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Critique Analysis on Literature Search Oz Assignments
Nurses face a heavy workload on patient advocacy, infection control, and physical care of the entire body, not limiting their focus in managing diseases or signs and symptoms (Boswell and Cannon, 2012). In today’s medical world, research is becoming a critical aspect that nurses are encouraged to undertake. Exploring research and applying the findings to the patient leads to the use of evidence-based practices to improve the effectiveness of finding solutions and implementing them to patients.
The study conducted uses both qualitative and quantitative research to come up with its findings. The quantitative analysis comprises a range ofPhilosophical Methodology such as polls, surveys, and questionnaires, concerned with the systematic investigation of social phenomena, using numerical data. In the research, the clinical problem identified is the depression in older adults. This clinical problem contributed to the research problem of the difference in performance of using internet-based therapy and the use of face-to-face treatment along with the cognitive behavior therapy to treat depression.
Moreover, the study uses both the dependent and independent variable to come up with questions that help to carry out the research. The dependent variable is, depression of older adults while the independent variable consists of Internet therapy, face-to-face treatment, and the cognitive-based therapy. Some of the questions that may be used to conduct the research include; Can patients with depression get treatment via internet platforms or do they only require face to face treatment? How effective is the cognitive behavior therapy?, and What are the possible treatments of chronic pain? (Wagner, Horn, & Maercker, 2014).
The use of web-based treatment with a therapist shows similar outcomes with conventional face-to-face therapies while treating depressive disorders (Ehde, Dillworth, 2014, p.153). It, therefore, means that the research will have a high impact on how nurse will apply the procedures of treatment to patients with depressive disorder since the study gives a synopsis of the different methods that should be in use. According to the research, nurses are advised to incorporate technology into their work because of the changing trends in the world are altering the delivery of services. The study uses the random controlled trial whose aim is to make a fair comparison between a new treatment and the existing treatment.
Though the study is successful, it has some weaknesses that raise ethical issues. Firstly, it violates the rule of informed consent that is, patients, lack knowledge of the different methods of treatment used on them. Secondly, the research is not voluntary since the researcher is biased on the type of therapy to be undertaken by patients (McLeod, 2017). The main aim of the study is to understand how depression can be managed using the cognitive research therapy. It has a mental gap for older adults and according to the research 62 patients were diagnosed with depression. The study also compiles its results using the inferential statistics that is as a result of the descriptive statistics. It also aims at investigating the treatment outcomes of both interventions, that is, the internet-based therapy and cognitive behavior treatment and then compares this by using a randomized non-inferiority trial. The findings of the study from the internet-based treatment and cognitive therapy are d=1.27 and d=1.37 respectively. Moreover, the internet therapy has a higher significance in the long run which therefore shows that internet therapy can be more useful for patients that are unable to make physical appointments to seek treatment.
Cobb & Forbes, (2002, p. 197) argue that qualitative research is an approach to the study of human behavior that relies on the analysis of narrative data to create an interpretation of the meaning of these behaviors from the viewpoint of the participants. These arguments provide the insights of problems and help to develop ideas or hypothesis that helps to solve the problems. It is also called ethnomethodology or field research, (Glaser, Strauss, and Strutzel, 2008). The study also presents a weakness in the lack of control on the environment of the study.
The qualitative research collected its data using the systematic search in the bibliographical database. The main clinical problem in the study is the effect of the cognitive behavior therapy, which resulted in the research problem of the impact of cognitive behavior therapy on the control groups. The research opens up a discussion on mindfulness-based stress reduction and mindfulness stress cognitive therapy. Other studies on the same topic have helped to explain the positive and negative effects on the reduction of depression. Some other questions used in the development of the research include: What alternative methods can be used instead of cognitive behavior therapy? Which studies support the cognitive behavior therapy? What are some of the effects of cognitive behavior therapy?
The research is also ethical in that it recognizes different researchers and participants. It engages researchers during the discussion and personal information concerning different Individuals are not exposed. This, therefore, shows that the researcher is mindful of patients right to privacy. Additionally, the researcher argues that though the cognitive behavior therapy is useful in solving depression, it does not fulfill its goals well in the long run, but when mindfulness-based stress reduction and mindfulness-cognitive treatment is introduced it increases the efficacy of the procedure. The mindfulness-based intervention is not ethical in a way; this is because information on the different methods used is not given to patients before being incorporated, which makes the research unethical (Gu, Strauss, Bond, and Cavanagh, 2015).
The presentation of the research was excellent and has a high impact on nursing since it gives a broad overview of how to treat depression. The study also has a significant limitation, where the research quality is heavily dependent on the individual skills of the researcher and more easily influenced by the researcher's personal biases. Nonetheless, the findings of the research show that depression is likely to reduce when cognitive therapy is applied since it critically analyses the behavior of each patient in a more profound way. In conclusion, it is advisable for a researcher to use the qualitative analysis, because it helps a researcher see the bigger picture and understand the problem directly from a participant because it does assume its findings like the quantitative research, (Morgan, 2008).
1. Ethics for Nursing Research and Evidence-Based Practice. (n.d.). In C. Boswell & S. Cannon (Eds.), Introduction to Nursing: Incorporating Evidence-Based practice(3rd ed., p. 83-108).
2. Wagner, B., Horn, A. B., & Maercker. (2014). Journal of Affective Disorder. Jad journal.com, 152-154, 113-121. Retrieved from https://doi.org/10.1016/j.jad.2013.06.032
3. Ehde, D. M., & Dillworth, T. M. (2014). Efficacy, innovation and directions for research. cognitive- behavior therapy for individuals with chronic pain, 69(2), 153.Retrieved from https://www.apa.org/pubs/journals/releases/amp-a0035747.pdf
4. McLeod, S. (2017). Qualitative vs quantitative research. Simply psychology. Retrieved from https://www.simply psychology.org/qualitative-quantitative.html
5. Cobb, A. K., & Forbes, S. (2002). Qualitative research: what does it have to offer the gerontology. The journals of gerontology, 57(4), M197-m202. Retrieved from https://academic.oup.com/biomedgerontology/article/57/4/M197/600131
6. Glaser, B. G., Strauss, A. L., & Strutzel, E. (2008). The discovery of grounded theory; strategies for qualitative research. Nursing research, 17(4), 364.
7. Gu, J., Strauss, C., Bond, R., & Cavanagh, K. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical psychology review, 37, 1-12.
8. Morgan, D. L. (2008). Practical Strategies for Combining Qualitative and Quantitative Methods: Applications to Health Research David L. Morgan,. Qualitative health research, 8(3). Retrieved from https://doi.org/10.1177%2F104973239800800307