Research Critiques and PICOT Question Guidelines – Final Draft

Use this document to organize the content from your four studies into your final draft.

Quantitative and Quantitative Studies

Background

  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 articles will be 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 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. 

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Results of Study

  1. Summarize the key findings of each of the studies into a comprehensive summary.
  2. What are the implications of the four studies you chose in nursing practice?

Ethical Considerations

  1. Discuss two ethical consideration in conducting research.
  2. Describe how the researchers in the four articles you choose took these ethical considerations into account while performing their research.

Outcomes Comparison

  1. What are the anticipated outcomes for your PICOT question?
  2. How do the outcomes of the four articles you chose compare to your anticipated outcomes?

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Research Critique and Picot Statement Final Draft

Picot Question

            Will children and adolescents benefit from obesity therapy such as dietary change, surgery, liposuction, physical activity, and weight loss medications in the next ten years compared to omitting all therapies and hoping that plumpness will go on its own as children go old?

Research Critique

Background of the Study

           Watson (2020) study pinpoints discouraged attendance and negative perception about the treatment of childhood obesity. Roebroek (2019) research cites that there isrestricted knowledge about available therapy options, including bariatric surgery, for treating childhood obesity. Patients and practitioners present different experiences and attitudes about conservative and surgical treatment of childhood obesity. Cunha (2018) article identifies lack of food control, physical exercise, and parental interventions as the main hindrances in childhood obesity.Cordellat (2020) article acmes that aerobics and diet control/ management interventions are not effective in treating obesity in children. Watson and co article is significant in nursing because they highlight the nursing role in restructuring the family-based treatment of childhood obesity. It sets forth promoting healthy eating habits and physical exercise to avoid gaining weight and lose extra weight. Roebroek (2019) study is resourceful in evaluating available methods of treating Paediatric Morbid Obesity and endorses the therapy with the best outcomes. Cunha (2018), study prompts nurses to develop an evidence-based assessment tool report to determine how parents would help treat childhood obesity. The research by Cordellat and co.Impulses nursing practitioners to come up with multimodal interventions and enhance current obesity therapies for better outcomes. 

           Watson and colleagues focus on ascertaining attendance, behaviour change drivers and their effect on child obesity therapy through the family-based procedure. Roebroek (2019) helps study the General Nurses’ role and attitude towards weight loss surgery in treating paediatric morbid obesity. Watson (2020) also seeks to foster behaviour change and intervention attendance for exceptional treatment of childhood obesity at home, whereas Roebroek and co. Study why patients and nurses have mixed reactions concerning conservative and Surgical Treatment of Paediatric Morbid Obesity. Cunha (2018) study aims to generate comprehensive interventions to address obesity in children who seek outpatient services. The researchers yearn to link social support with nursing care and increase involvement in the treatment of obesity. The research by Cordellat seeks to ascertain gaps in the diet control and strength exercising, propose a multi-component therapy plus nutritional counselling for increased weight management in children. Also, they want to foster obese children’s well-being through physical activities, nutritional counselling, and physical conditioning. Ensuring children and patrons during therapy are engaged, involved, and happy. The underlying question from all researches is, “which are the most effective methods of addressing childhood obesity considering psychological factors that affect obesity therapy?”

How the Articles Support the Nurse Practice Issue

           Watson’s (2020) article answers the picot question by presenting behavioural changes and devotion needed to influence eating and exercise habits. The authors set forth the reason that drives patients to seek obesity treatment and influences that might hinder an obese child from ceasing from attending to obesity therapy. On the other side, Roebroek (2019) article sets forth theories that analyze the different types of obesity treatments and their effectiveness. The article studies attitude and perspective towards the conservative and surgical treatment of paediatric morbid obesity present the benefits and cons of the various methods of treating obesity in children. Watson’s (2020) article tries to examine how efficient is the treatment of obesity at home, aside from the usual therapies cited in the previous articles. Roebroek (2019) article is comprehensive because it touches on the different therapy methods presented in the picot question.

           Cunha study also answers the picot question since it sets forth psychosocial risk factors that might affect parents to seek obesity therapy for their children. The authors present an argument citing family inclinations and perspectives towards the choice of diets and exercising. The study is resourceful for answering the picot question since it collects sights about specific interventions for childhood obesity. Cordellat (2020) is beneficial when answering the picot question because it identifies loopholes in the ordinary treatment of childhood obesity and presents enhanced interventions to draw patients to seek care. Cunha (2018) talks about control in dieting, exercising, and parental influence in childhood obesity treatment, just like the PICOT question inferences. On the other hand, Cordellat (2020) centres on a more diverse mode of obesity treatment, which includes nutritional counselling, intensive and engaging mode of treatment. Inferences from the picot question talk about psychomotor interventions, medical interventions, surgery, and diet change; hence the association with Cordellat and co. Study.

Methods of study

           Watson (2020) study applied interviews, whereas Roebroek (2019) study used questionnaires in a survey. The first study is subjective, while Roebroek (2019) is objective because the participants’ present fact-based data; questions in Roebroek (2019) varies, thus giving detailed and extensive data. The focus group in Watson’s studies gives opinions, ideas, feelings, attitudes, experiences, and beliefs concerning the subject matter. One advantage of using questionnaires is that it provides a massive amount of data. However, questionnaires can present unconscientious responses. Even though interviews are time-consuming; they offer flexibility to the interviews.

           Cunha (2018) study employed a cross-sectional study, whereas the Cordellat research used a prospective longitudinal study (correlational study). Cunha (2018) research was conducted within a time frame, whereas the other study prompted the examiners to reexamine participants within intervals. Cunha and co. Study, different samples were used. Cordellat (2020) used the same sample all through. A Longitudinal study does not influence the variables. It gives a matchless acumen that cannot be provided by another method. However, even after a huge amount of time was taken, there is the uncertainty that the data collected was entirely reliable. A cross-sectional study is suitable for multiple variables but does not determine cause and effect in research.

Results of the study

           Results from the Watson study exhibited therapy attendance and behavioural change. Families and lasting influence encouraged or discouraged therapy attendance. Personal barriers and challenges prevented attendance and behavioural change. A supportive environment, being accountable, participatory learning, and heterogeneous groups encouraged obese patients to seek therapy and change their behaviours (Watson et al., 2020). Findings from Roebroek research show that Lifestyle and dietary advice were highly used in obesity therapy, but conservative treatment was more effective than other modes of treatment. Cognitive-behavioural therapy is merely used in treating children with obesity (Roebroek et al., 2019). The study shows that many families overlooked therapy and left their children without treatment. The two studies have a possible future effect in nursing effect because practitioners will determine why parents flout obesity therapy, why patients have different views on the available therapies and future development needs in childhood obesity treatment. Cunha, (2018) study shows family psychological risk factors influenced the treatment of childhood obesity. The less the family was involved in the child’s physical exercise and controlling the diet, the high the susceptibility, and adverse obesity. Stress in parents deterred parents from being concerned with their children’s health. The caregiver is identified as the main administrator of obesity therapy. However, concerned family members also called for pediatric care for their children. Cordellat (2020) study concludes that a multimodal obesity intervention is more effective when addressing overweight children. An intervention that is enjoyable and interactive would draw practitioners’ and parents’ attention. It is also satisfying for the child, parent, and the care practitioner.

        An effective therapy comprises supervised multi-component exercise, diet management, and nutritional counselling. Cordellat’s (2020) examination coins that a multimodal obesity intervention takes a shorter time to yield desired results. According to Cordellat and co. Pharmacotherapy and low-calorie diets are not effective than other interventions/therapies such as health educational multimodal interventions and lifestyle modifications. Further, the study identifies multidisciplinary collaboration as a significant factor for weight management (Cordellat et al., 2020). Weight is lost after following healthy nutritional habits and exercising properly. The two articles have a significant role in nursing practice because they will provide examiners and medical practitioners with loopholes in contemporary obesity therapies. The studies will identify the benefits and disadvantages of each therapy for refinement and advancements. The first article presents how families and parents should contribute to the treatment of childhood obesity—the two articles set forth the importance of multidisciplinary collaboration in healthcare.

Ethical Considerations

           Two ethical codes of consideration include informed consent and respect for autonomy and confidentiality. Informed consent focuses on protecting patients’ right to autonomy. This code debates on protecting patients from assault, harm, or manipulation. During the research, the research is obliged to respect patient perceptions to serve their interests and fulfil their needs. The other code is respect for autonomy and confidentiality. It centres on keeping information drawn from patients as a secret. During the research, patients deserve privacy. Morally, confidentiality should go beyond ordinary loyalty and paying allegiance to patients. Researchers from all studies substantiate that they complied with all ethical standards, and no conflict of interest resulted.

Outcomes Comparison

           I anticipate that children, adolescents, parents, and practitioners will have therapy preferences based on experiences, results obtained, cost, and side effects. Also, I predict that there are results that will show that neither of the interventions is practical because each has its flaws. Some parents will overlook the therapies citing them as a waste of time and energy, addressing a condition that will end when children grow old. The study will also show that a certain population is unwilling to let go of their lifestyles and eating habits to protect their children from the adverse effects of being overweight. My chosen articles’ outcomes are closely related to the anticipated outcomes because some therapies will be greatly used over others. Also, parents or family greatly influence seeking, continuance, or ceasing of obesity treatment. The articles show why some families will prefer family-based care instead of hospital care when addressing childhood obesity.

References

Cordellat, A., Padilla, B., Grattarola, P., García-Lucerga, C., Crehuá-Gaudiza, E., Núñez, F., & Blasco-Lafarga, C. (2020). Multicomponent exercise training Combined with nutritional counselling improves physical function, biochemical and anthropometric profiles in obese children: A pilot study. Nutrients, 12(9), 2723. https://doi.org/10.3390/nu12092723

Cunha, K. S. D., Machado, W. D. L., Andrade, A. L. M., & Enumo, S. R. F. (2018). Family psychosocial risk, coping with child obesity treatment and parental feeding control. Psicologia em Pesquisa, 12(3), 11-21. http://pepsic.bvsalud.org/pdf/psipesq/v12n3/02.pdf

Roebroek, Y. G., Talib, A., Muris, J. W., van Dielen, F. M., Bouvy, N. D., & van Heurn, L. E. (2019). Hurdles to take for adequate treatment of morbidly obese children and adolescents: attitudes of general practitioners towards conservative and surgical treatment of paediatric morbid obesity. World journal of surgery, 43(4), 1173-1181. https://doi.org/10.1007/s00268-018-4874-5

Watson, P. M., Dugdill, L., Pickering, K., Hargreaves, J., Staniford, L. J., Owen, S., & Cable, N. T. (2020). Distinguishing factors that influence attendance and behaviour change in family‐based treatment of childhood obesity: A qualitative study. British Journal of Health Psychology. https://doi.org/10.1111/bjhp.12456