Litrature Review and Integrative Paper
Litrature Review and Integrative Paper
Litrature Review and Integrative Paper
ORDER COMPREHENSIVE SOLUTION PAPERS ON Litrature Review and Integrative Paper
Complete a review of the literature and select a minimum of 3 articles that are appropriate research articles related to your question.
Critique each of the articles using the appropriate Appraisal Form below.
Appendix C Appraisal Guide
Synopsis
How many persons were involved in conducting the review?
What topic or question did the integrative research review address? How were potential research reports identified?
What determined if a study was included in the analysis?
How many studies were included in the review? What research designs were used in the studies?
What were the consistent and important across-studies conclusions?
405
| 406 APPENDIX C Appraisal Guide | |||
| Credibility | |||
| Was the topic clearly defined? | q Yes | q No | q Not clear |
| Was the search for studies and other evidence comprehensive and unbiased? |
q Yes |
q No |
q Not clear |
| Was the screening of citations for inclusion based on explicit criteria? |
q Yes |
q No |
q Not clear |
| *Were the included studies assessed for quality? |
q Yes |
q No |
q Not clear |
| Were the design characteristics and | |||
| findings of the included studies
displayed or discussed in sufficient detail? |
q Yes |
q No |
q Not clear |
| *Was there a true integration (i.e., | |||
| synthesis) of the findings—not | |||
| merely reporting of findings from each study individually? |
q Yes |
q No |
q Not clear |
| *Did the reviewers explore why | |||
| differences in findings might have occurred? |
q Yes |
q No |
q Not clear |
| Did the reviewers distinguish between | |||
| conclusions based on consistent findings | |||
| from several good studies and those based on inferior evidence (number or quality)? |
q Yes |
q No |
q Not clear |
| Which conclusions were supported by | |||
| consistent findings from two or more | |||
| good or high-quality studies? Litrature Review and Integrative Paper | List | ||
ARE thE CoNCluSIoNS CREDIblE? q All q Some q No
Conclusions of an Integrative Research Review 407
Clinical Significance
*Across studies, is the size of the treatment or the strength of the association found or the meaningfulness of qualitative findings strong enough to make a difference in
patient outcomes or experiences of care? q Yes q No q Not clear
Are the conclusions relevant to the care
the nurse gives? q Yes q No q Not clear
ARE thE CoNCluSIoNS
ClINICAlly SIGNIfICANt? q All q Some q No
Applicability
Does the IRR address a problem, situation, or decision we are addressing
in our setting? q Yes q No q Not clear
Are the patients in the studies similar to those we see, either overall or in a
subgroup of patients? q Yes q No q Not clear
What changes, additions, training, or purchases would be needed to implement and sustain a clinical
protocol based on these conclusions? Specify
Is what we will have to do to implement
the new protocol realistically achievable
by us (resources, capability, commitment)? q Yes q No q Not clear
408 APPENDIX C Appraisal Guide
How will we know if our patients are
benefiting from our new protocol? Specify
ShoulD wE PRoCEED to DESIGN A PRotoCol INCoRPoRAtING
thESE CoNCluSIoNS? q All q Some q No
* Important criteria
Comments
APPENDIX E
Appraisal Guide:
Findings of a Qualitative Study
Citation:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Synopsis
What experience, situation, or subculture does the researcher seek to understand?
Does the researcher want to produce a description of an experience, a social process, or an event, or is the goal to generate a theory?
How was data collected?
How did the researcher control his or her biases and preconceptions?
Are specific pieces of data (e.g., direct quotes) and more generalized statements (themes, theories) included in the report?
What are the main findings of the study?
Credibility
Is the study published in a source
that required peer review? Yes No Not clear
Were the methods used appropriate
to the study purpose? Yes No Not clear
Was the sampling of observations or
interviews appropriate and varied
enough to serve the purpose of the study? Yes No Not clear
*Were data collection methods
effective in obtaining in-depth data? Yes No Not clear
Did the data collection methods
avoid the possibility of oversight,
underrepresentation, or
overrepresentation from certain
types of sources? Yes No Not clear
Were data collection and analysis
intermingled in a dynamic way? Yes No Not clear
*Is the data presented in ways that
provide a vivid portrayal of what was
experienced or happened and its
context? Yes No Not clear
*Does the data provided justify
generalized statements, themes,
or theory? Yes No Not clear
Are the findings credible? Yes All Yes Some No
Clinical Significance
*Are the findings rich and informative? Yes No Not clear
*Is the perspective provided
potentially useful in providing
insight, support, or guidance
for assessing patient status
or progress? Yes Some No Not clear
Are the findings
clinically significant? Yes All Yes Some No
* = Important criteria
Comments
___________________________________________________________________________
___________________________________________________________________________
Citation:
Synopsis
What was the purpose of the study (research questions, purposes, and hypotheses)?
How was the sample obtained?
What inclusion or exclusion criteria were used?
Who from the sample actually participated or contributed data (demographic or clinical profile and dropout rate)?
What methods were used to collect data (e.g., sequence, timing, types of data, and measures)?
- How was the sample size determined?
- Were patients randomly assigned to treatment groups? What are the main findings?
419
| 420 APPENDIX F Appraisal Guide | |||
| Credibility | |||
| Is the study published in a source that required peer review? |
q Yes |
q No |
q Not clear |
| Was the design used appropriate to the research question? |
q Yes |
q No |
q Not clear |
| *Did the data obtained and the analysis conducted answer the research question? |
q Yes |
q No |
q Not clear |
| Were the measuring instruments reliable and valid? |
q Yes |
q No |
q Not clear |
| *Were important extraneous variables and bias controlled? |
q Yes |
q No |
q Not clear |
| *Was the study free of extraneous | |||
| variables introduced by how, when, and where the study was done? |
q Yes |
q No |
q Not clear |
| *If an intervention was tested, answer the following five questions: Litrature Review and Integrative Paper |
q Yes |
q No |
q Not clear |
- Were participants randomly assigned to groups and were the two groups similar at the start
(before the intervention)? q Yes q No q Not clear
- Were the interventions well defined
and consistently delivered? q Yes q No q Not clear
- Were the groups treated equally other than the difference in
interventions? q Yes q No q Not clear
- If no difference was found, was the sample size large enough to detect
a difference if one existed? q Yes q No q Not clear
- If a difference was found, are you confident it was due to
the intervention? q Yes q No q Not clear
Are the findings consistent with findings
from other studies? q Yes q No q Not clear
ArE thE FINDINGS CrEDIblE? q All q Some q No
Findings of a Quantitative Study 421
Clinical Significance
Note any difference in means, r2s, or measures of clinical effects (ABI, NNT, RR, OR)
| *Is the target population clearly described?
*Is the frequency, association, or |
q Yes | q No | q Not clear |
| treatment effect impressive enough | |||
| for you to be confident that the finding | |||
| would make a clinical difference if used as the basis for care? |
q Yes |
q No |
q Not clear |
| ArE thE FINDINGS |
ClINICAlly SIGNIFICANt? q All q Some q No
* = Important criteria
Comments Litrature Review and Integrative Paper
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