Holland & Rees: Nursing Evidence-Based Practice Skills. However, Holloway and Wheeler (2010) state maximum variation is not usually used in qualitative research. Holland & Rees: Nursing Evidence-Based Practice Skills Framework of a research article. Critical appraisal is the assessment of research studies' worth to clinical practice. >> 3 0 obj since 2003, Your NursingAnswers.net purchase is secure and we're rated 10 0 obj 24 (2), pp. (2015) Technological innovations in mental healthcare: harnessing the digital Please refer to an authoritative source if you require up-to-date information on any health or medical issue. /MediaBox [0.0 0.0 595.0 842.0] Norman, G., Dumville, J.C., Mohapatra, D.P., Owens, G.L. /CropBox [0.0 0.0 595.0 842.0] Newson and Lipworth (2000) state it is good research practice and argue research should not be published if approval from a Human Research Ethics Committee (HREC) has not been obtained. It is also possible for the participants to not know the official name of the tool they use. Newson, A. and Lipworth, W. (2015). May patients reported that many district nurses lacked appropriate knowledge, expertise and experience, often requiring patient guidance. The ecological footprint is a method promoted by the Global Footprint Network to measure human demand on natural capital, i.e. This framework has been chosen due to its ability to access online and detail of the questions. critiquing qualitative studies. Analysis consisted of computing the frequency of certain attitudes, pain assessment practices or beliefs. 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. &quot;The qualities of an effective mentor&quot; (Gray and Smith, 2000) was critiqued using the Critical Appraisal Skills Programme (CASP, 2006) framework. endobj Data for this study is in the form of verbal comments or statements from the participants. Box 1 shows some of the commonly utilised frameworks within the nursing literature. research evidence (Ellis, 2019). /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. This article criticizes President Aquino's fourth State of the Nation (SONA). Article B gathered data using a survey which was modified from one designed and used by Rose et al. /CropBox [0.0 0.0 595.0 842.0] It is vital for readers to understand the aims and questions of the research in order to answer sections of the framework. This framework has been chosen due to its ability to access online and detail of the questions. 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 chosen articles are of equal quality and provide the same perspectives on pain assessment, they both find supportive findings to each other. There is no rationale given for the choice of tool, there is also no mention of an alternative tool being considered. 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. 2011 - Wolters Kluwer/Lippincott Williams & Wilkins - Philadelphia. 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. studies, published in respectable journals. This framework was used because of its rigour and systematic approach to Section 3 covers appraising difference types of papers including qualitative papers and observational studies. 15 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. Ethical Context of Nursing Research. cavities. 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. /ProcSet [/PDF /Text] A disadvantage of carrying out a survey is the breadth rather than the depth of the information is emphasized. /Producer <6954657874AE20352E352E3420A9323030302D323031342069546578742047726F7570204E5620284147504C2D76657273696F6E29> The participants in this study included 20 nurses working in intensive care units. Three articles were identified: two qualitative studies based on interviews with imprisoned mothers, and one quantitative study into re-offending . The use of technology based communications like mobile. Essentials of Nursing Research, Methods, << the Hek and Moule framework (Watt, 2018) or rigorous methods and multiple, endobj Some participants expressed that they had withdrawn from social life completely, and this resulted in social isolation. It is possible to critique a piece of research without using a critiquing framework, but the frameworks are very useful for . This can help readers understand the direction of your critique. 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. Patricia Cronin. (2012). 420 friendly airbnb cabins in colorado; spotify streams higher or lower game; . Some participants expressed that they had withdrawn from social life benefits of using holland and rees critiquing framework benefits of using holland and rees critiquing framework vo 9 Thng Su, 2022 vo 9 Thng Su, 2022 Search restrictions used consisted of full text, nursing, English language, also the date range used was 2012 to 2019. 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 PICO framework is also used to develop literature search strategies, for instance in systematic reviews. A new framework for critiquing health-related research is presented in this article. In spite of all these, this research will still be applying Holland and Rees critiquing framework to evaluate the research papers . Both papers have used the best research they could find when explaining why efficient pain assessment and management is important within the ICU setting. 12 0 obj >> Polit and Beck (2018) state Spearmans correlation is used for correlations between variables measured on an ordinal scale. In another study, Scalise et al (2016) in a different study reported patients disappointment and frustration at the slow healing process of open wounds. 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. (2005). Participants expressed that An IRB can approve the proposed plans, require modifications or disapprove them (Polit and Beck, 2018). << The How to Market Your Business with Webinars? >> Lovin, R. (2017) Study of Nurses Attitudes and Practices towards Pain Evaluation in Nonverbal Patients. Study of Nurses Attitudes and Practices towards Pain Evaluation in Nonverbal Patients (2017). /MediaBox [0 0 595 842] endobj There were also reports of anxieties associated with delayed wellbeing, worsening financial situation and enforced dependency which undermined family roles. The findings are presented as codes, subcategories, and categories using an inductive approach. >> There were twenty-five participants in this study after administration. It also found nurses do not use pain assessment scales due to receiving little information in undergraduate programs and training about pain assessment tools. Subject selection was conducted with maximum variation in personal factors (age, education level, duration of work experience, and organizational role). 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. ), Criminal Law (Robert Wilson; Peter Wolstenholme Young), Rang & Dale's Pharmacology (Humphrey P. Rang; James M. Ritter; Rod J. (2018) Evidence-based practice In Clinical Governance in Primary Care (pp. 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). 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). . Within article B maintaining the anonymity of the data was considered crucial to encourage participants to answer the questions according to clinical practice. More commonly used existing frameworks tend to have been formulated within the quantitative research paradigm. /Parent 2 0 R communication of treatment type, especially with regards to debridement which was (2018) Patients perceptions and experiences of living with a surgical wound healing by secondary intention: A qualitative study International journal of nursing studies, 77, pp.29-38. trader joe's marlborough sauvignon blanc tickets for chelsea flower show 2022 benefits of using holland and rees critiquing framework. /CropBox [0.0 0.0 595.0 842.0] Specific steps for selecting an appropriate tool as well as examples of each tool's use in a publication are provided. /Im2 23 0 R The first article in this series on understanding research (Lee, 2006a) examined the basic terminology used by researchers and identified that qualitative research produced non-numerical (qualitative) data. Deldar, K., Froutan, R. and Ebadi, A. maintain the income of the household. We're here to answer any questions you have about our services. /Group 39 0 R /Rotate 0 [Accessed 29 April 2019]. Most of the patients expressed fear and anxiety when they saw the wound. To deliver safe and effective patient care student nurses need to find, critique, and use evidence in every day nursing decisions and academic work, Consequently they need a new textbook that goes further than simply explaining research methods. 11 0 obj An overview of the evidence-based practice process for novice researchers. 1. Nurse Education Today. /Parent 2 0 R /Parent 2 0 R Article A used a purposeful sampling method to select participants, this continued until data saturation. expectations as they understood that open wounds take slightly longer to heal. (2012), in which there were three common barriers to pain assessment and management in general. Questions Appendix 1 and Data Extraction Table Appendix 2. Aim/Purpose, Research Question or hypothesis, Design of study & methods of data collection used. The reason for choosing ICU nurses for the sample population is due to them having more experience taking care of nonverbal patients. There are a few enablers and barriers to putting these interventions in place. These are focus of the study, 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! Such a systematic way of conducting research improves the validity and transferability of the research and reduces bias (Polit and Beck, 2010). 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. This shows easier, quicker pain assessment tools and further training is required for carrying out these assessments. 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. Available at: Heale, R. and Shorten, A. 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. Participants expressed a willingness to undergo any procedure of treatment no The framework is made up of 12 sections (see Appendix 1). Polit, D.F. This essay assesses a peer reviewed paper written by McCaughan et al (2018) and Results Of the 1253 studies screened, 1139 were excluded from abstracts and a further 70 excluded from full text articles. 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. It is an essential skill for evidence-based medicine because it allows people to find and use research evidence reliably and efficiently. Although article B was found to have limitations it did answer the research question. /Type /Pages 9 0 obj 7. 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 endobj surgical site complications of closed surgical incisions: a possible role of Incisional All Rights Reserved. There were twenty participants involved in carrying out this research, the participants included nurses working within ICU. Critiquing is a systematic process for evaluating research studies and the results reported. Practicing registered nurses and advance practice nurses must be able to critically appraise and disseminate evidence in order to meet EBP competencies. Wound This section summarises the findings of that appraisal. All transcripts were reread throughout the open coding stage and checked several times and keywords, expressions, actualities, incidents, similarities and differences were all noted. /MediaBox [0.0 0.0 595.0 842.0] The Holland and Rees framework 2010 describe the sample as a very important stage of the research, this stage can be critically analysed. 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. /Contents 50 0 R We're here to answer any questions you have about our services. 18 July, 2006 By NT Contributor. There were also reports of anxieties A systematic review of the literature International wound journal, 13(6), pp.1260-1281. /Contents 44 0 R Analysis consisted of computing the frequency of certain attitudes, pain assessment practices or beliefs. Article B showed limitations, one of the questions within the survey assessed the pain assessment tools used by the participant. Research Ethics RCN Guidance for Nurses [Online]. Learn more about what critical appraisal . 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. (2004). endobj Article B gathered data using a survey which was modified from one designed and used by Rose et al. 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. /Rotate 0 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. 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. (2016) Antibiotics and antiseptics for surgical wounds healing by secondary intention Cochrane Database of Systematic Reviews, (3). 13 0 obj >> The enablers are that there is a wide variety of communication aids that can be used or tailored to help patients. Almost all patients had district nurse visits and they expressed frustration that the << Within article B maintaining the anonymity of the data was considered crucial to encourage participants to answer the questions according to clinical practice. /Parent 2 0 R Subject selection was carried out with maximum variation in personal factors including, age, education level, duration of work experience and organisational role. This article is a resource for understanding . 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). 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. benefits of using holland and rees critiquing framework. intention. Aim/Purpose, Research Question or hypothesis, Design of study & methods of data collection used. 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. Both articles agree with the barriers which prevent nurses carrying out pain assessment efficiently in nonverbal patients, they both have similar findings. Get access to all 51 pages and additional benefits: Other quantitative studies were evaluated using Holland and Rees' (2010) framework for critiquing quantitative research articles (see supplementary) . There is no mention within this study of inclusion or exclusion criteria. Jun 2007. The way to determine the quality of the Different frameworks can be used to critique research articles, the framework which will be used within this assignment is theHolland and Rees (2010) critiquing research framework. 7 0 obj (2012). These should provide information on both the ideas or concepts discussed in the paper and the . This will be looking at 'how does the stress of balancing a social life and nursing degree contribute to nursing student's dep. The framework is made up of 12 sections (see Appendix 1). completely, and this resulted in social isolation. 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. /Parent 2 0 R /Rotate 0 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 . It also found nurses do not use pain assessment scales due to receiving little information in undergraduate programs and training about pain assessment tools. disappointment and frustration at the slow healing process of open wounds. Participants expressed that they would have preferred healing by primary intention, even if that would have not been in their best interests. reduced household income. /Resources 32 0 R (2012), in which there were three common barriers to pain assessment and management in general. This study found that the result was similar to previous research carried out by Rose et al. Published: 11th Feb 2020. /Contents 34 0 R 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. Article B states participants in their study read the cover page of the survey, this provided necessary information for informed consent. << >> May patients reported that many district 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. 3 The next step is to review the key words. /Rotate 0 It is also possible for the participants to not know the official name of the tool they use. /CropBox [0.0 0.0 595.0 842.0] CASP Checklist. 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.