Aim/Purpose, Research Question or hypothesis, Design of study & methods of data collection used. 105-112 [Accessed 29 April 2019]. While frameworks for critiquing qualitative research exist, they are often complex and more suited to the needs of students engaged in advanced levels . Reconstructing the Constructivist Roman Law Thesis' (2010) 54 International . (2018). These are focus of the study, background, the aim of the study, methodology or approach used, data collection tools, sampling technique, ethical considerations, findings, conclusion and recommendations, overall strengths and limitations, and the relevance of the study to practice. Holland & Rees: Nursing Evidence-Based Practice Skills Framework of a research article. There is a need to understand the terms "validity" and 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. << Glendinning, C. (2016) Long-term care and austerity in the UK: a growing crisis << /Type /Page There are a few enablers and barriers to putting these interventions in place. 8 0 obj Royal College of Nursing (2009). American pain society recommendations for improving the quality of acute and cancer pain management. /Font << endobj Article A used a purposeful sampling method to select participants, this continued until data saturation. endobj One quantitative and one qualitative using the holland and ree's critiquing framework. research evidence (Ellis, 2019). Do you have a 2:1 degree or higher? A qualitative study using semi-structured interviews and analysis which was done using an inductive approach. 0. Subject selection was conducted with maximum variation in personal factors (age, education level, duration of work experience, and organizational role). 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. 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. 1 0 obj /CropBox [0.0 0.0 595.0 842.0] Enter a Melbet promo code and get a generous bonus, An Insight into Coupons and a Secret Bonus, Organic Hacks to Tweak Audio Recording for Videos Production, Bring Back Life to Your Graphic Images- Used Best Graphic Design Software, New Google Update and Future of Interstitial Ads. The participants in this study were 26 intensive care nurses from a hospital in Central Virginia. 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. McCaughan, D., Sheard, L., Cullum, N., Dumville, J. and Chetter, I. (2004). research evidence is to subject it to critical appraisal using tools and frameworks like Article B gathered data using a survey which was modified from one designed and used by Rose et al. << 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 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 The participants do however, state there are barriers which can prevent them from carrying out the assessments. What are the four steps of an art critique? /Contents 50 0 R /Type /Page /Type /Page 17 0 obj /Resources 16 0 R Categories: Free Essays. associated with delayed wellbeing, worsening financial situation and enforced Conclusions . What are the different types of critiquing frameworks? /img0 22 0 R communication of treatment type, especially with regards to debridement which was Digital Edition: Understanding and critiquing qualitative research papers . /Contents 44 0 R benefits of using holland and rees critiquing framework. This framework has been chosen due to its ability to access online and detail of the questions. Based on the findings found from both articles nurses heavy workload forced nurses to disregard some clinical practices and prevented them from the frequent use of pain assessment tools. /Type /Page implement effective quality assurance programmes using meth-ods that are both valid and reliable. The participants in this study included 20 nurses working in intensive care units. This is found in well conducted, peer reviewed Both papers have used the best research they could find when explaining why efficient pain assessment and management is important within the ICU setting. Available at:<. and Beck (2010), LoBiondo-Wood and Haber (2010), Holland and Rees (2010) and Gerrish and Lacey (2010), to name a few. /F4 27 0 R May patients reported that many district Understanding evidence and its utilization in nursing practice 3. These studies usually involve a small number of participants often ten or fewer according to Polit and Beck (2018), although in article A there were twenty participants. Here you can choose which regional hub you wish to view, providing you with the most relevant information we have for your specific region. /Type /Pages /Rotate 0 /Contents 48 0 R The writers also expressed a need for psychological interventions. All results are clearly presented within the articles results section, results are presented using tables. endobj Registered office: Creative Tower, Fujairah, PO Box 4422, UAE. >> >> 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 . 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. According to LoBiondo-Wood and Haber (2014) surveys have their advantages and disadvantages. changes and reduced wound infection. In another study, Scalise et al (2016) in a different study reported patients disappointment and frustration at the slow healing process of open wounds. 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. Partners had to work longer hours to maintain the income of the household. 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 the NursingAnswers.net website then please: Our academic writing and marking services can help you! Within quantitative research there are different critiquing frameworks for the different methods used. Data was gathered using a survey, modified from one designed and used by Rose et al. Linking Evidence to Action. 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. Article A states a written consent was obtained from all participants before recording the interviews. 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. 1st ed. It also found nurses do not use pain assessment scales due to receiving little information in undergraduate programs and training about pain assessment tools. /MediaBox [0.0 0.0 595.0 842.0] In spite of all these, this research will still be applying Holland and Rees critiquing framework to evaluate the research papers . Available at: Heale, R. and Shorten, A. Article Bs data analysis was carried out by using IBM SPSS 24 software which is a statistical analysis through a computer. published in the International Journal of Nursing Studies. 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. 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. /Parent 17 0 R /Contents 34 0 R Polit, D.F. The findings are presented as codes, subcategories, and categories using an inductive approach. The aim or purpose of study is formulated so researchers and readers have a clear understanding about what is being researched (Parahoo, 2014). Subject selection was carried out with maximum variation in personal factors including, age, education level, duration of work experience and organisational role. /Group 41 0 R If you have a general query about the Critical Appraisal Skills Programme, or would like to book on to a workshop please get in touch. Negative pressure wound therapy was considered effective as it had reduced dressing changes and reduced wound infection. 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). /Parent 2 0 R Critiquing research paper for nursing practitioners emerged due to the . x\I9.( I l@ bm$x:/o9?N`/7gx{\,Oz=Y{of}H/gw3=x1f[y_YW7.s|#Xsw>]}t>6jyO /&w}|{;\+;11XTo$$H\6g}L[.qYry9YAK_#.o&FXo+g@~gLydqS {,!^i+Zm>}c\(n|`s"j9Q$W;Dy]JcR uy5tf%&@p.'DY(%~)wote_uc*t=Ygfb$r0zr{T4d>#q?_R|B/QA2%#5cl+.GNEK\i|:+s7-~X0Z`2,l1@l_x-Ozhf'>h xv4;j| `9S@NPn]=[bYYTa(qa+A.Usj:Q$lDsr PTu ?C(}K6gJ QFW`\8R`h Fsg\\}Vb pcu) W*EV#yu26D-9wOE^C:)Q4`TX1MsS9d>;(,u$TQ%r+u &k( &$ uR+(Usc6&Nx;y[Z+_E38${ zg (?9*L5 1v6%-vot%P"muj. The Essay Writing ExpertsUK Essay Experts. Rigour is important for selecting quality data sources as /Resources 32 0 R , 10 suitably chosen order statistics; (cf. 33 Hannes . /S /Transparency It is also possible for the participants to not know the official name of the tool they use. 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. There was no inclusion of exclusion criteria stated within article A. Polit and Beck (2018) state maximum variation sampling is usually the mode of choice in qualitative research as it is useful in illuminating the scope of a phenomenon and in identifying important patterns which may cut across variations. Ellis, P. (2019) Evidence-based practice in nursing, Learning Matters. /MediaBox [0.0 0.0 595.0 842.0] It tracks this demand through an ecological accounting system. (2016). Participants within article A were ensured of data confidentiality and autonomy, confidentiality and data protection. 10 July, 2006 By NT Contributor. Yet it comprises 28 percent of all surgical wounds. /Contents 38 0 R These articles were the most recent and linked to the specific choice of topic better than other articles that were found. The participants in this study were 26 intensive care nurses from a hospital in Central Virginia. << The study also showed that the participants experienced treatment using negative The enablers are that there is a wide variety of communication aids that can be used or tailored to help patients. /F1 24 0 R These barriers are nursing workload 50% stated this and patient instability 80% of nurses stated this. [Accessed 29 April 2019]. /Rotate 0 121-139), London: Routledge. . A quantitative research design aims to provide numerical, statistical information that can show patterns or comparable variations(Holland and Rees, 2010; Ellis, 2013). There were severe consequences for some patients and their families where patients spent prolonged periods in hospital. Table 7.2: Quantitative research articles. Article B states participants in their study read the cover page of the survey, this provided necessary information for informed consent. Of 19 frameworks in this category (from UK, 12, 35, 47-52 United States, 70-75 Canada, 79-81 Spain 87 and Southern Africa 90), 14 were based on a more or less linear model of a clinical trial and proposed how patient and lay involvement could be woven into it at every stage from writing the proposal to disseminating the findings. The use of technology based communications like mobile. The full citation precedes this introduction. quality clinical decisions are made based on quality evidence (Polit and Beck, 2010). Nursing: Evidence-Based Practice skills. endobj << . Download electronic versions of tables 7.2 and 7.3 in the text to print off and help you when critiquing quantitative and qualitative research articles. Purposive sampling was used to select participants. /Type /Page Although article B was found to have limitations it did answer the research question. Nurses within article B also considered the use of pain assessment tools as important, compared to article B where nurses stated they did not see them as important for ICU patients. The study also showed that the participants experienced treatment using negative pressure wound therapy, skin grafting, dressings and debridement. to use a framework which is appropriate. /Contents 52 0 R The advantage of using a framework is that a systematic and thorough evaluation is enabled. /Group 33 0 R The authors were clear on why they embarked on this study, because surgical wound healing by secondary intention is an under researched area, so there is a lack of scientific evidence on which practice can be based on. 3 0 obj Both quantitative and qualitative researches can be appraised by using the CASP. [Online]. (2012). Farahani et al. Participants expressed that they would have preferred healing by primary intention, even if that would have not been in their best interests. 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). 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). 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). 24 (2), pp. Norman, G., Dumville, J., Mohapatra, D., Owens, G. and Crosbie, E. (2016) Use this with a research article so you . 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. Secret Trusts - Perfect Essay What Is It? The Study of Nurses Attitudes and Practices towards Pain Evaluation in Nonverbal Patients (2017). The findings of the research were classified into seven themes: wound related factors, expectations of wound healing, psychosocial impact, financial repercussions, supportive role of others, service provision, and treatment related findings. This is found in well conducted, peer reviewed studies, published in respectable journals. /Rotate 0 11 0 obj /MediaBox [0.0 0.0 595.0 842.0] (2012). /Creator McCaughan, D., Sheard, L., Cullum, N., Dumville, J. and Chetter, I. The advantage of a survey is a lot of information can be gathered from a large population in an economical manner, also survey research can be surprisingly accurate. Different frameworks can be used to critique research articles, the framework which will be used within this assignment is the Holland and Rees (2010) critiquing research framework. /Length 3760 benefits of using holland and rees critiquing frameworksunshine coast regional district real estate. nurses lacked appropriate knowledge, expertise and experience, often requiring The ICU nurses in article As study believed there was no need to use a pain assessment scale for patients receiving sedatives. These barriers are nursing workload 50% stated this and patient instability 80% of nurses stated this. endobj enablers are that there is a wide variety of communication aids that can be used or All participants were nurses with experience in the ICU setting, nurses experience ranged from less than two to greater than ten years. Antibiotics and antiseptics for surgical wounds healing by secondary /Parent 2 0 R Holland & Rees: Nursing Evidence-Based Practice Skills. The reason for choosing ICU nurses for the sample population is due to them having more experience taking care of nonverbal patients. 24 (2), pp. Understanding the research process for evidence-based nursing practice 4. /CreationDate (D:20171214133808Z) The researchers also found out that open surgical wounds had a negative 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. This framework has been chosen due to its ability to access online and detail of the questions. 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. These should provide information on both the ideas or concepts discussed in the paper and the . /MediaBox [0.0 0.0 595.0 842.0] Data was gathered using a survey, modified from one designed and used by Rose et al. A review of 121 published critiquing tools concluded that there is 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. 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. 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. Others, however, have been constructed to critique only one of these. All Rights Reserved. << endobj Why People Use Them? Developing a Research Question Lecture Notes, Discuss The Relationship Between Law And Society Law Essay. practice. 16 0 obj 6 0 obj surgical site complications of closed surgical incisions: a possible role of Incisional This type of research aims to . [Online]. 15 0 obj A different search strategy would not be used next time as suitable articles were found. These articles were the most recent and linked to the specific choice of topic better than other articles that were found. >> >> framework is made up of 12 sections (see Appendix 1). /Type /Page Data was analysed in article A using content analysis method which was performed in line with Graneheim and Lundman (2004). The aim of the research which has been carried out is to achieve better and deeper understand of the existing nurses challenges in using pain assessment scales among patients who are unable to communicate. . Essay, Pages 2 (493 words) Views. These are focus of the study, background, the aim of the study, methodology or approach used, data collection tools, sampling technique, ethical . A Critique Paper. Nursing research and evidence-based practice skills. 10 0 obj Title, keywords and the authors. There were 31 surveys given out to intensive care nurses, 26 of them participated in the study. Research evidence: Qualitative methodologies and methods 5. . One difference in findings is that nurses within article A felt the need for pain assessment tools in ICU patients was not necessary, whereas article Bs participants stated their use to be important. Negative Pressure Wound Therapy. 6 What are the four steps of an art critique? Download. (2012). /F2 25 0 R << /Contents 18 0 R [Accessed 27 April 2019]. Most of the patients expressed fear and anxiety when they saw the wound. Other quantitative studies were evaluated using Holland and Rees' (2010) framework for critiquing quantitative research articles (see supplementary) . A quantitative research design aims to provide numerical, statistical information that can show patterns or comparable variations(Holland and Rees, 2010; Ellis, 2013). 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. More commonly used existing frameworks tend to have been formulated within the quantitative research paradigm. Data was analysed using International Business Machines (IBM) Statistical Package for the Social Sciences (SPSS) 24 software. An overview of the evidence-based practice process for novice researchers. >> 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. CASP Randomised Controlled Trial Checklist 2018. There were also reports of anxieties The full citation precedes Article B showed limitations, one of the questions within the survey assessed the pain assessment tools used by the participant. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Article A used semi structured interviews which are the most common type of interviews used in qualitative research (Holloway and Wheeler 2010). The ability to analyze enables individuals to gain knowledge. The qualitative design which can be found in article A is phenomenology, this focuses on the lived experience of individuals, this design matches the aim. This result was also reported by Norman et al (2016) who reported feelings of guilt, emotional volatility and depression in people who had undergone open wound surgery. . Article B stated this highlights the need for tools that are simple, easy and quick to utilise in the clinical setting. This smartphone technology can help facilitate the work being done by district nurses in health promotion (Kratzke and Cox, 2012). Get access to all 51 pages and additional benefits: There were also reports of anxieties associated with delayed wellbeing, worsening financial situation and enforced dependency which undermined family roles. 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. How much does it cost to install instant hot water? disappointment and frustration at the slow healing process of open wounds. A waiver of signed informed consent was obtained from both Liberty Universitys and the hospitals Institutional Review Board (IRB). There are four basic steps: describing, analyzing, interpreting, and evaluating. pressure wound therapy was considered effective as it had reduced dressing Article A attempted to ensure the accuracy of the themes by peer checking the transcripts with two faculty members with a PhD in nursing who were not involved within the study. Polit and Beck (2018) state purposeful sampling can lead to bias, but it can also be a useful approach when the researcher wants a sample of experts. Polit and Beck (2018) state purposeful sampling can lead to bias, but it can also be a useful approach when the researcher wants a sample of experts. 7. Kratzke, C. and Cox, C. (2012) Smartphone technology and apps: rapidly changing health promotion Global Journal of Health Education and Promotion, 15(1). Within article B maintaining the anonymity of the data was considered crucial to encourage participants to answer the questions according to clinical practice. There are a few enablers and barriers to putting these interventions in place. In-text: (Holland and Rees, 2010) Your Bibliography: Holland, K. and Rees, C., 2010. (2004). >> /CropBox [0.0 0.0 595.0 842.0] stream This can be contrasted with wounds that are said to heal by primary intention. >> Search restrictions used consisted of full text, nursing, English language, also the date range used was 2012 to 2019. 3 The next step is to review the key words. and Turk, DC. 4.4/5 on reviews.co.uk. /MediaBox [0.0 0.0 595.0 842.0] There had not been a systematic and sustained research on patient perceptions on open wound surgery before this study. (2008) stated that inadequacy of training courses for pain measurement was one of the significant barriers to the use of non-verbal pain assessment scales. Holland & Rees (2010) argued that focus is a major criterion in judging whether the quantitative method applied is appropriate in the context of the research issue concerned, which is again dependent on identifiable measurable variables and the importance of the topic being studied. Digital Edition: Understanding and critiquing quantitative research papers .