Assignment
Rough Draft Qualitative Research Critique and Ethical Consideration...
Use the practice problem and a qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.
In a 1000-1,250 word essay, summarize the study, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.
Refer to the resource "Research Critique Guidelines" for suggested headings and content for your paper.
This was the work of the first week that should be the reference for this week's
Evidence-based nursing practice (EBP) is crucial to the delivery of high-quality care that optimizes and improves patients' outcomes. Studies continue to show improved outcomes when best evidence is used in the delivery of patient care. To achieve excellence in practice, critical care nurses must apply EBP as the norm. We cannot knowingly continue clinical practice interventions that are not supported by current best evidence, particularly if those actions are known to be unhelpful and possibly injurious. Therefore, EBP should be integrated all the time in nursing daily activities.
A noticeable area of evidence based practice that have benefited greatly to improve patient outcome is preventing central line-associated blood stream infections (CLABSIs). The complex pathophysiological conditions of patients sometimes demands use of central venous lines. "Despite the potential benefits central venous lines can have for patients, there is a high risk of bloodstream infection associated with these catheters" (Reyes, Morphet, & Bloomer, n.d). After conducting studies with use of antimicrobial catheter and interventions such as dressing changes every 7 day and PRN, closed infusion systems, aseptic skin preparation,central venous line bundle checking, education, an extra staff for auditing and follow up, it was evidenced that such measures have positive outcomes in reducing central venous line associated bloodstream infections rates.
Reference:
Reyes, D. V., Morphet, J., & Bloomer, M. (n.d). Prevention of central venous line associated bloodstream infections in adult intensive care units: A systematic review. Intensive and Critical Care Nursing, 4312-22.
Second area of "evidence-based practice that has improved patient outcomes is the use of non-heparinized saline flush with positive -pressure value caps, and proper flushing technique to maintain CVAD patency. Outcomes were measured by comparing baseline data with data collected in the same manner post education. This data was obtained by collection a means of questionnaire and bedside observation of the nurse's flushing technique. There was a significant improvement with both nurse's knowledge and flushing skill with CVAD's. With continuing education with non-heparinized flushes has not only increase patient outcomes and has also reduced health care costs across the board. There are less risk factors as noted in another evidence-based study using randomized controlled trials evaluating the use of Normal Saline vs. Heparinized Saline.
Let's understand that all participates were included in the meta-analysis which systematically combining pertinent qualitative and quantitative study data from several data groups to develop a single conclusion, thus has the greatest statistical power. These results concluded that Normal Saline can be equally, of not more effective, in keeping the CVC lines patent. The secondary outcomes showed heparinized saline was not superior to normal saline and did not reduce CVC occlusions. Heparinized flushes are associated with potential risk factors such as "coagulation disorders, hypersensitivity reactions and heparin-induced thrombocytopenia". Goode CJ. (1991), & Goh LJ. (2011). Here are a few advantages of flushing with normal saline vs. heparinized saline. NS is isotonic, has much less side effects from heparin-related complications. Drug itself is less expensive which is economical from both patient and hospital.
Reference
Bowers, Speroni, Jones, and Atherton,( 2008); Hadaway, (2006), &Jasinsky&Wurster, (2009). "Reinforcement of proper flushing techniques has demonstrated improved patency rates of CVADs ". Feehery, Allen, &Bey, (2003).
Research Critique Guidelines
To write a critical appraisal that demonstrates comprehension of the research study conducted, address each component below for qualitative study in the Topic 2 assignment and the quantitative study in the Topic 3 assignment.
Successful completion of this assignment requires that you provide a rationale, include examples, or reference content from the study in your responses.
Qualitative Study
Background of Study:
• Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem.
• How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem.
• Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims.
• List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers.
• Were the purpose and research questions related to the problem?
Method of Study:
• Were qualitative methods appropriate to answer the research questions?
• Did the author identify a specific perspective from which the study was developed? If so, what was it?
• Did the author cite quantitative and qualitative studies relevant to the focus of the study? What other types of literature did the author include?
• Are the references current? For qualitative studies, the author may have included studies older than the 5-year limit typically used for quantitative studies. Findings of older qualitative studies may be relevant to a qualitative study.
• Did the author evaluate or indicate the weaknesses of the available studies?
• Did the literature review include adequate information to build a logical argument?
• When a researcher uses the grounded theory method of qualitative inquiry, the researcher may develop a framework or diagram as part of the findings of the study. Was a framework developed from the study findings?
Results of Study
• What were the study findings?
• What are the implications to nursing?
• Explain how the findings contribute to nursing knowledge/science. Would this impact practice, education, administration, or all areas of nursing?
Ethical Considerations
• Was the study approved by an Institutional Review Board?
• Was patient privacy protected?
• Were there ethical considerations regarding the treatment or lack of?
Conclusion
• Emphasize the importance and congruity of the thesis statement.
Quantitative Study
Background of Study:
• Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem.
• How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem.
• Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims.
• List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers.
• Were the purpose and research questions related to the problem?
Methods of Study
• Identify the benefits and risks of participation addressed by the authors. Were there benefits or risks the authors do not identify?
• Was informed consent obtained from the subjects or participants?
• Did it seem that the subjects participated voluntarily in the study?
• Was institutional review board approval obtained from the agency in which the study was conducted?
• Are the major variables (independent and dependent variables) identified and defined? What were these variables?
• How were data collected in this study?
• What rationale did the author provide for using this data collection method?
• Identify the time period for data collection of the study.
• Describe the sequence of data collection events for a participant.
• Describe the data management and analysis methods used in the study.
• Did the author discuss how the rigor of the process was assured? For example, does the author describe maintaining a paper trail of critical decisions that were made during the analysis of the data? Was statistical software used to ensure accuracy of the analysis?
• What measures were used to minimize the effects of researcher bias (their experiences and perspectives)? For example, did two researchers independently analyze the data and compare their analyses?
Results of Study
• What is the researcher's interpretation of findings?
• Are the findings valid or an accurate reflection of reality? Do you have confidence in the findings?
• What limitations of the study were identified by researchers?
• Was there a coherent logic to the presentation of findings?
• What implications do the findings have for nursing practice? For example, can the findings of the study be applied to general nursing practice, to a specific population, or to a specific area of nursing?
• What suggestions are made for further studies?
Ethical Considerations
• Was the study approved by an Institutional Review Board?
• Was patient privacy protected?
• Were there ethical considerations regarding the treatment or lack of?
Conclusion
• Emphasize the importance and congruity of the thesis statement.
• Provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice.
• Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice.
• Integrate a summary of the knowledge learned.
Reference
Burns, N., & Grove, S. (2011). Understanding nursing research (5th ed.). St. Louis, MO: Elsevier.
Format your assignment according to the following formatting requirements:
1. The answer should be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
2. The response also include a cover page containing the title of the assignment, the student's name, the course title, and the date. The cover page is not included in the required page length.
3. Also Include a reference page. The Citations and references should follow APA format. The reference page is not included in the required page length.