Rough Draft Qualitative research Critique and Ethical Considerations

Research Critique Guidelines – Part I

Use this document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the studies in your responses.

Qualitative Studies

Background of Study

  1. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.

How do these two articles support the nurse practice issue you chose?

  1. Discuss how these two articles willbe used to answer your PICOT question.
  2. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.

Method of Study:

  1. State the methods of the two articles you are comparing and describe how they are different.
  2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method. 

Results of Study

  1. Summarize the key findings of each study in one or two comprehensive paragraphs.
  2. What are the implications of the two studies in nursing practice?

Ethical Considerations

  1. Discuss two ethical consideration in conducting research.
  2. Describe how the researchers in the two articles you choose took these ethical considerations into account while performing their research.
  3. Literature Evaluation Table
  4. Student Name: Nancy Ajayi
  5. Summary of Clinical Issue (200-250 words):
  6. Depression is a prevalent issue among society, and there are many different approaches that doctors and psychologists undertake in their efforts to treat this mental disease. Some of the most common treatment approaches include Cognitive Behavioral Therapy (CBT) and antidepressants. Although both are deemed effective for some people, it is as of yet inconclusive which one is more universally effective, especially when we take into account longer periods of time and other factors such as remissions. Therefore, the review of these articles aims to explore the existing literature on the long-term effectiveness of these treatment options, in an effort to bring some insight into which is more effective, and which areas warrant further research. One of the reasons why this comparison is important is because antidepressants are known to have the potential to lead to various physiological issues, and even death in some extreme cases. In contrast, CBT is relatively harmless and without any such serious dangers and side effects. Because of this, there needs to be a greater focus on the available alternatives to depression treatments, in an effort to decrease the harmful side effects and end results of many antidepressant medications.
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  8. PICOT Question:
  9. Is cognitive behavioral therapy (CBT) more effective as a long-term treatment method than antidepressant therapies in patients who suffer from depression?
CriteriaArticle 1Article 2Article 3
APA-Formatted Article Citation with PermalinkMarch, J. S., Silva, S., Petrycki, S., Curry, J., Wells, K., Fairbank, J., Burns, B., Domino, M., McNulty, S., Vitiello, B., Severe, J., Casat, C., Kolker, J., Riedal, K., Feeny, N., Findling, R., Stull, S., Baab, S., Weller, E. B., … Rochon, J. (2007). The Treatment for Adolescents with Depression Study (TADS): Long-term effectiveness and safety outcomes. Archives of General Psychiatry, 64(10), 1132–1144. https://doi.org/10.1001/archpsyc.64.10.1132Fava, G. A. (2003). Can Long-Term Treatment With Antidepressant Drugs Worsen the Course of Depression? The Journal of Clinical Psychiatry, 64(2), 123–133. https://doi.org/10.4088/JCP.v64n0204Kennard, B. D., Silva, S. G., Tonev, S., Rohde, P., Hughes, J. L., Vitiello, B., Kratochvil, C. J., Curry, J. F., Emslie, G. J., Reinecke, M., & March, J. (2009). Remission and Recovery in the Treatment for Adolescents With Depression Study (TADS): Acute and Long-Term Outcomes. Journal of the American Academy of Child & Adolescent Psychiatry, 48(2), 186–195. https://doi.org/10.1097/CHI.0b013e31819176f9
How Does the Article Relate to the PICOT Question?It explores the long-term effectiveness of antidepressants combined with CBTThe article explores whether antidepressants worsen depressionIt explores the long-term rates of remission into depression following different treatments, including antidepressants and CBT.
Quantitative, Qualitative(How do you know?)Both – the answers from participants represent qualitative data, and this data then underwent quantitative analysisIt is a quantitative study because it collects and reviews existing research on the subjectQuantitative because it analyzes hard data
Purpose StatementTo report on the effectiveness of these treatmentsTo explore whether antidepressants are a harmful approach to treating depressionTo examine the remission rates of different depression treatments
Research QuestionAre these treatments effective in the long-term?Are antidepressants more likely to worsen depression?Which approach is least likely to result in remissions?
OutcomeCombining antidepressants with CBT was superior to either approach taken aloneThe analysis of existing literature suggests that there are harmful side effects, and that the topic needs to be explored further.There was no significant difference in the results of all controlled groups
Setting (Where did the study take place?)In 13 academic and community sites in the United StatesThe Index Medicus database was used by the researchers.Across different clinics
Sample327 participantsThe research cross references around 136 samples.439 adolescents
MethodRandomized, controlled trialQuantitative analysisRandomized, multisite clinical trial
Key Findings of the StudyThe combined approach is the most effectiveAdverse side-effects from antidepressants have been indicated by hundreds of existing studiesAll treatment approaches are equally likely to result in remissions
Recommendations of the ResearcherDepression should be treated with a combination of CBT and antidepressantsMore research is needed to prove the safety of antidepressants for long-term treatmentsNo recommendations have been provided
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CriteriaArticle 4Article 5Article 6
APA-Formatted Article Citation with PermalinkAli, S., Rhodes, L., Moreea, O., McMillan, D., Gilbody, S., Leach, C., Lucock, M., Lutz, W., & Delgadillo, J. (2017). How durable is the effect of low intensity CBT for depression and anxiety? Remission and relapse in a longitudinal cohort study. Behaviour Research and Therapy, 94, 1–8. https://doi.org/10.1016/j.brat.2017.04.006Fluoxetine, Cognitive-Behavioral Therapy, and Their Combination for Adolescents With Depression: Treatment for Adolescents With Depression Study (TADS) Randomized Controlled Trial. (2004). JAMA, 292(7), 807. https://doi.org/10.1001/jama.292.7.807Reinecke, M. A., Ryan, N. E., & DuBOIS, D. L. (1998). Cognitive-Behavioral Therapy of Depression and Depressive Symptoms During Adolescence: A Review and Meta-Analysis. Journal of the American Academy of Child & Adolescent Psychiatry, 37(1), 26–34. https://doi.org/10.1097/00004583-199801000-00013
How Does the Article Relate to the PICOT Question?The article examines the durability of low intensity CBT in treating depressionThe article examines 4 approaches to treating depression, and aims to determine the best oneExamines the effectiveness of CBT
Quantitative, Qualitative(How do you know?)Quantitative because it collected and analyzed data over a long periodQuantitative because it is a controlled trialQuantiative because it reviews existing literature
Purpose StatementTo determine the long-terms effects of low intensity CBTTo evaluate the effectiveness of all four approachesTo determine the effectiveness of CBT
Research QuestionDoes CBT offer durable effects that prevent remission?Which approach is the most effective?How effective is CBT in treating depression and depressive symptoms?
Outcome53% of the sample size relapsed CBT has shown to be effective.
Setting (Where did the study take place?)This was a longitudinal studyCombining antidepressants and CBT was the most effective approachThis was a review of existing literature
Sample439 patients439 patientsSeveral hundred studies were analyzed
MethodLongitudinal cohort studyRandomized controlled trialMeta-analysis of existing literature
Key Findings of the StudyCBT does not offer evidence of being a durable solution to depressionFluoxetine combined with CBT produced the best resultsCBT is an effective treatment option against depression and depressive symptoms
Recommendations of the ResearcherOther treatments should be considered for depression in addition to CBTUse a combination of fluoxetine and CBT in treating depressionCBT should be considered by therapists in treating depression
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