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NURS 1033 - Articles on Health Professionals

   

Added on  2020-03-13

11 Pages3255 Words34 Views
Running head: ARTICLE APPRAISALARTICLE APPRAISALName of the student:Name of the university:Author note:

1ARTICLE APPRAISALIntroductionThere is an increasing volume of published research accessible to health professionals. Withever changing developments and new evidence it is also important to have strategies to accessand interpret this material so that you can provide the best care to your patients. To ensureyou that you can safely use evidence to influence your clinical decision making, you need tohave skills in assessing the quality and relevance of the research you find, these skills aredescribed as critical appraisal.The tool that would be used in the study is called CASP or the Critical Appraisal Skills program tool. The paper selected is by author Hiscock et al. (2014)namely Preventing Early Infant Sleep and Crying Problems and Postnatal Depression: ARandomizedTrial.Background:Modern day parents are complaining about their incapability to handle their infants well.They state that they are often unable to understand the reason of their babies crying andtherefore feel helpless about how to make the baby calm (Kettunen, Koistinen & Hintikka,2014). Such activities make them spend sleepless nights where they wake up in a tired stateand feel physically weak. Often such symptoms are often making them depressed and hencethey are not being able to provide as much care to the baby as they should get (Gorman,2017). Moreover, the babies are having sleepless nights when they frequently wake up andcry, have day sleeps and cry a lot (DeChowdhury et al., 2014). Hence, interventions for thebetterment of health for both the parents and the babies are extremely necessary.

2ARTICLE APPRAISALPico question:populationinterventioncomparisonoutcomeTimeParents of newbornwhoundergointerventionsProper trainingsabout handlingbabies,informationabout their cryingpatterns, reasonsof crying, andsimilar othersControl groupResultsinlessening ofbabies lack ofsleep at night(primaryoutcome),reduction incrying and aytime sleep.Resultsinlesseningdepression andstressandanxiety amongparentsorcaregivers.Within 4 to 6months of thenew bornPico question:Do Parents who are properly trained about different information about sleeping and cryingpattern for babies as well as get support and undertake discussion about sleeping and cryingissues of babies suffer from less depression, stress and anxiety than parents who do not getthe intervention in the first four to six months?In order to appraise the article CASP tool is used as follows:The first criteria that the article needs to fulfil is the question that whether the articleis addressing a clearly focused issue (Nadelson &Nadelson, 2014) . These criteria werecorrectly fulfilled as the researchers have rightly chosen the participants and have mentionedtheir process of choosing such participants clearly. They have given a proper diagram of thechoosing procedure of the participant making it easier for the reader to develop anunderstanding if the participants at a glance. The trail consisted of consulting caregivers for

3ARTICLE APPRAISAL781 infants who were born at 32 weeks or local in 42 child centres over Melbourne,Australia. The interventions were also rightly discussed. They included the supply ofinformation about normal infant sleep and their crying patterns, medical causes of crying, andinformation about parent self care within a DVD which was handed to caregivers and also viabooklet. They also discussed how they changed the mode of information with gradual passingof weeks like form booklets to telephone conversation to discussion of parents group andchild care group. In case of the comparator, one can suggest that such interventions neitherwere nor provided to the control group and they were only assisted b y regular support ofnurses which were only provided through MCH service. Outcomes were also thoroughlydiscussed in the form of infant measures with the help of likert scale where the caregiversprovided answers to close ended to measure severity of each issues and also completed a 72hour infant behaviour questions diary. The outcome was also measured for caregivermeasures with help of Edinburgh Postnatal Depression Scale (EPDS), Pittsburgh SleepQuality Index which was measured by 4 subscales of the MCISQ which helped them to reachto a definite conclusion about the effectivity of the interventions.The second criterion that was to be analysed is whether the participants who wereassigned to the interventions properly randomised. The second criterion was also properlyconducted by the researchers. This is said so because the researchers have discussed thedetails of how caregivers were invited participant allotment in details. The participants werecaregivers who were cared by the MCH services from over 4 government hospitals. They hadmailed the participants entire information statements, their consent forms and baselinequestionnaires to those who were interested. Those families who expressed their interest inwritten informed consent and completed questionnaire were only considered for the research.Randomisation was done for the families to either the control group or the intervention groupby computer generated random sequencing which were actually created by independent

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