Roddy review

Roddy review

1. Does the available recommendation techniques in the management of osteoarthritis efficient? And is there a more reliable technique of SOR that considers consensus opinion of clinical expertise with best available evidence from research?
2. The independent variables in the research were literature and summary analysis.
3. The dependent variable of the research was the strength of the recommendations gathered from the ratings of the independent variables.
4. The sample size of the research was 10 recommendations.
5. The experimental design was quasi-experimental and observational. The use of traditional method of recommendation was used as a control for the results.
6. The instruments of measurement in table 1 of the paper were reliable and valid for the research as classification was according to the category of evidence and the strength of recommendation basing on recommendations collected.
7. The data types that were included were quantitative and qualitative data.
8. The statistics used were the standard deviations for each recommendation and the mean of VAS. The means and standard deviations obtained were then to calculate the confidence of SOR grouped data by one way ANOVA variance analysis technique to assess the differences between the groups.
9. The researchers concluded that there was a similarity between the SOR and the traditional method by analyzing the differences and the similarities that were available from the similar studies.
10. The error in the results were not included in making conclusions.
11. One primary concern that was noted in the study is that there was no actual number of participants included.

Ganz review

1. Whether the use of evidence-based practice was associated with personal demographic or professional characteristics.
2. Personal data and professional practices considerations by ICU nurses.
3. Describing oral care practice of ICU nurses and defining whether nurses utilize evidence-based practice relating to either personal demographic or professional characteristic.
4. The sample size of the research was 218 practicing ICU nurses chosen regarding their availability from similar organizations of the EBN group members.
5. Quasi-experimental design was used and the control group was data from literature by specialized ICU nurses to compare the data accuracy for conclusion.
6. Instruments of measurement were reliable due to confirmation of professional experience through the features gathered from the ICU nurses and relating to professional characteristics and practice therefore precise conclusion.
7. The research included quantitative, qualitative and descriptive data in concluding the study. The quantitative data included personal data of the ICU nurses, qualitative data included professional practices, and descriptive data was survey on literature done by a committee of experienced ICU nurses.
8. Central tendency, dispersion, and frequency of the data and were used in describing the sample. The results were analyzed using SPSS and ANOVA basing on personal demographic and professional characteristics.
9. They concluded that while nurses ranked oral care a high priority, most did not consider the latest evidence in their practices and this was through comparison of results gotten and literatures available.
10. Errors were controlled by removing the error causing factor.
11. No concerns were recorder.

Analyze and support whether you believe that the changes recommended are statistically valid and sound enough to make practice changes in a hospital

The two researches conducted by the two different groups of researchers had some of the most crucial considerations that were featured inn ensuring that the researches were successful and produced different conclusions that were either sufficient or insufficient to be applied in the broader medical field and therefore making practice changes in the hospital therefore improving services offered. The primary purpose of the essay is defining the relevance of the researches and whether they had an impact in the medical practices in hospitals.

Roddy analysis

The first research by Roddy and the group of researchers involved, the research question was whether there is an efficient available recommendation technique that is used in the management of osteoarthritis and if there is a reliable technique of strength of recommendation (SOR) that considers consensus opinion of clinical expertise with available evidence from research. The research was concluded that there was a similarity between the SOR and the traditional method of analyzing the differences and the similarities that were available from similar studies. The purpose of the research conducted is therefore not of crucial valid or does not introduce any additions to the available measurement of strength of recommendation techniques.

According to Pendleton et al. (2000) in their study “EULAR recommendations for the management of knee osteoarthritis: report of a task force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT)”, the SOR that was on study was similar to the one that was being used to ascertain the differences or similarities in the study by Roddy’s team. The study recommended the strength of recommendation basing on a table rated from A-D and was “based not only on the level of evidence but also on consideration of the following: the eVect size of the intervention; the side eVect profile, the applicability of the evidence to the population of interest, the practicality of delivery; and economic considerations” after these, the results were then analyzed by experts and various recommendations were tabled for further analysis and consideration.

The results of the committee clearly confirms that the research by Roddy and the team did not have any implications that were relevant to changing any practices in the hospital and implement the recommended. Additionally, no further additional features were included that could imply a difference that can be featured in the hospital setting to improve service delivery of health practitioners in hospitals. It is also evident from the sample size that was used, the research would have further recommendations that would increase the considerations in the healthcare recommendations in patients with osteoarthritis. The considerations to improve the practices and simplify the critical method with the inclusion of simpler recommendation techniques that are able to deal with critical conditions would be necessary.

Statistically, it is therefore not validated enough that the research had an impact in practices within the hospital. Furthermore, the research did not statistically prove that the results that were obtained from the research had a valid impact different from the previous techniques available for ensuring that the recommendations provided in patient care with osteoarthritis was different enough nor improved the SOR.

Ganz analysis

Ganz and the team on the other hand did a study where they were primarily studying on whether the use of evidence-based practice was associated with personal demographic or professional characteristic. The study was conducted by the use of professional ICU nurses and the study concluded that most nurses did not consider latest evidence although they ranked oral care a high priority. Additionally, it was also found that the level of evidence-based practice was not related to personal demographic nor professional characteristic of the nurses. The study led to a recommendation that all nurses regardless of personal characteristics needed to be involved in educational programs related to oral care and evidence based practices as it would improve utilization of written protocols basing on current evidence to decrease VAP in their units of work.

Looking at the basis and the foundation of the study, it is evident that the research has an impact on the current healthcare practices by both ICU nurses and also other nurses in their practices. The study impacts the healthcare system effectively as the data that was collected was from professional ICU nurses who were still in their line of duties. The impact of the data collected affects most practicing and those interested in the nursing profession. Furthermore, the number of nurses used, although not dispersed in various locations, were tangible and were dispersed in various departments within the ICU system each working under varied conditions.

Various recemnt researches regarding evidence based practice conclude mostly that evidence-based practice is an essential part in healthcare practices. A research conducted by Chamberlain, Pollock, and Fulbrook (2018) was mainly featuring on evidence-based practice and the safety of those under care. The research concluded that in the current healthcare system, most employ the use of evidence-based practice in ensuring the safety of patients under their care. Furthermore, the research insisted on the relevance of inclusion of evidence-based practice in achieving best patient outcomes maintenance of a sustainable intensive care nursing workforce.

The research is therefore considered to be impactful in encouraging the inclusion of evidence-based practice in hospitals. Practicing ICU nurses deal with crucial care for patients and this needs constant care and constant dependent on current evidence to ensure that patients receive maximum care and support. The research conducted by the team of Ganz is therefore valid as it has an impact in practices within the hospital. Furthermore, the recommended inclusion of evidence-based practice by the team can be seen t be included in the education of training nurses. In most nursing schools, nurses are trained on evidence-based practice and how to undertake the practices. The practice is also insisted in most hospitals therefore validating the study effectively.

References

Chamberlain, D., Pollock, W., & Fulbrook, P. (2018). ACCCN Workforce Standards for Intensive Care Nursing: Systematic and evidence review, development, and appraisal. Australian Critical Care, 31(5), 292-302.

Ganz, F. D., Fink, N. F., Raanan, O., Asher, M., Bruttin, M., Nun, M. B., & Benbinishty, J. (2009). ICU nurses’ oral‐care practices and the current best evidence. Journal of Nursing Scholarship, 41(2), 132-138.

Pendleton, A., Arden, N., Dougados, M., Doherty, M., Bannwarth, B., Bijlsma, J. W. J., … & Hauselmann, H. J. (2000). EULAR recommendations for the management of knee osteoarthritis: report of a task force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT). Annals of the rheumatic diseases, 59(12), 936-944.

Roddy, E., Zhang, W., Doherty, M., Arden, N. K., Barlow, J., Birrell, F., & Hosie, G. (2006). Evidence‐based clinical guidelines: a new system to better determine the true strength of recommendation. Journal of evaluation in clinical practice, 12(3), 347-352.