UTA nurs4325 week 3 RAC 2 Lee et al. 2016 october 2020

A major skill that is learned in this course is how to critically read and critique nursing research articles. The purpose for critiquing an article is to critically evaluate the research process followed by the author(s) of the assigned article. This is an information-intensive, time-intensive process that is not learned overnight. To demonstrate your skill at critiquing an article, you will complete this open-book multiple choice assignment.

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Here’s how you should approach completing this week’s assignment to begin critiquing an article:

1. First, do your assigned reading in Grove & Gray (2019) and complete the reading worksheets early in the week. This will introduce you to the critique skills you will need for the week.

2. Skim the entire instructor assigned research article that has been posted in Module One for you so that you will have an idea of what it is about. Lightly cross out the abstract for the article (you won’t be using it). Then, for this week, re-read carefully the article from the methods section through the end of the article.

3. Print the Research Article Critique, Part Two and find the best answer to each question based on your assigned reading for the week and on what you have read in the instructor assigned research article.

4. Some of the questions in the critique assignment below will seem unfamiliar to you. Look up key terms from the question in your textbook. Some examples of these terms might be: problem statements, hypotheses, or variables. You can also look in Chapter 12 for an example of a critical appraisal (or critique) of a quantitative research article.

5. Once you have completed this assignment “on paper”, enter your answers by the assignment due date and time listed in the syllabus. Ignore any wording that indicates that “this is a test” and carefully enter your answers from this document.

6. You will have two access attempts to record your answers. You are welcome to use the second attempt to improve your grade, but you will only receive a grade on your first attempt, and not feedback on which questions you may have missed. The highest of the two submissions will be recorded as your final grade if you choose to submit a second time.

7. This RAC is intended to be your own work. Do not discuss the questions with other students online or any other way. Doing so would be collusion and will be reported to the Office of Community Standards.

 

 

 

 

 

1. What sampling method or plan was used by the authors in this study?

 

 

Simple random sampling

 

 

 

Convenience sampling

 

 

Systematic sampling

 

 

Network sampling

 

 

 

 

 

2. According to Grove and Gray (2019), which of the following best describes the potential biases of this sampling method?

 

 

This is a strong probability sampling method with very little potential for bias.

 

 

This method is used when an ordered list of all members of the population are available, and provides a random but not equal chance for inclusion in the study.

 

 

 

This method provides little opportunity to control for bias because subjects are included in the study merely because they happen to be in the right place at the right time.

 

 

This method is specific to the individuals who were recruited and the information gained cannot be generalized to others who don’t share these types of experiences.

 

 

None of the above biases best describe the sampling method chosen by the author.

 

 

 

 

 

3. What was the final sample size reported by the authors for this study?

 

 

21 pairs of patients and caregivers

 

 

148 pairs of patients and caregivers

 

 

 

127 pairs of patients and caregivers

 

 

Unknown/cannot be determined

 

 

 

 

 

4. Was a power analysis conducted? If so, which statement best describes the results of the power analysis?

 

 

The authors mention that a power analysis was conducted using a power of 0.8, an alpha value of 0.5, and a moderate effect size.

 

 

The authors mention that an power analysis was conducted, and 127 matched pairs were determined to be needed for the study.

 

 

 

The authors do not report that a power analysis was conducted.

 

 

No answer text provided.

 

 

 

 

 

5. Which of these statements would be considered to be specific inclusion criterion for the sample in the research article?

 

 

The participants are able to understand English.

 

 

 

The participants are 20 years of age or older.

 

 

The participants are associated with a teaching hospital in Taiwan.

 

 

No inclusion criteria were specifically reported by the authors.

 

 

 

 

 

6. Which of these statements would be considered to be exclusion criterion specifically identified by the author for the sample in the research article?

 

 

The participants are not able to understand English.

 

 

 

The participants hired a foreign worker after discharge.

 

 

The participants have been in the caregiver role for less than 3 months.

 

 

No exclusion criteria were specifically reported by the authors.

 

 

 

 

 

7. What is the acceptance rate for this study? (Hint: see page 232 in your text)

 

 

 

 

 

 

100%

 

 

127/148 X 100% = 85%

 

 

21/127 X 100% = 16%

 

 

No answer text provided.

 

 

 

 

 

8. Which of the following would be accurate for the attrition rate for this study?

 

 

21/127 X 100% = 16%

 

 

127/148 X 100% = 85%

 

 

 

This was a cross-sectional study so the concept of attrition does not apply.

 

 

No answer text provided.

 

 

 

 

 

9. What was the setting for this research study? Briefly describe the setting and indicate whether it was appropriate for conducting this study.

 

 

The setting for this study was a highly controlled setting and was appropriate for this study’s research design.

 

 

The setting for this study was not well described by the authors and therefore not appropriate for conducting this study.

 

 

 

The setting for this study was a natural or field setting and was appropriate for this study’s research design.

 

 

No answer text provided.

 

 

 

 

 

10. Which of these questionnaires, scales, or physiologic measures are used in this research study?

 

 

The Common Sense Model of Illness Representation (CSMIR)

 

 

 

The Chinese Illness Perception Questionnaire Revised-Trauma (the Chinese IPQ-R-Trauma)

 

 

The Illness Perception Questionnaire Revised (IPQ-R)

 

 

No answer text provided.

 

 

 

 

 

11. How do the authors describe the CURRENT reliability of the Chinese Illness Perception Questionnaire Revised-Trauma (the Chinese IPQ-R-Trauma)?

 

 

 

They stated that the instrument has well-established evidence of reliability from previous studies

 

 

They tested the current group of subjects using two different versions of the same scale (alternate forms reliability).

 

 

 

They computed a Cronbach’s alpha on the scale for each group of subjects.

 

 

They allowed the participants to complete the questionnaire in a location of their own choice.

 

 

 

 

 

12. How do the authors describe the validity of the Chinese Illness Perception Questionnaire Revised-Trauma (the Chinese IPQ-R-Trauma) used in this study?

 

 

Content validity was established for the Chinese Illness Perception Questionnaire Revised-Trauma (the Chinese IPQ-R-Trauma) prior to being used in this study.

 

 

 

An item-level content validity index (I-CVI) for the Chinese Illness Perception Questionnaire Revised-Trauma (the Chinese IPQ-R-Trauma) was determined by five trauma experts.

 

 

The Chinese Illness Perception Questionnaire Revised-Trauma (the Chinese IPQ-R-Trauma) was examined by face, construct, and discriminant validity methods.

 

 

The readability levels were identified prior to being used in this study.

 

 

 

 

 

13. What types of questionnaires or surveys were used in this research study?

(Select all that apply)

 

 

The authors developed the The Common Sense Model of Illness Representation (CSMIR).

 

 

 

The authors developed their own questions to ask about demographic information.

 

 

Interviews were reportedly used, but the author does not explain what was included in them.

 

 

 

The authors used previously developed questionnaires or surveys to assess illness perceptions of patients and their caregivers.

 

 

The authors developed their own questions to assess illness perceptions.

 

 

This study did not use any questionnaires or surveys.

 

 

 

 

 

14. Were any physiological measurements collected from the subjects for the purpose of this study?

 

 

Yes

 

 

 

No

 

 

No answer text provided.

 

 

No answer text provided.

 

 

 

 

 

15. Which of the following best describes the data collection process used in this study?

(Select all that apply)

 

 

Participants were contacted by phone by nurse researcher.

 

 

 

Participants were given the questionnaires before or after outpatient department consultations .

 

 

Questionnaires / surveys were mailed to the participants and returned in a self-addressed stamped envelope.

 

 

Researchers consented participants after face to face discussion of the study.

 

 

 

Clinical data of the injured patients were obtained from medical records.

 

 

 

 

 

16. Based on the study’s data collection methods, if there were more than one data collector, would an estimation of inter-rater reliability be an important concept for the authors to report on for this study?

 

 

Yes, and the authors reported their efforts to achieve inter-rater reliability.

 

 

Yes, but the authors do not discuss any efforts to achieve inter-rater reliability.

 

 

 

No, the issue of inter-rater reliability does not apply here.

 

 

No answer text provided.

 

 

 

 

 

17. What descriptive statistics are used in this study? (Select all that apply)

 

 

 

mean

 

 

median

 

 

 

frequencies

 

 

 

standard deviation

 

 

 

percentage distributions

 

 

range

 

 

Independent sample t tests

 

 

 

 

 

18. Which of these inferential statistics were used to examine the data obtained from the participants? (Select all that apply)

 

 

Pearson correlations

 

 

Factor Analysis

 

 

 

Paired sample t tests

 

 

 

Analysis of variances

 

 

Spearman’s Correlation Coefficient

 

 

 

Independent-sample t tests

 

 

Logistic regression analysis

 

 

z score

 

 

None of the above inferential statistics were used in this study.

 

 

 

 

 

19. What is the level of significance (alpha level) set at for this study?

 

 

0.01

 

 

0.05

 

 

 

0.00625

 

 

0.10

 

 

An alpha level or level of significance chosen by the authors was not specifically mentioned in the text of the article.

 

 

 

 

 

20. There are several statistically significant findings in this study. Which statement from the article would be considered a significant result?

 

 

Both patients and the caregivers perceived an average of six to seven physical symptoms caused by the injury, but the mean subscale scores for causes among both patients and caregivers were low, indicating that both groups had weak perceptions about the reasons for injury (t = -2.15, p = .033).

 

 

The average score for patients on the control/cure subscale was 3.71 (SD = 0.72).

 

 

Approximately 69% of caregivers did not share care responsibilities.

 

 

 

Caregivers who did not share caring responsibilities perceived better control or cure than did those who had someone to share their care work (t = -3.38, p = .001).

 

 

 

 

 

21. Which one of these statements from the article would be considered a non-significant result?

 

 

Caregivers perceived more physical symptoms, believed that the time required to recover would be longer, and saw more consequences when they cared for an injured patient alone.

 

 

 

Both patients and the caregivers perceived an average of six to seven physical symptoms caused by the injury, but the mean subscale scores for causes among both patients and caregivers were low, indicating that both groups had weak perceptions about the reasons for injury (t = -2.15, p = .033).

 

 

Caregivers who did not share caring responsibilities perceived better control or cure than did those who had someone to share their care work (t = -3.38, p = .001).

 

 

Caregivers had positive perceptions on controlling or curing the injury when they cared for patients alone.

 

 

 

 

 

22. Which one of these statements from the article would be considered clinically important?

 

 

Patients and caregivers held similar illness perceptions toward the injury in this study.

 

 

In this study, 70% of the patients were injured by vehicle accidents, while 30% were injured by falls.

 

 

 

It is essential that clinicians help those patients and caregivers to express and organize any discrepancies between their illness representations and the medical treatments the patients are given.

 

 

The average score for patients on the control/cure subscale was 3.71 (SD = 0.72).

 

 

 

 

 

23. Which statements below, as reported by the author, would be considered a limitation of the study? (Select all that apply)

 

 

 

The study population included a convenience sample of patients and caregivers recruited from a teaching hospital in Taiwan.

 

 

Health care providers must recognize the importance of caregiver illness representations.

 

 

Future studies of caregivers should compare caregivers who receive supportive services to those who do not.

 

 

 

The cross-sectional nature of the present study precludes learning about changes over time for any of the target variables.

 

 

 

 

 

24. Which of these statements would be considered a statement regarding generalization of these results?

 

 

 

The sample included patients with injury and their caregivers recruited from a teaching hospital in Taiwan and therefore decreases the ability to generalize to all patients with injury and their caregivers.

 

 

The results of this study can be generalized to caregivers of patients with severe brain injuries or stroke.

 

 

The Chinese Illness Perception Questionnaire Revised-Trauma (the Chinese IPQ-R-Trauma) has demonstrated acceptable reliability and validity in this and previous studies; as such, the results of this study can be generalized to all patients with injury and their caregivers.

 

 

The sample included patients with injury and their caregivers recruited from a teaching hospital in Taiwan and therefore the results of this study can be generalized without caution to all patients with injury and their caregivers from all teaching hospitals in Taiwan.

 

 

 

 

 

25. Which of these statements from the article would be considered a recommendation for future studies(Select all that apply)

 

 

There were no significant differences in the scores for seven of the eight subscales between the patients and caregivers.

 

 

 

Determining whether or not these findings are translatable to other cultures may require further investigation.

 

 

 

Injury severity might be a significant factor for illness representations, but further testing is required to make a clear determination in that regard.

 

 

These results may indicate that being admitted to an ICU typically means that the patient has a more serious injury, which may cause many problems for the caregiver.

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