# Critique your systematic review article and qualitative/quantitative article using the appraisal template document posted below.
# Use the information below to help you know which section of the article to use to answer questions in the template.
* Introduction and its subsections have the purpose or WHY the study was done.
* Methods section and its subsections contain HOW the study was done.
* Results, Discussion, and Conclusions section will have WHAT was found.
# Each section of the template is required to be completed as this assignment builds on your Evidence-Based Practice Project. Each template has a citation that must be submitted in APA format. Answers to questions in the Synopsis sections are required. Each question must have an answer of 1-2 full sentences in length per question. In the credibility section answer yes/no questions and add a statement 1 to 2 sentences in length under each question The comments section must have a paragraph describing, for example, strengths, and limitations, if it was able to answer your PICOT question, how it relates to your topic and what you found most significant, etc.
APPENDIX C
Appraisal Guide
Conclusions of a Systematic Review with Narrative Synthesis
Citation:
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Synopsis
What organization or persons produced the systematic review (SR)?
How many persons were involved in conducting the review?
What topic or question did the SR 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?
Credibility
Was the topic clearly defined? Yes No Not clear
Was the search for studies and other evidence comprehensive and unbiased? Yes No Not clear
Was the screening of citations for inclusion based on explicit criteria? Yes No Not clear
*Were the included studies assessed for quality? Yes No Not clear
Were the design characteristics and findings of the included studies displayed or discussed in sufficient detail? Yes No Not clear
*Was there a true integration (i.e., synthesis) of the findings—not merely reporting of findings from each study individually? Yes No Not clear
*Did the reviewers explore why differences in findings might have occurred? Yes No 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)? Yes No Not clear
Which conclusions were supported by consistent findings from two or more good or high-quality studies? List
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Are the conclusions credible? Yes All Yes Some No
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? Yes No Not clear
Are the conclusions relevant to the care the nurse gives? Yes No Not clear
Are the conclusions clinically significant? Yes All Yes Some No
Applicability
Does the SR address a problem, situation, or decision we are addressing in our setting? Yes No Not clear
Are the patients in the studies or a subgroup of patients in the studies similar to those we see? Yes No Not clear
What changes, additions, training, or purchases would be needed to implement and sustain a clinical protocol based on these conclusions? Specify and list
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Is what we will have to do to implement the new protocol realistically achievable by us (resources, capability, commitment)? Yes No Not clear
How will we know if our patients are benefiting from our new protocol? Specify
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Are these conclusions applicable to our setting? Yes All Yes Some No
Should we proceed to design a protocol incorporating these conclusions? Yes All Yes Some No
* = Important criteria
Comments
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____________________________________________________________________________
APP C-2 Brown
Brown APP C-1
,
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
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___________________________________________________________________________
APP E-2 Brown
Brown APP E-1
,
APPENDIX F
Appraisal Guide
Findings of a Quantitative Study
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)?
Was an intervention tested? Yes No
1. How was the sample size determined?
2. Were patients randomly assigned to treatment groups?
What are the main findings?
Credibility
Is the study published in a source that required peer review? Yes No Not clear
*Did the data obtained and the analysis conducted answer the research question? Yes No Not clear
Were the measuring instruments reliable and valid? Yes No Not clear
*Were important extraneous variables and bias controlled? Yes No Not clear
*If an intervention was tested, answer the following five questions: Yes No Not clear
1. Were participants randomly assigned to groups and were the two groups similar at the start (before the intervention)? Yes No Not clear
2. Were the interventions well defined and consistently delivered? Yes No Not clear
3. Were the groups treated equally other than the difference in interventions? Yes No Not clear
4. If no difference was found, was the sample size large enough to detect a difference if one existed? Yes No Not clear
5. If a difference was found, are you confident it was due to the intervention? Yes No Not clear
Are the findings consistent with findings from other studies? Yes Some No Not clear
Are the findings credible? Yes All Yes Some No
Clinical Significance
Note any difference in means, r2s, or measures of clinical effects (ABI, NNT, RR, OR)
*Is the target population clearly described? Yes No Not clear
*Is the frequency, association, or treatment effect impressive enough for you to be confident that the finding would make a clinical difference if used as the basis for care? Yes No Not clear
Are the findings clinically significant? Yes All Yes Some No
* = Important criteria
Comments
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APP F-2 Brown
Brown APP F-1
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