Rapid Critical Appraisal Checklist and Summary Assignment 2022

Rapid Critical Appraisal Checklist and Summary
Find a minimum of 4 research articles related to nursing or medicine.
 Part 1: Complete the chart for each article (4 total).
 Part II: Write a summary. See specific criteria below.
Part I:
Use this table to assist you when analyzing the research that is most relevant to the
topic.
Put the source citation in APA here along with a link to the
source.
Mistry, J. B., Chughtai, M., Elmallah, R. K., Le, S., Bonutti, P. M.,
Delanois, R. E., & Mont, M. A. (2016). What influences how
patients rate their hospital after total hip arthroplasty?. The
Journal of arthroplasty, 31(11), 2422-2425. Retrieved from
https://www.sciencedirect.com/science/article/pii/S08835403163
00420
Elements for Analysis Review
Findings
Why was the study done?
What is the problem as it is presented in the research study
article?
Will the study solve a problem relevant to nursing?
(Make sure that the study is directly relevant to your topic/ and or
clinical question.)
The article was
done to identify
how patients
score for their
doctors and
medical care
provided.
The setting of the
Page | 1

What is the study setting?
(Include who, where and when.)
study is among
the patients who
have recently had
a hip
replacement
surgery.
What is the sample size? (Size can and should vary according to
the nature of the study.)
What was the process for randomization?
Are instruments of the variables in the study clearly defined and
reliable?
What are the independent and dependent variables in this
study?
Are the operational definitions of the variables given? If so, are
they concrete and measurable?
Is the research question or the hypothesis stated? What is it?
(Make sure the variables were consistently applied throughout the
study and that they measured what the research said they were
going to measure.)
(Report reliability and validity statistics if noted.)
The instruments
of the variables
have not been
mentioned but it
is clear from the
description. The
dependent
variable is the
patient
satisfaction
scores whereas
independent
variables are the
orthopedists’
engagement and
pain
management
techniques.
How were the data analyzed?
Page | 2

Were there any unusual events during the study? (If the sample size
changed, do the reasons for the change have ramifications on its
replicability?)
Did participants drop from the research? Why?
No, nothing as
such has been
mentioned.
How do the results fit in with previous research in this area?
(Compare to your other sources.)
Do the studies build upon previous research?
The results
showcase stable
behavior from the
patients and their
satisfaction
scores are in
accordance to
previously known
trends.
What are the implications of the research for clinical practice?
Is the study relevant and important to the clinical question?
Are the results applicable to your set or subset of patients or
sample, identify the risks and benefits of a treatment
recommendation or conform to patient preferences?
What are the findings as reported by the researcher?
Hip replacement
surgery is
considered to be
painful by the
patients as a
result many
patients opt for
other non-
operative
procedures.
Knowing about
patient
experiences can
help more and
more patient to
take over hip
replacement
surgeries.
Put the source citation in APA here along with a link to the
source.
Weeks, W. B., Schoellkopf, W. J., Ballard, D. J., Kaplan, G. S.,
James, B., & Weinstein, J. N. (2017). Episode-of-care
characteristics and costs for hip and knee replacement
surgery in hospitals belonging to the high value healthcare
collaborative compared with similar hospitals in the same
health care markets. Medical care, 55(6), 583. Retrieved
from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5432098/
Page | 3

Elements for Analysis Review
Findings
Why was the study done?
What is the problem as it is presented in the research study
article?
Will the study solve a problem relevant to nursing?
(Make sure that the study is directly relevant to your topic/ and or
clinical question.)
Another reason
why most
patients avoid hip
replacement
surgery is
because of the
costs. This article
informs the
patient how they
can limit their
costs and
promotes them to
establish
transparency in
the system.
What is the study setting?
(Include who, where and when.)
The setting of the
article are two
hospitals and
compare 30 day
care costs.
What is the sample size? (Size can and should vary according to
the nature of the study.)
What was the process for randomization?
The sample size
was about 4030
patients.
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Are instruments of the variables in the study clearly defined and
reliable?
What are the independent and dependent variables in this
study?
Are the operational definitions of the variables given? If so, are
they concrete and measurable?
Is the research question or the hypothesis stated? What is it?
(Make sure the variables were consistently applied throughout the
study and that they measured what the research said they were
going to measure.)
(Report reliability and validity statistics if noted.)
The variables are
the costs and
hospital systems
used to charge
the patients. The
research
hypothesis has
been clearly
stated.
How were the data analyzed?
The data was
analyzed over
various
checkpoints like
the duration of
the stay, the
costs associated,
the level of
complications
and their costs
etc.
Were there any unusual events during the study? (If the sample size
changed, do the reasons for the change have ramifications on its
replicability?)
Did participants drop from the research? Why?
No such event
has been
mentioned in the
study.
How do the results fit in with previous research in this area?
(Compare to your other sources.)
Do the studies build upon previous research?
Research at such
a large scale
were not carried
out before. The
results showcase
expected trends.
Page | 5

What are the implications of the research for clinical practice?
Is the study relevant and important to the clinical question?
Are the results applicable to your set or subset of patients or
sample, identify the risks and benefits of a treatment
recommendation or conform to patient preferences?
What are the findings as reported by the researcher?
The research
article shows that
the hospitals
have opportunity
to decrease their
costs and the
costs also
depends from
regions to region.
Put the source citation in APA here along with a link to the
source.
Olsson, L. E., Hansson, E., & Ekman, I. (2016). Evaluation of
person-centred care after hip replacement-a controlled
before and after study on the effects of fear of movement and
self-efficacy compared to standard care. BMC nursing, 15(1),
53. Retrieved from
https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-
016-0173-3
Elements for Analysis Review
Findings
Why was the study done?
What is the problem as it is presented in the research study
article?
Will the study solve a problem relevant to nursing?
(Make sure that the study is directly relevant to your topic/ and or
clinical question.)
The aim of this
study is to relieve
pain and other
discomfort
among the
patients through
person centered
care.
Page | 6

What is the study setting?
(Include who, where and when.)
The patients
recovering from
total hip
replacement
surgery from a
hospital.
What is the sample size? (Size can and should vary according to
the nature of the study.)
What was the process for randomization?
The sample size
was of 266
patients.
Are instruments of the variables in the study clearly defined and
reliable?
What are the independent and dependent variables in this
study?
Are the operational definitions of the variables given? If so, are
they concrete and measurable?
Is the research question or the hypothesis stated? What is it?
(Make sure the variables were consistently applied throughout the
study and that they measured what the research said they were
going to measure.)
(Report reliability and validity statistics if noted.)
The variables
were the TSK
scores and self-
efficacy of the
patients.
How were the data analyzed?
Patient baseline
data was
collected and
studied to get an
understanding
about them. Then
their GSES and
TSK scores were
collected. This
showed how
patients with fear
Page | 7

and low self-
esteem regarded
pain differently.
Were there any unusual events during the study? (If the sample size
changed, do the reasons for the change have ramifications on its
replicability?)
Did participants drop from the research? Why?
No such events
have been
reported.
How do the results fit in with previous research in this area?
(Compare to your other sources.)
Do the studies build upon previous research?
The results were
in accordance
with other articles
on this topic.
The research
does not use any
previous
information or
builds upon it.
What are the implications of the research for clinical practice?
Is the study relevant and important to the clinical question?
Are the results applicable to your set or subset of patients or
sample, identify the risks and benefits of a treatment
recommendation or conform to patient preferences?
What are the findings as reported by the researcher?
In the present
investigation,
consciousness of
the patients' who
report low self-
viability and large
amounts of dread
of development
can enable RNs
to tailor care all
the more
successfully in
person-focused
wellbeing plans.
Put the source citation in APA here along with a link to the
source.
Han, C., Li, X. D., Jiang, H. Q., Ma, J. X., & Ma, X. L. (2016). The
use of gabapentin in the management of postoperative pain
after total hip arthroplasty: a meta-analysis of randomised
controlled trials. Journal of orthopaedic surgery and research,
11(1), 79. Retrieved from https://josr-
online.biomedcentral.com/articles/10.1186/s13018-016-0412-z
Page | 8

Elements for Analysis Review
Findings
Why was the study done?
What is the problem as it is presented in the research study
article?
Will the study solve a problem relevant to nursing?
(Make sure that the study is directly relevant to your topic/ and or
clinical question.)
Pain
management
after all out hip
arthroplasty
(THA) differs and
has been
generally
examined as of
late. Gabapentin
as a third-age
antiepileptic
sedate that
specifically
influences the
nociceptive
procedure has
been utilized for
help with
discomfort after
THA. This meta-
examination was
directed to
inspect the
adequacy of
gabapentin in
THA.
What is the study setting?
(Include who, where and when.)
An electronic
search was
conducted over
various
databases.
What is the sample size? (Size can and should vary according to
the nature of the study.)
What was the process for randomization?
Five articles were
chosen that met
the inclusion
criteria.
Page | 9

Are instruments of the variables in the study clearly defined and
reliable?
What are the independent and dependent variables in this
study?
Are the operational definitions of the variables given? If so, are
they concrete and measurable?
Is the research question or the hypothesis stated? What is it?
(Make sure the variables were consistently applied throughout the
study and that they measured what the research said they were
going to measure.)
(Report reliability and validity statistics if noted.)
The dependent
variable is the
third-generation
drug gabapentin
and independent
variables are
patient responses
to this drug.
How were the data analyzed?
An electronic-
based inquiry
was led utilizing
the
accompanying
databases:
PubMed,
EMBASE, Ovid
MEDLINE,
ClinicalTrials.gov,
and Cochrane
Central Register
of Controlled
Trials
(CENTRAL).
Randomized
controlled trials
(RCTs) including
gabapentin and a
fake treatment for
THA were
incorporated. The
meta-
investigation was
performed
following the
Preferred
Page | 10

Reporting Items
for Systematic
Reviews and
Meta-Analyses
(PRISMA)
articulation.
Were there any unusual events during the study? (If the sample size
changed, do the reasons for the change have ramifications on its
replicability?)
Did participants drop from the research? Why?
No.
How do the results fit in with previous research in this area?
(Compare to your other sources.)
Do the studies build upon previous research?
No the studies do
not use any
previous
research article
and the results
shows that the
drug used was
able to bring
down the VAS
scores
effectively.
What are the implications of the research for clinical practice?
Is the study relevant and important to the clinical question?
Are the results applicable to your set or subset of patients or
sample, identify the risks and benefits of a treatment
recommendation or conform to patient preferences?
What are the findings as reported by the researcher?
The identification
of this drug has
ushered a
streamlined
response from
the patients and
is also associated
with less side
effects.
Adapted from “Demystifying Research: Simplifying Critical Appraisal”. Anne Dabrow Woods, MSN, RN, CRNP, ANP-BC Chief Nurse of
Lippincott Williams and Wilkins and Ovid, and publisher of AJN: American Journal of Nursing. www.ovid.com May 7, 2012.
Part II: Summarization (2-3 pages)
Part 2
In one of the PICOT questions, cost-related queries were raised that promoted the care seekers
to opt for plaster rather than hip replacement surgeries. People who are unable to bear the
costs are forced to bear the pain and receive sub-optimum care. In this article posted by NCBI,
Page | 11

the consumers are guided to control their health care costs and promotes the health
organization to establish transparent systems that charge only the bare minimum from the care
seekers. This article uses quantitative tools for data analysis.
The article inspected variety in volumes, persistent socioeconomics, and scene of-care costs for
complete hip substitution and showcases results in 26 HVHC-part emergency clinics and 92 like
non–HVHC-part medical clinics in 15 human services showcase in which those clinics contend.
Our discoveries affirmed that a great part of the fluctuation in complete scene expenses is
owing to contrasts in post-intense consideration costs (Han et al. 2016). Albeit different
variables, for example, contrasts in patient needs could clarify our discoveries, it is conceivable
that provincial contrasts by and by examples drove cost differentials. As patient assumptions
regarding care designs inside a scene of consideration may help drive usage, it might be hard to
alleviate territorial contrasts in post-intense consideration costs; in any case, budgetary
methodologies that target high-utilizers or costly post-intense consideration settings may be
utilized to quicken the moderation of such contrasts. this work exhibits that there is plentiful
space for a decrease of variety in post-acute care costs for the methodology we inspected
(Weeks et al. 2017). Specifically, social insurance frameworks with high post-acute care
expenses should seriously think about substituting lower-cost settings for greater expense ones,
as long as they can keep up superb consideration, as estimated by different parameters.
In the next article, person-centred care and its effect upon patients recovering from total hip
replacement surgery or hip dislocation problems have been examined. This article used
quantitative analysis. A key component in person-focused consideration is the discourse
between the human services proficient and the patient: an exchange with the patient that
accentuates shared basic leadership rather than conversing with (or advising) the patient.
The objective of total hip arthroplasty (THA) is ideal help with discomfort and standardized
wellbeing related personal satisfaction. On edge, patients portray more agony and a bigger
number of troubles than non-on edge patients during recovery after THA. A sum of 266 patients
was taken on this investigation. The control and mediation gatherings comprised of 138 and
128 patients, individually. the transfer of the investigation that the degree of torment after THA
could be seen as exceptionally high at first. In view of past information low confidence and
impression of torment is a sign to be still could negatively affect postoperative restoration
(Olsson, Hansson & Ekman, 2016).
In the present investigation, attention to the patients' who report low self-viability and
abnormal amounts of dread of development can enable RNs to tailor care all the more
successfully in person-focused wellbeing plans. Our outcomes proposes that short polls like the
GSES (general self-efficacy) and TSK (Tampa scale of kinesiophobia) could be utilized routinely
for arranging the recovery after THA medical procedure and likely for other surgeries too, the
ASA (American Society of anesthetists’ classification) arrangement doled out by the anesthetists
Page | 12

is anything but a valuable apparatus to anticipate patients' assets for restoration or emergency
clinic LoS (Length of stay). The examination was semi trial and more investigations are expected
to affirm our outcomes.
The third article reviews the use of gabapentin drug for the management of postoperative pain
associated with hip replacement surgeries. Pain relief after total hip arthroplasty (THA) shifts
and has been broadly examined lately. Five articles were selected for qualitative analysis.
Gabapentin as a third-age antiepileptic medicate that specifically influences the nociceptive
procedure has been utilized for relief from discomfort after THA. This meta-investigation was
directed to analyze the viability of gabapentin in THA. the outcomes from the meta-
examination announce that the organization of gabapentin is viable in diminishing
postoperative opiate utilization and the VAS score. Complete hip arthroplasty (THA) is a typical
and effective medical procedure in current medication, however, it is regularly connected with
serious postoperative agony. Pre-emptive absence of pain may be a decent method to assuage
the postoperative agony in the facility. In any case, compelling treatment of postoperative
agony keeps on being a test for orthopedists since poor control of postoperative torment can
effectively affect the pneumonic framework and cardiovascular framework, which can impact
careful results, and it has been accounted for that the treatment of postoperative torment
regularly stays deficient.
The administration of torment after THA is regularly aimed at the decrease of torment and
diminishing morphine prerequisites by the multimodal absence of pain procedures. Regardless
of the multimodal approach, a few patients may create recalcitrant postoperative torment.
Gabapentin is utilized, which is a third-age antiepileptic medicate that specifically influences the
nociceptive procedure. It has the focal and fringe antalgic action as well as the moderately well-
endured property. Notwithstanding gabapentin, the non-steroidal mitigating drugs (NSAIDS) as
the non-narcotics were additionally utilized for THA. In any case, the unfriendly consequences
for the gastrointestinal and hematological frameworks just as on the renal capacities were
effectively found once NSAIDS joined with narcotics.
The fourth article deals with how the patients assess their hospital after they have been
through a complete hip replacement surgery. For this purpose, a correlation analysis was
performed between the pain levels among the patient and the assessment of their physicians.
This is a qualitative paper where the research papers were studied to understand satisfaction
levels.
Patients' view of pain was fundamentally emphatically corresponded with the impression of
their orthopedist, medical attendant, and general emergency clinic fulfilment (Mistry et al.
2016). Various relapse investigation showed that patients' view of medical caretakers and
orthopedists yielded an altogether positive effect on in general emergency clinic fulfilment. A
noteworthy negative relationship existed between lengths of remain and emergency clinic
Page | 13

fulfilment. There were no huge connections between age, BMI, and ASA scores and by and
large emergency clinic rating. Post-THA patients partner torment the executives with medical
clinic fulfilment, just as their impression of their treating attendants and orthopedists. Generally
speaking, fulfilment was most affected by patients' view of their attendant, trailed by their
orthopedist (Mistry et al. 2016). In addition to this, there was a relationship between the
shorter length of remain and higher generally speaking fulfilment.
Page | 14

References
Han, C., Li, X. D., Jiang, H. Q., Ma, J. X., & Ma, X. L. (2016). The use of gabapentin in the
management of postoperative pain after total hip arthroplasty: a meta-analysis of
randomised controlled trials. Journal of orthopaedic surgery and research, 11(1), 79.
Mistry, J. B., Chughtai, M., Elmallah, R. K., Le, S., Bonutti, P. M., Delanois, R. E., & Mont, M. A.
(2016). What influences how patients rate their hospital after total hip arthroplasty?.
The Journal of arthroplasty, 31(11), 2422-2425.
Olsson, L. E., Hansson, E., & Ekman, I. (2016). Evaluation of person-centred care after hip
replacement-a controlled before and after study on the effects of fear of movement and
self-efficacy compared to standard care. BMC nursing, 15(1), 53.
Weeks, W. B., Schoellkopf, W. J., Ballard, D. J., Kaplan, G. S., James, B., & Weinstein, J. N. (2017).
Episode-of-care characteristics and costs for hip and knee replacement surgery in
hospitals belonging to the high value healthcare collaborative compared with similar
hospitals in the same health care markets. Medical care, 55(6), 583.
Page | 15