Questionnaire on "Evidence-Based Nursing Assessment Item Critical Appraisal"

Questionnaire 3 pages (1304 words) Sources: 8 Style: APA

[EXCERPT] . . . .

Evidence-Based Nursing

ASSESSMENT ITEM

CRITICAL APPRAISAL AND SUMMARY REPORT OF PUBLISHED WORK IN A DESIGNATED TOPIC AREA

PROFORMA

Greenslade, M., Elliott, B., Mandville-Anstey, S. (2010). Same Day Breast Cancer Surgery:

A Qualitative Study of Women's Lived Experiences. Oncology Nursing Forum. 37 (2): E92-97.

Author/s and Year: Greenslade, M., Elliott, B., Mandville-Anstey, S. (2010).

Journal: Oncology Nursing Forum

Credibility of authors (for e.g. Do the authors have expertise in the area?) All are nurse educators with PhD who teach at nursing schools; academic credentials and peer reviewed.

Country of the study - Canada

Aim and objectives of the study -Better understanding of the manner in which women experience same-day breast cancer surgery. To make recommendations that will assist healthcare professions in effective change and quality of care.

Study design - Thematic analysis of audiotaped interviews of 13 participants.

Method - Constructivist approach using interviews and comparative analysis; data systematically reviewed and cross-tabulated for themes and connecting issues.

Study setting (e.g ward, community) Home, hospital, clinic office, etc.

Sampling method -- Interviews based only on women who consented to be interviewed and had same-day surgery.

Appropriateness of sample -- For qualitative study, appropriate; small universe (13) to extrapolate, not intended to be longitudinal nor exhaustive. Suggestive of further studies.

Results (when applicable: credibility, transferability, dependability, & conformability)

Several noticeable themes: preparation, timing, support and community health intervention. Most reported positive experiences; same-day surgery was less stressful for many, who had little or no post-operative issues. Data suggests that not everyone is appropriate candidate for same-day surgery, not simply physically, but psychologically as well (See also: Harmer, ed. 2011)..

Ethical considerations -- Followed ethical guidelines; able to assess certain population based solely on their experience and stay in the hospital for day-surgery.

Relative strengths of each publication -- Admittedly qualitative; literature review robust; attempts to bring greater clarity into the effects of day surgery for a specific issue with a specific population. Research is professional, results logical and presented fairly.

Relative weaknesses of each publication -- Publication is not week, article not exhaustive nor necessarily extrapolated to broad population; perhaps suggesting greater longitudinal basis and larger demographic universe.

Application of each article in nursing practices

Nurses of all areas need to understand the manner in which the new day-surgery patient may react to preparation, surgery, and recovery time. Applications to all nurses who may deal with day-surgery patients.

Conclusion of each article

Same day surgery is becoming more endemic in the area of cost-cutting and HMO healthcare concerns. The issues surrounding such surgery posit that the healthcare system be more responsive to change. Breast cancer surgery is often traumatic, and requires that each patient be clinical reviewed for appropriateness. This is particularly true for those women who are overly anxious or may have mitigating conditions that may contribute to anxiety and/or other negative feels post-surgical procedure (Taghian, Smith and Erban, 2010).

Evidence-Based Nursing

ASSESSMENT ITEM 2

CRITICAL APPRAISAL AND SUMMARY REPORT OF PUBLISHED WORK IN A DESIGNATED TOPIC AREA

PROFORMA

Allard, N. (2007). Day Surgery for Breast Cancer: Effects of a Psychoeducational Telephone

on Functional Status and Emotional Distress. Oncology Nursing Forum. 34 (1): 133-41.

Author/s and Year: Allard, N. (2007).

Journal: Oncology Nursing Forum

Credibility of authors (for e.g. Do the authors have expertise in the area?) Allard a professor in Health Sciences and RN/Phd and University of Quebec.

Country of the study - Canada

Aim and objectives of the study -- To determine how effective of a nursing intervention based on a self-regulation theory called Attentional Focus and Symptom Management Intervention, designed to assist the emotional well-being of women who had undergone day surgery for breast cancer.

Study design -- Allard used a randomized clinical block trial; control group equalled 56, study group 61.

Method -- Study group received AFSMI during two phone sessions; one 3-4 days after surgery, the other 10-11 days after surgery.

Study setting (e.g. ward, community) -- Fiver regional… READ MORE

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