DB4 RESPONSE: ARRIE ALEXANDER2 DB4 Response: Arrie Alexander It is true that when processing qualitative research-based evidence, the process of critical appraisal will assist with gathering all of the “why” information needed for a better understanding. However, it also responds to the questions how. Thompson (2017) argues that critical appraisal responds to how precise the results are as well as how they are applicable to individual patients. Systematic distortion of estimated interventions can affect the trustworthiness and can also be as a result of inadequacies in the design, analysis of the trial and the conduct. Besides helping researchers in making decisions, critical appraisals also helps in distinguishing what is of great significance from what is not. Critical appraisal achieves this by separating evidence from opinions, assumptions, beliefs and misreporting, reducing information overload by eliminating irrelevant or weak studies as well as assessing the usefulness and clinical applicability of a given study. The use of meta-synthesis in qualitative research also helps in offering an appropriate balance between an objective framework, a rigorously scientific approach to data analysis as well as the necessary contribution of the subjectivity of the researcher in the final work. Although critical appraisal tools are used to help the researcher identify whether the selected clinical research papers are suitable, they are also used to ensure patient centered care, safety and quality improvement (Melnyk, & Gallagher‐Ford, 2015). According to the book of Ephesians 5: 15, “therefore be careful how you walk, not as unwise but as wise” warns us to be diligent and not rush into making decisions without thinking of its implications and effects. Similarly, critical appraisal warns us not to trust everything we
DB4 RESPONSE: ARRIE ALEXANDER3 read without being able to consider the most important aspects of the strength of evidence when conducting research.
DB4 RESPONSE: ARRIE ALEXANDER4 References Bible, K.J., 2015, January. King James Bible Online. Web. Melnyk, B. M., & Gallagher‐Ford, L. (2015). Implementing the New Essential Evidence‐Based Practice Competencies in Real‐world Clinical and Academic Settings: Moving From Evidence to Action in Improving Healthcare Quality and Patient Outcomes.Worldviews on Evidence‐Based Nursing,12(2), 67-69.https://doi.org/10.1111/wvn.12089 Thompson, K, C. (2017). What Does “Critical Appraisal” Mean in Evidence-Based Practice?: Nursing Education Expert