Sample of a Critical Appraisal of Research Journal Article Related To Nursing

Sample of a Critical Appraisal of Research Journal Article Related To Nursing
Sample of a Critical Appraisal of Research Journal Article Related To Nursing

Critiquing a Nursing Article?

Here is a Sample of a critical appraisal of research journal article related to nursing. The elements to consider in a review are the structure adopted in research, the type of data used, Here are the Issues to Consider in doing the review

To better understand how to do an analysis in the above subject consider research using the following key words nursing article critique, how to critique a qualitative research paper, importance of critiquing research in nursing, how to critique a quantitative research article, how to critique a research article example, qualitative research critique in nursing,

The Article Reviewed in this research is Alves, L. S. (2005). A study of occupational stress scope of practice and collaboration in nurses anesthesia care team settings. AANA Journal. December 2005.


Essentially, the nursing profession in many health care setting scan be a hard task for many nurses specially where job requirements are so strenuous and end up causing not just physical but also psychological and emotional stress. Occupational stress has become common in many nursing settings for many nurses in the profession just as it is in many other professions and work environments. Occupational stress can be defined as the harmful emotional and physical responses that arise in instances whereby the job requirements fail to match the resources, capabilities, and needs of the employees and consequently leading to injuries or poor health (American Nurses' Association, 2010).

[blur] A substantial number of employees in various work environments and sectors regard their jobs as being very stressful. Stress-related problems arise and manifest in physical conditions such as sleep and mood disturbance or headaches and stomach aches. Besides social problems such as disconnection from family affairs, rapid work stress over time has been cited as one of the major causes of developing chronic conditions and diseases including cardiovascular, psychological, or muscular disorders. Other stress-related outcomes that are too common include absenteeism, depression, decreased job satisfaction, decreased productivity, and physical injuries besides high employee turnover. Work stress-related disorders continue to receive wide attention, and it is imperative to also look at work-related stress in nursing. [/blur]

[blur] In anesthesia practice, emotional and physical stresses are inherent. Stress is however avoidable and it is important to note that it could be desirable to some degree nonetheless. Workplace stress in anesthesia setting could be associated with various factors that affect the daily delivery of anesthesia care including the experiences of the anesthesia provider, the need for constant vigilance in response to changes in patientsí statuses, and patient acuity. Other factors that may cause anesthesia work-related stress are such as provision of care in complex instances/ cases, productivity and workload, kind of healthcare setting, as well as the relationship between the nurse anesthetist relationship with the patient, patientís family, technologies, surgeons, anesthesiologistsí, other nurses, and other staff involved in delivering care to the particular patients being handled by the affected nurse(s). It is therefore imperative to understand stressful situations to avert them and promote productivity. This paper critiques an article that highlights and discusses work-related stress for the CRNAs. [/blur]

Background of the Paper

[blur] Certified Registered Nurse Anesthetists (CRNAs) practice their trade with various healthcare professionals in many settings and as such there is a varying degree in the scope of practice (SOP) for such professionals in regards to the roles and responsibilities.  Most of them however work in directed environments with only a few working in unsupervised or non-medically directed settings. Most CRNAs however work in anesthesiologist-based or hospital based. However, most of such nurses are found within anesthesia care teams (ACTs). [/blur]

[blur] Unequivocally, the article asserts that there is a substantial amount of work-related stress experienced by nurses in anesthetists practice. Essentially, the thesis and problem put forward by the article is that nurses working in ACT settings ace the most workplace related stress related to the SOP. [/blur]

[blur] This is a significant problem to the nursing professions since the effects of such stress / occupational stress have an indirect effect on the economy and on the social life of the affected nurses hence affecting those around them and not just on the productivity or performance of the health care facility (Dahlin et al, 2016). The aim of the study thus seeks to speak volumes and beseech he audience on the essence of improving the work conditions and environment for the nurses working in such settings to not just increase productivity but to also promote the wellbeing of the nurses. A study was then undertaken with literature also reviewed on the same in developing results and formulating the discussion of the paper. [/blur]

The Study

[blur] The article used a study to examine occupational stress or CRNAs that practice with anesthesiologists in anesthesia care team (ACT) healthcare settings. The focus and aim of the study used was the examination of the relationships among the CRNA scope of practice in ACTs and collaboration in evaluating or establishing occupational stress that is role-related (American Nurses' Association, 2010). To get first-hand responses and information to inform the study and build the discussion, questionnaires were sent out to CRNAs in the six states of New England. The return rate of the questionnaires was at 30.87% (347). With the target population articulated explicitly, the author notes that the return rate of the questionnaires (347 to represent (30.87%) was sufficient to form the sample in regards to the sample power and size with the author providing essential attrition space (Alves, 2005). The outlined percentage is appropriate to form the sample size appropriate for the study. [/blur]

[blur] Power analysis can be used in evaluating the adequacy and effectiveness of the sample size as this analysis can reject a null hypothesis. The acceptable minimum power in a study on average is 80% (Sullivan-Bolyai et al, 2012; Polit & Beck, 2006).). The analysis of the study showed a 95% average with a significance of 0.04 and as such there was only a 5% chance that type 2 errors would occur: thus, the sample was adequate for the study. Not only was the sample appropriate and relevant as required in a proper study, it was also representative of the population rom which the sample was taken for enabling generalization to take place. [/blur]

[blur] The study however did not use random sampling in sending questionnaires as it would have enhanced the representativeness but rather the authors exerted some bias. Although it is prudent to use random sampling, the biasness may be due to the random nurse community and probability sampling was a more convenient method of sampling in the instance (Creswell, 2013). The research however failed to explicitly state any use of random sampling. [/blur]

[blur] However, the study partially addressed ethical issues and considerations by not disclosing any names and thus anonymity enhanced safeguarding of the identities of the participants. The participants are only referred to as the 347 who represented the sample size in the article and nothing further (Alves, 2005). This shows that there was no coercing of participants to take part in the study but rather they were willing to participate. The setting and population size are respectively typical and descriptive of a clinical setting. [/blur]

Measurement, Analysis, and Findings

[blur] The data analysis, as the author states, included demographics, and practice characteristics of the sample with research questions being examined using T test, correlation analysis, and the analysis of variance addressing relationships among measures of the study. Occupational role stress and the interactions of the individual were measured using the tools developed by the authors in the study. The analysis process was elaborated and described extensively in the article by the authors and thus easier to comprehend by the reader. The quantitative nature of the data is well analyzed utilizing SPSS with subsequent appropriate interpretation in line with the research objectives and framework (Alves, 2005). [/blur]

[blur] The analysis of the data showed that there was evidence of limited and restricted CRNA practice scope in the employees that responded by the anesthesiology groups in comparison to those employed in hospitals. Only a few of the CRNAs regarded their practice as being collaborative with many using the conflict resolution style of compromise. However, the respondents that had a wider SOP showed high collaboration compared to those that had restrictions and less collaboration. Respondents with a broader SOP also cited experiencing higher job stress based on the overload of roles although they also cited that they made effective use of coping skills to see them through the job. The findings also show implications for further studies that will include exploration of strategies aimed at achieving consensus between anesthesiologists in ACTs and CRNAs with emphasis on roles that are clearly defined and optimization of productivity (Alves, 2005). [/blur]

[blur] The authors offer findings that are free from any bias and they are generalized on the objectives with different explanations of findings being examined. There are elaborate findings and conclusions as the author offers statistical significance. In the reporting findings, the researchers do not state any limitations of the study. The report is not also marred by inconsistencies with the only rival hypothesis that can be placed on the study findings being that the scope of CRNA practice is mostly related to the groups of anesthesiology in comparison to those in hospitals. The findings are thus valid and correlate to the analysis and thus can be generalized as painting the exact picture for all CRNAs (Alves, 2005). [/blur]

From the findings, issues identified could be on how to reduce occupational stress between the two CRNA groups in hospitals and other practice areas and the role stress plays/ implications of stress to the work place. These issues have not been handled by the author after outlining findings. Thus, this leaves place for further research as aforementioned in developing strategies for achieving consensus between anesthesiologists and CRNAs in ACTs.

Conclusion on the Study

[blur] As such, not only are the findings in line and relevant to the framework, they also set the stage for further research on the identified issues from the studyís findings. The findings have also offered key information on occupational stress and more-so on the nursing profession with CRNAs or even related nursing areas that may share the same problems as those identified in this study. [/blur]

[blur] On CRNAs, the study has shown that there is restricted scope for those working in anesthesiology teams unlike the case for those working in hospitals whereby there is a wider scope and reduced restrictions. Restrictions however lead to reduced work stress whereas a wider scope leads to greater stress. As much as the study is excellent in handling the problem or issue of work stress among CRNAs, it fails to show any relationship between occupational stress and patients or administrators. This further sets the stage for further research. Nonetheless, the article has been sufficient in addressing the issue of occupational stress on CRNAs and showing how it occurs and its prevalence. This creates a foundation upon which changes and amendments can be made to minimize if not eradicate occupational stress sin relevant settings. [/blur]


Alves, L. S. (2005). A study of occupational stress scope of practice and collaboration in nurse ††† anesthesia care team settings. AANA Journal. December 2005.

American Nurses' Association. (2010).†Nursing: Scope and standards of practice. Silver Spring, Md: American Nurses Association.

Creswell, J. W. (2013). Research design: Qualitative, quantitative, and mixed methods approaches. Sage publications.

Dahlin, C., Coyne, P. J., & Ferrell, B. R. (2016).Advanced practice palliative nursing. New York: Oxford University Press.

Polit, D. F., & Beck, C. T. (2006). The content validity index: are you sure you know what's being reported? Critique and recommendations. Research in Nursing and Health, 29(5), 489-497

Sullivan-Bolyai, S., Bova, C., & Singh, M. D. (2012). Data-collection methods. Nursing Research in Canada: Methods, Critical Appraisal, and Utilization, 287.

Other sample paper that we have handled are Reflecting on Leadership and Change in Nursing management, strategy case book,

Sample of a Critical Appraisal of Research Journal Article Related To Nursing

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