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1. select one current nursing qualitative research article that can be translated into evidence-based practice. Review the article and complete the worksheet provided. Your analysis

1. select one current nursing qualitative research article that can be translated into evidence-based practice. Review the article and complete the worksheet provided. Your analysis will include the required elements of the research process. Identify the steps or elements of the study. Determine the strengths and limitations of the research study, including the components of rigor. Evaluate the credibility and meaning of the study findings. (please provide the direct link for the permalink)

- What is the identified research problem? Does the author include the significance and background of the problem?

- Did the author clearly articulate the research purpose? What was the purpose of the research?

- Identify the study methodology.

- Did the article include a relevant review of the literature? Explain.

- Describe the theoretical framework for the research study?

- Identify the components of the qualitative research study.

- Describe the results of the study along with identified strengths and limitations. Include appropriate terms for rigor in quantitative research

- Discuss the findings, including relevancy to clinical practice.

- Permalink for the article selected.

2. Describe one area of the critical appraisal you found incomplete including a supporting rationale.

Describe one area of the critical appraisal which provided new knowledge.

Describe the new knowledge gained including how you will apply in future critical appraisals of research.

(this number (2) (questions) are for both a and b, do not need to be long)

a. https://doi.org/10.1097/NNR.0000000000000040

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What is the identified research problem? Does the author include the significance and background of the problem? The research problem investigated was how the role of supportive people in social networks was helpful for ex-smokers when going through the process of quitting. The authors do include the significance and background to the problem. (Andersen & Owen, 2014) Did the author clearly articulate the research purpose? What was the purpose of the research? The authors clearly identified the research purpose: Was the help of another person important? (Andersen & Owen, 2014) Identify the study methodology. The authors used grounded theory. Participants responded voluntarily to a flier posted on a college campus. Interviews were conducted with 16 participants from diverse demographic backgrounds. Purposeful sampling was used to analyze the data. (Andersen & Owen, 2014) Did the article include a relevant review of the literature? Explain. The introduction to the paper was a significant literature review of the problem of smoking, difficulty of quitting, analysis of characteristics that other researchers have found useful for people who have successfully quit smoking, and an assessment of research on smokers who have tried and failed to quit. (Andersen & Owen, 2014) Describe the theoretical framework for the research study? The theoretical framework of the study was grounded theory. (Andersen & Owen, 2014)Identify the components of the qualitative research study. Selection of subjects: Self-selected volunteers that had quit smoking and worked or went to school at the University campus. Researcher-participant relationship: The relationship was that of interviewer & interviewed. Data collection methods: In-person interview lasting 45-60 minutes. Data management: Transcripts of interviews were audio recorded. NVivo 7 software was used to manage recording data and investigator notes. Data Analysis: Analysis began with a debrief of the interviewer by fellow researchers immediately after the interview session. Interpretation: Key constructs and relationships were identified during analysis. (Andersen & Owen, 2014) Describe the results of the study along with identified strengths and limitations. Include appropriate terms for rigor in qualitative research Results: The study identified the 3 common qualities of helpers, 2 common methods that helpers built their relationship with the quitter, and 3 common manners by which the helps facilitated a new non-smoking environment during the initial phase of quitting smoking. Limitations: The study included a small sample size, the sample size was localized to the geography of one college campus, and all but one of the sample were white and employees of the University. The use of grounded theory is constructivist, creating an abstraction which is the interpretation of the researchers. Strengths: The study succeeded in their purpose of interviewing former smokers about the help they had at the time of quitting and how that help had aided them to remain abstinent. (Andersen & Owen, 2014) Discuss the findings including relevancy to clinical practice. The relationships described by the smokers in quitting smoking and achieving abstinence are have similarities to the relationship between sponsors and sponsees in Alcoholic Anonymous. The similarities reiterate the role of supportive social networks, even if it is one single person, for an addict to quit and remain abstinent from their drug of addiction. The relevancy of this to clinical practice is to promote the use of this phenomenon during education on smoking cessation to patients. (Andersen & Owen, 2014)What is the identified research problem? Does the author include the significance and background of the problem? Dementia is the most common cause of institutionalization among adults over 65 years old. However it is hard for individuals with dementia to make decisions about long term care duc to their cognitive decline. Family caregivers also do not receive sufficient guidance about this decision and caregivers often feel guilty that the person with dementia is not involved in the their transition to long term care. There are few interventions to improve the process of supported decision making about transitions to long term care. The author stresses the significance of this problem and provides a concise background of the problem. Did the author clearly articulate the research purpose? What was the purpose of the research? The author articulated the research purpose clearly in the article. The purpose of this research is to describe the perspectives and attitudes of people with dementia and their family caregivers towards making decisions about intuitional care placement, thereby assisting to identify strategies to facilitate decision-making processes. Identify the study methodology. Qualitative study. They are using a qualitative study to describe and understand the decision making experiences across different populations and health care contexts. Did the article include a relevant review of the literature? Explain. The article provides a relevant review of literature. The article did not have much literature to review but it discussed the gap in literature about the research problem. The literature it does review are relevant to the problem and are relatively recent studies.Describe the theoretical framework for the research study? The perspectives of people with dementia and their family caregivers can guide and inform strategies for supporting decision making at all stages of the transition to institutional care. This will improve health and quality of life outcomes for older adult populations. Identify the components of the qualitative research study. Procedure: The author followed the Enhancing Transparency of Reporting the Synthesis of Qualitative research (ENTREQ). The used qualitative and mixed-method studies that reported experiences and perspectives of adults with dementia and their family caregivers. Their literature included 29 articles which involved 34 people with dementia and 213 family caregivers. They identified 5 themes: ensuring safety, reaching breaking point, vulnerability in lacking support, avoiding guilt of abandonment, and seeking reassurance and validation. Describe the results of the study along with identified strengths and limitations. Include appropriate terms for rigor in qualitative research Results: Attitudes towards placement decisions differed depending on the caregivers relationship to the person with dementia. Unwillingness to institutionalize the person with dementia tended to be felt more strongly with spousal caregivers. Caregivers who places a parent with dementia into institutional care appeared to feel greater relief from duties of care. Cultural backgrounds had different perspectives towards institutionalization. Strengths: The only used data that fit their criteria and were able to differentiate their findings across the study. They also were the first to examine this gap in literature and provided steps for additional studies. Limitations: They had a small sample size and used past studies instead of doing interviews. Most of the studies were conducted in high-income and English-speaking countries, which may limit the findings of other populations. There may be some issues with their rigor than since it may have some validity issues. Discuss the findings including relevancy to clinical practice. Their discussion suggest that person-centered communication can mitigate the anxiety and guilt of making decisions and empower people with dementia to participate in their care placements. More of the population is aging and this is one strategy to help transition dementia patients into long term care. By doing so, patients will improve their quality of life and health outcomes

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