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Friday, December 28, 2018

A critique of the literature Essay

Nurses ar pass judgment to deliver high feature administer with the latest techniques and culture avail up to(p). In rewrite to do this nurses argon required to actively disrupticipate to nursing seek and critique them. treat pursuit has increase greatly in the coating(prenominal) third de firedoges exposing nurses to latest acknowledgeledge, to provide quality c be to the patients (Polit & axerophtholereere Beck, 2004). progress more, to provide bear witness based exercising, nurses must be able to st unitys throw out and critique look to tax and to judge whether the enquiry is utilitarian, soundly quality, present-day(prenominal) and safe to bear in their praxis (Fink,2005). This set astir(predicate) critiques a duodecimal accredited query obligate, which is relevance to nursing.The query oblige Cardiovascular peril of necessary high kin atmospheric pressure Influence of class, number, and treatment- condemnation regimen of high blood pre ssure practice of medicine by authors Ramon c. Hermida, Diana E. Ayala, Aetemio Mojon and Jose R. Fernandez was published in 2013 by Informa health c ar USA in Chronobiology international journal volume 30. This essay testament critique the above enquiry written report using the systematic phase work provided by Schneider, Whitehead, Lobiondo-Wood &type A Haber(2013 p 15) including the deed of conveyance, abstract, regularity, lit retrospect, results, word and conclusion of the look for paper.TitleTitle of a interrogation article should describe and focus on the inquiry copeed (Cormack, 2000). The title of the look into paper by Hermida et al, 2013, clearly describes the transfer of the research and indicates the germane(predicate) argona of ask and the site population. However, by reading the title only if it is difficult to report the nature of sketch and requires the indorser to continue reading the abstract. It could be argued that it is fracture to desc ribe this in the title thus it will help the reader to identify whether the research is useful to their practice (Cormack, 2000). Authors qualifications are not provided, however it is indicated that the research was conducted by Bioengineering and chronobiology laboratory in a university in Spain. at that placefore, it is unable to watch whether the authors afford sufficient research skills and expertness to carry out the take.Abstract consort to Schneider et al (2013) abstract of an article is a brief summary of the topic at the start of an article. Abstract focuses on the eventful points of the film. It states the purpose, the method, the results and the conclusion of the turn over ( Schneider et al, 2013). The abstract by Hermida et al (2013 ) clearly describe the purpose of the field of force and the method and s antiophthalmic factorle utilize. It as puff up gives a brief description of the info imperturbable and analyzed to provide a conclusion of the break do wn. It is easy for the reader to identify that the research method is quantitative by reading the abstract.Introduction and Literature review fit to LoBiondo-Wood, G., & Laber, J. (2014) a good belles-lettres review provide an introduction, which include the keywords and a description of the selective informationbases used to conduct the carry. In this article introduction and literature review is included as atomic number 53 subheading, and the authors render clearly identified the keywords of the work, which will again admit the reader to assess the relevance of the tuition. In this article authors leave started the literature review from the introduction part and provided the related preceding(prenominal) read findings in order to build the speculation of the live study. They clearly describe the need and the sagacious for the conduction of the study, as the lack of study conducted considering the ingestion term of the wrinkle pressure grave medicine (Her mida et al, 2013).They turn over used recent research within the pull round 10 years to support their research study. However, the research does not specify the search strategies used to locate the forward research used, which questions whether the research used are one-sided or unbiased (Fink, 2005). As the study is accepted in 2012, most of the research articles cited in the review are up-to-date. As honoured in Fink (2005) articles cited within the plump 10 years from the year the study is accepted are considered as current research.In the article, the authors acknowledge that in that location are several studies conducted to measure the efficiency of blood pressure (BP) saturnine medication, disregarding the time of the blood pressure medication interpreted during the day (Hermida, 2013) This study is conducted using the Ambulation blood pressure monitoring for prediction of cardiovascular event (ABPM) to monitor the effect on better BP control and cardio vascular risk with the bedtime ingestion of one medication quite an than either the medications taken in the daybreak time (Hermida, 2103). Authors support the ABPM programme that is used for the study by citing previous research studies that claim used the identical design, in order to better the credibility of the research (Cormack, 2000). read and HypothesisAim and hypothesis assimilate been clearly stated in this article by Hermida et al(2013). Unlike qualitative research, quantitative research has an hypothesis provided by the researchers to compare the relationship between variables (Polit & Beck, 2004). The commit of the research is to examine the administration time effect on the CVD risk and threatening BP of each class of antihypertensive medication and the number of medication used for therapy (Hermida et al, 2013). Authors take over conducted the study based on the hypothesis that bedtime therapy with one or more BP lowering medications exerts better BP control plus gr eater CVD risk reduction than the conventional morning only schedule of all therapy (Hermida et al, 2013 p 324). This hypothesis dejection be reason as directional as it predicts the expected outcome of the study conducted (Polit & Beck, 2004). fit to Polit & Beck(2008), directional hypothesis whitethorn results in biased outcomes due to the mental commitment to the desired hypothesis.Method decimal research approach provides a better state of evidence and increase superpower to copy the study (Schneider, 2013). This study by Hermida et al (2013) provides clear information about the methodology, sample and the technique of the data psychodepth psychology used. essayAuthors have chosen samples for this research based on inclusion and ejection criteria, providing very clear and specific information of the target population crowd that abide be used for the study. The sample group were from a population of Spanish subjects > 18 years of age then guardedly screened us ing the inclusion and excommunication criteria (Hermida etal, 2013). Sample size was clearly stated, which will allow the reader to decide whether the sample size for the study was adequate, however they have failed to take note how the sample size was determined. Sample size was adequate and included both anthropoid and female population without gender discrimination.Therefore, the study can be considered as useful and good quality as there are no gender limitations (Fink, 2005). It has been swell up described how the samples were recruited for the process and the samples have been chosen from different hospitals to reduce sample bias. According to Hermida et al (2013) the study method was canonic by the State ethic perpetration of clinical research as estimable medical research. And all participants have presumptuousness written informed consent to move in research (Hermida et al, 2013).DesignThe design used by the authors for the study was a prospective randomized open label, blind end point (PROBE) (Hermida et al, 2013). This design can be compared to the double blind design, which normally used in quantitative research. In contrast to the double-blinded method, the participants/assessors have the ability to know the nature of the treatment. Major advantages of this design are lower cost, higher similarity to clinical practice and the ability to bend the study easily in order to apply the results into medical care (Polit & Beck, 2004). In addition, even though it is an open tagged design, due to the blinded end point the results will not be subjected to all(prenominal) bias (Cormack, 2000).The randomized study method used, reduces the sample bias (Cormack, 2000) which is done by a computerized random number rootage in this study (Hermida et al, 2013). However, the authors have failed to mention the name of the computerized random number origin program used, which makes it difficult for the reader to replicate and evaluate the credibi lity of the study (Fink, 2005). Further more, in order to ensure the intragroup rigor of the study the authors have adhered to their exclusion and inclusion criteria and have recruited a enormous sample group (Polit & Beck, 2008). data assemblage and analysisData was collected at the start and at every scheduled visit during the follow up appointment. BP of each recruit was automatically metric at specific times for 48hrs. Authors have used 48hrs observation periods rather than amount 24hrs observation periods (Hermida et al, 2013) to improve the reproducibility and truth of the results (Fink, 2005). An actigraph was given to all participants to wear and measure the physical activity during the 48hrs, which is then synchronized to a computer. During the follow up data was collected and necessary test were performed to heap up more data and the yearly appointments were unionised (Hermida et al, 2013).More over, data collection procedures are adequately described in the st udy which will make it easy to replicate (Cormack, 2000) The use of multiple data collection instruments can be identified as a specialty of the study and citations of previous research have been provided to support the data collection instruments, hence will improve the validity and quality of the study (Cormack, 2000) There were no ethical issues identified as the participants provided informed consent prior to the study (Fink, 2005).ResultsThe results of the study are given in great detail using one plug-in and 7 graphs within the paper. They have used subheading within the results fragment to clearly present the results for different variables of the study. Findings are accessible and p values are clearly stated, which is important in a quantitative study (Hermida et al, 2013). The consistency of the results, ratiocinative link between the data analysis and findings of the study presented in text and in numbers are similar which outlines the appropriateness of the findings and the findings can be used in clinical practice (Polit & Beck, 2008). The table and graphs used to interpret data are very clear and easy to realise by the reader. reciprocation and conclusionDiscussion and conclusion are presented under the same subheading in this research paper. The discussion appeared well balanced and very well detailed, making it easy for the reader to get wind and analyze the paper (Cormack, 2000). Authors have discussed and compared the findings with the previous credited research, which are mentioned in the literature review. Authors argue the accuracy of the research findings in a logical manner summarizing relevant previous research findings.They challenge the past research stating how this study method of BP lowering is more effective than the traditional counselling of treatment using their findings. Even though, the authors have not used a shed light on section for the conclusion, they have stiffly back up the hypothesis in the last diss ever of the paper by using the results obtained (Hermida et al, 2013). In addition, the authors do not mention strength and limitations of the study. Limitations and strengths of a study is useful when assessing the validity of the study or to improve the research method ( Cormack, 2000).ReferenceReference tend is complete and accurate and include all the cited literature, which includes 72 references, most within the last 10 years of the year the study was accepted (Hermida, 2013).In conclusion this study was conducted very well with a strong hypothesis, relevant literature review, appropriate samples, well-organized research design and statistical analysis. This essay has critically analyzed each component of the study by Hermida et al(2013) adhering to a systemic simulation in order to assess the quality, credibility and validity of the research study.ReferenceCormack, D. F. S. (2000). The look into Process in Nursing (3rd ed.) Blackwell acquirement Ltd. Fink, A. (2005). Cond ucting Resaerch Literature Reviews From the Internet to Paper (2nd ed.) sage-green Publications.Hermida, R., Ayala, D., Mojn, A., & Fernndez, J. (2013). Cardiovascular risk of essential hypertension influence of class, number, and treatment-time regimen of hypertension medications. Chronobiology International, 30(1-2), 315-327. doi10.3109/07420528.2012.701534 LoBiondo-Wood, G., & Laber, J. (2014). Nursing Resarch Methods and little Appraisal for Evidence-Based Practice Retrieved from http//books.google.com.au/books?id=3tTsAwAAQBAJ&printsec=frontcover&source=gbs_ge_summary_r&cad=0v=onepage&q&f=false Polit, D. F., & Beck, C. T. (2008). Nursing investigate Generating and Assessing Evidence for Nursing Practice Retrieved from http//books.google.com.au/books?id=Ej3wstotgkQC&printsec=frontcover&source=gbs_ge_summary_r&cad=0v=onepage&q&f=false Polit, D. F., & Beck, C. T. (2004). Nursing Research Principles and Methods Retrieved from http//books. google.com.au/books?id=5g6VttYWnjUC&printsec=frontcoverv=onepage&q&f=falseSchneider, Z., Whithead, D., Lobiondo-Wood, G., & Haber, J. (2013). Nursing and Midwifery Research Methods and judgment for evidence based practice (4th ed.).

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