possible role of Incisional Available at: Heale, R. and Shorten, A. /Parent 2 0 R nurses lacked appropriate knowledge, expertise and experience, often requiring The program consists of seven critical appraisal tools to assess: Systematic reviews Randomized controlled trials (RCTs) Qualitative research Economic evaluation studies Cohort studies Case-control studies Diagnostic test studies (2004). This tool worked well throughout the research as the semi-structured interviews acted as a guide on the subject, as key questions were predetermined before the interview. /Rotate 0 There were also reports of anxieties In Long-term Care for the Elderly in Europe (pp. Databases used to find the chosen articles were Cumulative Index of Nursing and Allied Health Literature (CINHAL) and Medline, Boolean operators were used throughout the search the words used were and or and not. Search terms and restrictions were used, the words and phrases used were pain management, hospital and critically ill adults. This was reported to be at odds with clinicians Most of the analysis consisted of computing the frequency of certain attitudes, beliefs, or pain assessment practices. The experience of the participants as nurses and as nurses in an intensive care unit ranged from less than two to greater than ten years. Caution should be exercised when choosing a suitable framework, as each framework asks slightly different questions of the research. When compared with different appraisal methods (i.e. framework is made up of 12 sections (see Appendix 1). 8 Are there frameworks for critiquing quantitative studies? /MediaBox [0.0 0.0 595.0 842.0] However, Holloway and Wheeler (2010) state maximum variation is not usually used in qualitative research. 4 0 obj (2018) Evidence-based practice In Clinical Governance in Primary Care (pp. Linking Evidence to Action. (2012). related factors were reported to impact negatively on patients daily life, their This study was conducted using content analysis method in line with Graneheim and Lundman (2004). Polit, D. and Beck, C., 2010. It is vital for readers to understand the aims and questions of the research in order to answer sections of the framework. maintain the income of the household. Sub-categories and codes were shown and explained in detail regarding what had been found using semi-structured interview, developing codes were considered as the outcomes for this study. The researcher found in relation to their arm from article B that ICU nurses that participated in this study do use pain assessment tools as 92% of participants stated this. /Contents 38 0 R Almost all patients had district nurse visits and they expressed frustration that the nurses seemed pressed for time because of nurse shortage. [Accessed 29 April 2019]. endobj 0. Br J Nurs. /Rotate 0 Watt, I. Article Bs data analysis was carried out by using IBM SPSS 24 software which is a statistical analysis through a computer. When reading a research article it is important to use a systematic process of reading and considering the content. /Resources 32 0 R A new framework for critiquing health-related research is presented in this article. Article A used semi structured interviews which are the most common type of interviews used in qualitative research (Holloway and Wheeler 2010). The researcher includes some of these comments and statements within the study, this is the researcher trying to provide evidence of credibility according to Holland and Rees (2010). There are several strengths of this study. This essay should not be treated as an authoritative source of information when forming medical opinions as information may be inaccurate or out-of-date. Can you get mortgage approval from multiple lenders? Oxford: Oxford University Press. A different search strategy would not be used next time as suitable articles were found. There were thirty-one surveys distributed, only twenty-six were returned, one of the surveys was taken out due to personally identifiable information being included. How do you critique a framework? Article A presents various categories from the findings to answer their aim these are; forgotten priority, organisational barriers, attitudinal barriers and barriers to knowledge. An overview of the evidence-based practice process for novice researchers. /Group << /Contents 50 0 R The chosen articles are of equal quality and provide the same perspectives on pain assessment, they both find supportive findings to each other. Digital Edition: Understanding and critiquing qualitative research papers . The enablers are that there is a wide variety of communication aids that can be used or tailored to help patients. Here you can choose which regional hub you wish to view, providing you with the most relevant information we have for your specific region. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. 63-74) CRC Press. Research evidence: Qualitative methodologies and methods 5. 2nd edn. /MediaBox [0 0 595 842] This paper, therefore, aims to provide a framework for critical appraisal that is relevant to medical radiation professionals involved in research, education or clinical practice. Coding qualitative data is not an easy task according to Polit and Beck (2018), the researchers may have an issue deciding the right code and must re-read many times to gain the theme of the material. There had not been a systematic and sustained research on patient perceptions on open wound surgery before this study. Get access to all 51 pages and additional benefits: expectations as they understood that open wounds take slightly longer to heal.

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