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Critically
Appraising a
Journal Article
NUR ISLAMI MOHD FAHMI TENG
QUIZ!
 Choose mode - Kahoot!
Learning outcome
 Understanding the process of article critique
 Student should be able to critique an article
Benefits of Critical Appraisal
 An analytical summary and evaluation of a research
study
 Standard approach: recognize important information
 Standard format: easily digested, a quick read
 Usable by professionals in busy practices as
summarized, synthesized evidence
Anatomy of a Scientific
Article
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Conclusion
Always Ask Six Things
 As you go through the anatomy of the article, you will always ask six
things that will correspond to the various parts of the article.
Always Ask Six Things
 1) What is the clinical question?
 2) Why was the question asked?
 3) What did they do? Methods
 4) What was the answer ? Results
 5) What did they say about the answer? Conclusion
 6) What do I do with this information? Is this study of significant
enough quality in method to change my practice one way or the
other? - (Studies done different ways mean different things) (Look
at commentary/discussion)
Always Ask Six Things
 1) What is the clinical question?
 2) Why was the question asked?
 3) What did they do? Methods
 4) What was the answer ? Results
 5) What did they say about the answer? Conclusion
 6) What do I do with this information? Is this study of significant
enough quality in method to change my practice one way or the
other? - (Studies done different ways mean different things) (Look
at commentary/discussion)
1. What is the Clinical Question?
What type of question is being asked in
your article?
This is typically found in the Introduction
Always Ask Six Things
 1) What is the clinical question?
 2) Why was the question asked?
 3) What did they do? Methods
 4) What was the answer ? Results
 5) What did they say about the answer? Conclusion
 6) What do I do with this information? Is this study of significant
enough quality in method to change my practice one way or the
other? - (Studies done different ways mean different things) (Look
at commentary/discussion)
2. Why was the question asked?
What did the author/s want to know? This is typically found in the Introduction
Always Ask Six Things
 1) What is the clinical question?
 2) Why was the question asked?
 3) What did they do? Methods
 4) What was the answer ? Results
 5) What did they say about the answer? Conclusion
 6) What do I do with this information? Is this study of significant
enough quality in method to change my practice one way or the
other? - (Studies done different ways mean different things) (Look
at commentary/discussion)
3. What did they
do? (Methods)
YOU LOOK FOR THE VALIDITY OF THE STUDY BY CHECKING
THE WAY IT WAS CARRIED OUT.
3. What did they do?
(Methods)
 Validity
 The degree to which the results of a study are likely to
be true, believable and free of bias.
3. What did they do?
(Methods)
 Bias
 Deviation of results or inferences from the truth, or
processes leading to such deviation.
 Recall
 Selection
 Cultural
 Conflict of Interest
 Economic
 Lead Time
 Length Time
Types of Studies
 There are various types of studies for evaluating the
answer to your question
TYPES OF STUDIES
Always Ask Six Things
 1) What is the clinical question?
 2) Why was the question asked?
 3) What did they do? Methods
 4) What was the answer ? Results
 5) What did they say about the answer? Conclusion
 6) What do I do with this information? Is this study of significant
enough quality in method to change my practice one way or the
other? - (Studies done different ways mean different things) (Look
at commentary/discussion)
4. What was the answer?
(Results)
 What was the consequence, effect, or outcome of the
study?
 This is found in the Results
Always Ask Six Things
 1) What is the clinical question?
 2) Why was the question asked?
 3) What did they do? Methods
 4) What was the answer ? Results
 5) What did they say about the answer? Conclusion
 6) What do I do with this information? Is this study of significant
enough quality in method to change my practice one way or the
other? - (Studies done different ways mean different things) (Look at
commentary/discussion)
5. What did they say about the
answer? Conclusion
 What was the decision reached?
 This is typically in the Conclusion
Always Ask Six Things
 1) What is the clinical question?
 2) Why was the question asked?
 3) What did they do? Methods
 4) What was the answer ? Results
 5) What did they say about the answer? Conclusion
 6) What do I do with this information? Is this study of significant
enough quality in method to change my practice one way or the
other? - (Studies done different ways mean different things) (Look
at commentary/discussion)
6. What do I do with this
information?
 Is this study of significant enough quality in method to change my
practice one way or the other?
 Look at the commentary and discussion that has been provided by
the author/s in the journal article.
Where to find Commentary
 PubMed
 http://www.ncbi.nlm.nih.gov/pubmed/?otool=musmlib
 Google Scholar
 http://scholar.google.com.medlib-proxy.mercer.edu/
 ACP Journal Club
 http://annals.org.medlib-proxy.mercer.edu/journalclub.aspx
 Cochrane Journal Club
 http://www.cochranejournalclub.com.medlib-proxy.mercer.edu/
 Evidence Based Medicine
 http://ebm.bmj.com.medlib-proxy.mercer.edu/
ORGANISING THE BODY OF
YOUR REVIEW
 A well organised research article has readily
identifiable sections including the
 introduction,
 methodology,
 results (findings), and
 discussion (conclusions and recommendations).
INTRODUCTION
 Does the author clearly define a research problem or
topic?
 Is its significance explained? Are core issues or
research variables identified?
 Is specialized terminology usefully defined?
 Does the author provide an adequate literature
review?
 Does it discuss current research on the problem, and
help to situate the author’s own research?
 Are the research objectives clearly stated? Are
hypotheses or specific research questions identified?
METHODOLOGY
 Does the author clearly identify the research
methodology and any associated limitations of the
research design?
 Are participants described, including the method of
sample selection if appropriate?
 Are instruments adequately described, including issues
of appropriateness, validity and reliability?
 Do any evident biases or ethical considerations arise in
relation to the methodology?
 Are the methods for measuring results clearly
explained and appropriate?
RESULTS
 Are the author's major findings clearly presented?
 Do they adequately address the stated research
objectives?
 Are supporting data presented? Are tables, graphs or
figures helpful and well integrated with the text?
DISCUSSIONS
 Do the research results validate the author’s
conclusions and/or recommendations?
 Are alternative conclusions and/or limitations of the
research considered?
 Is there discussion of any variance between the
author’s research and prior research findings?
 Does the author’s research suggest any direction for
further research?
 Is the practical or theoretical significance of the
research emphasized?
 Does the author recommend the revision of theory or
practice in the field?
CONCLUDING A REVIEW
 Is the research timely and worthwhile?
 Is the research design appropriately inclusive and/or sensitive to the
cultural context?
 Are you aware of any significant omissions or errors that might affect
the validity or reliability of the research?
 Are the results original and significant?
 Does the author provide fresh insight or stimulate needed discussion
in the field?
 Is the article well structured?
 Are the sections of appropriate length?
 Do the author’s style and language maintain interest and clarity?
 Is the presentation unbiased, objective and reasonable?
 Is the author respectful of participants and the work of other
researchers?
JOURNAL CRITIQUE

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JOURNAL CRITIQUE

  • 3. Learning outcome  Understanding the process of article critique  Student should be able to critique an article
  • 4. Benefits of Critical Appraisal  An analytical summary and evaluation of a research study  Standard approach: recognize important information  Standard format: easily digested, a quick read  Usable by professionals in busy practices as summarized, synthesized evidence
  • 5. Anatomy of a Scientific Article  Abstract  Introduction  Materials and Methods  Results  Discussion  Conclusion
  • 6. Always Ask Six Things  As you go through the anatomy of the article, you will always ask six things that will correspond to the various parts of the article.
  • 7. Always Ask Six Things  1) What is the clinical question?  2) Why was the question asked?  3) What did they do? Methods  4) What was the answer ? Results  5) What did they say about the answer? Conclusion  6) What do I do with this information? Is this study of significant enough quality in method to change my practice one way or the other? - (Studies done different ways mean different things) (Look at commentary/discussion)
  • 8. Always Ask Six Things  1) What is the clinical question?  2) Why was the question asked?  3) What did they do? Methods  4) What was the answer ? Results  5) What did they say about the answer? Conclusion  6) What do I do with this information? Is this study of significant enough quality in method to change my practice one way or the other? - (Studies done different ways mean different things) (Look at commentary/discussion)
  • 9. 1. What is the Clinical Question? What type of question is being asked in your article? This is typically found in the Introduction
  • 10. Always Ask Six Things  1) What is the clinical question?  2) Why was the question asked?  3) What did they do? Methods  4) What was the answer ? Results  5) What did they say about the answer? Conclusion  6) What do I do with this information? Is this study of significant enough quality in method to change my practice one way or the other? - (Studies done different ways mean different things) (Look at commentary/discussion)
  • 11. 2. Why was the question asked? What did the author/s want to know? This is typically found in the Introduction
  • 12. Always Ask Six Things  1) What is the clinical question?  2) Why was the question asked?  3) What did they do? Methods  4) What was the answer ? Results  5) What did they say about the answer? Conclusion  6) What do I do with this information? Is this study of significant enough quality in method to change my practice one way or the other? - (Studies done different ways mean different things) (Look at commentary/discussion)
  • 13. 3. What did they do? (Methods) YOU LOOK FOR THE VALIDITY OF THE STUDY BY CHECKING THE WAY IT WAS CARRIED OUT.
  • 14. 3. What did they do? (Methods)  Validity  The degree to which the results of a study are likely to be true, believable and free of bias.
  • 15. 3. What did they do? (Methods)  Bias  Deviation of results or inferences from the truth, or processes leading to such deviation.  Recall  Selection  Cultural  Conflict of Interest  Economic  Lead Time  Length Time
  • 16. Types of Studies  There are various types of studies for evaluating the answer to your question
  • 18. Always Ask Six Things  1) What is the clinical question?  2) Why was the question asked?  3) What did they do? Methods  4) What was the answer ? Results  5) What did they say about the answer? Conclusion  6) What do I do with this information? Is this study of significant enough quality in method to change my practice one way or the other? - (Studies done different ways mean different things) (Look at commentary/discussion)
  • 19. 4. What was the answer? (Results)  What was the consequence, effect, or outcome of the study?  This is found in the Results
  • 20. Always Ask Six Things  1) What is the clinical question?  2) Why was the question asked?  3) What did they do? Methods  4) What was the answer ? Results  5) What did they say about the answer? Conclusion  6) What do I do with this information? Is this study of significant enough quality in method to change my practice one way or the other? - (Studies done different ways mean different things) (Look at commentary/discussion)
  • 21. 5. What did they say about the answer? Conclusion  What was the decision reached?  This is typically in the Conclusion
  • 22. Always Ask Six Things  1) What is the clinical question?  2) Why was the question asked?  3) What did they do? Methods  4) What was the answer ? Results  5) What did they say about the answer? Conclusion  6) What do I do with this information? Is this study of significant enough quality in method to change my practice one way or the other? - (Studies done different ways mean different things) (Look at commentary/discussion)
  • 23. 6. What do I do with this information?  Is this study of significant enough quality in method to change my practice one way or the other?  Look at the commentary and discussion that has been provided by the author/s in the journal article.
  • 24. Where to find Commentary  PubMed  http://www.ncbi.nlm.nih.gov/pubmed/?otool=musmlib  Google Scholar  http://scholar.google.com.medlib-proxy.mercer.edu/  ACP Journal Club  http://annals.org.medlib-proxy.mercer.edu/journalclub.aspx  Cochrane Journal Club  http://www.cochranejournalclub.com.medlib-proxy.mercer.edu/  Evidence Based Medicine  http://ebm.bmj.com.medlib-proxy.mercer.edu/
  • 25.
  • 26. ORGANISING THE BODY OF YOUR REVIEW  A well organised research article has readily identifiable sections including the  introduction,  methodology,  results (findings), and  discussion (conclusions and recommendations).
  • 27. INTRODUCTION  Does the author clearly define a research problem or topic?  Is its significance explained? Are core issues or research variables identified?  Is specialized terminology usefully defined?  Does the author provide an adequate literature review?  Does it discuss current research on the problem, and help to situate the author’s own research?  Are the research objectives clearly stated? Are hypotheses or specific research questions identified?
  • 28. METHODOLOGY  Does the author clearly identify the research methodology and any associated limitations of the research design?  Are participants described, including the method of sample selection if appropriate?  Are instruments adequately described, including issues of appropriateness, validity and reliability?  Do any evident biases or ethical considerations arise in relation to the methodology?  Are the methods for measuring results clearly explained and appropriate?
  • 29. RESULTS  Are the author's major findings clearly presented?  Do they adequately address the stated research objectives?  Are supporting data presented? Are tables, graphs or figures helpful and well integrated with the text?
  • 30. DISCUSSIONS  Do the research results validate the author’s conclusions and/or recommendations?  Are alternative conclusions and/or limitations of the research considered?  Is there discussion of any variance between the author’s research and prior research findings?  Does the author’s research suggest any direction for further research?  Is the practical or theoretical significance of the research emphasized?  Does the author recommend the revision of theory or practice in the field?
  • 31. CONCLUDING A REVIEW  Is the research timely and worthwhile?  Is the research design appropriately inclusive and/or sensitive to the cultural context?  Are you aware of any significant omissions or errors that might affect the validity or reliability of the research?  Are the results original and significant?  Does the author provide fresh insight or stimulate needed discussion in the field?  Is the article well structured?  Are the sections of appropriate length?  Do the author’s style and language maintain interest and clarity?  Is the presentation unbiased, objective and reasonable?  Is the author respectful of participants and the work of other researchers?

Editor's Notes

  1. An article critique is an assignment that requires a student to critically read a research article and reflect upon it. The key task is to identify the strong and weak sides of the piece and assess how well the author interprets its sources. Simply put, a critique reflects upon the validity and effectiveness of the arguments the article’s author used in his or her work.