INTRODUCTION The purpose of this essay is to conduct a comprehensive critical appraisal of a research paper titled ‘Chloramphenicol treatment for acute infective conjunctivitis in children in primary care’ that was carried out by Rose et al. (2005) in the United Kingdom (UK). The aim of evaluation is to critically concentrate on the strength and limitation of the study. Firstly, a clear definition of critical appraisal and its importance will be highlighted, going on further will be the critical, analysis, discussion and evaluation of the peer reviewed paper contents so as to ascertain the validity and reliability of the study. Therefore, a conclusion will be drawn to learning its significance in public health. BACKGROUND Critical Appraisal …show more content…
According to University College London (UCL) (2011), critical evaluation helps to filter necessary information, identify studies that are applicable clinically and also for continuous professional development (CPD). However, evaluation of an article, is assessed using pre-designed instrument that encourages a more thorough and systematic method; it is designed for different study design and ask specific questions as pertain validity of the study such as: if the study has given an answer to the research question and has met its set aims and objectives, the methodology, analysis and interpretation of findings (Harder, 2014; Burls, 2009; Whiffin and Hasselder, 2013). It could be said that a good critical assessment plays a vital in evidence-based practice. Therefore, a critical appraisal skills programme (CASP, 2009) checklist will be used to evaluate the selected paper for this …show more content…
This would help inform decision making clinically. Nevertheless, the journals or article must have a realistic research question (s) and objectives that would determine the appropriate research design. The study is a randomised control trial (RCT) quantitative study conducted by Rose et al. (2005) with the sole aim of determining the effectiveness of topical chloramphenicol for children presenting with acute infective conjunctivitis in a primary care sector, United Kingdom (UK). Bowling (2009) defines RCT as an experimental method for the evaluation of the effectiveness of health services and interventions in relation to specific conditions. RCT involves the random allocation of participants between experimental groups, whose members receive the treatment or other intervention, and control group whose members receive a standard or placebo treatment. Also, it is a gold standard in testing the efficacy of an intervention (UCL, 2011). To commence the article assessment is the view of the abstract. The heading and abstract of the study was well outlined, concise and focused on the sample population, methodology, data analysis as well as the result of the study. Burns and Grove (2009) state that abstract is a clear, succinct outline of a study, usually between a hundred to two hundred and fifty words count. Also, abstracts are short outline generally
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Journal Article Review Format You may download this form and insert your information under each requirement. Make sure to put your name in the header. 1. 1 paragraph summary of the section in the textbook pertaining to the topic of the article. Additionally provide the chapter and page number where this content is be found.
Discussion Post Week Six NURS6521, N-11 As a primary care provider (PCP) one will encounter many patients with eye, ear, nose, and throat illnesses. For the purpose of the discussion, I will evaluate a case study for a child with one of the above issues. I will state a primary diagnosis and differential diagnoses. I will indicate the treatment and management of the primary diagnosis and educational strategies for the parents to aid in the reduction of any fears or concerns they may have.
They also share commonalities in having the best research and clinical skills using scientific-based research to convey assessments and interventions. In order for clients to receive the best treatment we must use empirical science and evaluate treatment data to evaluate and make sure clients are receiving the best treatment possible for their individual needs. Furthermore, scientific approaches can ensure us that the interventions utilize should be the most effective. It is important that scientific practice provides us with the ability to acquire skills to evaluate and formulate hypothesis. The scientific-practitioner model ties into the BCBA guidelines as well.
Keeping an open mind and being transparent when doing a literature search is key in producing a comprehensive and meaningful literature review. Discussion 5: 1) Read “How to search evidence” PowerPoint, and 2) discuss at least 5 things what you learned about searching evidence. Five points learned from the Power Point include: 1. Using professional databases such as PubMEd, CINAHL, Cochrane, EBSCO, etc. is essential in finding reliable, current and valid data. 2.
The model outlines specific steps to a practice question, evaluating, and developing recommendations and implementing practice change. It also has a rating scale to determining the value of evidence for research and non-research data. Unlike ACE, it includes both clinician and patient expertise. The critical appraisal component guides the teaching process of evidence review to students. While it is adaptable to clinical settings, is has little emphasis in the organization cultural
A relevant and reliable research is needed to formulate clinical guidelines. But the next issue that needs to be addressed is which sources are reliable and which ones are not. There are many available research sources out there but one has to know that reliable researches must be relevant, verifiable, and unbiased. It can be difficult to know which information is up to date and most accurate, but choosing the right type of sources is crucial for the development of clinical guidelines. During a team project, the one who is assigned to weed out unacceptable research studies must come up with evaluating criteria.
RCTs and their logical equivalents (efﬁcacy research) are the standard for drawing causal inferences about the effects of interventions (context of scientiﬁc veriﬁcation). 9. Meta-analysis is a systematic means to synthesize results from multiple studies, test hypotheses, and quantitatively estimate the size of effects. How to practice evidence –based psychiatry There is 5 step in applying evidence base practice (medicine process)
Base on the type of service that was provided to the patient and the concept of the establishment of the healthcare practice guidelines, the evidence-based practice that was identified was the level I which is the evidence of randomized controlled trials (RCT). The level I RCTs, which is the meta-analysis level and sometime called the hierarchy of evidence of all relevant, are assigned to studies based on the methodological quality of their design, validity, and applicability to patient care which According to the Medical News Today (2014) stated that the randomized controlled trials in the use of clinical intervention and the procedures are the gold standard of scientific testing and in a research study. The purpose of the RCT it is to support
The more traditional framework that would have been used would have been the scientific biomedical framework. This framework is a model that does not take into consideration the psychological and social factors which may be contributing to a person’s illness; the illness is simply seen in biological terms. This ideology is far outdated, and one can see this simply by reading the WHO’s most recent definition of health, mentioned in the opening of this paper. This model views medications as the resolution to all illnesses, however we know that in today’s society, medications can often cause further problems- for example the creation of superbugs such as MRSA in the hospital system, bugs that as a result of overexposure to antibiotics have now become immune to the medication’s effects, and can therefore be detrimental to a patient’s health. By choosing to concentrate merely on biological impacts on health, a vast array of other factors, such as the environment, the money invested in public health care systems and many more, are ignored.
There are using methods such as narrative analysis of the nature of the interventions, the effective public health practice project quality assessment tool to the quality of studies, calculating effect sizes and a meta-analysis is used for the effectiveness