3 The next step is to review the key words. Research Ethics RCN Guidance for Nurses [Online]. 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. /Parent 2 0 R These barriers are nursing workload 50% stated this and patient instability 80% of nurses stated this. /Resources 16 0 R 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. reduced household income. 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. >> Kratzke, C. and Cox, C. (2012) Smartphone technology and apps: rapidly changing health promotion Global Journal of Health Education and Promotion, 15(1). 1. 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. /Rotate 0 Although article B was found to have . Section 1 covers an introduction to critical appraisal. How do you critique a framework? There is no rationale given for the choice of tool, there is also no mention of an alternative tool being considered. It is also possible for the participants to not know the official name of the tool they use. dependency which undermined family roles. 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. 3 0 obj << If you continue to use this site we will assume that you are happy with it. aurora police district map. While frameworks for critiquing qualitative research exist they are often complex and more suited to the needs of students engaged in advanced levels of study. 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. /Resources 32 0 R /Producer <6954657874AE20352E352E3420A9323030302D323031342069546578742047726F7570204E5620284147504C2D76657273696F6E29> /Count 11 /Contents 38 0 R Referencing and Creative Commons. /Parent 2 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). reported as extremely painful (p), resulted in patient frustration. >> 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. Newson, A. and Lipworth, W. (2015). https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-018-0281-3#Abs1, https://www.nurseeducationtoday.com/article/S0260-6917(03)00151-5/abstract, https://www.iasp-pain.org/Advocacy/Content.aspx?ItemNumber=1473, https://digitalcommons.liberty.edu/montview/vol3/iss1/4/, https://onlinelibrary.wiley.com/doi/pdf/10.1071/HE15034, https://www.nmc.org.uk/globalassets/sitedocuments/nmc-publications/nmc-code.pdf, https://www.rcn.org.uk/professional-development/publications/pub-004984, https://www.rcn.org.uk/professional-development/publications/pub-003138. 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. Available at:<. 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). nurses lacked appropriate knowledge, expertise and experience, often requiring endobj associated with delayed wellbeing, worsening financial situation and enforced /MediaBox [0.0 0.0 595.0 842.0] A different search strategy would not be used next time as suitable articles were found. 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. Research evidence: Qualitative methodologies and methods 5. >> This study found that the result was similar to previous research carried out by Rose et al. >> endobj The participants do however, state there are barriers which can prevent them from carrying out the assessments. endobj When compared with different appraisal methods (i.e. Like an essay, a critique uses a formal, academic writing style and has a clear structure, that is, an introduction, body and conclusion. This shows easier, quicker pain assessment tools and further training is required for carrying out these assessments. 24 (2), pp. A critique is a systematic way of objectively reviewing a piece of research to highlight both its strengths and weaknesses, and its applicability to practice. Using a framework provides a standardised method of assessing quality and reduces subjectivity. 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. These are focus of the study, There is no rationale given for the choice of tool, there is also no mention of an alternative tool being considered. The general advantages and disadvantages of the two types of studies will also be presented. >> The chosen articles are of equal quality and provide the same perspectives on pain assessment, they both find supportive findings to each other. Essay, Pages 2 (493 words) Views. stitched. /Group << Scalise, A., Calamita, R., Tartaglione, C., Pierangeli, M., Bolletta, E., Gioacchini, M., intention. << Recommendation given in the study included need for improvements in patient-nurse Linking Evidence to Action. /CropBox [0.0 0.0 595.0 842.0] The unfamiliarity with names of tools may affect the accuracy of the results obtained from this question. How to use Checklist. This framework has been chosen due to its ability to access online and detail of the questions. It is important the barriers found within article B are evaluated to promote further compliance with the use of pain assessment tools. endobj consistent and well-timed, there were reports of patient satisfaction. 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. You might like to print this off to keep with you when you critique quantitative articles. Practicing registered nurses and advance practice nurses must be able to critically appraise and disseminate evidence in order to meet EBP competencies. 2011 - Wolters Kluwer/Lippincott Williams & Wilkins - Philadelphia. Polit and Beck (2018) state Spearmans correlation is used for correlations between variables measured on an ordinal scale. This is found in well conducted, peer reviewed endobj 2018. The findings are presented as codes, subcategories, and categories using an inductive approach. and Beck, C.T., 2010. This study was conducted using content analysis method in line with Graneheim and Lundman (2004). But where visits were (2018) Challenges faced by nurses in using pain assessment scale in patients unable to communicate: a qualitative study. 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). An overview of the evidence-based practice process for novice researchers. Critical care nurses pain assessment and management practices: A survey in Canada. The research found in relation to their aim is nurses do not use pain assessment tools as much as they should be within ICU settings. 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. It is vital for readers to understand the aims and questions of the research in order to answer sections of the framework. /Parent 2 0 R . p. 86) ii) for estimating the standard deviation by using 2, 4, or 8 suitably chosen order statistics; (cf. Qualitative research aims to explore a conceptual and theoretical understanding of phenomena. 7. confirmatory strategies (Polit and Beck, 2010:10). Royal College of Nursing (2009). Most of the patients expressed fear and anxiety when they saw the wound. In another study, Scalise et al (2016) in a different study reported patients disappointment and frustration at the slow healing process of open wounds. Deldar, K., Froutan, R. and Ebadi, A. 12 0 obj unexpected changes to dressing and management regimens. /Type /Page Overall, critiquing a qualitative research article requires a . Subject selection was conducted with maximum variation in personal factors (age, education level, duration of work experience, and organizational role). Publicato il . . 63-74) CRC Press. The Holland and Rees framework 2010 describe the sample as a very important stage of the research, this stage can be critically analysed. Surgical wound healing by secondary intention refers to wound that are left open to Published: 11th Feb 2020. /Type /Page This result was also reported by 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. Aspect Questions Focus What topic is the concern of . Essentials of Nursing Research, Methods, Appraising Evidence for Nursing Practice. What are the critiquing frameworks for qualitative research trying to do? Evidence-Based Nursing British Medical Journal. /Type /Page Three articles were identified: two qualitative studies based on interviews with imprisoned mothers, and one quantitative study into re-offending . Critiquing research paper for nursing practitioners emerged due to the . Data confidentiality, autonomy and data protection are all ethical considerations as outlined by the Royal College of Nursing (2009). perceptions and experiences of living with a surgical wound healing by secondary 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. Antibiotics and antiseptics for surgical wounds healing by secondary The recommendations given in the paper, if implemented, will help the work that district nurses are currently undertaking in the community in relation to wound care, for example in improving patient-nurse communication and wound management. The framework is made up of 12 sections (see Appendix 1). All work is written to order. 12, 35, 47, 48 . 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. /MediaBox [0.0 0.0 595.0 842.0] The children also had to live with the shock of a parent Other quantitative studies were evaluated using Holland and Rees' (2010) framework for critiquing quantitative research articles (see supplementary) . /Group 51 0 R Holland & Rees: Nursing Evidence-Based Practice Skills. This framework was used because of its rigour and systematic approach to critiquing qualitative studies. The CASP is to help a reader develops critical skills so as to be sensitive of scientific research and, therefore, to think reasonably about any research encountered (Public Health Resource Unit, 2007). 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. When reading a research article it is important to use a systematic process of reading and considering the content. If you need assistance with writing your nursing essay, our professional nursing essay writing service is here to help! Farahani et al. (2016). (2012). 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. /Rotate 0 /MediaBox [0.0 0.0 595.0 842.0] endobj /img0 22 0 R Poor We've received widespread press coverage 2nd edn. and Turk, DC. There is a clear background to the issue, which details the epidemiology of surgical wounds that heal by secondary intention. Norman, G., Dumville, J.C., Mohapatra, D.P., Owens, G.L. research evidence is to subject it to critical appraisal using tools and frameworks like 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. Glendinning, C. (2016) Long-term care and austerity in the UK: a growing crisis Subject selection was carried out with maximum variation in personal factors including, age, education level, duration of work experience and organisational role. Participants expressed a willingness to undergo any procedure of treatment no American pain society recommendations for improving the quality of acute and cancer pain management. This critique of McCaughan et als (2018) paper using Hek and Moules framework has highlighted some pertinent issues relating to EBP. Norman et al (2016) who reported feelings of guilt, emotional volatility and Rose, L., Smith, O., Glinas, C., Haslam, L., Dale, C., Luk, E. and Watt-Watson, J. Article B showed limitations, one of the questions within the survey assessed the pain assessment tools used by the participant. Both articles are ethically vigorous due to article B being submitted to the IRB and the researcher undergoing formal IRB training. << A new framework for critiquing health-related research is presented in this article. This was reported to be at odds with clinicians expectations as they understood that open wounds take slightly longer to heal. This section summarises the findings of that appraisal. 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. 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. Article A used semi structured interviews which are the most common type of interviews used in qualitative research (Holloway and Wheeler 2010). The reason for choosing ICU nurses for the sample population is due to them having more experience taking care of nonverbal patients. /XObject << Part 2: qualitative research 2007 - British Journal of Nursing. Royal College of Nursing (2009). Reconstructing the Constructivist Roman Law Thesis' (2010) 54 International . 11 0 obj 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. /Creator Some participants expressed that they had withdrawn from social life completely, and this resulted in social isolation. Study of Nurses Attitudes and Practices towards Pain Evaluation in Nonverbal Patients (2017). Evidence-based practice in nursing & healthcare. These articles were the most recent and linked to the specific choice of topic better than other articles that were found. Ellis, P. (2019) Evidence-based practice in nursing, Learning Matters. This article explores how nurses can use evidence-based practice to critique and evaluate the rationale and evidence for specific nursing procedures or practices. Selected participants for this type of research should have experience of these phenomena by whatever ethical means are possible (Parahoo, 2014). the Hek and Moule framework (Watt, 2018) or rigorous methods and multiple, had to balance care and support for children and care for the patient, in addition to McCaughan, D., Sheard, L., Cullum, N., Dumville, J. and Chetter, I. The children also had to live with the shock of a parent living with an open surgical wound. endobj Subject selection was conducted with maximum variation in personal factors (age, education level, duration of work experience, and organizational role). American pain society recommendations for improving the quality of acute and cancer pain management. 4 What is the aim of an independent critique? /Parent 2 0 R 3 What are the 3 parts of a critique paper? 9 0 obj A review of 121 published critiquing tools concluded that there is /F1 24 0 R 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. Results Of the 1253 studies screened, 1139 were excluded from abstracts and a further 70 excluded from full text articles. Questions Appendix 1 and Data Extraction Table Appendix 2. 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. 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. Your Bibliography: Melnyk, B. and Fineout-Overholt, E., 2011. The way to determine the quality of the << 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). Lovin, R. (2017) Study of Nurses Attitudes and Practices towards Pain Evaluation in Nonverbal Patients. /Resources << Study of Nurses Attitudes and Practices towards Pain Evaluation in Nonverbal Patients (2017). /MediaBox [0.0 0.0 595.0 842.0] benefits of using holland and rees critiquing framework. /Resources 32 0 R (2018) Evidence-based practice In Clinical Governance in Primary Care (pp. 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. 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. >> The use of technology based communications like mobile. 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. and Beck (2010), LoBiondo-Wood and Haber (2010), Holland and Rees (2010) and Gerrish and Lacey (2010), to name a few. The research approach normally influences its design. /Rotate 0 There were twenty-five participants in this study after administration. This will be looking at 'how does the stress of balancing a social life and nursing degree contribute to nursing student's dep. There are a few enablers and barriers to putting these interventions in place. << The enablers are that there is a wide variety of communication aids that can be used or tailored to help patients. In another study, Scalise et al (2016) in a different study reported 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. Oxford: Oxford University Press. /MediaBox [0.0 0.0 595.0 842.0] All transcripts were reread throughout the open coding stage and checked several times and keywords, expressions, actualities, incidents, similarities and differences were all noted. << If your specific country is not listed, please select the UK version of the site, as this is best suited to international visitors. 18 0 obj Specific steps for selecting an appropriate tool as well as examples of each tool's use in a publication are provided. /CropBox [0.0 0.0 595.0 842.0] 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. endobj 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. This is best used with quantitative research articles. /Resources 32 0 R In spite of all these, this research will still be applying Holland and Rees critiquing framework to evaluate the research papers . Article critiquing Essay Example | Topics and Well Written . [Accessed 29 April 2019]. living with an open surgical wound. The primary data source in phenomenological studies is in-depth conversations. 5.Cylinders Under Pressure - Thin and Thick Cylinders, Summary Sensation and Perception Chapter 1 - 5, Social Influence 16 markers AQA exam board, Unit 10 - The Human Endocrine and Nervous Systems, Using Gibbs Example of reflective writing in a healthcare assignment, Multiple Choice Questions Chapter 1 What is Economics, Answers - Market Segmentation Activity Worksheet, Lab report - standard enthalpy of combustion, 7. Newson, A. and Lipworth, W. (2015). Article B stated this highlights the need for tools that are simple, easy and quick to utilise in the clinical setting. communication, increased continuity of care and consistency in providing information 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. since 2003, Your NursingAnswers.net purchase is secure and we're rated The participants in this study included 20 nurses working in intensive care units. This type of research aims to . EBP is important in the improvement of health care quality, especially in this very important area of open wound management, in the cost-constrained environment that health and social care is placed. 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. psychosocial impact on the patients and their families, especially those with large benefits of using holland and rees critiquing framework. 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. What is the purpose of a critiquing process? /Contents 40 0 R Use this with a research article so you . Rigour is important for selecting quality data sources as quality clinical decisions are made based on quality evidence (Polit and Beck, 2010). Appraising Evidence for Nursing Practice. 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. /Type /Page If you print this page it will provide you with a 'map' of the structure of most research articles. Theres need to know the impact on patients lives to create an evidence-base that can inform future practice. 5 What is the hierarchy of evidence in research? There were severe consequences for some patients and their families where 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. (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. Here you can choose which regional hub you wish to view, providing you with the most relevant information we have for your specific region. Developing a Research Question Lecture Notes, Discuss The Relationship Between Law And Society Law Essay. Here you can choose which regional hub you wish to view, providing you with the most relevant information we have for your specific region. /MediaBox [0 0 595 842] << /Im2 23 0 R Both papers have used the best research they could find when explaining why efficient pain assessment and management is important within the ICU setting. Unless government can increase funding, the provision of holistic and person-centred care will be difficult. 121-139), London: Routledge. Ethical Context of Nursing Research. /Rotate 0 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). Ethical Context of Nursing Research. . confuse patients, who do not understand why their wound should not be sewn, Hollis, C., Morriss, R., Martin, J., Amani, S., Cotton, R., Denis, M. and Lewis, S. 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. [Accessed 29 April 2019]. There were 31 surveys given out to intensive care nurses, 26 of them participated in the study. 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). Poor communication of treatment type, especially with regards to debridement which was reported as extremely painful (p.34), resulted in patient frustration. 15 0 obj All work is written to order. 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). surgical site complications of closed surgical incisions: a possible role of Incisional There is a need to understand the terms "validity" and Article A states a written consent was obtained from all participants before recording the interviews.