Friday, December 6, 2019

Evaluating Quality of Qualitative Research-myassignmenthelp.com

Questions: 1.Was there a clear statement of the aim of the research? 2.Is a qualitative methodology appropriate? 3.Was the research design appropriate to address the aims of the research? 4.Was the recruitment strategy appropriate to the aims of the research? 5.Were the data collected in a way that addressed the research issue? 6.Has the relationship between researcher and participants been adequately considered? 7.Have the ethical issues been taken into the consideration? 8.Was the data analysis sufficiently rigorous? 9.Is there a clear statement of findings? 10.How valuable is the research? Answers: Introducation: It was studied that proponents of evidence based healthcare advocate acquiring the explicit knowledge from international research as well as applying it into the practices. However, the parallel vogue for experience or knowledgeOperations management into the industries has insisted on the techniques to elicit and share practitioners tacit knowledge (2). In addition, the increasing influence of regional context on attempts to change clinical practice has presented almost unbeatable barriers to the search for simple generalized methods for performing the research evidences. Moreover, it is learnt from the article that the evidences from psychologists regarding the role of shortcuts such as scripts, heuristics and other clinical decision-making, which itself tends to play down the social as well as organizational context, has usually overlooked in the over-rationalists model in evidence based health care. The authors have particularly mentioned that appropriate execution of research evidence could include an intensive understanding of the techniques of collective sense-making based on which both, explicit and tacit is usually negotiated, constructed into the regular practice. An intensive discussion on evidence-based research also helps to unprocessed research information is transferable into knowledge in practice at several levels. Thereby, it is quite relevant and helpful to consider evidence based healthcare discretely-social movement carrying clear values as well as convention, regional context based on which evidences based policies are formed, individual clinician applying the globally accepted approach. Techniques used in the study The article is based on the exploration about how primary care clinicians acquire their individual and collective healthcare decisions. As this is an ethnographic article, it has used some standard methods such as observation, semi-structured interview and the review of existing documentation (5). The authors have analyzed the data thematically. In order to gain the outcome with empirical evidences, the authors have considered two different organizational setting; one is located in South of England and other one is located in North England. The data collected for the analysis is authentic as the data is collected from the reliable sources. For primary analysis, a particular number of respondents have been involved in the study. The major participants are doctors, nurse, phlebotomist, associated medical staff and others who have genuine knowledge regarding the context. Result derived from the study After applying a set of research methods, the authors have found that individual usually do not go through the steps that are conventionally associated with the liner-rational model of evidence-based healthcare. The study indicates that hardly a number of staff go through the clinical guidelines available to them both in digital and paper format. Most of the staffs have mentioned that they go through those guidelines in their leisure time. Moreover, it was also found that clinicians hardly used or accessed the explicit evidences directly from the researches or other formal sources. Evaluating the quality of Gabby May paper with CASP question heading ( Such as Strength and Weakness) 1.Yes, the article has a clear statement related to the context. The major aim of the research was to explore how primary care clinicians obtain their individual as well as collective healthcare decisions. Any research should set criteria to lead the research towards the desired direction and gain expected outcome (6). Even though, the medical science has improved a lot and it applies innovation in the practices, it is important to learn what and how primary clinicians make their collective decision-making. This study paper uncovers the fact that clinicians rarely use the clinical guidelines to make their collective healthcare decision. 2.The study tries to interpret the subjective actions such as the ethnography underpinned the data collection, analysis and interpretation of the research paper. The study gained the access to two different but highly regarded general practices. In addition, the study lights up the ways in which the process of collective sense making based on which both explicit as tacit knowledge is processed, constructed and incorporated into the routine practice (4). 3.The ethnographic study applied some standard methods using a plenty of time for analysis. In order to gain the authentic outcome from the application of techniques, the authors have purposely gained the access to different healthcare setting. Over two, the authors have studied all the practitioners, their use of information and knowledge in clinician patents communication in the practitioners surgery. All actions and initiative applied by the staff of the selected healthcare practices have been observed for two years. Such techniques and time helped the author to gain the authentic results from the study (8). Thus, it can be mentioned that research design used in the study was appropriate. 4.The authors did not mention the recruitment strategy but the type of respondents involved in the data collection was clearly mentioned in the study. However, the authors have probably recruited the candidates based on particular sample and criteria, as the general respondents cannot be involved in the study for analysis, as the research context requires experienced practitioners and healthcare staff only who have worked for long in the healthcare setting. In addition, based on the recruitment strategy used in the study, 9 doctors, 3 nurses, 1 phlebotomist and other associated medical staff was involved. 5.It is certain that data used for the analysis addressed the research issues as for the collection of data, the authors not only analyzed the use of information and knowledge of the practitioner, the authors collected data by using non-participant observation as well as semi-structured formal as well as informal interview. Moreover, the data were collected by observing the patient and clinicians interaction in the surgery in the practice setting. 6.Even through, no discussion has been provided about the researcher and participant relationship in the study, but the study reveals that the authors knew healthcare practices selected for research before they start conducting the research. 7.Every piece of research requires ethical grounds to be considered (2). The authors involved different category of healthcare professional such as GP, Nurses, and other staff from two different healthcare setting. However, it is certain that authors considered the ethical grounds as the identity of general setting has not been disclosed in the paper. Moreover, the authors did not mention any name of the participants. However, based on a usual assumption, it can be mentioned that authors took the consent of the setting and their staff because without the consent, access to internal practice may be denied. 8.Using different types of data collection methods, the authors provided an intensive analysis regarding the clinicians individual and collective decision-making process. As the authors gained the opportunity to observe and record the real interaction of patient and clinicians, the analysis was made on the actual interpretation (3). 9.The findings provided in the study are clear and comprehensible and the findings were presented with two multiple sections to understand the respective facts related to the topic. In addition, the abstract of the research provides the brief of the findings. 10.The study provides valuable information regarding how clinicians use their individual clinical decisions. It uncovers the conventional clinicians decision-making practices. It helps to learn that only a few numbers of people is reliable on the linear rational model of evidences based on healthcare. However, the research lacks an appropriate recommendation. Concluding the essay The study conducted by Gabby May helps to learn several unknown facts regarding the clinical practices. The authors selected a significant topic and conducted the research, which is rare but important. The paper effectively explored the facts and events of clinical facts of primary care with evidences. The study reveals that the popularity and promotion of evidence based healthcare over the past few decades resulted in several dilemmas. As this is an ethnographic article, it has utilized some particular standard methods such as observation, semi-structured interview and the review of existing documentation (7). Most importantly, the study helps to learn how an EBM can be used and how doctors and other healthcare staff use it into their practice. People are usually accustomed with the idea that doctors often follow the clinical guidelines. The study reveals that the clinical guidelines are only used when the practitioners have to attend a practice meeting or they encounter a critical patient condition. In addition, the findings of the study certainly change the way people usually think of the use of EBM. The previous studies, theories and other observation hold the belief that evidence based medicines are used following the guideline and mandatory verbal instruction. However, the study reveals that the doctors usually look for the shortcuts and they rely on the trusted sources such as magazines of trusted doctors. Based on the findings of the study, it can be added that primary care should change their ways of using EBM to avoid risk. References Braun V, Clarke V. Using thematic analysis in psychology. Qualitative research in psychology. 2006 Jan 1;3(2):77-101. Gabbay J, le May A. Evidence based guidelines or collectively constructed mindlines? Ethnographic study of knowledge management in primary care. Bmj. 2004 Oct 28;329(7473):1013. Horlocker TT, Wedel DJ, Rowlingson JC, Enneking FK, Kopp SL, Benzon HT, Brown DL, Heit JA, Mulroy MF, Rosenquist RW, Tryba M. Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines. Regional anesthesia and pain medicine. 2010 Jan 1;35(1):64-101. MacIntyre NR. Evidence-based guidelines for weaning and discontinuingOperations ventilatory support: a collective task force facilitated by the American College of Chest Physicians; the American Association for Respiratory Care; and the American College of Critical Care Medicine. Chest Journal. 2001 Dec 1;120(6_suppl):375S-96S. Reeves S, Albert M, Kuper A, Hodges BD. Why use theories in qualitative research. Bmj. 2008 Sep 13;337(7670):631-4. Saarni SI, Gylling HA. Evidence based medicine guidelines: a solution to rationing or politics disguised as science?. Journal of Medical Ethics. 2004 Apr 1;30(2):171-5. Szczepiorkowski ZM, Winters JL, Bandarenko N, Kim HC, Linenberger ML, Marques MB, Sarode R, Schwartz J, Weinstein R, Shaz BH. Guidelines on the use of therapeutic apheresis in clinical practiceevidence?based approach from the apheresis applications committee of the American Society for Apheresis. Journal of clinical apheresis. 2010 Jan 1;25(3):83-177. Yardley L. Dilemmas in qualitative health research. Psychology and health. 2000 Mar 1;15(2):215-28.

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