NURS 6052 Assignment EBP Part 3 Critical Appraisal of Research

NURS 6052 Assignment EBP Part 3 Critical Appraisal of Research

NURS 6052 Assignment EBP Part 3 Critical Appraisal of Research

Main Post: Clinical Issue of Interest and Searching Databases

 For this discussion, my clinical issue of interest is the medical underlying causes for mental health unaddressed. There are external and medical causes for mental health disorders in children and adults, but many times, these underlying causes are not treated as priority or even completely ignored. Rather than confining mental health to be purely psychosis, it will be beneficial to delve into the possibility that health-related issues, social and economic situations, and emotional well-being are significant contributors to mental illness.

Research work has inadvertently exposed how some mental health symptoms are dismissed in younger individuals, and never diagnosed or identified too late, which only further creates a sense of alienation for children suffering from mental illnesses. An underlying or untreated medical condition is a contributor to typical signs of mental instability. For example, chronic diseases such as diabetes, hypothyroidism, hyperthyroidism, and lack of vitamin D can result in mental health disorders like mood swing, anxiety, depression, and unexplained weight changes. Oftentimes, the build-up of multiple chronic diseases significantly decreases the quality of life for an individual leading to mental health issues. For this work, a literature search was conducted using EBSCOhost databases. Two peer-reviewed articles were selected using two different databases in the Walden Library. Respectively, Cumulative Index to Nursing & Allied Health Literature Database, and Eric Database.

To search, I identify the keywords to the related article and use this as the prompt. “Mental health”. This initial search generated 28,397 results. I Combined keywords to narrow or broaden search results “Underlying mental health causes”. Three results generated. Using Boolean operator AND, “Mental health and Underlying causes” Nine results generated.

With this, I would say that the strategies to use for better and effective database search for my PICO(T) question will be using more than one database to view variety of articles and select what is relevant like peer-reviewed, full article and date range (within 5 years recommended)

It also works best to breakdown the content. Pick a topic from the most related subject, like nursing. When we type everything into the database, we get nothing. It is always better to type in the main idea and concept. Select full article, peer-reviewed, relevant date, and search.

Boolean terms AND, OR, NOT connects the keywords to create a more precised logical phrase that the database can understand and use to look for multiple terms or concepts at once. AND finds items that uses both keywords, OR find items that use either of the keywords and NOT excludes items that use the keywords. I have lots of resources to work with, and a PICOT question in progress. Changes may occur as needed.

PICOT- Problem– Mental health causes unaddressed, Intervention–Treating the underlying causes, Comparison-Findings will emphasize the correlation between mental health and other underlying issues, Outcome-Positive improvement with treatment, Time frame-Within 72 hours of treatment, re-evaluation will be done.

References

Hussain, R., Wark, S., Janicki, M.P., Paramenter, T., & Knox, M. (2020). Multimorbidity in

Older People with Intellectual Disability. Journal of Applied Research in Intellectual Disabilities, 33(6), 1234-1244

Martin-Denham, S. (2021). Defining, identifying, and recognizing underlying causes of

social, emotional, and mental health difficulties: thematic analysis of interviews

with headteachers in England. Emotional & Behavioral Difficulties, 26(2), 187

205. https://doi.org/10.1080/13632752.2021.1930909Links to an external site.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Walden University, LLC. (Producer). (2018). Searching the Evidence [Video file]. Baltimore, MD: Author.

Realtors rely on detailed property appraisals—conducted using appraisal tools—to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers.

Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action.

In this Assignment, you will use an appraisal tool to conduct a critical appraisal of published research. You will then present the results of your efforts.

To Prepare:

• Reflect on the four peer-reviewed articles you selected in Module 2 and the four systematic reviews (or other filtered high- level evidence) you selected in Module 3.
• Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.
• Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.

The Assignment (Evidence-Based Project)

Part 3A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3.

Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module 2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both modules and types of studies are represented.

Part 3B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

By Day 7 of Week 7

Submit Part 3A and 3B of your Evidence-Based Project.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

• Please save your Assignment using the naming convention “WK7Assgn+last name+first initial.(extension)” as the name.
• Click the Week 7 Assignment Rubric to review the Grading Criteria for the Assignment.
• Click the Week 7 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
• Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK7Assgn+last name+first initial.(extension)” and click Open.
• If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
• Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

Week 7 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment Draft for Authenticity

Submit your Week 7 Assignment Draft and review the originality report

Submit Your Assignment by Day 7 of Week 7

To participate in this Assignment:

Week 7 Assignment

Next Module

To go to the next module:

Module 5

 Module 4: Critical Appraisal, Evaluation/Summary, and Synthesis of Evidence (Weeks 6-7)

Laureate Education (Producer). (2018). Critical Appraisal [Video file]. Baltimore, MD: Author.

Due By	Assignment
Week 6, Days 1-4	Read the Learning Resources. Begin to compose Part A of your Assignment..
Week 6, Days 5-7	Continue to compose Part B of your Assignment. Begin to compose Part B of your Assignment.
Week 7, Days 1-6	Continue to compose Part A and B of your Assignment.
Week 7, Day 7	Deadline to submit Part A and B of your Assignment.

Learning Objectives

Students will:

• Evaluate peer-reviewed articles using critical appraisal tools
• Analyze best practices based on critical appraisal of evidence-based research

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Learning Resources

Note: To access this module’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

• Chapter 5, “Critically Appraising Quantitative Evidence for Clinical Decision Making” (pp. 124–188)
• Chapter 6, “Critically Appraising Qualitative Evidence for Clinical Decision Making” (pp. 189–218)

Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010a). Evidence-based practice step by step: Critical appraisal of the evidence: Part I. American Journal of Nursing, 110(7), 47–52. doi:10.1097/01.NAJ.0000383935.22721.9c

Note: You will access this article from the Walden Library databases.

Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010b). Evidence-based practice, step by step: Critical appraisal of the evidence: Part II: Digging deeper—examining the “keeper” studies. American Journal of Nursing, 110(9), 41–48. doi:10.1097/01.NAJ.0000388264.49427.f9

Note: You will access this article from the Walden Library databases.

Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010c). Evidence-based practice, step by step: Critical appraisal of the evidence: Part III: The process of synthesis: Seeing similarities and differences across the body of evidence. American Journal of Nursing, 110(11), 43–51. doi: 10.1097/01.NAJ.0000390523.99066.b5

Note: You will access this article from the Walden Library databases.

Williamson, K. M. (2009). Evidence-based practice: Critical appraisal of qualitative evidence. Journal of the American Psychiatric Nurses Association, 15(3), 202–207. doi:10.1177/1078390309338733

Note: You will access this article from the Walden Library databases.

Document: Critical Appraisal Tool Worksheet Template (Word document)

Required Media

Laureate Education (Producer). (2018). Appraising the Research [Video file]. Baltimore, MD: Author.

Laureate Education (Producer). (2018). Interpreting Statistics [Video file]. Baltimore, MD: Author.

Laureate Education (Producer). (2018). Review of research: Hierarchy of evidence pyramid [Mutlimedia file]. Baltimore, MD: Author.

Schulich Library McGill. (2017, June 6). Types of reviews [Video file]. Retrieved from https://youtu.be/5Rv9z7Mp4kg

Mental health disorders have far-reaching consequences on patients, health care practitioners, and families. As a result, evidence-based care interventions that engage patients in care and promote self-management are recommended. Telehealth provides a tech-based platform for health care and health education (Zhao et al., 2021). If applied effectively and its risks controlled, telehealth can optimize care effectiveness and reduce mental health burdens in many populations. The purpose of this worksheet is to critically appraise research on the role and effectiveness of telehealth interventions in improving treatment outcomes among patients with depression.

Full APA formatted citation of selected article.	Article #1	Article #2	Article #3	Article #4
	Bellanti, D. M., Kelber, M. S., Workman, D. E., Beech, E. H., & Belsher, B. E. (2022). Rapid review on the effectiveness of telehealth interventions for the treatment of behavioral health disorders. Military Medicine, 187(5–6), e577–e588. https://doi.org/10.1093/milmed/usab318	Egede, L. E., Dismuke, C. E., Walker, R. J., Acierno, R., & Frueh, B. C. (2018). cost-effectiveness of behavioral activation for depression in older adult veterans: In-person care versus telehealth. The Journal of Clinical Psychiatry, 79(5), 3853. https://doi.org/10.4088/JCP.17m11888	Scott, A. M., Clark, J., Greenwood, H., Krzyzaniak, N., Cardona, M., Peiris, R., Sims, R., & Glasziou, P. (2022). Telehealth v. face-to-face provision of care to patients with depression: a systematic review and meta-analysis. Psychological Medicine, 52(14), 2852–2860. https://doi.org/10.1017/S0033291722002331	Zhao, L., Chen, J., Lan, L., Deng, N., Liao, Y., Yue, L., Chen, I., Wen, S. W., & Xie, R. (2021). Effectiveness of telehealth interventions for women with postpartum depression: Systematic review and meta-analysis. JMIR MHealth and UHealth, 9(10), e32544. https://doi.org/10.2196/32544
Evidence Level * (I, II, or III)	Level I (review of randomized controlled trials).	Level I (randomized, non-inferiority trial)	Level I (systematic review and meta-analysis of randomized controlled trials)	Level I (systematic review of RCTs and meta-analysis.
Conceptual Framework Describe the theoretical basis for the study (If there is not one mentioned in the article, say that here).**	No conceptual framework has been identified in the article.	None has been identified.	No framework has been identified in the article.	No framework has been identified in the article.
Design/Method Describe the design and how the study was carried out (In detail, including inclusion/exclusion criteria).	The study involved a systematic search of PubMed and hand-searching relevant systematic reviews. To enhance reliability and validity, the articles were also dual screened and single-person abstraction data were verified by a second person. The articles included were full-text, peer-reviewed randomized controlled trials published in English. Articles that were not randomized controlled trials or with a wrong population, intervention, or comparator were excluded.	The study was a randomized, non-inferiority trial for examining whether telehealth is more effective than in-person care in delivering behavioral activation for depression. Eligible participants were assigned to 1 of 2 arms of 8-week behavioral activation therapy. Veterans with depression were included, while those who did not exhibit measures of depression for DSM-IV were excluded.	The study was a systematic review and meta-analysis of RCTs that compared real-time telehealth to face-to-face therapy for depressed individuals. All randomized controlled trials of any design were included provided that participants received car for chronic and symptomatic depressive disorder regardless of their age. All other studies (not RCTs) were excluded.	The study was a systematic review of RCTs form PubMed, The Cochrane Library, CINAHL and other credible databases evaluating the effectiveness of telehealth interventions for women with postpartum depression (PPD). Included studies targeted adult women with PPD, using telehealth interventions, published in English or Chinese, and assessing the primary outcome of depression symptoms using the Edinburgh Postnatal Depression Scale (EPDS). RCTs protocol or duplicate and studies where women had severe illnesses or a history of mental illness were excluded.
Sample/Setting   The number and characteristics of patients, attrition rate, etc.	Bellanti et al. (2022) analyzed twenty-two randomized controlled trials (RCTs) – eight were non-inferiority trials.	The study included 241 participants (veterans) with depression.	Researchers reviewed nine trials (28 references with 1268 patients) comparing telehealth to face-to-face care delivery to patients with a depressive disorder.	9 RCTs with a total of 1958 participants (women with PPD) were reviewed.
Major Variables Studied   List and define dependent and independent variables	Dependent variable: the effectiveness of behavioral health treatments. These (treatments included psychotherapy and psychiatry). Independent variable: care delivered in person and telehealth (telephone or video conference).	Researchers studied whether delivering behavioral activation for depression (independent variable) through telehealth is cost-effective (dependent variable) compared to in-person care. Cost-effectiveness is the dependent variable since it varies with the treatment interventions.	Dependent variables include care outcomes, such as therapeutic alliance care satisfaction, and quality of life. Independent variables were the treatment/intervention methods (telehealth and face-to-face) care delivery for depression or depressive symptoms.	The dependent variable was depressive symptoms and anxiety while the independent variable was telehealth interventions.
Measurement   Identify primary statistics used to answer clinical questions (You need to list the actual tests done).	After screening, a single reviewer extracted essential data characteristics that were further verified by a second reviewer. For each RCT, two reviewers completed the Cochrane Risk of Bias Assessment and discussed findings to resolve disagreements.	Researchers used the 36-Item Short Form Health Survey to evaluate health services utilization costs between 1 year pre-intervention and 1 year post-intervention.	Data were extracted by independent authors and discrepancies resolved via consensus. The risk of Bias Tool 1.0 was used to assess biases.	Two independent researchers extracted data and performed quality assessment using the Cochrane risk-of-bias tool. The meta-analyses was conducted using RevMan 5.4 software.
Data Analysis Statistical or Qualitative findings (You need to enter the actual numbers determined by the statistical tests or qualitative data).	Most RCTs and 7/8 of the non-inferiority trials found no difference between telehealth (TH) and in person (IP) treatment delivery. Two studies found patients with higher symptom severity in the telehealth group exhibited worse treatment-related outcomes than in person participants.	Post-intervention, veterans treated via telehealth had a mean of $870.91 higher costs relative to pre-invention while those treated in-person had a mean of $2,998 health care utilization costs.	Researchers found no significant differences between the treatment interventions for depression severity at post-treatment except at 9 months post-treatment. No major differences were found between telehealth and face-to-face care in treatment satisfaction while most studies, except one, showed the same for therapeutic alliance.	The primary statistical finding was a significantly lower EPDS (p<.001) and anxiety (p=.005) scores in the telehealth group compared to the control group.
Findings and Recommendations   General findings and recommendations of the research	Based on the evidence from the RCTs, telehealth and in person treatment (face-to-face) modalities produces similar outcomes for psychotherapy and psychiatry services.	The study confirmed the practicality of telehealth in lowering health utilization costs for depression treatment among veterans. As a result, it should be utilized more in health care settings to improve outcomes for patients and care practitioners.	Evidence shows that telehealth and face-to-face care can be used interchangeably for depression treatment and deliver similar outcomes. However, additional trials with longer follow-up are necessary to ascertain the findings.	Telehealth effectively reduces depression and anxiety symptoms among women with PPD. However, large scale RCTs targeting specific therapies are crucial.
Appraisal and Study Quality     Describe the general worth of this research to practice. What are the strengths and limitations of study? What are the risks associated with implementation of the suggested practices or processes detailed in the research? What is the feasibility of use in your practice?	The research is significant to mental health practice since it demonstrates the effectiveness of treatment modalities. The primary strength is that the article is high-level evidence. Reliability and validity are also high due to the involvement of a third/independent researcher. The most notable limitation is the lack of meta-analysis due to the heterogeneity of results. Rapid reviews also omit relevant research. Telehealth is associated with privacy and security issues. The article is feasible for use in mental health practice since it demonstrates the effectiveness of telehealth and face-to-face interventions for treating behavioral health disorders.	The research is significant to mental health practice since it explains the importance of telehealth in care delivery as a cost-effective method. The article’s main strengths include high-level evidence and a large sample size. The main limitation was utilizing one survey tool hence possible analysis bias. The main risks associated with implementing telehealth are privacy breaches, although they can be controlled through appropriate safeguards. The article is feasible for use in mental health practice since it explains the appropriateness of telehealth as a cost-effective intervention for delivering mental health care for people with depression.	The research demonstrates the effectiveness of telehealth in mental health care in the evolving practice. It highlights why telehealth should be integrated into care delivery and potential outcomes. Study strengths include comprehensive searches and rigorous methodologies. The findings also support previous research. Limitations include a sort trial follow-up in majority of the patients in most studies. All trials were conducted in the United States, which limits their generalizability. No major risks associated with telehealth implementation have been noted in the study. The article is feasible for use in mental health practice since it demonstrates the effectiveness of telehealth as a viable alternative for face-to-face care provision for depression.	The research is worth to practice since it explains the role of telehealth in treating depression and anxiety. The main strengths are high-level evidence and rigorous search. The study is also generalizable since it was conducted in both developed and developing countries. Limitations include possible bias and meta-analysis being limited by major heterogeneity. No risk regarding telehealth implementation has been detailed in the research. The research is feasible for use in mental health practice since it demonstrates the importance of telehealth in mental health support.
Key findings	Care delivered via telehealth is as effective as in person care. As a result, mental health practitioners can use videoconferencing, telephone, and other tech-based interventions to provide mental health support.	Care delivered via telehealth is more cost-effective compared to in-person care.	For patients with depression, telehealth is a viable alternative for care provision for in-person (face-to-face) care. This is because there were no significant differences in treatment outcomes, including satisfaction, between the two methods.	Telehealth is highly effective in treating depression and anxiety among women with Similar Posts health and medical Cultural Assessment Presentation Cultural Assessment Presentation NUR 542 WEEK 3 Cultural Assessment Presentation Cultural Assessment Presentation. Select a cultural group other than your own, and… health and medical future of nursing practice and the role of nursing in the emerging health-care environment future of nursing practice and the role of nursing in the emerging health-care environment future of nursing practice and the role… health and medical Assignment: Existential-humanistic Therapy Assignment: Existential-humanistic Therapy Assignment: Existential-humanistic Therapy Assignment: Existential-humanistic Therapy ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT: Assignment: Existential-humanistic Therapy The Assignment… health and medical Assignment: Sexual Communication Assignment: Sexual Communication Assignment: Sexual Communication Assignment: Sexual Communication ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT: Assignment: Sexual Communication Sexual Communication… health and medical Assignment: The Logic of Disease Assignment: The Logic of Disease Assignment: The Logic of Disease Assignment: The Logic of Disease ORDER NOW FOR AN ORIGINAL PAPER… health and medical HCS 587 Week 4 Organizational Change Plan Part I HCS 587 Week 4 Organizational Change Plan Part I HCS 587 Week 4 Organizational Change Plan Part I Recent Resource: Organizational Change…