Critical Appraisal of Qualitative Research Using CASP Tool: Assignment

This assignment critically appraises a qualitative research article using the CASP (Critical Appraisal Skills Programme) tool. The analysis focuses on key questions from the CASP checklist, including the appropriateness of the research design, recruitment strategy, data collection methods, and data analysis rigor. The appraisal examines whether the data collected effectively addressed the research issues, the clarity of the findings, and the overall value of the research. The assignment provides detailed answers to specific CASP questions, supported by relevant research methods literature, offering a comprehensive evaluation of the qualitative study's strengths and weaknesses. The student critically assesses the research methodology and its impact on the study's conclusions, providing a thorough understanding of the research process and outcomes.

Running head: CASP TOOLS
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Name of the Student:
Name of the University:
Author Note:

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Was the research design appropriate to address the aims of the research?
Yes, the research design that has been included for the considered article, correctly approaches
and addresses the aims of the article.
The aim of the research is to describe and understand about the common characteristics and the
themes of the moral resilience as accounted by the health clinicians. For the same, the work has
included a descriptive and qualitative research method. The work has included the definitions as
propounded by different researchers at different points of tine, as well as, it has included the
opinions of 184 professionals or clinicians. All of these professionals had been involved into the
educational programs. Therefore, it can be said that these professionals have both the theoretical
as well as practical understandings of the moral resilience. Hence to include all these a
descriptive analysis with a qualitative approach was much need, which has been documented in
the considered article.
Was the recruitment strategy appropriate to the aims of the research?
It is difficult to tell whether the recruitment strategy of the work is appropriate or not. However,
it can be understood that the methodology or the strategic methods that have been included to
achieve the aims of the research have been included properly. The descriptive design for the
research have been used by the researchers. Since the research includes the qualitative research
methodology, therefore, a straight description method has been used. Next, a qualitative data
collection method has been included in order to gain an understanding of the opinions of the
clinicians (Giese. 2018). Therefore a primary data collection method had been included and the
questionnaire that has been prepared were kept open ended. Further to identify and to measure
the common themes from the collected data, a detailed qualitative data analysis had been

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included. It was ensured that the biasness of the researchers do not get into the data analysis
process (Riedel. and Giese. 2019). The findings of the research had also been strategically
analyzed under the two common themes, personal integrity and relational integrity buoyancy,
self- regulation, self- stewardship and moral efficacy.
Was the data collected in a way that addressed the research issue?
Yes, the data collection process included in the considered article correctly and properly
addresses the research issues. The research has included a qualitative approach in the data
collection process. It includes various processes and different places. The sample was derived
from the inter-professional clinicians who all attended the educational programs. The data was
collected with the inclusion of a qualitative questionnaire. The prime question was how do they
define the moral resilience, and they were asked to explain them with their personal experience.
The collection of the data process was executed in a strategic way as they were provided with
cards where they were asked to include their comments and their opinions (Davis et al. 2018).
They were also asked to strategically descriptive their opinion in order to get a complete
understanding of their experiences with the educational programs and bout their experiences that
they got during their practical experiences. Further to ensure the validity and the reliability of the
data that had been collected, had been reviewed through the International Review Board, which
ensured the implementation of the procedures of the study. Since the included methodology is
qualitative in nature therefore, it was important to include an open ended questionnaire to get a
complete and a detailed idea of the opinions of the clinicians.
Was the data analysis sufficiently rigorous?

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Yes, the data analysis was sufficiently rigorous for the completion of the article and the analysis.
The researchers understood in order to measure the data and to analyze the data, it is important to
devise the data into common themes. Devising into the common themes had been helpful for the
analysis. The concepts included in the moral resilience had been identified and these concepts
had been used as the common themes. Therefore, the opinions and the data collected through the
use of the questionnaire form the clinicians of different places had been devised (Heinze. Holtz.
and Rushton. 2017). Now, it was observed that each of the concepts of moral resilience had been
given importance, however, it was found that different clinicians have provided importance to
different parts. This determines that the experiences of the clinicians varies and these variance in
the experiences, influence upon the opinions that had been articulated by the interviewees.
Therefore, each of the opinions had been coded according to the concepts or the common themes
that have been devised by the authors (Dehnbostel. 2018). The opinions and each of the
sentences of the clinicians have been broken down according to the needs of the researchers and
according to the aims of the researchers and thus the opinions have been coded.
Is there a clear statement of findings?
No, there is no clear statement of findings.
The findings or the results have been devised and developed according to the common themes.
The research includes three primary common themes and three subthemes. The primary themes
are personal integrity, relational integrity, and buoyancy. The three subthemes are self-
regulation, self- stewardship and moral efficacy (Lachman. 2016). Therefore, there is no clear
statement of the research findings, rather the results have been developed and identified through
the common themes. Now, the researchers have firstly identified the definitions of each of these

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common primary and subthemes, and thereupon, the findings of the research have been
associated with each of these themes (Riedel. and Giese. 2018). For example, the personal
integrity refers to the practice and implementations of the personal values and the researchers
have coded the opinions and have associated the ones which are related to this particular theme.
Next, the relational integrity us defined as the relational nature, embedded with the health care
culture and the social practices. Thereupon, the researchers have differentiated among the
opinions of the clinician and have coded them accordingly and have analyzed them under the
same. This includes the characters of openness and the attributes of the professional roles of the
practitioners (Grady et al. 2018).
The same has been done for all the further common themes and subthemes.
How valuable is the research?
The research is extremely valuable as it helps in finding out about the opinion and approaches
regarding and related to the concept of moral resilience as found among the clinicians. The
research has identified the value of moral efficacy and the importance of development of the
coping strategies with the morally distressing situations by the clinical practitioners. Also, the
study expands upon the existing knowledge of moral resilience by a proper and in depth
description of the first hand data (Monteverde. and Defilippis. 2018). The article also expands
upon, and notifies the importance of the associated and incorporated attributes of moral
resilience. The study has also identified the key characteristics and skills that are found and are
associated with this area. Each of the characters of the study area has been provided with
competent understanding. Along with this, the research has also identified the importance of the

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bioethics that are associated with the concept as well as the complex challenges incorporated into
the area of study.
Thus the research has provided areas for further refinement and alignment with existing
resilience research, and this holds the ultimate value of the research.

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Bibliography:
Holtz, H., Heinze, K. and Rushton, C., 2018. Interprofessionals’ definitions of moral
resilience. Journal of clinical nursing, 27(3-4), pp.e488-e494.
References:
Davis, A.J., Fowler, M., Fantus, S., Fins, J.J., Joy, M., Kruse, K., Burgart, A., Lindsey, M.,
Mooney-Doyle, K., Uritsky, T. and Grady, C., 2018. Healthcare professional narratives on moral
distress: disciplinary perspectives. In Moral Distress in the Health Professions (pp. 21-57).
Springer, Cham.
Dehnbostel, P., 2018. Lernen im Prozess der Arbeit als Kompetenzentwicklung. Handbuch
Berufsbildungsforschung, 3, pp.392-399.
Giese, C., 2018. Professionelles Selbstverständnis und Ethik. In Ethische Reflexion in der
Pflege (pp. 21-29). Springer, Berlin, Heidelberg.
Grady, C., Berlinger, N., Caplan, A., Davis, S., Hamric, A.B., Ketefian, S., Truog, R. and Ulrich,
C.M., 2018. Reflections on moral distress and moral success. In Moral Distress in the Health
Professions (pp. 159-171). Springer, Cham.
Heinze, K.E., Holtz, H.K. and Rushton, C.H., 2017. Strategies for promoting high-quality care
and personal resilience in palliative care. AMA journal of ethics, 19(6), pp.601-607.
Lachman, V.D., 2016. Moral resilience: managing and preventing moral distress and moral
residue. Medsurg Nursing, 25(2), p.121.
Monteverde, S. and Defilippis, T.S., 2018. Framing tomorrow’s ethics education: Two steps
back and three steps forward.

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Riedel, A. and Giese, C., 2018. Empfehlungen für eine künftige Ethikbildung der Pflegeberufe.
Ein Beitrag zur Entwicklung einer professionellen und beruflichen Identität. Lehrkompetenz
lehren. Beiträge zur Profilbildung Lehrender. De Gruyter, Oldenburg, Berlin, pp.3-21.
Riedel, A. and Giese, C., 2019. Ethikkompetenzentwicklung in der (zukünftigen)
pflegeberuflichen Qualifizierung–Konkretion und Stufung als Grundlegung für curriculare
Entwicklungen. Ethik in der Medizin, 31(1), pp.61-79.

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