Professional Nursing: Evidence-Informed Practice

Introduction to Responding to Families with Complex Needs

Evidence-based practice is an essential part of the nursing profession that aims to provide care to patients incompetent, effective, and in the best possible manner. The standardized care is the aim of evidence-based practice for the quality care of patients in the healthcare service delivery model. This helps in promoting the attitude of individuals to lead the clinical practice in a benchmarked manner. Healthcare professionals must critically evaluate the performance so that they come out with new ways of dealing with patients. Critical appraisal is the activity that allows us to search out ways for the contribution to clinical practice (Garrett, Jackson & Wilson, 2015). In this paper, the critical analysis of the selected journal article will allow systematically highlighting its strengths and weakness. The systematic framework of the selected topic will be able to analyze the relation with validity, congruence, and rigor in association with responding to families with complex needs using a national survey of child and family health nurses (Kim & Suh, 2018).

Title - Responding to Families with Complex Needs

The title of the article chosen is “Responding to families with complex needs: a national survey of child and family health nurses”. The article is very informative and presented in a structured format to give a particular sense of the article (Rossiter, Schmied & Kemp et al., 2017). However, various points are missing in the article such as the location of research done is nowhere stated in the whole article as this needs to be specified because this was the national survey location is necessary to mention. This was the peer-reviewed article in which the healthcare professionals have given their contribution to publication and reach of a large number of people addressing health needs. However, the credibility is here a question, because it would have been more presentable if more citations have been given in the article to support the format (Rossiter et al., 2017).

The applicability of research is a question while relating to the educational background of the author and co-authors. The authors such as mentioned in the references must be recognized from some specific institution so that complete details are known for study. Though, the details of contact are there on the first page of the paper describing all the relevant information (Rossiter et al., 2017).

Abstract on Responding to Families with Complex Needs

In the selected article, the abstract section provides a brief about what the whole article is going to discuss. Majorly, the abstract is the paragraph that provides us with the information that what is done in the whole article starting from the selection of topic, aim, objectives, methodology, sample collection, literature review, statistical analysis, discussion, and conclusion (Rossiter et al., 2017). The aim of the article was clearly described in the abstract describing “Responding to families with complex needs: a national survey of child and family health nurses”. The whole article contains precise information, however, covers all aspects such as design, conclusion, and recommendation presenting the need and importance of study (Rossiter et al., 2017). Here, the difference and loophole that was found in the study was the description of the study design as it has not been touched properly in the article. To understand this point, the reader must have prior knowledge of the study designs such as cross-sectional and descriptive as discussed in the article. This can lead to misinterpretations and wrong information on the studies as needs to be understood (Rossiter et al., 2017).

Introduction to Responding to Families with Complex Needs

The section introduction in every article is the format of describing the introductory part by alluding to the importance and significance of the research problem. This is the initiating part that provides the reason for doing the study, future help, along with the importance of research as a whole (Rossiter et al., 2017). The author in this provided a good sense of explanation with background description on the role of Australian child and family health nurses and their contribution to addressing the problem by giving them support in healthcare service delivery. Nursing professionals are the members who deliver their services to address social and health problems within society. In this article, this part was greatly presented in the research study. The National Health survey conducted in the country was also presented the understand the role of child and family health nursing in the article’s aim section (Rossiter et al., 2017).

Literature Review of Responding to Families with Complex Needs

In the literature review part, the author has described all the relevant knowledge on the sturdy base and issues that have been included for research investigation. The sound literature review is presented, and several references and citations have been provided in the article that seems evidence-based study and research. Grey literature is presented in the article that is from the period from 2002 to 2015 (Rossiter et al., 2017). The articles chosen for the study were previous than 2015 also. The concept of social changes and complex needs have been also discussed to have more literature support in the article. The point of universal health was also included in the article that states the need to do interventions for the improvement in systems and addressing problems (Rossiter et al., 2017). This posed a question in the literature review about child protection and universal rights. The major finding of the articles was also presented along with the classification between age groups. A last, the identification was done on understanding the barriers and inclusion of professionalism and capacity building in the healthcare delivery system. Thus, an extensive literature review was presented in the article that described all the points and limitations that came out from previous articles and researches (Rossiter et al., 2017).

Methodology of Responding to Families with Complex Needs

The methodology section in research has its importance in coming across various variables such as study design, population, sample, and settings where the study has to be done. In the selected article, a descriptive study was selected because it is used to describe the features and characteristics of the targeted population (Rossiter et al., 2017). The point of descriptive research is that it does not gives elaboration on how/ when/ where/ and why. The only point that it focuses on is "what" of the study. The cross-sectional study was done to include the matter on different age – groups at the same time with the presentation of quantitative data (Wang, Liang & Blazeck et al., 2015). This was clearly stated in the article because it included the analysis of the study of individuals presenting different characteristics. The study design was correctly chosen to find out the data on what the researcher wants to investigate. Moreover, this will provide the reader with a detailed understanding of validity and rigor (Rossiter et al., 2017). The author provided detail on families and children in the data collection and sorting to classify into subsets appropriately. This section was very clearly described and chosen depending upon the nature and needs of the study.

Sampling and Ethics

Sampling is the technique of selecting the participants for study based on the eligibility criteria met and other features as per the need of study. There are biases in the selection of population sample among both the parties (Rossiter et al., 2017). Blinding is also the concept that is involved in three different ways. In this article, the sample was selected through convenience sampling for minimizing the bias up to a large extent. But this study design is not too good for generalizing the finding on the whole population (Rossiter et al., 2017). Usually, probability sampling is more preferred to use for analysis. It is because it uses stratified, systematic, and simple random sampling. This gives accurate results and makes the research successful by generalizing the findings by an evidence-based approach and for the welfare of society. Here, in this article, the sample of 1098 nursing professionals is chosen in the survey of child and family health nursing. The sample selected was 23.6% of the total population that was included in the survey. Though the sampling was chosen could have been opted for some other to have real-life and evidence-based results to apply those findings for the whole population (Rossiter et al., 2017).

At the time of research, the investigators are allowed to consider the implications of research and participants involved in the whole study. The ethical considerations should always be considered for doing any type of research. Informed consent is the ethical part of a research study that is involved to get permission from participants for willingness (Wang, Liang & Blazeck, et al., 2018). The approval committees are there set up in the country that approves the informed consent to have some practical research on the selected sample (Rossiter et al., 2017). Here, in this study, Western Sydney University approved conducting this research as mentioned in the article. The questionnaire was designed to gather information regarding the study and get the assurance of confidentiality among participants. The information should be secured by the investigator as this is the ethical responsibility that has to be followed in research (Rossiter et al., 2017).

Data Collection Strategy

Data collection strategy is that which provides us the idea of what ad why the researcher has chosen this specific topic. In this article titled “Responding to families with complex needs: a national survey of child and family health nurses” the data collection tool was used to collect the data for analysis (Rossiter et al., 2017). There are many data collection tools, but the questionnaire was here followed as per the need of study. The aspects that were chosen in the article were a child and family health nurse role in nursing practice along with types of consumers, and types of support provided by them. The research is usually done by conducting surveys in the selected population to gather a large number of data so that relationship between cause and effect is described clearly (Rossiter et al., 2017). In this study, the loophole found was that the researchers were not able to find out the association to ensure the reliability and validity of data. The selected data collection process should be such that the purpose and aim of the study are described after analysis (Rowbotham & Owen, 2017). Though, the researcher’s in this article evaluated the point of choosing the sources, data collection, and content validity and reliability using different methods. This was pilot testing done using convenience sampling and a descriptive cross-sectional study was done (Rossiter et al., 2017).

Data Analysis/ Results/ Findings

This is a very important step that helps in taking the steps based on the findings of the research. A clear description of research should be there so that was results are taken into consideration. The results should be presented in a well -stated format that is in the form of graphs and tables to have consistency within data (Rossiter et al., 2017). In this article, a data analysis tool that was selected was SPSS version 21 software. This is the appropriate software that presents data in the pictorial format along with frequencies and percentages. T-tests were done to evaluate the variables within the sub-sections of texts (Lee, Chae & Kim et al., 2016). This helps in providing a clear understanding of the results that are found using the format. This is the relevant process as it organizes the data into a nominal structure. Moreover, it allows the easy reader to understand, because five questions were there in the questionnaire, and it was very difficult to read everyone's views. Hence, the aim and purpose of the research were clearly defined in this part (Rossiter et al., 2017).

Discussion/ Limitations/ Conclusion

This is the part in which the researcher elaborates on the findings of the data collected. In this article, the researcher presented data by undertaking the main points that were necessary for the study. The author presented some points to address the challenges that are faced by families and children in getting nursing care (Rossiter et al., 2017).

The limitation of the study was such that the reliability and validity of data were not there. This limited the area of research and its importance. Only the defined set of parameters was included to do research. No other information was collected beyond this study. In the end, the authors described that nursing professionals are themselves facing many issues like time-consuming and resource intensively beyond need (Rossiter et al., 2017).

Conclusion on Responding to Families with Complex Needs

In the end, this could be said that the article was presented based on the research done. However, this could have been improved if data would be reliable and valid (measured using statistical formulas). The limitations of this research can be considered in future researches.

References for Responding to Families with Complex Needs

Garrett, B. M., Jackson, C., & Wilson, B. (2015). Augmented reality m-learning to enhance nursing skills acquisition in the clinical skills laboratory. Interactive Technology and Smart Education. https://www.emerald.com/insight/content/doi/10.1108/ITSE-05-2015-0013/full/html

Kim, H., & Suh, E. E. (2018). The effects of interactive nursing skills mobile application on nursing students' knowledge, self-efficacy, and skills performance: A randomized controlled trial. Asian Nursing Research12(1), 17-25. https://doi.org/10.1016/j.anr.2018.01.001

Lee, N. J., Chae, S. M., Kim, H., Lee, J. H., Min, H. J., & Park, D. E. (2016). Mobile-based video learning outcomes in clinical nursing skill education: a randomized controlled trial. Computers, Informatics, Nursing34(1), 8. https://doi.org/10.1016/j.nedt.2016.04.010

Rossiter, C., Schmied, V., Kemp, L., Fowler, C., Kruske, S., & Homer, C.S.E. (2017). Responding to families with complex needs: A national survey of child and family health nurses. Journal of Advanced Nursing 73(2), pp.386-398. https://doi.org/10.1111/jan.13146.

Rowbotham, M., & Owen, R. M. (2015). The effect of clinical nursing instructors on student self-efficacy. Nurse Education in Practice15(6), 561-566. https://doi.org/10.1016/j.nepr.2015.09.008

Wang, W., Liang, Z., Blazeck, A., & Greene, B. (2015). Improving Chinese nursing students' communication skills by utilizing video-stimulated recall and role-play case scenarios to introduce them to the SBAR technique. Nurse Education Today35(7), 881-887. https://doi.org/10.1016/j.nedt.2015.02.010

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