Article Critique: PICOT approach
Article Critique: PICOT approach
The article to critique and the critical appraisal tool are required.
Article: HiscockSleep2014(1).pdf
Appraisal tool: No specific critical appraisal tool has been proposed and one must be located, these sites have been suggested to date to locate a appraisal tool:
http://www.casp-uk.net/casp-tools-checklists
http://www.cebm.net/category/ebm-resources/tools/
http://ktclearinghouse.ca/cebm
Must use the PICOT approach which requires that the framing of the research question specify the target Population, the Intervention of interest, the Comparator intervention, key Outcomes, and the Time frame over which the outcomes are assessed.
Scenario
You are the nursing representative on a working group that is providing advice to a Maternal and Child Health Centre in Melbourne on implementing a program designed to prevent infant sleep problems and postnatal depression. You volunteer to search the literature and find the following article:
Hiscock, H., Cook, F., Bayer, J., Le, H. N., Mensah, F., Cann, W., Symon, B., and St James-Roberts, I. (2014). Preventing Early Infant Sleep and Crying Problems and Postnatal Depression: A Randomized Trial. Pediatrics, 133(2), e346-e354. doi: 10.1542/peds.2013-1886
You wonder if the article is any good and whether the approach they take would be useful and suitable for your Maternal and Child Health Centre.
Introduction
There is an increasing volume of published research accessible to health professionals. With ever changing developments and new evidence it is also important to have strategies to access and interpret this material so that you can provide the best care to your patients. To ensure you that you can safely use evidence to influence your clinical decision making, you need to have skills in assessing the quality and relevance of the research you find, these skills are described as critical appraisal.
Aim
The aim of this assignment is for students to critically appraise a selected published randomised controlled trial (RCT) and to apply what is found to a clinical scenario. Students are required to complete the following activities.
• Summarise the provided study using the PICOT framework
• Critically appraise the validity of the study using an established framework • Explain the primary study results
• Relate appraised study evidence to the clinical scenario
Assessment 1 Critical Appraisal of an RCT
Word Count: Maximum 2,500 words
Weighting: Contributes 30% to overall subject grade
Scenario
You are the nursing representative on a working group that is providing advice to a Maternal and Child Health Centre in Melbourne on implementing a program designed to prevent infant sleep problems and postnatal depression. You volunteer to search the literature and find the following article:
Hiscock, H., Cook, F., Bayer, J., Le, H. N., Mensah, F., Cann, W., Symon, B., and St James-Roberts, I. (2014). Preventing Early Infant Sleep and Crying Problems and Postnatal Depression: A Randomized Trial. Pediatrics, 133(2), e346-e354. doi: 10.1542/peds.2013-1886
You wonder if the article is any good and whether the approach they take would be useful and suitable for your Maternal and Child Health Centre.
Introduction:
There is an increasing volume of published research accessible to health professionals. With ever changing developments and new evidence it is also important to have strategies to access and interpret this material so that you can provide the best care to your patients. To ensure you that you can safely use evidence to influence your clinical decision making, you need to have skills in assessing the quality and relevance of the research you find, these skills are described as critical appraisal.
Aim
The aim of this assignment is for students to critically appraise a selected published randomised controlled trial (RCT) and to apply what you have found to a clinical scenario.
Students are required to:
·
Summarise the provided study using the PICOT framework
·
Critically appraise the validity of the study using an established framework
·
Explain the primary study results
·
Relate the appraised study evidence to the clinical scenario]
MARKING GRID: CRITICAL APPRAISAL OF A RCT (30 MARKS)
Criteria Marks
1)
Academic structure and rigour
Introduces the purpose of academic piece and summarises the study under review
using the PICOT framework.
Organises and presents the assessment using an academic and professional writing
approach, including use of appropriate language, expression, style and structure.
Communicates ideas succinctly and without ambiguity. Meets APA format 7.5
2)
Critically appraises study validity, using the established framework and
supported by literature as required, including appraisal of:
a.
Clarity of aims
b.
Randomisation
c.
Allocation concealment and blinding
d.
Group similarities, missing data and intention-to-treat analysis
e.
Sample size adequacy 7.5
3)
Explains primary results and demonstrates understanding of:
·
Size or magnitude of the intervention effect
·
Precision of the intervention effect (confidence interval and clinically
meaningful difference)
·
Statistical significance, including relationship to point of no effect
Provides ‘bottom-line’ summary statement of overall trial results in one sentence. 7.5
4)
Applies results to clinical scenario, taking into account assessment of the validity
and strength of the results. Including relevance to:
·
Scenario participants
·
Local setting
·
Benefits, harm, costs or inconveniences
·
Other factors – eg education and training, Resources, skills 7.5
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Total 30
Recommended Textbooks
Cullum, N., Ciliska, D., Haynes, R., and Marks, S. (2008). Evidence-based nursing: An introduction. Oxford: Blackwell Publishing Ltd.
Courtney, M., and McCutcheon, H. (2010). Using evidence to guide nursing practice (2nd ed.). Sydney: Elsevier: Churchill Livingstone.
Grol, R., Wensing, M., Eccles, M. and Davis, D. (2013). Improving Patient Care: The implementation of change in health care (2nd ed.). Oxford: John Wiley and Sons Inc.
Guyatt, G., Rennie, D., Meade, M. and Cook, D. (2008). Users’ guide to the medical literature: A manual for evidence-based clinical practice (2nd ed.). Chicago: McGraw- Hill Medical.
Guyatt, G., Rennie, D., Meade, M., and Cook, D. (2008). Users’ guide to the medical literature: Essentials of evidence based clinical practice (2nd ed.). Chicago: McGraw- Hill.
Greenhalgh, T. (2014). How to read a paper: The basics of evidence-based medicine (5th ed.). Oxford: Wiley Blackwell, BMJ Books.
Hoffmann, T., Bennett, S. and Del Mar, C. (2013). Evidence-based practice across the health professions (2nd ed.). Sydney: Churchill Livingstone.
Melynyk, B.M., and Fineout-Overholt, E. (2015). Evidence-based practice in nursing and healthcare: A guide to best practice (3rd ed.). Philadelphia: Wolters Kluwer Health.
Straus, S., Glasziou, P., Richardson W. and Haynes, R. (2011). Evidence-based medicine: How to practice and teach it (4th ed.). Toronto: Churchill Livingstone, Elsevier.
