Critical Appraisal of Khatiban et al. (2016) Research: Nursing Study

This report offers a critical appraisal of the research article by Khatiban et al. (2016), focusing on the application of Neuman System Theory in intensive care units (ICUs). The appraisal begins with an evaluation of the title and abstract, noting their congruence with the research questions and clarity. The introduction is examined for its articulation of the research problem and the suitability of the qualitative approach. The report then assesses the methods, highlighting the appropriateness of the data collection techniques and the rigor of the inclusion criteria. The results section is evaluated for its data analysis methods, including themes and their congruence to the nursing theory. The discussion section is analyzed for its comprehensiveness and implications of the findings in nursing practice. Overall, the research is deemed well-structured and contributes valuable insights into family-centered practice in stressful environments within ICUs, offering guidance for nurses on how to deliver it without harming patient and nurse wellbeing. The report concludes by summarizing the strengths and limitations of the study, emphasizing its relevance to nursing practice.

EVALUATION #8
Critical appraisal of a research study including the theoretical framework applied
Content to be presented
 The article by Khatiban et al., (2016), will be critically appraised on the details
captured by the title and abstract.
 The critical appraisal will also explore the theoretical underpinnings and
comprehensiveness of introduction and literature review prevalent in the
study.
 The article by Khatiban et al. (2016) will be appraised on the appropriateness of
data collection methods used.
 The article by Khatiban et al. (2016), will be appraised on the
comprehensiveness of results and congruence to research question.
 Lastly, the study will be appraised on the discussion and overall implication
of findings.
Critical appraisal:
Title and Abstract: The title is well reflective of the main phenomenon of exploring
the Neuman Theory. The title also reflects the study’s exploration of population groups
working within the intensive care unit of healthcare organizations (Kozier et al., 2017;
Khatiban et al., 2016). Such observations demonstrate congruence with the research
question and make it easy for the reader to understand the research contents (Yardley,
2017). The abstract of the study by Khatiban et al., (2016) provides a more detailed and
specific information of the key population groups covered as well as provides a concise
yet elaborate summary of the research issue, the article screening methods used as well
as the impact of the theory on each group of patients, families and nurses within the
intensive care unit (Kozier et al., 2017; Khatiban et al., 2016) Such a detailed abstract
enables readers to understand the context and issues explored by the study before
proceeding into a detailed reading (Yardley, 2017).
Introduction: The research problem and the phenomenon of interest in understanding
the impact of practical nursing theory can be easily identified and is clearly stated in
the introduction in the study by Khatiban et al., (2016). The problem is significant for
nursing research since it focusses upon the stressful nature of the nursing profession as
well as the work conducted in intensive care units and how Neuman Systems Theory
can be used to assist nurses to identify potential stressors which can compel them to
feel stressful and in turn, strengthen their line of defense. This problem is also
significant since it assists nurses in helping patients achieve positive wellbeing in a
stressful environment (Khatiban et al., 2016). The qualitative approach of a systematic
review is suitable since it allows the inclusion of a large amount of qualitative data
from evidence based researches which have studies the subjective experiences both
patients, families and nurses in the intensive care unit (LoBiondo-Wood & Haber,

EVALUATION #8
Critical appraisal of a research study including the theoretical framework applied
2017). A complete literature review has been presented in the study by Khatiban et al.,
(2016), in the form of clearly discussing the key aspects, application and outcomes of
the nursing theory before proceeding into the main discussion (Kozier et al., 2017;
Khatiban et al., 2016). This demonstrates congruence to the research question and is
convenient to assist readers in understanding the knowledge and basis for the new
study (Spurlock, 2017). The study by Khatiban et a., (2016) can also be found to
clearly state the key concepts of physical and environmental factors discussed by
Neuman Systems Theory. While the concepts discuss reflect congruence to the
identified research questions, there is however no mention by the authors that the study
is associated with a phenomenological research tradition (LoBiondo-Wood & Haber,
2017). Nevertheless, the key research questions identified by Khatiban et al., (2016),
can be found to be explicitly be congruent to the theoretical concepts of outcome and
effects of Neuman Systems Theory on nurses, patients and families in the intensive
care unit.
Methods: It can be observed that the data collection methods of systematic review of
qualitative studies was well fitted with the phenomenological research tradition.
Inclusion of primary interview data would have however been useful considering the
publication bias limitations of secondary data included in systematic reviews
(Spurlock, 2017). A comprehensive inclusion criteria used by Khatiban et al., (2016)
was reflective of the inclusion of a sample appropriate to the research question. The
authors also qualitative appraised the research of all articles and conducted a pilot
article screening thus demonstrating adherence to research rigour. The richness of data
collection was reflected in the comprehensive databases and flow charts used by the
authors (Kozier et al., 2017; Khatiban et al., 2016)
Results: A suitable data analysis method was used by Khatiban et al., (2016), in the
form of themes designed as per the research questions. While the themes and
underlying discussion demonstrate congruence to the identified nursing theory, the
absence of adequate quotations are a key limitation (Cypress, 2017).
Discussion: Upon examination, a comprehensive set of findings have been presented
by Khatiban et al., (2016), in the form integrating them into patient, family and nursing
contexts. The study by Khatiban et al., (2016), discusses research implications by
expounding how findings will inform nurses on improved family centered practice
deliverance. There is however little information on the inability to transfer these
findings to other healthcare organization units (Cypress, 2017).
Overall: Overall, the research is well structured into various population contexts and
contributes meaningful information on how intensive care nurses can simultaneously
practice family centered in stressful environments. In conclusion, this article in relevant
in understanding nursing practice of family centered practice and contributes to guiding
nurses on how the same can be practiced in stressful environments without harming
nurse and patient wellbeing (Khatiban et al., 2016).

EVALUATION #8
Critical appraisal of a research study including the theoretical framework applied
References
Cypress, B. S. (2017). Rigor or reliability and validity in qualitative research:
Perspectives, strategies, reconceptualization, and recommendations. Dimensions
of Critical Care Nursing, 36(4), 253-263.
Khatiban, M., Oshvandi, K., Borzou, S. R., & Moayed, M. S. (2016). Outcomes of
Applying Neuman System Theory in Intensive Care Units: A Systematic
Review. Crit Care Nurs J., 9(4), 1-7.
Kozier, B. J., Glenora Erb BScN, R. N., Berman, A. T., Snyder, S., Madeleine Buck, R.
N., Ferguson, L., & Lucia Yiu, R. N. (2017). Fundamentals of Canadian nursing:
Concepts, process, and practice. Pearson Canada.
LoBiondo-Wood, G., & Haber, J. (2017). Nursing research-E-book: methods and critical
appraisal for evidence-based practice. Elsevier Health Sciences.
Spurlock, D. R. (2017). Measurement matters: Improving measurement practices in
nursing education research. Journal of Nursing Education, 56(5), 257-259.
Yardley, L. (2017). Demonstrating the validity of qualitative research. The Journal of
Positive Psychology, 12(3), 295-296.