...EMAIL: moneyruffian67@gmail.com Research Design and Methods for Advanced Nursing Practice Critique NAME: Professor: Institution: Course: Date: This research is based on the idea that mothers with low incomes have a high prevalence of depression and depressive symptoms which have a negative effect on their infants and toddlers. Poorer development in infants and toddlers has been directly linked to maternal depression. Furthermore, infants of mothers who have depressed mothers tend to talk less, they engage in little play and lag behind on standardized language and mental development scales (Campbell et al, 2004). The aim of this research was to test the interpersonal psychotherapy of parenting enhancement to reduce depression of low income mothers of infants and toddlers. This study used a two group repeated measures design which was randomized. Mothers who were given the IPT + PE plus EHS enrichment were compared with mothers getting attention control health education plus EHS enrichment. The IPT + PE and ACTAU conditions were delivered over a 20 week period. Data were collected at four points: at baseline before randomization (T1), partway through the intervention (T2: 14 weeks), after completion of the intervention and termination with the nurse (T3:22weeks), and 1 month after all intervention stopped (T4: 26 weeks). The sample involved 226 mothers with infants. They were enrolled in in one of six EHS programs in the northeastern and southeastern...
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...EMORY UNIVERSITY NELL HODGSON WOODRUFF SCHOOL OF NURSING TITLE: NRSG 507: Theory and Research Applications CREDIT ALLOCATION: 3 Semester hours PLACEMENT: Tuesdays 1:00 – 3:50 PM Rm. 201 FACULTY: Catherine Vena, PhD, RN | Eun Seok (Julie) Cha, PhD, RN | Clinical Associate Professor | Assistant Professor | Room 224 | Room 234 | cvena@emory.edu | echa5@emory.edu | 404-727-8430 | 404-712-9578 | Office Hours: By appointment | Office Hours: By appointment | COURSE DESCRIPTION: This course is an introduction to the theoretical and research foundations of advanced nursing practice. Key content to be covered includes the philosophical basis of science and knowledge, the structure and development of theory, qualitative and quantitative research methods, theory and research critique, and the application of theory and research in advanced nursing practice. It delineates research competencies for advanced practice nurses. The course encompasses critique of studies, application of research findings to practice (research utilization) and evaluation of outcomes attributable to advanced practice nursing. Ethical considerations related to research are integrated throughout the course. COURSE OBJECTIVES/OUTCOMES: 1. Understand the relationship between theory, research, and practice. 2. Critique and evaluate theoretical perspectives and research methods used to address clinical problems. 3. Understand...
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...Annotated Bibliography: Quantitative Critique This assignment is an annotated bibliography on resources that Team C will use for the quantitative nursing critique that is due in week three. It should also be noted that some of sources from this annotated bibliography will also be applicable for the qualitative nursing critique that is due in week five. Coughlan, M., Cronin, P., Ryan, F. (2007), Step-by-step guide to critiquing research. Part 1: Quantitative research. British Journal of Nursing, 16(11), 658-663. This article provides a step-by-step approach to understanding research terminology and provides the nurses with a basis for understanding quantitative research. The article points out that being able to read nursing research is the first step in incorporating evidence based best practices into nursing care. As referred to in the article, each stage of the process must be thoroughly examined and this article walks the inexperienced nurse through the process. Duffy, J. R. (2005). Critically appraising quantitative research. Nursing & Health Sciences, 7(4), 281-283. doi:10.1111/j.1442-2018.2005.00248.x Critical appraisal of quantitative research is important to evidence-based practice. It allows a clinician to determine whether a study is scientifically rigorous. This article describes critical appraisal as a careful process of judging the worth of a quantitative study that guide clinical decisions, as well as a structured approach for understanding the...
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...Implications of Qualitative Research Report Grand Canyon University NRS 433V: Introduction to Nursing Research February 27 2011 Critique of Qualitative Research Introduction Restraints are methods used in the medical field in an effort to restrict the movement of a patient in order to protect the safety of the patient, other patients, and caregivers. Since the onset of the use of restraints, this practice has been an ethical issue and topic for discussion. Further, it continues to be a concern in the health care industry because of the physical, emotional and psychological freedom involved. A study conducted by Hantikainen and Kappeli (2000) interviewed 20 skilled and untrained nursing staff from two nursing homes in a German speaking area in Switzerland. The authors concluded that there is no clear agreement on the definition of restraints and, as such, this lack of clarity translates to the nursing staff inconsistency and corresponding defensive behavior. Further, they felt the crucial component of establishing “restraint-free care” is nursing staff’s understanding of the impact of their personal perceptions of their thinking on their application of restraint policy. The intent of this qualitative research study was to discover nursing staff member’s perceptions on the use of restraints and how these insights affect their decisions at bedside (Hantikainen and Kappeli, 2000). This paper will review the above research article to critically analyze:...
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...UNDERSTANDING EVIDENCE - BASED NURSING | Evidence-based Literature Search and Review on Interruptions during Drug Rounds | Cohort: March 2010 | | Student ID: | | Word count: 3292 Additional Module 1 | It is generally accepted that evidence-based practice (EBP) is the way forward in contemporary nursing. It provides the rationale behind nursing practice and allows for the delivery of optimal nursing care. Evidence-Based Nursing (EBN) involves the process of researching and implementing proven evidence in providing better patient care and is crucial as the role of the nurse is ever expanding (Banning, 2005). This essay will demonstrate that as a student nurse, the author has gained the necessary skills to conduct an evidence-based literature search and review and implement that knowledge into practice. Starting with a brief discussion on EBN it will go on to identify a suitable research question. During a placement on a medical ward the author noticed that nurses experienced many interruptions whilst conducting medication rounds and this review will consider ways to minimise interruptions and thus improve patient safety. Using the PICO acronym a suitable research question was formulated, ‘do interruptions during medication rounds increase the drugs administration errors made by nurses?’ A short description of the literature search is given and a summary of findings is presented in tabular form. Five original articles were selected and one chosen to critically...
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...Do X-rays Requested By Triage Nurses Decrease Waiting Times? Research in Health and Social Care Introduction: Since 1991 when the patient’s charter (Department of Health 1991) was introduced, Accident and Emergency (A&E) departments have been under pressure to see, treat and discharge patients within a certain time period. In 1991 75% of walking wounded who presented to the department had to be discharged within one hour. It was subsequently changed in 2004 when the government decided that 98% of all patients attending an A&E department should be in the department no longer than four hours (Department of Health 2004). And again in 2011 when the department of health introduced the clinical care indicators that relaxed the target to 95% seen, treated and discharged or admitted in 4 hours (Department of Health 2011). Triage nurses within the accident and emergency department are one of the first people to assess the patients who present with an injury or illness. The patient’s condition is assessed and their need for how quickly they require treatment is prioritised. Triage nurses are usually experienced A&E nurses who have many years A&E experience (Dolan et al 2007). Patients are then placed in queues to await assessment by a Doctor or Emergency Nurse Practitioner. Once seen they are then put in another queue to await x-ray if necessary before waiting again to see the doctor/ENP that will interpret their x-ray and decided on the best course of treatment...
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...guards and police officers”(ICN, 2009). The aim of this essay is to critically appraise a systematic review of the literature based on workplace violence in the emergency department and to identify characteristics of interventional studies to guide best practice. This review will discuss current practices in reference to NSW health policy and guidelines, critique the systematic review by (Taylor & Rew, 2010) in terms of discussing methodology and provided a comprehensive overview of (Taylor & Rew, 2010) article(Hoag-Apel, 1998) (NSW Health, 2005). Finally, this review will attempt to recommend a change in practice in terms of the research question of what are the suggested interventions for workplace violence in the ED conducted by studies from 2004 ? Based on best evidence based practice and research(Hoag-Apel, 1998) . Although healthcare professionals and exclusively nurses are at higher risk of workplace violence, NSW legislation doesn’t reflect the increase risk associated or current international concerns(Hoag-Apel, 1998) . In NSW it is part of a legislative requirement that staff receive sexual harassment training, however, even though there are higher incidents of workplace violence then sexual harassment in nursing it isn’t a legislative requirement that staff are educated(Curtis, Ramsden & Friendship,2007) . Current NSW legislation doesn’t reflect current evidence based...
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...NRS433V, Conwell, Critique 1 Running Head: QUANTITATIVE RESEARCH CRITIQUE Critique of a Quantitative Research Paper Researching lived experience in health care: Significance for care ethics Linda Conwell, RN Grand Canyon University NRS 433V Sonya Williams, RN, MSN March 27, 2011 NRS433V, Conwell, Critique 2 Existing studies indicate nurses’ use of research in their practice, i.e., evidence based practice; however, little evidence is available as to the extent to which nurses utilize the available research in their practice The stated objective of the study was “to systematically identify and analyze the available evidence related to the extent to which nurses use research in clinical practice and contribute to the body of work assessing the state of the science” (Squires, Hutchinson, Bostrom, O’Rourke, Cobban and Estabrooks, 2011). This study quantifies and illustrates the discrepancies and inconsistencies in reporting methods and measurement of research use by nurses and in the validation of research use and patient outcomes. The authors highlight the need for standard methods of measuring research use and it’s correlation to patient outcomes, and a clearer understanding of the concept of research utilization in clinical practice. They also note the need of clearer understanding of the concept of research use and the use of a research based practice. Method The authors used a systematic review of published and grey literature, utilizing online bibliographic...
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...Concept Analysis Assignment Grand Canyon University Theoretical Foundations for Nursing Roles and Practice NUR 502 Ms. Maria Mendez June 13, 2013 Concept Analysis Assignment Today’s nursing profession encompasses a variety of specialties and disciplines that demonstrate a wide range of phenomena. According to McEwin and Willis, in clinical practice, those phenomenon that are frequently seen aid advanced practice nurses in developing interventions and clinical protocols because they are said to be stable and reliable components of the practical nursing experience (McEwin & Willis, 2011, p. 47). The observed phenomena may or may not have had research studies associated with them in the past to concretely define them, and therefore the notion of concept development and analysis arose to clarify the meanings of the phenomena encountered in one’s practical setting. McEwin and Ellis define concepts as “terms that refer to phenomena that occur in nature and thought” (McEwin & Willis, 2011, p. 47). Furthermore, concepts can be concrete, nonconcrete, variable, and non-variable in manner and described in words or phrases. Concept analysis is utilized to clarify vague concepts in nursing that may be overused and unclear and also to promote a mutual understanding amongst colleagues (Falan, 2010). For the purpose of this assignment, an article found in the Scandinavian Journal of Caring Sciences regarding the concept of abuse in healthcare was selected for concept analysis...
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...reviewed in relation to achieving short and long term abstinence. Research studies examining smoking cessation interventions and its overall effectiveness were critiqued and evaluated using a systematic literature review. Methods: Specific medical databases were utilised, followed by a methodical search strategy to identify key articles. Through evaluation of the studies, reliability and validity will be established. Evidence based practice will be explored throughout the report and will demonstrate how to source and appraise relevant research, whilst indicating how research findings can be implemented within todays nursing practice. Findings: It has been identified that smoking cessation intervention programmes are successful in short and long term abstinence with evidence identifying that post-operative complications are higher in patients that smoke. Implications: The right time to introduce smoking cessation pre-operatively is debatable although the majority of research argues that even the shortest time will be of benefit to the patients overall health and recovery time. Patients attitudes and willpower towards smoking cessation have a considerable impact upon how effective the intervention is. INTRODUCTION: 110 Modern medical practice is founded on applying scientific principles to the art of medicine (Lauerman: 2008). The National Institute for Nursing Research (2013) defines nursing research as the underpinning knowledge that enables nurses to promote and improve...
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...Hek et al (1996) suggested Research is imperative in healthcare today and is part of the evidence-based practice that underpins nursing. Burns & Grove (1999) further proclaimed critiquing research involves careful examination of all aspects of a study, to judge strengths, limitations, meaning and significance. Research is critiqued to provide knowledge, improve practice and provide essential data for conducting further studies. The aim of this assignment is to critique a chosen piece of nursing research, to analyse the rigor and validity using a critical framework as guidelines. Although, many critical frameworks exist, the one to be utilised in this assignment shall be Benton and Cormack's framework (1996). Using the systematic headings within the chosen frameworks will help to facilitate the understanding and preparation for the journal article to be critiqued (see appendix 1). The article to be critiqued is located in the Journal of Advanced Nursing (2007) which evaluates the valuing of altruism in nursing students (Johnson, Haigh and Yates-Bolton (2007). Benton and Cormack's framework is initiated by looking at the following; Title The details or the vagueness within the title alone can decide whether the research report is read or not suggested Parahoo (1997). When the author examines the subject matter which shall be appraised in this instance, it is evident that the title is informative with the first part explaining the research which has been conducted...
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...Critiquing Research According to Webster (1985), to research is to search or investigate exhaustively. He also states that it is, “A careful or diligent search, studious inquiry aimed at the discovery and interpretation of facts.” The piece being critically reviewed is an article by Dr Ann Seed (1995), “Crossing the Boundaries – Experiences of neophyte nurses.” Readers sometimes assume that if a report was accepted for publication; the study must be sound (Polit & Beck 2004), unfortunately this is not always true. In order to determine the quality of the work, a critical review is needed. This work will use the Model for Critical Appraisal of Studies by B Roe (1993). The Introduction The introduction should acquaint readers with the research problem and context (Polit & Beck 2004). The introduction in Seeds research is informative but does not give actual reasons for the study and what expectations are. These are not established at all in the published piece; this is a problem for the reader as it leaves one guessing what Seed feels the importance is and what the intentions were, this should have been highlighted in the beginning. Literature review Seed does not use a literary review. Cormack (2000) states all articles should; as quoted in Polit & Beck (2004); Glaser and Strauss (1967) disagree, and state it is not correct to take on qualitative research having pre-examined earlier works. The author does not discuss reasons why she has not included a literary...
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...Measurement of empathy in nursing research: systematic review Juping Yu & Maggie Kirk Accepted for publication 16 July 2008 Correspondence to M. Kirk: e-mail: mkirk@glam.ac.uk Juping Yu MSc PhD RN Research Fellow Faculty of Health, Sport and Science, University of Glamorgan, Wales, UK Maggie Kirk BSc PhD RN Head of Research/Leader Genomics Policy Unit and Lead Professional Specialist (Nursing Professions) NHS National Genetics Education and Development Centre Faculty of Health, Sport and Science, University of Glamorgan, Wales, UK YU J. & KIRK M. (2008) Measurement of empathy in nursing research: systematic review. Journal of Advanced Nursing 64(5), 440–454 doi: 10.1111/j.1365-2648.2008.04831.x Abstract Title. Measurement of empathy in nursing research: systematic review. Aim. This paper is a report of a systematic review to identify, critique and synthesize nursing studies of the measurement of empathy in nursing research. Background. The profound impact of empathy on quality nursing care has been recognized. Reported empathy levels among nurses range from low to welldeveloped and there is clearly debate about what constitutes empathy and how it can be measured and improved. Data sources. Searches were made of the CINAHL, MEDLINE and PsycINFO databases, using the terms ‘empathy’, ‘tool’, ‘scale’, ‘measure’, ‘nurse’, and ‘nursing’, singly or in combination to identify literature published in the English language between 1987 and 2007. Methods. A systematic review was...
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...The importance of identity in falls prevention. Falls are frequently identified as one of the elderly giants. It mostly generates diagnostic and rehabilitative dilemmas in today's healthcare practice. The importance of a fall lies in its effect on the older person's health, function and independence. A fall can be the first indication of an undiagnosed disease and repeated falls often indicate a change in an older person's functional ability. The prevention of falls in the older population is the most important area in clinical practice which reduces fall associated mortality and morbidity. Fear of falling is commonly identified although poorly defined phenomena among older people (close, 2005). Approximately one third of adults over 65 years of age fall each year. Many will have some psychological consequences after a fall. A frequently expressed psychological factor is loss of confidence in self functioning. This may lead to physical deconditioning, depression, isolation from the society and a low quality of life. Low fall-related efficacy is associated with the number and severity of future falls in older adults with balance disorders (Bishop 2010). A critique of the qualitative study. The importance of identity in falls prevention is a qualitative study where author clearly offers a picture of the occurrence of falls, its prevention and the interventions in older adults who lives in our community. Each individual dreams to have a community where older adults can...
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...School of Health Nursing & Midwifery Assessment Title Page Title Page Information | Module Code | NURS09189 | Module Title | Research Evidence and Practice | Assessment wordage (if applicable) | 3,000 word assignment – no more than 3,300 words | Submission deadline (Date and Time)**The assessment must be submitted prior to this deadline to avoid penalty | Date: 11th December 2015Time: 9am(If the submission is via drop box, the time must be 9am) | To be completed by the student prior to submitting assessment | Assessment Title- please specify the question you have chosen | People experience distress in different ways and so attempting to measure it Is pointless | Banner ID number(this is an 8 digit number, preceded by the letter ‘B’, e.g. B00123456) | B00188060 | Have you been granted a formal extension? | YES Audrey Cund Revised submission deadline for extension: 18th DEC 15 | Contents page Page 2 Introduction Page 3 Literature search Page 5 Critical Appraisal of a Quantitative Study Page 8 Critical Appraisal of a Qualitative Research Study Page 10 Conclusion Page 12 Appendix 1 Page 15 Appendix 2 Page 18 Appendix 3 Page 21 References Critical Appraisal of Quantitative and Qualitative Nursing Research Introduction Contemporary nursing continues to not only strive for evidence based practice, which according to the Nursing and Midwifery Council (NMC) 2008 Code of Performance and Ethics should be part of nurse’s professional...
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