ANA Framework for How to Read and Critique a Research Study
ANA Framework for How to Read and Critique a Research Study
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In the article, ‘Common mental health problems in immigrants and refugees: general approach in primary care ‘ by Kirmayer et al., (2011), the authors argue that being able to recognize and treat mental health challenges in the most appropriate manner for new immigrants and refugees, seen in primary care, can continue to bring about the challenges due to various differences. This includes immigrant’s culture, language and based on other specific stressors related with resettlement and immigration. Based on the ANA framework, the article has been written with consideration of transparency, comprehensiveness, aligned, and evidence-based frameworks which is drawn from scientific research. In this way, it means that the article's recommendations are based on evidence that has been documented through published literature and scholarly research as reliable, valid, and generalizable. For example, the article clearly shows that its aim is towards the identification of the strategies and risk factors in the approach towards mental health assessment and the treatment or prevention of the various common mental health problems especially for immigrants working in primary care.
To also ensure the application of comprehensiveness, the article also discusses the aspect in key English language and explanation is given in the way that the process of the article research and compiling of the study has been done. In the article, the research mentioned the use of secondary data when discussing the risk factors and prevalence for common mental health-related challenges on immigration, the impact of cultural influences on illness and health, clinical aspects in ensuring the improvement of mental health care for refugees and immigrants. Also, the use of relevant data was put into consideration with experts to refugee and immigration mental health being considered as part of the reference.
Also the framework of comprehensiveness, where the framework provides an inclusive conceptualization on the contribution of nurses to care coordination and a reflection on what is considered to be an ideal discussion of an intervention, the parsimonious framework looks at the aspect of efficiency as possible through the inclusion of the fewest number of components that also address the contribution of nurses to care coordination. Also, the patient-centered framework that looks at the unique roles which nurse will assume when the aim at establishing the therapeutic relationship with the patients.
In addressing such a framework, the researcher discussed several important areas where they discussed the aspect where among the immigrants the common mental health challenges and prevalence were initially lower than the general population. However, over time, this has continued to increase to become similar to the same aspect in the general population. Also, refugees that have been reported to undergo severe exposure to violence are reported to produce a much higher rate of trauma-related disorder. This includes post-traumatic stress disorder, somatic syndromes, and chronic pain.
The other aspects of the framework look at the cross-cutting issues, whether the article is substantive, professionally relevant, and forward-thinking. Based on the diversity relate to the nursing profession, and the roles regarding the setting of refugees and immigrants, this framework also looks at the role of registered nurses, however, it is also inclusive to nurses that are educated at different levels. The other framework also looks at the issue of forwarding thinking and interprofessionalism, nurse leadership roles, and the last framework that looks at contemporary trends and innovations regard to assess performance measurement. All the above frameworks have been achieved successfully through the article since the contributions provide an organized structure that describes the nurse contribution regarding care coordination. It also illustrates the points of measurement and leverage by not openly looking at the precise measures in particular. This was done well as the authors provide an assessment regarding the risk for mental health challenges that include remigration exposures, uncertainty during immigration, and stresses in the experiences related to adaptation among other health-related outcomes.
Based on the responsiveness to contemporary trends framework the study came up with a migration trajectory that has been classified into three important components namely: pre-migration, migration, and post-migration resettlement. Based on the ANA framework each of the 16 phases has been well utilized to elaborate on the various specific exposures and risks (Kurtzman & Dailey, 2013). Also, the prevalence related to specific types of mental health challenges discusses nursing engagement to the study and practice by looking at how interventions are geared towards combating the nature of migration experiences. The researchers have been able to identify various important challenges concerning the migrant health that includes difficulties in communication due to cultural or language differences (Kirmayer et al., 2011). The impact of cultural symptoms influence the shaping of poor behavior on coping and treatment, diagnosis, and the difference in the family structure. Through the frameworks of forwarding thinking, substantivizes, inter- professionalism, and nursing leadership roles have also been addressed in the article by also looking at the training of nursing interpreters, brokers of culture, meeting with family, and meeting other community organizations (Kirmayer et al., 2011). A subsequent follow up on indicators of social, family functioning, and vocational over time interventions; this provides clinicians with the ability to identify and intervene in the different immigration challenges promptly.
References
Kirmayer, L. J., Munoz, M., Rashid, M., & Ryder, A. G. (2011). Common mental health problems in immigrants and refugees: general approach in primary care. Canadian Medical Association Journal, 2-7. https://doi.org/10.1503/cmaj.090292 ·
Kurtzman, E., & Dailey, M. (2013). Framework for Measuring Nurses’ Contributions to Care Coordination. Framework for Measuring Nurses’ Contributions to Care Coordination.
