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ASSESSMENT Item Three: SUBMISSION TEMPLATE Weight: 50% of overall
mark
Due date: 11: 59 pm, Sunday 27 January 2019, through Turnitin. No paper submission is required.
Please complete the following the activities by filling in the spaces below. This is a word document so you can add
space as needed.
This assessment builds on your assessment one. Read and follow the template carefully.
Part 2.1 of the Assessment 3 template is the work you undertook in Assessment 1 (with any improvements suggested in
the feedback you received).
PART 1: PARTICIPATES IN THE FIRST AND THE SECOND ONLINE DISCUSSION FORUMS (4 marks).
PART 2.1: DEVELOPING A FOCUSED QUESTION AND ACQUIRING RELEVANT EVIDENCE (3 marks).
1. Use the following categories to help define your problem and what you are looking at in simple terms
PICO: Patient/Problem, Intervention, Comparison, and Outcome.
(Remember to use your readings to help you if you are unsure)
Patient/Problem: _______________________________________________________________
Intervention: __________________________________________________________________
Comparison: __________________________________________________________________
Outcome: ____________________________________________________________________
2. Now use these terms from the question above to create your PICO research question so that you have a clear
purpose for your search:
In (P)_________________________ does (I) ____________________ compared with
(C)_____________________ improve/reduce (O) _________________?
3. What type of clinical question do you think this PICO answers?
□ Therapeutic □ Aetiology □ Diagnostic □ Prevention □ Prognosis □ Others
4. The table below will help you to think of the other terms that you might also like to look up when searching for
evidence to help you answer your question – this is part of basic planning for a research search.
We ask you to look up alternative terms because sometimes articles from different countries and health systems call things different
names – for example, in Australia we sometimes us the term ‘community nurses’, but in the UK they often talk about ‘district nurses’
– if you only searched under ‘district nurse’ you’d miss all the articles which happened to a different term – you would be missing
some of the picture!
Population Intervention Comparison
(not commonly used in actual
database search strategy)
Outcome
(not commonly used in actual
database search strategy)
What is your population?
Main search term:
What is your intervention?
Main search term:
What is your comparison?
Main search term:
What is your outcome?
Main search term:
92318 Evidence for Nursing Assessment 3 Submission Template 1
mark
Due date: 11: 59 pm, Sunday 27 January 2019, through Turnitin. No paper submission is required.
Please complete the following the activities by filling in the spaces below. This is a word document so you can add
space as needed.
This assessment builds on your assessment one. Read and follow the template carefully.
Part 2.1 of the Assessment 3 template is the work you undertook in Assessment 1 (with any improvements suggested in
the feedback you received).
PART 1: PARTICIPATES IN THE FIRST AND THE SECOND ONLINE DISCUSSION FORUMS (4 marks).
PART 2.1: DEVELOPING A FOCUSED QUESTION AND ACQUIRING RELEVANT EVIDENCE (3 marks).
1. Use the following categories to help define your problem and what you are looking at in simple terms
PICO: Patient/Problem, Intervention, Comparison, and Outcome.
(Remember to use your readings to help you if you are unsure)
Patient/Problem: _______________________________________________________________
Intervention: __________________________________________________________________
Comparison: __________________________________________________________________
Outcome: ____________________________________________________________________
2. Now use these terms from the question above to create your PICO research question so that you have a clear
purpose for your search:
In (P)_________________________ does (I) ____________________ compared with
(C)_____________________ improve/reduce (O) _________________?
3. What type of clinical question do you think this PICO answers?
□ Therapeutic □ Aetiology □ Diagnostic □ Prevention □ Prognosis □ Others
4. The table below will help you to think of the other terms that you might also like to look up when searching for
evidence to help you answer your question – this is part of basic planning for a research search.
We ask you to look up alternative terms because sometimes articles from different countries and health systems call things different
names – for example, in Australia we sometimes us the term ‘community nurses’, but in the UK they often talk about ‘district nurses’
– if you only searched under ‘district nurse’ you’d miss all the articles which happened to a different term – you would be missing
some of the picture!
Population Intervention Comparison
(not commonly used in actual
database search strategy)
Outcome
(not commonly used in actual
database search strategy)
What is your population?
Main search term:
What is your intervention?
Main search term:
What is your comparison?
Main search term:
What is your outcome?
Main search term:
92318 Evidence for Nursing Assessment 3 Submission Template 1
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What other terms might
have been used?
Alternative search terms:
What other terms might
have been used?
Alternative search terms:
What other terms might
have been used?
Alternative search terms:
What other terms might
have been used?
Alternative search terms:
5. Is there a particular group of people that you want to look at? List here any inclusion criteria you might use to
refine your search if you have too many papers:
Gender: ______________________________ Age Range: ___________________________
Publication Dates: ______________________ Language: ____________________________
6. What kind of study do you think would best answer your question? Select here which type of article you might
want to access. You can also use these to refine your search if you have a lot of papers.
□ Randomized Controlled Trial (RCT)
□ Cohort Study
□ Qualitative Study
□ Economic Evaluation
□ Case-control Study/Case Series
Systematic Search Strategy Worksheet
7. Now that you have decided on WHAT you will be searching, you need to put down a plan of HOW you will search
for your articles. This helps you and others to see how you got your evidence and how you made sure you got the
best evidence to help you decide on your clinical action.
Using the PICO terms in your table, enter each term in a row (group them together under the PICO categories).
The next step is to combine similar terms using ‘OR’ .
The final step is to use ‘AND’ to combine your searches for different PICO elements.
Key terms:
1
2
3
4
5
6
7
8
9
10
11
12 __ OR___OR___OR___ (combine alternate terms for same topic)
13 __ OR___OR___OR___ (combine alternate terms for same topic)
92318 Evidence for Nursing Assessment 3 Submission Template 2
have been used?
Alternative search terms:
What other terms might
have been used?
Alternative search terms:
What other terms might
have been used?
Alternative search terms:
What other terms might
have been used?
Alternative search terms:
5. Is there a particular group of people that you want to look at? List here any inclusion criteria you might use to
refine your search if you have too many papers:
Gender: ______________________________ Age Range: ___________________________
Publication Dates: ______________________ Language: ____________________________
6. What kind of study do you think would best answer your question? Select here which type of article you might
want to access. You can also use these to refine your search if you have a lot of papers.
□ Randomized Controlled Trial (RCT)
□ Cohort Study
□ Qualitative Study
□ Economic Evaluation
□ Case-control Study/Case Series
Systematic Search Strategy Worksheet
7. Now that you have decided on WHAT you will be searching, you need to put down a plan of HOW you will search
for your articles. This helps you and others to see how you got your evidence and how you made sure you got the
best evidence to help you decide on your clinical action.
Using the PICO terms in your table, enter each term in a row (group them together under the PICO categories).
The next step is to combine similar terms using ‘OR’ .
The final step is to use ‘AND’ to combine your searches for different PICO elements.
Key terms:
1
2
3
4
5
6
7
8
9
10
11
12 __ OR___OR___OR___ (combine alternate terms for same topic)
13 __ OR___OR___OR___ (combine alternate terms for same topic)
92318 Evidence for Nursing Assessment 3 Submission Template 2
14 ____AND____
OR = combine alternate terms for the same topic – to get as many potential papers as possible!
AND = combine the groups of topics to get papers which cover ALL the terms!
PART 2.2: EVIDENCE OF APPLICATION OF SEARCH STRATEGY (PLAN) IN DATABASE SEARCHES (3 marks)
Enter your planned search into two different databases of your choice (such as Medline and CINHAL) using the skills
you have learnt in the library session, online library videos, and library workshops.
8. Place the screenshots/screengrabs/digital pictures of your two (2) database searchers here. Please ensure your
screenshots provide all steps of your search (see the example in Assessment one templet) and are clear enough to
be legible – these must be READABLE!!
Database search 1
Add space as needed
Database search 2
Add space as needed
9. Select a randomised controlled trial that can help you answer your PICO question and place the abstract here.
Please add this as a screenshot, do not retype this yourself. (The abstract must be readable)
Add space as needed
10. Choose a qualitative study that is relevant to your PICO from the list of provided articles in Assessment 3 folder
and place the abstract here. It is ok if your qualitative study does not exactly match your PICO, but it should be
relevant. Please add this as a screenshot, do not retype this yourself. (The abstracts must be readable).
Add space as needed
92318 Evidence for Nursing Assessment 3 Submission Template 3
OR = combine alternate terms for the same topic – to get as many potential papers as possible!
AND = combine the groups of topics to get papers which cover ALL the terms!
PART 2.2: EVIDENCE OF APPLICATION OF SEARCH STRATEGY (PLAN) IN DATABASE SEARCHES (3 marks)
Enter your planned search into two different databases of your choice (such as Medline and CINHAL) using the skills
you have learnt in the library session, online library videos, and library workshops.
8. Place the screenshots/screengrabs/digital pictures of your two (2) database searchers here. Please ensure your
screenshots provide all steps of your search (see the example in Assessment one templet) and are clear enough to
be legible – these must be READABLE!!
Database search 1
Add space as needed
Database search 2
Add space as needed
9. Select a randomised controlled trial that can help you answer your PICO question and place the abstract here.
Please add this as a screenshot, do not retype this yourself. (The abstract must be readable)
Add space as needed
10. Choose a qualitative study that is relevant to your PICO from the list of provided articles in Assessment 3 folder
and place the abstract here. It is ok if your qualitative study does not exactly match your PICO, but it should be
relevant. Please add this as a screenshot, do not retype this yourself. (The abstracts must be readable).
Add space as needed
92318 Evidence for Nursing Assessment 3 Submission Template 3
92318 Evidence for Nursing Assessment 3 Submission Template 4
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PART 3.1 APPRAISAL OF YOUR RANDOMISED CONTROLLED TRIAL (Please consider the word limit for each
question, 13 marks )
Assessing the quality of the available evidence has also been a key focus this semester. Use the CASP tool for RCTs
below to appraise the quality of your selected RCT.
Section A: Are the results of the trial valid?
Screening Questions
1. Did the trial address a clearly focused issue?
Yes No Can’t tell
Justify your answer: (Max 50 words)
The study has focussed on a very specific intervention called e-coach, a specialized tele-health service designed to improve the
safety and comfort for the process of transition from hospital to home for the target patient group of congestive heart failure
and chronic obstructive pulmonary disorder (Ritchie et al. 2016). Hence, the trial addressed a very focusses and clearly specified
health issue.
HINT: An issue can be ‘focused’ In terms of
The population studied
The intervention given
The comparator given
The outcomes considered
2. Was the assignment of patients to treatments randomised? (Max 50 Words)
Yes No Can’t tell
Justify your answer:
The assignment of patients to the treatment had been randomized, the patients were randomized separately to two groups. The
randomization of the patients to different groups have also been associated with additional stratification (Ritchie et al. 2016).
Hence, participant selection and their assignment to the intervention treatment had been randomized.
HINT: Consider
92318 Evidence for Nursing Assessment 3 Submission Template 5
Randomised Controlled Trial
Appraisal Tool
question, 13 marks )
Assessing the quality of the available evidence has also been a key focus this semester. Use the CASP tool for RCTs
below to appraise the quality of your selected RCT.
Section A: Are the results of the trial valid?
Screening Questions
1. Did the trial address a clearly focused issue?
Yes No Can’t tell
Justify your answer: (Max 50 words)
The study has focussed on a very specific intervention called e-coach, a specialized tele-health service designed to improve the
safety and comfort for the process of transition from hospital to home for the target patient group of congestive heart failure
and chronic obstructive pulmonary disorder (Ritchie et al. 2016). Hence, the trial addressed a very focusses and clearly specified
health issue.
HINT: An issue can be ‘focused’ In terms of
The population studied
The intervention given
The comparator given
The outcomes considered
2. Was the assignment of patients to treatments randomised? (Max 50 Words)
Yes No Can’t tell
Justify your answer:
The assignment of patients to the treatment had been randomized, the patients were randomized separately to two groups. The
randomization of the patients to different groups have also been associated with additional stratification (Ritchie et al. 2016).
Hence, participant selection and their assignment to the intervention treatment had been randomized.
HINT: Consider
92318 Evidence for Nursing Assessment 3 Submission Template 5
Randomised Controlled Trial
Appraisal Tool
How was this carried out?
Was the allocation sequence concealed from
3. Were all of the patients who entered the trial properly accounted for at its conclusion? (Max 50
words)
Yes No Can’t tell
Justify your answer:
The authors completed the trial successfully, and the trial had not been stopped in the middle to ensure that the data findings
that generate while concluding the study are authentic and viable. The patients that were randomized to the different study
groups have also been analysed in the pre-allocated groups, enhancing the quality further (Ritchie et al. 2016).
HINT: Consider
Was the trial stopped early?
Were patients analysed in the groups to which they were randomised?
4. Were patients, health workers and study personnel ‘blind’ to treatment? (Max 50 words)
Yes No Can’t tell
Justify your answer:
The patients of the research study had not been blinded to the treatment intervention, although as discussed by Ritchie et al.
(2016), research personnel that had been recruiting patients and study team members assessing outcomes were blinded to
random group assignment. Hence, the study is not a double blinded study.
HINT: Think about
Patients?
Health workers?
Study personnel?
5. Were the groups similar at the start of the trial? (Max 50 words)
Yes No Can’t tell
Justify your answer:
It is crucial for the study groups to be similar, preferably with baseline adjustment of all possible confounders. The authors have
successfully baseline adjusted the gender, although there is no mentioning of age and social class. Hence, it is unclear whether
the groups had been similar at the start of the trial or not.
HINT: Look at
Other factors that might affect the outcome such as age,
sex, social class
researchers and patients?
6. Aside from the experimental intervention were the groups treated equally? (Max 50 words)
Yes No Can’t tell
Justify your answer:
92318 Evidence for Nursing Assessment 3 Submission Template 6
Was the allocation sequence concealed from
3. Were all of the patients who entered the trial properly accounted for at its conclusion? (Max 50
words)
Yes No Can’t tell
Justify your answer:
The authors completed the trial successfully, and the trial had not been stopped in the middle to ensure that the data findings
that generate while concluding the study are authentic and viable. The patients that were randomized to the different study
groups have also been analysed in the pre-allocated groups, enhancing the quality further (Ritchie et al. 2016).
HINT: Consider
Was the trial stopped early?
Were patients analysed in the groups to which they were randomised?
4. Were patients, health workers and study personnel ‘blind’ to treatment? (Max 50 words)
Yes No Can’t tell
Justify your answer:
The patients of the research study had not been blinded to the treatment intervention, although as discussed by Ritchie et al.
(2016), research personnel that had been recruiting patients and study team members assessing outcomes were blinded to
random group assignment. Hence, the study is not a double blinded study.
HINT: Think about
Patients?
Health workers?
Study personnel?
5. Were the groups similar at the start of the trial? (Max 50 words)
Yes No Can’t tell
Justify your answer:
It is crucial for the study groups to be similar, preferably with baseline adjustment of all possible confounders. The authors have
successfully baseline adjusted the gender, although there is no mentioning of age and social class. Hence, it is unclear whether
the groups had been similar at the start of the trial or not.
HINT: Look at
Other factors that might affect the outcome such as age,
sex, social class
researchers and patients?
6. Aside from the experimental intervention were the groups treated equally? (Max 50 words)
Yes No Can’t tell
Justify your answer:
92318 Evidence for Nursing Assessment 3 Submission Template 6
The authenticity and viability of data findings is dependent highly on whether the target groups have been treated properly and
equally during the conduction of the research. The intervention group and the control group had been treated equally by the
researcher during the conduction of the study (Ritchie et al. 2016).
Section B: What are the results?
7. How large was the treatment effect? (Max 150 words)
Justify your answer:
It can be highlighted that the outcome measurement and assessment had been extensive and also clearly illustrated in the
research study. The outcome measurement had been subdivided into 4 specific sectors or section, Rehospitalization at 30 days,
Days in hospital versus at home, Perspectives of the CTNs, and Costs of implementation. Another very important aspect for
critically appraising the treatment effect of the intervention study is clear specification of the primary outcome. In this case, the
researchers had successfully specified the primary outcome to be the 30-day rehospitalisation, which is commendable. The
result for primary outcome have been similar rates for re-hospitalization in both the groups. For ‘Days in hospital versus at
home’, the COPD intervention group had one third the mean number of days out of the community in the hospital, whereas,
Perspectives of the CTNs group discovered that the e-Coach intervention identified more legitimate needs for the patient
groups. For the third outcome Costs of implementation: perspective of the hospital system, the results indicated per patient CTN
time cost of eCoach was approximately 90 min (Ritchie et al. 2016).
HINT: Consider
What outcomes were measured?
Is the primary outcome clearly specified?
What results were found for each outcome?
8. How precise was the estimate of the treatment effect? (Max 100 words)
Justify your answer:
Precision of the treatment effect estimation leads to higher authenticity or viability of the data findings. In this case, the
confidence limit for the study had been 95% and has been denoted as confidence interval in the study, clearly defined by the
authors in the study. Confidence Interval can be defined as a range of values above and below the findings in between which
range the actual findings are supposed to fall within. As confidence limit represents the accuracy or precision of estimate of the
treatment effect, the treatment effect estimation was accurate or precise (Ritchie et al. 2016).
HINT: Consider
What are the confidence limits?
Section C: Will the results help locally?
9. Can the results be applied in your context? (or to the local population?) (Max 100 words)
Yes No Can’t tell
Justify your answer:
The applicability or transferability of the research findings decide whether or not the findings can be applied to the target
population or target care setting as well (Abbott et al. 2018). In this case the research study the authors have selected a very
specific target population that have been suffering from both COPD and CHF, although, care is needed to be taken to ensure that
the transferability of the data findings is sufficient enough. Although, there is not information provided to the different target
populations can equally apply the data findings to the different target population (Ritchie et al. 2016).
92318 Evidence for Nursing Assessment 3 Submission Template 7
equally during the conduction of the research. The intervention group and the control group had been treated equally by the
researcher during the conduction of the study (Ritchie et al. 2016).
Section B: What are the results?
7. How large was the treatment effect? (Max 150 words)
Justify your answer:
It can be highlighted that the outcome measurement and assessment had been extensive and also clearly illustrated in the
research study. The outcome measurement had been subdivided into 4 specific sectors or section, Rehospitalization at 30 days,
Days in hospital versus at home, Perspectives of the CTNs, and Costs of implementation. Another very important aspect for
critically appraising the treatment effect of the intervention study is clear specification of the primary outcome. In this case, the
researchers had successfully specified the primary outcome to be the 30-day rehospitalisation, which is commendable. The
result for primary outcome have been similar rates for re-hospitalization in both the groups. For ‘Days in hospital versus at
home’, the COPD intervention group had one third the mean number of days out of the community in the hospital, whereas,
Perspectives of the CTNs group discovered that the e-Coach intervention identified more legitimate needs for the patient
groups. For the third outcome Costs of implementation: perspective of the hospital system, the results indicated per patient CTN
time cost of eCoach was approximately 90 min (Ritchie et al. 2016).
HINT: Consider
What outcomes were measured?
Is the primary outcome clearly specified?
What results were found for each outcome?
8. How precise was the estimate of the treatment effect? (Max 100 words)
Justify your answer:
Precision of the treatment effect estimation leads to higher authenticity or viability of the data findings. In this case, the
confidence limit for the study had been 95% and has been denoted as confidence interval in the study, clearly defined by the
authors in the study. Confidence Interval can be defined as a range of values above and below the findings in between which
range the actual findings are supposed to fall within. As confidence limit represents the accuracy or precision of estimate of the
treatment effect, the treatment effect estimation was accurate or precise (Ritchie et al. 2016).
HINT: Consider
What are the confidence limits?
Section C: Will the results help locally?
9. Can the results be applied in your context? (or to the local population?) (Max 100 words)
Yes No Can’t tell
Justify your answer:
The applicability or transferability of the research findings decide whether or not the findings can be applied to the target
population or target care setting as well (Abbott et al. 2018). In this case the research study the authors have selected a very
specific target population that have been suffering from both COPD and CHF, although, care is needed to be taken to ensure that
the transferability of the data findings is sufficient enough. Although, there is not information provided to the different target
populations can equally apply the data findings to the different target population (Ritchie et al. 2016).
92318 Evidence for Nursing Assessment 3 Submission Template 7
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HINT: Consider whether
Do you think that the patients covered by the trial
are similar enough to the patients to whom you will
apply this?, if not how to they differ?
10. Were all clinically important outcomes considered? (Max 50 words)
Yes No Can’t tell
Justify your answer:
In this case, a variety of primary and secondary outcomes were considered including critical factors such as the re-hospitalization
days, days in hospital; versus days at home, perspectives of patients and healthcare professionals, and implementation cost.
Hence, all the clinically important outcomes have been considered effectively (Ritchie et al. 2016).
HINT: Consider
Is there other information you would like to have seen?
If not, does this affect the decision?
11. Are the benefits worth the harms and costs? Yes Can’t tell No (Max 100 words)
Justify your answer:
In this case, the discussion have been extensive and argumentative on both the harms and benefits associated with the
implementation of the tele-health service. The tele-monitoring services have been associated with many different benefits such
as reducing the hospitalization days and reduce the risk of exacerbations. Although, the limitation of insufficient generalizability
of the data findings along with the limited accuracy of the monitoring system for the tele-health service, coupled with its
appropriateness can be challenging for successful implementation. Hence, for this research article it is unclear whether or not
the benefits have been worth the possible harms and costs (Ritchie et al. 2016).
HINT: Consider: Even if this is not addressed by the review, what do you think?
PART 3.2 APPRAISAL OF YOUR QUALITATIVE ARTICLE (please consider the word limit for each question, 10 marks )
Use the CASP Appraisal for Qualitative Research below to decide whether the information presented in your paper is
trustworthy and truly reflective of the participant’s voice.
SCREENING QUESTIONS
1. Was there a clear statement of the aims? ☒Yes ☐ Can’t tell ☐ No
HINT: Consider
What was the goal of the research?
Why it was thought important?
Its relevance
Your comment: (max 50 words)
The article provides a clear set of aims and objectives for the readers which is to understand the perceptions of patients and
health care staff regarding the suitability and perceived helpfulness of in implementing tele-monitoring to manage chronic heart
failure in the context of day-to-day care provision (Fairbrother et al. 2014).
2. Is a qualitative methodology appropriate? ☒Yes ☐ Can’t tell ☐ No
HINT: Consider
92318 Evidence for Nursing Assessment 3 Submission Template 8
Do you think that the patients covered by the trial
are similar enough to the patients to whom you will
apply this?, if not how to they differ?
10. Were all clinically important outcomes considered? (Max 50 words)
Yes No Can’t tell
Justify your answer:
In this case, a variety of primary and secondary outcomes were considered including critical factors such as the re-hospitalization
days, days in hospital; versus days at home, perspectives of patients and healthcare professionals, and implementation cost.
Hence, all the clinically important outcomes have been considered effectively (Ritchie et al. 2016).
HINT: Consider
Is there other information you would like to have seen?
If not, does this affect the decision?
11. Are the benefits worth the harms and costs? Yes Can’t tell No (Max 100 words)
Justify your answer:
In this case, the discussion have been extensive and argumentative on both the harms and benefits associated with the
implementation of the tele-health service. The tele-monitoring services have been associated with many different benefits such
as reducing the hospitalization days and reduce the risk of exacerbations. Although, the limitation of insufficient generalizability
of the data findings along with the limited accuracy of the monitoring system for the tele-health service, coupled with its
appropriateness can be challenging for successful implementation. Hence, for this research article it is unclear whether or not
the benefits have been worth the possible harms and costs (Ritchie et al. 2016).
HINT: Consider: Even if this is not addressed by the review, what do you think?
PART 3.2 APPRAISAL OF YOUR QUALITATIVE ARTICLE (please consider the word limit for each question, 10 marks )
Use the CASP Appraisal for Qualitative Research below to decide whether the information presented in your paper is
trustworthy and truly reflective of the participant’s voice.
SCREENING QUESTIONS
1. Was there a clear statement of the aims? ☒Yes ☐ Can’t tell ☐ No
HINT: Consider
What was the goal of the research?
Why it was thought important?
Its relevance
Your comment: (max 50 words)
The article provides a clear set of aims and objectives for the readers which is to understand the perceptions of patients and
health care staff regarding the suitability and perceived helpfulness of in implementing tele-monitoring to manage chronic heart
failure in the context of day-to-day care provision (Fairbrother et al. 2014).
2. Is a qualitative methodology appropriate? ☒Yes ☐ Can’t tell ☐ No
HINT: Consider
92318 Evidence for Nursing Assessment 3 Submission Template 8
If the research seeks to interpret or illuminate the actions and/or subjective experiences of research participants
Is qualitative research the right methodology for addressing the research goal?
Your comment: (max 50 words)
The article has attempted to explore and analyse the perception and views of patients with respect to the accessibility and
usefulness of tele-monitoring for chronic heart failure management. Qualitative method focuses on non-numerical data, taking
into account the unquantifiable behavioural variables of a research topic, which is apt for addressing the research goal
(Fairbrother et al. 2014).
3. Was the research design appropriate to address the aims of the research? ☒Yes ☐ Can’t tell ☐ No
HINT: Consider
If the researcher has justified the research design (e.g. have they discussed how they decided which method to use)?
Your comment: (max 50 words)
The authors have employed semi-structured interviews, which is apt for addressing the research goal as it is associated with a
fairly open framework, which allows focused, conversational, two-way communication. This helps the participants open up
about their perceptions, experience and ideas addressing the research goal perfectly. Hence, the research design is apt
(Fairbrother et al. 2014).
4. Was the recruitment strategy appropriate to the aims of the research? ☒Yes ☐ Can’t tell ☐ No
HINT: Consider
If the researcher has explained how the participants were selected
If they explained why the participants they selected were the most appropriate to provide access to the type of knowledge sought
by the study
If there are any discussions around recruitment (e.g. why some people chose not to take part)
Your comment: (max 100 words)
The authors have not mentioned the exact sampling technique used, although a more or less clear description of the sampling
procedure is provided. The sampling comprised of two parts, patients who were telemonitored by the GP and those
telemonitored by the CHF nurse service. It is crucial for the researchers to justify the choice of the participants selected as most
appropriate to provide access to the type of knowledge sought by the study, which had not been carried out in the article.
Although the sampling is extensively illustrated, but there is no discussion around exclusion for any of the participants
(Fairbrother et al. 2014).
5. Was the data collected in a way that addressed the research issue? ☒Yes ☐ Can’t tell ☐ No
HINT: Consider
If the setting for data collection was justified
If it is clear how data were collected (e.g. focus group, semi-structured interview etc.)
If the researcher has justified the methods chosen
If the researcher has made the methods explicit (e.g. for interview method, is there an indication of how interviews were conducted,
or did they use a topic guide)?
If methods were modified during the study. If so, has the researcher explained how and why?
If the form of data is clear (e.g. tape recordings, video material, notes etc)
If the researcher has discussed saturation of data
Your comment: (max 100 words)
The setting for data collection is face-to-face interview within the person’s home, or by telephone with nonclinical investigators
operating at ‘arm’s length’ to general practice, and the authors justified this setting with facilitating open discussion. The data
collection was clearly mentioned to be semi-structured interviews, and the authors have justified the methods chosen
effectively. The methods have been made explicit by the researchers by discussing the exact kind of interview conduction and
92318 Evidence for Nursing Assessment 3 Submission Template 9
Is qualitative research the right methodology for addressing the research goal?
Your comment: (max 50 words)
The article has attempted to explore and analyse the perception and views of patients with respect to the accessibility and
usefulness of tele-monitoring for chronic heart failure management. Qualitative method focuses on non-numerical data, taking
into account the unquantifiable behavioural variables of a research topic, which is apt for addressing the research goal
(Fairbrother et al. 2014).
3. Was the research design appropriate to address the aims of the research? ☒Yes ☐ Can’t tell ☐ No
HINT: Consider
If the researcher has justified the research design (e.g. have they discussed how they decided which method to use)?
Your comment: (max 50 words)
The authors have employed semi-structured interviews, which is apt for addressing the research goal as it is associated with a
fairly open framework, which allows focused, conversational, two-way communication. This helps the participants open up
about their perceptions, experience and ideas addressing the research goal perfectly. Hence, the research design is apt
(Fairbrother et al. 2014).
4. Was the recruitment strategy appropriate to the aims of the research? ☒Yes ☐ Can’t tell ☐ No
HINT: Consider
If the researcher has explained how the participants were selected
If they explained why the participants they selected were the most appropriate to provide access to the type of knowledge sought
by the study
If there are any discussions around recruitment (e.g. why some people chose not to take part)
Your comment: (max 100 words)
The authors have not mentioned the exact sampling technique used, although a more or less clear description of the sampling
procedure is provided. The sampling comprised of two parts, patients who were telemonitored by the GP and those
telemonitored by the CHF nurse service. It is crucial for the researchers to justify the choice of the participants selected as most
appropriate to provide access to the type of knowledge sought by the study, which had not been carried out in the article.
Although the sampling is extensively illustrated, but there is no discussion around exclusion for any of the participants
(Fairbrother et al. 2014).
5. Was the data collected in a way that addressed the research issue? ☒Yes ☐ Can’t tell ☐ No
HINT: Consider
If the setting for data collection was justified
If it is clear how data were collected (e.g. focus group, semi-structured interview etc.)
If the researcher has justified the methods chosen
If the researcher has made the methods explicit (e.g. for interview method, is there an indication of how interviews were conducted,
or did they use a topic guide)?
If methods were modified during the study. If so, has the researcher explained how and why?
If the form of data is clear (e.g. tape recordings, video material, notes etc)
If the researcher has discussed saturation of data
Your comment: (max 100 words)
The setting for data collection is face-to-face interview within the person’s home, or by telephone with nonclinical investigators
operating at ‘arm’s length’ to general practice, and the authors justified this setting with facilitating open discussion. The data
collection was clearly mentioned to be semi-structured interviews, and the authors have justified the methods chosen
effectively. The methods have been made explicit by the researchers by discussing the exact kind of interview conduction and
92318 Evidence for Nursing Assessment 3 Submission Template 9
there had also been interview guides to facilitate process. The method of data collection is via audio recordings and the data is
clear and data collected is saturated (Fairbrother et al. 2014).
6. Has the relationship between researcher and participants been adequately considered ☐Yes ☐ Can’t tell ☒ No
HINT: Consider
If the researcher critically examined their own role, potential bias and influence during
a) Formulation of the research questions
b) Data collection, including sample recruitment and choice of location
How the researcher responded to events during the study and whether they considered the implications of any changes in the
research design
Your comment: (max 50 words)
One researcher belong to health care professional background and care has also been taken to ensure that his knowledge or
understanding did not influence the results of the research at all. There had not been implications of any change in the research
design proposed by the researchers (Fairbrother et al. 2014).
7. Have ethical issues been taken into consideration? ☒Yes ☐ Can’t tell ☐ No
HINT: Consider
If there are sufficient details of how the research was explained to participants for the reader to assess whether ethical standards
were maintained
If the researcher has discussed issues raised by the study (e.g. issues around informed consent or confidentiality or how they have
handled the effects of the study on the participants during and after the study)
If approval has been sought from the ethics committee
Your comment: (max 50 words)
The researchers discussed the ethical committee approval, from Lothian Research Ethics Committee with reference data as well,
steps had been taken to ensure ethical conduct to be restored while completing the research study. Although the researchers
have not discussed the ethical issues that have been raised during the conduction of the research (Fairbrother et al. 2014).
8. Was the data analysis sufficiently rigorous? ☒Yes ☐ Can’t tell ☐ No
HINT: Consider
If there is an in-depth description of the analysis process
If thematic analysis is used. If so, is it clear how the categories/themes were derived from the data?
Whether the researcher explains how the data presented were selected from the original sample to demonstrate the analysis
process
If sufficient data are presented to support the findings
To what extent contradictory data are taken into account
Whether the researcher critically examined their own role, potential bias and influence during analysis and selection of data for
presentation
Your comment: (max 100 words)
The authors described using the framework approach for analysis with thorough justification of the chosen approach, which is a
pro. Thematic analysis had been used for the research and there had been clear description of how the themes or categories
have been derived. The authors described using NVIVO 7 software for data coding then segregation of the data into different
themes and categories, hence the process have been illustrated with clarity, and the data had been sufficient. Although, there
had not been any contradictory data incorporated and the researchers did not analyse their role or influence in leading to bias
for the data analysis (Fairbrother et al. 2014).
9. Is there a clear statement of findings? ☐Yes ☐ Can’t tell ☐ No
HINT: Consider whether
If the findings are explicit
If there is adequate discussion of the evidence both for and against the researchers arguments
If the researcher has discussed the credibility of their findings (e.g. triangulation, respondent validation, more than one analyst)
If the findings are discussed in relation to the original research question
92318 Evidence for Nursing Assessment 3 Submission Template 10
clear and data collected is saturated (Fairbrother et al. 2014).
6. Has the relationship between researcher and participants been adequately considered ☐Yes ☐ Can’t tell ☒ No
HINT: Consider
If the researcher critically examined their own role, potential bias and influence during
a) Formulation of the research questions
b) Data collection, including sample recruitment and choice of location
How the researcher responded to events during the study and whether they considered the implications of any changes in the
research design
Your comment: (max 50 words)
One researcher belong to health care professional background and care has also been taken to ensure that his knowledge or
understanding did not influence the results of the research at all. There had not been implications of any change in the research
design proposed by the researchers (Fairbrother et al. 2014).
7. Have ethical issues been taken into consideration? ☒Yes ☐ Can’t tell ☐ No
HINT: Consider
If there are sufficient details of how the research was explained to participants for the reader to assess whether ethical standards
were maintained
If the researcher has discussed issues raised by the study (e.g. issues around informed consent or confidentiality or how they have
handled the effects of the study on the participants during and after the study)
If approval has been sought from the ethics committee
Your comment: (max 50 words)
The researchers discussed the ethical committee approval, from Lothian Research Ethics Committee with reference data as well,
steps had been taken to ensure ethical conduct to be restored while completing the research study. Although the researchers
have not discussed the ethical issues that have been raised during the conduction of the research (Fairbrother et al. 2014).
8. Was the data analysis sufficiently rigorous? ☒Yes ☐ Can’t tell ☐ No
HINT: Consider
If there is an in-depth description of the analysis process
If thematic analysis is used. If so, is it clear how the categories/themes were derived from the data?
Whether the researcher explains how the data presented were selected from the original sample to demonstrate the analysis
process
If sufficient data are presented to support the findings
To what extent contradictory data are taken into account
Whether the researcher critically examined their own role, potential bias and influence during analysis and selection of data for
presentation
Your comment: (max 100 words)
The authors described using the framework approach for analysis with thorough justification of the chosen approach, which is a
pro. Thematic analysis had been used for the research and there had been clear description of how the themes or categories
have been derived. The authors described using NVIVO 7 software for data coding then segregation of the data into different
themes and categories, hence the process have been illustrated with clarity, and the data had been sufficient. Although, there
had not been any contradictory data incorporated and the researchers did not analyse their role or influence in leading to bias
for the data analysis (Fairbrother et al. 2014).
9. Is there a clear statement of findings? ☐Yes ☐ Can’t tell ☐ No
HINT: Consider whether
If the findings are explicit
If there is adequate discussion of the evidence both for and against the researchers arguments
If the researcher has discussed the credibility of their findings (e.g. triangulation, respondent validation, more than one analyst)
If the findings are discussed in relation to the original research question
92318 Evidence for Nursing Assessment 3 Submission Template 10
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Your comment: (max 100 words)
The data findings have been very clearly identified, interpreted and discussed with in-depth detail, indicating at a very important
component of a high quality evidence (Kreif, Grieve and Sadique 2013). The data findings are explicit and there is substantial
argumentative and supportive take to the discussion of the findings. Although a very important and considerable con that affects
the quality of the article is the lack of mention on data triangulation, validity and conflict of more than one analyst. Although,
the findings have been very critically discussed the findings in relation with the original research question (Fairbrother et al.
2014).
10. How valuable is the research?
HINT: Consider
If the researcher discusses the contribution the study makes to existing knowledge or understanding e.g. do they consider the
findings in relation to current practice or policy?, or relevant research-based literature?
If they identify new areas where research is necessary
If the researchers have discussed whether or how the findings can be transferred to other populations or considered other ways the
research may be used
Your comment: (max 100 words)
The article had been successful in providing a clear ideation regarding the perception and idea of the target patient group and
health care professionals regarding the tele-monitoring, although had not been successful in providing any new insight. Very
little insight had been provided on the transferability or generalizability of the findings to larger and more diverse population,
which undoubtedly limits the generalizability and transferability. Although, information had been provided on the various ways
that the data can be utilized along with the need for further empirical research on the topic for better understanding on the
topic (Fairbrother et al. 2014).
PART 4 OVERALL SUMMARY
PART 4.1 PROVIDE AN OVERALL SUMMARY OF WHAT THESE TWO PAPERS CONTRIBUTE TO ANSWERING YOUR
RESEARCH QUESTION (400 words, 10 marks).
HINT: Consider
What was your original clinical question?
What information do you think is useful from these two articles?
Do you think the information in the articles is unbiased?
If the information from the articles helpful in answering your overall question?
Both of the articles that have been reviewed in the paper had attempted to explore the effectiveness and the clinical advantages
of using the tele-monitoring services for the smooth and safe transition for the hospital to home care for the chronic heart
failure or CHF patients (Avila et al. 2017). Although, the research design, methodology and certain variables of the research
study is completely different or contrasting with one another for both the RCT article and the qualitative study. For the
qualitative study by Fairbrother et al. (2014), the impact of the perception, idea and knowledge regarding the use of tele-
monitoring for target CHF patients was explored and analysed with the use of semi-structured interviews in order to capture the
exact emotions and feelings of the patients and health workers regarding the benefits of using the tele-monitoring for the target
population. On the other hand, the impact of the use of the tele-monitoring and its effectiveness in terms of improving the care
quality and the reducing the length of hospice stay. The RCT study has been successful in exploring the benefits of using the E-
coach for target patient group of CHF and co-occurring COPD had been discussed in the RCT by Ritchie et al. (2016). In this case,
it has to be commended that both the articles have been successful in focussing on very specific issues and addressed the clinical
questions asked perfectly as per their specific aims, and at the same provided unique insight on the topic. Although, in judging
the specificity of the tele-monitoring tools, the RCT study is more specific and extensive undoubtedly (Ritchie et al. 2016).
Similarly, both the articles have provided valuable insight on the usage of tele-monitoring services for the target patient groups.
Whereas, the RCT had provided authentic and specific information regarding whether or not e-coach application will be
appropriate for use for the target population of COPD and CHF patients and whether it can reduce the hospitalization days of
not. The second qualitative article provided insight on the perception of patients regarding the use of the tool, which has a huge
impact on the clinical effectiveness of the usage (Fairbrother et al. 2014). Similarly, the information provided is more or less
unbiased and is helpful in answering all of the related questions including patient response, reducing hospice stay length and
92318 Evidence for Nursing Assessment 3 Submission Template 11
The data findings have been very clearly identified, interpreted and discussed with in-depth detail, indicating at a very important
component of a high quality evidence (Kreif, Grieve and Sadique 2013). The data findings are explicit and there is substantial
argumentative and supportive take to the discussion of the findings. Although a very important and considerable con that affects
the quality of the article is the lack of mention on data triangulation, validity and conflict of more than one analyst. Although,
the findings have been very critically discussed the findings in relation with the original research question (Fairbrother et al.
2014).
10. How valuable is the research?
HINT: Consider
If the researcher discusses the contribution the study makes to existing knowledge or understanding e.g. do they consider the
findings in relation to current practice or policy?, or relevant research-based literature?
If they identify new areas where research is necessary
If the researchers have discussed whether or how the findings can be transferred to other populations or considered other ways the
research may be used
Your comment: (max 100 words)
The article had been successful in providing a clear ideation regarding the perception and idea of the target patient group and
health care professionals regarding the tele-monitoring, although had not been successful in providing any new insight. Very
little insight had been provided on the transferability or generalizability of the findings to larger and more diverse population,
which undoubtedly limits the generalizability and transferability. Although, information had been provided on the various ways
that the data can be utilized along with the need for further empirical research on the topic for better understanding on the
topic (Fairbrother et al. 2014).
PART 4 OVERALL SUMMARY
PART 4.1 PROVIDE AN OVERALL SUMMARY OF WHAT THESE TWO PAPERS CONTRIBUTE TO ANSWERING YOUR
RESEARCH QUESTION (400 words, 10 marks).
HINT: Consider
What was your original clinical question?
What information do you think is useful from these two articles?
Do you think the information in the articles is unbiased?
If the information from the articles helpful in answering your overall question?
Both of the articles that have been reviewed in the paper had attempted to explore the effectiveness and the clinical advantages
of using the tele-monitoring services for the smooth and safe transition for the hospital to home care for the chronic heart
failure or CHF patients (Avila et al. 2017). Although, the research design, methodology and certain variables of the research
study is completely different or contrasting with one another for both the RCT article and the qualitative study. For the
qualitative study by Fairbrother et al. (2014), the impact of the perception, idea and knowledge regarding the use of tele-
monitoring for target CHF patients was explored and analysed with the use of semi-structured interviews in order to capture the
exact emotions and feelings of the patients and health workers regarding the benefits of using the tele-monitoring for the target
population. On the other hand, the impact of the use of the tele-monitoring and its effectiveness in terms of improving the care
quality and the reducing the length of hospice stay. The RCT study has been successful in exploring the benefits of using the E-
coach for target patient group of CHF and co-occurring COPD had been discussed in the RCT by Ritchie et al. (2016). In this case,
it has to be commended that both the articles have been successful in focussing on very specific issues and addressed the clinical
questions asked perfectly as per their specific aims, and at the same provided unique insight on the topic. Although, in judging
the specificity of the tele-monitoring tools, the RCT study is more specific and extensive undoubtedly (Ritchie et al. 2016).
Similarly, both the articles have provided valuable insight on the usage of tele-monitoring services for the target patient groups.
Whereas, the RCT had provided authentic and specific information regarding whether or not e-coach application will be
appropriate for use for the target population of COPD and CHF patients and whether it can reduce the hospitalization days of
not. The second qualitative article provided insight on the perception of patients regarding the use of the tool, which has a huge
impact on the clinical effectiveness of the usage (Fairbrother et al. 2014). Similarly, the information provided is more or less
unbiased and is helpful in answering all of the related questions including patient response, reducing hospice stay length and
92318 Evidence for Nursing Assessment 3 Submission Template 11
cost effectiveness. Hence, overall the research question has been adequately and successfully answered by the both of the
articles.
PART 4.2 SYNTHESISING THE EVIDENCE (300 words, 7 marks).
Finally, you need to summarise the evidence that relates to your clinical questions in plain language as if you were
explaining the rationale for your clinical decision making to a patient within your care.
For this assignment paper, the PICO question asked had been to explore the impact of remote monitoring as compared with
standard care for chronic heart failure patients. Both of the article had been successful in identifying the benefits of using the
tele-monitoring services for such patient groups. Although, the RCT study focuses on identification of the applicative benefits of
using the tele-monitoring for the patient group of both COPD and CHF, which is different from the actual target group that was
selected for the PICO study, the novel insight on reducing hospital days and the cost effectiveness of using the tele-monitoring
services cannot be ignored. Similarly, the qualitative study has also been successful in identifying the positive perception of the
patients for tele-monitoring services (Fairbrother et al. 2014).
The article could define that the patients have a positive perception regarding the tele-monitoring services and that they feel
reassured with the application of the tele-monitoring services in the care program. Hence, with a few changes and adjustments
in the implementation of the service, this particular intervention will be extremely effective in bringing forth positive care
outcomes for the target population. Hence, I believe this particular intervention will be extremely successful in enhancing care
quality and care outcome for the target patient group, if implemented appropriately (Ware et al. 2018). For my clinical practice
area, I have the opportunity to care for the target patient group of CHF patients, during the process leading up to discharging the
patient. In most cases, such patient groups suffer tremendously from many complications and as the family members are not
equipped with knowledge and understanding of the acute care requirements and proper medicine management (Avila et al.
2017). These challenges often lead to inadequate care provision culminating to exacerbation and complications. The articles
helped discover the applicative benefits of tele-monitoring and along with positive and reassurance based perception among
patients and their families. Hence, the data from both the articles inform my clinical decision making effectively.
92318 Evidence for Nursing Assessment 3 Submission Template 12
articles.
PART 4.2 SYNTHESISING THE EVIDENCE (300 words, 7 marks).
Finally, you need to summarise the evidence that relates to your clinical questions in plain language as if you were
explaining the rationale for your clinical decision making to a patient within your care.
For this assignment paper, the PICO question asked had been to explore the impact of remote monitoring as compared with
standard care for chronic heart failure patients. Both of the article had been successful in identifying the benefits of using the
tele-monitoring services for such patient groups. Although, the RCT study focuses on identification of the applicative benefits of
using the tele-monitoring for the patient group of both COPD and CHF, which is different from the actual target group that was
selected for the PICO study, the novel insight on reducing hospital days and the cost effectiveness of using the tele-monitoring
services cannot be ignored. Similarly, the qualitative study has also been successful in identifying the positive perception of the
patients for tele-monitoring services (Fairbrother et al. 2014).
The article could define that the patients have a positive perception regarding the tele-monitoring services and that they feel
reassured with the application of the tele-monitoring services in the care program. Hence, with a few changes and adjustments
in the implementation of the service, this particular intervention will be extremely effective in bringing forth positive care
outcomes for the target population. Hence, I believe this particular intervention will be extremely successful in enhancing care
quality and care outcome for the target patient group, if implemented appropriately (Ware et al. 2018). For my clinical practice
area, I have the opportunity to care for the target patient group of CHF patients, during the process leading up to discharging the
patient. In most cases, such patient groups suffer tremendously from many complications and as the family members are not
equipped with knowledge and understanding of the acute care requirements and proper medicine management (Avila et al.
2017). These challenges often lead to inadequate care provision culminating to exacerbation and complications. The articles
helped discover the applicative benefits of tele-monitoring and along with positive and reassurance based perception among
patients and their families. Hence, the data from both the articles inform my clinical decision making effectively.
92318 Evidence for Nursing Assessment 3 Submission Template 12
Bibliography:
Abbott, E.F., Serrano, V.P., Rethlefsen, M.L., Pandian, T.K., Naik, N.D., West, C.P., Pankratz, V.S. and Cook, D.A., 2018.
Trends in P Value, Confidence Interval, and Power Analysis Reporting in Health Professions Education Research
Reports: A Systematic Appraisal. Academic Medicine, 93(2), pp.314-323.
Albert, N.M., Dinesen, B., Spindler, H., Southard, J., Bena, J.F., Catz, S., Kim, T.Y., Nielsen, G., Tong, K. and Nesbitt,
T.S., 2017. Factors associated with telemonitoring use among patients with chronic heart failure. Journal of
telemedicine and telecare, 23(2), pp.283-291.
Avila, A., Claes, J., Goetschalckx, K., Vanhees, L. and Cornelissen, V., 2017. P2475A randomized controlled trial of
telemonitoring home-based training versus center-based in coronary heart disease: short-term results of the tele-
rehabilitation in coronary heart disease (TRiCH) study. European Heart Journal, 38(suppl_1).
Boriani, G., Da Costa, A., Quesada, A., Ricci, R.P., Favale, S., Boscolo, G., Clementy, N., Amori, V., Mangoni di S.
Stefano, L., Burri, H. and MORE CARE Study Investigators, 2017. Effects of remote monitoring on clinical outcomes‐
and use of healthcare resources in heart failure patients with biventricular defibrillators: results of the MORE CARE‐
multicentre randomized controlled trial. European journal of heart failure, 19(3), pp.416-425.
Fairbrother, P., Ure, J., Hanley, J., McCloughan, L., Denvir, M., Sheikh, A., McKinstry, B. and Telescot Programme
Team, 2014. Telemonitoring for chronic heart failure: the views of patients and healthcare professionals–a
qualitative study. Journal of clinical nursing, 23(1-2), pp.132-144.
Kreif, N., Grieve, R. and Sadique, M.Z., 2013. Statistical methods for cost effectiveness analyses that use‐
observational data: A critical appraisal tool and review of current practice. Health economics, 22(4), pp.486-500.
Ritchie, C.S., Houston, T.K., Richman, J.S., Sobko, H.J., Berner, E.S., Taylor, B.B., Salanitro, A.H. and Locher, J.L., 2016.
The E-Coach technology-assisted care transition system: a pragmatic randomized trial. Translational behavioral
medicine, 6(3), pp.428-437.
Ware, P., Ross, H.J., Cafazzo, J.A., Laporte, A. and Seto, E., 2018. Implementation and Evaluation of a Smartphone-
Based Telemonitoring Program for Patients With Heart Failure: Mixed-Methods Study Protocol. JMIR research
protocols, 7(5).
92318 Evidence for Nursing Assessment 3 Submission Template 13
Abbott, E.F., Serrano, V.P., Rethlefsen, M.L., Pandian, T.K., Naik, N.D., West, C.P., Pankratz, V.S. and Cook, D.A., 2018.
Trends in P Value, Confidence Interval, and Power Analysis Reporting in Health Professions Education Research
Reports: A Systematic Appraisal. Academic Medicine, 93(2), pp.314-323.
Albert, N.M., Dinesen, B., Spindler, H., Southard, J., Bena, J.F., Catz, S., Kim, T.Y., Nielsen, G., Tong, K. and Nesbitt,
T.S., 2017. Factors associated with telemonitoring use among patients with chronic heart failure. Journal of
telemedicine and telecare, 23(2), pp.283-291.
Avila, A., Claes, J., Goetschalckx, K., Vanhees, L. and Cornelissen, V., 2017. P2475A randomized controlled trial of
telemonitoring home-based training versus center-based in coronary heart disease: short-term results of the tele-
rehabilitation in coronary heart disease (TRiCH) study. European Heart Journal, 38(suppl_1).
Boriani, G., Da Costa, A., Quesada, A., Ricci, R.P., Favale, S., Boscolo, G., Clementy, N., Amori, V., Mangoni di S.
Stefano, L., Burri, H. and MORE CARE Study Investigators, 2017. Effects of remote monitoring on clinical outcomes‐
and use of healthcare resources in heart failure patients with biventricular defibrillators: results of the MORE CARE‐
multicentre randomized controlled trial. European journal of heart failure, 19(3), pp.416-425.
Fairbrother, P., Ure, J., Hanley, J., McCloughan, L., Denvir, M., Sheikh, A., McKinstry, B. and Telescot Programme
Team, 2014. Telemonitoring for chronic heart failure: the views of patients and healthcare professionals–a
qualitative study. Journal of clinical nursing, 23(1-2), pp.132-144.
Kreif, N., Grieve, R. and Sadique, M.Z., 2013. Statistical methods for cost effectiveness analyses that use‐
observational data: A critical appraisal tool and review of current practice. Health economics, 22(4), pp.486-500.
Ritchie, C.S., Houston, T.K., Richman, J.S., Sobko, H.J., Berner, E.S., Taylor, B.B., Salanitro, A.H. and Locher, J.L., 2016.
The E-Coach technology-assisted care transition system: a pragmatic randomized trial. Translational behavioral
medicine, 6(3), pp.428-437.
Ware, P., Ross, H.J., Cafazzo, J.A., Laporte, A. and Seto, E., 2018. Implementation and Evaluation of a Smartphone-
Based Telemonitoring Program for Patients With Heart Failure: Mixed-Methods Study Protocol. JMIR research
protocols, 7(5).
92318 Evidence for Nursing Assessment 3 Submission Template 13
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