Critical appraisal
Critical appraisal
Order Instructions:
Prepare a critical analysis of a qualitative study focusing on the problem statement, study purpose, research question, literature review, and theoretical framework. This can be one of the selected articles from your previous literature review or a new peer-reviewed article.
The completed analysis should be 1,000-1,250 words and should connect to your identified practice problem of interest.
Refer to “Research Critique Part 1.” Questions under each heading should be addressed as a narrative, in the structure of a formal paper.
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.
NRS433V.v10R.ResearchCritiquePart1Guidelines_student.docx
Please Note: Assignment will not be submitted to the faculty member until the “Submit” button under “Final Submission” is clicked.
SAMPLE ANSWER
The critical appraisal refers to the analysis of the peer reviewed articles done for specific purposes. In nursing, this is mainly done for three main reasons including improving of practice, to broaden the student understanding and nursing knowledge about evidence based practice (Burns & Grove, 2011). During this assessment, the student must put the following into considerations including the study findings and their appropriateness in nursing practice as well as other situation. This helps guide the student on further pilot studies that needs to be conducted to assure effectiveness and safety of the paediatric patients. This is important it facilitates in identification of the potential changes that positively influence of the nursing practice (Maltby, 2010).
To help me in synthesizing these skills that are important in when conducting research in nursing practice, I will critically appraise the following qualitative peer reviewed article Racine, E., Larivière-Bastien, D., Bell, E., Majnemer, A., & Shevell, M. (2012). Respect for autonomy in the healthcare context: observations from a qualitative study of young adults with cerebral palsy. Child: Care, Health and Development, n/a-n/a. doi:10.1111/cch.12018. The article problem statement, purpose of the study, research question and literature view, and conceptual theoretical framework will be critically appraised (De Chesnay, n.d.).
Problem Statement
The aim of the study is to evaluate the healthcare provider’s roles in respecting patients suffering from the cerebral palsy autonomy. This is important because individuals with disabilities in healthcare face diverse ethical and social issues that are very important (Maltby, 2010). This includes communication issues, disparities in accessing the basic services such as routine care or even preventive care as well as the infringement of the patient confidentiality and autonomy. The article describes this is particularly important for these patients because it affects the patient’s cognitive ability (Racine et al., 2012).
The article describes the pre-understanding of the issue and its relevance in paediatric care. Additionally, the article describes holistically the concept of nursing, its practice as well as its importance in respecting patients’ rights and confidentiality when delivering quality care, irrespective of the patient’s health complication, gender, age or ethnic background (Racine et al., 2012). The knowledge gap in this research problem is that transition of paediatric care to adult care in patients with cerebral palsy is complicated, due to the autonomy issues associated with shifts medical decisions to the adolescent (Racine et al., 2012). This is especially a challenge in adolescents diagnosed with cerebral palsy during this transition period. This is because the impairments of the motor and the communication skills that could become conflated with the patients cognitive disability. This is hinders effective delivery of care and increases the costs of treatment (Racine et al., 2012).
Purpose and Research Questions
The purpose and research questions are clearly stated, and the research purpose and research question are related. The research question is ‘what are the perspectives of autonomy for adults diagnosed with cerebral palsy (Racine et al., 2012)?
To answer this research questions, the researcher carried out semi-structured interviews with 14 participants aged between 18-25 years, and those who suffers from cerebral palsy. The researcher also audiotaped the interviews. This study design applied in this type of research is the phenomenological qualitative design. The study sampling technique that is used is the purposive sampling technique (Racine et al., 2012). The data collected was transcribed by verbatim and was analysed using the conventional thematic qualitative content analysis (Burns & Grove, 2011). This sampling approach is important for this type of study, because it facilitates the investigation of the experiences of the young people as well as the healthcare provider’s autonomy. This also facilitates the attainment of the information redundancy. The study reliability and validity was maintained through the use of triangulation. This reduced study bias (Maltby, 2010).
Literature Review
Literature review is summative and conjoined with the introduction. The researcher merely reports other studies findings in a narrative form with no critique However, literature review has information that is adequate enough to construct a logical argument (Burns & Grove, 2011). The literature review summarizes the current knowledge that is relevant to research questions and research purpose i.e. valuing the experiences of in paediatrics diagnosed with cerebral palsy and in ensuring that patient’s autonomy is maintained, especially in children diagnosed with long term and severe infections (Racine et al., 2012). The author has utilized quantitative and qualitative studies that focus on autonomy in paediatric patients diagnosed with cerebral palsy. The references used are current starting from 2006 to 2011. However, the researcher has also used studies from previous studies, older than 5 year which is applied for qualitative studies purposed (Racine et al., 2012).
Conceptual / Theoretical Framework
The author identifies a specific perspective in which the study was established. This is the fact that if the issue of autonomy is contextualised in healthcare, it will improve the quality of care. According to the article, ill adapted health, lack of adequate resources and attitudes towards as well as the increased parental involvement could positively or negatively impact autonomy (Racine et al., 2012). Theoretical framework is not well described, but the author mentions Dynamic Systems Theory (DST), which described the development of the patient’s motor and cognitive functions (Racine et al., 2012). The article describes that the subsystems spontaneously self-organize and interact collectively in a specific manner, which enables identification of the most possible solutions for management of patient’s autonomy. Therefore, the healthcare providers should evaluate and consider all aspects of the theoretical aspects to understand the interaction between various aspects including environments, family and service user (Racine et al., 2012).
Conclusion
This paper helps in improving nursing care especially in paediatric care for chronic conditions. It is vital to identify the gaps in these transitions from paediatric to adult health, which EBP highlights the poor outcomes as well as the diminished opportunities for the service users. More research should be conducted to ensure smooth transitions that will foster autonomy and prepare the young adults transition effectively. This helps improve the lifelong function and establishment of appropriate healthcare services that are uninterruptable during the transition from childhood, adolescence into adulthood.
Reference
Burns, N., & Grove, S. (2011). Understanding Nursing Research (5th ed.). Elsevier. ISBN-13: 9781437707502
De Chesnay, M. (n.d.). Nursing research using historical methods.
Maltby, J. (2010). Research methods for nursing and healthcare. Harlow, England: Pearson Education.
Racine, E., Larivière-Bastien, D., Bell, E., Majnemer, A., & Shevell, M. (2012). Respect for autonomy in the healthcare context: observations from a qualitative study of young adults with cerebral palsy. Child: Care, Health And Development, n/a-n/a. doi:10.1111/cch.12018.
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