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APPENDIX C
Appraisal Guide:
Findings of an Integrative Review
Citation:
Sahu, J., & Mishra, N. (2019). Role of intravenous tranexamic acid in reducing blood loss during caesarean section: Study at tribal-dominated area hospital in Chhattisgarh, India. Journal of Obstetrics and Gynaecology Research, 45(4), 841-848.
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Synopsis
How many persons were involved in conducting the review?
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What topic or question did the integrative research review address?Â
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How were potential research reports identified?
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What determined if a study was included in the analysis?
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How many studies were included in the review?Â
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What research designs were used in the studies?
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What were the consistent and important across-studies conclusions?
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Clinical Significance
Across studies, is the size of the treatment or the strength of the association found or the meaningfulness of qualitative findings strong enough to make a difference in patient outcomes or experiences of care?Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â ï± Yesâ€‚â€‚ï± Noâ€‚â€‚ï± Not clear
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    Are the conclusions relevant to the care the nurse gives?
ï± Yesâ€‚â€‚ï± Noâ€‚â€‚ï± Not clear                                    Â
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   The conclusions clinically significant? Â
Â Â Â Â ï± Yesâ€‚â€‚ï± Noâ€‚â€‚ï± Not clear
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Applicability
Does the IRR address a problem, situation, or decision we are addressing in our setting?
ï± Yesâ€‚â€‚ï± Noâ€‚â€‚ï± Not clear
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Are the patients in the study similar to those we see, either overall or in a subgroup of patients?
ï± Yesâ€‚â€‚ï± Noâ€‚â€‚ï± Not clear
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What changes, additions, training, or purchases would be needed to implement and sustain a clinical
protocol based on these conclusions?
ï± Yesâ€‚â€‚ï± Noâ€‚â€‚ï± Not clear
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Specify
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Is what we will have to do to implement the new protocol realistically achievable by us (resources,   capability, commitment)?       Â
ï± Yesâ€‚â€‚ï± Noâ€‚â€‚ï± Not clear
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How will we know if our patients are benefiting from our new protocol? Â
ï± Yesâ€‚â€‚ï± Noâ€‚â€‚ï± Not clear
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Specify
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Should we proceed to design a protocol incorporating these conclusions?      Â
ï± Yesâ€‚â€‚ï± Noâ€‚â€‚ï± Not clear
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Comments
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SCIENCE
HEALTH SCIENCE
NURSING
NURS 5367-001