Article Critique of NHS Outcome on Children with Neurodisability

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Article Critique of NHS Outcome on Children with Neurodisability Essay

National Health Service results are vital in dealing with prevalent conditions in different regions of the country (White, 2010 p.15). The essay provides a detailed appraisal of research that displays NHS outcomes in the pediatric field specifically, neuro-disability in children. Postnatal mortality or disability is one of the areas that draw attention in pediatric nursing because the mothers suffer the loss of giving birth to children who have mental retardation such as autism. Appraising the research paper is vital because it analyzed the situation throughout the various sections of research methods and guided the nurses to use the information in administering their services to expectant mothers to prevent or control neuro-disability. Article Critique of NHS Outcome on Children with Neurodisability Essay. The CASP method is used to provide scrutiny to the research article.

Evidence- based practice consists of actions that nurses use to take care of their patients and ensure that they recover. They are majorly informed by research and past successful nursing experiences in their service delivery. The practices are vital for the patients because when they are administered, there stands an excellent chance of preventing conditions thus reducing the prevalence rate. Additionally, evidence based practice makes sure that the affected individuals are attended to in the recommended manner according to research thus hastening the recovery process. Evidence based practices are fundamental in dealing with neuro-disability (White, 2010 p.20). If the appraisal tool upholds the validity of the research paper on NHS outcomes on neuro-disability in children, different pediatricians will apply the evidence-based practices suggested by the paper and those in the midwifery nursing sections to limit the chances of a mother giving birth to children with conditions associated with neuro-disability.Article Critique of NHS Outcome on Children with Neurodisability Essay.


The chosen field of nursing practice is pediatric nursing. The research paper by the social Policy Research Unit informs the NHS outcomes by providing an evaluation of the appropriate health outcomes for the children born with the neuro-disability condition (‘York University,’ 2017 P.1). The research paper to be reviewed was thoroughly thought through. Neurodisability is a great problem that has to be dealt with at the national level. Children living with the disability such as those who are born with autism are difficult to deal with. Even the parents have a hectic time handling them because of the malfunctions of the brain. Research that provides evidence based practices aimed at dealing with children affected by the said disability is thus subject to scrutiny (‘York University,’ 2017 P.1). The outcomes provided by the article can fall within the framework of NHS outcomes if its appraisal meets the set research standards. The nursing practice of interest is handling children, and the topic of the research has a direct link with the section.

The selected research paper is vital because it focuses on PROMs; an abbreviation for parent-reported outcome measures for the children and young people below the age of 18 suffering neuro-disability. The reports received by the researchers are subject to appraisal, and if they meet the expectations, they fall into the framework of NHS (‘York University,’ 2017 P.1). If the research was conducted as per the expectations, NHS is expected to uphold the outcomes for use by the nursing practitioners and parents to help handle children with neuro disability.

Appraisal of the Research Article by the Social Policy Research Unit

An appraisal is a general term used to refer to assessing a situation, a person or an action.Article Critique of NHS Outcome on Children with Neurodisability Essay. The primary purpose is ensuring that a particular thing is done according to the set standards. In this context, appraisal applies to the research conducted on the outcomes of handling children affected with neuro-disability (Gerrish & Lathlean, 2015 p.13). The purpose of appraising the health research document is to ascertain the fact that it was rightfully done and it follows the norms of research. The outcomes that the study presents cannot be put into practice if they do not make it through the appraisal stage.

It is vital to have a look at the practical details of the study. Social Policy Research Unit, a group, based at the University of York, conducted it. Bryony Beresford was responsible for the study alongside other people from the external environment of the group. The research constituted various which include Delphi survey, qualitative methods, and systemic review. The biggest question is whether or not the process met the appraisal threshold.

To validate the authenticity of the information from the study, a widely known assessment tool has to be used. Critical Appraisal Skills Program is also known as the CASP program is one of the ways of knowing how the study was conducted going by the information provided (Gerrish & Lathlean, 2015 p.15). A large percentage of the information displayed in the findings section proves it was more of a qualitative study. Thus, employing CASP method will prove the degree of conformity employed by the researcher.

According to the appraisal process, every researcher is expected to outline the aim of the study, and it has to be as clear as possible (Gerrish & Lathlean, 2015 p.34). The aim has to be as relevant as possible. Beresford and the team have outlined the goal of conducting the study.Article Critique of NHS Outcome on Children with Neurodisability Essay. They have presented more than one aim of surveying the pediatrics domain. One of the objectives that the body has cited is to find out the outcomes of the health care for the kids especially the ones living with neuro-disability. The group seeks to find the outcomes of the parents, children, and the professionals who often interact with the group. Additionally, the research seeks to appraise the reports as well knowing if the reports are a perfect measure of knowing how the children are to be handled.

Ideally, the group has set their aims in a manner that meets the expectations of the CAST appraisal tool. The aims are well stated and are quiet relevant. Because they seek to ling their findings with the NHS framework, they have to appraise the reports that they obtain from the target groups and provide NHS with dependable information.

The second item in the CASP appraisal scorecard is whether employing the qualitative methodology is appropriate for the study (Pope Mays & Popay, 2007 p.22). Going by the nature of the research, the researchers are expected to deal with a lot of qualitative data. The participants will only provide information on how the children should be handled to make sure that they live a healthy life. Having a closer look at the outlined aims, it is evident that the information that is to be given to NHS after the appraisal is qualitative because it presents evidence based practice (Pope Mays & Popay, 2007 p.22). Although the method used does not fully meet the aim, the researchers have equally settled for other methods such as Delphi. Therefore, the study meets the conventional standards as far as the section of research methodology is concerned.Article Critique of NHS Outcome on Children with Neurodisability Essay.

The CAST appraisal tool expects the individuals involved in a study to have an appropriate design, which meets the aims of the survey. Just as mentioned, the information that is expected from the research is qualitative. However, they noted that the method could not fully satisfy the scrutiny of the information given to them by the children, parents and the professionals. Therefore, they agreed to settle for other methods such as consensus meetings and systematic reviews. The appraisal tool demands that a group has to settle for the most appropriate method. Therefore, the group has once again met the set threshold.

The other issue that the CASP tool looks into is the mode of selecting the sample population for the study (Pope Mays & Popay, 2007 p.31). The selected method should be in line with the aim of the study, in other words, one cannot select a group of teachers and interview them on matters concerning nursing. The tool equally expects the people to cite why the selected is most appropriate. In light of these expectations, the team has selected the most appropriate sample, and that will make them meet the goals. Settling for children with neuro-disability is a score because the report will contain fast hand information. The kids will tell them how they feel and the way they would want to be handled. The parents of the children affected with the condition in question are also included in the sample. The sample is relevant to the study and will provide a report that will enable the group meets the objectives. The parents have the affected children within their vicinity, and they have a great knowledge of what they like and what they do not. Article Critique of NHS Outcome on Children with Neurodisability Essay. Therefore, they can gauge what is healthy for them and what is not. At the bend of the study, the group will have relevant information. The last category of people included in the sample is the health professionals who have the right knowledge as far as the condition is concerned. The professional are pediatricians. Therefore, the report on the healthy handling of the group is based on experience. The group has therefore met the requirements far as the sections are concerned.

Data collection method is another area of concern according to CASP (Pope Mays & Popay, 2007 p.44). The appraisal tool expects the data collection method to be as detailed as possible. The section has to state how the data was collected. The researcher is also expected to make the selected methods as explicit as possible. The data collection methods adopted included the use of focus groups and interview. The people targeted in the interviews were the children and young people affected with neuro-disability. The interviews were conducted in different areas, the parents and the children were placed in various locations. Additionally, the health professionals were interviewed through an online Delphi survey. It is clear that the data collection section is well detailed and the samples are given an enabling environment to share their opinion. Therefore, the study meets the appraisal requirements in the section. The period given for the study was quite large, and no rush decision was expected. It started on February 2012 to May 2013. Therefore, the data collection method was quite detailed. Additionally, the data collection was devoid of bias because the sample was randomly selected. The concluding statement is that the study conformed with the expectation of the appraisal tool in this section. Article Critique of NHS Outcome on Children with Neurodisability Essay.

Ethical considerations are quite important. According to CASP, the identity of the sample is expected to remain anonymous (Pope Mays & Popay, 2007 p.51). The information that the provide is equally supposed to be confidential. In the protocol section, the study outlines the norms that were followed to make sure that the ethical standards were upheld. The identity of the sample remains anonymous and if it has to be accessed by a third party; they have to sign an agreement of compliance. Thus, the researchers met the expectations by upholding the expected ethical norms.


CASP expects the data analysis section to be as vigorous as possible (Pope Mays & Popay, 2007 p.63). Also, there has to be a clear statement of finding. The study does not mention the methods of data analysis employed. However, it has an elaborate section for the finding. Judging by the research period, it can be argued that the data analysis phase was intensive. The presented result proves the depth of the information. Although the analysis section is missing, the result section gives a clear statement of findings.

In conclusion, it is vital to dig deep into the information, which is to be harmonized in the NHS outcomes. Most of the nursing practitioners have believed in them especially in the evidence based section. Just as seen in the study, there is need of appraising the research and coming up with loopholes which could have informed poor outcome. The selected results are properly thought through as seen in their compliance with the CASP thresholds.


Gerrish, K., & Lathlean, J. 2015. The research process in nursing. Chichester, West Sussex, UK ; Malden, MA : John Wiley & Sons Inc. Article Critique of NHS Outcome on Children with Neurodisability Essay.

Pope, C., Mays, N., & Popay, J. 2007. Synthesizing qualitative and quantitative health evidence: a guide to methods. Maidenhead, England, Open University Press, McGraw Hill Education.

White, T. (2010). A guide to the NHS. Abingdon, Oxon, Radcliffe.

York University. 2017. Informing the NHS Outcomes Framework – Social Policy Research Unit, University of York. Retrieved 2 September 2017, from

Article Critique of NHS Outcome on Children with Neurodisability Essay