Nursing Article 2022

Running Head: NURSING
Nursing
Name
Institution

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Nursing
Introduction
The introduction of the article by Sunghur et al. (2011) provides the overview of the
subject and significantly attempt to review past studies on the treatment of schizophrenia using
OTP strategy. Therefore, it is clear that the authors performed a comprehensive literature search
before starting the study. The topic of the article on identification of an optimal treatment for
schizophrenia was appropriate for the journal, which was journal of psychiatry. This makes the
article reliable and valid for the study. The objective of the study was to use recurring outcome
measures over 24-month duration to contrast the clinical along with social gains of routine
schizophrenia management utilizing evidence-based pharmacological, as well as psychological
treatment approaches. It is evident from the objective of the article that it is related to the topic
that makes the article relevant. The authors of the article underscore the execution of evidence-
based management approaches for the disorder has been the emphasis of several debate papers,
as well as strategy (Sunghur et al., 2011).
The authors clearly provide the hypothesis of the article during the introduction that will
be answered in the course of the study. The hypothesis of the study makes the article relevant to
the topic. The hypothesis forms the basis of the study where the authors used two hypotheses that
guided the objective of the research. In general, the introduction was relevant and comprehensive
as the authors provided sufficient studies that introduced the main ideas of the study.
Literature Review

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The authors used a number of studies that supported the topic under investigation. The
literature used was related to the topic of the study that supported the main points of the authors
since the authors selected the most influential works of past authors who investigated the topic in
the past. This is evident where the authors supported the main points using the available
literature that they reviewed systematically (Li et al., 2016). The authors support the topic in the
introduction by asserting that though growing evidence supports the efficiency of incorporated
care, availing this kind of incorporated care into regular treatment environment remains tough
(Sunghur et al., 2011). This assertion by the authors gives them authority and commands the
audience of the article while reading it. The concept that the authors stresses in the introduction
is the optimal treatment project (OTP) was widely used in the introduction which is one of the
initiatives tailored to deal with these problems and execute extensive of scientific approaches
plus cognitive behavioural therapy (CBT) in customary management of the disorder. The authors
through the literature emphasized that the OTP was designed to address the issue of integrated
care by implementin a huge, multisite routine service project (Oishi et al., 2018).
Additionally, the authors introduce the concept of optimal clinical management (OCM) in
the literature using past studies. They argue that OCM is a tactic founded on the outcomes of
simulated scientific trials of incorporated pharmacological along with psychosocial management
approaches for schizophrenia, organized in a forceful case management delivery model. The
authors in the article claimed that this is tailored to improve whole and long-term recuperation
from disabilities, and impairments linked to schizophrenia. The other evidence on the
effectiveness of use of literature by the authors is the importance of specific strategies towards
the treatment of disorder. The authors underscore that these approaches comprise education

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regarding schizophrenia along with its management in addition to approaches to promote
observance to medicine, distinguish plus handle side effects in addition to discover and counter
to early on symptoms of exacerbation (Wykes, Steel, Everitt & Tarrier, 2009). In general, the
literature relevant is relevant and uses different references despite some are as old as dates back
to 1976. But the authors support the main points of the study all through using relevant literature
materials (Sunghur et al., 2011).
Methodology
The methodology of the study is will described in the study and reflects the topic under
investigation. The study used a sample of 100 participants took part in the study and included
patients and their caregivers. The participants of the study were diagnosed with the disorder
based on DSM-IV criteria. The participants in the study were drawn from the Department of
Psychiatry of the Medical School of Ankara University besides SSK Diskapi Hospital. Thus, the
sample of 100 participants was appropriate for the study as this was a medium population that is
recommended for many studies of the same caliber. Additionally, the participants were drawn
from psychiatry facility and most of these patients were suffering from schizophrenia while
caregivers had first-hand experiences with the patients. This implies that the sample population
used in the study was appropriate to the topic under investigation; hence, validating the research
methodology (Sunghur et al., 2011).
The inclusion and exclusion criteria for the study were appropriate for the study. The
participants of the study were needed to be between 18 and 45years of aged; had a DMS-IV
identification of schizophrenia validated by SCID-IV questions; had period of disease below ten

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years; were residing with household members the year before admittance; local of Ankara; and
presented a written consent. These criteria were appropriate for the study. The duration that the
patients were seen for the 24 months was once a month was appropriate for the study. The staff
performing the study was trained and included a multidisciplinary group of two physicians, one
psychologist, as well as two psychiatric professionals who finished a 60-hour course in optimal
care management. This was relevant to guarantee the validity and reliability of the data collected
for the study. The methodology was appropriate for the study and provided the needed data that
were used for analysis (Chen et al., 2018).
Ethical Consideration
In the study, there was ethical approval of the respondents of the study plus institutional
review of board obtained. In this study, it was performed based on GCP provisions and the
Declaration of Helsinki. The participants of the study were subjected to ethics committee and
caregivers were needed to present written approval.
Significant Results
The outcomes of the study absolutely reflected the objective of the study of using
repeated outcome measures over 24-month duration to contrast the clinical in addition to social
gains of routine schizophrenia management with those of scientific pharmacological, as well as
psychological treatment approaches (Nørgaard et al., 2019). The results were consistent with the
objective of the study since statistically plus clinically significant merits were recorded for
optimal care management (OCM) against routine case management (RCM) on all the measures
that were used in the study upon analysis. The majority of these merits that were observed

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augmented all through the 2 years of the study. This implies that the results significantly
reflected the objective of the study as the objective underscored the importance of OCM rather
than RCM in the management of schizophrenia (Sunghur et al., 2011).
Discussion/Reflective Critique
The discussion part of the article significantly critique and explains the main points of the
findings of the study. The discussion demonstrates that the results of the study strongly support
the hypotheses, which shows that the discussion part was relevant and comprehensive. It is
obvious from the discussion that it answers the objective (Xiaojing Gu et al., 2017). Thus, the
authors claim that a program, which includes an inclusive array of evidence-based management
approaches for schizophrenia incorporated into a forceful case management model, seems to
enhance higher clinical plus social recuperation rather than routine management focused on most
favourable pharmacology along with helpful case management. In support of the objective of the
study, the authors state that OCM attained higher clinical advantages on all outcome measures in
the entire 24 months of the study. The authors in the study further qualifies the objective of the
study by asserting that OCM was linked to continued improvement all through the study that the
mainstream followed a linear trend (Sunghur et al., 2011).
On the other hand, the benefits of RCM were less consistent. It is also important to not
from the discussion that the added benefits from the OCM emanated from efficiently using the
evidence-based pharmacological, as well as psychosocial treatment approaches, which was in
line with international guidelines (Arikawa, Ota & Azekawa, 2019). This demonstrates that the
discussion part explains the results of the study beyond the expected making the research reliable

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and valid. The authors in the discussion gives the study the needed validity by claiming that the
current study adhered to the protocol for efficiency studies designed by an international mutual
group called OTP. The discussion part provides conclusion that combination of pharmacological
along with psychosocial strategies have confirmed effective in treatment of schizophrenia.
Therefore, the discussion is effective because the authors provide comprehensive details on the
discussion of the results of the study that validates the study, especially the objective of the study
(Ghajar et al., 2018).
Recommendations
The authors recommend that the results of this study can lower the stigmatization of
schizophrenia patients through disregarding mythology labelled on these patients. They further
recommend that the degree in which cultural elements contribute to victorious outcomes and
should be used by stakeholders handling patients with schizophrenia. The cultural elements will
be better utilized to provide more accommodative strategies to help individuals with the mental
disorder in the society (Kerwin, 2009).

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Psychopathology Severity in Subjects having Acute Exacerbation of Schizophrenia on
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