Quantitative Critical Appraisal - 4 pages

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CRITICAL APPRAISAL 3

Critical Appraisal

Benadeth Geoffrey

January 31, 2021

Critical Appraisal

In this paper, I will be selecting two articles related to nursing practice. The articles selected are quantitative and they provide the important interventions which are required to solve various issues and job dissatisfaction which is seen to be a major issue in nursing practice. Thus, one of the articles that I chose was by Gausvik, Lautar, Miller, Pallerla, & Schlaudecker (2015). In this article, burnouts have been described as physiological reactions that arise when the characteristic of an individual mixes with the work characteristics.

In this article, the authors are seen to employ the use of the JD-R model. This model is used in testing the effects of burnouts in association to work effectiveness of nurses. The goal of this study was to test the effects of the workloads, emotional, and organizational demands on emotional exhaustion among nurses. Moreover, the research question posed by this article is that, whether job demands have an effect on depersonalization and emotional exhaustion among nurses.

Furthermore, the second article which I chose was done by Montgomery, Spânu, Băban, & Panagopoulou in 2015. The purpose of this study was to examine the patient-and-family-centered use of Structured Interdisciplinary Bedside Rounds (SIBR) when taking care of old patients. The aspect being addressed in this article is the satisfaction of job in association to nurses which has an influence towards the retention and communication improvement that can assist in solving the problem. In the paper, the research question is whether improved communication via teamwork improves job satisfaction.

How the Articles Support Nursing Practice

According to Gausvik et al., (2015), nurses should be able to integrate different ways which is important in improving the communication. This can be done through various ways. For example, formation of interdisciplinary team rounds is seen to improve the communication. It is seen that the team rounds help in improving coordination and teamwork in caregivers. This approach is important in the sense that, it helps in improving satisfaction among nurses.

Moreover, my PICOT question is answered by the article in the sense that, it looks into the impacts of interdisciplinary rounds on job satisfaction. It is seen that nurses usually raise questions during team rounds in regard to the working conditions they are subjected to. This is crucial in improving the hospital’s culture. Bedside nurses are the group that was used during the study. On the flip side, according to Montgomery et al., (2015), it is seen that various job stressors in nursing practice will continue to increase in the coming years. This is attributed to the improved care that is expected in future. In any profession therefore, teamwork is vital practice. Thus, my PICOT question is effectively answered by the article where it examines how job burnouts can be reduced due to the engagement among healthcare workers. The group used in this study is similar in my PICOT statement.

Method of Study

From the analysis of the two articles, I will be comparing the method of study seen in these articles. Looking into the article done by Gausvik et al., (2015), it is evident that there is the use of experimental design in establishing the effect of communication on work satisfaction among nurses. The experimental research design is often known as true experimentation which seeks to establish the cause and effect of one variable in the research study. The approach of the study method seen in Gausvik et al., (2015) is important in that it is straightforward and basic. On the other hand, the study method seen here has some limitations. This is because the researcher should always adhere to the various ethical guidelines present.

Also, in the article done by Montgomery et al., (2015), the study method used is the correlation design. This method tries to explore the relationship between various variables. Thus, the correlation design looks into whether an increase of one variable may result in either a decrease or increase in another variable. The study is important in that it argues that teamwork has a positive impact on engagement. There is a limitation which is depicted in this article in that, the correlation does not directly show the cause.

Results of the Study

The key findings that are depicted in the article done by Gausvik et al., (2015) is that 100% of ACE staffs were seen to be comfortable during the bedside rounds. Also, it was seen that only 96% of the ACE staffs agreed that teamwork helped in reducing burnouts and job dissatisfaction (Gausvik et al., 2015). Moreover, the study shows that, 92% of the nurses agreed that communication played a significant role in helping in improving teamwork in hospitals (Gausvik et al., 2015). During the process of research, it was found that a member of the staff said that she felt she is part of a team while working as a group as opposed to working alone.

The key finding depicted in the article done by Montgomery et al., (2015) was that the work demand is correlated and has a positive correlation to burnouts. The authors also found that a negative correlation to burnouts and work demand was depicted during teamwork but has a positive relationship to engagement.

Ethical Considerations

During research, there are various ethical considerations which a researcher needs to take into account. The two examples of ethical considerations that need to be considered are informed consent and respect for anonymity and confidentiality. Thus, from the selected articles above, the researchers are seen to use these ethical considerations in various ways. For example, the article done by Gausvik et al., (2015) depicts a respect for anonymity and confidentiality in that, the authors did not reveal the identity of a nurse who said that she felt she is part of a team while working as a group as opposed to working alone. This is important because the authors have respected the opinion of the nurse to not reveal his or her identity for fear of the unknown.

On the other hand, the article done by Montgomery et al., (2015) also uses ethical consideration during research in the sense that, there is an informed consent. This is done where the authors receive consent from the selected groups in determining the role of teamwork and correlation to various aspects.

Conclusion

The nursing practice is very stressful and demanding sometimes. Therefore, nurses are expected to make informed decisions which are important to the health of the patient. Today, various hospitals have increased workloads due to understaffed personnel. From the discussed articles above, it is seen that they have provided a great insight to my PICOT questions.

References

Gausvik, C., Lautar, A., Miller, L., Pallerla, H., & Schlaudecker, J. (2015). Structured nursing communication on interdisciplinary acute care teams improves perceptions of safety, efficiency, understanding of care plan and teamwork as well as job satisfaction. Journal of Multidisciplinary Healthcare, 33. doi:10.2147/jmdh.s72623

Montgomery, A., Spânu, F., Băban, A., & Panagopoulou, E. (2015). Job demands, burnout, and engagement among nurses: A multi-level analysis of ORCAB data investigating the moderating effect of teamwork. Burnout Research, 2(2-3), 71-79. doi:10.1016/j.burn.2015.06.001