The reason for choosing ICU nurses for the sample population is due to them having more experience taking care of nonverbal patients. This study found that the result was similar to previous research carried out by Rose et al. 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. The study also showed that the participants experienced treatment using negative pressure wound therapy, skin grafting, dressings and debridement. /Group 33 0 R Gordon, DB., Dahl, JL., Miaskowski, C., McCarberg, B., Todd, KH., Paice, JA., Lipman, AG., Bookbinder, M., Sanders, SH. Critique through use of the CASP (2006) . /Type /Page (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). The study also showed that surgical wound healing by secondary intention tends to 7 0 obj The framework is made up of 12 sections (see Appendix 1). The researchers also found out that open surgical wounds had a negative The Essay Writing ExpertsUK Essay Experts. pressure wound therapy, skin grafting, dressings and debridement. A new framework for critiquing health-related research is presented in this article. Glendinning, C. (2016) Long-term care and austerity in the UK: a growing crisis In Long-term Care for the Elderly in Europe (pp. endobj 14 0 obj Graneheim, U. and Lundman, B. The study also showed that surgical wound healing by secondary intention tends to confuse patients, who do not understand why their wound should not be sewn, stitched. There were 31 surveys given out to intensive care nurses, 26 of them participated in the study. Purposive sampling was used to select participants. /CropBox [0.0 0.0 595.0 842.0] 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. /Type /Page communication, increased continuity of care and consistency in providing information /Type /Page /Length 3760 research evidence is to subject it to critical appraisal using tools and frameworks like 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. How to Market Your Business with Webinars? 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. 105-112 [Accessed 29 April 2019]. Theres need to know the impact on patients lives to create an evidence-base that can inform future practice. A Critique Paper. A qualitative study using semi-structured interviews and analysis which was done using an inductive approach. CASP checklist for qualitative studies consists of 3 sections containing 10 questions that researchers need to ask when evaluating evidence from qualitative studies (see supplementary . (2018) Patients 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 Both articles agree with the barriers which prevent nurses carrying out pain assessment efficiently in nonverbal patients, they both have similar findings. Some participants expressed that they had withdrawn from social life completely, and this resulted in social isolation. /Contents 36 0 R Full-text available. 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). Almost all patients had district nurse visits and they expressed frustration that the nurses seemed pressed for time because of nurse shortage. benefits of using holland and rees critiquing frameworksunshine coast regional district real estate. 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. Free resources to assist you with your university studies! Critiquing is a systematic process for evaluating research studies and the results reported. 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 . Available at: Heale, R. and Shorten, A. Poor communication of treatment type, especially with regards to debridement which was reported as extremely painful (p.34), resulted in patient frustration. 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. This smartphone technology can help facilitate the work being done by district nurses in health promotion (Kratzke and Cox, 2012). enablers are that there is a wide variety of communication aids that can be used or There were severe consequences for some patients and their families where Like an essay, a critique uses a formal, academic writing style and has a clear structure, that is, an introduction, body and conclusion. Article Bs data analysis was carried out by using IBM SPSS 24 software which is a statistical analysis through a computer. /Contents 18 0 R Rose, L., Smith, O., Glinas, C., Haslam, L., Dale, C., Luk, E. and Watt-Watson, J. But where visits were It is possible to critique a piece of research without using a critiquing framework, but the frameworks are very useful for . This shows easier, quicker pain assessment tools and further training is required for carrying out these assessments. Data confidentiality, autonomy and data protection are all ethical considerations as outlined by the Royal College of Nursing (2009). You might like to print this off to keep with you when you critique quantitative articles. While frameworks for critiquing qualitative research exist, they are often complex and more suited to the needs of students engaged in advanced levels . had to balance care and support for children and care for the patient, in addition to 1. There had not been a systematic and sustained research on patient perceptions on open wound surgery before this study. [Accessed 29 April 2019]. However, Holloway and Wheeler (2010) state maximum variation is not usually used in qualitative research. /Resources 32 0 R 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! 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). Article B states participants in their study read the cover page of the survey, this provided necessary information for informed consent. Both papers have used the best research they could find when explaining why efficient pain assessment and management is important within the ICU setting. However, the paper now provides an evidence base on which interventions can be designed. /Resources << 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. 20 (1), pp. Article B stated this highlights the need for tools that are simple, easy and quick to utilise in the clinical setting. 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. May patients reported that many district nurses lacked appropriate knowledge, expertise and experience, often requiring patient guidance. The critiquing frameworks enables readers to make a judgement regarding the soundness of the research. University Abstract A new framework for critiquing health-related research is presented in this article. tailored to help patients. endobj Linking Evidence to Action. The writers also expressed a need for psychological interventions. It is also possible for the participants to not know the official name of the tool they use. matter how unpleasant, if it promoted healing (p). The children also had to live with the shock of a parent The full citation precedes All transcripts were reread throughout the open coding stage and checked several times and keywords, expressions, actualities, incidents, similarities and differences were all noted. 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. Both articles agree with the barriers which prevent nurses carrying out pain assessment efficiently in nonverbal patients, they both have similar findings. Michael Coughlan. The questions in frameworks for critiquing qualitative research tend to be sequential. quality clinical decisions are made based on quality evidence (Polit and Beck, 2010). Identify and evaluate the general character of the framework. Why use Holland and Rees critiquing? Most of the patients interviewed expressed desperation and frustration and wanted 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. 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. 17 0 obj aurora police district map. /Contents 34 0 R 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. These are focus of the study, background, the aim of the study, methodology or approach used, data collection tools, sampling technique, ethical . Nursing research and evidence-based practice skills. conflicting reports about wound progress and, for instance, debridement needs, and Article A presents various categories from the findings to answer their aim these are; forgotten priority, organisational barriers, attitudinal barriers and barriers to knowledge. 121-139), London: Routledge. We've received widespread press coverage confirmatory strategies (Polit and Beck, 2010:10). There were severe consequences for some patients and their families where patients spent prolonged periods in hospital. 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. Both papers have used the best research they could find when explaining why efficient pain assessment and management is important within the ICU setting. Practicing registered nurses and advance practice nurses must be able to critically appraise and disseminate evidence in order to meet EBP competencies. 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. Article A used a purposeful sampling method to select participants, this continued until data saturation. 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. << There were also reports of anxieties Here you can choose which regional hub you wish to view, providing you with the most relevant information we have for your specific region. /Group 35 0 R 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. The critical appraisal tool used for assessment of the paper is the 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. Data confidentiality, autonomy and data protection are all ethical considerations as outlined by the Royal College of Nursing (2009). the quantity of nature it takes to support people and their economies. There is no rationale given for the choice of tool, there is also no mention of an alternative tool being considered. How to use Checklist. Quantitative research aims to focus on objectivity, and therefore searches for answers that can be generalised to other situations. Critical Appraisal is the process of carefully and systematically examining research to judge its trustworthiness, and its value and relevance in a particular context. [Accessed 29 April 2019]. /Type /Page 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.