Nursing Critical Analysis of Quantitative Study Order Instructions: Details: Prepare a critical analysis of a quantitative study focusing on protection of human participants, data collection, data management and analysis, problem statement, and interpretation of findings.
The quantitative research article can be from your previous literature review or a new peer-reviewed article.
Each study analysis will be 1,000-1,250 words and submitted in one document. As with the assignments in Topics 1-3, this should connect to your identified practice problem of interest.
Refer to the resource entitled “Research Critique Part 2.” Questions under each heading should be addressed as a narrative, in the structure of a formal paper. You are also required to include an Introduction and Conclusion.
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.
Submit the assignment along with an electronic version of the article used for the analysis. If an electronic version is not available, submit a clean unmarked copy of the article.
NRS433V.v10R.ResearchCritiquePart2Guidelines_student.docx
Nursing Critical Analysis of Quantitative Study Sample Answer
Introduction
Critical appraisal refers to in-depth analysis of a quantitative study for various reasons. In nursing, a critical appraisal is normally done for three major reasons including a) improve nursing practice, b) broaden nursing knowledge and understanding and c) give a baseline for conducting a study (Shimoinaba, O’Connor, & Lee, 2010). To ensure that these three reasons are achieved, the following special considerations to the article being critically appraised must be put into considerations. These include issues such as research findings are appropriate to the study situation and study setting. The study must identify the further study research and what pilot studies that need to be conducted before the study findings and intervention are incorporated into practice, in order to ensure that patient safety and effectiveness is maintained. Additionally, the article must indicate the clinical implications of the study finding (O’Shea, 2014).
Thesis statement for composing this assignment is that critical appraisal of this quantitative article will broaden my nursing knowledge and understanding of nursing care, which will improve my nursing practice. The article that is critically appraised is “Mc Donell, S., &Timmins, F. (2012). A quantitative exploration of the subjective burden experienced by nurses when caring for patients with delirium. Journal of clinical nursing 21, 2488-2498.” The nursing main topics that will be included in this critical analysis includes protection of the human subjects participating in the study, methods of data collection, data management, the study’s problem statement, findings and the nursing implications (Mc Donell, & Timmins, 2012).
Protection of Human Participants
Research study is the best approach in advancing treatment and quality care in healthcare. The author does not mention the risks and benefits that participants received. However from evidence based practice, some of the benefits that the participants could have achieved include receiving more attention and oversight as there were frequent designated evaluation points during the evaluation processes. Additionally, it would have helped in combating participants feelings of helplessness as they undertook an active role in the healthcare, thus improving the quality of life and general well-being of the patient. The main risk identified in the study is psychological harms associated with undesired changes in the participant’s emotions. However, these risks are transitory and thus had minimal potential for causing serious psychological harm (Mc Donell, & Timmins, 2012).
To ensure that the human participants are protected, the researchers sought permission from the various ethical authorities, including the University ethical review board. Additionally, the participants were required to fill in and sign informed consent. The study indicates that the participants were not forced or coerced in to participating (Mc Donell, & Timmins, 2012).
Data Collection
The data collection design for the study is quantitative descriptive design. The study design was chosen because of its flexibility attribute which is important particularly during data collection as it enhances multifaceted data collection strategy. The study population consisted of 800 registered nurses from the Republic of Ireland. To ensure that the study population was not biased, the population conducted a random sampling (Mc Donell, & Timmins, 2012).
The participants were required to fill in their questionnaires was collected using the Strain Of Care for Delirium Index (SCDI), derived from the Clinical Assessment of confusion (CAC-A) tool. The independent variables collected included psychological behaviors such as depression, physical injuries, anxiety, and burnouts. The dependent variables collected included gender, age, area of work and participants qualifications as well as a number of professional training that the participants had attended (Mc Donell, & Timmins, 2012).
This method of data collection was chosen because enabled the researcher to ensure wider participation of researchers. Additionally, the method ensured that it offered a non-threatening as well as non-intrusive method, and simultaneously maintaining patient’s anonymity. This ensured that the inherent biases are reduced, and most importantly, it allowed a wide range of responses from the nurses who worked in various areas of healthcare practice. The time frame that was used to collect the data was approximately six months (Mc Donell, & Timmins, 2012).
Once the data was collected, it was entered into thematic charts, which aimed at improving the analysis as well as the interpretation of the data. This was done according to the policies and regulations of the ABA policies. The data in the thematic charts was coded to ensure easy data analysis using the statistical tools and parameters (Mc Donell, & Timmins, 2012).
Data Management and Analysis
The data management instruments used was the Strain of Care for Delirium Index (SCDI). Once the data had been gathered from the questionnaires and grouped into thematic charts, it was subjected to data analysis done using SPSS Version 16 Inc., Chicago, IL, USA. The statistical analysis conducted included measures of deviation, and means of variances. These measures were used to ensure that the distribution of pattern could be understood effectively. The analysis of question was done in a manner that it ensured that each of the study questions was analyzed effectively (Mc Donell, & Timmins, 2012).
Additionally, the appropriateness of the statistical measures that were applied included the Cramer’s V association measures, which was used to determine the correlation that existed between variables. To ensure that the statistical analysis was conducted the triangulation techniques, which was done to ensure that type I & II errors were minimized. Describe the data management and analysis methods used in the study (Mc Donell, & Timmins, 2012).
Findings / Interpretation and Implications for clinical practice
The study findings in this articles are reported in percentages and in rations. The study also included the study statistical significance. The study findings summaries are done adequately and in presentations of graphs and figures. From the study findings, it was evident that the RN experienced suffered from subjective burden when delivering care to patients diagnosed with delirium. The study indicated that the main challenging aspect of the disease included hyper activity as well as hyper alertness, recorded at M=3.41, which were followed by uncooperativeness which was reported as M=3.58. There were no accidental findings that are reported, but the study conclusion that RN lack knowledge on ways to manage patients suffering from delirium, and that the nurses suffered subjective burden when delivering these care can be generalized. The findings are valid and also an accurate reflection on what is shown in reality. The main limitation of the study was the poor response from the questionnaire, which could have introduced bias due to confounding effects (Mc Donell, & Timmins, 2012).
The implications of the study in clinical practice are derived from the interpretation of the study findings. This indicated that the RN suffers from subjective burden especially when delivering care to patients diagnosed with delirium. The study indicated that there is need to enrol the healthcare providers and the nurse staff to education programs that focus on effective delivery of care for patients diagnosed with delirium (Wu et al., 2014). The study recommended that future studies in research should focus on strategies that they facilitate in understanding the aspects of delirium, its risk factors, pathophysiology, indicators and preventive measures in order to facilitate early identification of the disease, and early establishment of strategies that will lower the burden of care (Mc Donell, & Timmins, 2012).
Nursing Critical Analysis of Quantitative Study Conclusion
This study and the critical appraisal activity provide substantial implication for nursing practices, particularly when delivering care for patients. This is important because nurses spends most of their time in providing direct care, which creates a prolonged intimate relationship with the patients, which could lead to burden to nurses when delivering care. In some situations, the challenging behaviours that are exhibited by patient can lead to significant nurse distress, and potentially impact negatively on the patient care.
This activity has helped me understand the perceptions and challenges experienced by the nurses, which is a good step in helping me broaden my nursing knowledge and understanding of nursing care, which will improve my nursing practice. Additionally, this will facilitate smooth transition from nurse student into nurse practitioner.
Nursing Critical Analysis of Quantitative Study References
Mc Donell, S., &Timmins, F. (2012). A quantitative exploration of the subjective burden experienced by nurses when caring for patients with delirium. Journal of clinical nursing 21, 2488-2498
O’Shea, M. (2014). CE. AJN, American Journal Of Nursing, 114(11), 26-34. http://dx.doi.org/10.1097/01.naj.0000456424.02398.ef
Shimoinaba, K., O’Connor, M., & Lee, S. (2010). Japanese head nurses’ perspectives regarding issues of nurses working in palliative care units and current support systems. Progress In Palliative Care, 18(6), 358-363. http://dx.doi.org/10.1179/1743291x10y.0000000008
Wu, X., Gao, Y., Yang, J., Xu, M., & Sun, D. (2014). Quantitative measurement to evaluate morphological changes of the corpus callosum in patients with subcortical ischemic vascular dementia. Acta Radiologica, 56(2), 214-218. doi:10.1177/0284185114520863
