Systematic review

Critique of Systematic Reviews Two systematic review articles will be critiqued and compared in this paper. Article A is titled systematic review and meta-analysis of adverse events of low-dose aspirin and clopidogrel in randomized controlled trials authored by Kenneth McQuaid and Loren Laine. Article B is titled platelet function testing in transient ischemic attack and ischemic stroke: a comprehensive systematic review of the literature by Soon Lim, Catherine Coughlan, Stephen Murphy, Israel Cadenas, Joan Montaner, Vincent Thijs, Lars Marquardt and Dominick McCabe. The study question of article A is to explore the risk of adverse events with the antiplatelet medications such as aspirin and clopidogrel. The framing of the question is clear, unambiguous and structured. This paper focuses on defining the risk of bleeding events and other noncardiovascular adverse reactions with commonly used antiplatelet agents through a systematic review. This topic is highly relevant to the nursing as there are increasing numbers of patients…

clinical expertise and patient’s preferences to make clinical decisions. Often, the available evidence is so vast that finding the appropriate course of action becomes a daunting process. Consequently, the critical appraisal of evidence has become a valuable skill to clinicians. Evidence is ranked in a hierarchy system. The highest level of evidence include systematic reviews, which are a compilation of studies that address a particular clinical question (Melnyk & Fineout-Overholt, 2015, p. 11).…

Quantitative Article Sisson, H (2015) Aspirating during the intramuscular injection procedure: a systematic literature review. Journal of Clinical Nursing, 24, 2368–2375. The following identify how the researcher addressed the five areas of the selected journal article: •background or introduction: The aim of this study was to review current practice regarding aspirating during intramuscular (IM) injections and to propose guidance for future practice. The introduction discusses the fact that…

Evidence Based Practice Evidence based practice is of great importance in nursing because keeping ones practice up to date with credible well thought out information helps improve healthcare outcomes. This short essay will discuss the importance of evidence based practice, the promotion of better patient outcomes, as well as the importance of research and rigor when finding credible studies. The importance of Evidence based practice cannot be underestimated enough due to the fact that evidence…

breast cancer screenings by the U.S. Preventive Services Task Force (USPSTF). A CPG is a statement that compiles the highest level of evidence-based research from systematic research reviews (SRR) and other research to direct practitioners with appropriate health care interventions (Sriganesh, Shanthanna, & Busse, 2016). This breast cancer CPG’s scope, purpose, stakeholder involvement, rigor of development, clarity, and applicability will be critiqued in detail. Scope and Purpose of the Clinical…

Critical appraisal involves assessing the methods used in a study or a systematic review, to see whether the authors have followed the right steps, been clear about how they have undertaken the study. In order to identify studies to include in the review Machado et al (2015) carried out a database search of 8 different databases, and they identify the key-words used. Petticrew and Roberts (2006) point out that although electronic databases are often the starting point, they may not be the only…

The purpose of this systematic review is to evaluate the effectiveness of music therapy in the management of depression among older adults. In this systematic review, six studies that met the inclusion criteria were included and analyzed. In general, all six studies showed that music therapy is an effective treatment of depressive symptoms for older adults who are 65 years or older with or without dementia. Among four randomized control trials, three studies conducted music therapy was conducted…

of the systematic literature review also indicates theoretical deficiencies in the literature. Thus, this study advances our knowledge of psychological safety dimensionality and its relationship with creativity. Consequently, we offer more explanations on the relationship between psychological safety and employee creativity in Indonesian companies. Second, drawing upon prior studies, we explore the psychological safety dimensions which have been extended (Carmeli, 2007; Edmondson, 1999). Third,…

Peterson JF, Pun BT, Dittus RS et al. Delirium and its motoric subtypes: a study of 614 critically ill patients. J Am Geriatr Soc 2006; 54(3):479-84 7. Mattar I, Chan MF, Childs C. Risk Factors for Acute Delirium in Critically Ill Adult Patients: A Systematic Review. ISRN Critical Care 2013; 2013 8. Koponen H, Partanen J, Paakkonen A, Mattila E, Riekkinen PJ. EEG spectral analysis in delirium. J Neurol Neurosurg Psychiatry 1989; 52: 980–85 9. Siddiqi N, House AO, Holmes JD. Occurrence and…

When systematic reviews are not available, not trustworthy, or relevant one can turn to individual studies to find evidence to make treatment decisions. Resources may also include clinical practice guidelines, expert opinions from SLPS, and peer-reviewed journals. External evidence can be evaluated using internal validity and external validity. Internal validity is what the study is describing what it is supposed to be testing. External validity is the generalizability of the results. The fourth…