Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.

PICOT Question 

Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.

The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Refer to “Research Critiques and PICOT Guidelines – Final Draft.” 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 question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanations and use that information to propose evidence-based practice changes.

General Requirements

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 LopesWrite. Refer to the

LopesWrite Technical Support articles

for assistance.

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Running head: NURSING 1

NURSING 2

Qualitative research Article critique

Student’s name:

Institution:

Course:

Date:

Background of the study

When taking care of the patients it is paramount that the nurses utilize the current and best practices. In deciphering what this is, nurses are required to be able to read, and understand research critically. However, for most qualified nurses and nursing students, the studies’ jargons are often not straightforward to understand, which makes the endeavors toward critical reading even more daunting. It is fundamental in nursing that all nurses should be equipped to appraise research and unearth the best practices critically. This assignment entails critiquing qualitative study and would be essential in helping the nurses in demystifying the process and decoding the terminologies. Comment by skdeckrn@yahoo.com: Add comma Comment by skdeckrn@yahoo.com: Delete and change to must Comment by skdeckrn@yahoo.com: Remove comma Comment by skdeckrn@yahoo.com: Rephrase sentence Comment by skdeckrn@yahoo.com: Passive voice, rewrite sentence

The first article considered for the critique is titled caring for children diagnosed with Autism, Spectrum Disorders; caregiver’s experience, authored by Nomfundo Mazibuko, Hilda N Shilubane and Solomon B.Manganye 2020. The main focus of the piece was to explore the caregiver’s encounters when handling children with ASD in Ehlanzeni district in Mpumalanga South Africa (Zibuko, M “ng” Nye, & Shilub , 2020). Comment by skdeckrn@yahoo.com: Incorrect format for citation Comment by skdeckrn@yahoo.com: Add comma Comment by skdeckrn@yahoo.com: Rephrase sentence

In (W” i-Tong Chien, & Lee, 2007) work titled psychiatric nurtures, understanding and attitudes towards the use of physical restraint on older clients in the psychiatric hospital wards., the piece was authored by Wai-tong Chien and Isabella YM lee and focused on exploring the registered nurse’s attitudes knowledge and practice issues concerning the use of the physical restraints in Hong Kong. The researchers have also examined the factors that influence the conclusions of medical practitioners in restraining their patients.

How the Article answer the PICOT question

The study (Zibuko, M “nag” Nye, & Shilub, 2020) excellently answers the PICOT question by offering appropriate mechanisms of handling children with ASD. The authors recommend that medication be made easily accessible at the district levels to minimize care providers’ challenges as they travel long distances. Tailor-made interventions to support the caregivers ought to be developed and the w support groups for the youngsters with ASD. The development of an instrument to determine the caregiver’s experiences, challenges, perceptions and coping mechanisms would be critical in alleviating the challenges as demonstrated by the piece.

The work of (i-Tong Chien, & Lee, 2007) has adequately answered the PICOT question on how to approach the issue of physical restraints by demonstrating that nurse ought to question the prevailing preconceptions and myths associated with the use of controls in the elderly clients. Possible alternative measures to confinement and its adverse consequences should be embraced; the nurses are required to be more aware of the essential factors surrounding physical restraining, including societal interpretation of the same and its meaning to the clients. The piece suggests that a multi-disciplinary approach should be embraced to motivate the nurses to develop a restrictive environment for older client’s wards, rather than the physical restraining using inhuman methods. Effects of the same practices in other countries ought to be studied, coupled with an education intervention on psychiatrist nurse attitudes and physical restraining decisions.

Research method and limitations

The study titled caring for children diagnosed with autism, spectrum disorders; caregivers experience has embraced a qualitative approach with the data being gathered using structure interviews suing and the data were analyzed utilizing the thematic content analysis is. The study has some strong points, including that it has examined the issues faced by caregivers handling children with ASD in details (Zibuko, M “nag” Nye, & Shilub 2020). Some study’s limitations and the study methods in the piece include that its finding cannot be reliably used in the general situation. They are only applicable to the specific context with a small population. The qualitative nature is only appropriate in the generation of the research hypothesis.

The work of (i-Tong Chien & Lee, 2007) has utilized and exploratory, descriptive study using two psycho geriatric wards and one of the mental care facilities in Hong Kong utilizing mixed research. Similar to the article above, the data was gathered utilizing semi-structured questionnaires and semi-structure interviews. Some of the research method’s strong points include that the respondents were not restricted in giving information, and the researcher in real-time can easily guide them. At the same time, it also explored the issue deeply. The study’s limitation includes that it is difficult for the researcher to maintain objectivity in the wards while avoiding being involved and emotionally influenced by the client challenges.

The research findings

The researchers found that caregiver’s experienced psychological distress (social stress, heavy financial burdens and limited family support) as they handle children diagnosed with ASD (Zibuko, M “ng” nye, & Shilub 2020). The piece offers more insights to nurses by recommending that information on various subsidized programs and interventions should be availed to the nurses and other care providers to minimize cases and effects of the psychological distress among nurses dealing with children diagnosed with ASD.

In the piece psychiatric nurtures, understanding and attitudes towards the use of physical restraint on elder clients in the psychiatric wards, the authors concluded that two-thirds of the nurses favored restraining the patients for their safety. The nurses shared a typical attitude that the healthcare facility was legally responsible for using the restraints in guaranteeing the patient’s safety and demonstrated that clients would not suffer the loss of dignity when restrained (I-Tong Chien, & Lee, 2007). This piece is significant to the nursing profession. It offers insights that can guide nurses’ decisions when faced with dilemmas on whether to restrain clients with mental challenges during care interventions. It often appears to be inhumane and unethical, but on her hand can facilitate efficient intervention.

Ethical consideration in nursing research

Some of the nursing research process’s ethical consideration includes that the process should have more benefits than harm. Nursing ethics protect the most vulnerable members’ privacy and interests, such as the mentally ill, patients, children, and aged, by deterring forceful participation in research against their will (Fitzpatrick, 2015). The ethics safeguard privacy, dignity, ensuring fair and respectful treatment of the participants through their informed consent. Participants should be protected from the physical, mental and emotional harms, which can result from research practices such as introspection and fear of the unknown. Some ethical consideration evident in pieces include that the researchers sought consent from the participants by thoroughly informing them what is expected in the process. The researchers also assured participants that their information and their identities would not be included when preparing manuscripts for publication. The researchers have endeavored to create a trusting relationship with their participants.

References

Fitzpatrick, J. J. (2015). 2015: The year of ethics and the national nursing summit blueprint for 21st century nursing ethics. Applied Nursing Research, 28(4), 397. 

https://doi.org/10.1016/j.apnr.2015.02.001

M”zibuko, N., M”ng”nye, S. B., & Shilub”ne, H. N. (2020). C”ring for Children Di”gnosed with Autism Spectrum Disorder: C”regiversʼ Experiences. Afric& Journ&l of Nursing & Midwifery, 22(2), 1–14.

W”i-Tong Chien, & Lee, I. Y. M. (2007). Psychi”tric nursesʼ knowledge “nd “ttitudes tow”rd the use of physic”l restr”int on older p”tients in psychi”tric w”rds. Intern&tion&l Journ&l of Multiple Rese&rch Appro&ches, 1(1), 52–71. https:// doi-org.lopes.idm.oclc.org/10.5172/mr”.455.1.1.52

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Research Critiques and PICOT Question Guidelines –

Final Draft

Use this document to organize the content from your four studies into your final draft.

Quantitative and Quantitative Studies

Nursing Practice Problem and PICOT Question

1. What is your identified nursing practice problem?

2

. List your PICOT question, following one of the templated formats reviewed in the course.

Background

1. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.

How do these four articles support the nurse practice issue you chose?

1. Discuss how these articles will be used to answer your PICOT question.

2. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.

Method of Study:

1. State the methods of the articles you are comparing and describe how they are different.

2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.

Results of Study

1. Summarize the key findings of each of the studies into a comprehensive summary.

2. What are the implications of the four studies you chose in nursing practice?

Ethical Considerations

1. Discuss two ethical consideration in conducting research.

2. Describe how the researchers in the four articles you choose took these ethical considerations into account while performing their research.

Outcomes Comparison

1. What are the anticipated outcomes for your PICOT question?

2. How do the outcomes of the four articles you chose compare to your anticipated outcomes?

Proposed Evidence-Based Practice Change

1. What is the link between the PICOT question, the research articles, and the nursing practice problem you identified?

2. Based on this information, propose an evidence-based practice change for your identified setting.

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