/Type /Page /CreationDate (D:20171214133808Z) /Resources 32 0 R Most of the patients expressed fear and anxiety when they saw the wound. There were also reports of anxieties associated with delayed wellbeing, worsening financial situation and enforced dependency which undermined family roles. 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 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. This study was conducted using content analysis method in line with Graneheim and Lundman (2004). 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. Thus the shocking findings were not surprising. benefits of using holland and rees critiquing framework. Kratzke, C. and Cox, C. (2012) Smartphone technology and apps: rapidly changing Article B gathered data using a survey which was modified from one designed and used by Rose et al. We use cookies to ensure that we give you the best experience on our website. [Online]. Ethical Context of Nursing Research. >> 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. Challenges faced by nurses in using pain assessment scale in patients unable to communicate: a qualitative study. 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). intention. /Contents [19 0 R 20 0 R 21 0 R] nurses seemed pressed for time because of nurse shortage. 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. Article As study was approved by the Ethics Committee of Mashhad University of Medical Sciences. How much does it cost to install instant hot water? 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. There are several strengths of this study. Practicing registered nurses and advance practice nurses must be able to critically appraise and disseminate evidence in order to meet EBP competencies. Nursing research and evidence-based practice skills. Article B states participants in their study read the cover page of the survey, this provided necessary information for informed consent. /OpenAction [3 0 R /XYZ null null 0] There is a clear background to the issue, which details the epidemiology of surgical wounds that heal by secondary intention. Here you can choose which regional hub you wish to view, providing you with the most relevant information we have for your specific region. >> It's still available to buy, so you can replicate this royal look via the link. << /Parent 2 0 R 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. American pain society recommendations for improving the quality of acute and cancer pain management. /MediaBox [0.0 0.0 595.0 842.0] matter how unpleasant, if it promoted healing (p). 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. 8 0 obj studies, published in respectable journals. Article As study was approved by the Ethics Committee of Mashhad University of Medical Sciences. There were 31 surveys given out to intensive care nurses, 26 of them participated in the study. There are a few enablers and barriers to putting these interventions in place. Article B gathered data using a survey which was modified from one designed and used by Rose et al. We've received widespread press coverage endobj Critique through use of the CASP (2006) . << /CropBox [0.0 0.0 595.0 842.0] Search restrictions used consisted of full text, nursing, English language, also the date range used was 2012 to 2019. Article B showed limitations, one of the questions within the survey assessed the pain assessment tools used by the participant. The researchers performed an in-depth direct analysis of experiences of intensive care nurses. This section summarises the findings of that appraisal. /ProcSet [/PDF /Text] /Font 53 0 R /CropBox [0.0 0.0 595.0 842.0] Data was analysed in article A using content analysis method which was performed in line with Graneheim and Lundman (2004). /Parent 2 0 R literature International wound journal, 13 (6), pp-1281. While frameworks for critiquing qualitative research exist, they are often complex and more suited to the needs of students engaged in advanced levels . /img0 22 0 R 2 Compare and analyze the main concepts. Holland and Rees framework for critiquing qualitative research articles. Copyright 2003 - 2023 - NursingAnswers.net is a trading name of Business Bliss Consultants FZE, a company registered in United Arab Emirates. /CropBox [0.0 0.0 595.0 842.0] Practicing registered nurses and advance practice nurses must be able to critically appraise and disseminate evidence in order to meet EBP competencies. 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. 2nd edn. Rigour is important for selecting quality data sources as quality clinical decisions are made based on quality evidence (Polit and Beck, 2010). Selected participants for this type of research should have experience of these phenomena by whatever ethical means are possible (Parahoo, 2014). << p. 89) iii) for estimating . related factors were reported to impact negatively on patients daily life, their /Type /Page These were critiqued using Holland and Rees qualitative and quantitative critiquing frameworks with further evidence from supporting literature. 20 (1), pp. Subject selection was carried out with maximum variation in personal factors including, age, education level, duration of work experience and organisational role. >> 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). critiquing framework - and adds to the body of nursing knowledge. Essentials of Nursing Research, Methods, Appraising Evidence for Nursing Practice. 63-74) CRC Press. 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. p. 86) ii) for estimating the standard deviation by using 2, 4, or 8 suitably chosen order statistics; (cf. A quantitative research design aims to provide numerical, statistical information that can show patterns or comparable variations(Holland and Rees, 2010; Ellis, 2013). Available at: Heale, R. and Shorten, A. >> The way to determine the quality of the 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. Copyright Oxford University Press, 2016. The participants in this study included 20 nurses working in intensive care units. 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. 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. tailored to help patients. This can be contrasted with wounds that are said to heal by primary intention, or through closing the incision by fixing the edges with stitches (sutures), clips, adhesives or staples (McCaughan, 2018). on wound management and the importance of surgical wound healing by secondary This essay should not be treated as an authoritative source of information when forming medical opinions as information may be inaccurate or out-of-date. Scalise, A., Calamita, R., Tartaglione, C., Pierangeli, M., Bolletta, E., Gioacchini, M., << Subject selection was carried out with maximum variation in personal factors including, age, education level, duration of work experience and organisational role. 121-139), London: Routledge. Norman et al (2016) who reported feelings of guilt, emotional volatility and Available at:<. The reason for choosing ICU nurses for the sample population is due to them having more experience taking care of nonverbal patients. Each of the CASP guidelines has ten questions in which . 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). Disclaimer: This essay has been written by a student and not our expert nursing writers. /Parent 2 0 R Data was gathered using a survey, modified from one designed and used by Rose et al. The full citation precedes In spite of all these, this research will still be applying Holland and Rees critiquing framework to evaluate the research papers . 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. (2012), in which there were three common barriers to pain assessment and management in general. >> Both papers have used the best research they could find when explaining why efficient pain assessment and management is important within the ICU setting. /Contents 40 0 R There is a need to understand the terms "validity" and Article B stated this highlights the need for tools that are simple, easy and quick to utilise in the clinical setting. /Contents 48 0 R << Evidence-based nursing is about making clinical decisions using the best available << << Essay, Pages 2 (493 words) Views. /Parent 2 0 R 7. /CropBox [0.0 0.0 595.0 842.0] Published: 11th Feb 2020. The critical appraisal tool used for assessment of the paper is the Holland and Rees framework for critiquing qualitative research articles. There are several frameworks for critiquing research, some of which have been constructed to critique or evaluate both qualitative and quantitative studies. /Type /Page unexpected changes to dressing and management regimens. Some participants expressed that they had withdrawn from social life (2018) Evidence-based practice In Clinical Governance in Primary Care (pp. Why should ethics approval be required prior to publication of health promotion research? Specific steps for selecting an appropriate tool as well as examples of each tool's use in a publication are provided. 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. Holland & Rees: Nursing Evidence-Based Practice Skills. Royal College of Nursing (2009). Br J Nurs. Both articles are relevant to practice due to the articles aiming to improve pain management and assessment in nonverbal patients. , 10 suitably chosen order statistics; (cf. endobj Within article B maintaining the anonymity of the data was considered crucial to encourage participants to answer the questions according to clinical practice. /Rotate 0 There were 31 surveys given out to intensive care nurses, 26 of them participated in the study. Royal College of Nursing (2009). Framework for analysis of secondary lawmaking Forms of secondary lawmaking in the WTO 3.2.1 Delegated lawmaking 3.2.2 Waiver decisions as secondary legal acts 4. All transcripts were reread throughout the open coding stage and checked several times and keywords, expressions, actualities, incidents, similarities and differences were all noted. (2012). conflicting reports about wound progress and, for instance, debridement needs, and Within quantitative research there are different critiquing frameworks for the different methods used. It is possible to critique a piece of research without using a critiquing framework, but the frameworks are very useful for . Critiquing frameworks There are several frameworks for critiquing research, some of which have been constructed to critique or evaluate both qualitative and quantitative studies. These should provide information on both the ideas or concepts discussed in the paper and the . A systematic review of the literature International wound journal, 13(6), pp.1260-1281. Understanding evidence and its utilization in nursing practice 3. According toLoBiondo-Wood and Haber (2014)surveys have their advantages and disadvantages. (2004). Partners had to work longer hours to maintain the income of the household. The ICU nurses in article As study believed there was no need to use a pain assessment scale for patients receiving sedatives. 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. tissue. The advantage of using a framework is that a systematic and thorough evaluation is enabled. << All transcripts were reread throughout the open coding stage and checked several times and keywords, expressions, actualities, incidents, similarities and differences were all noted. This assignment will critically evaluate two articles that are found in the data extraction table. The study also showed that the participants experienced treatment using negative Unit 8: The Roles and Responsibilities of the Registered Nurse, Understanding Business and Management Research (MG5615), The Human Endocrine and Nervous Systems (RH33MR050), Accounting and Finance Fundamentals Core (4ACCN001W), Immunology, Infection and Cancer (PY6010), Introduction to English Language (EN1023), Fob Contracts - Lecture notes, lectures 1 - 11, Born in Blood and Fire - Chapter 5 (Progress) Reading Notes (SPAN100), Lecture notes, lectures 1-16 - amino acids - beta-oxidation pathway - dna synthesis - enzyme kinetics and regulation - enzyme regulation - enzymes - glucose homeostasis - glycolysis recap - haemoglobin - synthesis and transport in the blood - membrane lipids - metabolism - nitrogen metabolism - protein structure - genome - dna to mrna, Lecture notes, Accounting and Finance Fundamentals Core, Lecture notes, lectures 1-8, 10 - introduction to international relations, Ibmne 4 Motives for FDI - 4 Motivations for FDI - comes up almost every year in the exam, The effect of s78 Police and Criminal Evidence Act 1984 Essay. 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. The title should not normally exceed 15 words 2 and should attract the attention of the reader. Gordon, DB., Dahl, JL., Miaskowski, C., McCarberg, B., Todd, KH., Paice, JA., Lipman, AG., Bookbinder, M., Sanders, SH. This was reported to be at odds with clinicians expectations as they understood that open wounds take slightly longer to heal. The PICO process (or framework) is a mnemonic used in evidence-based practice (and specifically evidence-based medicine) to frame and answer a clinical or health care related question. NURS2001 Research Critique. 17 0 obj Data for this study is in the form of verbal comments or statements from the participants. Evidence-Based Nursing British Medical Journal. endobj Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. (2012). endobj Almost all patients had district nurse visits and they expressed frustration that the nurses seemed pressed for time because of nurse shortage. /Rotate 0 Lovin, R. (2017) Study of Nurses Attitudes and Practices towards Pain Evaluation in Nonverbal Patients. Polit and Beck (2018) state Spearmans correlation is used for correlations between variables measured on an ordinal scale. 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. intention Cochrane Database of Systematic Reviews, (3). Participants expressed a willingness to undergo any procedure of treatment no /Rotate 0 Why use Holland and Rees critiquing? 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. 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). Categories: Free Essays. Surgical wound healing by secondary intention refers to wound that are left open to
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benefits of using holland and rees critiquing framework
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