A Panic Disorder

PICOT question: In patients diagnosed with a panic disorder, how does a combined therapy of SSRIs and cognitive behavioral therapy compare to SSRIs alone with patient satisfaction in treatment of panic disorders over a span of 9 months?

For this assignment, you will locate a minimum of 4 research articles related to the topic and PICOT question that you developed in Week 2. The articles must be current (2002 to the present), and two articles must be quantitative, and two articles must be qualitative. These articles should be somewhat related to your PICOT question.
Articles used for one assignment can’t be used for the other assignments(students should find new research articles for each assignment).
The selected articles should be original research articles. Review articles, meta-analysis, meta-synthesis, and systemic review should not be used.
Mixed-methods studies should not be used.
There are two parts to this assignment.

Part 1: Complete a Rapid Critical Appraisal Checklist chart for each research article (4 total).Download the following files in the Worksheets, Forms, and Templates area at left:
Rapid Critical Appraisal Checklist (pdf)
Rapid Critical Appraisal Checklist (doc)
Part II: Write a summary (2–3 pages)

Describe the similarities and differences among the four research articles.
You should:
Use current APA format to style your paper and to cite your sources.
Submit the 4 completed charts along with your summary.

Here are some important things to know while completing this assignment.

There are TWO parts to the assignment. You’ll complete the appraisal sheets, one for each article. Then…

The similarities and differences write up should focus on your PICOT question.

Focus on how the studies relate to your PICOT questions.

Note that there are four sections to the rubric for the paper that accompanies the appraisal sheets and articles. So, in order to earn maximum points, your paper should include those four elements. Use the rubric when you are writing your paper.

This is important: You need to include the articles OR WORKING LINKS. Web addresses are not enough. At the top of each appraisal sheet, you need an APA citation. Usually, APA citations do not include working links, but if you want to include one instead of the actual article, that’s fine. Again, just a web address won’t work because I can’t copy and paste from the assignments you submit. Do not put the links in your reference list in your paper. You need to check the links after submission.

Rapid Critical Appraisal Checklist and Summary

Find a minimum of 4 research articles related to nursing or medicine.

· Part 1: Complete the chart for each article (4 total).

· Part II: Write a summary. See specific criteria below.

Part I: Use this table to assist you when analyzing the research that is most relevant to the topic.

Put the source citation in APA here along with a link to the source.

Elements for Analysis

Review Findings

Why was the study done?

What is the problem as it is presented in the research study article?

Will the study solve a problem relevant to nursing?

(Make sure that the study is directly relevant to your topic/ and or clinical question.)

What is the study setting?

(Include who, where and when.)

What is the sample size? (Size can and should vary according to the nature of the study.)

What was the process for randomization?

Are instruments of the variables in the study clearly defined and reliable?

What are the independent and dependent variables in this study?

Are the operational definitions of the variables given? If so, are they concrete and measurable?

Is the research question or the hypothesis stated? What is it?

(Make sure the variables were consistently applied throughout the study and that they measured what the research said they were going to measure.)

(Report reliability and validity statistics if noted.)

How were the data analyzed?

Were there any unusual events during the study? (If the sample size changed, do the reasons for the change have ramifications on its replicability?)

Did participants drop from the research? Why?

How do the results fit in with previous research in this area? (Compare to your other sources.)

Do the studies build upon previous research?

What are the implications of the research for clinical practice?

Is the study relevant and important to the clinical question?

Are the results applicable to your set or subset of patients or sample, identify the risks and benefits of a treatment recommendation or conform to patient preferences?

What are the findings as reported by the researcher?

Adapted from “Demystifying Research: Simplifying Critical Appraisal”. Anne Dabrow Woods, MSN, RN, CRNP, ANP-BC Chief Nurse of Lippincott Williams and Wilkins and Ovid, and publisher of AJN: American Journal of Nursing. www.ovid.com May 7, 2012.

Part II: Summarization (2-3 pages)

· Describe the similarities and differences among the four research articles.

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