Effects of Antidepressant Medications & Psychotherapy Treatments Article Analysis

Effects of Antidepressant Medications & Psychotherapy Treatments Article Analysis Effects of Antidepressant Medications & Psychotherapy Treatments Article Analysis Hi Chocolate Chip! I need your help. It’s been a crappy year as a travel nurse. I was in Lake Charles, LA working when the hurricane hit. I have no power or Wifi and my apartment was flooded. I swear I can’t make this stuff up! Can you help me out with a paper that’s due Sunday, 10/18? I’ll attach all the documents since the current project references two prior assignments. You did one of those for me. I decided to narrow the focus of my research question to: Do adolescents with MDD have fewer symptoms of depression with antidepressant use than with psychotherapy alone? Walden Effects of Antidepressant Medications & Psychotherapy Treatments Article Analysis Can you help me out? Effects of Antidepressant Medications & Psychotherapy Treatments Article Analysis Joni _18_2020assgninstructions.docx _18_2020matrixtemplate.docx _18_2020_module4_required_readings.docx module2assgn_complete.docx module2matrix_complete.docx ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS Assignment: Evidence-Based Project, Part 4: Critical Appraisal of Research Realtors rely on detailed property appraisals—conducted using appraisal tools—to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers. Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action. In this Assignment, you will use an appraisal tool to conduct a critical appraisal of published research. You will then present the results of your efforts. To Prepare: • Reflect on the four peer-reviewed articles you selected in Module 2 and the four systematic reviews (or other filtered high- level evidence) you selected in Module 3. • Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3. • Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources. The Assignment (Evidence-Based Project) Part 4A: Critical Appraisal of Research Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3. Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module 2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both modules and types of studies are represented. Part 4B: Critical Appraisal of Research Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research. By Day 7 of Week 7 Submit Part 4A and 4B of your Evidence-Based Project. Critical Appraisal Tool Worksheet Template Evaluation Table Use this document to complete the evaluation table requirement of the Module 4 Assessment, Evidence-Based Project, Part 4A: Critical Appraisal of Research Article #1 Article #2 Article #3 Article #4 Full APA formatted citation of selected article. Evidence Level * (I, II, or III) Conceptual Framework Describe the theoretical basis for the study (If there is not one mentioned in the article, say that here).** Design/Method Describe the design and how the © 2018 Laureate Education Inc. 1 study was carried out (In detail, including inclusion/exclusion criteria). Sample/Setting The number and characteristics of patients, attrition rate, etc. Major Variables Studied List and define dependent and independent variables Measurement Identify primary statistics used to answer clinical questions (You need to list the actual tests done). Data Analysis Statistical or Qualitative findings (You need to enter the actual numbers determined by the statistical tests or qualitative data). Findings and Recommendations General findings and recommendations of the research Appraisal and Study Quality © 2018 Laureate Education Inc. Walden Effects of Antidepressant Medications & Psychotherapy Treatments Article Analysis 2 Describe the general worth of this research to practice. What are the strengths and limitations of study? What are the risks associated with implementation of the suggested practices or processes detailed in the research? What is the feasibility of use in your practice? Key findings Outcomes General Notes/Comments © 2018 Laureate Education Inc. 3 *These levels are from the Johns Hopkins Nursing Evidence-Based Practice: Evidence Level and Quality Guide • Level I Experimental, randomized controlled trial (RCT), systematic review RTCs with or without meta-analysis • Level II Quasi-experimental studies, systematic review of a combination of RCTs and quasi-experimental studies, or quasi-experimental studies only, with or without metaanalysis • Level III Nonexperimental, systematic review of RCTs, quasi-experimental with/without meta-analysis, qualitative, qualitative systematic review with/without meta-synthesis • Level IV Respected authorities’ opinions, nationally recognized expert committee/consensus panel reports based on scientific evidence • Level V Literature reviews, quality improvement, program evaluation, financial evaluation, case reports, nationally recognized expert(s) opinion based on experiential evidence **Note on Conceptual Framework • The following information is from Walden academic guides which helps explain conceptual frameworks and the reasons they are used in research. Here is the link https://academicguides.waldenu.edu/library/conceptualframework • Researchers create theoretical and conceptual frameworks that include a philosophical and methodological model to help design their work. A formal theory provides context for the outcome of the events conducted in the research. The data collection and analysis are also based on the theoretical and conceptual framework. • As stated by Grant and Osanloo (2014), “Without a theoretical framework, the structure and vision for a study is unclear, much like a house that cannot be constructed without a blueprint. By contrast, a research plan that contains a theoretical framework allows the dissertation study to be strong and structured with an organized flow from one chapter to the next.” • Theoretical and conceptual frameworks provide evidence of academic standards and procedure. They also offer an explanation of why the study is pertinent and how the researcher expects to fill the gap in the literature. • Literature does not always clearly delineate between a theoretical or conceptual framework. With that being said, there are slight differences between the two. © 2018 Laureate Education Inc. 4 References The Johns Hopkins Hospital/Johns Hopkins University (n.d.). Johns Hopkins nursing dvidence-based practice: appendix C: evidence level and quality guide. Retrieved October 23, 2019 from https://www.hopkinsmedicine.org/evidence-basedpractice/_docs/appendix_c_evidence_level_quality_guide.pdf Grant, C., & Osanloo, A. (2014). Understanding, Selecting, and Integrating a Theoretical Framework in Dissertation Research: Creating the Blueprint for Your” House”. Administrative Issues Journal: Education, Practice, and Research, 4(2), 12-26. Walden University Academic Guides (n.d.). Conceptual & theoretical frameworks overview. Retrieved October 23, 2019 from https://academicguides.waldenu.edu/library/conceptualframework © 2018 Laureate Education Inc. 5 Required Readings Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.Walden Effects of Antidepressant Medications & Psychotherapy Treatments Article Analysis • Chapter 5, “Critically Appraising Quantitative Evidence for Clinical Decision Making” (pp. 124–188) • Chapter 6, “Critically Appraising Qualitative Evidence for Clinical Decision Making” (pp. 189–218) Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010a). Evidencebased practice step by step: Critical appraisal of the evidence: Part I. American Journal of Nursing, 110(7), 47–52. doi:10.1097/01.NAJ.0000383935.22721.9c Note: You will access this article from the Walden Library databases. Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010b). Evidencebased practice, step by step: Critical appraisal of the evidence: Part II: Digging deeper— examining the “keeper” studies. American Journal of Nursing, 110(9), 41–48. doi:10.1097/01.NAJ.0000388264.49427.f9 Note: You will access this article from the Walden Library databases. Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010c). Evidencebased practice, step by step: Critical appraisal of the evidence: Part III: The process of synthesis: Seeing similarities and differences across the body of evidence. American Journal of Nursing, 110(11), 43–51. doi: 10.1097/01.NAJ.0000390523.99066.b5 Note: You will access this article from the Walden Library databases. Williamson, K. M. (2009). Evidence-based practice: Critical appraisal of qualitative evidence. Journal of the American Psychiatric Nurses Association, 15(3), 202–207. doi:10.1177/1078390309338733 Note: You will access this article from the Walden Library databases. Assignment: Evidence-Based Project Is there a difference between “common practice” and “best practice”? When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role. Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry. Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice? In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed. To Prepare: • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. • Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles. • Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research. • Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected. Part 1: An Introduction to Clinical Inquiry Create a 4- to 5-slide PowerPoint presentation in which you do the following: • Identify and briefly describe your chosen clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question • Describe how you used keywords to search on your chosen clinical issue of interest. • Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected. •Walden Effects of Antidepressant Medications & Psychotherapy Treatments Article Analysis Provide APA citations of the four peer-reviewed articles you selected. Part 2: Identifying Research Methodologies After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peerreviewed articles. Your analysis should include the following: • The full citation of each peer-reviewed article in APA format. • • • • A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest. A brief (1-2 paragraph) description of the aims of the research of each peerreviewed article. A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific. A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected. Matrix Worksheet Template Articles Selected Article #1 Full citation of selected article Article #2 Article #3 Article #4 Maroun, R. A., Thackeray, L. Weihs, K. L., Murphy, W., Abbas, R., Paauw, C., de Roos, C., Fan, S., Lippard, E., Sankar, A., A., & Midgley, N. (2018). Chiles, D., England, R., Ramaker, S., Tummers, J., de Jongh, A., and Wallace, A., Johnston, J., Wang, F., Meaning and medication: a and Wajsbrot, D. (2018). Dingemans, A. (2019). Pittman, B., Spencer, L., Oquendo, M. thematic analysis of depressed Desvenlafaxine Versus Placebo in a Effectiveness of trauma-focused A., & Blumberg, H. (2019). Gray and adolescents’ views and Fluoxetine-Referenced Study of treatment for adolescents with white matter differences in adolescents experiences of SSRI Children and Adolescents with Major major depressive and young adults with prior suicide antidepressants alongside Depressive Disorder. Journal of Child disorder. European Journal of attempts across bipolar and major psychological therapies. BMC and Adolescent Psychotraumatology, 10(1). depressive disorders. Journal of Psychiatry, 18(1), 374. Psychopharmacology, 28(1), 36–46. https://doi.org/10.1080/20008198. Affective Disorders, 245, 1089–1097. https://doi.org/10.1186/s12888- https://doi.org/10.1089/cap.2017.0100 2019.1682931 https://doi.org/10.1016/j.jad.2018.11.095 There is debate about the Alternative anti-depressant There is debate on the use Suicide attempts and suicidal most appropriate option options are important to of anti-depressants in ideation are prevalent among 018-1961-y Why you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of © 2018 Laureate Education Inc. 1 the ethics of research related to your clinical issue of interest) for the treatment of MDD adolescents suffering from adolescents and the long- adolescents suffering from in adolescents. While it MDD, but unable to tolerate term effects of using the MDD. Because of that, it is has been recommended commonly used anti- drugs as therapy. This important to find data and over recent years to use depressants. The article was article was chosen because information that can help selective serotonin re- chosen because it provides it provided research and decrease the suicidal tendencies uptake inhibitors information regarding the new information regarding of those with MDD. This article (SSRIs), there is effectiveness and safety of alternative options for was chosen because it related to controversy over whether alternative options. The adolescents with MDD to the issue of MDD in adolescents. this is the most suitable clinical issue of interest explore, rather than The data shown in this article option for the adolescent revolves around MDD in consistently being identified and quantified the patients. This article was adolescents. To safely and subjected to the use of anti- effects of MDD on the brains of chosen because it effectively treat the patients, it depressants. The clinical adolescents, which can possibly provides a new is important to find the most issue, MDD in adolescents, lead to suicidal attempts. This perspective on the use of appropriate treatment option to is complex due to the study was completed after the these treatments in allow for long-term use and variety of treatment options researchers obtained written adolescents with the prevent relapse. The article and the fact that the consent from the minors patients describing their contributed to the collection of patients are minors. This involved as well as the parent or © 2018 Laureate Education Inc. Walden Effects of Antidepressant Medications & Psychotherapy Treatments Article Analysis 2 personal views on the information regarding article explored new caregiver. The article ultimately medications. This study alternative options by options for patients with provided a new perspective as to was conducted after the comparing a possible MDD, providing new how the brains of adolescents are researchers were able to alternative and a placebo. The information regarding the affected by MDD. ethically obtain consent study was completed after the efficacy and safety of such from both the adolescent researchers were able to alternative options. This patient and the parent or ethically obtain consent from study was only completed caregiver. both the adolescent patient and after the researchers the parent or caregiver. obtained consent from both the adolescent patient and the parent or caregiver. There is no information in the article suggesting that the researchers unethically subjected the participants to treatment options against their wishes. © 2018 Laureate Education Inc. 3 Brief description of the aims of the research of each peer-reviewed article The common course of The aim of the study was to The aim of this study was The aim of this study was to treatment for adolescents evaluate the short-term to determine if eye identify brain circuitry features with MDD is the use of efficacy and safety of movement desensitization common across those with selective serotonin re- desvenlafaxine in adolescents and reprocessing (EMDR) bipolar disorder (BD) and major uptake inhibitors with MDD. With the different therapy is an effective depressive disorder (MDD). The (SSRIs). The article medications and treatment stand-alone intervention in researchers theorized that the sought to discover the options for adolescents with adolescents with MDD. identification of brain circuitry experiences of MDD, the researchers The researchers of the common to adolescent suicide adolescents taking SSRIs. searched for the medication or study pointed out that attempts with BD and MDD is The aim of the research treatment with the highest trauma-focused treatment important for generating was to bring the efficacy and safety. The in MDD has not been effective early prevention viewpoint of the researchers acknowledged that extensively studied. The strategies. The researchers adolescents into the there is a group of adolescents researchers also pointed out hypothesized that adolescent debate regarding with MDD who may not be that current treatments such suicide attempts with BD and antidepressants as a able tolerate or respond to the as anti-depressant MDD would show a decrease in course of treatment. The commonly used treatment medications are not grey matter volume and white authors sought to obtain options. The research aim of sufficiently effective in the matter fractional anisotropy in © 2018 Laureate Education Inc. 4 data on the perspective of the study was to evaluate an treatment of MDD and the frontotemporal regions of the adolescents. alternative to desvenlafaxine have been reported to show fronto-limbic circuitry. The that demonstrated both high drop-out and high researchers explored potential efficacy and safety in relapse rates. The differences in the patterns of adolescents with MDD. researchers used the suicide attempts and suicidal information to focus the ideation within each diagnosis aim of the study on EMDR. with the aim of identifying The researchers common brain circuitry features. hypothesized that with the reprocessing of core memories related to the onset and maintenance of MDD via EMDR therapy, there will be a significant decrease in MDD symptoms. Brief description of the research The researchers utilized a … Purchase answer to see full attachment Student has agreed that all tutoring, explanations, and answers provided by the tutor will be used to help in the learning process and in accordance with Studypool’s honor code & terms of service . Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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