paper
Running head: CRITIQUE 2
CRITIQUE 2
Mislie, there was a template with a sample paper created for your success. The required templates for this course are not optional. I suggest you find the template for week 5 in both announcements and the private welcome message I sent you at the beginning of class. Responses lack breadth and depth expected in a critique. All critiques require textbook/ scholarly support. Your paper scored 27% similarity. Please reach out to the learning center for help with citing. It appears you copied from the article- copying from article is not acceptable but if you paraphrase you need to correctly cite. Here is a copy of the report.
Research Critique – Quantitative Studies
Mislie Jean Pierre
Professor Linda Permoda
Research
12/20/2020
Introduction Comment by Linda Permoda: All APA require an introduction and conclusion. Please tell the reader your PICO in the introduction so the reader knows the plan.
Background Comment by Linda Permoda: GCU expectation: Background: Background of study, including problem, significance to nursing, purpose, objective, and research questions, is thorough with substantial relevant details and extensive explanation. What does your textbook say about why the purpose, problem and questions must match up? Textbook support required to transform your paper from summary to critique. Comment by Linda Permoda:
The first study looks at how the kangaroo mother care is the most efficient method that is there to provide the newborn with skin contact with the mother’s skin particularly when they are underweight and premature. The kangaroo method is not common in some countries like Iran. The aim of the current study is to determine the impact which the KMC method has on the arterial oxygen saturation and the vital signs of the newborns when compared to the incubator care method so as to facilitate the use of this method.
Method
The KMC method is better when compared to the others in creation of better conditions for the newborn and the mother. The method is based on the principles that are basic such as skin to skin contact, the exclusive breastfeeding, as well as the support to the mother-infant dyad. The method involves placing the newborn at the front of the chest of the mother using a cloth bag which is wrapped around the both of them. It can be done from birth whether day or night and it can be used at intermittent periods. The method is important in regulation and stabilization of breathing, the improvement of the respiratory disease, and increase and regulation of the heart rate. There is also an observed increase in arterial oxygen saturation rate (Dehghani et al., 2015).
Background Comment by Linda Permoda: Comment by Linda Permoda: GCU expectation: Background: Background of study, including problem, significance to nursing, purpose, objective, and research questions, is thorough with substantial relevant details and extensive explanation. What does your textbook say about why the purpose, problem and questions must match up? Textbook support required to transform your paper from summary to critique.
The second study looks at the kangaroo mother care for the prevention of neonatal hypothermia. The study is a randomized controlled trial in term neonates. The aim of this study is to test the hypothesis that KMC which is initiated either at birth or after an hour after birth helps in reducing severe or moderate hypothermia in term neonates at one hour after a child is born and at discharge when compared with the standardized thermoregulation care. KMC has been shown to assist the newborns in several ways and one of these benefits is the prevention of hypothermia in the new born.
Method
The study aimed at looking at the effects of having the child on the chest of the mother for the period of time. The newborn is on the chest of the mother with a cloth bag where they share in the warm of the body of the mother as opposed to using the standard methods of thermal regulation in the bodies. It is important to note these benefits to the child as they can be lifesaving particularly in cold climates (Ramani et al., 2018).
How the Two Articles Support the Chosen Nurse Practice
The first study looks at the relationship between the vital signs of the infant and the use of KMC there are various vital signs which it looks at such as oxygen saturation among others. The study looks at how KMC can be used in these vital signs such as the thermal regulation which has been discussed in the PICOT question (Dehghani et al., 2015).
The second study is effective when it comes to relationship with the PICOT question. The first article in essence has informed that the provision of kangaroo care has an association which has a marked improvement in aspects which are related to thermoregulation (Ramani et al., 2018). The article has therefore associated with the PICOT question among thermal regulation within the first month of the life of the infant.
The interventions which are in the articles when compared to those in the PICOT question are similar. The interventions which are discussed in the studies and the PICOT is the use of kangaroo mother care for the infants. At the same time, the studies look at the focus on the health of the infants both through thermoregulation and other vitals.
Method of Study Comment by Linda Permoda: GCU expectation: Method: A thorough discussion on the method of study for each article is presented. The comparison of study methods is described in detail. The discussion demonstrates a solid understanding of research methods. What type of quantitative study is this? Experimental, quasi-experimental, descriptive, correlational? Textbook support required to transform your paper from summary to critique. By using the textbook you would have been able to not only identify the type of method but also explain why that method chosen is appropriate for the study. Did the author(s) discuss benefits and limitations of the study? What did your textbook say about the importance of designing a study that matches up with the intent?
In the first study, there was a clinical trial study on 53 neonates who had been hospitalized in the Neonatal Intensive Care United and they were divided randomly into two case and a control group. The KMC was done on the newborns in the group each for an hour for 3 consecutive days (Dehghani et al., 2015). The signs which were checked include temperature, respiratory and heart rate per minute, the oxygen saturation rate during the before and after.
In the second study, term neonates that were born at a tertiary delivery center in Zambia were randomized in two phases. The first phase involved birth to one hour while the second involved one hour to discharge. The neonates were provided with as much KMC as possible in a combination with standard thermoregulation care (KMC group) or to the standard thermoregulation care (Control group). The primary outcomes of the study were severe or moderate hypothermia (Ramani et al., 2018).
The clinical trial study has the benefit that one can get a new treatment for a particular condition before it is made available. There is provision for more frequent health checkups. There are limitations of the randomized clinical trial because they are costly and time consuming. The advantage of a randomized control trial is that every individual has an equal probability of being part of the treatment. There is the balancing of the known and unknown confounders so as to make treatment and control groups as balanced as possible.
Outcomes/ Conclusion
Results of the Study
The results of the first study showed that the average temperature variations as well as the arterial oxygen saturation rate between the two groups had significant differences in the three days of examining (P < 0/056, P = 0/00), but there are no significant differences as well as in the mean respiration and heart rate between each of the two groups (P = NS). The KMC method was, therefore, found to be effective in improvement and stabilization of vital signs for newborns (Dehghani et al., 2015).
The results of the second study showed that the proportion of neonates with severe or moderate hypothermia did not differ between the control and KMC group after birth (25% vs 27%, relative risk (RR)=0.93, 95% CI 0.59 to 1.4, P=0.78) or at discharge (7% vs 2%, RR=2.8, 95% CI 0.6 to 13.9, P=0.16). the hypothermia was not detected among those infants who had the KMC for at least 80% or 9 hours or more of the stay (Ramani et al., 2018).
Implications on Nursing Practice
The two studies are useful when it comes to nursing practice. The two studies are important when looking at the needs of the patients and the overall nursing practice. The provision of the KMC was seen to be beneficial leading to the right way in life. The KMC method was seen as important in giving the baby the warm and ensuring that they maintain the wellbeing and the health. Nursing will improve when it comes to continuous healthcare for babies.
Outcomes Comparison
The anticipated outcomes of the PICOT question are that kangaroo care is better compared to conventional care when it comes to promotion of temperate regulation in the first month of life. The two studies show that the method has worked in the promotion of health. The two studies showed that KMS assists in the promotion of health outcomes for the children.
References Comment by Linda Permoda: Where is your book? Please remember your book is required for all assignments in this class.
Dehghani, K., Movahed, Z. P., Dehghani, H., & Nasiriani, K. (2015). A randomized A
randomized controlled trial of Kangaroo mother care in contrast to the conventional method on the use of vital signs and arterial oxygen saturation rates within the body of newborns who were in hospitalized or neonatal intensive care units was performed the Journal of clinical neonatology, 4(1), 26. DOI: 10.4103/2249-4847.151163
Ramani, M., Choe, E. A., Major, M., Newton, R., Mwenechanya, M., Travers, C. P. & Carlo, W. A. (2018). Kangaroo mother care is both useful and effective in the prevention of neonatal hypothermia: a randomized controlled trial within the neonates. Archives of disease in childhood, 103(5), 492-497. DOI: https://doi.org/10.1136/archdischild-2017-313