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n 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.
ResearchCritique Guidelines
To write a critical appraisal that demonstrates comprehension of the research study conducted, address each component below for qualitative study in the Topic
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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.
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Running Heading: Rough draft qualitative research critique and ethical consideration
Rough Draft Quantitive Research Critique and Ethical Consideration
Monica Castelao
Grand Canyon University
January 13, 2018
Introduction
The purpose of reviewing an article on this below referenced topic was to examine the evidence regarding our PICO question of Is placing a healthy term newborn skin to skin immediately following birth versus in a radiant warmer more beneficial in stabilization and promotion wellbeing of a newborn? The power of first impression is well known. The events that immediately follow birth sets the stage for the subconscious thought process and behavior that will be present for a lifetime. What is the first moments after birth like? The placenta has provided protection, warmth, nutrients and oxygen as well as a continuous close bond with the mother. Therefore, skin to skin is what a newborn is familiar with. Everywhere we look at humans, mammals and nature all show us how mother and child bond- skin to skin.
Methods
Skin-to-skin care is simply placing infants in direct contact with their mothers or other caregivers with the ventral skin of the newborn facing and touching the skin of the mother. The newborn is naked or dressed only in a diaper to maximize the contact between mother and the newborn. The newborn is covered with prewarmed blankets, leaving the newborn’s head exposed. Skin to skin is recommended for all mothers and newborns, regardless of feeding or delivery method, immediately after birth, providing the mother is medically stable, awake, and able to respond to her newborn and to continue for at least 1 hour after birth.
Results
Most of the articles I have read support skin to skin contact directly following the delivery of healthy term newborn. Some of the benefits that are mentioned on these articles are as follows:
Smooth transition to extra- uterine life
Newborn -Mother bonding
Thermo-stabilization
Oxytocin stimulation
Pain reduction
Breastfeeding initiation
Promotion of antibodies
Discussion
Skin to skin contact following birth on premature infants has been proven to be beneficial in the stabilization of vital signs. Although more studies need to be done on healthy terms newborns acknowledging what it has done for the premature newborns can only indicate to be positive on healthy newborns.
Evidence from studies also supports that healthy term newborn that go directly to the radiant warmer have been seen with the following complications such as:
· Newborn Pulmonary distress
· Newborn hypoglycemia
· Maternal hemorrhage
· Maternal pain challenges
Conclusion
The mother child bond has been considered a sacred bond since gestation. Based on the research and the studies that I have found in this topic. I have concluded that skin to skin on a healthy full-term baby is proven to be the best for the mother and the newborn for many reasons already mentioned on the precious subheadings of this essay. However, I have noticed from my research and my past experiences that the nursing staff has hindered on implementing this topic. What exactly are the reasons well that can vary but is not limited to staff shortages and lack of education. Although, education should not be an issue or any additional cost to the facility since skin to skin is a technique already used on premature newborns for many other issue.
Recommendation
It would be recommended that mothers be educated on the topic and briefed on the many benefits incorporating skin to skin on healthy newborns can provide. Such information should include the benefits of an easier transition for newborn to extra-uterine life, breastfeeding, thermo-stabilization, and maternal pain reduction. Furthermore, as any other new implementation structure and policies must be put in place an order to carry through as a standard for all newborn babies and not limit only to the premature and distressed.
References
Moore ER, et., al. Early skin to skin contact for mothers and their healthy newborn infants. Cochrane Database of Systemic Reviews 2016, Issue 11. Art.No.:CD003519.DOI:10.1002/14651858.CD003519 Pub4.
Svivastava S. Gupta A.,Bhathagan A., Dutta S. Effect of very early skin to skin contact on success at breastfeeding and preventing early hypothermia in neonates. Indian Journal of Public Health 2014;58 (1):22-6
Chamberlin D. Windows to the womb revealing the conscious baby from conception to birth. Berkley. CA: North Atlanta books. 2013.
Fleming, P.J., Unexpected collapse of apparently healthy newborn infants: the benefits and potential risks of skin to skin contact. Arch Dis Child Fetal Neonatal Ed. 97-2012 DO: 10.1624/105812407X217147
