This is best used with quantitative research articles. . Article B states participants in their study read the cover page of the survey, this provided necessary information for informed consent. These decisions gives the grade (or strength) of recommendation.. 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 /Resources 16 0 R /Group 41 0 R background, the aim of the study, methodology or approach used, data collection Both quantitative and qualitative researches can be appraised by using the CASP. endobj 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. /Type /Page stitched. Practicing registered nurses and advance practice nurses must be able to critically appraise and disseminate evidence in order to meet EBP competencies. 1 0 obj >> Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. << Oxford: Oxford University Press. Nursing: Evidence-Based Practice skills. Glendinning, C. (2016) Long-term care and austerity in the UK: a growing crisis In Long-term Care for the Elderly in Europe (pp. . The aim or purpose of study is formulated so researchers and readers have a clear understanding about what is being researched (Parahoo, 2014). /Type /Pages When compared with different appraisal methods (i.e. [Accessed 27 April 2019]. The paper was appraised using the twelve areas in Hek and Moule framework. /CropBox [0.0 0.0 595.0 842.0] /Resources 32 0 R Get access to all 51 pages and additional benefits: It is possible to critique a piece of research without using a critiquing framework, but the frameworks are very useful for those who are not used to critiquing research. 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. pressure wound therapy, skin grafting, dressings and debridement. /Type /Page Statistical analysis is used within quantitative research for three purposes, to describe the data, to test hypotheses and to give evidence regarding measurement properties of quantified variables (Polit and Beck, 2018). EBP allows resources to be used efficiently and in a cost effective way. 1st ed. Show abstract. It is also possible for the participants to not know the official name of the tool they use. . Data confidentiality, autonomy and data protection are all ethical considerations as outlined by the Royal College of Nursing (2009). This will be looking at 'how does the stress of balancing a social life and nursing degree contribute to nursing student's dep. Challenges faced by nurses in using pain assessment scale in patients unable to communicate: a qualitative study. Looking at the abstract of the study, one can see the various sections that are consistent with Hek and Moule framework including the background, objectives, study design, settings, participants, methods, findings and conclusions. Article B showed limitations, one of the questions within the survey assessed the pain assessment tools used by the participant. perceptions and experiences of living with a surgical wound healing by secondary Qualitative research aims to explore a conceptual and theoretical understanding of phenomena. /Type /Page Ellis, P. (2019) Evidence-based practice in nursing, Learning Matters. endobj All transcripts were reread throughout the open coding stage and checked several times and keywords, expressions, actualities, incidents, similarities and differences were all noted. All participants were nurses with experience in the ICU setting, nurses experience ranged from less than two to greater than ten years. Aspect Questions Focus What topic is the concern of . This article analyses the content of frameworks that are commonly used to critique quantitative research and frameworks that are commonly used to critique qualitative research and then presents a single framework that addresses both research approaches. However, Holloway and Wheeler (2010) state maximum variation is not usually used in qualitative research. Digital Edition: Understanding and critiquing qualitative research papers . /Group 37 0 R The researchers performed an in-depth direct analysis of experiences of intensive care nurses. If you need assistance with writing your essay, our professional essay writing service is here to help! Providing the best staff, training and medical technologies for treatment of diseases can reduce some of the problems identified in this research, but that comes at a cost (Glendinning, 2016). There were also reports of anxieties There were 31 surveys given out to intensive care nurses, 26 of them participated in the study. Colin Rees is Lecturer: Adult Nursing and Programme Manager: MSc in Nursing Studies (Germany) at . This was reported to be at odds with clinicians expectations as they understood that open wounds take slightly longer to heal. Nurse Education Today. /Contents 34 0 R Article Bs data analysis was carried out by using IBM SPSS 24 software which is a statistical analysis through a computer. This article explores how nurses can use evidence-based practice to critique and evaluate the rationale and evidence for specific nursing procedures or practices. These were critiqued using Holland and Rees qualitative and quantitative critiquing frameworks with further evidence from supporting literature. /Rotate 0 There were twenty-five participants in this study after administration. reported as extremely painful (p), resulted in patient frustration. 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. Download. A review of 121 published critiquing tools concluded that there is Results Of the 1253 studies screened, 1139 were excluded from abstracts and a further 70 excluded from full text articles. Due to these patients not being able to self-report, their pain cannot be properly assessed and treated. . This can be contrasted with wounds that are said to heal by primary intention. /Resources 32 0 R Why do you need a critiquing framework for research? 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). The study also showed that the participants experienced treatment using negative pressure wound therapy, skin grafting, dressings and debridement. /Resources << /Contents 38 0 R 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. /Group 47 0 R The findings are presented as codes, subcategories, and categories using an inductive approach. the quantity of nature it takes to support people and their economies. Surgical wound healing by secondary intention refers to wound that are left open to There had not been a systematic and sustained research on patient perceptions on open wound surgery before this study. Available at: Holland, K and Rees, C. (2010). /Type /Page More commonly used existing frameworks tend to have been formulated within the quantitative research paradigm. Learn more about what critical appraisal . /Group 35 0 R Hollis, C., Morriss, R., Martin, J., Amani, S., Cotton, R., Denis, M. and Lewis, S. >> >> Get in touch. expectations as they understood that open wounds take slightly longer to heal. What is the purpose of a critiquing process? Within quantitative research there are different critiquing frameworks for the different methods used. To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on UKEssays.com then please: Our academic writing and marking services can help you! Participants expressed a willingness to undergo any procedure of treatment no 2nd edn. It's still available to buy, so you can replicate this royal look via the link. Linking Evidence to Action. << Most of the patients expressed fear and anxiety when they saw the wound. If you print this page it will provide you with a 'map' of the structure of most research articles. Other quantitative studies were evaluated using Holland and Rees' (2010) framework for critiquing quantitative research articles (see supplementary) . Purposive sampling was used to select participants. Critical appraisal is the assessment of research studies' worth to clinical practice. Some participants expressed that they had withdrawn from social life completely, and this resulted in social isolation. 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). Article As study was approved by the Ethics Committee of Mashhad University of Medical Sciences. An essay on the importance of evidence based practice (EBP) in community nursing. 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. There were severe consequences for some patients and their families where patients spent prolonged periods in hospital. This framework has been chosen due to its ability to access online and detail of the questions. Article critiquing Essay Example | Topics and Well Written . What is the aim of an independent critique? Evidence-based practice in nursing & healthcare. Wound related factors were reported to impact negatively on patients daily life, their psychosocial and physical functioning and sense of wellbeing, Most of the patients experienced a lot of pain and reduction in mobility, lack of appetite, disrupted sleep, skin problems and side-effects from medication for example dizziness and vomiting. intention Cochrane Database of Systematic Reviews, (3). /Producer <6954657874AE20352E352E3420A9323030302D323031342069546578742047726F7570204E5620284147504C2D76657273696F6E29> This result was also reported by factors, expectations of wound healing, psychosocial impact, financial repercussions, Both articles have a clear-cut aim to look at in which pain is assessed for those patients who are unable to communicate in the intensive care unit (ICU) setting. Part 2: qualitative research 2007 - British Journal of Nursing. These are focus of the study, background, the aim of the study, methodology or approach used, data collection tools, sampling technique, ethical . Section 3 covers appraising difference types of papers including qualitative papers and observational studies. Nursing: Evidence-Based Practice skills. Article A states a written consent was obtained from all participants before recording the interviews. The participants do however, state there are barriers which can prevent them from carrying out the assessments. >> /Rotate 0 Do you have a 2:1 degree or higher? 8 Are there frameworks for critiquing quantitative studies? /F2 25 0 R Both articles represent patients values and expectations as they state throughout each article the importance of an efficient pain assessment, so the patient is pain free. Rigour is important for selecting quality data sources as quality clinical decisions are made based on quality evidence (Polit and Beck, 2010). Conclusions . /Contents 18 0 R Article A used a purposeful sampling method to select participants, this continued until data saturation. Holland & Rees: Nursing: Evidence-Based Practice Skills A framework for critiquing quantitative research articles Below is Table 7.2, the critiquing framework you will see in chapter 7 in the book. The way to determine the quality of the /Rotate 0 /Resources 32 0 R An advantage to this type of interview is it will allow probing of answers, also it will allow the participant to give a detailed account of experiences and feelings (Ellis, 2013). Rose, L., Smith, O., Glinas, C., Haslam, L., Dale, C., Luk, E. and Watt-Watson, J. [Online]. This assignment will critically evaluate two articles that are found in the data extraction table. All Rights Reserved. /Resources 32 0 R 7 0 obj on wound management and the importance of surgical wound healing by secondary /Font << Questions Appendix 1 and Data Extraction Table Appendix 2. 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. This smartphone technology can help facilitate the work being done by district nurses in health promotion (Kratzke and Cox, 2012). 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. heal when a risk of infection is detected, or where there has been a significant loss of /Rotate 0 associated with delayed wellbeing, worsening financial situation and enforced Both articles agree with the barriers which prevent nurses carrying out pain assessment efficiently in nonverbal patients, they both have similar findings. /Group << Patricia Cronin. Data confidentiality, autonomy and data protection are all ethical considerations as outlined by the Royal College of Nursing (2009). Section 1 covers an introduction to critical appraisal. Nursing Evidence-Based Practice Skills has been developed as a one stop shop for research theory and evidence based practice skills for all aspects of . Farahani et al. It is inconceivable to think that such an important area had no serious evidence base on which clinicians could draw from. Relations between principal and third party, Sample/practice exam 2011, questions and answers - MCQ with answers, Multiple Choice Questions Chapter 3 Demand and Supply, Q2 Identify three factors that can negatively impact on an individuals wellbeing, Acoples-storz - info de acoples storz usados en la industria agropecuaria. 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. /MediaBox [0.0 0.0 595.0 842.0] /Type /Pages Holland & Rees: Nursing Evidence-Based Practice Skills Framework of a research article. implement effective quality assurance programmes using meth-ods that are both valid and reliable. << benefits of using holland and rees critiquing frameworksunshine coast regional district real estate. We're here to answer any questions you have about our services. Care (pp. Caution should be exercised when choosing a suitable framework, as each framework asks slightly different questions of the research. << critiquing framework - and adds to the body of nursing knowledge. 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. Polit, D.F. These are focus of the study, 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. The enablers are that there is a wide variety of communication aids that can be used or tailored to help patients. How much does it cost to install instant hot water? The Holland and Rees framework 2010 describe the sample as a very important stage of the research, this stage can be critically analysed. The primary data source in phenomenological studies is in-depth conversations. There is no rationale given for the choice of tool, there is also no mention of an alternative tool being considered. Your Bibliography: Melnyk, B. and Fineout-Overholt, E., 2011. research evidence (Ellis, 2019). patient guidance. A new framework for critiquing health-related research is presented in this article. The findings from this study show that there are various factors which could affect the use of pain assessment and management in patients unable to communicate. There were twenty-five participants in this study after administration. The framework helped identify the paper as a rigorous research piece on which future clinical decisions can be made. While frameworks for critiquing qualitative research exist, they are often complex and more suited to the needs of students engaged in advanced levels . Registered office: Creative Tower, Fujairah, PO Box 4422, UAE. Negative Pressure Wound Therapy. It is important the barriers found within article B are evaluated to promote further compliance with the use of pain assessment tools. a quality framework and unprompted expert judgement), the CASP tool was found to give a good indication of the procedural aspects of a study and the details that should be reported, but to produce lower agreement within and between reviewers compared to the other appraisal methods. /Resources 32 0 R 12 0 obj (2012). (2005). , 10 suitably chosen order statistics; (cf. 2018. Flower; Graeme Henderson), Marketing Metrics (Phillip E. Pfeifer; David J. Reibstein; Paul W. Farris; Neil T. Bendle), Principles of Anatomy and Physiology (Gerard J. Tortora; Bryan H. Derrickson), Introductory Econometrics for Finance (Chris Brooks), Human Rights Law Directions (Howard Davis). There are many critiquing frameworks, including the Critical Appraisal Skills Programme (Public Health Resource Unit, 2006) alongside many guidelines published within books to aid critiquing (Greenhalgh, 2010; Parahoo, 2006; Rees, 2010b). Royal College of Nursing (2009). /F4 27 0 R The research approach normally influences its design. Article A used semi structured interviews which are the most common type of interviews used in qualitative research (Holloway and Wheeler 2010). A waiver of signed informed consent was obtained from both Liberty Universitys and the hospitals Institutional Review Board (IRB). (2005). Younger patient families with young children >> /Contents 44 0 R The participants in this study were 26 intensive care nurses from a hospital in Central Virginia. This is found in well conducted, peer reviewed studies, published in respectable journals. Statement of the aim in both papers clearly outlines why the research is being carried out and states what will be done with the findings. A quantitative research design aims to provide numerical, statistical information that can show patterns or comparable variations(Holland and Rees, 2010; Ellis, 2013). 10 0 obj Critiquing of a Qualitative and Quantitative Study The purpose of this paper will be to present the contrasts in the type of information that was gained while reviewing two studies. /Rotate 0 All participants were nurses with experience in the ICU setting, nurses experience ranged from less than two to greater than ten years. Polit and Beck (2018) state Spearmans correlation is used for correlations between variables measured on an ordinal scale. It is possible to critique a piece of research without using a critiquing framework, but the frameworks are very useful for . How to Market Your Business with Webinars? /CropBox [0.0 0.0 595.0 842.0] /XObject << The participants in this study included 20 nurses working in intensive care units. Although article B was found to have . 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 unfamiliarity with names of tools may affect the accuracy of the results obtained from this question. The framework is made up of 12 sections (see Appendix 1). This framework has been chosen due to its ability to access online and detail of the questions. The ICU nurses in article As study believed there was no need to use a pain assessment scale for patients receiving sedatives. >> they would have preferred healing by primary intention, even if that would have not >> [Online]. >> Reconstructing the Constructivist Roman Law Thesis' (2010) 54 International . There is a need to understand the terms "validity" and d. look online - The University of Suffolk have produced a helpful health thesaurus (Holmes, no date) 3. 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). Part 1: quantitative research. 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. Why use Holland and Rees critiquing? Free resources to assist you with your nursing studies! The focus of the study was very clear surgical wound healing by secondary intention and the perception of patients who have had experience with that type of wound. Appraising Evidence for Nursing Practice. The researchers also found out that open surgical wounds had a negative Purposive sampling was used to select participants. /Parent 17 0 R research evidence is to subject it to critical appraisal using tools and frameworks like International Association for the Study of Pain (2012). reduced household income. 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.