Research Critique Analysis on Nursing
This assignment should be based on the last the assignments. Please see the attachments:
1. Picot assignment 2) Qualitative research paper 3) Quantitative research paper. please also the read and follow the instructor's feedback on all the three assignments.
Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.
PICOT Statement
Revise the PICOT statement you wrote in the Topic 1 assignment.
The final PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).
Research Critiques
In the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions.
The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.
Refer to "Research Critique Guidelines." Questions under each heading should be addressed as a narrative in the structure of a formal paper.
Proposed Evidence-Based Practice Change
Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Research Critique Guidelines
To write a critical appraisal that demonstrates comprehension of the research study conducted, address each component below for qualitative study in the Topic 2 assignment and the quantitative study in the Topic 3 assignment.
Successful completion of this assignment requires that you provide a rationale, include examples, or reference content from the study in your responses.
Qualitative Study
Background of Study:
- Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem.
- How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem.
- Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims.
- List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers.
- Were the purpose and research questions related to the problem?
Method of Study:
- Were qualitative methods appropriate to answer the research questions?
- Did the author identify a specific perspective from which the study was developed? If so, what was it?
- Did the author cite quantitative and qualitative studies relevant to the focus of the study? What other types of literature did the author include?
- Are the references current? For qualitative studies, the author may have included studies older than the 5-year limit typically used for quantitative studies. Findings of older qualitative studies may be relevant to a qualitative study.
- Did the author evaluate or indicate the weaknesses of the available studies?
- Did the literature review include adequate information to build a logical argument?
- When a researcher uses the grounded theory method of qualitative inquiry, the researcher may develop a framework or diagram as part of the findings of the study. Was a framework developed from the study findings?
Results of Study
- What were the study findings?
- What are the implications to nursing?
- Explain how the findings contribute to nursing knowledge/science. Would this impact practice, education, administration, or all areas of nursing?
Ethical Considerations
- Was the study approved by an Institutional Review Board?
- Was patient privacy protected?
- Were there ethical considerations regarding the treatment or lack of?
Conclusion
- Emphasize the importance and congruity of the thesis statement.
- Provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice.
- Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice.
- Integrate a summary of the knowledge learned.
Quantitative Study
Background of Study:
- Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem.
- How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem.
- Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims.
- List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers.
- Were the purpose and research questions related to the problem?
Methods of Study
- Identify the benefits and risks of participation addressed by the authors. Were there benefits or risks the authors do not identify?
- Was informed consent obtained from the subjects or participants?
- Did it seem that the subjects participated voluntarily in the study?
- Was institutional review board approval obtained from the agency in which the study was conducted?
- Are the major variables (independent and dependent variables) identified and defined? What were these variables?
- How were data collected in this study?
- What rationale did the author provide for using this data collection method?
- Identify the time period for data collection of the study.
- Describe the sequence of data collection events for a participant.
- Describe the data management and analysis methods used in the study.
- Did the author discuss how the rigor of the process was assured? For example, does the author describe maintaining a paper trail of critical decisions that were made during the analysis of the data? Was statistical software used to ensure accuracy of the analysis?
- What measures were used to minimize the effects of researcher bias (their experiences and perspectives)? For example, did two researchers independently analyze the data and compare their analyses?
Results of Study
- What is the researcher's interpretation of findings?
- Are the findings valid or an accurate reflection of reality? Do you have confidence in the findings?
- What limitations of the study were identified by researchers?
- Was there a coherent logic to the presentation of findings?
- What implications do the findings have for nursing practice? For example, can the findings of the study be applied to general nursing practice, to a specific population, or to a specific area of nursing?
- What suggestions are made for further studies?
Ethical Considerations
- Was the study approved by an Institutional Review Board?
- Was patient privacy protected?
- Were there ethical considerations regarding the treatment or lack of?
Conclusion
- Emphasize the importance and congruity of the thesis statement.
- Provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice.
- Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice.
- Integrate a summary of the knowledge learned.
Reference
Burns, N., & Grove, S. (2011). Understanding nursing research (5th ed.). St. Louis, MO: Elsevier.
Rubric
Benchmark - Research Critiques and PICOT Statement Final Draft
1
Unsatisfactory
0.00%
2
Less than Satisfactory
75.00%
3
Satisfactory
83.00%
4
Good
94.00%
5
Excellent
100.00%
60.0 %Content
5.0 %Nursing Practice Problem and PICOT Statement
A nursing practice problem is not clearly described and/or a PICOT statement is not included.
PICOT statement describes a nursing practice problem but lacks reliable sources.
PICOT statement describes a nursing practice problem and includes a few reliable sources.
PICOT statement articulates a nursing practice problem using supporting information from reliable sources.
PICOT statement clearly articulates a nursing practice problem using substantial supporting information from numerous reliable sources.
5.0 %Background of Study
Background of study including problem, significance to nursing, purpose, objective, and research questions is incomplete.
Background of study including problem, significance to nursing, purpose, objective, and research questions is included but lacks relevant details and explanation.
Background of study including problem, significance to nursing, purpose, objective, and research questions is partially complete and includes some relevant details and explanation.
Background of study including problem, significance to nursing, purpose, objective, and research questions is complete and includes relevant details and explanation.
Background of study including problem, significance to nursing, purpose, objective, and research questions is thorough with substantial relevant details and extensive explanation.
5.0 %Method of Study
Discussion of method of study including discussion of conceptual/theoretical framework is incomplete.
Discussion of method of study including discussion of conceptual/theoretical framework is included but lacks relevant details and explanation.
Discussion of method of study including discussion of conceptual/theoretical framework is partially complete and includes some relevant details and explanation.
Discussion of method of study including discussion of conceptual/theoretical framework is complete and includes relevant details and explanation.
Discussion of method of study including discussion of conceptual/theoretical framework is thorough with substantial relevant details and extensive explanation.
5.0 %Results of Study
Discussion of study results including findings and implications for nursing practice is incomplete.
Discussion of study results including findings and implications for nursing practice is included but lacks relevant details and explanation.
Discussion of study results including findings and implications for nursing practice is partially complete and includes some relevant details and explanation.
Discussion of study results including findings and implications for nursing practice is complete and includes relevant details and explanation.
Discussion of study results including findings and implications for nursing practice is thorough with substantial relevant details and extensive explanation.
5.0 %Ethical Considerations
Discussion of ethical considerations associated with the conduct of nursing research is incomplete.
Discussion of ethical considerations associated with the conduct of nursing research is included but lacks relevant details and explanation.
Discussion of ethical considerations associated with the conduct of nursing research is partially complete and includes some relevant details and explanation.
Discussion of ethical considerations associated with the conduct of nursing research is complete and includes relevant details and explanation.
Discussion of ethical considerations associated with the conduct of nursing research is thorough with substantial relevant details and extensive explanation.
5.0 %Conclusion
Conclusion does not summarize a critical appraisal and applicability of findings.
Conclusion is vague and does not discuss importance to nursing.
Conclusion summarizes utility of the research and importance to nursing practice.
Conclusion summarizes utility of the research from the critical appraisal and the findings importance to nursing practice.
Conclusion summarizes utility of the research from the critical appraisal, knowledge learned, and the importance of the findings to nursing practice.
10.0 %Evidence of Revision
Final paper does not demonstrate incorporation of feedback or evidence of revision on research critiques.
Incorporation of research critique feedback or evidence of revision is incomplete.
Incorporation of research critique feedback and evidence of revision are present.
Evidence of incorporation of research critique feedback and revision is clearly provided.
Evidence of incorporation of research critique feedback and revision is comprehensive and thoroughly developed.
10.0 %PICOT Statement, Research Article, and Nursing Practice Problem Link (C. 2.2)
Discussion of the link between the PICOT statement, research articles, and nursing practice problem is not included.
Discussion of the link between the PICOT statement, research articles, and nursing practice problem is incomplete or incorrect.
Discussion of the link between the PICOT statement, research articles, and nursing practice problem is included but lacks relevant details and supporting explanation.
Discussion of the link between the PICOT statement, research articles, and nursing practice problem is complete and includes relevant details and supporting explanation.
Discussion of the link between the PICOT statement, research articles, and nursing practice problem is extremely thorough with substantial relevant details and extensive supporting explanation.
10.0 %Proposed Evidence-Based Practice Change (C. 3.2)
The proposed evidence-based practice change is not included.
The proposed evidence-based practice change is incomplete or incorrect.
Discussion of the link between the PICOT statement, research articles, and nursing practice problem is included but lacks relevant details and supporting explanation. The proposed evidence-based practice change is included but lacks supporting explanation and relevant details.
The proposed evidence-based practice change is complete and includes supporting explanation and relevant details.
The proposed evidence-based practice change is extremely thorough and includes substantial supporting explanation and numerous relevant details.
30.0 %Organization and Effectiveness
10.0 %Thesis Development and Purpose
Paper lacks any discernible overall purpose or organizing claim.
Thesis is insufficiently developed or vague. Purpose is not clear.
Thesis is apparent and appropriate to purpose.
Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.
Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
10.0 %Argument Logic and Construction
Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.
Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.
Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.
Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.
Argument is clear and convincing and presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
10.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.
Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.
Writer is clearly in command of standard, written, academic English.
10.0 %Format
5.0 %Paper Format (use of appropriate style for the major and assignment)
Template is not used appropriately or documentation format is rarely followed correctly.
Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
Template is used, and formatting is correct, although some minor errors may be present.
Template is fully used; There are virtually no errors in formatting style.
All format elements are correct.
5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
Sources are not documented.
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
100 %Total Weightage
Research Critique Analysis
Name:
Course:
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Date:
Introduction
Falls in hospitals have been a major issue. Most falls have been attributed to old age and due to dementia related issues. It has been associated with injuries which reduce the ability to self-care as well as participation in activities both physical and social. The fear of fall makes these conditions worse. The outcomes of falls are physical injuries which lead to extra cost to both the patient and the facility. Death might result too though not common. The patient’s time of stay is also lengthened. Several measures have been put into place to reduce the rate of falls in the hospitals. One of the measures that have been put into place is the call lights.
PICOT Statement
In elderly individuals 65 years and over (P) does hourly rounding (I) compared to taking nutritional supplements (C) decrease the number of fall incidents (O) during the patient’s hospital stay (T)?
Research Critiques
Qualitative Study
Falls in hospitals by patients was the clinical problem that led to the study. Falling by patients is unintentional especially with the absence of nurses. This leads to an additional cost to both the patient and the hospital. Hospitals have implemented the use of call lights to try curbing this issue. How effective these call lights are, is triggered the study. The researcher provided the background that pushed them to conduct the research. This was however done briefly in the introduction part. The author explained that patients being admitted in the hospitals face different health challenges. In adverse conditions, they would require assistance to make movements. How to get the attention of the nurses during this time is what the research was based on.
The purpose of the study was to relate the initiation of the family call light’s and the patient call light’s relationship. It also aimed at establishing the average time of response by the nurses and the frequency of use by the patients (Yin & Tzeng, 2009). The research questions were well stated. Through them it can be deduced that the researcher aimed finding the benefits of patient and family call light systems. They also wanted to establish the average rate of calls by the patient and the corresponding response rate of the nurses. The manner in which the nurses responded to the calls was also considered. The purpose of the study and the research questions were entirely related to the problem.
The method of research was appropriate in answering the research questions. The research questions aimed at gaining meaning of the phenomenon. This is the exact purpose that the qualitative study fulfills. It develops concepts through experiences, the participants' opinions and meaning (Zakiya, 2008). The author did not provide the specific perspective on which the study was built on. However, they provided their methods.
The author did not use both qualitative and quantitative sources that focus on the study. Since these sources were not provided, there was no weakness of the available studies provided. An argument could not, therefore, have been constructed based on the literature. The author did not use the grounded theory method and thus did not use any framework to present findings.
The findings of the study indicated that the rate of use of call light by the patients was very high. This was accompanied by a minimal response by the nurses. It was also found out that the rate of fall was directly proportional to the response rate. The less the response rates of nurses, the greater the rate of falls. During the study period, the number of falls was 1000 with both minor and major injuries. Deaths were not reported, however.
Nurses have a responsibility if not to prevent but to reduce fall. In the case of a call light goes off, nurse oncoming should not only respond but should respond immediately. The nurses will help the patient to safely get out of bed thus preventing a potential fall (Yuan-Yuan & Koen, et.al 2016). The findings of the study will impact the practice and administration of nursing. The lower rates of response by nurses will trigger the administration to be strict on the nurses. This will improve their practice.
In the research paper, the author has not specified if the research was approved by Institutional Review Board. They have also not specified if the patients' privacy was protected during the study. The ethical considerations provided by the author were regarding the lack of treatment by the nurses. The patients' privacy, however, should be one of the fundamental ethical considerations to put in place before the research commences.
The author failed to explicitly provide the thesis statement. It is crucial that the congruity of the thesis statement provided. The manner in which the study was conducted is recommendable. However, it is clear that some important aspects of the study were not put into place. There should be more presentation of relevant available studies and the ethical issues that were put underway. However, the knowledge provided about the new approach to care where falls are a risk is immersive.
Quantitative Study
The clinical and research problems that led to the study are the high numbers of individuals who experience accidental falls. It is approximated that just about one-third of Hamlet dwelling people above the age of 65 experience accidental falls (Jensen & Padilla, 2011). The aspects that were not known about the clinical problem were the efficacy of the interventions that avert falls among individuals with Alzheimer's disease and related dementias. A significant number of people (5.8 million) have experienced accidental falls and the proportion of individual’s increases to 50% when the individuals reach the age of 80 years (Jensen & Padilla 2011).
The reason of the study was to determine the value of the interventions that assist in preventing falls for people with Alzheimer’s diseases and related dementias. Additionally, the Jensen and Padilla desired to evaluate fall prevention strategies that will contribute to the body of knowledge of occupational therapy practitioners (Jensen & Padilla, 2011). The authors have not explicitly provided the research questions. However, one can make inferences that the authors desired to determine the effectiveness of the motor based interve...