Research Critique Guidelines Essay Example Paper
Quantitative and Quantitative Studies
Background
Health practitioners around the world agree that breastfeeding should continue for at least six months, since breastfeeding and maternal milk intake are regular and important nutrients for infants. These experts argue that breastfeeding is the best effective diet because it is available at all times. Breast milk is predominantly safe, clean and provides the temperature needed. Tang et al. (2019) stated that breast milk is the most suitable nutrient for all infants, particularly sick and preterm babies. Amidst the commonly accepted importance of breast milk, there are several barriers that impede many women's willingness to breastfeed, such as insufficient help from health practitioners. According to the study by Yohmi et al. (2015), breastfeeding education is not classified as major nursing education at the same period, and nursing students are not adequately trained to help mothers who are breastfeeding. Therefore, there is a necessity to better educate mothers regarding to ensure breastfeeding is adequate, appropriate, and exclusive. Any education that focuses on breastfeeding is the expertise of various health professionals, especially midwives and nurses, who offer vital knowledge regarding breastfeeding to mothers, its comorbidities, advantages and effective strategies. The social interaction between the nurse or midwife and a pregnant woman, postpartum mother, her immediate relatives or the whole group is the foundation for the interaction that emanates during school. Consequently, incorporating breastfeeding into nursing education offers the requisite expertise for nursing students to support mothers who are breastfeeding. In order to increase the success of nursing education, one can adopt didactic standards in its execution Research Critique Guidelines Essay Example Paper.
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According to Radzyminski & Callister, (2016), successful rates of breastfeeding in new mothers with infants in hospital settings vary depending on the support and care received during the hospital tenure that was based on the professional support being given. It was determined that hospital staff, including physicians, have a tremendous influence on the successful breastfeeding initiation and duration rates. The research study conducted by Garner et al. (2016) focused on the premise that nurses, physicians, and other health professionals are in a unique position to offer support for breastfeeding in new mothers based on their visits and interactions with both mothers and infants.
How do these articles support the nurse practice issue you chose?
The PICOT question will be answered by Radzyminki’s & Callister’s (2015) research. This study will answer the PICOT question by carefully evaluating the levels of breastfeeding education and the benefits in both infants and mothers. The financial impact of breastfeeding exclusively for 6 months presents on the infant and the economy whereby $13 billion could be saved each year. Exclusive breastfeeding intervention on the infants highlighted in the articles will have several positive impacts, such as reducing chronic diseases on a short-term and long-term basis. Garner et.al. (2015) presents the question of how does discontinuing breastfeeding care impacts new mothers and infants? Breastfeeding intervention compares to the PICOT question because it highlights the benefits of educating new mothers on breastfeeding care and how beneficial it is to new-born infants. The research provided by the article indicates many health professionals felt that they were being relied on to provide the bulk of the information and education for breastfeeding care for which they were not fully equipped.
The second study by Yohmi et al. (2015) aims at assessing the efficacy of antenatal breastfeeding education for enhancing breastfeeding duration and initiation. It involved simple random sampling design to analysis the effectiveness of breastfeeding education. This study also supports the nursing practice concern by improving the hospitalized infant’s quality of life through increase of breastfeeding initiation and duration Research Critique Guidelines Essay Example Paper.
Method of Study:
Radzyminski & Callister’s (2015) research took the form of a qualitative descriptive study to determine the impact that healthcare professionals’ attitudes and beliefs surrounding breastfeeding had on the information that was being shared with new-born mothers. They reviewed journal articles such as WHO reports, peer journal articles on breastfeeding and lactation, USA Department of Health, and the AAP report on breastfeeding (Radzyminski & Callister, 2015). The authors did an additional review to identify the impact of practice development initiatives to improve breastfeeding rates, as well as those factors that were causally related to the discontinuation of breastfeeding between the time of discharge and up to 2 weeks postpartum, based on a nurse’s knowledge and attitude towards provision of breastfeeding support in medical institutions. The article's systematic review delivered a clear and comprehensive overview of the evidence of how physician and hospital staff’s attitude and behaviors impacted breastfeeding decisions. The review methodology's limitations were since the study was a cross-sectional study where participants were interviewed only once, and this convenience sampling used reflected the perspective of the sample which limited the transferability of the study.
The study Garner et al., (2015) incorporated a systematic review of peer-reviewed publications. Some of the publications systematically reviewed by Garner et.al included information from the Health Resource and Services Administration, Women’s Preventative Service Guidelines, the Breastfeeding Residency Curriculum, and Breastfeeding information in pediatric textbooks. Upon reviewing the various publications information, Garner et.al, (2015) reaffirmed its previous recommendations updating skillset for healthcare professionals in a pediatric healthcare setting which enhances breastfeeding understanding and implementation. The benefit of the study's methodology is that it assessed a broader range of journal articles, thus giving adequate updated information on why discontinuity of breastfeeding affects more women in lower socioeconomic groups and why low support in the form of education and resources puts both mothers and infants at a higher risk for breastfeeding outcomes. The study's limitation was a lack of adequate study summaries and insufficient information on the study design's characteristics.
The study by Tang et al. (2019) was conducted from July 2017 to January 2018, and it involved a community analysis was undertaken in China's 12 physically specified areas. The participants were chosen using a multi-stage sampling methodology. Due to the demographic composition and the state of maternal and child health and social growth, a demographic proportionate sampling procedure was used in the first step. The 12 study locations were selected with caution, with the objective of optimizing regional diversity (including central, eastern, southern, and western regions of somewhat different climates and cultures), socioeconomic diversity (including prosperous cities and poor interior country regions, and cities of varying population numbers), and maternal and newborn health. The study by Yohmi et al. (2015) utilized a random sampling design.
Both of these quantitative researches used the non-experimental research design. The benefit of this method is that it makes a significant contribution in the research process in a situation where experimentation is not desired or feasible. It is also used to provide temporary recommendations concerning the research practice. The limitation is that non-experimental research occurs in a real-life environment; hence it is impossible for the researcher to control all likely variables. This implies that it is difficult to define causality in non-experimental research, but also that they are likely to be suppler and give room for a broader range of issues to be studied Research Critique Guidelines Essay Example Paper
Results of Study
In the Tang et al. (2019) survey, among those with a family budget of 40001–80000 yuan, there was no substantial correlation between breastfeeding education and EBF occurrence. There was a particular detrimental link regarding breastfeeding education and the occurrence of EBF for those with a family income of less than 40000 yuan and more than 80000 yuan. When contrasting people with a primary school degree or less to those with a bachelor's degree or more, those with a basic education or less have a higher incidence of EBF (36.54 percent; 95 percent CI: 29.93 percent to 43.15 percent) (11.61 percent ; 95 percent CI: 10.58 percent to 12.65 percent ). By contrasting those with a household income of >80000yuan, those with a primary or lower education (26.83 percent; 95 percent CI: 26.63 percent to 27.03 percent) had a higher incidence of EBF than those with a graduate education or more (9.69 percent ; 95 percent CI: 8.14 percent to 11.23 percent ). In the second study by Yohmi et al. (2015) . No group variations were observed for the length of some breastfeeding within days or weeks. There has been no indication that therapy increased the percentage of people with some form of breastfeeding after three to six months. The implications of two studies on my nursing practice is that it is in bar with the PICOT question. As a health practitioner, we seek into enhancing overall health outcomes but not diagnosis. We are focused on improving infant’s quality of life by providing breastfeeding education to mothers.
According to Radzyminski & Callister (2015), a collaborative group related to World Health Organization found that healthcare professionals did not know how to help as they lacked both the assessment and therapeutic skills needed to provide the support new mothers needed at the time of deciding to breastfeed or not. The study is significant showed that professional attitudes towards educating mothers on breastfeeding were dependent on the follow-up care they would receive at home or in the workplace, the effects of having a job on the breastfeeding routine, and the fact that there were very few opportunities for information on breastfeeding to be shared effectively from the time the infant is born and the time of discharge. The study is of considerable importance because it offers comprehensive explorative research that has yielded an expansive knowledge of evidence-based practices that nursing practitioners can use in their daily interactions with breastfeeding mothers Research Critique Guidelines Essay Example Paper.
Garner et.al. (2016), research results indicate that the role of health professionals in providing breastfeeding support is significant and that the gap that exists in increasing the number is causally related to the information and resources available to the health professional to fully support newborns and mothers. The study identified the unique and impactful role that health professionals have in support of new mothers and infants and their interactions provide the opportunities to advocate for mothers to breastfeed. The study also highlighted the fact that there is a significant lack of skills and training given to healthcare professionals to equip them for a prenatal and postpartum continuum of care for new mothers and infants and that the opportunity should be afforded to assist with breastfeeding knowledge.
Ethical Considerations
Some of the ethical considerations in research include informed consent and respect for privacy and confidentiality. Respect of privacy ethical consideration involves upholding respondent's rights to remain anonymous, and their personal information kept confidential. Radzyminski & Callister (2015) proposed that increasing or improving the levels of educations of the healthcare professional with evidence-based focused learning approaches in a clinical setting will greatly enhance the benefits for mothers and infants and that providing resources in the form of maternal education on breastfeeding benefits including community resources available will impact the level of episodes of successful breastfeeding. Health professionals need breastfeeding education and support from their organizations to act as breastfeeding supporters. Mothers benefit from breastfeeding encouragement and guidance that supports their self-efficacy and feelings of being capable and empowered and is tailored to their individual needs. Despite the existence of these problems, studies show that the benefits outweigh the problems identified Research Critique Guidelines Essay Example Paper.
Garner et.al. (2016) study showed that breastfeeding is an important initiative that should be practiced by every mother to improve the cognitive and general development of the infants and should be practiced by every mother to improve the cognitive and general development of the infants. That health professionals play a vital role in the continuity of care when it comes to the breastfeeding initiative and that there exists a unique opportunity to be able to provide additional support for new mothers which would significantly decrease the gap of care for new mothers and infants. The primary gaps identified through Patnode et al.'s (2016) study were that women needed more support and the role of health professionals through pediatric support offices, hospitals, resources through Special Supplemental Nutrition programs, and more was vital in those first few hours of care. By assessing the effectiveness of the contact between health professionals and new mothers revealed an uncertainty in accessing effectiveness based on their level of knowledge.
Outcomes Comparison
The anticipated outcome of the PICOT question is to increase the breastfeeding support of hospitalized infants by providing breastfeeding education.
The outcome in the study by Garner et al. (2016) shows the importance of conducting health professionals training to improve breastfeeding care for mother-infant dyads while the outcome of the research by Radzyminski & Callister (2015) indicates that healthcare professionals' education has been linked with improved breastfeeding levels, higher maternal overall satisfaction, and an increased degree of clinical competence and skills.
The outcome of the study by Tang et al. (2019) reports an improvement in child and maternal outcomes, increased rates and duration of breastfeeding and reduction of associated harm hence they relate to the anticipated outcomes.
The outcome of by Yohmi et al. (2015) indicates an improvement in infant wellbeing through provision of antenatal breastfeeding education. Evaluation techniques that encompass actions for protection, promotion, and support for breastfeeding practice were also established hence they are in bar with the anticipated outcomes.
Proposed Evidence-Based Practice Change
The evidence –based strategy proposed for this project is education local partners on how working together is a benefit that will both broaden the referral base and reduce any of the expenses associated with the program's initial launch and marketing. A breastfeeding clinic is a low-cost service that can be seen as a starting point. There are no many clinical or educational resources that will have to be provided. Before the of the lactation center, a plan to stabilize breastfeeding will be helpful, since there might be misconceptions that breastfeeding occurs naturally and effortlessly to all people. It's important to educate the hospital's doctors and nurses about how to evaluate mothers and babies for breastfeeding problems and send them to the lactation center for help with latch problems, nipple discomfort, and mastitis. Most health care providers are untrained in breastfeeding and have no understanding about how to deal with problems like overproduction, discomfort, or even drug usage when breastfeeding Research Critique Guidelines Essay Example Paper.
Quantitative Studies
Tang, K., Wang, H., Tan, S. H., Xin, T., Qu, X., Tang, T., Wang, Y., Liu, Y., & Gaoshan, J. (2019). Association between maternal education and breast feeding practices in China: A population-based cross-sectional study. BMJ Open, 9(8), e028485. https://doi.org/10.1136/bmjopen-2018-028485
Yohmi, E., Marzuki, N. S., Nainggolan, E., Partiwi, I. G., Sjarif, B. H., & Oswari, H. (2016). Prevalence of exclusive breastfeeding in Indonesia: A qualitative and quantitative study. Paediatrica Indonesiana, 55(6), 302. https://doi.org/10.14238/pi55.6.2015.302-8
Background
Health practitioners around the world agree that breastfeeding should continue for at least six months, since breastfeeding and maternal milk intake are regular and important nutrients for infants. These experts argue that breastfeeding is the best effective diet because it is available at all times. Breast milk is predominantly safe, clean and provides the temperature needed. Tang et al. (2019) stated that breast milk is the most suitable nutrient for all infants, particularly sick and preterm babies. Amidst the commonly accepted importance of breast milk, there are several barriers that impede many women's willingness to breastfeed, such as insufficient help from health practitioners. According to the study by Yohmi et al. (2015), breastfeeding education is not classified as major nursing education at the same period, and nursing students are not adequately trained to help mothers who are breastfeeding. Therefore, there is a necessity to better educate mothers regarding to ensure breastfeeding is adequate, appropriate, and exclusive. Any education that focuses on breastfeeding is the expertise of various health professionals, especially midwives and nurses, who offer vital knowledge regarding breastfeeding to mothers, its comorbidities, advantages and effective strategies. The social interaction between the nurse or midwife and a pregnant woman, postpartum mother, her immediate relatives or the whole group is the foundation for the interaction that emanates during school. Consequently, incorporating breastfeeding into nursing education offers the requisite expertise for nursing students to support mothers who are breastfeeding. In order to increase the success of nursing education, one can adopt didactic standards in its execution Research Critique Guidelines Essay Example Paper.
How do these two articles support the nurse practice issue you chose?
PICOT question chosen for this study is: Will having access to Breastfeeding educational programs for Pediatric Nurses help to increase the breastfeeding support of those pediatric nurses to hospitalized infants when compared to other pediatric nurses without the same support or resources?
The first article by Tang et al. (2019) utilized a nationally representative demographic -based
Cross-sectional design from 77 counties in twelve regions .It is focused importance of breastfeeding to infants and the benefits of pediatric nurses providing education on breatfeeding to mothers. This article supports the nursing practice problem by enhancing hospitalized infants health outcomes through provision of breastfeeding education.
The second study by Yohmi et al. (2015) aims at assessing the efficacy of antenatal breastfeeding education for enhancing breastfeeding duration and initiation. It involved simple random sampling design to analysis the effectiveness of breastfeeding education. This study also supports the nursing practice concern by improving the hospitalized infant’s quality of life through increase of breastfeeding initiation and duration.
Method of Study:
The study by Tang et al. (2019) was conducted from July 2017 to January 2018, and it involved a community analysis was undertaken in China's 12 physically specified areas. The participants were chosen using a multi-stage sampling methodology. Due to the demographic composition and the state of maternal and child health and social growth, a demographic proportionate sampling procedure was used in the first step. The 12 study locations were selected with caution, with the objective of optimizing regional diversity (including central, eastern, southern, and western regions of somewhat different climates and cultures), socioeconomic diversity (including prosperous cities and poor interior country regions, and cities of varying population numbers), and maternal and newborn health. The study by Yohmi et al. (2015) utilized a random sampling design Research Critique Guidelines Essay Example Paper.
Both of these quantitative researches used the non-experimental research design. The benefit of this method is that it makes a significant contribution in the research process in a situation where experimentation is not desired or feasible. It is also used to provide temporary recommendations concerning the research practice. The limitation is that non-experimental research occurs in a real-life environment; hence it is impossible for the researcher to control all likely variables. This implies that it is difficult to define causality in non-experimental research, but also that they are likely to be suppler and give room for a broader range of issues to be studied
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Results of Study
In the Tang et al. (2019) survey, among those with a family budget of 40001–80000 yuan, there was no substantial correlation between breastfeeding education and EBF occurrence. There was a particular detrimental link regarding breastfeeding education and the occurrence of EBF for those with a family income of less than 40000 yuan and more than 80000 yuan. When contrasting people with a primary school degree or less to those with a bachelor's degree or more, those with a basic education or less have a higher incidence of EBF (36.54 percent; 95 percent CI: 29.93 percent to 43.15 percent) (11.61 percent ; 95 percent CI: 10.58 percent to 12.65 percent ). By contrasting those with a household income of >80000yuan, those with a primary or lower education (26.83 percent; 95 percent CI: 26.63 percent to 27.03 percent) had a higher incidence of EBF than those with a graduate education or more (9.69 percent ; 95 percent CI: 8.14 percent to 11.23 percent ). In the second study by Yohmi et al. (2015) . No group variations were observed for the length of some breastfeeding within days or weeks. There has been no indication that therapy increased the percentage of people with some form of breastfeeding after three to six months.
The implications of these two studies on my nursing practice is that it is in bar with the PICOT question. As a health practitioner, we seek into enhancing overall health outcomes but not diagnosis. We are focused on improving infant’s quality of life by providing breastfeeding education to mothers Research Critique Guidelines Essay Example Paper.
Outcomes Comparison
The anticipated outcome of the PICOT question is to increase the breastfeeding support of hospitalized infants by providing breastfeeding education.
The outcome of the study by Tang et al. (2019) reports an improvement in child and maternal outcomes, increased rates and duration of breastfeeding and reduction of associated harm hence they relate to the anticipated outcomes.
The outcome of by Yohmi et al. (2015) indicates an improvement in infant wellbeing through provision of antenatal breastfeeding education. Evaluation techniques that encompass actions for protection, promotion, and support for breastfeeding practice were also established hence they are in bar with the anticipated outcomes Research Critique Guidelines Essay Example Paper.
References
Tang, K., Wang, H., Tan, S. H., Xin, T., Qu, X., Tang, T., Wang, Y., Liu, Y., & Gaoshan, J. (2019). Association between maternal education and breast feeding practices in China: A population-based cross-sectional study. BMJ Open, 9(8), e028485. https://doi.org/10.1136/bmjopen-2018-028485
Yohmi, E., Marzuki, N. S., Nainggolan, E., Partiwi, I. G., Sjarif, B. H., & Oswari, H. (2016). Prevalence of exclusive breastfeeding in Indonesia: A qualitative and quantitative study. Paediatrica Indonesiana, 55(6), 302. https://doi.org/10.14238/pi55.6.2015.302-8
Lumbiganon, P., Martis, R., Laopaiboon, M., Festin, M. R., Ho, J. J., & Hakimi, M. (2011). Antenatal breastfeeding education for increasing breastfeeding duration. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.cd006425.pub2
Radzyminski, S., & Callister, L. C. (2015). Health Professionals' Attitudes and Beliefs About Breastfeeding. The Journal of perinatal education, 24(2), 102–109. https://doi.org/10.1891/1058-1243.24.2.102
Tang, K., Wang, H., Tan, S. H., Xin, T., Qu, X., Tang, T., Wang, Y., Liu, Y., & Gaoshan, J. (2019). Association between maternal education and breast feeding practices in China: A population-based cross-sectional study. BMJ Open, 9(8), e028485. https://doi.org/10.1136/bmjopen-2018-028485
Yohmi, E., Marzuki, N. S., Nainggolan, E., Partiwi, I. G., Sjarif, B. H., & Oswari, H. (2016). Prevalence of exclusive breastfeeding in Indonesia: A qualitative and quantitative study. Paediatrica Indonesiana, 55(6), 302. https://doi.org/10.14238/pi55.6.2015.302-8
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 explanation 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.
Prepare an 8–10-page data analysis and quality improvement initiative proposal based on a health issue of professional interest to you. The audience for your analysis and proposal is the nursing staff and the interprofessional team who will implement the initiative. "A basic principle of quality measurement is: If you can't measure it, you can't improve it" (Agency for Healthcare Research and Quality, 2013). Health care providers are on an endless quest to improve both care quality and patient safety. This unwavering commitment requires hospitals and care givers to increase their attention and adherence to treatment protocols to improve patient outcomes. Health informatics, along with new and improved technologies and procedures, are at the core of virtually all quality improvement initiatives. The data gathered by providers, along with process improvement models and recognized quality benchmarks, are all part of a collaborative, continuing effort. As such, it is essential that professional nurses are able to correctly interpret, and effectively communicate information revealed on dashboards that display critical care metrics. SHOW LESS By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 2: Plan quality improvement initiatives in response to routine data surveillance. Outline a QI initiative proposal based on a selected health issue and supporting data analysis. Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures. Analyze data to identify a health care issue or area of concern. Competency 4: Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality. Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality. Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care. Apply effective communication strategies to promote quality improvement of interprofessional care. Communicate evaluation and analysis in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling. Reference Agency for Healthcare Research and Quality. (2013). Preventing falls in hospitals. Retrieved from https://www.ahrq.gov/professionals/systems/hospital/fallpxtoolkit/fallpxtk5.html#tiptop Research Critique Guidelines Essay Example Paper