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Abstract

 

Evidence-based nursing is a process that requires nurses to have the knowledge, skills, and confidence to critically reflect on their practice, articulate structured questions, and then reliably search for research evidence to address the questions posed. Many types of research evidence are used to inform decisions in health care and findings from qualita- tive health research studies are useful to provide new insights about individuals' experi- ences, values, beliefs, needs, or perceptions. Before qualitative evidence can be utilized in a decision, it must be critically appraised to determine if the findings are trustworthy and if they have relevance to the identified issue or decision. In this article, we provide practical guidance on how to select a checklist or tool to guide the critical appraisal of qualitative studies and then provide an example demonstrating how to apply the critical appraisal process to a clinical scenario.

Keywords: critical appraisal, qualitative health research, rigor, trustworthiness, evidence-based nursing, evidence-informed decision making

Come valutare criticamente uno studio di ricerca sanitaria qualitativa

RIASSUNTO

L'Evidence-Based Nursing Ë un processo che richiede agli infermieri di avere le conoscenze, le competenze e la fiducia necessarie per riflettere criticamente sulla loro pratica, articolare domande strutturate e poi cercare in modo affidabile la letteratura per rispondere alle domande poste. Ci sono molti tipi di evidence che vengono utilizzate per informare le decisioni nell'as- sistenza sanitaria e i risultati di studi di ricerca qualitativa sanitaria sono utili per fornire nuove intuizioni sulle esperienze, i valori, le convinzioni, i bisogni o le percezioni degli individui. Prima che l'evidence qualitativa possa essere utilizzata in una decisione, deve essere valutata criticamente per determinare se i risultati sono affidabili e se hanno rilevanza per la questione o la decisione identificata. In questo articolo forniamo una guida pratica su come selezionare una checklist o uno strumento per guidare la valutazione critica degli studi qualitativi e, poi, forniamo un esempio che dimostra come applicare il processo di valutazione critica a uno scenario clinico.

Parole chiave: Valutazione Critica, Ricerca Sanitaria Qualitativa, Rigore, Affidabilità, Evidence-Based Nursing, Evidence-Informed Decision Making

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Luciani, M., Campbell, K. A., Whitmore, C., Di Mauro, S., & Jack, S. M. (2020). How to critically appraise a qualitative health research study. PROFESSIONI INFERMIERISTICHE, 72(4). Recuperato da https://www.profinf.net/pro3/index.php/IN/article/view/700
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Riferimenti

  • Barbour, R. S. (2001). Checklists for improving igor in qualitative research: A case of the tail wagging the dog? BMJ, 322(7294), 1115–1117. https://doi.org/10.1136/bmj.322.7294.1115
  • Carter, N. M., Bryant-Lukosius, D., DiCenso, A., & Blythe, J. M. (2018). The use of triangulation in qualitative research. Oncology Nursing Forum, 41(8), 545–547. https://doi.org/10.1188/14.ONF.545-547
  • CASP. (2018a). CASP Checklists. CASP - Critical Appraisal Skills Programme. https://casp-uk.net/casp-tools-checklists/
  • CASP. (2018b). CASP Qualitative Checklist. Https://Casp- Uk.Net/Wp-Content/Uploads/2018/03/CASP-Qualitative- Checklist-2018_fillable_form.Pdf.
  • Cullum, N., Ciliska, D., Marks, B., & Haynes, R. B. (2008). An introduction to evidence-based nursing. In Cullum, N., Ciliska, D., Haynes, R. B., & Marks, B. (Eds.) Evidence-based Nursing: An introduction. (pp. 1–8). Blackwell Publishing.
  • Dowling, M. (2007). From Husserl to van Manen. A review of different phenomenological approaches. International Journal of Nursing Studies, 44(1), 131–142. https://doi.org/ 10.1016/j.ijnurstu.2005.11.026
  • Evidence-Based Medicine Working Group. (1992). Evidence-based medicine. A new approach to teaching the practice of medicine. JAMA, 268(17), 2420–2425. https://doi.org/ 10.1001/jama.1992.03490170092032
  • Gómez, C. C. (2009). Assessing the quality of qualitative health research: Criteria, process and writing. Forum Qualitative Sozialforschung / Forum: Qualitative Social Research, 10(2). https://doi.org/10.17169/fqs-10.2.1294
  • Grosso, S., Tonet, S., Bernard, I., Corso, J., De Marchi, D., Dorigo, L., Funes, G., Lussu, M., Oppio, N., Pais dei Mori, L., & Palese, A. (2019). Non"nursing tasks as experienced by nurses: A descriptive qualitative study. International Nursing Review, 66(2), 259–268. https://doi.org/10.1111/inr.12496
  • Guba, E. G., & Lincoln, Y. S. (1989). Fourth generation evaluation. Sage Publications, Inc.
  • Hannes, K., & Lockwood, C. (2011). Pragmatism as the philosophical foundation for the Joanna Briggs meta- aggregative approach to qualitative evidence synthesis. Journal of Advanced Nursing, 67(7), 1632–1642. https://doi.org /10.1111/j.1365-2648.2011.05636.x
  • Hannes, K., & Macaitis, K. (2012). A move to more systematic and transparent approaches in qualitative evidence synthesis: Update on a review of published papers. Qualitative Research, 12(4), 402– 442. https://doi.org/10.1177/1468794 111432992
  • Ingersoll, G. L. (2000scelsi@aniarti.it). Evidence-based nursing: What it is and what it isn't. Nursing Outlook, 48(4), 151–152. https://doi.org/10.1067/mno.2000.107690
  • Joanna Briggs Institute. (n.d.). Critical Appraisal Tools. Retrieved November 11, 2019, from https://joannabriggs.org/ critical_appraisal_tools
  • Joanna Briggs Institute. (2017). Joanna Briggs Institute"”Critical Appraisal Checklist for Qualitative Research [online]. https://joannabriggs.org/sites/default/files/2019- 06/JBI_Critical_Appraisal-Checklist_for_Qualitative _Research2017.docx
  • Krefting, L. (1991). Rigor in Qualitative Research: The Assessment of Trustworthiness. American Journal of Occupational Therapy, 45(3), 214–222. https://doi.org/10.5014/ajot. 45.3.214
  • Letts, L., Wilkins, S., Law, M. E., Stewart, D., Bosch, J., & Westmorland, M. G. (2007). Guidelines for critical review form"” Qualitative studies (version 2.0), McMaster University Occupational Therapy Evidence-Based Practice Research Group.
  • Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic Inquiry. SAGE. Lockwood, C., Munn, Z., & Porritt, K. (2015). Qualitative research synthesis: Methodological guidance for systematic reviewers utilizing meta-aggregation. International Journal of Evidence-Based Healthcare, 13(3), 179–187.
  • https://doi.org/10.1097/XEB.0000000000000062
  • Luciani, M., Campbell, K., Tschirhart, H., Ausili, D., & Jack, S. M. (2019). How to design a qualitative health research study. Part 1: Design and purposeful sampling considerations. Professioni
  • Infermieristiche, 72(2), 152–161.
  • Luciani, M., Jack, S. M., Campbell, K. A., Orr, E., Durepos, P., Li,
  • L., Strachan, P., & Di Mauro, S. (2019). An introduction to qualitative
  • health research. Professioni Infermieristiche, 72(1), 60–68.
  • Luciani, M., Orr, E., Campbell, K., Nguyen, L., Ausili, D., & Jack, S. M. (2019). How to design a qualitative health research study. Part 2: Data generation and analysis considerations.
  • Professioni Infermieristiche, 72(3), 221–231.
  • Majid, U., & Vanstone, M. (2018). Appraising qualitative research
  • for evidence syntheses: A compendium of quality appraisal tools. Qualitative Health Research, 28(13), 2115–2131. https://doi.org/10.1177/1049732318785358
  • Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-Based Practice: Step by Step: The Seven Steps of Evidence-Based Practice: AJN, American Journal of Nursing, 110(1), 51–53. https://doi.org/10.1097/01.NAJ.0000366056.06605.d2
  • Morse, J. M. (2012). Qualitative health research: Creating a new discipline. Left Coast Press.
  • Morse, J. M. (2015). Critical analysis of strategies for determining rigor in qualitative inquiry. Qualitative Health Research, 25(9), 1212–1222. https://doi.org/10.1177/104973231 5588501
  • Morse, J. M., Barrett, M., Mayan, M., Olson, K., & Spiers, J. (2002). Verification Strategies for Establishing Reliability and
  • Validity in Qualitative Research. International Journal of Qualitative Methods, 1(2), 13–22. https://doi.org/10.1177/ 160940690200100202
  • Munthe-Kaas, H. M., Glenton, C., Booth, A., Noyes, J., & Lewin, S. (2019). Systematic mapping of existing tools to appraise methodological strengths and limitations of qualitative research: First stage in the development of the CAMELOT tool. BMC Medical Research Methodology, 19(1), 113. https://doi.org/10.1186/s12874-019-0728-6
  • National Collaborating Centre for Methods and Tools. (2011). Critical appraisal tools to make sense of evidence. http://www.nccmt.ca/resources/search/87
  • Noyes, J., Booth, A., Flemming, K., Garside, R., Harden, A., Lewin, S., Pantoja, T., Hannes, K., Cargo, M., & Thomas, J. (2018). Cochrane Qualitative and Implementation Methods Group guidance series"”paper 3: Methods for assessing methodological limitations, data extraction and synthesis, and confidence in synthesized qualitative findings. Journal of Clinical Epidemiology; Elmsford, 97, 49–58. http://dx.doi.org/10.1016/j.jclinepi.2017.06.020
  • O'Brien, B. C., Harris, I. B., Beckman, T. J., Reed, D. A., & Cook, D. A. (2014). Standards for reporting qualitative research: A synthesis of recommendations. Academic Medicine, 89(9), 1245. https://doi.org/10.1097/ACM.0000000000000388
  • Peditto, K. (2018). Reporting qualitative research: Standards, challenges, and implications for health design. HERD: Health Environments Research & Design Journal, 11(2), 16–19. https://doi.org/10.1177/1937586718772615
  • Sandelowski, M. (1993). Rigor or rigor mortis: The problem of rigor in qualitative research revisited. ANS. Advances in Nursing Science, 16(2), 1–8. https://doi.org/10.1097/ 00012272-199312000-00002
  • Sandelowski, M. (2010). What's in a name? Qualitative description revisited. Research in Nursing & Health, 33(1), 77–84. https://doi.org/10.1002/nur.20362
  • The EQUATOR Network. (2019). Reporting guidelines. http://www.equator-network.org/reporting-guidelines/
  • Thorne, S. (2011). Toward methodological emancipation in applied health research. Qualitative Health Research, 21(4), 443–453. https://doi.org/10.1177/1049732310392595
  • Thorne, S. (2016). Interpretive description: Qualitative research for applied practice (Second edition). Routledge.
  • Yardley, L. (2000). Dilemmas in qualitative health research. Psychology & Health, 15(2), 215–228. https://doi.org/ 10.1080/08870440008400302