Assignment: Evidence-Based Project, Part 3: Advanced Levels of Clinical Inquiry and Systematic ReviewsYour quest to purchase a new car begins with an identification of the factors important to you. As
Running head: CRITICAL APPRAISAL
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Critical Appraisal
Lakme O’Connell
Walden University
Essentials of Evidence Based Practice
NURS-6052
7/6/20
Critical Appraisal
Evaluation Table
| Article 1 | Article 2 | Article 3 | Article 4 | |
| Full APA citation | Delgado, S. A. (2020). CE: Managing Pain in Critically Ill Adults: A Holistic Approach. AJN, American Journal of Nursing, 120(5), 34–42. https://doi.org/10.1097/01.naj.0000662808.81949.d6 | Lin, S.-H., Liao, W.-C., Chen, M.-Y., & Fan, J.-Y. (2012). The impact of shift work on nurses' job stress, sleep quality, and self-perceived health status. Journal of Nursing Management, 22(5), 604–612. https://doi.org/10.1111/jonm.12020 | Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Evidence-Based Practice, Step by Step: Asking the Clinical Question. AJN, American Journal of Nursing, 110(3), 58–61. https://doi.org/10.1097/01.naj.0000368959.11129.79 | Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Evidence-Based Practice, Step by Step: Searching for the Evidence. AJN, American Journal of Nursing, 110(5), 41–47. https://doi.org/10.1097/01.naj.0000372071.24134.7e |
| Evidence level | Level V | Level I | Level II | Level I |
| Conceptual framework | The article discusses the difference between PADIS and PAD guidelines | Long term shifts affect nurses concentration and quality of service delivered to patients | No conceptual framework | The article has no conceptual framework |
| Design/Method | The article is a quality improvement analysis | It was a prospective cross-sectional study from August to September | Analysis of various methods to assess evidence-based practice | The study involved a continuation of a scientific case study form a previous article |
| Sample/setting | The study involves the analysis of PADIS and PAD guidelines discussing their differences | The study involved 266 nurses from Chiayi County District Hospitals in Taiwan | Assessing the application of evidence-based practice in nursing care | A step by step method of searching for evidence for PICOT question |
| Major variables studied | The article discusses the use of opioids, analgosedation, and adjunctive analgesia according to the PADIS framework. | Demographic variables, sleep quality measure and health status measure were determined | Establishing PICOT questions for evidence-based research | Applying different methodologies in searching for the right databases for evidence |
| Measurement (primary statistics used) | Patient population to benefit from analgosedation Optimal analgesics to incorporate in the protocols | Independent T-test and ANOVA were all utilized in the study | No measurements were applied in the study | No measurements were given in the article |
| Data analysis statistics (Actual numbers of determined by statistical tests) | No data statistics were used. | Hierarchical regression was applied for the analysis of the data | Analysis of various case scenario in clinical cases | Obtaining evidence from different databases using multiple techniques |
| Findings and recommendations | Response to pain by patient involves several phenomena related to other aspects of the illness. | Hospitals should put in place more healthy shift work schedules to promote nurses’ clinical performance | No findings were stated in the research study | No study findings were identified. |
| Appraisal (general worth of the study, risks associated with implementation and feasibility of the use of in practice) | Through modification of the PADIS and PAD guidelines, nurses will be able to improve their care for critically ill patients. | The study is reliable and can be applied by hospital management to improve nursing care and patient outcomes | The study is not credible to be applied in nursing practice. | The article provides insights into the methods of obtaining evidence for PICOT questions |
| Key findings | Agitation and delirium affect patients’ ability to report pain sensation. | Amount of shift work affects nurses' resulting in moderate sleep and job stress | No findings were reported in the article | No study findings were reported |
| Outcomes | With PADIS, there is a need for multiple strategies to address patients’ paint in different contexts | Job stress was determined to be inversely proportional to sleep quality | The article does not state outcomes from the study | The study did not provide research outcomes. |
| General comments | The article is feasible and can be utilized by nurses in improving care for critically ill patients. | The article is important for healthcare systems as there has been negligence on shift and schedules. | The article helps formulate PICOT questions for various clinical cases. | The research study highlights the techniques that can be used by nurses in searching for evidence during their clinical practice. |
