Completing a Synopsis Appraisal of a Qualitative Research Study - Article Example

Learning Activity and the Appraisal of the Findings of a Qualitative Study Citation: McKillop, A., Crisp, J., & Walsh, K. .  Barriers and Enablers to Implementation of a New Zealand-Wide Guideline for Assessment and Management of Cardiovascular Risk in Primary Health Care: A Template Analysis. Worldviews on Evidence-Based Nursing, 9 (3), 159-171.  doi: 10.1111/j.1741-6787.2011.00233.x.A. Synopsis #1: The researchers sought to identify barriers and enablers in using a clinical guideline framework called the Promoting Action on Research Implementation in Health Services (PARIHS) to decrease the risks of developing cardiovascular diseases in a rural population of Maoris under rural New Zealand settings (McKillop, Crisp, & Walsh, 2012).

In this case, they wanted to produce a description of combined experiences and social processes that health care providers within a region in New Zealand have to face while testing the clinical guidelines framework, and at the same time providing their feedback and comments in their use. This is to assess the applicability of the PARIHS framework in nearly all medical situations, which in this particular research is the applicability of the framework in rural health settings. Data was collected through focus group interviews of all 32 participants, which consisted of three focus groups for primary healthcare nurses, one focus group for general practitioners, one for primary healthcare managers, and one focus group for planners or funders (McKillop, et al., 2012). The main findings generated by the research were able to explain the barriers as well as the enabling situations in the implementation of the PARIHS framework based on context of usage, current work culture experienced by the participants, leadership within the work place, and of evaluating the performance of the PARIHS framework in work settings.

It was found out that while having a culture of practicing the guidelines as applicable was a strong enabler in the usage of the framework among participants, the lack of a formal or a proper integration plan of said guidelines into actual clinical practice was a major barrier in its adoption in medical settings, suggesting the need of modifying the framework to adjust for the needs of the medical practitioners. Despite this setback the researchers were able to conclude that the PARIHS framework is still an invaluable tool in guiding practitioners on promoting better patient health.

Since the research aims to find out information based on working experiences of healthcare providers, in order to control biases and preconceptions about the effectiveness of the PARIHS framework, the researchers allowed for the participants to use the guidelines and have these assessed based on the applicability to their lines of work, as well as providing open-ended questions with regards to feedback. These were then collated to form generalized statements regarding the attitude of the participants towards using the PARIHS framework (McKillop, et al., 2012).To give further emphasis, some of the participants were quoted directly (names withheld) within the research itself.B. Conclusion Compared to my own clinical experience, the research results were somewhat similar regarding the attitude in implementing evidence-based practices, wherein EBP is still considered important in saving patient lives.

However at present there is no available solid framework or guidelines for using evidence-based practice with reliable results, unlike in New Zealand. Despite the availability of information, it still boils down to the reliance on one’s personal experience in appraising and using evidence-based practice for clinical settings.