Research Critiques and PICOT Statement Final Draft

Literature Evaluation Table

Student Name: Heydis Ferrer

Summary of Clinical Issue (200-250 words):

Menopause takes place when a woman fails to menstruate in a whole year and cannot conceive naturally. Few women experience

menopause symptoms before menopause occurrence. The process occurs because of less hormone production due to the aging of the

ovaries. Hence, the body experiences several changes that lower estrogen, testosterone, luteinizing hormone, and progesterone levels.

Menopause mainly begins at 45-55years of age. However, it can develop after 55 or before45 years. In some situations, menopause

may occur due to induction, ovary injuries, or removal of pelvic-related structures and ovaries. Every female’s menopause experience

is distinct and unique. Most females initiate menopause symptom development about four years before their last period. The common

symptoms include insomnia, anxiety, dry skin, reduced bone mass, hair loss, increased urination, headaches, and less full breasts.

Menopause can result in uncomfortable symptoms such as weight gain and hot flashes, but medical treatment may not be necessary.

Symptoms are severe if menopause happens over a shorter period or suddenly. Conditions that affect ovary health, such as

hysterectomy and cancer, increase menopause severity symptoms. Additionally, certain life factors such as smoking affect menopause

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symptoms. Some people may experience periodontal disease, vulvovaginal atrophy, slow metabolic function, sudden emotional

changes, painful intercourse, and cataracts.

PICOT Question: What are the clinical manifestations of menopause

Criteria Article 1 Article 2 Article 3

APA-Formatted Article

Citation with

Permalink

Nappi, R. E., & Kokot-Kierepa,

M. (2010). Women's voices in the

menopause: results from an

international survey on vaginal

atrophy. Maturitas, 67(3),

233-238.

Whiteley, J., DiBonaventura, M.

D., Wagner, J. S., Alvir, J., &

Shah, S. (2013). The impact of

menopausal symptoms on quality

of life, productivity, and

economic outcomes. Journal of

women's health, 22(11), 983-990.

Utian, W. H., & Maamari, R.

(2014). Attitudes and approaches

to vaginal atrophy in

postmenopausal women: a focus

group qualitative

study. Climacteric, 17(1), 29-36.

2

How Does the Article

Relate to the PICOT

Question?

39% of postmenopausal women

in the study experienced vaginal

atrophy.

The article compared women who

experienced menopause with

those who did not.

Participants in the study were

postmenopausal women.

Quantitative,

Qualitative (How do

you know?)

The article involves statistics of

women aged between 55-56

years. Hence, it is quantitative.

The article is quantitative because

it constitutes statistics of women

aged 40-64 years.

The article is qualitative because

it involves postmenopausal

women with vaginal atrophy

symptoms and who had not

sought treatment.

Purpose Statement To consider matters relating to

vaginal atrophy.

To investigate menopausal

severity and symptoms on health-

related costs, healthcare

utilization, work impairments,

and life quality.

To consider the effects of

women's coping strategies and

postmenopausal vaginal atrophy.

3

Research Question Women’s voices in menopause. What are the effects of women’s

menopause on productivity,

economic, and life quality

outcomes?

Approaches and attitudes to

vaginal atrophy in

postmenopausal females

Outcome 98% of survey participants were

postmenopausal.

Ladies experiencing menopausal

symptoms reported lower health-

related life quality levels, higher

healthcare utilization, and work

impairment than women without

menopause indications.

Females who applied control to

handle menopausal alterations

were more probable to react to

data certified by perceived

professionals than those who

applied the release method.

Setting

(Where did the study

take place?)

The study took place in the

United Kingdom, Canada, United

States, Finland, and Sweden,

The United States. Sweden, U.S, Birmingham,

Canada, and United Kingdom.

4

Sample The study involved a sample of

4246 women between 55-56

years.

Eight thousand eight hundred and

eleven women who had no cancer

history participated in the study.

The sample comprised three to

five vaginal atrophic women.

Women classification was

according to their tactics for

coping with stress and interaction

with the world.

Method Interviews took place due to a

structured questionnaire.

Regression modeling helped to

compare data of women with and

without menopause symptoms.

focus groups took place in the

participants’ national language

5

Key Findings of the

Study

There exist differing menopausal

women’s needs in different

countries.

Joint stiffness, anxiety, and

depression were symptoms with a

relationship with health

consequences.

Though some women found pride

and strength in their

accomplishments, they described

feeling insignificant, faded,

unnoticed, and androgynous in

their life stage. Ladies' responses

to their vaginal atrophy differed

with personality.

Recommendations of

the Researcher

Country-specific approaches are

necessary to treatment uptake for

vaginal atrophy.

Menopause symptoms may be a

significant economic and

humanistic burden on middle-

aged women.

Using the individual-based

method to patient therapy may

inspire patients to converse

vaginal atrophy with their support

providers and seek action.

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Criteria Article 4 Article 5 Article 6

APA-Formatted Article

Citation with

Permalink

Peng, W., Adams, J., Sibbritt, D.

W., & Frawley, J. E. (2014). A

Critical review of complementary

and alternative medicine use in

menopause: focus on prevalence,

motivation, decision-making, and

communication. Menopause, 21(

5), 536-548.

Strezova, A., O’Neill, S.,

O’Callaghan, C., Perry, A., Liu,

J., & Eden, J. (2017). Cultural

issues in menopause: an

exploratory qualitative study of

Macedonian women in

Australia. Menopause, 24(3),

308-315.

Anderson, D. J., Yates, P.,

McCarthy, A., Lang, C. P.,

Hargraves, M., McCarthy, N., &

PORTER-STEELE, J. (2011).

Younger and older women's

concerns about menopause after

breast cancer. European journal

of cancer care, 20(6), 785-794.

How Does the Article

Relate to the PICOT

Question?

The article focuses on CAM use

prevalence user’s motivation,

characteristics, communication,

and decision-making with

healthcare providers among

menopausal women.

The article concentrates on

cultural factors that affect

menopause manifestations, such

as religion, marital status, and

women’s role.

The article’s theme was the

significance of enabling women

to handle menopausal symptoms.

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Quantitative,

Qualitative (How do

you know?)

The article is qualitative due to

its confinement to peer-reviewed

articles.

The article is qualitative because

the methodology was relative to

nondirective and unstructured

group discussion.

It is quantitative research because

it entails ladies who visited one

of two cancer health centers in

Brisbane, Australia.

Purpose Statement To carry out the initial

critical evaluation of alternative

and complementary medicine

application among menopausal

women.

To explore menopause

experience and attitudes among

Macedonia women in Australia.

To explore the menopausal signs

experiences in females who had

previous breast cancer treatment.

Research Question The study dealt with a critical

evaluation of alternative and

complementary medication

applications amid menopausal

women.

Cultural concerns in menopause. What are the older and younger

women’s worries about

menopause after breast cancer?

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Outcome There was an observation of a

considerable CAM level among

females in menopause.

Participants appealed they lacked

data concerning menopause in

their inborn linguistic, and HT

knowledge was extremely

variable.

The majority of older women

lacked information and

knowledge about menopause

after breast cancer.

Setting

(Where did the study

take place?)

North America. Australia. Australia.

Sample 2002-2012 universal literature in

SCOPUS, AMED, CINAHL, and

Medline files.

A total of 81 women between

45-75 years

Six younger women aged

between 34-36 years and ten

older women aged between

42-53

Method Conduction of a comprehensive

search.

Qualitative methodology. Simple inductive thematic

analysis.

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Key Findings of the

Study

Many menopausal women use

CAM alongside their

conventional medication.

Attitudes affect menopause

experience and perception.

Symptoms such as mood swings

and hot flashes had an

association with negative

approaches towards menopause.

Additionally, Macedonian men

treated their spouses differently

following menopause and

occasionally viewed them as

non-sexual.

For women recovering from

breast cancer treatment, the

menopause experience can

difficult to manage and

unexpected.

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Recommendations of

the Researcher

Healthcare workers should get

ready to advise menopausal

women concerning all treatment

alternatives such as CAM.

No recommendation.

Future studies need to address the

information requirements of

breast cancer women on

menopause.

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