Rough Draft Qualitative Research Critique and Ethical Considerations

 

Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses.

Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.

In a 1,000–1,250 word essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

ResearchCritique Guidelines – Part I

Use this document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the studies in your responses.

Qualitative Studies

Background of Study

1. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.

How do these two articles support the nurse practice issue you chose?

1. Discuss how these two articles will be used to answer your PICOT question.

2

. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.

Method of Study:

1. State the methods of the two articles you are comparing and describe how they are different.

2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.

Results of Study

1. Summarize the key findings of each study in one or two comprehensive paragraphs.

2.

What are the implications of the two studies in nursing practice?

Ethical Considerations

1. Discuss two ethical consideration in conducting research.

2. Describe how the researchers in the two articles you choose took these ethical considerations into account while performing their research.

© 2019. Grand Canyon University. All Rights Reserved.

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Literature Evaluation Table

Student Name: Christelle Pierre-Louis

Nursing Research Problem

Stress can be defined as the body’s way of responding to environmental and physical stimuli. Stress has been one of the most disastrous factors in most occupations today. Stress can either be acute or chronic where all bodily functions are disrupted. Some of the health risk factors associated with stress include depression, anxiety, sleeping problems and weight issues. Occupational stress is been rated as a significant health hazard since the periods after the Second World War. Working related stress is witnessed in the nursing career via anxiety of nurses in their day to day operations such as taking care of patients and decision making in matters diagnosis. There is not much available research pertaining the nursing profession stress management and burnout controls despite this field being a critical one.

Continued advancements in technology and population pressure have also contributed to the rise in nurses working stress. Burnout a term described to describe emotional exhaustion, reduced personal interactions and accomplishments. Both burnout and stress remain crucial to an organization such as hospital since it hits hard on quality of services delivered by nurses as well their performance levels. This research seeks to connect the impact of stress management among nurses in reducing burn out levels. Is stress management really an effective tool for use?

PICOT Question:

Do nurses (P) who practice stress management (I) have lower levels (O) of burnout compared to nurses(C) who do not practice stress management over time (T).

Criteria

Article 1

Article 2

Article 3

APA-Formatted Article Citation with Permalink

Bezerra, C. M. B., & De Martino, M. M. F. (2016). Stress and burnout syndrome in hospital nurses: a descriptive study. Online Brazilian Journal of Nursing, 15, 51

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-520.

http://www.objnursing.uff.br/index.php/nursing/

Jamal, M., & Baba, V. V. (2000). Job stress and burnout among Canadian managers and nurses: an empirical examination. Canadian journal of public health, 91(6), 454-458.

https://doi.org/10.1007/bf03404828

Kim, L. Y., Rose, D. E., Ganz, D. A., Giannitrapani, K. F., Yano, E. M., Rubenstein, L. V., & Stockdale, S. E. (2020). Elements of the healthy work environment associated with lower primary care nurse burnout. Nursing outlook, 68(1), 14-25.

https://doi-org.lopes.idm.oclc.org/10.1016/j.outlook.2019.06.018

How Does the Article Relate to the PICOT Question?

This article relates to the PICOT question in that it contributes to the intervention part of the question (stress management).

This study contributes to the PICOT question in that it relates the crucial variable of burnout and other variables of interest including; job satisfaction, organizational commitment and psychosomatic health problems.

By determining the link between patient centered medical homes (PCMH) working environment and burnout this article forms a fundamental stage to borrow from in topics such as burnout reduction and stress management as outlined in the PICOT question.

Quantitative, Qualitative (How do you know?)

Quantitative, this is because a descriptive cross-sectional study with a quantitative approach is applied in the research as described in the method of study section.

Quantitative, this because data analysis was conducted using Pearson correlation and moderated multiple regression.

Quantitative, the study employs a multivariable analyses of comparisons.

Purpose Statement

To check stress levels and the presence of the burnout syndrome in a population of nurses on day and night shifts in a hospital.

To explore the relationship between the variables of job stress, burnout and organizational commitment and psychosomatic problems.

To investigate the relationship between PCMH nurses’ work environment and burnout.

Research Question

What are the levels of burn out syndrome and stress among nurses in hospitals during the day and night shifts?

Is there a relationship between burnout levels, job stress, organizational commitment and psychosomatic problems?

Is there a relationship between primary care nurses’ work environment and burnout?

Outcome

Job stress was significantly correlated with overall burnout and its three dimensions and job satisfaction in both samples.

Collaboration and meaningful recognition are directly correlated to nurses’ burn out levels.

Setting

(Where did the study take place?)

The study was based in the Hospital of Federal University of Rio Grande do Norte.

Data was collected from Canadian managers and nurses in this study.

The sample for this study included (Patient aligned care teams) PACT nurses practicing in 23 practices within five health care systems across Southern California and Nevada (Veterans Integrated Service Network or VISN 22).

Sample

The sample for this study involves nurses at working at Hospital of Federal University of Rio Grande do Norte.

The sample for this study involved 67 Canadian managers and nurses.

The study involved 170 registered nurses and 181 PCMH licensed vocational nurses (LVNs) in 23 primary care clinics.

Method

The method employed questionnaires to nurses to obtain data through the form of socio-demographic data, then the instruments: the Bianchi scale to quantify the level of stress, and the Maslach Burnout Inventory (MBI) to identify the presence of the burnout syndrome.

 Data was collected by means of a structured questionnaire from Canadian managers.

Multivariable analyses were performed using two waves of survey data from PCMH registered nurses (RNs; n = 170) and PCMH licensed vocational nurses (LVNs; n = 181) in 23 primary care clinics

Key Findings of the Study

The research identified high levels of burning outs in the night shift working as compared to the day.

 Job stress was significantly correlated with overall burnout and its three dimensions and job satisfaction in both samples. Job stress was also significantly correlated with psychosomatic health problems and organizational commitment.

True collaboration was inversely associated with PCMH RN burnout (b = 2.6, 95% confidence interval [CI] = 4.29, 0.08, p < .01). Meaningful recognition was inversely associated with PCMH LVN burnout (b = 5.1, 95% CI = 8.36, 1.82, p < .01). In models with all nurses, RN (vs. LVN) position was associated with higher levels of burnout (b = 6.2, 95% CI = 2.47, 9.84, p < .01). Recommendations of the Researcher There should be increased motives to develop stress management strategies for nurses working in both shifts. There requires a significant focus on job stress management strategies to effectively reduce burn out levels. Strategies to foster team collaboration and meaningful recognition should be investigated to reduce PCMH nurse burnout. Criteria Article 4 Article 5 Article 6 APA-Formatted Article Citation with Permalink Berg, G. M., Harshbarger, J. L., Ahlers-Schmidt, C. R., & Lippoldt, D. (2016). Exposing compassion fatigue and burnout syndrome in a trauma team: A qualitative study. Journal of trauma nursing, 23(1), 3-10.

https://doi-org.lopes.idm.oclc.org/10.1097/JTN.0000000000000172

Van Bogaert, P., Peremans, L., Van Heusden, D., Verspuy, M., Kureckova, V., Van de Cruys, Z., & Franck, E. (2017). Predictors of burnout, work engagement and nurse reported job outcomes and quality of care: a mixed method study. BMC nursing, 16(1), 5.

https://doi-org.lopes.idm.oclc.org/10.1186/s12912-016-0200-4

Wei, H., Kifner, H., Dawes, M. E., Wei, T. L., & Boyd, J. M. (2020). Self-care Strategies to Combat Burnout Among Pediatric Critical Care Nurses and Physicians. Critical Care Nurse, 40(2), 44-53. https://doi-org.lopes.idm.oclc.org/10.1186/s12912-016-0200-4

How Does the Article Relate to the PICOT Question?

This research relates to the PICOT question in that it provides a deeper understanding of burn out levels and the ways in which traumatized individuals can cope up with stress.

This article relates to the PICOT question in that it acts searches for burnout predictors from the nursing work environment based on individual experiences as narrated through the study.

The article connects with the PICOT question in that self-care strategies for nurses should start with the self then extended to others. By reducing stress and burnout through identification of strategies to do so then nurses are able to improve their performance.

Quantitative, Qualitative (How do you know?)

This research study is qualitative as qualitative methods such as focus groups.

Qualitative, the study employed a mixed method study is based on an explanatory sequential study design. The data was interpreted through qualitative methods.

Data was collected via qualitative methods including one time face to face interviews.

Purpose Statement

The purpose of this qualitative study was to measure compassion fatigue (CF) and burnout syndrome (BOS) as identified in trauma team.

To compare and contrast practice environment and work characteristics as burnout predictors.

The objective of this study was to determine perceptions of self-care strategies to combat professional burnout among nurses and physicians in pediatric critical care settings.

Research Question

How do compassion fatigue and burn out syndrome in a trauma team compare?

Are there associations between practice environment and work characteristics as predictors of burnout (model 1) and engagement (model 2) as well as nurse-reported job outcome and quality of care?

What kind of self-care Strategies are important to Combat Burnout Among Pediatric Critical Care Nurses and Physicians

Outcome

The analysis identified positive aspects of job, stress triggers, stress symptoms, and coping with stress.

Nurse-reported job outcomes and quality of care explained variances between 52 and 62%. Nurse management at the unit level and workload explained variances between 23 and 36% and between 12 and 17%, respectively

Six major self-care strategies were identified: finding meaning in work, connecting with an energy source, nurturing interpersonal connections, developing an attitude of positivity, performing emotional hygiene, and recognizing one’s uniqueness and contributions at work

Setting

(Where did the study take place?)

The participants were sourced from a Midwestern Level I trauma center.

The study took place in two large acute care university hospitals.

The study was conducted in a 20 bed ICU unit and an 8 bed intermediate care unit in a children’s hospital in the United states.

Sample

The sample involved 12 trauma practitioners who shared their perceptions of related stress triggers and coping strategies.

The sample was derived from staff nurses and nurse managers in a hospital in the Dutch country and a French university hospital.

The study involved 70 full time nurses and 15 full time physicians.

Method

The method in this research involved surveys to measure CF and BOS and a focus group allowed a trauma team (12 practitioners) to share perceptions of related stress triggers and coping strategies

The study embarked on a mixed outlay of study designs including qualitative methods of data collection as well as quantitative ones.

qualitative descriptive study with a phenomenological overtone

Key Findings of the Study

A third of the team members interviewed recorded high levels of stress and burn outs.

Burnout and engagement had a less relevant direct impact on quality of care (≤5%).

Finding meaning in work was the most frequently mentioned approach to implement this strategy among the physicians and nurses in the study (n = 18; 90%).

Recommendations of the Researcher

A trauma team can self-manage stress by creating a culture that acknowledges, accepts, and proactively supports staff to prevent or control compassion fatigue and burnout. Consideration of preemployment screening with standardized questionnaires to identify personalities that naturally exhibit strong coping traits

Besides the softer work characteristics — such as decision latitude, social capital and team cohesion — more insight and knowledge of the hard work characteristic workload is essential.

References

Berg, G. M., Harshbarger, J. L., Ahlers-Schmidt, C. R., & Lippoldt, D. (2016). Exposing compassion fatigue and burnout syndrome in a trauma team: A qualitative study. Journal of trauma nursing, 23(1), 3-10. Retrieved from

https://doi-org.lopes.idm.oclc.org/10.1097/JTN.0000000000000172

Bezerra, C. M. B., & De Martino, M. M. F. (2016). Stress and burnout syndrome in hospital nurses: a descriptive study. Online Brazilian Journal of Nursing, 15, 518-520. Retrieved from http://www.objnursing.uff.br/index.php/nursing/

Jamal, M., & Baba, V. V. (2000). Job Stress and Burnout Among Canadian Managers and Nurses: An Empirical Examination. Canadian Journal of Public Health, 91(6), 454–458. Retrieved from https://doi.org/10.1007/bf03404828

Kim, L. Y., Rose, D. E., Ganz, D. A., Giannitrapani, K. F., Yano, E. M., Rubenstein, L. V., & Stockdale, S. E. (2020). Elements of the healthy work environment associated with lower primary care nurse burnout. Nursing outlook, 68(1), 14-25. Retrieved from  https://doi-org.lopes.idm.oclc.org/10.1016/j.outlook.2019.06.018

Van Bogaert, P., Peremans, L., Van Heusden, D., Verspuy, M., Kureckova, V., Van de Cruys, Z., & Franck, E. (2017). Predictors of burnout, work engagement and nurse reported job outcomes and quality of care: a mixed method study. BMC nursing, 16(1), 5. Retrieved from https://doi-org.lopes.idm.oclc.org/10.1186/s12912-016-0200-4

Wei, H., Kifner, H., Dawes, M. E., Wei, T. L., & Boyd, J. M. (2020). Self-care Strategies to Combat Burnout Among Pediatric Critical Care Nurses and Physicians. Critical Care Nurse, 40(2), 44-53. Retrieved from  

https://doi-org.lopes.idm.oclc.org/10.4037/ccn2020621

© 2019. Grand Canyon University. All Rights Reserved.

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